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Clinical Nurse Practitioner: Outreach Initiation Model (OIM)

Apply by Starting Date Job Section Location
Apply by: 
Friday, October 26, 2018 - 11:45
Starting Date: 
Thursday, November 1, 2018
Job Section: 
Work in our Offices
South Africa

Job title:                Clinical Nurse Practitioner (CNP): OIM

Work Location:     Khayelitsha, Cape Town

Duration:             1 year

Start date:          30 November 2018 (As soon as possible)

Reports to:         Nurse Team Supervisor


Country Context:

MSF currently runs 4 projects in South Africa: 1. Piloting innovative models of care towards increased testing, linking, successfully treating (undetectable) and retaining people with HIV/TB, including DR-TB, in Khayelitsha; 2. Reducing HIV and TB incidence, morbidity and mortality via combination prevention in Eshowe & Mbongolwane; 3. Responding to Sexual & Gender Based Violence within a Large Migrant Population in Rustenburg; and 4. Tswane migration project, in Gauteng works with the DOH and other civil society organisations is promoting medical and psychosocial support to the vunerable migrant population. MSF also supports the Stop Stock Out Project monitoring stock outs of essential medicines in South Africa (as a member of a civil society consortium). In addition to medical service delivery, MSF conducts operational research, training and mentoring, and advocacy towards policy change in the areas of HIV, TB, sexual violence, vulnerable migrants, and patent law reform in South Africa.

As part of the Khayelitesha project, OIM (Outreach Initiation Model) is a program whereby it conceptualizes breaking the existing norm of facility-based services by bringing specific health care services to the communities. OIM may eventually allow well clients to be screened, diagnosed, initiated and maintained on medication entirely in a community setting. OIM aims to target the hard to reach populations, those that typically do not access facility based health services (such as youth and males). Finally, OIM will be a platform for promoting facility decanting of patients, allowing patients to receive their care and medication closer to their homes.


The OIM CNP will provide primary health care nursing services to the communities of Khayelitsha through the MSF OIM mobile services (mobile trailer). The primary health care services to be provided are both preventative (EPI, HCT, NCD screening, Prostate cancer screening and erectile dysfunction etc.) and curative (STI treatment, ARV initiation, etc.).

The OIM CNP will manage and lead a team of 1 Lay Counsellor Educator, 1 Community Health Educator, and two ushers. The Lay Counsellor and Community Health Educator will assist with many tasks including screening and diagnosis (HCT) as well as promoting differentiated models of care. The ushers will assist with mobilization, patient flow, community engagements and health education.

The CNP is key in ensuring that OIM is a successful program. The OIM CNP must be non-judgmental, non- discriminatory, trustworthy and empathic, and must be able to motivate and support the communities s/he is working with. S/he must be flexible and adaptable to many different environments and to accepting evolving job responsibilities as CIM progresses in Khayelitsha.



* Provide high quality primary health care services such as HCT, ARV initiation and refill, STI screening and treatment, Family Planning, NCD screening initiation and refill, Prostate cancer screening and erectile dysfunction amongst others.

* Ensure all required supplies and consumables are in place so that the activities can continue un-interrupted in close collaboration with pharmacy assistant.

* Lead differentiated models activities (clubs, fast-lane, other) for OIM

* Lead and manage the OIM counsellors and

* Support the OIM counsellor on the supervision of OIM Treatment Action Campaign members with their tasks

* Participate in community awareness activities that are also within the communities OIM serves

* At times, represent MSF within the communities OIM serves together with OIM lead counsellor

* Collect accurately all required data and also promote good data collection practices amongst the other staff

* Report on OIM activities under her/his supervision, as required, to the functional manager.

* Attend continuing education programs to ensure current knowledge of clinical care, protocols, and guidelines

* Practice in accordance with South African Nursing Council regulations


May occasionally be requested to:

* Performs, when requested, any other additional duties given by the immediate supervisor in order to allow the organization to function optimally

* To support other programmes on request

* Comply with all aspects of the Mission and Project Standard Operating Procedures manual.

* Ensures that all documentation is completed to standard and within agreed timeframes



Education: Technical Qualifications and experience

* Registration with the South African Nursing Council as a Clinical Nurse Practitioner

* Recognized degree or college diploma in nursing

* Required PHC Qualification

* Minimum of 12 months of experience in HIV/AIDS/TB care and treatment of adults and children, including the provision of ART and PMTCT

* Minimum of at least 3-5 years of general nursing experience

* NIMART qualification (required)

* Ability to communicate in English and isiXhosa required, other South African languages a bonus

* Experience in leading a team


Additional/Desired skills, attributes and experience:

* Acceptable computer skills: MS Word, Excel, PowerPoint, internet, etc.

* Excellent interpersonal skills with MSF staff, nursing staff, and patients

* Prior experience with MSF or similar NGO will be an added advantage


Job advantages and Career opportunities

* Experience in a well-known and professionally recognized international medical humanitarian organisation

* Market related salary package comparable to other non-profit organisations

Additional benefits: 13th cheque salary, 100% medical aid and 10% contribution to pension


TO APPLY: please email a one page motivation letter, your comprehensive CV with details of 3 contactable referees to

MSF reserves the right not to make an appointment if a suitable candidate cannot be found. While MSF thanks all interested applicants, only short-listed applications will be contacted.

Closing date: Friday 26 October 2018.