Jobs at Medecins Sans Frontieres (MSF)

Main objective and responsibility

• Provide medical care to inpatient and/or outpatient beneficiaries according to adapted and updated medical knowledge, MSF protocols, values and universal hygiene standards to improve the patients/beneficiaries health conditions.

Accountabilities

• Apply medical knowledge and skills to diagnose and prevention. Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols.
• Keep the patient and/or his/her family informed about the illness and provide appropriate explanations about the treatment to follow, checking they have understood.
• Follow up the evolution of the hospitalized IDP patients, through daily visits, consultations and examinations, requesting lab tests, 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.
• Check and control the rational distribution of medicines and use of equipment under his/her responsibility and take care the quality, disinfection and sterilization of the medical material. Assure general compliance with standing hygiene standards.
• Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patients’ illness, medical error and monitors the proper functioning of the department, equipment or material.
• Ensure ongoing training of the medical/paramedical multidisciplinary team in order to optimize the quality of care.
• Knows and ensures all MSF medical protocols are followed and implemented, checking universal precautions are followed at all times and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.
• Manage 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..

MSF Section / Context Specific Accountabilities

• Make the medical visits of the service / Medical consultations.
• Participate in medical meetings and all Mortality reviews.
• Regularly analyses patient files : find out mistake made and correct with feedback, ensure treatment prescribed is correctly executed
• Correctly fills in forms such as laboratory request, blood transfusion, treatment form, etc.
• Always give feedback to the requester and the progress of the work to the line manager.
• Communicate the information to the appropriate person.
• Plan his weekly activities and submit it to the supervisor.
• Adhere to defined tasks as outlined in weekly/monthly activities.
• Apply knowledge and skills to diagnose and treat patients.
• Objectively manage specific treatments: oxygen therapy - adrenaline treatments - use of the nebulizer - control saturation and react to their fluctuation.
• Apply MSF protocols / Use knowledge, skills and MSF protocols to diagnose and treat patients in consultation and wards.
• Make follow-up visits to patients and adjust management according to the protocols and the patient's current clinical conditions or the results of laboratory examinations.
• Keep a close eye on what other members of the medical team are doing;
• Apply objectively, knowledge and skills in the management of patients.
• Discuss with colleagues the challenges/errors discovered regarding the activities in each care unit of IPD (triage, HDU, ITFC, Isolation, General Paediatric).
• Prepare and ensure presentation for all the team on specific topics to maintain capacity team
• Contribute, through his behaviour and his advice/advice, to maintaining a calm working atmosphere and teamwork
• Identify challenges related to daily activities.
• Provide clear explanations of the illness and provide initial psychological support to patients and/or caregivers in need.
• Report medical incidents.
• Establish a link with the psychosocial and mental health team, etc.

Requirements

To apply for this role applicants MUST meet the following criteria:

• Education: Medical Doctor Degree. Desirable Diploma in Tropical Medicine.
• Experience: 2 year experience minimum as a Medical Doctor or in clinical work (can be within medical training). Desirable in tropical medicine, Paediatric IPD, Severe acute malnutrition management or post-registration experience in Public Health, OB/GYN, paediatrics, infectious diseases, HIV/AIDS/STDs, TB, general practice, general medicine or minor surgery.
• Languages: Mission language essential. Local language desirable.
• Knowledge: Essential computer literacy (word, excel).

Competencies:

• People Management, Commitment, Flexibility, Results and Teamwork.

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Main objective and responsibility

• Performing the day to day purchasing activities in a particular supply office (coordination or project level) according to MSF protocols and standards in order to ensure an optimal running of the mission/ project

Accountabilities

• Performing on a day to day basis the purchasing activities of a supply office, analyzing market sources and competitive pricing conditions among different suppliers in order to ensure an ongoing supply of goods, following the procurement procedures and according to MSF standards and protocols. Including the following activities:
• Constantly assessing the local market, seeking products and suppliers that offer the best value for money and negotiating prices in order to guarantee the best quality and pricing for MSF goods and commodities. Regularly upda-ting the supplier-item-price data on the supply office and informing the Supply (Activity) Officer / Logistics Supervisor of all information or modifications to the data i.e. price, address, items available
• At the request of the line manager, obtaining different quotations from suppliers according to the MSF Purchasing policy and placing purchase orders to pre-selected suppliers with whom prices have been agreed.
• Requesting invoices or receipts, without delay, for all purchases, checking they are correctly filled and translating information written in local language before approval.
• Managing the administrative and accounting procedures related to purchases: completing purchase orders, checking delivery notes (against orders), managing advances issued by the Finance Department, etc. Updating information on purchase lists after purchases are made
• Assisting in reception control process with the storekeeper
• Performing delegated tasks according to his / her activity and as specified in his/her job description.

