Jobs at Medecins Sans Frontieres

Main Purpose

• Providing outpatient and/or inpatient paediatric care to patients/beneficiaries according to adapted and updated medical knowledge, MSF protocols, values and universal hygiene standards to improve the new-born and child/beneficiaries’ health conditions.

Job Description

• Applying medical knowledge and skills to prevention, diagnosis and treatment of children, ensuring integrated new-born and paediatric care through Emergency, OPD, and IPD services in New-borns and cases of malnutrition. Prescribing the necessary treatment, respecting MSF protocols.
• Collaborating closely with the different department of the hospital (e.g. Maternity), Knowing and ensuring all updated MSF medical protocols and universal precautions are followed and implemented, reducing bio-hazard risks and improving infection control.
• As an expert in paediatrics, proposing strategy (modification on current new-born and paediatric care management) and implementing them after validation of Operation and Paediatric Advisor.
• Ensuring on-going new-born and paediatric training (formal and bedside) of the medical/paramedical multidisciplinary team in order to optimize the new-born and paediatric quality of care. Reviewing and discussing selected complicated cases or mistakes and giving technical input.
• Keeping patients and their families informed of the illness and the treatment to follow, checking that they have been understood. Ensuring professional autonomy and confidentiality are respected and a good attitude and proper bedside manner towards the patient and their care takers and the rest of the medical team.
• Following up the evolution of the hospitalized/IDP patients through daily visits, consultations and examinations, prescribing the necessary treatment following MSF protocols, deciding whether they can be discharged or transferred to other departments – in collaboration with other doctors- and informing their family about the patient’s evolution.
• Monitoring the proper functioning of the department, equipment or material and addresses the list of the missing item for new-born and paediatric activities. Providing inputs about general organization of the different paediatric wards, including the admission, transfer and discharge criteria + referral procedure from Maternity and post-delivery wards
• Checking and controlling the rational distribution of medicines and equipment under his/her responsibility and taking care the quality, disinfection and sterilization of the medical material. Assuring general compliance with standing hygiene standards.
• Participating in the introduction / improvement of the collection and analysis of epidemiological new-born and paediatric data, checking its validity and informing the line manager or project coordinator about any problems or complications of the patient’s illness and medical errors. Collecting Clinical cases for further trainings and list a series of comments to improve the current MSF protocols
• Managing the team under his/her direct responsibility according to MSF HR policies and procedures, supervising their performance, organizing and scheduling shifts and rotations, directly participating in emergencies and on calls if necessary.
• Designing and providing training to staff as required.
• Debriefing with coordination, headquarter (including Paediatric Advisor) and providing written     report on main findings, activities, conclusions and further recommendations.
• Clinical management of children admitted to ITFC according to MSF medical protocols and standards by conducting daily ward rounds in the ICU, ICU-step down and other wards alone or with medical doctors and reviewing critical and complex cases in other units when needed. This includes rational use utilization of investigations and therapeutic interventions including prescription of drugs.
• Participation with the medical doctors in the management of critically ill children in Triage/ER.
• Ensures that ITFC admission and discharge criteria are maintained according to the updated MSF medical protocols.
• Provide guidance to the team on cases that need a referral to the non-MSF facility for a higher level of care and approval, with MAM or MTL support, the transfers.
• Be part of the technical team (MDs in the ward, Head Nurse, MAM, MTL) in the multidisciplinary management of complicated cases that need team decisions.
• Ensure proper and complete documentation of medical information in the relevant patients’ records with respect to patients’ confidentiality.
• Ensure regular updating cases on telemedicine and given feedback to the team.
• Provide technical support for the medical/paramedical teams to ensure a good understanding of the medical protocols and treatment guidelines to assure a good quality of patient care in pediatric ITFC/IPD.
• Work on building the capacity of the staff, especially medical doctors, through regular training through bedside, hands-on teaching, and didactic training. This includes malaria peak training.
• Support and collaborate with the MAM in charge of the activity to develop the relevant SOPs and ensure that the staffs follow the available SOPs.
• Facilitate the quality improvement process concerning patient management; regularly inform the line manager or MTL about any problems or complications of the patients’ illness, or medical error and monitor the proper follow-up and resolution and, in collaborating with the MAM, strengthen regular weekly mortality reports, mortality reviews, and case discussions.  This includes participation in malaria peak training.
• Participate in the elaboration of monthly/quarterly reporting.
• Be part of activities of hospital management for the definition of activities, strategies, and activities necessary for project objectives and adaptation to changes in the context. Also, participate in general project meetings when needed.
• Together with MAM and MTL, contributes to the review and analysis of project data trends and indicators and proposes strategies to adapt support according to the needs of the patients when needed.
• Participate in meetings including weekly medical team meetings, and other meetings as required or requested by the MAM/MTL or PC.
• Participate in scaling down of activities during the exit from malnutrition peak seas.

