Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation. Our actions are guided by medical ethics and the principles of neutrality and impartiality. A worldwide movement MSF was founded in Paris, France in 1971. Its principles are described in the organisation’s founding charter. It is a non-profit, self-governed organisation. Today, MSF is a worldwide movement of 24 associations, bound together as MSF International, based in Switzerland. Thousands of health professionals, logistical and administrative staff – most of whom are hired locally – work on programmes in some 70 countries worldwide. Humanitarian action MSF’s work is based on humanitarian principles. We are committed to bringing quality medical care to people caught in crisis, regardless of race, religion or political affiliation. MSF operates independently. We conduct our own evaluations on the ground to determine people’s needs. More than 90 per cent of our overall funding comes from millions of private sources, not governments. MSF is neutral. We do not take sides in armed conflicts, we provide care on the basis of need, and we push for independent access to victims of conflict as required under international humanitarian law. Bearing witness and speaking out MSF medical teams often witness violence and neglect in the course of their work, largely in regions that receive scant international attention. At times, MSF may speak out publicly in an effort to bring a forgotten crisis to public attention, to alert the public to abuses occurring beyond the headlines, to criticise the inadequacies of the aid system, or to challenge the diversion of humanitarian aid for political interests. Quality medical care MSF rejects the idea that poor people deserve third-rate medical care and strives to provide high-quality care to patients. In 1999, when MSF was awarded the Nobel Peace Prize, the organisation announced the money would go towards raising awareness of and fighting against neglected diseases. Through the Access Campaign, and in partnership with the Drugs for Neglected Diseases initiative, this work has helped lower the price of HIV/AIDS treatment and stimulated research and development for medicines to treat malaria and neglected diseases like sleeping sickness and kala azar.
- Experience 1 – 2 years
- Location Borno
- City Maiduguri
Main Purpose
- Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of a specialist doctor, in order to ensure their health conditions and avoid post-delivery complications.
Main Duties and Responsibilities
- Ensuring the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2), neonatal and comprehensive abortion care, management of victims of sexual violence, reproductive tract infections and Fistula care in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
- Where PMTCT is implemented, ensuring implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counselling, test and post counselling
- Collaborating with the medical doctor and /or nurse in the management of Sexual Violence cases
- Assessing the feasibility for referral of pregnant women form the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries.
- Ensuring hygiene and sterilization criteria (including universal precautions) are met according to MSF specifications.
- Performing cleaning and minor maintenance for biomedical equipment used. Following the user manual and protocols and alert supervisor in case of malfunctioning.
- Guaranteeing a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.
- Properly following up all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
- Ensuring patients’ right to privacy and confidentiality is respected
- Supervising that administrative procedures of admissions and hospitalizations comply with MSF protocols , as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, etc
- Participatingin the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (specially identifying risk cases)
- According to MSF protocols in force, conduct normal deliveries independently Manage obstetric emergencies; identify cases needing referral and send them in time, clean up the newborn, executing and registering first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn and reporting them to the doctor, in order to ensure successful interventions
- Supervises the use of drugs, facilities and obstetric material, in order to ensure, in accordance with number of patients and prescriptions, a rational use as well as pharmacy stock levels are permanently updated, kept under appropriate conditions and above minimum safety point. 1 BEmONC = basic emergency obstetric and neonatal care = Administration of antibiotics, oxytocics, anticonvulsants, manual removal of the placenta, removal of retained products following abortion, assisted vaginal delivery, preferably with vacuum extractor and newborn care including neonatal resuscitation. 2 CEmONC = comprehensive obstetric and neonatal care = the full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparatomy), safe blood transfusion and care to sick and low birth weight newborns.
MSF Section / Context Specific Accountabilities
- Be clinically responsible and independent in providing antenatal care, labour and delivery care and postnatal care
- Manage high-risk cases that present to the maternity ie breech, pre-term delivery, perineal tears, polyhydramnios, neonatal resuscitation, twins, PPH, neonatal sepsis etc and calling for assistance in a timely manner. Conducting a thorough consultation and documenting this with a plan of care
- Identify high-risk women in ANC, educate them, document their information, communicate their case, make a plan to follow their care and plan for referral to Bentui POC or Lankien in a timely manner
- High-risk women identified need to be discussed with the MWAM so that a plan of care can be put in to action, such as ultrasound, ECV, referal, etc.
- Clinical confidence and ampt decision making, if unsure on plan of action to communication to the supervisor in a timely
- To communicate all high-risk procedures to other medics, who may required to be present if emergency occurs
- Manage data of patients
- Prescribe relevant drugs according to MSF protocols and order them when required
- Manage drugs within the department; notify the supervisor of missing or rupturing medical supplies/equipment
- Willingness to improve quality of care
- Completing Document history and examination for women/babies who have been consulted
- Lead and conduct the maternity ward round, making decisions according to MSF protocols and evidence-based practice
- To look after medical equipment and to not overuse medical supplies unnecessarilyTo check all emergency equipment is present, such as emergency boxes and to take action if not
- Give family planning with consent where applicable
- Ensure the implementation of blood transfusion protocol. Transfusions monitoring sheet followed as requested. Transfusion reaction is managed as protocol.
- Attend medical departmental and activity meetings as requested
- Agree to be on-call as rostered
- To maintain the dignity of all cases but particularly those requiring sensitivity, such as family planning, mental health conditions, fertility advice or SV, discussing cases in private rooms
- Consult survivors of SGBV including medication according to MSF protocols and guidelines and complete all relevant documentation.
- Respect survivor-centered principles of: informed consent, respect, dignity, privacy, confidentiality and non-discrimination.
Minimum Required Skills and Qualifications
Education:
- Essential Midwifery Diploma qualification or Specialization. Desired Bachelor in Midwifery.
Experience
- Desirable work experience of 1-2 year
Competencies
- Essential English and Hausa
- Results, Teamwork, Flexibility, Commitment, Service.