MSF Section / Context Specific Accountabilities

• Carries out the purchases of a supply office on the basis of purchase documents issued by the line manager and manages the administrative and accounting procedures related to purchasing.
• Constantly assess the local market, seeks products and suppliers that offer the best value for money, negotiates prices.
• At the request of the line manager, obtains different quotations from suppliers according to the MSF Purchasing policy
• Place purchase orders to pre-selected suppliers with whom prices have been agreed.
• Request invoices or receipts, without delay, for all purchases, check they are correctly filled and translate information written in local language before aproval.
• Regularly updates the supplier on item, price, data on the supply office
• Manage the administrative and accounting procedures related to purchases: complete purchase orders, check delivery notes (against orders), etc.
• Manages the advances issued by the Finance Department.
• Assists in reception control process with the storekeeper and storekeeper assistant.
• Update information on purchase lists after purchases are made.
• Informs the Logistics Manager of all information or modifications to the “item-supplier” data: price, address, items available.

Requirements

To apply for this role applicants MUST meet the following criteria:

• Education: University Degree essential; Diploma in Supply Chain, Purchasing desirable
• Experience: At least 2 years' experience in supply chain related jobs
• Languages: Mission language essential, Hausa language desirable
• Knowledge: Computer literacy.

Competencies:

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

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Main objective and responsibility

• Plan, organize, and evaluate the activities concerning his/her field of action (IPD department - isolation and paediatric ward) and the team associated, according to MSF values, policies and protocols and universal health standards, in or-der to warrant the quality and continuity of the health care and the development of the plan of action.

Accountabilities

• Carry out the functions and tasks associated to his/her specialty, i.e. perform as a nurse, whenever required or needed, in order to optimize the resources, contributing with his/her knowledge and experience.
• Implement all the protocols and hygiene procedures, and supervise his/her team follow the same standards, in order to warrant the quality of the care and service in his/her specialty.
• Organize and coordinate the activities of his/her team (week’s schedule, annual leave, absences, etc.), evaluate their performance and define and ensure the needs for training of staff, in order to ensure the coverage of the human resources needs and maintain high standards of quality.
• Carry out and/or supervise the medicines and medical equipment management (drugs orders, follow-up of the stock, storage conditions, inventories, follow-up of expired drugs and their destruction, drugs consumption, bio-medical equipment maintenance, etc.) in his/her department, in order to satisfy the needs of material with efficiency and effectiveness.
• Carry out and/or supervise the sterilization activities and ensure infection control measures are in place and followed.
• Carry-out and/or coordinate administrative (exit-paper, transfer-paper, etc.), information and data collection (patient files, forms, statistics, etc.) tasks, and elaborate regular reporting, in order to have updated and reliable information about the day-to-day activity in the project, output/ outcome and support decision-taking.
• Give feedback/ reports to Nursing Activity Manager and to Medical Referent when needed.

MSF Section / Context Specific Accountabilities

Under the NAM Leadership the IPD Nursing Team supervisor is directly supervising and overseeing all the IPD Nursing Activities, this in-cludes isolation and general paediatric wards. The NTS does not directly have financial responsibilities, Daily workers needs and their payment or any other payment process), all these are NAM/IPD responsibilities:

General:

• Under NAM/IPD leadership and in close cooperation, NTS is responsible for the day-to-day activities of the isolation and general paediatric wards of Gummi general hospital. Under leadership of the line manager and in close collabo-ration, the nursing team supervisor is responsible for the quality nursing care through mentorship, on Job supervi-sion/trainings.
• Prepares, provides and ensure all necessary stationaries and all related paper work are available in the inpatient de-partments (Registers, nursing notes, prescription, lab request forms) and among other, many forms needed.
• Together with Watsan and IPC supervisor ensures IPC measures fully implemented in all departments (isolation, pae-diatric wards): Cleanliness, hand washing points, hand sanitizers etc.
• Ensures clean water is available for patient and staff.
• Together with the HP supervisor, ensure health message delivered on the waiting areas and addressing Health issues in line with main morbidities in the Health Facility.
• Ensures good patient flow to allow reducing waiting time and unnecessary steps, the NTS should, Under the NAM leadership organize the departments to maximize efficient use of resources.
• The NTS is technically supporting the team on the ground while major administrative tasks (daily worker request and signature on payment sheet for all incentive staff) go to the NAM who is the main manager.