Requirements

• Education: Consultant Pediatrician with a Medical Degree from a recognized university
• Experience: Minimum of 3 years experience as a pediatrician in a hospital
• Languages: Hausa/ Fulani language essential /Mission language desirable
• Knowledge: Essential computer literacy (word, excel and internet).

Competencies:

• People Management and Development L2
• Commitment to MSF principles L2
• Behavioural Flexibility L3
• Results and Quality Orientation L3
• Teamwork and Cooperation L3.

Remuneration
According to MSF salary scale plus 13th month allowance equivalent to 1 month of gross salary.

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Main Purpose

• Supporting the Head Nurse through delegated tasks and responsibilities and ensuring the provision of quality patient care by providing clinical supervision and training in the competencies related to their practice according to MSF Health standards and protocols in order to guarantee the security, continuity and quality of health care in the project. 
• Fully assume the responsibilities of the head nurse in case of absence.

Job Description

• Providing support in the clinical supervision and training (e.g. triage, workflow, stock keeping, effective assistance and own regular ward rounds, proper documentation, adherence to MSF policies and protocols, health education, support to staff during procedures, etc.) based on identified needs.
• Managing the Nurse supervisors and report to Head Nurse following the right communication line.
• Collaborating closely with the team in order to provide continuous quality of care in the projects, upholding and respecting the charter of MSF and ensuring that patient interest and autonomy are always respected.
• Covering weekend duties according to need and supporting weekend supervisors to provide appropriate supervision for all wards. Attending ward meetings and the weekly medical and security meetings
• Providing support in ensuring appropriate infection prevention and control in the hospital.
• Providing support in maintaining an efficient ward administration i.e. good follow up of the bed status, patients’ movements, ward registers, feeding and safety of patients
• Providing support in checking, reviewing or providing new training on staff safety and hygiene e.g. standard infection control precautions, procedures in case of accidental blood exposure, waste disposal system, etc.
• Collaborating with the Logistics Hospital Manager in ensuring that the infrastructure is maintained in good condition, non-food items are tracked and kept and transfer systems in the hospital are organized.
• Supporting the supervisors in the associated HR processes for their team under their responsibility (recruitment, training/induction, evaluation, potential detection, coaching, development and communication) and in planning and organizing their work (rosters, replacement for absences, etc.) and in writing incident reports, disciplinary proceedings as appropriate
• Providing support in ensuring proper and timely collection and registration of data for inpatient and outpatient departments and participating in monthly reporting according to management guidelines.
• Ensure high quality nursing care, proper functioning of the ITFC and the continuity of general medical care provided for patients according to MSF Nursing Guidelines, standards and protocols.
• Ensure respect of MSF admission and discharge criteria, in collaboration with MAM.
• Analyze in collaboration with HN and MAM, any issue related to the re-spect of protocols and procedures (including admissions/exit criteria) and suggest adjustments/corrective actions, trainings etc…
• Responsible to ensure proper patient file documentation and that all procedures regarding patient consent, medical confidentiality etc. are properly followed.
• Appropriately track, document, analyze and manage medical errors and share the report with HN and MAM.
• Regularly audit and ensure the maintenance and adherence to infection control standards. Keep a safe hospital environment, intervene and alert the Head Nurse in case of security incidents and hygiene concerns in the hospital.
• Ensure the proper IPC and Hygiene practices (including Diphteria) in the hospital, in collaboration with IPC nurse and other appropriate actors.
• Together with the HN defines the HR needs of his/her activities and review regularly based on constant assessment of level of activities in the hospital. Propose chang-es/adjustments according to his/her analysis of the activities (malaria/nutrition peak/off-peak, permanent/seasonal changes…) and Good and proper follow up of staffs on duty on daily bases and reporting to HR in case of any discrepancies
• Define nursing objectives; develop/amend nursing guidelines and protocols and Implementation of clinical Audit assessment with Support of team (MAM, Pediatrician, MDs, Nurses, Nut and NTS
• Carry out the regular Patients file review and Nursing chart audit in collaboration with HN/ MAM
• Define NTS objective and ensure the good follow up and build their capacity.
• Mainten regular meeting/ General meeting with Staff( Nurse/ Nut Ass) monthly and weekly or biweekly meeting with NTS,
• Daily briefing should be maintain and proper handing over beteween teams.
• Ensure the patients foods order/delivery process is online with the internal SOPs
• Under delegation of HN, organize the referrals movements to FMC with Nurse assigned and visit to ensure patients are receiving good quality care and Food and NFI over there.
•  Work closely with NTS to Ensure the proper collect and compiling of wards data (BoR, patients movements, pharmacy items consumption and tracking system…) daily and weekly basis.
• Make the monthly and weekly Sitrep of Nursing activities and RUTF cunsumption analysis report
• Good follow up of IPC related activity including IPC pillar and Development and implementation of IPC daily check list.

