Clinical Manager-IRD, Karachi

IRD Global Health, Research and Development, Singapore                         Qualification:

• MBBS with at least 3–5 years of clinical experience.
• Master’s degree in Public Health, Health Systems, Global Health, or a closely related technical discipline (preferred)             

Experience:

• Minimum 5+ years in a supervisory or clinical management role, leading multidisciplinary teams and overseeing complex clinical operations, preferably within non-profit, development, or public health settings.
• Proven experience working in rural or resource-constrained environments, with demonstrated expertise in clinical quality assurance and strong engagement with public sector stakeholders.
• Experience in case-based discussion forums, expert panels, or DR-TB technical working groups. 
• Technical writing experience (protocols, SOPs, case summaries, manuscripts).

Jobs Responsibilities:

• Advanced knowledge of drug-resistant TB diagnosis, treatment regimens, and programmatic management.
• Familiarity with national and global DR-TB treatment guidelines, clinical algorithms, and pharma-co-vigilance frameworks.
• Strong clinical acumen in managing complicated, co-infected, or treatment-refractory TB patients.
• Demonstrated ability to integrate clinical practice with surveillance, monitoring and evaluation (M&E), and research functions.
• Effective leadership and capacity-building skills in low-resource and decentralized settings. Strong engagement with public sector health stakeholders and experience working in partnership with NTPs.
• Fluency in Sindhi (strongly preferred); willingness to travel frequently across field sites (required).                      
• Lead the design and implementation of integrated treatment strategies with a primary clinical focus on drug-resistant TB (including MDR, pre-XDR, and XDR-TB), ensuring alignment with WHO and national guidelines. Provide technical leadership on the case management of complex DR-TB cases, integrating person-centered care approaches with optimized treatment regimens, including WHO-approved newer and shorter regimens, in consultation with pulmonologists, infectious disease specialists, and DR-TB clinical care groups. Oversee the clinical rollout and ensure fidelity to protocolized care pathways, including baseline assessments, adverse event monitoring, pharmacovigilance, and treatment adherence interventions across decentralized treatment sites. Supervise a multidisciplinary clinical team to ensure timely diagnosis, linkage to care, and clinical follow-up, while developing context-specific SOPs for case detection, household contact screening, and management of comorbidities such as diabetes or chronic lung disease. Develop and manage a Respiratory Disease Expert Panel (RDEP) comprising specialists and consultants to effectively monitor and manage complex conditions and multi-morbidity cases. Strengthen systems for drug resistance monitoring, including collaboration with laboratory networks, contribution to surveillance data interpretation, and feedback loops into policy and practice.  
• Design and implement a model to build clinical capacity in Sindh for improved management of drug-sensitive and drug-resistant TB, as well as other chronic respiratory conditions.
• Provide ongoing mentorship and capacity-building to field-based clinical staff, ensuring adherence to clinical governance principles, rational prescribing, and infection prevention and control (IPC) standards.