Lilian Wambua

• Coordinate Weekly/Monthly activities for my team members i.e Pre-Sims assessment and Mentorship at facility level.
• Attending Sub-County data and Stakeholder review meetings.
• Chairing and coordinating Hub level end month review meeting with facilities.
• Develop and implement performance improvement strategies and plans to promote continuous improvement.
• Providing onsite Clinical Mentorship on pediatric, adolescent and adult HIV /TB care and treatment to targeted HCWs in collaboration with sub county mentors.
• Assisting in development of initial and continued medical education for all clinic staff, including facility based CMEs, OJTs, formal didactic training, and clinical mentorship.
• Coordinate and contribute to implementation of programmatic management of TB and TB/HIV services to promote expansion of quality TB services based on national guidelines.
• Participate in project work providing advice in area of TB/HIV integration and building capacity.
• Support active scale up of TPT across all sites within my Hub.
• Participate in TB/HIV mortality audits and track progress in all my sites.
• Take part in TB/PMDT review meetings and provide feedback on TB case management and analyze findings of supervision and results.
• Oversee implementation of TB/IPC work plans within my Hub.
• Ensure that TB patients are linked in network to testing, care and treatment programs that address multitude of cross-cutting issues, such as stigma reduction and gender.
• Conduct site visits to review implementation of TB/HIV activities and meet with beneficiaries, communicate findings and recommendations for strengthening TB/HIV interventions with program team.
• Performing clinical interviews and giving recommendation to the hiring manager.
• Developing and maintaining courteous and effective working relationships within my team.

• Provided onsite clinical mentorship on pediatric, adolescent and adult HIV care and treatment to targeted HCWs in collaboration with sub county mentors.
• Assisted in development of initial and continued medical education for all clinic staff, including facility based CMEs, OJTs, formal didactic training, and Clinical Mentorship.
• Acted as member of Sub County HIV Clinical TWG Secretariat to coordinate with sub county mentors, and SCASCOs and organize TWG meetings giving status report to both County and Regional Clinical TWG.
• Provided technical support to health workers in all aspects of implementation of HIV services to ensure that patients receive full complement of prevention, treatment and care in accordance to National HIV treatment guidelines and other applicable standards.
• Ensured timely clinical and laboratory monitoring of patients on treatment through t implementation of viral load standard operating procedure and that timely interventions were undertaken for patients with suspected treatment failure.
• Mentored front line health care workers to appropriately document service delivered to clients in requisite NASCOP / MOH recommended tools.
• Championed differentiated service delivery model of care supported facilities.
• Supported implementation of both proactive and reactive continuity in treatment strategies and ensuring patients on care are retained.
• Participated in joint supportive supervision of supporting HIV prevention, care and treatment activities in assigned sites with County and Sub-County level MOH staff.
• Assisted in program monitoring and evaluation by reporting through National HMIS tools and other tools and its funding partners through mentorship of facility staff on proper documentation.
• Routinely utilized Q.I approaches as well as elements of operational research including identification and documentation of ‘best practices’ to ensure provision of high-quality TB/HIV services

Key Responsibilities:

Prevention services:

• Strengthened Positive Health, Dignity and prevention messages and services to both HIV (discordant and concordant clients and their families.
• Prepared and conducted health talks to patients on prevention services – PrEP, PEP, Sex and reproductive health talks, PMTCT.
• Conducted risk assessment, clinical evaluation and initiated PrEP on all eligible clients.
• Offered follow up services through calls and text messages on importance of clinic appointments- to reduce on lost to follow up (LFTU), missed appointments and defaulters.
• Updated Daily Activity Register (DAR) and 731 plus for facility reporting.
• Ensured well updated daily appointment register for PrEP client.
  Ensured prompt stock taking of PrEP to prevent stock outs and ordered drugs.

Oversight & Leadership:

• Planned and implemented adult and pediatric TB/HIV/STD/STI care and treatment services in facility
• Facility based clinical systems mentorship
• Strengthened Positive Health, dignity and prevention (PHDP) messages and services to HIV positive clients and their families.
• Ensured availability of all materials for HIV services including RTKs, data tools and IEC materials in facility.
• Led in Continuous quality improvement team as well as Infection prevention control.
• Strengthened adherence and psycho social supports to clients.
• Conducted quarterly routine assessment, monitoring IPC policies and practices at facility levels.
• Assisted facility with development of standard operating procedures and reporting mechanisms for IPC

Stakeholder Engagement & Research:

• Worked with M&E to ensure accurate data collection and reporting.
• Participated in HIV, and gender stakeholder meetings.

