Lady Health Visitor, Community Health Sciences

Entity: Medical College

Location: Tando Allahyar

Introduction:
The Aga Khan University is a private, international university committed to international standards of excellence in teaching, research and service. Its teaching hospital, the Aga Khan University Hospital has been accredited by the prestigious Joint Commission International for achieving the highest international healthcare standards.

As an equal opportunity employer, AKU believes in promoting a diverse and inclusive culture and is committed to adopt appropriate standards for safeguarding and promoting a respectful relationship with and between diverse workforce of its faculty, staff, trainees, volunteers, beneficiaries, wider communities, and other stakeholders with whom it works, including children and vulnerable adults and expects all employees/trainees and partners to share this commitment.

This a grant funded contractual position.

Responsibilities:
you will be responsible to

• Intermediate with two-year Lady Health Visitor (LHV) Diploma from a recognized institution or bachelor’s in social sciences;
• experience of working in local community will be an added advantage;
• minimum 2 years of experience in maternal and newborn health services;
• experience in community-based work, surveillance or data collection preferred;
• preference for candidates residing in Taluka Tando Allah Yar of District Tando Allahyar;
• sound understanding of the causes of maternal and neonatal death, danger signs and the Three/Six Delays framework;
• ability to interview bereaved families with empathy and maintain strict confidentiality;
• good communication and counselling skills in Sindhi and Urdu;
• ability to work with LHWs, LHSs, private providers and facility teams;
• accurate record-keeping, basic data analysis and report writing; mobile/digital literacy;
• commitment to the no-blame principle, and willingness to travel within the pilot UCs at short notice, including availability outside routine hours and on weekends as required.
   

Requirements:
you should have

• Establish (within the first month) and maintain a death-identification network with LHWs, LHSs, CMWs, vaccinators, facility staff, the private maternity homes and Rescue 1122, including coverage of areas without LHWs;
• notify all maternal deaths (during pregnancy or within 42 days of its end), stillbirths and neonatal deaths (0–28 days) within 24 hours using the standard notification form, and maintain an up-to-date death line list;
• conduct verbal autopsies with bereaved families using standard tools, with sensitivity, informed consent and confidentiality, for all notified maternal deaths and for neonatal deaths as per the agreed protocol;
• compile facility records (case notes, partographs, referral slips, 1122 logs) for deaths that occurred in or passed through public or private facilities;
• map each case's care pathway using the Three/Six Delays framework, identifying delays in seeking, reaching and receiving care at first and referral levels, and prepare anonymized case summaries;
• maintain the MPDSR database and reconcile deaths with DHIS-2, LHW-MIS, EMR and private-facility records to identify missed cases;
• confidentiality and agreed media-engagement protocols in all review activities;
• respond to death notifications outside routine hours, including weekends, as required, through field visits to households and public and private facilities in Tando Allahyar,
• act as secretariat for monthly facility/UC-level and district MPDSR review meetings: schedule meetings, circulate anonymized case summaries with delay analysis, and document minutes, causes, avoidable factors and recommendations;
• maintain a monthly action tracker of review recommendations, responsible leads and implementation status, and follow up with responsible leads on implementation;
• prepare a monthly MPDSR report and a quarterly summary of causes, avoidable factors and trends for the DHO-notified district working group;
• conduct and document orientation sessions for LHWs, LHSs, CMWs and private-facility staff on case definitions, notification tools and timelines, and share lessons from reviews to strengthen community awareness of danger signs.
   

Comprehensive employment reference checks will be conducted.