DR-TB Post Exposure Protocol Study Nurse

Application deadline



Medecins Sans Frontieres


Khayelitsha , South Africa

South Africa’s health, humanitarian, and socio-economic problems are characterized by extreme inequalities and misdistribution of resources.  Thirteen per cent of the population lives in “first world” conditions, while nearly 50% live in poverty, characterised by poor housing and limited access to basic services, such as water, sanitation, electricity and primary education.  Worldwide, South Africa has the highest number of people living with HIV – at 6.8 million – and the largest antiretroviral therapy programme, the highest incidence of tuberculosis – with an increasing drug resistant TB epidemic –, and the highest recorded rate of rape. Migrants are at increased risk of violence and have limited access to health care.

The Khayelitsha DR-TB programme was implemented in 2007 in collaboration between MSF and staff from City of Cape Town and Provincial Departments of Health. The running of the programme was handed over to the DoH in 2013, but MSF continues to provide support and now focuses on innovative strategies to improve the care and treatment outcomes of DR-TB patients managed in Khayelitsha. Stigma and ignorance associated with DR-TB and transmission of the disease result in additional challenges for patients with DR-TB within their local communities and health care facilities.

Based in Khayelitsha: The DR-TB Post Exposure protocol (DR-TB PEP) study nurse will be part of the MSF DR-TB team working within the wider decentralised DR-TB programme in Khayelitsha. His/her role will include recruiting eligible participants, consenting and counselling of eligible participants, mentoring the existing contact tracing and clinic screening services in Khayelitsha and facilitating access to chest x-ray services and 3 monthly intensified screening for active TB amongst children and adolescents ages 6-18 years who have been exposed to RR-TB in their household settings in Khayelitsha, Cape Town, South Africa.




  • Tertiary degree/diploma in professional nursing and relevant registration with the South African Nursing Council
  • Minimum of 12 months of experience in DR-TB care and treatment of adults and children,
  • Minimum of at least 3-5 years of general nursing experience
  • Proven knowledge and experience in capacity development / training of staff (preferably in a resource-constrained setting)
  • Previous experience in the clinical or programmatic management of TB/DR-TB in a resource-constrained setting is desirable



Additional/Desired skills, attributes and experience:

  • Strong knowledge/skills in DR-TB, patient education & counselling, community-based care and training / capacity building
  • Experience in protocol or guideline implementation
  • Excellent organizational and computer skills including MS Word, Power Point, and Excel;
  • Ability to analyze and interpret data and write written reports
  • Excellent interpersonal skills with MSF staff, nursing staff, and patients
  • An ability to interact with a range of stakeholders
  • Be able to work in a multi-disciplinary team environment
  • Time management and problem solving skills, excellent organizational skills to independently manage work flow
  • Ability to work independently and show initiative
  • Ability to communicate (written & spoken) in English and isiXhosa required, other South African languages a bonus
  • Prior experience with MSF or similar NGO will be an added advantage



  • One year fixed-term field contract (extendable)
  • Hours of work include Saturdays, but not exceeding 40 hours/week.
  • Must be South African citizen or have a valid South African work permit




  • To implement the DR-TB PEP SOP by recruiting and consenting all eligible participants, children and adolescents ages 6-18 years who have been exposed to RR-TB in their household settings and to assist families in accessing chest x-ray and sputum testing.
  • To provide counselling to household members about post-exposure intervention ensuring that they have all the needed information regarding the processes, appointments for the overall benefit of the family.
  • To provide support and mentoring to the existing contact tracing and clinic screening services in Khayelitsha as they incorporate contact tracing, referral and intensified screening for children and adolescents ages 6-18 years who have been exposed to RR-TB in their homes.
  • To set an example and promote good infection control practices in the MSF office, health facilities and the wider community (focusing in household level);
  • To approach the DR-TB Patient Support Manager when required for guidance on clinical, administrative and strategic problems;
  • To report to the DR-TB Patient Support Manager on specific objectives and activities (achievements and challenges) on a monthly basis;
  • To assure all patient data and information is kept confidentially and disclosure information is not share outside of DR-TB team.
  • To adhere to the MSF charter and principles, and to promote a positive image of MSF through a professional attitude and appropriate behaviour.



  • Support Implementation of PEP programme
  • Ensure good communication with City Health DR-TB counselling and contact tracing team.
  • Receive mobile list from City Health contact tracing team and do a home visit if contacts between 6 years and 18 years
  • Create and maintain close relationship with clinic TB teams assuring coordinating and facilitating all screening and follow up visits of all family members (medical officers, TB nurses, Community Care workers (CCWs) to support with all PEP contacts that require follow-up and treatment.
  • Provide mentoring, system strengthening support to clinics as they implement PEP and extend screening to contacts aged between 6 to 18 years old.
  • Provide counselling support to families of children enrolled onto DR-TB PEP as well as families that refuse enrolment to ensure that they are aware of TB signs and symptoms.
  • Record all contacts data on the MSF Data records
  • Compile monthly progress reports for MSF team and City of Cape Town re number of contacts screened and followed up at clinics.
  • Support patient support manager in the development and implementation of a family counselling programme for DR-TB contact screening.


Mentor and support of facility teams, Contact tracing nurse and district DR-TB counsellors

  • Identify gaps and concerns in the data or care provided to participants.
  • Discuss gaps and concerns with relevant teams and find solutions together
  • Keep a journal of concerns and successes as part of study documents for later review.
  • Inform and discuss mentoring and training concerns with Patient support unit manager.



  • Assist patient support manager in training clinic nurses regarding PEP programme.


Ensure accurate recording and reporting

  • Complete all recording documents as required by the M&E team.
  • Assist data team with data request as needed by finding information in patient files and putting it in patient data collection forms in the office.
  • Assure data confidentiality is at any time point protected


Other activities

  • Participate in the MSF office debriefing sessions as part of the mental health support programme which is aimed at staff who are engaged in direct patient contact;
  • Actively take part in advocacy activities, educational campaigns and other community events in the Khayelitsha DR-TB programme.
  • Support and relieve other MSF DR-TB counselors/ team members with specific pilots and activities within the Khayelitsha DR-TB programme.
  • Attend Radio Zibonele ,the community chat show


Job Advantages and Career opportunities:

  • Experience in a well-known and professionally recognized international medical humanitarian organization
  • Salary package comparable to other non-profit organizations
  • 100% medical aid ► 13th Cheque► 10% pension allowance

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

Contact personDanielle Piet