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  • Posted: Sep 9, 2022
    Deadline: Sep 16, 2022
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    WHO ARE WE ? Emergency First International is an international NGO, non-profit, apolitical and secular. Emergency First International was born from the merger between two French NGO Première Urgence and Aide Médicale Internationale. First International Emergency assists civilian victims, marginalized or excluded by the effects ...
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    Stabilization Center (SC) Medical Doctor

    Location: Maiduguri, Borno
    Open to: Nigeria Nationals Only (Male / Female)
    Contract Start Date: 3rd October 2022
    Contract Duration: 6months (with possible extension)

    Background

    • The PUI Nigerian Mission has been officially opened in April 2016, with a focus on meeting urgent needs, including improving access to food commodities, primary health care and nutrition for Internally Displaced People (IDP) and host communities (HC) living in Maiduguri Metropolitan Council (MMC). 
    • The progressive sectorial widening allowed PUI to start implementing an integrated approach from 2017 in food security, livelihoods, and nutrition and health sectors, with the support of ECHO, FFP, OFDA and CIAA/CDC, in line with PUI’s global strategy. In mid-2018, PUI developed its comprehensive response by adding Protection and Community Outreach (PCO) activities to the existing programs in Bolori II.
    • In 2018, PUI also scaled up its intervention with the opening of Monguno LGA base, with the main objectives of reducing morbidity and mortality of the most vulnerable population and promoting protection amongst the whole affected community. 
    • The severity of the needs and the reduction of the humanitarian access make PUI positioning in Health and Nutrition crucial, especially in Monguno where PUI has taken over some core activities from ALIMA at the beginning of 2021, after they closed their program there.
    • At the end of 2020, PUI launched an exploratory mission, along with INGO colleagues in Zamfara State (North West), and has developed a strategy for its upcoming intervention in the area.In 2022, PUI continues with its intervention as it considers the opening of PULKA field office, with the main objectives of reducing morbidity and mortality of the most vulnerable population and promoting protection amongst the whole affected community.

    General Objective

    • Under the direct supervision of the Nutrition PM and the functional supervision of Health PM, the Stabilization Center (SC) Doctors will be responsible for the overall and day to day management of Severe Acute Malnutrition (SAM) at PUI Stabilization Center (SC) in Ngarannam PHCC in Bolori II ward.
    • S/he will be in charge for the overall support and direct supervision of the SC staffs including SC Nurses and SC Nurse Assistants. 
    • S/he will closely works with Nutrition PM for the planning, organizing, implementing and monitoring of agreed nutrition activities in line with donor agreements and ensures maximum quality for the treatment of SAM complications in accordance with the national and international standards and protocols and with the quality standards of the organization.

    Responsibilities and Task
    Medical Functions:

    • Carry out daily ward rounds in the morning and evening with SC nurses and ensure patients are visited as appropriately. Fill the notes on patient cards after the ward rounds or any other patient examination or procedures
    • Supervise the daily clinical management of SC patients and follow the SC protocols for the medical care of the SAM with the medical complications
    • Monitor and ensure patients are receiving comprehensive health checks, regular checking of vital signs and frequent medicines and feeding administration according to the protocols
    • Undertake emergency procedures as required (including resuscitation), taking the lead as necessary
    • Liaise with SC Nurses regularly (at least every 3-4 hours) to check on patient progress, or more frequently if the need arises and respond to calls from the ward relating to patient care
    • Ensure regular procedure like taking blood samples, providing IV medications and other necessary procedures are done timely with if required him/her carries as necessary
    • Ensure timely preparation, provision and monitoring of feeding for the patients admitted in the SC
    • Facilitate and perform decisions on admission and referrals to/from the SCs properly 
    • Ensure that SC beneficiaries, caretakers and members of the community are treated respectfully at all times

    Team management:

