Midwife Activity Manager at Medecins Sans Frontieres (MSF)

Accountabilities

• Planning, organizing and ensuring the implementation and supervision, in close collaboration with other medical staff, all Sexual and Reproductive health activities. Participating in the definition and update of annual project planning and budget, and if needed, in any emergency activity or exploratory visit in or out of the project area.
• Informing other medical managers or doctors about any possible serious problem or complication (i.e. worsening of state of patients, problems in medicines, etc.). Coordinating and assessing the feasibility for referral of pregnant women to receive further medical evaluation, in order to manage efficiently the resources needed for delivering MCH care while keeping good quality levels.
• Assisting and collaborating with the field doctors and nurses when required (normal or complicated deliveries, SV cases, etc.), to complement the existing human resources and contribute to the resolution of complicated cases. Ensuring the new-born babies are followed up correctly since delivery and until discharge and that all pregnant women and newborn children are referred to the Extended Program on Immunization (EPI).
• Managing the midwife and maternity staff in the project. Planning and supervising the associated HR processes (recruitment, training, performance evaluation, motivation, internal/external communication, etc.) in order to im-prove staff capabilities and to ensure both the sizing and the amount of knowledge required.
• Ensuring and supervising the implementation of protocols by all staff under his/her responsibility in order to improve the quality of the healthcare given to population and to prevent any infection due to staff malpractices.
• Supervising the proper distribution of drugs and use of materials, keeping track of consumption patterns and sup-ply orders, and monitoring inventories, together with the project logistician. Training the midwife and maternity staff in order to ensure having minimum levels of stock to carry out the activities of the project and a rational and appro-priate use of material resources.
• In coordination with the project biomedical service supervising the appropriate use of medical devices and anticipating and communicating future needs.
• Supervising administrative procedures and documents, analysing routine data for monitoring purposes, and being responsible for the collection and analysis of medical statistics and reporting of SRH activities (participation in epidemiological reports and monthly reports according to guidelines) in order to have updated and correct information about the day-to-day activity in the project and to provide support in the decision-making.
• Note 1. SRH Activities include: antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2), neonatal and comprehensive abortion care, management of victims of sexual vio-lence, female genital mutilation, reproductive tract infections and Fistula care.
• Note 2. 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, prefer-ably with vacuum extractor and newborn care including neonatal resuscitation.
• Note 3. 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 new-borns).
• The midwife activity manager is the overall responsible for managing all SRH related activities in both hospital and PHC.
• The midwife activity manager is directly supervised by the PMR/MTL of the project, this can be subject to change in future.
• The Dagahaley MSF hospital is a facility where basic c-sections are performed as well as emergency surgical interventions with support from the MD/MAM.
• Management of reproductive health activities: Support the midwife supervisors in clinical activities and guarantee the quality of care given in ANC, PNC, FP, high risk clinic, maternity and NBU department.
• In absence of the midwife supervisor, replace him/her in the department.
• Supervise uncomplicated and complicated deliveries. Emphasize on early recognition of complications.
• Support/teach and treat complicated gynaecological cases and supervise caesarean sections to reduce maternal mortality.
• Be available 24/7 to respond to complicated cases to avoid deterioration and indicate with the MAM referrals according to the referral policy.
• Be the focal to contact obs/gyn advisor for support when needed.
• Support ALSO training and do on the bedside teaching when identifying gaps in collaboration with the midwife supervisors.
• Preventing and treating sexual and gender-based violence (SGBV).
• Staff Supervision: Supervise the team of midwives, nurses, auxiliary staff and 2 midwifery supervisors. (1 responsible for maternity and NBU (neonatal unit), the other responsible for all ambulatory care (ANC, PNC, FP, high risk clinic in both hospital and health posts).
• Provide ongoing training and professional development of staff. Evaluate performance and provide constructive feedback.
• Collaboration with TBA (Traditional Birth Attendants): Partner with the Outreach manager to implement an plan with the TBA’s to improve maternal health practices. Organize training and awareness sessions for TBA.
• Collaborate with the outreach manager to make a proposal for community awareness and risks of refusing treatment related to SRH department.
• Work in a disciplinary team to support the patient and relatives to accept treatment provided.
• Be the focal of implementation of the FGM SOP, to roll-out the activities and support the introduction of the FGM patient file.
• Reports and documentation: Maintain medical records and maternal health statistics in collaboration with DHIS2 data supervisor. Write activity reports and participate in writing project reports.
• Other Tasks: Participate in planning and coordination meetings with midwives supervisors
• Respond to emergencies in collaboration with the hospital management team.
• Being able to work in a challenging environment/context with a very diverse team
• Promote team collaboration and support activities
• Ensure IPC protocols are implemented and followed
• Ensure patient confidentiality verbal and written
• Ensure patient safety incidents are recognized and reports written and forwarded to the PMR/MTL

Requirements

• Education; Midwifery recognized qualification essential. Tropical medicine training desirable.
• Experience;Two years of experience as a midwife.
• Having worked in MSF or other NGOs as international MWAM for at least one assignment abroad.
• Gynaecological experience is an asset.