Clinton Health Access Initiative
Maximising ART for Better Health and zero New HIV Infections. In Swaziland, the country with the highest HIV prevalence in the world, a consortium of multi-disciplinary stakeholders, led by the Government of Swaziland, is managing MaxART – Maximising ART for Better Health and zero New HIV Infections.
MaxART is a comprehensive programme that combines innovative activities designed to overcome many of the remaining barriers preventing Swaziland from realising its potential and to maximise the impact of Swaziland’s current national HIV testing, care, and treatment efforts. This involves strengthening facility and community systems, expanding and decentralising treatment for all who currently need it, promoting all aspects of care, and ensuring high quality services so that people are retained in care. Further, MaxART includes social science research and mathematical and epidemiological modeling to better understand issues including loss of clients living with HIV but not yet ready for ART from the health system, under-utilisation of services among marginalised and vulnerable populations, and the ethical and human rights implications of expanding HIV testing, care, and treatment on such a comprehensive scale.
With these strong systems and improved understanding of the realities and needs on the ground, Swaziland is also embarking on a three year Treatment as Prevention Implementation Study to understand the feasibility, acceptability, outcomes, affordability, and scalability of offering treatment for people living with HIV, irrespective of CD4 and viral load, within the national health system. All interventions within MaxART are being implemented and coordinated with the initiatives of other donors and partners, already underway in Swaziland.
Clinton Health Access Initiative (CHAI) seeks to appoint a Co-Investigator for the MaxART Treatment as Prevention (MaxART TasP) programme, based in Swaziland.
The MaxART TasP Co-Investigator will report to the Clinton Health Access Initiative Country Director in Swaziland and will work closely with the entire MaxART Consortium and Study Team.
- Jointly with the Principal Investigator from the Ministry of Health (MOH) - design, manage, and evaluate the Treatment as Prevention Implementation Study;
- Lead development of the research protocol, including the precise research questions and hypotheses to be tested in the implementation study;
- Formulate, in collaboration with other experts on the research team, the most relevant study design and data collection and analysis methods inorder to arrive at scientifically sound and complementary methodologies for the mathematical modeling, statistical analyses, impact evaluation, and cost-effectiveness analysis components;
- Manage study team and oversee all study activities, including organising training for staff at health facilities and leading data collection, data management, and statistical analysis;
- Develop all study documents and tools in collaboration with the research team;
- Ensure all research activities are responsive to the realities of people living with and affected by HIV and that they respect ethical and human rights principles;
- In collaboration with Research Team, regularly present results of study to a variety of audiences and key stakeholders;
- Serve as knowledge base on current trends and findings from Treatment as Prevention research to ensure the MaxART study is aligned and relevant to global evidence.
- Advanced degree, preferably an MD or a PhD in epidemiology, public health, infectious diseases, biostatistics, economics, or related field;
- Minimum of five years of relevant experience of which at least two years of proven success in a leadership role coordinating large-scale, externally-funded research in one or more of the following fields: randomised controlled trials,cluster randomised controlled trials, non-randomised cohort studies, or/and longitudinal operational research;
- Track record of success in having work published in leading, peer-reviewed public health journals;
- Proficiency in advanced statistics within programs such as Stata or SAS;
- Experience conducting research activities in a developing country, including understanding of Institutional Review Board (IRB) and national Ethics Committee processes and procedures;
- Relationship building and interpersonal skills, and an ability to collaborate effectively with a wide range of partners and stakeholders in a culturally diverse environment;
- Project management skills, including demonstrated ability to think independently, be flexible, and juggle multiple priorities under tight deadlines
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