Terms of Reference for TI-IDU Project

(These Terms of Reference may be revised in accordance with

the requirements of the project with due approval of Project Director of SACS.

While revising SACS is expected to consult the TSU and Tl division at DAC).

 

I. PROJECT DIRECTOR:

One representative from the Executive Body / Governing Body of the agency contracted agency in case of associations) with SACS is to be designated as Project Director.

The Project Director would be the sole person responsible for any communication

State/District/Municipal AIDS Control Society. He /She would be one of the signatory in the contract and bank account designated for the project.

1.               Project Director of implementing organization should ensure the appointment of all staff and PEs according to the approved proposal by SACS and ensue all documents pertaining to staff in the project office.

2.               Conduct monthly project progress review meeting and attend other project level meetings as much as possible.

3.               Attend SACS meetings as required

4.               Take lead to network with key district level officials such as District Magistrate, Superintendent of Police and other officials of departments to sensitize them about the project activities, HIV/AIDS and the role of community.

5.               Participate in advocacy efforts with key stakeholders at the district level (political and religious leaders, other service providers, social welfare schemes, etc.).

6.               Ensure coordination of project activities with other HIV/AIDS services in the district by engaging DAPCUs and District Health Society.

7.               Maintain oversight over the project activities and ensure financial integrity of the project.

8.               Ensure and facilitate any other activities approved by SACS and DAC with the project.

9.               Assets purchased and documents under the project to be ensured in the project office and it should be kept as per the guidelines.

10.            Ensure handover of unspent balance of the project account, assets and all other documents / records related to project within 15 days of closure of the contract or intimate SACS in case of delay. Obtain No Objection Certificate from competent authority of SACS after handing over and settle all accounts of staffs and SACS to avoid legal action as per requirements under the Contract.

 

II. PROJECT MANAGER:

Education

•                 She/He  should be a Post graduate in any discipline of Social Sciences preferably with one year experience at district level programmes related to health, livelihood programmes, rural development, microfinance and HIV/AIDS programmes •                 Graduate in any discipline of social science subject with minimum three years’ experience in development/health sector at district level programmes related to health, livelihood programmes, rural development, microfinance and HIV/AIDS programmes.

Knowledge & Skills

·     Familiarity with government health policies and programmes. Strong communication skills. ·     Ability to work in small teams, and flexible ways of working. ·     Proficiency in data analysis, report writing and case study compilation. ·     At least 10 days in the field visit required. ·     Overall management capacity to monitor, report and guide the team under him/her.

Summary of Key Functions:

The Project Manager will be responsible for managing overall program in close coordination with SACS and implementing agency.  He/ She would be responsible to keep close liaison with Government Departments at district level, SACS and TSU. Conduct data analysis and prepare monthly reports for review and reporting to SACS. Review the performance of Tl staffs, prepare need based monthly action plan and follow up the action points, facilitate the SACS and TSU visits.

 

Duties and Responsibilities:

Programme Management

1.     The Project Manager is the overall in-charge of the Tl and is responsible for functioning of the project as per DAC operational guidelines.

2.     The PM is tasked with achievement of the project deliverables as per project targets.

3.     The PM will be based at the field office and organize weekly review meeting and supervise work of all other staffs.

4.     Establish linkages with other referral services, stake holder meetings, and advocacy.

5.     Organize in house capacity building of the other staff.

6.     PM to travel to the project area / hotspots for purposes related to Tl programme implementation like supervision of PE / ORWs and interaction with HRGs. PM should visit the field for about 10-15 days in a month, records of the field visits are maintained.

7.     Assist PD to organize advocacy and linkage activities.

8.     Analyze the progress of the project activities and share the same with action points in the monthly project staff meeting.

9.     Assess the capacity building requirements of project staff and communicate the same with TSU and SACS.

10.  Monitor the transit intervention activities where ever applicable.

11.  Conduct weekly / biweekly/monthly review meetings with project staff and PEs.

 

Reporting:

·                 Report to PD of the project and Tl nodal officer in SACS and / or PO in TSU

·                 Timely submission of monthly program performance data in SIMS/CMIS or other reporting format

·                 Submission of SOEs

·                 Provide data / information required for preparation of reports.

