Midwife

Main Purpose

Provide obstetrical care to pregnant women and their babies, doing follow-up before, during and after delivery, according to the agreed obstetrical and reproductive health guidelines with the target hospital and PHC.

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 interventionsSupervises 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

As a Midwife within the Midwifery-Led Model Project in MSFOCB, she will act as a key implementer, responsible for executing on-the-job capacity-building for other midwives, conducting training sessions, shadowing activities, and providing support, teaching, and coaching to ensure the delivery of high-quality maternal and neonatal care services.

1. Bedside Coaching & Shadowing

• Provide structured bedside coaching to hospital midwives in line with MLM activities.
• Conduct direct observation of clinical practice and support reflective learning to strengthen clinical judgment, autonomy, and confidence.
• Facilitate shadowing activities, allowing midwives to acquire and consolidate practical skills in real clinical settings.
• Provide constructive guidance and feedback during shadowing and coaching sessions, focusing on professional competencies and respectful maternity care.
• Act as a role model for professional conduct, communication, and midwifery-led practice.
• Participate in the implementation of capacity-building initiatives at facility level.
• Support learning activities through coaching, mentoring, bedside demonstrations, and structured follow-up.
• Co-facilitate or facilitate selected sensitization sessions or short learning activities when needed.
• Contribute to health promotion and awareness activities related to the MLM project and women-centered maternity care.
• Participate in internal trainings as part of individual professional development.
• Encourage reflective practice, critical thinking, and professional development among midwifery staff.
• Provide individualized coaching based on observed learning needs.

2. Competency Monitoring & Logbook Follow-Up

Support the implementation and routine use of individual midwife competency logbooks.

• Monitor progress toward required competencies and identify learning gaps.
• Follow up on competency application within supported facilities.
• Share findings with the Midwife Activity Manager & OBGYNTL to help inform coaching priorities and support needs.
• Promote a safe, supportive learning environment and a culture of continuous improvement.

3. Briefings & Debriefings

• Together with the MWAM and ObsTL, conduct pre-shift briefings to align learning objectives, roles, and priorities.
• Facilitate post-shift debriefings to encourage reflection, discuss challenges, and consolidate learning.

4. Data Collection, Monitoring & Reporting

• Use Microsoft Office tools (Excel, Word, PPT Forms) to support monitoring and documentation activities.
• Support the administration of post-tests, assessments, and feedback tools as required.
• Collect relevant data related to coaching activities, competency progress, and MLM implementation.
• Compile and submit regular reports to the Midwife Activity Manager, highlighting progress, challenges, and recommendations.

5. Coordination & Communication

• Support facility-level communication between MSF teams and hospital staff regarding MLM activities.
• Maintain clear, professional, and respectful communication with all stakeholders.
• Act as a technical and communication bridge during the implementation phase, ensuring smooth follow-up of agreed activities.

Requirements

Education

• Essential Recognized midwifery degree, diploma, or bachelor’s degree in Midwifery
• Essential Ministry of Public Health practice license as a midwife in Lebanon
• Essential Certificate of registration at the Lebanese Order of Midwives

Experience

• Minimum 2-year experience as a midwife
• Previous experience in MSF is desirable

Competencies

• Results and quality orientation
• Teamwork and cooperation
•  Behavioural flexibility 
• Commitment to MSF’s principles
• Service orientation