Title: Consultant for HIVST Implementation Plan
Department: Southern Africa
Based in: Harare, Zimabwe
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Zimbabwe had approximately 1.400 000 people living with HIV in 2017, among whom 75% (60% - 87%) know their HIV status. While the scale-up of HIV testing and treatment has been significant, a substantial testing gap remains with 13-40% of people living with HIV remaining undiagnosed in the country. Closing this testing gap through increased coverage and the scaling-up of approaches that can reach individuals with undiagnosed HIV and at high ongoing HIV risk will be critical to achieving the first 90. HIV self-testing (HIV-ST) is a new approach that has significant potential to extend access to HIV testing beyond the limitations of the current infrastructure and address barriers to testing. HIV-ST is the process whereby an individual who wants to know their HIV status collects their specimen, performs the test and interprets the test result on their own or in the presence of a trusted other. It may be offered through a diversity of existing and new channels, including health facilities, community-based programs and pharmacies. HIVST delivered through these channels may provide directly assisted or unassisted HIV self-testing. HIVST has the potential to support efforts to achieve global HIV testing goals in several ways:
Recognizing the potential for HIV-ST, UNITAID supported the first pilot of the HIV Self-Testing Africa (STAR) Project as a four-year initiative in Malawi, Zambia and Zimbabwe to catalyze the market. Zimbabwe has since started the nationwide roll-out phase of this programme.
In order to effectively and efficiently implement HIVST, there is a need for the country to develop an evidence-based plan to guide the implementation of HIVST. The HIVST Implementation Plan will include the different components of the health delivery system, including community component, which is critical in reaching those populations that do not normally access the health institutions for HIV service provision. The Ministry of Health and Child Care in Zimbabwe, in collaboration with partners, is, therefore, embarking on a process of developing HIVST implementation plan that is in line with the current HIV testing strategy and ZINASP.To inform HIV-ST rollout, there is need to conduct an exhaustive review of evidence gathered to date, examine potential channels, develop an understanding of the dynamics and trends in the existing HIV testing market. The gathered information will be leveraged as the best evidence available to lay out a number of potential scenarios in which HIVST could play a role in achieving the first 90 target.
The main objective is to develop a HIVST implementation plan that aligns with the National HIV Testing Strategic plan 2017-2020 for the provision of comprehensive HIV-ST services in Zimbabwe. The implementation plan should be guided by the WHO framework for HIVST and should contain the following components: National registration and regulations; Product selection; HIVST distribution strategie; Key considerations and messages; Training; QA for products and AE monitoring and reporting.
Specific objectives of the assignment are:
Expected outputs and deliverables
The main output of the assignment is a costed 3 year implementation plan for comprehensive HIV self-testing services in Zimbabwe.
Specific deliverables for this task are:
Methodology and Timelines
Desk review of evidence, research and market research, secondary data analysis, key informant interviews with MOHCC, technical and implementing partners at country level, leading a workshop to gather input from stakeholders to develop the implementation plan, development of first draft, review by MOHCC and stakeholders, second and third and final draft.
The anticipated timeframe for the work is 90 days. October – December 2018