 

Training Requirements:

Programme Management, Supervision and Monitoring Skills, Team Building Skills, Data Analysis Community based monitoring and rapport building, advocacy and networking.

III. MONITORING & EVALUATION ASSISTANT CUM ACCOUNTANT

Education	Gradate in Mathematics/Economics/Statistics/Commerce. Trained in basic computer software applications.
Experience	•                 Experience in data management, monitoring and evaluations tools, data qua checks, analysis and interpretation of data on program performance. •                 Maintaining financial records / accounts •                 Knowledge and experience in health and social development sector will be an added advantage.
Knowledge and Skills	•  Proficient in computer data management and analysis using computer software •  Familiarity with government health policies and programmes. Strong communication skills •  Ability to work in small teams, and flexible ways of working

 

Functions / Key Results Expected:

Summary of Key Functions: The Monitoring and Evaluation Assistant Cum Accountant will be responsible for managing all program, physical and financial data. Update of information on daily basis, computerization of outreach and project level data and consistency and quality checks of data, conduct data analysis, prepare monthly reports for review and reporting to SACS.

 

Duties and Responsibilities: Under the direct supervision of Project Manager of Tl the M&E cum Accountant will be responsible for performing the following functions:

Monitoring& Quality Assurance

·       Computerization of outreach, clinical and project level data on daily basis.

·       Conduct continuous analysis of data and provide analytical report for weekly and monthly reviews

·       Individual tracking of HRG for project services

·       Identify potential problems in reported data to improve the quality data

·       Conduct field visits for ensuring data quality and handholding of outreach team on MIS formats

·       Liaise with SACS and TSU team for program performance reporting

·       Preparation of SOEs and submit to PM and PD.

 

Reporting:

·       Report to PM of the project.

·       Timely submission of monthly program performance data in SIMS/CMIS or other reporting format.

·       Preparation and submission of SOEs

·       Provide data / information required for preparation of reports.

·       Compile field level information for operational reports when required by SACS

·       Assist in preparation, writing and editing of all reports required by SACS or Tl project - for example specific Annual Report, Field Study Reports, Event reports etc.

 

 

·       M & E Assistant to travel to the project area / hotspots for purposes related to Tl programme implementation like work with PE / ORWs and interaction with HRGs to ensure quality data capture. M&E Assistant should visit the field for about 8-10 days in a month

 

Training Requirements:

·       Basics of financial accounting and financial documentation.

·       Basics of SIMS reporting, performance indicators

·       MS- Excel, Power Point - for preparation of analytical reports, power point slides.

·       Data quality assessment at the field level, triangulation with different sets of data for data validation and quality checks.

 

IV. AUXILIARY NURSING AND MIDWIFERY/COUNSELOR

Recruitment Qualifications
Education and Experience	Qualified with ANM degree from any recognized institution. Must have minimum one year experience with a field level health programme. For Counselor- Should have PG in Psychology/Social Work in a regular course. In case mentioned qualification not available candidate with following qualification and experience may be considered: 1). Graduate in Psychology/ Social Work (Regular course)with minimum 2 yrs working in counseling or working with TIs/Adolescence Health Programme/Mental Health Settings/Substance Abuse or Drug Dependence Programme. (Candidates with correspondence degree will not be allowed for this post).
Knowledge and Skills	·             -Familiarity with government health policies and programmes ·             Strong communication skills ·             Ability to work in small teams, and flexible ways of working ·             Proficiency in data recording / management, report writing, case study compilation. ·             At least 10 days in the field visit required. ·             Overall management capacity to monitor, report and guide the team under him/her.

 

Functions/Key Results Expected:

Summary of Key Functions:

The ANM/Counselor will be responsible for managing providing counseling and communication support to the programme in identifying individual or group behaviour including opportunities or challenges which have implication in HIV/AIDS Programme. Identify motivators or inhibitors among individuals or family members and among groups which required to be addressed through BCC sessions by team as well as through one to one or one to group counselling sessions. Ensure confidentiality while dealing with individual cases. Ensure participation in project based clinics, preferred providers clinics, health camps and would maintain patient registers, dispense medicines, demonstrate condom use, counsel on condom negotiation skills, education on NSEP, overdose prevention, abscess, OST, use of lubrication etc.

