Midwife at Medecins Sans Frontieres

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 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

• To offer survivors of SV/IPV, 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.
  • Offer routinely safe identification in ITFC, Noma SRH room, ATFC/PHC site as per job aid provided.
  • Collaborate with SV supervisor for management of complicated cases and survivors who need admission in maternity.
  • To offer contraception counselling based on MSF protocols and respect patient centered care.
  • To offer counselling and options for women and girls on unwanted pregnancy.
  • Participate data collection activities, ensuring all the cover sheet and data collection tools are up to date and update

the SV supervisor Ensure patient’s data confidentiality..

• Participate in the project meetings, this includes medical meeting and other departmental meeting
  • Ensure a good team collaboration with the MoH team.

REQUIREMENTS (QUALIFICATIONS / EXPERIENCE / KNOWLEDGE) – To apply for this role applicants MUST meet the following criteria:

• Education    Essential Midwifery qualification or specialization. Desired Bachelor in Midwifery
• Experience    2 years experience as Midwife
• Languages    Mission language essential. Local language is highly desirable.
• Knowledge    Essential computer literacy (word, excel).
• Competencies    Flexibility, Commitment to MSF principles, Teamwork and result oriented.