Rapidly Expanding Access to Care for hiv in Tanah Papua (reach) 2012 2016

Annex 15: Compliance with AusAID policies

A15.1 Gender

The goal of REACH is equal access to CST for all that need it. Within this broad vision are substantive focal areas of work that at their core promote equity in HIV service provision.

One of the major challenges related to gender for REACH is reaching men. Apparently healthy men are far less likely to access health services than apparently healthy women; it is therefore more difficult to reach them with offers of HIV testing while they are still asymptomatic. REACH will work with the community outreach components of other donor programs and HIV testing services to develop strategies for reaching men. Partner counselling for women identified as HIV positive through antenatal care (ANC) or other routine testing will also be strengthened. An important part of these partner counselling services will be safeguarding the welfare of HIV-infected women whose partners are approached for testing and entry to care.

REACH will work proactively to provide early HIV treatment to the group of women in greatest need: street based sex workers, among whom prevalence is high and for whom service provision is virtually non-existent. Improved STI services will increase their ability to work safe from STI infection. Other sex workers, including those working in brothels and bars, will similarly benefit from access to early HIV treatment.

REACH will support the first services in the Papuan provinces providing specifically for the needs of transgenders. This is a small community, but one with particular vulnerabilities and a disproportionate effect on the spread of HIV. It has been entirely overlooked in the past. Similarly, gay men have had no services that meet their particular needs. REACH aims to rectify this in a program that provides access to people based on need.

REACH will identify the different impact of HIV diagnosis and treatment on men and women, and their differing care needs; we will integrate these issues into technical support, training and mentoring. REACH will also uniformly collect and disaggregate data by gender and other relevant variables to help monitor the program’s efforts to reach its objectives, as well as to shape and direct future operational research questions and priorities.

A15.2 Greater involvement of people living with HIV

The greater involvement of PLHA (GIPA) has long been recognised as an important principle in the HIV response. The reality, however, is that application of the GIPA principle in Indonesia remains sub-optimal due to the limited capacity of PLHA and CSOs to fully participate in constructive ways.

The AIDS Sub Directorate has already initiated mechanisms to engage civil society organizations more inclusively. CHAI will continue to support these efforts through its Global Fund and REACH activities.

CHAI will continue to explore other meaningful ways to include PLHA groups in its work, including engaging PLHA expert patients to provide counselling and support to new ART patients, provide parent-to-parent counselling, and to assist with patient monitoring in the village. CHAI Indonesia will also work with its sister organization, CHAI PNG, to share culturally appropriate models and key programming lessons that can further the inclusion and participation of PLHA in REACH.

A15.3 Child protection

CHAI Indonesia will fully comply with Australia’s child protection requirements, and report as required by AusAID. In addition, CHAI Indonesia is developing a child protection policy for all staff who have contact with people under the age of 18. CHAI Indonesia’s policy will meet AusAID’s mandatory child protection compliance standards for contractors and NGOs. Note that as a technical assistance provider, CHAI does not provide direct clinical services to patients. Therefore staff will have limited contact with children and potential risks are minimised.

A15.4 Anti-corruption

CHAI Indonesia will fully comply with Australia’s anti-corruption requirements and will be guided by AusAID Indonesia. The program will report as required.

A15.5 Environmental protection

The health sector is not generally considered an environmentally sensitive sector however CHAI considers that current MWM practices in Papua and West Papua health facilities have sufficient negative environmental impact to warrant intervention under REACH. To support AusAID in promoting ecologically sustainable development in accordance with the Environment Protection and Biodiversity Conservation Act⁶⁹, REACH will provide technical leadership in improving the safe management of infectious medical waste with introduction of non-incineration technology at CoE level. While there is no international convention that specifically covers MWM, the shift to non-incineration technology will be in compliance with Indonesia’s environmental regulations, the Stockholm Convention on Persisting Organic Pollutants⁷⁰ (signed by both Indonesia and Australia) and the requirements of the WHO Guidelines for Disposal of Medical Waste⁷¹. The Program will identify indicators to support monitoring of the implementation of MWM practices.

