Clinical Advisor Consultant - Diabetes and Hypertension Collaborative Care Model
About the role
D-tree International is seeking a Clinical Advisor Consultant to guide the design of a collaborative care model for diabetes and hypertension in Mainland Tanzania. The consultant will review clinical protocols, lead field research, define care pathways and health outcome indicators, and provide clinical input into workflows and digital health tools. Responsibilities: - Review existing national and D-tree diabetes and hypertension protocols, including treatment guidelines, NEMLIT, Ministry of Health materials, community health worker content, and digital tool logic. - Assess and recommend screening criteria, screening frequency, referral triggers, clinical escalation criteria, post-diagnosis community health worker tasks, and safe task-sharing arrangements. - Identify gaps and barriers across the diabetes and hypertension care cascade, including diagnosis, treatment, referral, retention, medicine supplies, and follow-up. - Identify critical clinical decision points, facility and community-level barriers, and failures in handover between community health workers and facility providers. - Review clinical questionnaires, interview guides, care pathways, workflows, decision-support logic, and referral rules. - Advise on minimum clinical data requirements and develop a clinical safety procedure for urgent concerns identified during fieldwork. - Participate in co-design workshops with D-tree, the Ministry of Health, PMO-RALG, and other stakeholders. - Provide clinical input into digital health tools, counselling messages, workflows, and referral rules. - Define measurable health outcome and care cascade indicators in collaboration with a health economist. - Review Tanzanian data sources and benchmarks, including DHIS2, GoT-HOMIS, health registers, and surveys. - Prepare an inception note, clinical protocol review, validated research tools, fieldwork findings, and a care pathway report. - Complete approximately 15 working days of consultancy, including five days of fieldwork, over a four-to-eight-week assignment. How to apply: Upload your CV in the CV section. Upload your cover letter and proposed budget in the Cover Letter section. The budget must be in TZS and include your daily rate, number of days, total cost (inclusive of applicable taxes including VAT), and any other anticipated costs. Apply via: https://dtree.bamboohr.com/careers/55
Key requirements
- MD (or equivalent) with a postgraduate degree in Internal Medicine, Family Medicine, or Public Health
- Registered with the Medical Council of Tanganyika (MCT)
- 7+ years of experience in Tanzanian public health facilities, directly managing diabetes and hypertension
- Strong understanding of national treatment guidelines, NEMLIT, primary care structure, and the National Integrated CHW Programme
- Proven qualitative or mixed-methods research experience, including leading key informant interviews
- Experience with community-based NCD programmes, WHO PEN or HEARTS, digital health or clinical decision-support tools, or health outcome measurement is an advantage
- Clinical expertise in diabetes and hypertension management.
- Knowledge of Tanzania’s national treatment guidelines, NEMLIT, and primary healthcare system.
- Understanding of community health worker programmes and collaborative care models.
- Qualitative or mixed-methods research skills.
- Key informant interviewing skills.
- Clinical protocol and care pathway review skills.