MAYEMA Anatole MAYEMA
MASERU
Summary
Accomplished DR/DS-TB, TB/HIV specialist with over 18 years of experience in TB control, program management, and public health policy development. Demonstrated expertise in TB diagnostics, treatment, and patient management, coupled with a robust background in training healthcare professionals,advocating for effective TB management and leading TB innovative solutions and evidence-based practice initiatives with proven ability to collaborate with international health organizations and local stakeholders to enhance TB care and reduce disease burden. I am a dedicated to advancing TB control efforts through innovative strategies and evidence-based solutions.
My experience involves providing technical assistance, working on TB, TB/HIV and DR-TB programs, advocacy,developing and implementing TB control strategies planning, SOPs, job aids, supervision, contact tracing, national strategic action planning, guidelines review, data collection, data analysis, policy brief, and report writing. My interest in this career is to contribute to effective and efficient planning, implementation, monitoring and evaluation, and overall management of TB and HIV programs generally at strengthening health systems at National, Regional, and international levels with the overall aim of ending tuberculosis and multi-drug resistant tuberculosis following the global End TB Strategy.
Overview
21
21
years of professional experience
Work History
TB Technical Lead, Deputy National Program Manager
Ministry of Health
05.2021 - Current
- TB/DR-TB/TB-HIV/Leprosy, and National TB and Leprosy Deputy Programme, With the Disease control division where I work as TB specialist and a Communicable Diseases advisor, TB/ HIV/
- Leprosy/COVID-19 technical Lead and Deputy Program manager over 8 years within the, of Lesotho, a home country to the First global epidemic of tuberculosis and Second in HIV/AIDS, I support the leadership team in day-to-day
- National TB program management as well as provision of technical guidance, contribute to work planning, oversight of program implementation and performance, and support the team to maintain effective stakeholder relationships through representation at various stakeholder engagements
- I provide evidence-based guidance on prevention, diagnosis, treatment, and care strategies for TB and related health problems, to inform health systems and TB program development and strengthen implementation
- I lead the programmatic introduction and further scale up of newly defined TB diagnostic tools and interventions including
- Ultra-xpert, TB-LF LAM, Digital chest X-ray with Artificial intelligence, stool-xpert… -I lead the adaptation of the newly released WHO TB guidelines and development of relevant training materials, protocols, SOPs for healthcare workers and community partners; -I led twice the development of TB National Strategic Plans (NSPs) as well as Global Fund proposals; -I lead and provide technical training, mentoring, and capacity-building support to staff, partners, and stakeholders to enhance their understanding of TB-related issues and interventions
- I contribute to the development of advocacy strategies aimed at influencing policies and resource allocation to end TB and related health problems
- I was involved in the development of MAF-TB, TB prevalence survey, Drug-resistant survey, Community rights and Gender
- Assessment, TB geo-spatial mapping, TB out-of-pocket expenditure study, TB mortality audit study, and private sector contribution to End TB in Lesotho studies
- I led TB case-finding strategies and centre of excellence for Pediatric TB under CDC and Union as well as the Centre of
- Excellence for community TB interventions under Worl bank project - I lead the DS/DR-TB/HIV Technical Working group, coordinate CSOs and various stakeholders on the improvement of the company's network system to increase our performance while being an effective member of Lesotho PEPFAR stakeholders
- Facilitate the implementation of Southern Africa TB Health System Strengthening (SATBHSS) and other grants focusing more on TB/HIV, Centre of Excellence in Community TB care, Occupational Health and service Centre (OHSC), and Childhood TB activities in the country -Participate in Regional coordination meetings as an alternate to the NTLP Manager (TB In Mining Sector (TIMS), Global Fund
- Laboratory Grant, and SATBHSS community of practice working groups) -I assist the NTLP in data analysis and utilization of the data for local decision making with the Monitoring and
- Evaluation team
- I participate in all the capacity building activities of the TB experts in the districts, and health facilities, in planning, supportive supervisions, monitoring and evaluation of the program
- I support TB-HIV collaborative interventions, Public-Private Mix (PPM) and Community Outreach interventions to achieve set program targets
- I support the implementation of innovative approaches to support the provision of TB and TB/HIV services in the context of the
- COVID-19 pandemic
- Registrar Medical Officer and Head of TB, TB/HIV department at Senkatana Centre of Excellence and
Registrar Medical Officer and Head of TB, TB/HIV
Senkatana Centre of Excellence and TB Advisor,MOH
07.2017 - 05.2021
Senior Registrar Medical Officer
Head of TB Queen2 Elisabeth Hospital, MOH, Lesotho
01.2015 - 06.2017