 

Duties and Responsibilities:

Counseling and Behavior Change Communication

1.     The ANM/Counselor is responsible for taking individual and group sessions on HIV/AIDS, STI, safe sex and injecting behaviors, prevention of abscesses, overdose prevention, drug treatment options, OST etc.

2.     The ANM/Counselor also shall engage in family counseling.

3.     Demonstrate condom use, counsel on condom negotiation skills.

4.     The ANM/Counselor shall also be responsible for motivating the clients for regular GMC, referral of clients to ICTC, STI clinic, ART, etc.

5.     The ANM/Counselor shall also engage with providers of social welfare services and facilitate linkage with social welfare services.

6.     The ANM/Counselor shall also be responsible for orientation of ORWs on counselling techniques and coordinate the outreach based BCC and psychosocial support activities.

7.     The ANM/Counselor shall also look into the counselling requirement of female sex partner and spouses of IDUs and motivating them to avail the HIV related services (STI treatment, ICTC, etc).

8.     In addition, s/he shall develop the BCC materials suitable for local context, follow-up clients both in DIC and in the field and maintain records as per prescribed formats.

9.     The ANM/Counselor would be responsible for identifying individual or group motivators or inhibitors which require to be addressed for health seeking behaviors, condom use, decline in sharing needles/syringes, decline in domestic or group violence, addressing issues related to self-esteem, communication of groups etc.

10.  Using the above areas the counselor would guide the outreach team to have specific based BCC sessions to address these issues.

11.  The ANM/Counselor would be responsible for management of clinics especially record keeping, management of the patient flow, visit to the clinic sites or preferred providers and dispensing of medicines.

12.  The ANM/Counselor in coordination with M&E and Accountancy officer would identify the hotspots or sites with low service uptake, increasing defaulters - prepare outreach and visit plan to  conduct hotspot level meeting..

13.  The ANM/Counselor along with ORWs would prepare a plan to improve linkage with ICTCs /FICTCs ensuring sharing of line listing of referred clients from Tl to ICTC, maintenance of referral and referral registers.

14.  The ANM/Counselor along with M&E and Accountancy officer would ensure timely reporting of condom stocks, OST medicine stocks, STI and other general medicine stocks to DAPCU, SACS, TSU or TSG as per requirements.

15.  The ANM/Counselor will participate in site validation process and would update the site validation and quarterly line listing of HRGs of the project along with M&E cum Accountancy officer.

16.  The ANM/Counselor will participate in stakeholder meeting and would prepare a stakeholder engagement plan to ensure that the issues related to BCC and service uptake is associated.

17.  Ensure collection of used needles and syringes in a IDU Tl and bio-medical waste management as per the required guidelines.

18.  Disposal of clinic or health camp wastes as per the recommended guidelines.

19.  The ANM/Counselor to travel to the project area for providing services in the field. The counselor should visit the field for about 10-12 days in a month.

 

Reporting:

·       Reporting to PM of the project.

·       Provide data / information required for preparation of reports.

·       Prepare at least 12 case records in the prescribed format and conduct risk management plan for HRGs or their regular clients.

·       Maintain records on referrals to other services, patients register, follow up register, referral cards, reconciliation of referral cards, patient cards, condom stock and issue register, needles and syringe stock and issue register, bio-medical waste management register, medicine stock and issue register social marketing of condoms register or any other documents as per requirements.

 

In case of IDU Tl the ANM would have following responsibilities:

1.     Ensure management of abscess cases at DIC and in the field

2.     Assist the medical officer in primary examination and preliminary screening of HRGs for general medical conditions and TB (6 monthly GMC).

3.     Referral for further examination / investigations / treatment, follow-up.

4.     Dispensing of medicines, maintaining inventory of medical supplies and indenting fresh stocks and record maintenance for STI services.

5.     Ensure that all clinical reporting formats are maintained and updated.

 

Training Requirements:

Supervision and Monitoring Skills, Team Building Skills, Good listening skills, Case record compilation, Risk assessment and management plan, Condom demo-re-demo, Basics of STI &  HIV/AIDS, Basics of NSEP/OST programme Community based monitoring and rapport building, advocacy and networking Abscess management, Overdose management, clinical record  maintenance.