Nursing Care:

• Implement all MSF protocols, guidelines and Standard Operating Procedures (SOPs) that guide the day-to-day activities.
• Ensure care to the Patient (admissions, patient care consultation and drug provision) are timely administered, to avoid delays.
• Ensure quality dressing following the wound care protocol
• Ensure complementary requests by the doctor, correctly applied in the desired period.
• Put in place and maintain hygiene rules and universal precautions to staff involved inpatient care.
• Ensure Medical staff under him/her know the PEP protocol (what to do in case of accidental exposure).
• Ensure accurate documentation, reporting accurately done on patient’s folders, stock and all inventory registers.
• Ensure the handing over report effectively carried out, with all duty staff informed of up-to-date changes on patient management.
• Ensure and Plan the provision of quality, safe, confidential nursing care with involvement of the caretakers, to all patients, in strict adherence to medical ethics , msf principal and values
• Make sure Nurses Take vital signs and score the PEWs regularly and frequently, depending on patient’s condition and take action when detect any danger signs
• Ensure the Provision of medical and nutritional care as prescribed, with proper documentation on nursing notes, charts, prescription sheets, while involving and explaining to the care takers, in accordance to MSF protocols
• Organize working environment, with correct supplies and equipment available
• Check all the oxygen concentrators at the beginning of each shift, reporting mulfunction,and usage according to BIO MED guidelines
• Support nursing team to Identify children who are eligible for vaccination and refer as appropriate
• Observe and follow the 5 moments of Hand Hygiene and appropriate glove use, plus safe waste disposal (used sy-ringes, needles, organic) as per IPC guidelines.
• Ensure the Cleaning and disinfecting of surfaces of trays/trolleys /equipment, materials before caring out procedures.
• Ensure open vials policy is restrict followed in her/his working department.

Data Management and Reporting:

• Implement all data collection paper work in collaboration with the Epid- Department and the Nursing Activity Manager.
• Checking that data collection forms are available and filled correctly (registers, forms, tally sheets, referral sheets and morbidity forms, etc.)
• Compiling daily, weekly and monthly statistics for the IPD activities and submit to epid-department and NAM-respectively, as at when expected.
• Draft the Monthly Medical Report for the activities she/he is supervising and submit to the Line manager.
• Give feedback to the nursing team, regarding progress in line with project-desired indicators, and discuss other possi-ble measures for improvement.

Pharmacy Management / Accountability:

• The NTS is overall responsible for the drugs and Medical items stored in the IPD department, therefor she/he should ensure there is enough stock to run the wards, ensure good consumption tracking and submission to the central pharmacy with due respect to timing and ordering procedures.
• Leads and deeply involved in the weekly inventories, double check consumptions and justify discrepancies.
• Adheres to the project supply system and reinforce its implementation; Prepare Medical orders for the activity according to stock and consumption, submit to the line manager for further process.
• Analyse consumption pattern and link them with morbidities, gives feedback to the team and provide necessary information to the pharmacy supervisor in order to adjust quantity of medical item to the need.
• Check emergency boxes in the wards and ensure items used timely replaced.
• Ensure rational use of drugs and strict adherence to protocols.
• Ensure daily consumption is recorded, prescription well filled, stored and taken to the Hospital pharmacy.
• Checks medical prescriptions carried out (treatment administration, surveillance of medical parameters, etc.)
• Supervises, in cooperation with the pharmacy supervisor, the management of the pharmacy, ensuring reception and storage of orders, preparing new orders when required, supervising expiration items and consumption patterns, in order to ensure, a rationale use as well as pharmacy stock levels are permanently updated and above minimum safety point.

HR Management and development:

• As a direct supervisor of the nursing team , the NTS has the duty to Know job descriptions of all staff working in the IPD department (nurses, CHEW, etc.) and checking that each individual knows and understands his/her own job and work accordingly. The nursing team supervisor can identify the need of daily workers; follows on daily basis the work of incentivized staff and report to the NAM IPD the main responsible. The NAM makes all signatures of the departments.
• Leads staff under his/her supervision toward MSF objectives, promote medical ethics and patient safety.
• Draft Rosters timely of all personnel under his/her supervision and submitting to his/her line manager for perusal.
• Identify training needs and organizes sessions within his/her team or within the general framework of personnel development.
• Draft objectives of each staff member under her/his supervision and conduct job appraisals of all staff in close collaboration with the line manager.
• Participates in the orientation of new personnel.
• Organizes regular team meetings to encourage the exchange of information and maintain efficient communication within the team.
• Keeps the team dynamic and promote good working atmosphere.
• Participe to mortality analysis and collect of medical incidents to report to the Focal point (MAM)
• Reports to the line manager (NAM) any work related problem/ incident identified within the team.
• Organize and conduct regular in service/on the job training for the nursing staff and CHEWS.
• NTS should attend to patient when the occasion arises as well as covering staff absence when decided by the line manager.