A15.6 Branding

CHAI Indonesia will fully comply with AusAID’s branding guidelines. CHAI Indonesia recognizes the Australian Government as the donor for REACH and will be transparent regarding where and how its funds are being used. This recognition will be applied throughout the program in all of its messaging and materials. In some circumstances where this may be politically or otherwise inappropriate, a common sense approach will be taken as outlined in the Visibility and recognition, guidelines for managing contractors. Such situations will be discussed with AusAID as they arise.

Annex 16: Key CHAI position descriptions

Currently, the only positions filled by international staff are the Country Director and the Senior Advisor. The new Operations Research and Monitoring Manager position may be filled by an international staffer. It is anticipated that all other positions will be filled by national staff.

Country Director (Jakarta)

Position Overview: The Country Director (CD) works with the Ministry of Health’s political and administrative leadership to agree upon the role that the Clinton Health Access Initiative (CHAI) can play. The CD manages the overall country program, including planning, budgeting, managing relationships with government, donors, NGOs and UN agencies, implementation, monitoring/reporting, and expectation management. The CD also determines when specialized expertise needs to be made available within the country, and coordinates with the appropriate global staff of CHAI to ensure delivery. As the ambassador and program manager of CHAI in a country, the CD ensures that all actions of the country team are consistent with the organization’s values, and continually strives to strengthen the mutual respect between the organization and government.

Responsibilities:

• 
  Design CHAI’s agenda and successfully execute it
  
• 
  Maintain and strengthen the reputation of CHAI as a highly capable organization, whose agenda is primarily to partner with government and assist with its most pressing needs in the area of care and treatment
  
• 
  Develop trust and strong relationships with all the key stakeholders in government, at both ministerial and administrative levels, as well as international agencies, NGOs, and donors
  
• 
  Establish the appropriate processes and tools for planning, budgeting, program implementation, reporting, and monitoring progress
  

• 
  Manage human resources and process for the country team and ensure appropriate staffing and administration
  
• 
  Be knowledgeable of legal obligations and national laws and ensure CHAI compliance
  
• 
  Maximize the use of program resources and participate in fundraising activities
  

Skills:

• 
  Experienced in working with government, and demonstrated ability to favourably influence decision making processes in a diplomatic and collaborative manner
  
• 
  Understands how to effectively build new relationships as well as nurture/strengthen existing ones at multiple levels in government
  
• 
  Ability to navigate complex government processes with multiple influencers, and at negotiating and achieving consensus
  
• 
  Result-oriented manager who can lead as well as execute
  
• 
  Has demonstrated ability to work with the leadership of his/her organization on strategic, operational, and organizational issues, as a strong yet collaborative voice on the team
  
• 
  An understanding of gender-related issues and the ability to integrate the principle of gender equality into program work
  
• 
  Excellent written, presentation, and communication skills
  
• 
  High level of proficiency in relevant computer applications particularly Excel, PowerPoint and Word
  

Pluses:

• 
  5-10 years experience in private or public centre enterprise, with increasing levels of responsibility and leadership; and a strong track record in achieving results; backgrounds in management in fast-paced, result-driven organizations normally provide good skill-sets.
  
• 
  Has successfully served in a leadership role, with full operational and financial responsibility and accountability for a program, geographic region, business, or public initiative; experience conceiving, planning and executing programs or projects with documented results;
  
• 
  Has demonstrated repeatedly that (s)he has brought in highly talented people into his/her organization; has built a band of loyal high-performers who will be willing to follow him/her to the next position
  

Education:

• 
  Master’s Degree in Business or Public Health preferred
  

Deputy Country Director (two positions: Programs in Jakarta/Papua and Finance & Operations in Jakarta)

Position description: The Deputy Country Director (DCD) will work with the Country Director and other internal partners to ensure the overall success of the country program. The DCD will help coordinate and support the Foundation’s team on the ground to achieve the program’s objectives, and forge stronger relations with government and other partners. A strong DCD will model a strong work ethic and mentor the development of younger employees. A flexible management style will allow a DCD to engage in details where needed, fill program management staffing gaps, and ensure projects are completed on time and on budget.

