Senior HIV Advisor, DOS LEAP Global - Sierra Leone

About the role

The Senior HIV Advisor will support the Sierra Leone Ministry of Health (MOH) and the National HIV/AIDS Control Program in carrying out life-saving humanitarian Assistance (LHA) service delivery in full alignment with the new Presidential Executive Order (EO) directives. The primary focus is providing technical leadership for the National HIV Surge Operational Strategic Plan and to accelerate progress toward the global 95-95-95 and national 98-98-98 targets, as well as to achieve elimination of maternal to child transmission of HIV. The Advisor will serve as a high-level liaison between the Department of State (DOS), the U.S. Centers for Disease Control. the MOH, and international donors to ensure a data-driven, decentralized response to the HIV epidemic in Sierra Leone. The Advisor will be based at the National AIDS Control Program (NACP) within the MOH.

Responsibilities

• Support the National AIDS Control Program at National and District Level
• NSP Finalization: Assist NACP in finalization of NSP and planning its implementation.
• Clinical Guidance: Advise on relevant updates to national clinical guidelines for initiatives such as the introduction of dual HIV/Syphilis/HepB testing and the rollout of PrEP (including Lenacapavir) for high-risk pregnant and breastfeeding women.
• Service Decentralization: Assist District Health Management Teams (DHMTs) with organization of monthly HIV data reviews amongst HIV stakeholders in each district. Facilitate targeted interventions based on data.
• Strengthen NACP's coordination of HIV service delivery through mentorship, cohort monitoring, quality improvement tools, and enhanced supervisory arrangements.
• Support the expansion of HIV diagnosis and treatment services across additional sites in collaboration with NACP and partners.
• Support HIV Surge and Elimination of Maternal to Child Transmission Initiatives
• Support Surge Coordination: Help coordinate monthly surge meetings for key HIV stakeholders at the national level.
• eMTCT Scale-up: Support the integration of HIV services into Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) platforms to reduce vertical transmission from 11.5% to below 5%. Ensure universal ANC1 testing in non-partner supported health facilities
• Strategic Planning: Assist program manager with technical oversight for the five pillars of the National HIV Surge Plan, focusing on expedited case identification using index testing and the "Back-to-Care" initiative to re-engage the 6,000-7,000 clients lost annually.
• Index Testing: Assist with scale up of index testing at all facilities across partners and non-partner supported sites.
• Viral Load : Assist with scale up of viral load testing at all facilities providing HIV care. Ensure that results are reverted to clients and supporting U=U messaging.
• Support MOU Implementation under NACP G2G:
• Milestone Verification : Monitor and verify the achievement of technical milestones linked to G2G funding, specifically those related to HIV Surge metrics and eMTCT validation.
• Financial & Technical Alignment : Work with the NACP leadership to ensure th

Benefits

Additional Information

Dexis is a dynamic professional services firm dedicated to partnering with government and community leaders both in the U.S. and internationally to achieve critical social outcomes in a rapidly changing world. At Dexis, you will experience a corporate culture of inclusiveness, respect, fairness, and trust. You will be given the means and mentorship needed to succeed, and your creativity will be rewarded. LEAP Program Description Global Solutions Ventures (GSV) - a joint-venture partnership between ZemiTek, LLC and Dexis Consulting Group - is implementing the Long-term Exceptional Technical Assistance Project (LEAP Global), a mechanism originally used by USAID to battle against infectious diseases such as malaria, HIV/AIDS, tuberculosis, neglected tropical diseases, and pandemic influenza. As of July 1, 2025, LEAP Global transitioned to the U.S. Department of State (DOS). This initiative aims to address the complex human resource challenges faced by national infectious disease programs in the USA-supported countries. The intervention of this project is to hire and embed technical expert advisors and subject matter experts within government entities. By directly embedding the technical expertise within the national programs, LEAP provides long-term, sustainable lifesaving support to empower host governments to lead and manage key aspects of their infectious disease portfolios and improve coordination between the U.S. Government and the host country.

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