Midwife

Médecins Sans Frontières (MSF) / Doctors Without Borders/أطباء بلا حدود, is an international, independent, medical humanitarian organisation that delivers emergency aid to people in around 70 countries who are affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation and our actions are guided by medical ethics and the principles of neutrality and impartiality. We offer basic healthcare, perform surgery, fight epidemics, rehabilitate and run hospitals and clinics, carry out vaccination campaigns, operate nutrition centers, and provide mental healthcare. Our activities include the treatment of injuries and disease, maternal care and the provision of humanitarian aid. Where necessary, we set up sanitation systems, supply safe drinking water, and distribute relief to assist survival. Working overseas with (MSF) means that you will go to work in projects in any of the countries where MSF works. Each project you go to will require a certain period of commitment (6 to 12 months). It 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. Regardless of where you go, it might 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.             Main purpose: As a midwife with MSF, your experience in both complicated and normal deliveries will be essential. You could be involved in setting up a mother-child health department in a rural clinic, providing reproductive health care from mobile clinics, or treating patients in an urban hospital. Your training abilities are crucial because you may be assigned to help other midwives develop new skills. At the same time, you will need to learn cross-cultural issues surrounding childbirth. A midwife is responsible for the implementation and follow-up of various project activities regarding sexual and reproductive health. Provision of medical high quality and comprehensive care in accordance with MSF Reproductive Core Package of Activities. Reinforcement of the implementation of standardized protocols for pregnancy and delivery care, sexual violence victim care, family planning, prevention of mother to child transmission of HIV/AIDS, prevention of sexually transmitted disease, abortion care, etc           Accountabilities:         Ensure the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (Basic Emergency Obstetric and Newborn Care (BEmONC ) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC), 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. 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 Ensure implementation of the Prevention of mother-to-child transmission (PMTCT) protocol in the AnteNatalCare (ANC)/delivery and PostNatalCare (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 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 organization 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.    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: Minimum 2 years of work experience.   Languages: Arabic, English and/or French.