Responsibilities:

• 
  Assist the Country Director develop CHAI’s agenda in the country, in cooperation with the government;
  
• 
  Help establish and achieve aggressive operational milestones;
  
• 
  Provide administrative and managerial support to the Country Director in human resources, finance and general office administration
  
• 
  Plan and execute specific programmatic initiatives, and support the team in doing so;
  
• 
  Provide high-quality technical assistance to the government as needed/requested, often under a short timeframe;
  
• 
  Coordinate efforts internally and with external partners to ensure resource maximization
  
• 
  Advance a results driven culture focused upon the use of analytic, strategic and business skills
  
• 
  Aids in resourceful decision making process that utilizes available resources and pursues the best outcome possible
  

Skills required:

• 
  Responds quickly to needs of government, country staff and other CHAI colleagues
  
• 
  Strong listening skills and a respect for local styles when engaging with government and other partners
  
• 
  Ability to navigate complex government processes with multiple influencers, and negotiate and achieve consensus
  
• 
  Works well independently and provides constructive, targeted feedback when program advancement stalls or problems arise
  
• 
  Ability to dissect and structure a complex problem, drawing upon various sources and experiences
  

• 
  Ability to work within budgetary constraints typical in a small foundation
  
• 
  An understanding of gender-related issues and the ability to integrate the principle of gender equality into program work
  

• 
  Excellent writing, presentation, and communication skills
  
• 
  High level of proficiency in relevant computer applications particularly Excel, PowerPoint and Word
  

Pluses:

• 
  A minimum of 5 years experience in private or public sector enterprise, with increasing levels of responsibility and leadership
  
• 
  Knowledge of HIV/AIDS or public health is desired but not required
  
• 
  Significant private sector experience beneficial
  

Education:

• 
  Master’s Degree (preferably in Business or Public Health) required
  

Senior Advisor (one position)

Background: The Clinton Health Access Initiative (CHAI) works with partner governments in more than sixty countries on five continents to help bring effective, high-quality HIV treatment and care to people living with HIV/AIDS worldwide. In Indonesia, CHAI supports the Government in achieving its goal of universal access to care, support and treatment for people living with HIV through support to national policy and guidelines development and implementation, strengthening the continuum of care at district and site level, and ensuring a reliable supply of treatment commodities. This approach requires clinical input at a national level as well as clinical mentorship and health systems strengthening at the district and site level.

Qualifications: CHAI is looking for a motivated, senior level health and development professional to provide strategic guidance, high level advocacy and technical support to national policy and program with a focus on Papua. This position requires at least 10-15 years of experience in public health, and health systems strengthening; a clinical background is preferred.

The position also requires extensive experience in Indonesia including knowledge of GoI systems and the ability to navigate and advocate successfully at all levels. Bahasa Indonesia language skills are also a significant plus.

Responsibilities:

• 
  Provide high level strategic and technical guidance to the CHAI Indonesia program with particular focus on Papua
  
• 
  Conduct advocacy, coordination and support relationship building with government and non-governmental partners at all levels.
  
• 
  Through regular trips to Papua, oversee progress towards activities and goals mutually agreed with GoI.
  
