Midwife

WHAT IS MSF?

Médecins Sans Frontières/أطباء بلا حدود (MSF) is an international, independent, medical humanitarian organization that delivers emergency aid to people in 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.

A FEW WORDS ABOUT THE PROJECT

The project started in Sept. 2013 in Shatila, where MSF currently manages an outpatient center for chronic non-communicable diseases (NCDs), vaccination services with transversely integrated mental health services and health promotion, and referrals for patients who require services beyond the scope of MSF activities. Additionally, MSF opened a women’s health center with sexual and reproductive health care.
During 2018, low risk deliveries were relocated from Shatila to Rafik Hariri University Hospital compound, where MSF runs a Birth Centre. MSF took this as an opportunity to work together with external partners as catalyst for change around midwifery model of care and demedicalization of deliveries. The antenatal care services remain in the camps, to serve the most vulnerable women.
In Bourj el Barajneh camp, besides the above-mentioned activities, MSF provides in addition home-based care for those patients who are housebound or bedridden often due to an advanced NCD disease.

MSF BIRTH CENTER (BC)

The MSF Birth Center is unique in Lebanon, in its objective to develop a midwife led model of care. The midwives are responsible for all of the deliveries and are only required to consult the obstetrician in case of complications. The model focuses on low risk pregnancies. There is an assessment room for all patients being followed in ANC, including the higher risk cases and they may attend at any time to be assessed. The most important role of the obstetrician is to manage any complicated cases either in BC or prior to referral to another hospital, and to be active in teaching, coaching and empowering of the midwives and nurses to help develop the midwife led model of care.

Responsibilities:

MSF is looking for Midwives to Facilitate MSF referrals when needed to secondary hospitals according to MSF protocols, in order to ensure that MSF patients are referred according to the adequate criteria and that the documentation is adequately produced.

Accountabilities:

• Be available for transfer of patients in ambulance, ensuring quality of care on transfer of patients in line with MSF standards & protocols, including infection control & biomedical maintenance
• Ensure patient registration, if needed and faciliate in nonregistraded and/or complicated cases.
• Liaise with the Patients experiencing difficulties in accessing referral hospitals.
• Receive and manage patients’ complaints, and process adequate corrective actions
• Maintain quality of data collection for patients referred to secondary health care, including indications, treatments, outcomes, costs etc.
• Ensure the respect of MSF referral policy within the partners’ hospitals.
• Maintain good communication and relations with the referral hospitals & their representatives and report any concerns or problems directly to manager.
• Communicate with admission and finance desks, to guarantee MSF needs, policy and procedures are known at all levels.  
• Ensure the respect of MSF referral policy within the partners’ hospitals.
• Maintain good communication and relations with the referral hospitals & their representatives and report any concerns or problems directly to supervisor.
• Communicate with accountancy desks, to guarantee MSF needs, policy and procedures are known at all levels.
• Identify non-conformities in the bills, and report to manager. 
• Ensure proper and full documentation of all required data and incidents.
• Responsible for the 24h sexual violence hotline
• Family Planning couple counselling for referred referred women:
• Contact high risk women referred during pregnancy and schedule appointment for counselling during pregnancy
• Provision of couple FP counselling
• If permanent method chosen, communicate with referral hospital for tube ligatio
• If workload in maternity is high and no referrals to be done, referral midwife will support in delivery room, examination room, observation room and postpartum.

Qualifications:

Education:

• Essential midwifery diploma
• MoPH’s license to practice Midwifery in Lebanon,
• Certificate of registration at the Lebanese Order of Midwives.

Experience:

• working experience of at least 2 years in midwife activities related jobs.
• Experience in MSF or other NGO’s is desirable

Languages: Good level of communication in English, and Arabic

Knowledge: Mandatory knowledge of computer skills (Microsoft office)

Soft Skills: Compassion and patient friendliness, Results and Quality Orientation, Teamwork and Cooperation, Commitment to MSF Principles. Behavioural Flexibility, Service orientation