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Treatment adherence and retention support
- Provide individual and group counselling on ART adherence, treatment literacy, importance of regular ART intake, viral load testing, and retention in care.
- Conduct follow-up visits and telephonic counselling for clients at risk of treatment interruption.
- Support formation and functioning of treatment buddy systems and community support groups.
- Encourage participation in Community ART Refill Groups (CARGs) where applicable.
- Mobilise PWID for HIV services, OST enrolment, viral load testing, hepatitis screening, and other health services.
Tracking and Re‑engagement of Lost‑to‑Follow‑Up (LFU) Clients
- Maintain regular coordination with ART Centres, CSCs, OST Centres and TI projects for identification of LFU clients.
- Conduct home visits, hotspot visits, and community outreach for tracing LFU clients.
- Facilitate re‑initiation of ART services for clients who have interrupted treatment.
- Accompany difficult‑to‑reach clients to ART Centres, Viral Load collection sites, OST Centres, or other service delivery points when required.
- Document reasons for treatment interruption and support corrective interventions.
Community Outreach and Hotspot Engagement
- Conduct outreach activities in identified PWID hotspots and congregating areas.
- Map and update information on hotspots, peak timings, and community networks relevant for client tracking.
- Build rapport with PWID communities and act as a bridge between service providers and beneficiaries.
Linkage and Referral Services
- Facilitate referrals and accompanied linkages to ART Centres, OST Centres, ICTCs, CSCs, mental health services and drug de‑addiction and rehabilitation centres
- Strengthen cross‑linkages between Targeted Intervention (TI) projects and ART services.
Psychosocial, Mental Health Support, Harm Reduction and Prevention Services
- Provide basic psychosocial support and motivational counselling, identify signs of depression, anxiety, substance‑use related distress, and social isolation.
- Conduct routine mental health screening using approved tools. Refer clients requiring specialised care to appropriate mental health facilities.
- Promote safer injecting practices and harm reduction strategies.
- Educate clients on overdose prevention, safer sexual behaviour, HIV prevention, STI prevention, and risk reduction.
Documentation and Reporting
- Maintain records of outreach activities, counselling sessions, referrals, and LFU tracking efforts.
- Submit weekly and monthly progress reports to the reporting supervisor.
- Support maintenance and updating of client line lists, tracking registers, referral records, and follow‑up documentation.
- Participate in review meetings and contribute to case discussions.
Community Coordination
- Coordinate with CSCs, ART Centres, TI‑NGOs, OST Centres, PLHIV networks, community champions and outreach workers.
- Conduct support group meetings, community consultations and coordination meetings.
- Assist in identification of vulnerable clients requiring travel support, nutritional support or additional interventions.
Interpersonal skills:
Strong communication, active listening, problem solving and non‑judgemental, empathetic attitude
Essential qualification:
Graduation in any discipline (preferably in social work, psychology, sociology or related social science disciplines)
- At least 1–2 years of prior experience of working closely with vulnerable communities such as IDU/PLHIV on health/social intervention projects.
- Preference will be given to candidates from the community, especially ex‑drug users or IDU‑PLHIV who are stable on treatment.
- Experience in HIV/AIDS, harm reduction, OST, community mobilising and counselling.
- Fluency in the local language of the target area will be desirable.
Other required skills:
- Strong counselling and communication skills.
- Excellent active listening and interpersonal skills.
- Ability to build rapport and maintain client confidentiality.
- Empathetic, non‑judgemental and client‑centred approach.
- Good problem‑solving and decision‑making skills.
- Strong documentation and reporting skills.
- Ability to work independently and as part of a team.
- Basic computer proficiency (MS Office and data entry).
- Knowledge of HIV/AIDS, TB and public health programmes is desirable.