Others:

• Checking that all information is passed on during transfers/referral to the IPD or other health structures in order to ensure the continuity of health care. Implement the referral system between ATFC and ITFC in close collaboration with the line manager and hospital relevant supervisor.
• Participating in supervisors’ meetings to facilitate the exchange of information and “inter-phase” collaborations.
• Ensure respectful relationship and communication with the care givers/patients all the team members.
• Carry out other relevant/delegated duties as may be required or assigned by his/her supervisor.

Requirements

To apply for this role applicants MUST meet the following criteria:

• Education: Degree in Nursing (Essential)
• Experience: Essential 2 years of previous experience Having worked in MSF or other NGO has and in developing countries is desirable.
• Languages: Essential mission language. Desirable local language (Hausa)
• Knowledge: Essential computer literacy (word, excel and internet).

Competencies:

• Results and Quality Orientation, Teamwork and Cooperation, Behavioural Flexibility, Commitment to MSF Principles, Stress Management

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Main Objective and Responsibility

• Performing the day to day implementation of supply procedures and ensuring efficient administrative processes for one or more areas of the supply programmes (Order Processing, Transport and Customs, Procurement, etc.) at coordination or project level according to MSF protocols, standards and procedures in order to ensure the optimal running of the mission.

Accountabilities

• Performing the day to day activities ensuring an efficient running of the administration processes of the supply activities following the supply procedures according to MSF standards and protocols. The activities can include one or more of the following areas:
• Order Processing: Performing the day to day order processing activities in a particular supply office (coordination or project level)
  • Purchasing: Performing the day to day purchasing activities in a particular supply office (coordination or project level)
  • Transport and Customs: Performing the day to day procedures and administrative processes for the clearance and transportation of goods in a particular supply office (coordination or project level) ensuring an efficient shipment of goods
  • Performing and coordinating administrative procedures related to his/her supply activity(ies), verifying the compliance to MSF procedures, standards and protocols
• Ensuring that all necessary tools and management procedures are followed to avoid stock ruptures, losses and excess stocks in the mission
• Performing delegated tasks according to his / her activity(ies) and as specified in his/her job description.

MSF Section/Context Specific Accountabilities

• Carry out data entry activities into UNIFIELD system, registering all orders, deliveries and data concerning stocks according to established procedures, and produce the appropriate, updated documents for the supply team in order to support decision making processes.
• Perform data entry of all ordering information into UNIFIELD program and create appropriate documents for ordering and receptions, ensuring that all data entered has been approved according to authorization table and MSF policy. Ensure that appropriate documentation has been received and ensuring that all data entry processes occur in a timely and efficient manner.
• Ensures all data collected and entered to databases is consistently accurate and complete.
• Perform the workflows, outgoing and ingoing, of all the related logistics documents.
• Verify correct authorization of orders and receptions in UNIFIELD.
• Report any anomalies in the database to the supervisor immediately
• Files documents according to MSF standards (Log Admin Kit).
• Ensures no unauthorized people have access to the database
• Discusses work progress with the supervisor on a daily basis, reporting to the rest of the supply team at the weekly team meeting.
• Perform routine checks of the database to ensure consistency.
• Assists the supervisor to identify any items at risk of rupturing or expiring – referring to UNIFIELD database.

Reporting Duties

• Identify, in close relation with the supervisor and the Supplier and according to UNIFIELD database, potential stock risks (expiring, security level stock).
• Produce UNIFIELD reports on stock level, average expiring terms and availability.
• Compare with the supervisor the logical stock inventory with real stock levels on a monthly basis and justify any gap.
• Enter data and create worksheets to assist in the International Orders
• Provide weekly and monthly format sheets for consumption and stock reports of all locations.
• Report immediately to the supervisor of any discrepancy found in data system.
• Report the pipeline and the ordered material received or outstanding items.
• The position is based in Gummi LGA where MSF conducted a mass malnutrition screening in June 2022 and found that rates of malnutrition were well above emergency thresholds. As a result the project has begun to establish an emergency intervention which includes blanket supplementary feeding, in-patient and ambulatory therapeutic feeding centres, and malaria test and treat units, and community health education activities throughout the Gummi LGA.
• The project is still in the start-up phase and thus the position requires flexibility to work outside of traditional working hours and days.

Requirements

To apply for this role applicants MUST meet the following criteria:

• Education: University Degree essential; Diploma in Supply Chain, Procurement desirable
• Experience: 2 years in MSF Logistics Department, previous experience in supply chain activities related jobs
• Languages: Essential mission language. Desirable local language
• Knowledge: Computer literacy.

Competencies:

• Results and Quality Orientation, Teamwork and Cooperation, Behavioural Flexibility, MSF Principles, Stress Management.