Midwife at Medecins Sans Frontieres

Code: MS03000
Location: Pulka, Gwoza LGA, Borno
Reports To: Midwife Supervisor
Reports To (functional) : Midwife Supervisor / Midwife Activity Manager
Area: Medical / Paramedical
Supervises: No
Working Hours: 48 Hrs / Week
No. of Places: One (01)
Contract Duration: 6 Months
Level: 6

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.

Accountabilities

• 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 standardized 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 the importance of breastfeeding,  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 )
• Participating in the organization of the ward in collaboration with other midwives 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
• Participate in the supervision of 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

• Collaborate with mental health team whenever needed
• Participating in data collection and documentation of department activities and keeping supervisors informed.
• Community engagement:  when requested by supervisor,  visit the community in order to support Traditional Birth Attendants and /or Health Promoter team in health education and care of both pregnant, post-delivery.
• Medical care of victims of sexual violence.

Requirements

• Education: Essential Midwifery qualification or specialization.  Desired Bachelor in Midwifery Experience: Essential working experience of at least two years in midwife activities related jobs.
• Languages: English and Hausa essential, Local languages Mandra, Kanuri desirable.

Competencies:

• Results
• Teamwork
• Flexibility
• Commitment
• Service

Salary

• NGN3,949,153 (Annual Basic salary + 13thMonth). As per the MSF salary scale (National contract)