Key Responsibilities:

Oversight & Leadership:

• Planning and implementation of adult and pediatric TB/HIV/STD/STI care and treatment services in facility
• Facility based clinical systems mentorship.
• Strengthening adherence and psycho social support to clients
• Strengthening of Positive Health, Dignity and prevention (PHDP) messages and services to HIV positive clients and their families.
• Ensure availability of all materials for HIV services including RTKs, data tools and IEC materials in facility.
• Conducting home visit to all home based patients.

Quality Control & Compliance:

• Supporting continuous quality improvement through KQMH strategy i.e. on various projects (viremia and retention to achieve 95-95-95 goals), Work improvement team on Infection Prevention Control at facility level.

Stakeholder Engagement & Research:

• Work with M&E to ensure accurate data collection and reporting.
• Participate in HIV, and gender stakeholder meetings.

GBV Coordinator:

• Focal person for Gender-based violence survivors offering health services and referral of cases for psych social support and any other intervention needed.
• Closely work with case workers, community health workers to ensure that regular assessment of needs of survivors are met in responding and preventing GBV.
• Strengthen linkages between testing points and care clinic in facility.

Key Responsibilities:

Clinical Work:

• Consultation, Diagnosing and treatment of the clients.
• Care and gave support and health education to patients.
• Conducted home care and home visits
• Strengthened PHDP messages and services to HIV positive clients and their families.
• Provided adherence counseling and PWP to clients attending the clinic.

Stakeholder Engagement & Capacity Building:

· Prepared and conducted CME' s to the staff.

· Worked with M&E to ensure accurate data collection and reporting

Representation: Focal person: cervical cancer screening of all eligible women, Gender-based violence survivors offered health services and referring when it was required, Infection and Prevention Control

Key Responsibilities:

• Consultation, Diagnosing and treatment of the clients.
• Prescription of antiretroviral drugs and anti O.I to the clients.
• Counseling/ Testing.
• Conducted field visits / Home care.
• Preparation and conducting of C.MES for staff.

Stakeholder Engagement:

• Participated in CQI meetings
• Liaised with the DASCO and DTLC for monthly Report writing on Reproductive health HIV/Aids, TB, Malaria and Chains (child health) i.e. 711A. And Disease surveillance.
• Attended support group’s sessions i.e. PMTCT, Children and Concordant and Discordant couples.

• Ensured efficient and effective coordination and delivery of medical services to employees at crew level.
• Conducted field visit/supervison and off health talks to the crew members and locals.
• Constant Consultation and liaison with Crew Clinical Officers and Paramedics and established the specific needs, medical drugs and supplies that were required by the crew.
• Liaised with and procured medical drugs at local pharmacies and hospitals in correct quantities and dosage and adviced on correct conditions of transportation and storage of medical drugs, supplies and equipment.
• Coordinated dissemination and administration of medical drugs and vaccines to the crew.
• Provided relevant information on preventative care to Crew Clinical Officers and Paramedics.
• Ensured compliance with all laws, Ministry of Health and World Health Organization regulations.
• Kept up to date with current trends in the medical profession and advised the company accordingly.
• Maintained electronic and hard copy records of all patient visits, patient data, diagnoses and prescriptions.
• Reported to management on a daily basis on patient cases handled at the various crew clinics and health facilities including Clinical Officers and Paramedics.

• Consultation, diagnosing and treatment of patients.
• Performed minor surgical procedures like suturing.
• HIV, Testing and Counseling of patients.
• Referral of patients to other hospitals for specialized care.
• Performed night duty and ward rounds in the hospital.
• Conducted Health talks and Education to patient’s i.e. diabetic and Hypertension support groups.

Working in the Comprehensive Care Clinic, Prevention of Mother To Child Transmission and Tuberculosis Clinics:-

• Worked as the coordinator of the clinics by ensuring smooth running of the clinics including monitoring the community Health Worker.
• Consultation, Diagnosing and treatment of the clients.
• Prepared and conducted C.M.E’S to the staffs.
• Provided adherence counseling and pwp to clients who were attending the clinic.
• Counseling/ Testing.
• Prescription of antiretroviral drugs and anti O.I to the clients.
• Went on field visits / Home care.
• Liaised with the DASCO to ensure availability of IED materials.
• Liaised with the DASCO and DTLC for monthly Report writing of Reproductive health HIV/Aids, TB, Malaria and Chains (child health) i.e. 711A. And Disease surveillance.
• Care and provided support and health education to patients.
• Convened support groups sessions i.e. PMTCT, children and concordant and discordant groups.

• Oversaw the daily operations of the health facility.
• Counseling and testing.
• Outpatient Consultation and prescription of medication.
• Referral of patients to other hospitals for specialized care.