Empleos en el PNUD - 96992- IC/UNDP/HGI/036/2021

IC/UNDP/HGI/036/2021 - Consultant to Develop Technical Guidelines of HIV Services Through Telemedicine

Localidad :

Home-Based, Indonesia

Tipo de contrato :

Individual Contract

Fecha de comienzo del contrato :

Fecha límite de postulación :

02-Mar-21 (Medianoche Nueva York, Estados Unidos)

Nivel de puesto :

National Consultant

Duración del contrato inicial :

45 working days

Idiomas requeridos :

Inglés

Duración esperada del puesto :

3 months

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Antecedentes

Interest candidate has to access procurement notice Ref.: IC/UNDP/HGI/036/2021 - Consultant to Develop Technical Guidelines of HIV Services Through Telemedicine at the following link: https://procurement-notices.undp.org/view_notice.cfm?notice_id=75429

We encourage you to submit your application through this website and send the complete application to bids.id@undp.org (only application with complete supporting document received in bids.id@undp.org before or at the closing date will be proceed).

BACKGROUND

UNDP is committed to contributing to overcoming the major health challenges in Indonesia. The expertise built over 15 years is used to support ongoing health system strengthening reforms. The action begins with increasing equity in access to quality basic health services for the poor and most vulnerable. This includes improve access to social services and medicines for excluded groups.

This access, however, is increasingly disrupted in the Covid-19 pandemic situation. Health workers are drawn to get involved in the response to Covid-19 so that other health services are distracted. Face-to-face health services are also avoided to reduce the spread of the virus. The most impacted group on this condition is the poor and marginalized groups. They are the largest consumer of health services but is increasingly unable to access affordable and quality health services.

Concerned with this issue, UNDP assist the Indonesian government in overcoming it. One of the things that has been done is to make a partnership agreement with The Indonesian Telemedicine Alliance (ATENSI). The goal is to contribute to providing access to health services for the community through telemedicine during the Covid-19 pandemic. This partnership will cover three main topics that will be worked on together, which are: (1) Evidence-based practices, (2) Advocacy to Indonesian government, (3) Learning and capacity building.

Several follow-up activities for the partnership have been carried out. First is the assessment of telemedicine service providers under ATENSI to measure the extent to which telemedicine has been beneficial to the community. The results of the study indicate that HIV tele-consultation services are one of the most widely accessed by the community. The next activity is to collaborate with the telemedicine company under ATENSI to increase the knowledge of their health workers regarding prevention, outreach, testing, and treatment of HIV cases through telemedicine.

UNDP together with ATENSI then build communication with the Ministry of Health. This is an initial assessment for efforts to develop HIV services through telemedicine. It is recognized that there has been an increasing demand for these services during the Covid-19 pandemic. The Ministry of Health also realizes that there is a need to strengthen collaboration between the government and the private sector, including telemedicine providers. This is mainly in the effort to provide access to services and to achieve the target of HIV elimination by 2030.

The Ministry of Health, through the Head of the Sub Directorate HIV and PIMS, is interested and approves of the development of HIV services through telemedicine. Access to STOP Program services (Consul, Find, Treat, Maintain) whose implementation has been disrupted due to the pandemic can be done digitally or without face to face. This is very possible because most telemedicine service providers in Indonesia currently have supporting facilities so that they can exacerbate the challenges.

Telemedicine can play a role in the prevention of HIV infection. An example of this is explore the acceptance, use, and adherence of screening efforts among adolescents (men who have sex with transgender, men, and women) aged 15-19 years. In addition, digital platforms allow individuals to consult on sensitive subjects. Telemedicine can then identify those at higher risk of acquiring HIV and schedule a PrEP (pre-exposure prophylaxis) appointment.

Telemedicine is also ideal for those with chronic illnesses. This is particularly for individuals that are well managed and only require regular check-ups, repeated prescriptions, and general monitoring. They are living with HIV on a successful treatment, with an undetectable viral load and stable immune function. Video or telephone consultations can answer their questions and promote retention in care.

Visual assessment in place of physical examination can be conducted. The client is asked to do some self-examination and report certain vital signs. They can also send pictures if needed. Only those who need urgent and important laboratory tests are referred to the laboratory. Meanwhile, those with acute needs can still be seen directly. Those living with HIV with well adherence, suppressed viral load and no comorbidities, can have treatment visits at six-to-12-month intervals.

HIV services via telemedicine need more preparation before being implemented. Legal umbrellas might already exist, such as the Circular Letter No. HK.02.01 / MENKES / 303/2020, Permenkes No. 20/2020, and Perkonsil 74/2020. However, a technical guideline in implementing HIV service via telemedicine is still not available. Guideline in arranging mechanisms, flow, test and treatment management, monitoring, data confidentiality management, and quality standards are crucial currently. The services implemented are also expected to fulfill the 5C concept, which are concern, counseling, confidential, correct to results, and connect to care / services.

This technical guideline is necessary to ensure service quality and risk mitigation. This is because HIV services via telemedicine can disrupt the relationship between existing health care facilities and clients. In addition, telemedicine can be difficult to build relationships and trust through virtual platforms. Key populations often report distrust of the medical system because of experiences of stigmatization. The readiness and expertise of health service providers in providing telemedicine services needs to be considered too so that they do not appear rushed.

Deberes y responsabilidades

Scope of Work

The general purpose of this ToR is engagement of the technical support that would serve as to support:

In cooperation with ATENSI and Ministry of Health preparing technical guidelines (Juknis) for the implementation of HIV services through telemedicine
Together with ATENSI and Ministry of Health disseminating and implementing technical guidelines (Juknis) for HIV services through telemedicine.

Competencias

Competencies

Language:

Strong written and spoken in English

Others

Preferably have extensive knowledge in collaboration, learning, and adapting concepts for health projects and telemedicine
Creative problem solving and ability to work in a team with positive attitude
Ability to communicate and give a good presentation, report, and able to work independently and in a team

Habilidades y experiencia requeridas

Academic Qualifications:

Minimum Master’s degree in Infectious Disease, Health System Management, Health Policy, or other related fields

Experience:

A minimum of ten years of relevant work experience in the field of HIV/AIDS
Hands on experience in designing and writing technical guidelines for HIV/AIDS services
An excellent understanding of the linkage between HIV/AIDS services and telemedicine would be advantage.
Good knowledge of policies, programs, and priorities of government in HIV and AIDS response including the strategy and target goals in Indonesia would be an advantage