ACCESS-LA Implementer

The project: ACCESS-LA

MSF is launching ACCESS-LA (Accelerating Community-Centred Equitable Scale-Up of Long-Acting PrEP), a three-year Access Fund initiative designed to catalyse equitable, timely, and affordable access to long-acting pre-exposure prophylaxis (PrEP) for HIV prevention. The project focuses specifically on the introduction of lenacapavir (LEN-LA) and other LA formulations (e.g., cabotegravir) to address the prevention needs of marginalised and criminalised populations who face systemic exclusion from existing health services. This initiative employs a two-level approach to civil society engagement, linking global advocacy to grassroots community action.

The project operates through three integrated pillars:

• Advocacy & communication: addressing licensing, pricing, and regulatory barriers.
• Implementation: programmatic support to introduce LA-PrEP in diverse MSF-supported contexts.
• Monitoring & research: generating operational evidence to inform guidelines, procurement, and advocacy.

Reports to (hierarchical): ACCESS-LA medical lead
Reports to (functional): ACCESS-LA medical lead and HIV advisors
Job family: Medical / operations
Supervises (function): No direct supervision
Salary level: GGF 15 / IRFFG 10 / MSF SnA 7
 

The role: ACCESS-LA implementer

• This position is embedded in the ACCESS-LA team, hosted at the Southern Africa Medical Unit (SAMU). The implementer is a flying position deployed across MSF pilot sites in Africa, Asia, and Latin America, with a travel requirement of 50–70% of working time. This role translates clinical and programmatic guidance into context-adapted, community-informed, and differentiated models of care, and ensures implementation experience and lessons feed back into scale-up, quality improvement, and advocacy.
• This position works in close collaboration with the ACCESS-LA medical lead, technical advisors across all operational directorates, the monitoring and research manager, and local civil society partners.

Main purpose

The implementer provides hands-on, field-based, specialised technical support to roll out long-acting PrEP and PrEP choice approaches across MSF projects from all operational directorates. This role directly reinforces the project’s key pillars: implementation, advocacy support through data monitoring, and community engagement. By translating clinical and programmatic guidance into feasible, context-adapted, community-informed, and differentiated models of care, the implementer ensures that implementation experience and lessons learned feed back into scale-up, quality improvement, and advocacy. Crucially, this role bridges clinical delivery with civil society mobilisation, ensuring that local community-based organisations (CBOs) and key population networks are actively integrated into the design, monitoring, and delivery of LA-PrEP services within a choice framework.

Accountabilities

1. Provide targeted implementation support across diverse MSF sites, ensuring operational directorates and project teams remain fully in the lead of project design and technical responsibility.
2. Support site readiness, clinical training, and the coaching of medical teams on the ground.
3. Assist in establishing differentiated and community-linked delivery models tailored to key and vulnerable populations, such as adolescents, sex workers, men who have sex with men, transgender and gender-diverse people, and displaced populations. This may include awareness raising, sensitisation, and capacity building.
4. Provide support to monitoring and research activities in close conjunction with the monitoring and research manager, ensuring operational data effectively strengthens evidence-based advocacy.
5. Facilitate direct engagement with grassroots CBOs, community networks, and civil society partners embedded in MSF project settings to co-create monitoring plans and ensure inclusive service delivery.
6. Support local civil society partners in conducting community-led monitoring, demand generation, and national-level advocacy related to LA-PrEP rollout.
7. Troubleshoot operational challenges that arise during the rollout of LA PrEP and PrEP choice models.
8. Liaise continuously with the ACCESS-LA medical lead, technical advisors, and the advocacy team to ensure that field realities and community-generated evidence actively shape access policies.
9. Support the integration of LA-PrEP into existing holistic sexual and reproductive health (SRH) services, ensuring linkages to HIV testing, STI screening, and primary care.

Expected deliverables

1. Support the initiation of LA-PrEP services in at least three pilot sites.
2. Conduct site readiness assessments and map relevant community stakeholders for early implementation in excluded contexts.
3. Co-develop and roll out context-adapted training modules for clinicians, pharmacists, community health workers, and peer providers.
4. Establish joint monitoring frameworks and feedback loops with local civil society partners in initial pilot locations to support accountability and demand generation.

Education:  

• A medical or paramedical (clinical practitioner) profile is a prerequisite.

Experience

• Experience in HIV prevention, SRH, and/or programs targeting key and vulnerable populations.
• Experience translating clinical guidelines and policy into field-adapted, decentralised models.
• Experience designing, implementing and managing health programs in resource-constrained and humanitarian settings with MSF
• Experience working alongside civil society organisations, community networks, or leading community engagement initiatives is an advantage.

Languages

• Spoken and written English is essential.
• Working knowledge of French, Portuguese, and/or Spanish is highly valued for engagement across the three global clusters.

Knowledge

• Long-acting HIV prevention & clinical protocols: Sound understanding of biomedical HIV prevention, with specific knowledge of long-acting injectable PrEP (lenacapavir, cabotegravir).
• Differentiated, community-led service delivery: Familiarity with models of care tailored to adolescents, sex workers, men who have sex with men, transgender and gender-diverse people, and displaced populations. Knowledge of community-led monitoring, peer outreach, demand generation, and meaningful engagement of civil society organisations and key population networks in the co-design and accountability of health services.
• Programme data, monitoring & feedback loops: Proficient with operational data collection, analysis, and visualisation for quality improvement and advocacy. Comfortable using DHIS2, Excel, and community-based monitoring frameworks to establish joint indicators, track service uptake, and feed lessons into scale-up decisions.
• Holistic SRH and rights-based programming: Knowledge of comprehensive sexual and reproductive health services, including HIV testing, STI screening, contraception/safe abortion care, and primary care linkages, delivered through a non-discriminatory, rights-based lens.

Competencies

• Adaptive resilience in high-mobility roles: Thrives in a flying position with 50–70% travel; rapidly adjusts to diverse contexts and unstable settings, remaining effective and knowing when to escalate.
• Contextual coaching and mentoring: Translates clinical and programmatic guidance into on-the-job learning for medical, pharmacy, and peer providers, building local ownership through tailored, context-appropriate mentoring.
• Community-rooted diplomacy and co-creation: Builds trust-based partnerships with grassroots CBOs and key population networks; navigates power differences and co-designs services.
• Stakeholder bridging and consensus-building: Communicates across clinical, operations, advocacy, and community actors, aligning distinct priorities around shared goals through tact and active listening.
• Adaptive problem-solving and operational troubleshooting: Spots implementation bottlenecks early and develops pragmatic, collaborative solutions without compromising safety or ethics.
• Self-direction with accountable initiative: Works autonomously across multiple locations and time zones; manages own workload while proactively feeding field realities back to project leadership and local teams.

Contract: One-year fixed-term contract, full-time — extendable

Base location: Flying position across MSF pilot sites (Africa, Asia, Latin America), hosted through SAMU. Any region where there is an MSF office, applicants based in Latin America, Africa, and Asia are strongly encouraged to apply.

Salary: Monthly gross salary and benefits will be in line with MSF global grading and will also depend on location, professional experience, and years of MSF experience.

Closing date: 10 June 2026

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