Title: Medical Assistant
Company Name: Bandhu Social Welfare Society
Vacancy: 01
Age: Na
Job Location: Cox`s Bazar (Teknaf)
Salary: Tk. 40546 (Monthly)
Experience: --
Published: 2026-10-04
Application Deadline: 2026-10-10
Education:
Requirements: --
Skills Required:
Additional Requirements:
Responsibilities & Context:
A. JOB PURPOSE
The Medical Assistant delivers safe, confidential, non-discriminatory clinical services — HIV Testing and Counselling (HTC), STI screening and management, general health services and TB screening — with a primary focus on Gender Diverse Population (GDP) beneficiaries and sex workers at Bandhu's service centres and camp-level service points in Cox's Bazar. As the clinical entry point for a population facing significant stigma and barriers to mainstream health services, the role requires demonstrated respect, discretion and the ability to build trust so beneficiaries disclose health concerns and return for continued care.
B. KEY DUTIES AND RESPONSIBILITIES
1. Clinical Service Delivery for Gender Diverse Populations
Provide quality STI, HTC and general health services to GDP beneficiaries and sex workers at service centres, sub-service centres and camp-level outlets.
Conduct physical examinations in strict adherence to Infection Prevention and Control (IPC) procedures, ensuring privacy and informed consent.
Take sexual and clinical histories in a non-judgemental, gender-affirming manner using the beneficiary's chosen name, adapting clinical enquiry to anatomy and sexual practices rather than assumed gender.
Recognize and manage or refer presentations more prevalent among GDP beneficiaries, including anorectal and oropharyngeal STIs and injection- or hormone-related complications.
Where informally obtained gender-affirming hormone use is reported, record sensitively, advise on risks and refer to specialist services. Do not prescribe or dispense hormones outside approved protocol.
Document medical complaints on health cards, prescribe per treatment protocols and BMDC guidance, and ensure correct dispensing including Directly Observed Therapy (DOTs).
Issue STI prescriptions for beneficiaries and partners per BMDC protocol, handling partner notification confidentially and without coercion.
2. HIV Testing and Counselling (HTC)
Conduct HTC as scheduled, including pre- and post-test counselling, sample collection and rapid HIV testing per the national algorithm.
Deliver results privately, maintaining absolute confidentiality of HIV status and gender identity.
Provide post-result support and, for reactive results, arrange escorted linkage to the Care, Support and Treatment Centre (CSTC) for confirmatory testing and ART enrolment; follow up to support treatment initiation and adherence.
Provide risk-reduction counselling using the 4Cs approach (compliance, counselling, condom demonstration, contact tracing) per national and project guidelines.
Counsel on and refer for PrEP and PEP, ensuring PEP referrals occur within the 72-hour window.
Prepare HTC reagent and consumable requisitions, maintain stock registers and the cold chain, and store Quality Control samples correctly for BSMMU submission.
3. TB Screening and Referral
Screen all clinic attendees for TB, with particular attention to HIV-positive and immunocompromised beneficiaries.
Refer presumptive TB cases promptly to DOTS centres and follow up TB-positive cases to support adherence.
4. Referral and Linkage
Maintain an updated referral directory covering HIV care, specialised STI care, MHPSS, GBV case management and secondary/tertiary facilities.
Refer to internal services including psychosocial counselling and GBV case management where clinically indicated, always with informed consent.
Recognise clinical indicators of gender-based violence and sexual assault and initiate the GBV referral pathway using survivor-centred principles, including timely Clinical Management of Rape (CMR) referral.
Provide accompanied referral support where a GDP beneficiary risks discrimination or refusal of service externally, and report such incidents to the Centre Manager.
Follow up referral outcomes and record them to ensure continuity of care and prevent loss to follow-up.
5. Clinical Setup, Commodities and Stock Management
Ensure functional clinical setup — examination bed, spotlight, privacy screen, lighting and running water — and maintain IPC equipment (autoclave, incinerator) and clinical equipment.
Maintain adequate, properly stored medicine stock; update registers, monitor minimum levels and expiry dates and prepare timely requisitions.
Escalate any actual or anticipated stock-out of essential commodities — including condoms, lubricants, HTC reagents and STI drugs — immediately to the Centre Manager and Quality Assurance Officer so replenishment occurs before services are interrupted.
Store DOTs blister packs safely until verified by PR/SR representatives and maintain incineration records.
Ensure condoms and lubricants are consistently available and discreetly accessible.
6. Documentation, Data and Reporting
Register clinic attendees accurately and maintain clinical records securely, applying coded identifiers where required; records containing HIV status, gender identity or GBV disclosure must be stored under lock with restricted access.
Submit monthly clinical and HTC reports to the Centre Manager and SR focal person within deadlines.
Implement clinical monitoring tools for STI, general health, TB and HTC services, review performance and report to the Quality Assurance Officer.
7. Community Engagement and Capacity Support
Support awareness sessions with GDP community members, peer educators, volunteers and frontline workers on HIV, STI, safer sex and available services.
Provide on-the-job technical guidance to outreach volunteers on health issue identification and referral.
Support sensitisation of external health facility staff on GDP-inclusive, non-discriminatory service delivery.
8. Ethics, Confidentiality and Safeguarding
Uphold confidentiality, informed consent, non-discrimination and respect for dignity regardless of gender identity, expression or occupation.
Never disclose a beneficiary's HIV status, gender identity or attendance to family, community members or authorities without explicit informed consent.
Apply “do no harm” in all clinical and referral decisions, considering safety implications for the beneficiary.
Comply with Bandhu's Safeguarding, PSEA and Code of Conduct policies and report concerns through SHEA procedures.