Midwife

Working overseas as an expat with (MSF) means that you will go on missions to work in projects in any of the 70 countries where MSF works. Each missions you go to will require a certain period of commitment (6 to 12 months). Being an expat also means that you will need the flexibility to adjust to unfamiliar food, living quarters, pace of life, and languages. Projects may be located in the most remote places in the world, often in harsh environments with limited resources and amenities. This can mean rudimentary medical equipment and supplies, bland food (cabbage, beans, and lentils), interesting housemates (snakes, bats, scorpions) and few leisure outlets (jogging on the landing strip). Nevertheless, MSF ensures adequate accommodation, appropriate water and sanitation standards, access to the Internet wherever possible, and even clean laundry. Regardless of where you go, it will be a very different lifestyle. Working in an unfamiliar culture inevitably involves challenges in communication and perceptions. Being aware that people may not act or think like you, accepting this, and being able to adapt your own behaviors if required, is of utmost importance when working in the field. A special camaraderie emerges amongst members of a project team who come from different countries, backgrounds and experience. This creates a shared sense of purpose, sparking ingenuity and resourcefulness in getting things done, and a lot of spontaneous fun. http://msf-azg.be/en/working-in-the-field   Identification Name: Midwife Report to: Activities Manager (if any) / Project Coordinator Report to functional: Activity Manager /Project Medical Referent- MTL-MFP / Medical Coordinator Area: Medical             Main purpose: Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of a specialist doctor, in order to ensure their health conditions and avoid post-delivery complications.   Accountabilities:                                Ensure the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2), and 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 standardized protocols. Where PMTCT is implemented, ensure implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counseling, test and post counseling Collaborate with the medical doctor and /or nurse in the management of Sexual Violence cases Assess the feasibility for referral of pregnant women form the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries. Ensure hygiene and sterilization criteria (including universal precautions) are met according to MSF specifications. Guarantee a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders. Properly follow 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. Ensure patients’ right to privacy and confidentiality is respected Supervise 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 Participate in 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 sending them in time), clean up the newborn, execute and register first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detect possible anomalies/infections of the newborn and report them to the doctor, in order to ensure successful interventions, supervise 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     Requirements: Education: Bachelor in Midwifery Work license   Other requirements: Ability to live and work as a team Management capacity Ability to manage stress Flexibility Availability : MSF requires a minimum of a 2 years commitment     Experience: Essential working experience of at least two years in midwife activities related jobs. Having worked in MSF or other NGO’s and in developing countries is a plus.   Languages: Arabic, English and/or French.