• 
  Support the Papua based team by troubleshooting problems, building relationships, and providing technical oversight
  
• 
  Provide technical direction and backstopping for clinical mentors and other field based positions as well as central level programs
  
• 
  Represent CHAI to provide strategic and technical inputs at national level meetings and technical working groups
  
• 
  Manage and support the Senior Clinical Mentor
  

Operational Research and Monitoring Manager (one position)
Position Description: The Operational Research and Monitoring (OR) Manager will work with a team to implement CHAI’s operational research activities as well as lead the monitoring functions of the country’s wider program. The OR Manager will be responsible for developing the program plan, identifying deadlines, budgeting and reporting and supervising the OR team. The OR Manager will be responsible for translating the research agenda into implementation. The manager will provide guidance on research design, coordinate protocol development, ensure approval by relevant ethics committees and monitor quality control during implementation. The manager will be responsible for appropriate dissemination of results.
Responsibilities include:

Operational Research

• 
  Work closely with the CHAI staff to identify research projects including impact assessments, rapid assessments, program evaluations and operational research studies and identify opportunities to utilize research results
  
• 
  Lead OR team to develop indicative Operational Research Agenda and prioritise by projects and schedule
  
• 
  Develop strong working relationships with key stakeholders in government, international partners, donors and NGOs, negotiate collaborative activities, and ensure maximum coordination of resources and effort
  
• 
  Guide research design and protocols according to national and international standards
  
• 
  Liaise closely with technical partners to support these operational research activities
  
• 
  Establish workplan for each project and develop implementation schedule
  
• 
  Conduct quality control measures on research activities
  
• 
  Develop with team appropriate report back to the field and other stakeholders in timely manner
  

MONITORING

• 
  Lead management of the monitoring efforts, with support from the Senior Data Analyst
  
• 
  Coordinate regular meetings with other Program Managers to discuss monitoring data and adjustments to program implementation
  

• 
  Create, manage and report on program budget
  
• 
  Manage and coach teams and ensure everyone works towards the same objectives
  
• 
  Represent CHAI at government meetings
  
• 
  Work collaboratively with the CHAI global teams
  

Skills required:

• 
  Demonstrated ability to manage complex workload and execute plans on time and on budget
  
• 
  Highly entrepreneurial – creative thinking and high self-motivation
  
• 
  Strong problem solving skills and analytical capabilities
  
• 
  Strong interpersonal and relationship management skills
  
• 
  Ability to navigate, complex government processes with multiple influencers; well poised with a high proficiency in negotiating and achieving consensus
  
• 
  High level of proficiency in relevant computer applications particularly Excel, PowerPoint and Word; knowledge of statistical analysis software such as SAS, SPSS, or STATA
  

• 
  Experience with qualitative software analysis such as MAXqda a plus
  
• 
  An understanding of gender-related issues and the ability to integrate the principle of gender equality into program work
  
• 
  Excellent writing, presentation and communications skills
  
• 
  Fluency in English both written and oral; knowledge of Bahasa Indonesia helpful
  
• 
  Willingness and ability to work in extremely resource-limited ways and areas
  

Pluses:

• 
  Experience in working with HIV/AIDS or public health
  
• 
  Experience in dealing with Government, Bi-lateral and multi-lateral organizations
  
• 
  Experience working in resource-limited settings
  

Education:

• 
  MPH, Master’s degree, PhD or similar degree in public health or related health science or equivalent experience.
  
• 
  5+ years experience in HIV or other public health research in a development context
  

Regional Program Managers (two positions: Papua and West Papua)

Position Description: The Regional Program Manager will work with the Country Director, Deputy Country Director, and Senior Advisor to develop, plan, and implement the Care, Support & Treatment program in Tanah Papua. The Regional Program Manager will have oversight for the program and will work with senior management to achieve the program’s objectives, and forge stronger relations with government and other partners. A strong Regional Program Manager will model a strong work ethic and mentor the development of younger employees. A flexible management style will allow a Regional Program Manager to engage in details where needed, fill program management staffing gaps, and ensure projects are completed on time and on budget.
Responsibilities:

• 
  Help establish and achieve aggressive programmatic milestones;
  
• 
  Plan and execute specific programmatic initiatives, and support the team in doing so;
  
• 
  Provide high-quality technical assistance to the government as needed/requested, often under a short timeframe;
  
• 
  Manage the budget and planning for the Care, Support & Treatment program;
  
• 
  Coordinate efforts internally and with external partners to ensure resource maximization;
  
• 
  Advance a results driven culture focused upon the use of analytic, strategic and business skills;
  
• 
  Aids in resourceful decision making process that utilizes available resources and pursues the best outcome possible.
  