    • Ensure that all the SC team is familiar with and respect all the PUI Internal rules and regulations
    • Plan and maintain work plan, schedules and rotations for the SC team
    • Provide capacity building and training to the Nutrition team in collaboration with the Nutrition PM.
    • Provide regular mentoring and on-the-job training for the staffs in the SC ward including SC Nurses, SC Nurse Assistant and staffs in the pediatric ward involved in the treatment of SAM with complication patients
    • Plan, organize and follow up the weekly and monthly implementation chart, after being endorsed by the Nutrition PM.
    • Plan and maintain working schedules/rotations for the SC team

    Monitoring and Reporting:

    • Ensure proper organization and functioning of the Stabilization Center in compliance with the goals defined in the project proposals
    • Ensure that the SC team are following up proper implementation protocols and applying them according to international and national recommendations and guidelines through monitoring and technical assistance
    • Monitor day to day activities of the Stabilization Center
    • Ensure the collection, compilation and analysis of quality data and product the required reports for the SC activities including weekly and monthly reports.
    • Report the progress and any problem in timely manner

    Logistical and Administrative Support:

    • In coordination with the Nutrition PM, Logistics Department and Base Pharmacist, ensure appropriate supply plan on weekly basis principle, for the stabilization centers
    • Ensure the proper storage of SC medical supplies, medicines and nutrition commodities
    • Supervise the use of medicines, medical supplies, and nutrition-related commodities and data tools in the SC
    • Provide, on a monthly basis, the Nutrition PM with information necessary for the development of cash flow estimates specific to SC activities
    • Support the Nutrition PM for all the necessary planning and preparations to establishing SC in Ngaranam PHC like facility set-up, staff recruitment and selection process

    Internal and external coordination and representation:

    • Network and coordinate with the relevant units with in the primary health care or other tertiary health facilities for issues that need further support for the patients
    • When required, s/he represents PUI in coordination meetings and technical working groups for the relevant matters and contribute to the good relations with the project partners
    • Build collaborative relations with MoH, WHO and other stakeholders to ensure a successful SC project
    • Closely coordinate with the Nutrition teams in the OTP and in IYCF activities as well as other staffs in the Primary health care centers.

    N.B: The tasks and responsibilities defined in this job description are non-exhaustive and can evolve depending on the project’s needs.

    Priorities of the Department:

    • Support the opening and running of stabilization centre in Ngarannam PHCC in Bolori II ward
    • Ensure Nutrition activities are conducted in a quality manner complying with the National and International protocols
    • Set-up and enforce effective referral pathways with in the PUI Nutrition components (CM, OTP, SC and IYCF) and with the other department (Health, FSL and protection) to assure PUI integrated approach

    Mandatory Requirements

    • Education degree: Qualified and registered national Medical Doctor from a recognized university with a valid practicing license from Medical and Dental Council of Nigeria (MDCN)
    • Language skills: Good command in English and in local Dialects: Hausa mandatory and Kanuri is a plus
    • Computer Skills: Proficient user of MS office (including Word, Excel, Outlook, PowerPoint)
    • Work experience: 
    • At least 2 years of progressive work experience with similar role as SC physician.
    • Demonstrated understanding of the MOH systems and structure.
    • Previous work of CMAM program and with humanitarian organizations is added plus.

    Assets:
    Interests:

    • Commitment to the NGO values and principles
    • Understanding of the political situation in the area
    • Transversal skills
    • Strong motivation to help people in need
    • Ability to adapt or change priorities according to the changing situation within a mission or the organization itself
    • Understanding and capacity of integration into the local environment
    • Ability to analyse and suggest improvements of the activities
    • Well organized and hard worker
    • Able to manage stress and pressure
    • Understanding of the context of the area
    • Honesty & reliable.

    go to method of application ยป

    Nurse

    Location: Monguno, Borno

    General Objective

    • Under the direct supervision of the Health Supervisor, the Nurse provides patients consultations in collaboration with Midwife and other team members in the facility.
    • S/he follows PUI protocols and standards to ensure Quality and continuity of care, promotion and restoration of health of patients and population.