Requirements

• Education: BSc in Nursing
• Languages: Hausa and English languages essential. Mission language is desirable
• Knowledge: Computer literate (Word, excel, internet).

Experience:

• 3 years Nursing and systems-level experience (either supervisory or managerial)
• Pediatric program experience three years
• 2 years’ Experience as a nurse supervisor in MSF, Experience in both medical and surgical nursing considered a plus.

Competencies

• Excellent writing and communication skills at an influencing level
• People Management and Development L2
• Commitment to MSF Principles L2
• Behavioural Flexibility L3
• Results and Quality Orientation L3
• Teamwork and Cooperation L3.

Remuneration
According to MSF salary scale plus 13th month allowance equivalent to 1 month of gross salary.

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Main Objective and Responsibilities of the position

• Organizing and supervising the daily supply chain activities and the teams associated, in the coordination or project level, according to MSF protocols and standards in order to ensure the optimal running of the mission

General Accountabilities

• Supervising and organizing the daily activities of the Supply Chain team, including Supply Supervisors, and ensuring they perform the tasks linked to their role
• Being responsible for the order, purchase, stock and freight management in the coordination or in the project level, monitoring and ensuring an efficient implementation of the overall daily supply chain activities
• Monitoring and ensuring a smooth running supply administration and the respect of the implemented supply procedures, proposing adjustments where needed.
• Being responsible for the supply database and the correct filing and archiving of the supply documentation in order to guarantee the availability and the coherence of supply data
• Communicating with customers, keeping them up to date concerning their orders status (BO confirmation) and prioritizing procurement and transport according to their needs
• Collecting claims from the field, analysing causes and making corrective actions.
• In collaboration with the Supply Supervisor (if any) and in coordination with the HR department, supervising the associated processes (recruitment, training/induction, briefing/debriefing, evaluation, potential detection, development and communication) of the staff under his/her responsibility in order to ensure both the sizing and the amount of knowledge required
• Informing the Logistics / Supply Manager in case of any major issue and draws-up all required reporting, in order to keep updated and reliable information that will help in decision-making
• Performing any other tasks within the scope of his role, as directed by supervision and according to the needs of the mission

MSF Section/Context Specific Accountabilities

• Act as backup to the other Supply Chain Officer during holidays, sick leave, etc. as well as support each other at times of high workload.
• Follow-up on UNIFIELD cleaning and produce monthly stock as well as other reports requested by Supply Chain Manager and Supply Coordinator.
• Analyse data, create databases, monitor and track KPIs and share it with Supply Chain Manager and Supply Coordinator on a regular basis.
• On a regular basis, update the order tracker and request overview for requestors and projects.
• Responsible for the preparation of montly supply reports & data analysis.

Requirements
Educational Qualification:

• Essential Degree and Specialisation in Logistics/Supply Chain Management

Experience:

• Essential: Minimum 2 years in Supply Chain Management & in the organisation of Supply Administration & procedures.
• Desirable: Proven understanding of MSF Field Logistics (General knowledge of MSF Equipment and Kits)

Languages:

• Good command of English language is essential; Local language desirable

Knowledge:

• Computer literacy (word, excel, internet) is essential.

Competencies:

• Result & Quality Orientation, Teamwork and Cooperation, Behavioural Flexibility, Commitment to MSF Principles, Stress Management.