Senior Drug Resistant TB Advisor

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Published on 15.08.2019


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Job Ad & Profile Description

Position : Senior Drug Resistant TB Advisor

Fellowhip Title: Senior Drug Resistant TB Advisor
Host Organization:   National Tuberculosis and Leprosy Program, Ministry of Health and University Teaching Hospital

Location: Lusaka, Zambia  

Position Level:  Senior Technical Advisor


Travel: 25% estimated travel


USAID is a leader in the global fight against tuberculosis (TB) and supports anti-TB efforts in high burden TB countries. STAR Fellowship is a key component of the USAID Administrator's TB Accelerator initiative that aims to reach the UN General Assembly TB Declaration targets as well as to build the capacity and commitment of the host governments to ensure TB self-reliance through evidence-based TB programs.    


The Senior Drug Resistant-TB Advisor (Senior Advisor) shall provide state-of-the-art technical expertise to the National Tuberculosis and Leprosy Program (NTLP) in implementing the National Drug Resistant Guidelines. They will support the Program to build the capacity of the National, Provincial and District Clinical Expert Committee members and health care workers in strengthening the Programmatic Management of Drug Resistant TB (PMDT) and improving the diagnosis, treatment and care of MDR/RR-TB, and pre-XDR/XDR-TB.

Reporting structure:

The Senior Advisor will be based at the DR-TB Treatment Centre at the University Teaching Hospital (UTH) and work in close collaboration with Infectious Disease team at UTH. They will report to and receive technical direction from the NTLP Manager and will work in close collaboration with USAID/Zambia and USAID/Washington TB team. 

Essential Duties and Outcomes:

Build Capacity of NTLP to improve the ability to build DR TB Sites:  

  • Build the capacity of existing Drug-Resistant (DR) TB sites, including the use of mentorship, cohort monitoring, quality improvement tools and improved supervisory arrangements to increase the consistency and quality of clinical practice in PMDT.
  • Plan and support the facilitation of expansion of DR TB diagnosis and treatment services to additional DR-TB treatment sites.
  • Review policy options for new regimens for consideration by NTLP by staying current on global updates for New Drug (ND) Shortened Treatment Regimen (STR) to ensure early adoption of international guidelines.
  • Provide support in the rollout of STR and new drugs and regimens (ND&R) for drug resistant TB.
  • Analyze the drivers of loss to follow-up, mortality and other poor outcomes; initiate (with NTLP) any necessary corrective actions.
  • Ensure all DR-TB treatment sites are actively reporting adverse effects.
  • Conduct technical guidance and mentorship to treatment and follow up sites.
  • Work with NTP to guide the national process of adopting and scaling up a customized DR-TB Comprehensive package.

Improved implementation of PMDT activities financed by Global Fund:

  • Support the NTP to accelerate PMDT activities financed by Global Fund.

Improved coordination of PMDT activities nationwide:

  • Support the implementation of TB drug-safety monitoring and management (aDSM).
  • Strengthen the NTP’s ability to oversee a well-coordinated PMDT program through ambulatory care throughout the country, with established reporting and recording tools and standard operating procedures. 
  • Work with NTP and Global Fund and/or the Ministry of Social Affairs to link MDR-TB patients with nutrition, cash, psychosocial support packages, or other benefits.
  • Provide regular updates on PMDT progress to NTP and USAID, including developing and submitting technical monthly progress report and bi-annual monitoring and evaluation report to USAID staff.

Anticipated learning outcomes: Required 10% time

  • Demonstrate proficiency across the core global health competencies defined as development practice, cross cultural awareness, communication, capacity strengthening, ethics of public health, health equity, gender equality and global burden of disease that is necessary for persons practicing in global health.
  • Cultivate mentorship skills based on the STAR GH mentorship curriculum to more effectively support and improve knowledge transfer and skills acquisition of staff, incoming fellows and interns.
  • Advance leadership skills to successful support capacity building and knowledge sharing activities, and mentor develop junior staff.
  • Apply leadership skills and technical expertise to support programmatic growth and scale up within PMDT/TB programming.                      
Required profile for job ad : Senior Drug Resistant TB Advisor

Fellowship Requirements:


  • Minimum 13 years of PMDT experience with master's degree or a minimum of 15 years of PMDT experience with bachelor's degree.  
  • MD plus certificate in internal medicine or MPH or equivalent.
  • In depth knowledge and hands-on experience in the clinical management of drug resistant TB is an advantage.
  • Demonstrated ability to review, analyze and advise all aspects of PMDT at national and sub-national level.
  • Up-to-date knowledge of Global and national policies on all aspects of the management of drug resistant TB.
  • Up-to-date knowledge of ongoing and emerging issues in PMDT, like epidemiology, international policy, evidence development and (MDR) TB control strategies, especially regarding shorter MDR regimens, new drugs and new diagnostics.
  • Experience in teaching/training and capacity building.
  • Experience working with the key stakeholders in TB program, preferably the national stakeholders and international donors.
  • Zambian citizenship required.

Thank you for applying before the closing Date 28 August, 2019 by 5:00 pm

Job criteria for job ad : Senior Drug Resistant TB Advisor
Job category:
R&D, project management
Research and development
Employment type:
Fixed-term contract
Region :
Experience level:
More than 10 years
Educational level :
Number of Position(s):1

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