MM01102 MIDWIFE ACTIVITY MANAGER

Defining, coordinating, monitoring all midwife and maternity related activities in a project area, according to MSF policies, protocols and standards in order to provide a high quality Mother and Child Health (MCH) care to the population.

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 new born 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 improve 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 supply 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 appropriate 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 violence, 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, preferably with vacuum extractor and newborn care including neonatal resuscitation. 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)

Education

Midwifery recognized qualification essential. Tropical medicine training desirable

Experience

Two year experience as a midwife. Having worked in MSF or other NGO’s and in developing countries is desirable

Language Level Description

B2 Independent User

Vantage or upper intermediate

Can understand the main ideas of complex text on both concrete and abstract topics, including technical discussions in his/her field of specialisation.
Can interact with a degree of fluency and spontaneity that makes regular interaction with native speakers quite possible without strain for either party.
Can produce clear, detailed text on a wide range of subjects and explain a viewpoint on a topical issue giving the advantages and disadvantages of various options.

Technical Skills

Data management

Master

Able to analyze complex and heterogeneous data

Able to ensure data quality controlL3 Able to analyze complex and heterogeneous data

Able to ensure data quality control

Person / material hygiene

Autonomous

Able to supervise use of PPE in a service or department

Infection control

Master

Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and proceduresL3 Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and procedures

Food Hygiene

Under Supervision

Capable to implement basic food hygiene principles (cleaning, storage)

Understand principle of food transformation( process, transformation, storage)L1 Capable to implement basic food hygiene principles (cleaning, storage)

Understand principle of food transformation( process, transformation, storage)

Pharmacy

Expert

Able to perform rational use of prescription analysis

Able to ensure quality control on drug management

Knowledge of drugs: action, interaction and side effects

Able to evaluate the quality level of patient therapy education

Mastery of pharmacy management softwareL4 Able to perform rational use of prescription analysis

Able to ensure quality control on drug management

Knowledge of drugs: action, interaction and side effects

Able to evaluate the quality level of patient therapy education

Mastery of pharmacy management software

Stock

Under Supervision

Able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

L1 able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

Counseling

Nutrition

Autonomous

Knowledge of basic nutritional principles (examples)

Able to perform nutritional evaluation (screening, food security)

Clinical competence

Expert

Knowledge of MS protocols, guidelines and therapeutic choices

Basic level of clinical consultation (diagnosis, treatment, follow-up) for simple pathologies (malaria, diarrhea, respiratory infections)

Able to perform clinical triage at admission

Advanced level of nursing procedures (dressing, IV, cannulisation, fluid monitoring)

Anesthesia

Under Supervision

Able to perform basic local anesthesia

Knowledge of anesthetic drugs for local anesthesia

Epidemiology

Under Supervision

Knowledge of medical epidemiology principles (mortality, morbidity, evolution of out brakes)

Lab

Autonomous

Able to use rapid diagnostic tests (malaria, syphilis, hemoglobin, glucose, etc)

Bio Med

Autonomous

Capacity to provide basic periodic maintenance of biomedical device

SRH

Expert

Advanced obstetric competencies: take charge of gemellary pregnancy and delivery, breech delivery, shoulder dystocia, use of ventouses, disinfibulation, artificial removal of the placenta

Able to take charge of abortions caused by manual vacuum aspiration (MVA)

Able to implant and remove an implant and IUD (intra-uterine device)

Able to take charge of SGBV victims

Able to handle sexually transmitted infection through syndromic approach

HIV

Under Supervision

Basic theoretical knowledge of HIV and TB (symptoms, disease steps, treatment)

Able to perform clinical consultation of HIV/TB patients

Knowledge of MSF HIV/TB protocols, guidelines and therapeutic choices

MW Be able to design and implement an PMTCT program

Transversal Competencies

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Commitment to MSF’s Principles

Demonstrates loyalty, awareness and respect for MSF’s values

Expresses his/her interest by talking/asking/giving informed opinions about MSF’s activities.
Expresses he/she wants to work with MSF because of its principles and mission.
Overtly expresses his/her satisfaction at belonging to MSF and defends MSF’s social mission.
Refers to beneficiaries* when speaking about his/her own work.
Always transmits a positive image of MSF in front of both colleagues and external people.
Translates the principles of MSF into actions.

Behavioural Flexibility

Facilitates and helps to bring about changes in others

Sets up mechanisms that can minimise the impact of an “expected change” on others, for instance, a good briefing.
Communicates and provides information even when he/she is not the team leader.

Results and Quality Orientation

Improves performance and sets ambitious and realistic goals

Strives to continually improve work methods.
Suggests news ways of increasing efficiency in his/her field of action.
Demonstrates a continuous learning attitude.
Sets as an objective the improvement of the process.

Teamwork and Cooperation

Encourages, engages and motivates people to work as a team

Shows he/she values the experience and input of other team members through empathetic communication.
Makes decisions taking into account how they affect the team.
Actively seeks input from team members to define how they will work together.
Makes sure the common objective is known and supported by all the team.
Works to achieve cohesion and a spirit of cooperation in the team.
Involves the team in the decision-making process that may affect all its members.

People Management and Development

Gives feedback and sets limits

Informs and gives feedback about results achieved by the team.
Individually rectifies ineffective behaviour through constructive feedback.
Acknowledges the positive performance of his/her collaborators, using suitable techniques for the follow-up appraisal.
Manages any discrepancies between team members’ expectations and the reality of their situation.
Is approachable and makes time for all team members.

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