- Duties To ensure that all patients are treated in accordance with the national protocols for TB and for the management of advanced HIV/AIDS disease
- Responsible for the diagnosis and management of therapeutic failure, opportunistic infections and co-infections management, and the initiation of antiretroviral therapy, second-line antiretroviral therapy as well as laboratory monitoring for patients
- Ensured that patients in need of psychosocial support are identified and referred to the psychosocial department To ensure quality of care and treatment for patients with HIV and/or TB from diagnostics, to linkage, treatment and retention in care at health centre, clinic and community levels, nutritional support Responsible in charge for ART patient monitoring and discussing clients who are failing on treatment with the ART team for appropriate treatment interventions Collaborated closely with Partners In Health for the management of DR-TB patients Ensured general compliance with standing IPC standards and that patient and/or family informed about the illness and provide appropriate explanations about the treatment to be followed Acted as Focal person for Lung cancer program, under Bristol-Myers Squibb Foundation (BMSF) oncology project in
- Lesotho
- Programmatic duties with NTLP
- Participated in technical assistance in tuberculosis prevention, diagnosis and treatment to the Lesotho Ministry of Health
- National TB Programme with the overall aim of ending tuberculosis and multi-drug resistant tuberculosis in Lesotho, within the framework of Collaborative Agreement between the WHO Africa Regional Office and the Ministry of Health of Lesotho and the global End TB Strategy
- Served as TB care and treatment lead; Coordinated the collaborative TB/HIV activities; Worked as liaison between the NTP and the STI/HIV-AIDS Programme in issues concerning implementation of TB/HIV collaborative activities; Participated in the comprehensive revision of National Tuberculosis Control Programme guidelines, recording and reporting tools, SOPs & Job Aides
- Participated in the development training toolkit and the nation-wide training to introduce the newly revised tools; Participated in the development of funding proposals for the national Global Fund, World Bank grants
- This included, participation in the writing teams, defining and negotiating project performance indictors; Performed complex data analysis to guide TB response and to inform advocacy with partners for additional resources, and resources allocation
- Participated in the development of training materials for TB, TB/HIV, Child TB and DR TB, and delivered trainings based on identified needs
- Provided clinical mentorship for management of TB, TB/HIV, child TB and MDR-TB; Provided technical assistance and guidance for districts levels planning and implementation of TB and TB/HIV activities, supportive supervision and strategic guidance to improve performance based on supervision findings Participated in the development of TB/HIV national guideline and job aids; Participated in the development of National TB Strategic Plan 2018-2023; Provided capacity development for clinical care, through on the job training and clinical mentorship
- Coordinated and developed capacity to conduct mortality audits for the main conditions in the health programmes, namely, maternal and neonatal mortality, TB and HIV mortality
- Worked closely with NTPs, various ministries of health, WHO and other stakeholders to ensure that MDR-TB program is in line with strategies and objectives of the National TB program and MDR-TB national strategy
- Supported efforts to strengthen TB surveillance, monitoring and evaluation systems in line with existing regional surveillance networks; Support efforts to strengthen country capacity to generate and systematically use TB strategic information through national information systems and routine programme monitoring in line with global norms and standards; Supported efforts to strengthen country capacity to provide key TB interventions through training using adapted manuals, tools and curricula and support the dissemination, adaptation and implementation of global guidelines on TB prevention, diagnosis, care and treatment; Registrar Medical Officer and head of Bophelong Clinic, in charge of ART, TB and MCH corners at, of role
- Advancing Tuberculosis, HIV & AIDS Epidemic Control activities, to improve the quality of HIV prevention, care, and treatment interventions for people living with HIV at the facility but also create a community-led response and aggressively strengthen TB/HIV services along the prevention-to-care continuum, paying special attention to ,case finding ,monitoring, second line therapy, opportunistic infections and retention to increase the effectiveness and efficiency of the country’s efforts toward
- HIV epidemic control
- Essential functions
- Provided full time clinical evaluation and treatment services to HIV positive clients and their families in the facility (including OPD and inpatient departments)
- Provided clinical consultation services for management of HIV and TB cases in the facility and catchment facilities as per national guidelines
- Provided clinical follow up of HIV exposed infants and their parents, facilities early infant diagnosis services and proper management of HIV infected children
