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Company information


HST Careers



Health Systems Trust is an innovative non-profit organisation working to strengthen ongoing development of comprehensive health systems in southern Africa




eThekwini Metropolitan Municipality



Job Specification Information




Health Systems Trust (HST) wishes to appoint four Sub-District Co-ordinators in eThekwini District, KwaZulu-Natal Province to support co-ordination and management of the South Africa Sustainable Response to HIV and TB (SA SURE PRO) Project at sub-district level. The project aims to strengthen local capacity for the provision of sustainable HIV- and TB-related care and treatment. PURPOSE The incumbent will provide strategic direction, and technical and operational support to the project team and the Department of Health (DoH). SUMMARY Interacting with a diverse range of internal and external stakeholders to improve accountability for an integrated and strengthened health system, the Sub-District Co-ordinator (SDC) will co-ordinate and manage the project and associated staff, and provide technical support through mentorship and coaching of Primary Health Care (PHC) Supervisors and sub-structures in the assigned sub-district. Working with community structures and the DoH in the Sub-district, the SDC will provide support to targeted HIV and TB care and treatment, and sexually transmitted infection (STI) prevention interventions. The incumbent will provide strategic direction and operational support to the project team and DoH staff. They will be responsible for initiating, implementing and reporting on project activities and sub-district performance, and will contribute to other organisational initiatives, such as technical input for proposal-writing. This is a fixed-term contract position, renewable based on availability of funding.

Key Responsibilities

• Develop and implement sub-district project workplans aligned with the district macro-plan and project requirements/workplan • Mentor and coach DoH staff on implementation of National Department of Health (NDoH) health initiatives, strategies, policies and guidelines • Contribute to sub-district achievement of the 95-95-95 targets for HIV epidemic control through coaching and mentorship in performance management • Provide technical assistance and monitor interactions between the sub-district team members to ensure synergy between work-streams • Participate in project strategic meetings and weekly reviews with technical and programme leads to give feedback on workplan progress and outputs • Build and maintain relationships with other stakeholders (the DoH; Departments of Social Development, Education, Arts and Culture, and Agriculture; District and Local AIDS Councils, Operation Sukuma Sakhe structures, other District Support Partners, District and Sub-district Health Management teams, donor technical leads) • Attend strategic networking meetings with partners and district structures when requested by the Project Manager • Conduct site visits with DoH and stakeholder counterparts to perform assessments of progress on implementation plans and quality improvement plans (QIPs) • Facilitate and support the DoH and HST teams in identifying performance gaps through data analysis, and develop QIPs at facility and sub-district level • Review QIPs and weekly performance monitoring reports from Clinical Advisors, and provide feedback on QI progress and performance to project management, as well as feedback to Clinical Advisors on opportunities for improvement • Manage Clinical Advisors, providing support through mentorship and coaching for continuous quality improvement and achievement of project deliverables in line with the project workplan • Support Nerve Centre meetings and the quarterly review process in the district • Share good practice among clusters, HST and district teams, and contribute to relevant HST publications/documentation when requested • Ensure that all project reports are completed and submitted in accordance with workplans and funder contracts, and disseminate reports to district and programme management and facilitate feedback timeously • Strengthen integration of antiretroviral therapy (ART) management into community-based services by HST, partners and DoH teams • Support implementation and/or strengthening of Community Health Workers and Ward-based Outreach Team linkages and referral systems for improved health equity and equal access for patients beyond the facility-based services • Identify skills gaps in the allocated sub-district(s), and create and implement a skills development plan for individuals in the DoH and HST teams • Adhere to HST’s financial policies and procedures to maximise cost-effectiveness, managing efficient and responsible use of HST resources and assets (including human resources), and ensuring sustainable allocation of resources for maximum return on investment • Conduct reviews of log-sheets against workplans and reports, and tracker reports for compliance with policy • Contribute to financial expenditure review reports and monthly monitoring of district expenses and assets through monthly reporting of any lost or damaged items • Apply good governance principles and management of deliverables in the allocated sub-districts to mitigate reputational risks that would affect HST’s ability to sustain operations and secure funding, and report all risks to HST management timeously • Ensure that individual performance reviews are conducted every six months with all staff in sub-district, completing the 360-degree review • Manage staff conflict and disciplinary issues in line with HST policies and procedures.

Key Attributes

• Extensive knowledge of HIV prevention, treatment, care and support programmes • Skills to build and maintain relationships with multiple stakeholders • Effective organisational, management and facilitation skills • Advanced knowledge of Microsoft Office (Excel, Word, PowerPoint, Outlook) • English language proficiency, both verbal and written. Travel • The incumbent must have a valid driver’s licence, and be willing and able to travel as required.

Education Required


Qualification Required

• A relevant Nursing degree (with specialisation and/or a Primary Health Care qualification) • A postgraduate qualification in Project Management and/or Nursing Management will be an advantage. • A Certificate in HIV Management is recommended. The incumbent must be trained in at least one of the following areas: • Health systems: Demonstrable knowledge of health system strengthening, including the World Health Organization ‘building blocks’ • Leadership and management: Relevant HIV management training, with experience in management • Clinical care: Understanding of quality improvement processes and concepts • Monitoring and evaluation: A good understanding of the importance and role of health information systems in health system strengthening

Experience Required

• At least four years’ management experience • Proven project management abilities, with experience in the design, administration, management and implementation of public health programmes, including mentoring, coaching and supervision of staff and reporting • A background in HIV/AIDS, STIs and TB (HAST) management, monitoring and evaluation, and quality improvement, with in-depth understanding of the South African public health system, including the policy and management structures at national, provincial, district, sub-district and facility levels and working with DoH staff • Knowledge of the District Health Information System and TIER.Net • Experience of working in a donor-funded environment/non-governmental project-based organisation • Exceptional analytical skills • Ability to work independently or with minimal supervision, and as part of a multidisciplinary team, in a deadline-driven environment


A salary package commensurate with the successful candidate’s experience and qualifications and in line with HST’s job grading system will be offered.

Other Job Details

• Interested applicants must complete their application online at: • Applicants are to ensure that their online applications are completed in full, and that comprehensive CVs are uploaded with the online application in order to be considered. • Applicant’s CV must be saved with a filename reflecting their name and surname. • No applications sent via e-mail will be considered for the job, as all applicants must submit their applications online at the provided link. PLEASE NOTE: • All personal information collected is processed lawfully in terms of the Protection of Personal Information Act (POPIA). • Shortlisted candidates will be requested to submit certified copies of all qualifications and identity documents. • Applications received after the closing date will not be considered. • Correspondence will be limited to shortlisted candidates. • All shortlisted candidates will be subjected to reference and credential checks. • If you have not been contacted within 30 days of the closing date of this advertisement, please accept that your application has been unsuccessful. • HST reserves the right to not fill this position. CLOSING DATE FOR APPLICATIONS: 27 May 2024, at 16h30. Health Systems Trust subscribes to diversity and inclusivity, which is informed by the Company’s Employment Equity Plan. Based on this, African males and people with disabilities who meet the job specifications (including but not limited to the required skills, knowledge and education), are encouraged to apply.

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