 

Norms:

For, IDU TIs with the target of 200 & 400 population ANM will also look into the counseling requirements of the TIs.

 

 

 

 

 

 

 

 

 

 

 

 

 

V. OUTREACH WORKERS:

Recruitment Qualifications
Education and Experience	·          Should be at least educated up to 8th standard with good knowledge of the local community and local language. ·          ORWs should preferably be from the community in case of FSW, MSM, TG, Migrants and Truckers Project ·          In case of candidates from the community, Peer Educators who have performed well at least for last 3 years and can read and write may also be considered for the post of ORW. ·          In case of IDU programme special preference would be given to clients who are stabilized on OST. ·          In FIDU Tl, the ORW is to be a female.
Knowledge and Skills	•       Should have strong communication skills. •      Ability to work in small teams, and flexible ways of working. •       Proficiency in data analysis, report writing, case study compilation. •      At least 20 days in the field visit required. •      Capacity to monitor report and guide the team under him/her.

 

Functions / Key Results Expected:

Summary of Key Functions:

The ORW will be responsible for overall planning of service delivery at the field for behavior change or service uptake. With Peer Educators and ORW has to plan, counseling sessions by counselor, clinic services by visiting physician or preferred providers, advocacy and networking with stakeholders. Supporting the peer educators and facilitating their work for efficient and effective coverage of HRGs. Maintenance of records of the outreach team and report to the project. Rapport building with the target population and mobilize them for various services. Work with M&E Assistant for data recording. Ensure field training of PEs.

Duties and Responsibilities:

Planning and Management

1. The ORW will responsible for preparing micro-plans for each hotspot, monitoring implementation of the plans and review of the plans.

2.  Facilitate and build capacity of the peer educators to implement the outreach activities of the required norms of the project.

3.  Ensure micro plans and line listing is updated on quarterly basis and the same is shared project for HRGs and in case of migrants and truckers the micro plan and site assessment is completed every quarter.

4.  Prepare monthly action plan for each hotspot, ensure supply of needles/syringes, cone lubricants, BCC materials adequately for each hotspot.

5.  Should discuss with the counselor on a monthly basis to understand the hotspots or sites poor service uptake, increasing number of due and overdue so that necessary follow up and micro plans can be updated.

6.  Should discuss with the community members and other stakeholders in preparing micro plans ensuring that field level support is ensured for smooth implementation of the project.

7.  The ORW will identify potential volunteers and would use their services for the program case of truckers and migrants, brokers may be used. Competent volunteers fulfilling necessary criteria may be engaged as peer educators after complying necessary guidelines.

Supervision and Monitoring

1.     The ORW will be In-charge of outreach and supportive supervision of PEs, counseling, linkages etc.

2.     Should ensure at least 20 days of field visits in a month to assigned areas and to the nearest preferred providers, ICTCs/FlCTCs where the referrals are made.

3.     ORW will ensure preparation of micro plan, risk & vulnerability analysis, stakeholder anal' coordination with PE and Project Manager / MEA officer.

4.     Should ensure weekly peer diaries are maintained, monthly report collection from submission of own reports to the project office.

5.     Should facilitate the crisis response activities.

6.     Ensure all new contacts of each peer educators should be covered by him/her.

7.     In addition to the regular ORW activities, the Female ORW should focused on FIDU and in referral and providing services to them.

Advocacy and Networking

1.            The ORW will be In-charge of stakeholder management to discuss and rope in support the stakeholders in smooth implementation of the programme in the area.

2.            The ORW will be working with various power structures within and outside the communal and would ensure their effective participation in the programme.

3.            The ORW will identify and use preferred providers for delivering the project services of due training by SACS or DAPCU or TSU.

Commodity Supplies and Management

1.            The ORW will be responsible for demand analysis of condoms, needles and syringes, lubes in the field and would ensure distribution by the peers or through social marketing out in the field.

2.            The ORW will maintain records of free condoms or needles and syringes or lubes received from the project and distributed by self or peer educators or outlets

3.            Identify and manage condom social marketing outlets as per the guidelines.

4.            Ensure supply and management of IEC materials for use in the outreach sessions.

5.            Prepare the clinic site or health camp sites by mobilizing community for health check u HIV testing and counseling.