- Provided regular continuing medical education to the multi-disciplinary team
- Worked with the HTS providers to ensure accurate identification and linkage of HIV positive clients to care and treatment
- Responsible in charge for ART patient monitoring and discussing clients who are failing on treatment with the ART team for appropriate treatment interventions
- Maintained and progressively improved the quality of HIV clinical care and treatment
- Established system for documentation and reporting of adherence and retention interventions
- Worked with facility-based peer adherence supporters to facilitate facility-community linkages through PLHIV association
- Responsible in charge for conducting continues medical education (CME) on scheduled topics with the facility staff
- Requested appropriate laboratory and clinical investigation, interpreted results and provided appropriate medical care
- Referred patients in an appropriate manner to clinical specialists, counselors, social workers, or other care and support services in the health system or community
- Provided patient education on HIV/AIDS, including nutrition, prevention and prompt treatment or opportunistic diseases, adherence to ART and prevention of mother-to-child transmission of HIV in collaboration with other clinic staff
- At each follow-up visit, evaluated patients for opportunistic diseases, medicine side effects and adherence if on ART, as well as eligibility for initiating ART when it has not yet been started
- Implemented and regularly reported on formal Quality Improvement projects to ensure the highest quality of HIV care at every facility
- Supported the integration of services such as TB/HIV, PMTCT, and HIV-SRH
- Participated in data review, quality Improvement processes and operational research
- Provided guidance to other health care providers in HIV case management as well as direct patient care
- Assisted with the update and revision of HIV-related training materials and national guidelines
Senior Houseman Officer With Lesotho Defense Force
Lesotho Central Prison (LCS) and Aids Health Foundation, Lesotho
12.2012 - 12.2014
- I) Applied medical knowledge and skills to evaluate symptoms/signs and do the necessary investigations for proper diagnosis and management, including inmates at Lesotho Central Prison (ii) Directed and coordinated activities for laboratory and pharmacy services
- (iii) Performed administrative activities such as issuing sick offs, medical and police reports when required to do so
- (iv) Assisted the director in budget planning and administration (v) Developed and implemented policies and medical programs for quality service delivery (vi) Collaborated with ministry of Health and other external stakeholders to enhance effectiveness of the clinic
- (vii) Prepared reports for government and management on services provided
- (viii) Conducted in service training for junior staff.
Medical Director
SEBO NZOBE State Referral Hospital, Zone
10.2006 - 10.2011
- PMO of FUNDU & SEBO-NZOBE
- Health Areas/Kuimba Rural Health, Medical duties Manages Various medical emergencies and General medical cases
- 2) Daily Ward rounds and Monitoring of patients
- 3)
- Manages paediatric emergencies 4) And all other duties already described in section 1 above
- Human resources duties : Hospital Administrator -Participated in hiring, orientation, rewarding and disciplining employees, organize staff training on medical protocols, new guidelines/directives in accordance with current country legislation
- Interacted/ liaised with partners in a manner that is professional and promotes the principle of positive collaboration
- Effects sound human resources management and development i.e
- Ensured staff performance appraisals are done, identify staff development needs and training programmes etc
- Achievements: -Created the very first ART corner for the hospital and integrated services with existing TB clinic -Reduced the mortality rate of PLWH at Sebo nzobe by73%and achieved an 11-month ART retention rate of 88%
- I led project for the construction of a new maternity ward as well as the renovation of the entire hospital (ix) duties as assigned by the supervisor
Practitioner
Boma General Reference Hospital/ D. R. Congo
01.2005 - 08.2006
- Examined patients for illness or injury, planned and provided treatment in the form of medicines and therapies and referred them to specialist providers when necessary
- Documented treatments on digital charting software, adhering to Community Clinic’s medical charting standards, including ongoing progress notes and test results
- Worked with other physicians and supportive staff as a team in order to collaborate on diagnoses and perform procedures such as splinting broken bones, stabilizing a patient for hospital transport and wound suturing
- Provided education to patients and families regarding medical conditions and their treatment options as well as preventative care strategies of nutrition, exercise and hygiene
- Ordered laboratory tests such as lab tests, and imaging and interpret test results
Intern Medical
University Teaching Hospital of Kinshasa, CUK, R
10.2003 - 10.2004
- I was a Highly motivated Medical Intern that has considerable patient contact experience and is eager to learn and grow in maturity as a medical professional
- Thrive in high-stress environments and good at multi-tasking.
