Integrated Health / Qi Optimizer

Background

• CCCRN operates a cluster-based structure in which the health facilities it works with in Niger State are grouped into three geographic clusters: Minna, Bida and Suleja.
• Each cluster brings together facilities located in and around its hub town, so that they can be coordinated, supported and monitored together.
• Two ad hoc Integrated Health Optimizers will serve each cluster, reporting to and working with the regular project Integrated Health Optimizer/Associate where designated, or the named cluster technical supervisor.
• They will support high-volume facilities and PHCs through scheduled portfolios.
• Facility/service centre leadership provides day-to-day direction; project cluster personnel provide line supervision and verify deliverables.
• Assignments reflect workload, government capacity, approved scope and demonstrated competencies.
• Integrated delivery includes coordinated client flows, eligible service linkage, referral completion, approved records and mentorship of named government counterparts.
• Clinical support nursing proposal for leadership review: Preserve the three existing ESM Nurse functions as Integrated Clinical Support Nurse assignments where verified facility gaps justify deployment.
• Confirm qualifications, current licensing, competencies and funding. Nurses will provide authorized clinical triage, nursing care, treatment-continuity assessment, maternal/child linkage and escalation under the facility clinical lead, with protected clinical time and coordination with cluster Optimizers.
• Review as government capacity improves.

Role Purpose

• Provide integrated facility mentorship and QI across TB, child health and ANC/PMTCT, with two appointees in each cluster.

Key Responsibilities

• Support coordinated client flows, screening, linkage and referral feedback at assigned high-volume facilities and PHCs.
• Mentor staff on eligible ANC/PMTCT, mother - infant care, paediatric HIV/TB, child health, nutrition, immunization linkage and TB prevention/care within demonstrated competencies.
• Review diagnostic delays, missed opportunities, treatment interruptions and referral gaps with facility teams.
• Facilitate root-cause analysis, improvement tests and monitoring through existing facility QI teams.
• Coordinate with Pharmacy, Laboratory and SI Optimizers to resolve service gaps and escalate specialist clinical questions.
• Follow scheduled facility portfolios, document mentorship and corrective actions, and strengthen named government counterparts.
• Report to and work with the regular project Integrated Health Optimizer/Associate where designated at cluster level; otherwise report to the named cluster technical supervisor.

Minimum Qualifications and Experience

• Recognized professional qualification in Nursing, Midwifery, Community Health, Medicine or another relevant health discipline; or a Public Health Degree / HND or related qualification supported by relevant service-delivery experience.
• At least three years of relevant implementation, service-delivery or mentorship experience, with demonstrated TB, ANC/PMTCT, child-health or QI expertise.
• Professional registration/current licence are required for regulated clinical duties.
• Each cluster pair should provide complementary maternal/child-health and HIV/TB skills, with both competent in QI and referral management.

Requirements:

• Ability to work collaboratively with facility and community teams in the assigned location.
• Commitment to continuity and quality of integrated health services.
• Willingness to comply with approved project, government and facility procedures, including confidentiality and relevant safety requirements.