Midwife at Alliance for International Medical Action (ALIMA)

MAIN DUTIES

Provide obstetrical care to pregnant woman and their babies, doing follow up before, during and after delivery, according to ALIMA Obstetrical and reproductive health protocols, universal hygienic and new born caring standards and under supervision of a specialist doctor in order to ensure their health conditions and avoid post-delivery complications.

SPECIFIC OBJECTIVES

• Ensure the implementation and continuity of antenatal and postnatal care, Family planning, obstetrical care (BEmONC1 ad CEmONC2), and neonatal
• 1BEmONC=Basic emergency Obstetric and neonatal care= Administration if anti biotics, oxytocics, anticonvulsants, manual removal of the placenta, removal of retained products from abortion, assisted vaginal delivery, preferably with vacuum extractor and new born care including neonatal resuscitation
• 2CEmONC= comprehensive obstetric and neonatal care=full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparotomy, safe blood transfusion and care to sick and low birth weight newborns
• And comprehensive abortion care and management of victims of sexual violence, reproductive tract infection, Fistula care in accordance with MOH/ALIMA reproductive core package of activities and reinforce the implementation of standardize protocols.
• Where PMTCT is implemented, ensure implementation pf PMTCT protocol in the ANC/Delivery and PNC consultations (pre counselling, Test and post counselling
• Collaborate with the medical doctor and nurse in the management of sexual violence cases
• Access the feasibly for referral of pregnant women from the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries.
• Ensure hygiene and sterilization criteria (including universal precautions) are met according to ALIMA specifications.
• Ensure hygiene and sterilization criteria (including universal precautions) are met according to ALIMA specifications
• Guarantee a regular ongoing supply if drugs and equipment required for maternity activities (including monitoring /consumption control/ordering of orders
• Properly follow up all new born babies from delivery until discharge, informing mothers and relatives about the importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
• Ensure patients right to privacy and confidentiality is respected
• Ensure that the administrative procedures of admission and hospitalization comply with the MOH/ALIMA Protocols, as well as verify patients are properly informed and receive the documents required(Birth certificate, vaccination card, etc.
• Participate in the organization of the ward in collaboration with other midwives and maternity ward supervisors. Ensure transfer of relevant information to the next shift team (specially identifying risk cases)
•  According to MOH/ALIMA Protocols in force, conduct normal deliveries independently Manage obstetric emergencies; identify cases needing referrals and send them in time, clean up the new born, executing and registering first neo natal medical acts(cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible animalities/infections of the new born and reporting them to the doctor, 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.

SKILLS AND COMPETENCIES

• List of technical competencies required for the position, such as (not exhaustive)
• Planning capabilities, organizational skills
• Management skills
• Communication skills
• Management skills
• Computer skills (Good knowledge of MS Office word and specifically excel)
• List or personal qualities required for the position such as (not exhaustive)
• Diplomacy, good communication and interpersonal skills
• Multi-cultural flexibility or experience, Team player
• Calm, stress management, Patient
• Confidentiality, strong sense of integrity
• Ability to adapt to new circumstances, Flexibility