Education
IOC Diploma in Sports Medicine -
International Olympic Committee IOC
01.2023
Ending TB and Response to Health Emergency -Innovation in Health System Development Diploma -
Japan International Cooperation Agency (JICA)
01.2022
Master's Degree in International Cooperation and Humanitarian Aid -
Kalu Institute for international Humanitarian studies
01.2022
Masters in public health -
The University of Johannesburg
01.2021
SONDALO End TB DIPLOMA - Global course on End TB strategy and the vision of TB elimination: skills for TB managers and consultants
WHO with WHO Collaborating Centre for TB and Lung Diseases & Maugeri Care and Research Institute
01.2020
Advanced Post Graduate Diploma in Tropical Medicine, Surveillance & Immunization -
James Lind Institute (JLI)
01.2016
Post Graduate Diploma in HIV/AIDS Management -
Stellenbosch University
01.2014
Degree of Doctor of Medicine -
University of Kinshasa
01.2005
High Education National Diploma - Biology & chemistry
Kangu Institute/Mayumbe
01.1996
Primary School Certificate -
Nsioni Primary School 1
01.1988
Skills
- TB Diagnostics and Treatment
- Public Health Policy
- Data Analysis
- Training and Capacity Building
- Communication
- TB Program management
- Teamwork and Collaboration
- Excellent Communication
- Organizational Skills
- Attention to Detail
- Adaptability and Flexibility
- Self-Motivation
- Time management abilities
- Staff supportive supervision
- Technical skills
- Capacity building
- Innovation & Problem Solving
- Health Promotion
- Leadership & High-level Advocacy
- Health Systems Strengthening
- Verbal and Written Communication
- Develop work and action plans
- Establish strategic partnerships
- Project Management
- Project Leadership
- Budget Administration
- Mentorship and coaching
Languagesproficiency
- English
- French
- Kiyombe
- Kikongo
- Lingala
- Portuguese (Basics)
Personal Information
Nationality: Mosotho (Kingdom of Lesotho)
Publications
Factors associated with tuberculosis and HIV coinfection in Lesotho defense forces, at Makoanyane Military Hospital, Lesotho, 2021, University of Johannesburg
References
- JEAN DE DIEU IRAGENA, Technical Officer Laboratory, HIV, TB, Hepatitis and Sexually Transmitted Infections, WHO/AFRO, +242065117992, iragenaj@who.int
- Dr. FRED ASIIMWE, Senior Technical Advisor TB/HIV - CDC/PEPFAR at the US Embassy, Lesotho, +26658884036, vxuv5@cdc.gov
- Dr. SAMSON LANJE, TB/HIV Expert & Senior TB/HIV Medical Officer, EGPAF, Lesotho, slanje@pedaids.org, +266 57216832
Professionalmemberships
- Lesotho National Medical Council, FMP 024/13
- DRC National Medical Council, CNOM8290
- Southern African HIV Clinician Society, 31221
- International AIDS Society, 68523
- World Association for Infectious Diseases and Immunological Disorders, WAIDID-ADS-3196-480-20201006101216
- TB - Public-Private Mix Learning Network
- Global Partnership for Zero Leprosy
- International Training Centre of the International Labour Organization Alumni Network
- Africa Centre of Excellence in the Management of Child & Adolescent Tuberculosis
Languages
English
Native language
English
Advanced
C1
French
Proficient
C2
Portuguese
Beginner
A1
Timeline
TB Technical Lead, Deputy National Program Manager
Ministry of Health
05.2021 - Current
Registrar Medical Officer and Head of TB, TB/HIV
Senkatana Centre of Excellence and TB Advisor,MOH
07.2017 - 05.2021
Senior Registrar Medical Officer
Head of TB Queen2 Elisabeth Hospital, MOH, Lesotho
01.2015 - 06.2017
Senior Houseman Officer With Lesotho Defense Force
Lesotho Central Prison (LCS) and Aids Health Foundation, Lesotho
12.2012 - 12.2014
Medical Director
SEBO NZOBE State Referral Hospital, Zone
10.2006 - 10.2011
Practitioner
Boma General Reference Hospital/ D. R. Congo
01.2005 - 08.2006
Intern Medical
University Teaching Hospital of Kinshasa, CUK, R
10.2003 - 10.2004
Ending TB and Response to Health Emergency -Innovation in Health System Development Diploma -
Japan International Cooperation Agency (JICA)
Master's Degree in International Cooperation and Humanitarian Aid -
Kalu Institute for international Humanitarian studies
Masters in public health -
The University of Johannesburg
SONDALO End TB DIPLOMA - Global course on End TB strategy and the vision of TB elimination: skills for TB managers and consultants
WHO with WHO Collaborating Centre for TB and Lung Diseases & Maugeri Care and Research Institute
Advanced Post Graduate Diploma in Tropical Medicine, Surveillance & Immunization -
James Lind Institute (JLI)
Post Graduate Diploma in HIV/AIDS Management -
Stellenbosch University
Degree of Doctor of Medicine -
University of Kinshasa
High Education National Diploma - Biology & chemistry
Kangu Institute/Mayumbe
Primary School Certificate -
Nsioni Primary School 1
IOC Diploma in Sports Medicine -
International Olympic Committee IOC
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