Skills required:

• 
  Responds quickly to needs of government, country staff and other CHAI colleagues
  
• 
  Strong listening skills and a respect for local styles when engaging with government and other partners
  
• 
  Ability to navigate complex government processes with multiple influencers, and negotiate and achieve consensus
  
• 
  Works well independently and provides constructive, targeted feedback when program advancement stalls or problems arise
  
• 
  Ability to dissect and structure a complex problem, drawing upon various sources and experiences
  
• 
  Ability to work within budgetary constraints typical in a small foundation
  
• 
  An understanding of gender-related issues and the ability to integrate the principle of gender equality into program work
  
• 
  Excellent writing, presentation, and communication skills
  
• 
  High level of proficiency in relevant computer applications particularly Excel, PowerPoint and Word
  

Pluses:

• 
  A minimum of 5 years experience in private or public sector enterprise, with increasing levels of responsibility and leadership
  
• 
  Experience in working with HIV/AIDS or public health
  
• 
  Experience in dealing with Government, Bi-lateral and multi-lateral organizations
  
• 
  Experience working in resource-limited settings
  

Education:

• 
  Master’s Degree (preferably in Business or Public Health) or advanced degree in related field
  

Deputy Regional Program Managers (two positions: Papua and West Papua)

Position Description: The Deputy Regional Program Manager will work with the Regional Program Manager and other internal partners to ensure the overall success of the Care, Support & Treatment program. The Deputy Regional Program Manager will support the program and will work with the Regional Program Manager and their Program Managers to achieve the program’s objectives, and forge stronger relations with government and other partners. A strong Deputy Regional Program Manager will model a strong work ethic and mentor the development of younger employees. A flexible management style will allow a Deputy Regional Program Manager to engage in details where needed, fill program management staffing gaps, and ensure projects are completed on time and on budget.

Responsibilities:

• 
  Work with Regional Program Manager to establish and achieve aggressive programmatic milestones;
  
• 
  Support programmatic initiatives and the team in doing so;
  
• 
  Supervise managers that lead CST teams;
  
• 
  Provide high-quality technical assistance to the government as needed/requested, often under a short timeframe;
  
• 
  Assist the Regional Program Manager in budgeting and planning for the Care, Support & Treatment program;
  
• 
  Advance a results driven culture focused upon the use of analytic, strategic and business skills;
  
• 
  Aids in resourceful decision making process that utilizes available resources and pursues the best outcome possible.
  

Skills required:

• 
  Responds quickly to needs of government, country staff and other CHAI colleagues
  
• 
  Strong listening skills and a respect for local styles when engaging with government and other partners
  
• 
  Ability to navigate complex government processes with multiple influencers, and negotiate and achieve consensus
  
• 
  Ability to work within budgetary constraints typical in a small foundation
  
• 
  An understanding of gender-related issues and the ability to integrate the principle of gender equality into program work
  
• 
  Excellent writing, presentation, and communication skills
  
• 
  High level of proficiency in relevant computer applications particularly Excel, PowerPoint and Word
  

Pluses:

• 
  A minimum of 4 years experience in private or public sector enterprise, with increasing levels of responsibility and leadership
  
• 
  Experience in working with HIV/AIDS or public health
  
• 
  Experience in dealing with Government, Bi-lateral and multi-lateral organizations
  
• 
  Experience working in resource-limited settings
  

Education:

• 
  Master’s Degree (preferably in Business or Public Health) or advanced degree in related field