Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 179

6 Programme Management and Organizational Capacity-building

Table 6.4 Illustrative composition of an implementation team at the municipal/sub-municipal level
for ~1,000 sex workers
Position
(number of staff)
General responsibility
Coordination and administrative personnel
Programme
coordinator (1)

Responsible for the overall
implementation of the project.

Data officer (1)

Aggregate the data, generate the reports
and monitor data quality.

Accountant (1)

Maintain accounts and pay local
expenses of the programme.

Comments

Medical personnel
The number and type of medical personnel needed are based on the biomedical component(s) of the
programme.
Physician (1)

Provide clinical services offered by the
programme.

If clinical services to the community are
entirely referral-based, this position is
not necessary.

Nurse (1)

Provide/support clinical services offered
by the programme.

If clinical services to the community are
entirely referral-based, this position is
not necessary.

Clinic support
staff (1)

Greet patients, maintain reception area.

Outreach personnel
Counsellor (1)

Identify and manage mental health
issues, such as depression and anxiety.
Provide additional support for behaviourchange processes

Outreach
supervisors/
managers (~5)

Supervise community outreach workers
on a weekly basis. Ensure that sex
worker outreach information is recorded
and incorporated into routine monitoring
systems.

Community
outreach
workers (~20)

Routine outreach to sex workers,
provision of commodities, referrals,
follow-up and structural interventions.
Support behaviour-change process.
Support sex workers in responding to
stigma, discrimination and violence.

Office support
staff (1)

Even if clinical services are not offered
by the programme, a counsellor may
provide additional counselling to sex
workers on issues related to referral
clinical services.

Assumption is that one community
outreach worker works 5 days a week,
4 hours per day and can meet 2 or 3
sex workers in a day. Will need time
for routine meetings with outreach
supervisors/managers and monthly
implementing organization meeting.
Number may be adjusted if sex workers
are in close proximity (e.g. brothels) or
are dispersed.

Support routine office processes.

157