Senior Tuberculosis / HIV Advisor, DOS LEAP Global - Nigeria

Who We Are

ZemiTek, LLC is a Woman-Owned, SBA-certified 8(a) Small Disadvantaged Business (SDB) based in the Washington, DC metro area. We have a strong record delivering innovative and high-quality solutions. Since 2007, ZemiTek has provided technical assistance, project management, information technology (IT), knowledge management, monitoring and evaluation, training and learning development, and institutional support services.

Position Description

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.

 

About the Position

The Senior TB/HIV Advisor will support in carrying out life-saving humanitarian assistance (LHA) in full alignment with the new Presidential Executive Order (EO) directives. Tuberculosis (TB) remains the leading cause of morbidity and mortality among people living with HIV (PLHIV) in Nigeria. Despite notable progress in scaling up TB/HIV collaborative activities under the PEPFAR-supported program, TB case detection among PLHIV remains suboptimal, with more than 40% of estimated TB cases among PLHIV undiagnosed as of 2022. The gap is largely attributable to inconsistent TB screening, weak diagnostic cascades and underutilization of available tools such as portable digital X-ray (PDX) with computer-aided detection (CAD) systems.

 

While PDX-CAD platforms have demonstrated strong potential to improve TB case yield, their impact has been limited by poor optimization, inadequate mentorship, fragmented data systems and low integration with HIV service delivery points. Concurrently, TB preventive treatment (TPT) uptake and completion among PLHIV remain below national and PEPFAR targets, constrained by weak tracking systems, poor client adherence support and missed opportunities at ART clinics.

To address these bottlenecks, the U.S. Department of State (DOS), through its implementing partners (IPs), seeks to engage a short-term TB/HIV Technical Consultant to provide high-level technical support to optimize TB case finding and TPT uptake across all 16 DOS-supported states. The consultancy will strengthen program coordination, promote effective use of PDX-CAD technologies and institutionalize data-driven mentorship for improved cascade performance.

 

Overall Objective of Assignment:

To provide focused, high-level technical assistance to the 16 DOS-supported states through their PEPFAR Implementing Partners (IPs) to significantly increase the rate of TB case finding and improve TPT uptake and completion rates among PLHIV within the period of performance

 

Responsibilities

The Advisor will work closely with the DOS Health Team, the National TB and Leprosy Control Programme (NTBLCP), the National AIDS and STIs Control Programme (NASCP)and PEPFAR IPs to execute the following tasks:

Situational Analysis and Planning

• Review current TB/HIV performance data (MER indicators: TX_TB, TB_PREV, TB_STAT, TB_ART) across all 8 IPs to identify performance gaps, site-level variations and high-impact opportunities.
• Map the distribution and functionality status of PDX-CAD machines in supported states across IPs and those supported through GF, including utilization rates, staff proficiency, data quality, connectivity, maintenance and integration with laboratory networks.
• Develop a technical action plan outlining short-term interventions, mentorship needs and capacity-building priorities to address identified gaps.

Optimization of TB Case Finding among PLHIV and access to appropriate TB treatment.

• Provide technical guidance on standardized TB screening algorithms and ensure integration with HIV testing and ART initiation workflows.
• Support IPs in optimizing PDX-CAD utilization, including appropriate deployment to high-yield facili