Reporting:

•            Report to PM.

•            Provide data / information required for preparation of reports.

•            Maintain records on referrals to other services, follow up register, reconciliation of referra cards, patient cards if required, condom & lubes stock and issue register for distribution in field, needle and syringe stock and issue register for distribution in the field, collection anc disposal of used needles and syringes, medicine stock and issue register if required, list of social marketing outlets and their follow up or any other documents as per requirements.

 

 

 

Training Requirements:

Supervision and Monitoring Skills, Team Building Skills, Good listening skills, Condom demo, Basics of STI and HIV/AIDS, Basics of NSEP/OST programme, advocacy and network Access management, Overdose management, clinical record maintenance, management, disposal of used needles and syringes from the field.

Norms: •            FSW and MSM Tis = 1: 150-250 HRGs •            For IDU Tis =1: 150-200 HRGs, For Addl. FIDU in existing IDU Tl =1: 50 - 75 FIDUs for IDU Tl with 05T Component = 1: 50-100 05T clients. •            For Dest.Migrants = 1:1600-2000 Dest.migrants

                For Core composite Tis with FSW and MSM or TG/Hijra or IDU component = 1: 100-300 HRGs

 

VI. PEER EDUCATORS:

Recruitment Criteria
Criteria	•      Preferably should be literate with good knowledge of the local community for FSW, MSM and TG / Hijra PEs should be from the same target group. •      In case of Migrants project - 40% of the total peers should be from the community which represent highest number of migrants from source Stat •      In case of truckers project - 40% of the total peers should be ex-truckers c helpers and are currently in the profession or are working with any other •      In case of IDU or FIDU projects - ex-users or community members be preferred •      The peer educator selection should be done through a process of peer progression among the volunteers who are associated with the project by of helping in community sensitization, clinic services. •      The peer educators should be from the community in terms of their occupy typology and age groups. •      Stakeholders, pressure groups or members of power structures, family members of the target population should not be preferably be engaged as educators.
Knowledge and Skills	·             Should have strong communication skills and knowledge about community structures, community dynamics, power structures within and outside the community which controls the community. ·             Ability to work in small teams, and flexible ways of working ·             Ability to maintain simple field records and have attitude to work in a tear complete pending works. ·             Should be identifying with the issues of community and should not idolize the behaviors ·             Should be a good community motivator and should have rapport building skills.

Functions / Key Results Expected

Summary of Key Functions:

The Peer Educator will be responsible for supporting the outreach team in planning of service delivery by the project. The peer educators would be responsible to identify individual or groups who are at risk of HIV/AIDS and their partners who require services including the networks. Peer educator will make inroads to these networks and motivate them to use condoms, recognize the ne regular medical checkup and visit to preferred providers or clinics, recognize the need for HIV t and safe disposal of used condoms/needles and syringes. Will motivate the individuals or group improve their self-esteem and communities to access services and other social development benefits.

Duties and Responsibilities:

Planning and Management

1.   The Peer Educator along with other project staffs would be responsible for preparing rr plans, calculate demand analysis of various commodities.

2.   Prepare weekly / monthly action plan for each hotspot, ensure supply of needles/syrinp condoms, lubes, BCC materials adequately for each hotspot.

3.   Should discuss with the community members and other stakeholders in preparing micr ensuring that field level support is ensured for smooth implementation of the project.

4.   Should ensure follow up of STI cases, HIV positive cases, home visit to HRGs who have r turned up for RMC or HIV testing.

 

Advocacy and Networking

1.     Will discuss and rope in support of the stakeholders in smooth implementation of the programme in the area.

2.     Will be working with various power structures within and outside the community and v ensure their effective participation in the programme.

3.     Will identify and use preferred providers for delivering the project services after due training by SACS or DAPCU or TSU

Commodity Supplies and Management

•     Will support the ORW will maintain records of free condoms or needles and syringes oi received from the project and distributed by self or peer educators.

Reporting:

Provide data / information required for preparation of reports.

