Direct Service Delivery Nurse (DSD Nurse)

About Us

Zimbabwe Health Interventions (ZHI) is a not-for-profit human development organisation which is registered as a Private Voluntary Organisation (PVO 17/22). ZHI’s mission is to develop and deliver innovative and sustainable high-impact, integrated health interventions to the communities we serve, while working with and strengthening existing institutions.

During the application process, ZHI will not charge any fee, nor will it require any payment for an application to be considered. ZHI is an equal opportunity employer and employs personnel without regard to race, ancestry, place of origin, colour, ethnic origin, language, citizenship, creed, religion, gender, sexual orientation, age, marital status, physical handicap or financial ability.

Job Description

Project Description

The Accelerated and Comprehensive HIV Care for Epidemic Control in Zimbabwe (ACCE) mechanism project increases the availability and quality of care and treatment services for people living with HIV (PLHIV) by complementing the Ministry of Health and Child Care’s (MOHCC) efforts towards HIV epidemic control in Zimbabwe. The project provides direct service delivery and technical assistance to the management, coordination, and provision of comprehensive HIV clinical care and treatment services within the national HIV program. The technical assistance and direct service delivery spans across all MOHCC and PEPFAR priority technical areas, such as HIV testing services, linkage to care, and PMTCT with pre-exposure prophylaxis for pregnant and breastfeeding women.

Position Summary

The DSD Nurse will provide comprehensive HIV and SRH services either at a health facility or as a roving nurse, depending on district needs. The role spans the full HIV cascade from prevention and testing to treatment and retention and includes cervical cancer screening, PMTCT, paediatric ART, and advanced HIV disease management. The nurse will also support learning platforms at facilities, data management, quality improvement, mentoring, and community engagement.

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Duties and Responsibilities

1. HIV Prevention, Testing, and Linkage
   • Conduct targeted HIV Testing Services (HTS) including PITC, index testing, and mobile outreach.

• Screen for STIs, TB, mental health, and IPV/GBV during HTS.
• Link HIV-positive clients to ART initiation at the facility or community level.
• Provide HIV-negative clients with prevention counselling and PrEP referrals.

1. ART Initiation, Retention, and Viral Suppression
   • Initiate ART on newly diagnosed clients and ensure optimal regimen use.

• Refer clients for psychosocial and mental health support.
• Provide adherence counselling and enhanced adherence support (EAC).
• Monitor treatment outcomes including viral load monitoring.
• Identify and trace clients interrupting treatment to ensure retention.
• Support differentiated service delivery (DSD) models including CARGs and community ART refill groups.
• Provide TB screening and initiate eligible clients on TPT.

1. PMTCT and Paediatric HIV Services
   • Provide PMTCT services across the cascade: PrEP for pregnant and lactating women, testing, ART linkage, retention, and viral suppression.

• Conduct Early Infant Diagnosis (EID) and ensure PCR testing for HIV-exposed infants.
• Track mother-baby pairs up to final HIV outcomes (18 months post-delivery and 6 weeks post-breastfeeding).
• Provide HIV prophylaxis and paediatric ART initiation and follow-up.

1. Cervical Cancer and SRH Integration
   • Conduct cervical cancer screening using HPV DNA methods.

• Facilitate VIAC screening for HPV DNA-positive clients.
• Facilitate the treatment of precancerous lesions and refer suspected invasive cases.
• Conduct SRH education and outreach in communities and facilities.
• Link clients to additional SRH services, including mental health and STI care.

1. Advanced HIV Disease Management
   • Identify and manage clients with advanced HIV disease.

• Provide CD4, TB LAM, and Serum CRAG testing
• Link to appropriate treatment.

1. Data Collection and Quality Improvement
   • Maintain accurate documentation in the MoHCC and ZHI registers.

• Carry-out on on-site data entry and consolidation every month.
• Enter data into ZHI DHIS2.
• Use E.HR onsite as e-first.
• Participate in folder reviews and data quality audits.
• Support implementation fidelity and contribute to QI initiatives.
• Ensure timely submission of MRF and Quasi

Requirements

The responsibilities of this position require the post holder to have regular contact with vulnerable individuals. Therefore, the candidate must have no previous safeguarding issues. The post holder is also required to comply with ZHI’s safeguarding policies and guidance.

The position holder is expected to fully adhere to all relevant U.S. laws and policies, including those governing abortion-related restrictions

Knowledge, skills & abilities 

• Proficiency in English and relevant local languages.
• Strong knowledge of HIV care, SRH, and PMTCT protocols in Zimbabwe.
• Ability to work independently and within multidisciplinary teams.
• Skilled in data analysis, reporting, and use of M&E tools.
• Computer literacy is essential.

Qualifications and experience 

• RGN /Primary Care Nursing qualification.
• Certificate in Rapid HIV Testing and Counselling.
• Registered with the Nurses Council of Zimbabwe.
• Valid license to practice as a nurse in Zimbabwe.
• Minimum 2 years of experience in HIV care and community health.
• Training in cervical cancer screening, PMTCT, and advanced HIV management.
• Willingness and ability to ride a motorbike (Class 3 license preferred).
• Experience in mentoring and community engagement is an asset.

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