    Responsibilitis and Tasks
    Patient Care:

    • Ensure and conduct the medical consultations with full history taking, clinical examination and provide a diagnosis and prescribe treatment accordingly following the protocols and universal precautions
    • Explain clearly the diagnosis and treatment to the patient and make sure that the patients comply with the treatment
    • Request for a 2nd evaluation of the patient when needed
    • Provide individual health promotion during consultations
    • Delegate the treatment cares (distribution of drugs, injections, dressings…) to Nurse assistant
    • Manage and report any suspected communicable disease case according to Première Urgence Internationale’s protocols and national Disease Surveillance guidelines
    • Execute any action requested by the PM, DPM or Medical Coordinator as part of the outbreak response plan
    • Actively participate in the good cohesion and coordination of the team
    • Record on a readable manner the health status and medical prescription
    • Participate in the follow-up of the waste management according to the waste management procedures
    • Collaborate with other departments as needed to ensure smooth implementation and integration of services.
    • Participate in any other activities such as vaccination, survey…according to the needs and as directed.
    • Maintain the working environment in a clean and presentable state.

    Mangement and Efficient Referral System:

    • Manage the emergency and electives referral cases according to the referral protocol by facilitating the logistics including transportation means, appointment with specialists, laboratory tests etc. in collaboration with OPT supervisor
    • Follow up the referred cases, and check the outcome
    • Ensuring appropriate follow-up care has been given and taking appropriate action if further care is needed
    • Identify and refer patients who need mental health consultation

    Medical Data Collection & Reporting:

    • Record accurately and on a readable manner, the clinical case management on the patient health card (history taking, physical examination, treatment, investigation, etc.), and patient registration book
    • Ensure an accurate daily use and tracking of epidemiological data
    • Participate actively in the early warning system and the outbreak response plan
    • Collect general information about the people living conditions
    • Participate to the assessment of health needs
    • Participate to the weekly medical statistic report in collaboration with OPT supervisor and the deputy program manager
    • Ensure an oral hand over at every team change over, draw attention to any notable events during the shift
    • Report to the supervisor any problem especially the gap/loss/robbery/damage of medical equipment or medicines or any patient and organizational issue.
    • Inform the direct supervisor of the various needs.

    Internal & External Representation:

    • Participate in any training in order to improve the quality and efficiency of nursing cares and duties
    • Participate actively in meetings when required.
    • The tasks and responsibilities defined in this job description are non-exhaustive and can evolve depending on the project’s needs.

    Prioritities of the Department

    • Assessment on beneficiaries at risk and diagnosed individuals with communicable and non-communicable diseases or other diseases of public health relevant and treat him.
    • Provide frequent feedback on health-illness patterns observed in the field that require further assessment
    • Report to line manager periodically regarding context changes that affect the modality of intervention

    N.B: The tasks and responsibilities defined in this job description are non-exhaustive and can evolve depending on the project’s needs.

    Mandatory Requirements
    Educational Degree:

    • Recognized Nurse Degree (at least certificate level) with national legislation and valid License number.

    Work experience:

    • At least 2 years of experience in Nursing, or in OPD services. Work experience with other NGO’s would be an asset

    Language Skills:

    • Fluent in English and Hausa and good knowledge in Kanuri is an asset

    Knowledge Skills:

    • Good knowledge of Communicable and Non Communicable diseases
    • Good knowledge of Public Health
    • Good knowledge of Medical Ethics

    Assets:

    • Interests: Working in humanitarian relief and interest in social issues
    • Understanding of the political situation in the area

    Transversals Skills:

    • Excellent communication, conflict solving and diplomacy skills to manage relationship in potentially tense situations
    • Team Spirit
    • Be available for any emergency
    • Ability to adapt or change priorities according to the changing situation. 
    • Ability to make decisions and to exercise authority when required
    • Ability to analyse and suggest improvements of the activities
    • Well organized and hard worker
    • Able to manage stress and pressure
    • Able to check validity of information, logical thinking
    • Neutrality
    • Reliability.

    Salary
    N300,000 - N360,000 / Month

    Method of Application

    Use the link(s) below to apply on company website.

     

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