Training Requirements:

Micro plan preparation and updation, Condom demo-re-demo, Basics of STI and HIV Basics of NSEP/OST programme, advocacy and networking, disposal of used needle syringes from the field.

 

Norms:

For, FSW and MSM Tis = 1: 60 HRGs,

For IDU Tis =1: 40 HRGs, For Addl. FIDU in existing IDU Tl =1: 40 FIDUs

For Dest.Migrants = 1: 700-1000 Dest.migrants

For Core composite Tis with FSW and MSM or TG/Hijra or IDU component = as per the above norms.

 

VII. VISITING PHYSICIAN:

Recruitment Criteria
Criteria	1.     Preferably MBSS 2.     Should have the attitude to work with HRGs and their partners. 3.      Should have provided consent to handle and manage stock of medicines purchased or stored by the project as per requirement of the Drugs and Cosmetics Act. 4.     Should be ready to provide at least 4-6 hours for 6 days a week in case of 1 and MSM and TG and Hijra TIs, for at least 3-4 hours for 7 days in case of 1 (IDU Tl, IDU Tl with additional FIDU or OST component), at least 25 camps hours of work per month for migrants and truckers TIs. The norms for HRG applies for core composite TIs as well.
Knowledge and Skills	1.               Should have strong communication skills and knowledge about community issues and their risk pattern. 2.               Ability to work in small teams, and flexible ways of working 3.                Ability to maintain simple field records and have attitude to work in a field condition with travel to various sites. 4.               Should be a good community motivator and should have rapport building

 

Functions / Key Results Expected:

•                 Ensure auditory and visual privacy of patients.

•                 Ensure clinic should have equipment like:

a.       Examination bed with bed sheets o

b.     Sufficient light for examination

c.      Instruments-speculum, proctoscope, etc.

•                 Follow Syndromic Case Management (SCM) while treating STI/RTIs.

•                 Should ensure internal examination during regular medical checkups.

•                 Should ensure that the case records are maintained by the physician him/herself whereas the patients register may be maintained by project staffs.

•                     Focus on prevention, with special reference to partner management, condom follow-ups and management of side effects.

•                 Emphasis on treatment compliance and better treatment outcomes.

•                 Counseling of patients leading to improved knowledge on causation, transmission (and prevention of RTIs/STIs.

•                 Offer counseling services for HIV/AIDS testing and establish linkages with ART with respect to persons who are detected HIV positives.

•                 Refer clients to ICTC, PPTCT, DMC, ART, PLFIA network etc. based on need.

•                 Meeting with all Tl staff at least once in a month.

•                 Attend regular training on advanced STI/RTI management without any fail.

•                 Share relevant clinical records or reports or data maintained whenever required

•                 Motivate HRGs to use government facilities for health services and lab tests.

 

 

Project Manager:

Training Requirements:

Programme Management, Supervision and Monitoring Skills, Team Building Skills, Data Analysis Community based monitoring and rapport building, advocacy and networking.

 

Auxiliary Nursing and Midwifery/Counselor:

1. The ANM/Counselor shall also look into the counselling requirement of female sex partner and spouses of IDUs and motivating them to avail the HIV related services (STI treatment, ICTC, etc).

2. In addition, s/he shall develop the BCC materials suitable for local context, follow-up clients both in DIC and in the field and maintain records as per prescribed formats.

3. The ANM/Counselor would be responsible for identifying individual or group motivators or inhibitors which require to be addressed for health seeking behaviors, condom use, decline in sharing needles/syringes, decline in domestic or group violence, addressing issues related to self-esteem, communication of groups etc.

 

Outreach Workers:

Norms: •            FSW and MSM Tis = 1: 150-250 HRGs •            For IDU Tis =1: 150-200 HRGs, For Addl. FIDU in existing IDU Tl =1: 50 - 75 FIDUs For IDU Tl with 05T Component = 1: 50-100 05T clients. •            For Dest.Migrants = 1:1600-2000 Dest.migrants

                For Core composite Tis with FSW and MSM or TG/Hijra or IDU component = 1: 100-300 HRGs

 

 

 

(K.J. LALBIAKNGHETA)                                                    (EMANUEL LALHRIATZUALA RALTE)

 MD & PD, TI-IDU Project                                                                                    Chairman