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Job Description

Baylor College of Medicine Children’s Foundation – Malawi (BCM-CFM) is a not-for-profit organization working in partnership with the Malawi government in the health sector. Our Mission is to provide high-quality, high-impact, highly ethical pediatric and family-centered health care, health professional training and clinical research, focused on HIV/AIDS, tuberculosis, malaria, malnutrition and other conditions impacting the health and well-being of children and families worldwide.

The Baylor-Tingathe program was designed in 2008 to respond to suboptimal uptake of PMTCT and pediatric HIV services in Malawi. The program seeks to support Malawi in reaching the ambitious UNAIDS 95-95-95 goals, by improving the identification of HIV-positive persons, timely treatment initiation, and long-term engagement in care.  The program is funded by USAID, and is currently operating in 7 districts in Malawi. Baylor-Malawi is seeking qualified candidates to fill the position of:


Job Tittle:                                       Cluster Coordinator

Duration :                                      9 months renewable

Location:                                        Mangochi




Reports to:  District Medical Coordinator (DMC) / District Coordinator


Supervises: Site Supervisor and Community HIV Program Officers (CHPOs)


Position Description:

Cluster Coordinators are facility-based and will be responsible for providing high-quality, client- centered clinical care, in line with Ministry of Health guidelines and standards, to all clients with HIV and associated illness, including TB. In addition to providing direct patient care to all HIV positive clients, s/he will provide clinical mentorship and support to other facility-based providers. S/he will support facility to provide comprehensive, high-quality, client-centered services care to ensure that all clients, including pregnant women and infants, support for retention in care and ultimately viral suppression.


Key Deliverables

  • Achievement of targets at assigned facilities
  • Weekly update to district team leadership on sites’ progress to targets, gaps and challenges
  • Monthly assessment of site level data to identify priority sites for the next month, and development of subsequent supervision schedule at monthly meeting with district leadership
  • Written plan of strategies to access gaps (CQI) at facility level and reviewed with supervisor at a minimum monthly and more often if needed

Duties and Responsibilities


Clinical Support

  • Directly manage all HIV clients attending the facility
  • Provide clinical mentorship to ART providers to ensure quality patient care, treatment and retention and maintain best practices and facilitate cross-learning among health workers
  • Ensure that all facility-level clinical and lay staff are fully aware of and understand MOH guidelines, policies and SOPs with regard to the provision of ART services. Proactively identify gaps in knowledge and address these gaps through CPD activities and case reviews.
  • Identify opportunities for differentiated models of care, and support their implementation
  • Champion the PMTCT program
  • Support supply chain management to ensure consistent access to adequate ART commodities

Program Implementation

  • Work with the district Team lead, District coordinator and other district teams to ensure that comprehensive, high quality patient centered care is being provided in the facility at all times.
  • Identify gaps in the provision of care using both routinely and ad hoc collected daily, weekly, monthly and quarterly data, supportive supervision of staff, and review of patient outcomes. Work collaboratively with HTS and ART providers to develop well thought through and articulated action plans, implement changes and be able to monitor and evaluate their impact.
  • Ensure that all client documentation is complete, accurate and kept in a confidential, organized and protected manner
  • Ensure that all data related to the provision of ART care is collected in an accurate and timely way and that all Tingathe and MOH program registers and tools are document correctly.
  • Work with site level and district based staff to improve the quality of care provided using clinical mentorship, training and Continuous Quality Improvement initiatives.
  • Coordinate monthly facility meetings to provide feedback to MOH staff on performance.
  • Be aware of and work towards achievement of all facility targets for HIV Care and Treatment in each facility
  • Participate in district program performance reviews and continuously support improvement of strategies.

Supervision and reporting

  • Work with district based staff to ensure that all site level staff are available to support high quality, comprehensive client centered and are executing their assigned duties diligently and according to MOH and Tingathe policies and guidelines.
  • Monitor the performance of site level staff on a regular basis, deal with any immediate concerns in performance and report any identified HR concerns timeously.

Key Deliverables


  • Provide weekly updates on site level performance to district leadership as well as monthly review of all data, action plans and strategies to address gaps at facility level
  • Provide reports on all aspects of performance on an ad hoc basis as required
  • Respond promptly to all communication including electronic communication (WhatsApp, email) to ensure closed loops of communication
  • Submission of all requested reports and information at indicated deadlines
  • 95% of new cases started on treatment on same day.
  • More than 95% retention in EID cascade at 6 week, 12- and 24-month milestones for all HIV-infected infants
  • VL suppression in 95% of clients.
  • Maintain over 90% of PMTCT women in care, and transfer clients out to appropriate health facility ensuring all documentation is handed over accurately and completely
  • The duties listed above are not exhaustive; roles and responsibilities may change in response to overall organizational need and strategic innovations


Competencies and Experience Required

  • Highly competent clinical officer, medical assistant or nurse with at least two years recent clinical experience in Malawi providing care to people living with HIV
  • Certified ART provider and sound knowledge of all ART guidelines in Malawi.
  • Strong communication and interpersonal skills
  • Strong oral and written English and Chichewa
  • Leader with demonstrated ability to work with colleagues at all levels in an organization, and develop and maintain respectful and collaborative relationships with government and all stakeholders
  • Proficiency in computer skills in Microsoft Word, Excel and PowerPoint as a minimum
  • Report writing skills and ability to adhere to strict deadlines
  • Some health systems management skills, including the ability to collect, analyse and interpret data.

Working Conditions and Physical Requirements

  • Coordinators will be based one facility and may support a number of other facilities.
  • They will work 8 hours a day but will be required to be at the facility they are supporting by 07h30 – and, in some cases, earlier. They may also be required to work some evenings and weekends.
  • The job is physically demanding and tiring due to living in rural areas and working in rural health facilities and long working hours

Application process:


Suitably qualified and experienced candidates should address their applications to:


For physical delivery:


Executive Director

Baylor College of Medicine-Children’s Foundation Malawi

Pink Building, off Presidential Way, in Golden Peacock Shopping Centre Complex

Area 13/92 City Centre

Lilongwe Malawi

Tel: 0880007457/0999970033

EMAIL: recruitment@tingathe.org 


Closing date for receiving applications is 20th November, 2020. Only short listed applicants will be acknowledged.

Skills Required

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  • Type
    Full Time
  • Positions
  • Apply Before
    21 Nov, 2020

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