MS03000 MIDWIFE

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

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

Education

Essential midwifery qualification or specialization. Desired Bachelor in Midwifery

Experience

Essential working experience of at least two years in midwife activities related jobs. For OCBA, this is desirable.

Language Level Description

B1 Independent User

Threshold or intermediate

Can understand the main points of clear standard input on familiar matters regularly encountered in work, school, leisure, etc.
Can deal with most situations likely to arise while travelling in an area where the language is spoken.
Can produce simple connected text on topics that are familiar or of personal interest.
Can describe experiences and events, dreams, hopes and ambitions and briefly give reasons and explanations for opinions and plans.

Technical Skills

Data management

Autonomous

Able to provide routine data analysis

Person / material hygiene

Under Supervision

Capacity to ensure adequate use of Personal Protective Equipment (PPE)

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)

Patient handling

Autonomous

Capacity to compensate patient disability (moving, feeding, toileting)

Pharmacy

Master

Able to issue accurate drug prescriptions

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

Under Supervision

Able to perform basic counseling and/or educational sessions under supervision

Able to identify cases presenting psycho-social problems

Nutrition

Under Supervision

Understand of therapeutic feeding principles

Clinical competence

Master

Able to identify basic pathological conditions (apathy, anorexia, see jd…)

Capacity to address to specific medical conditions (hypothermia and fever)

Anesthesia

Under Supervision

Able to perform basic local anesthesia

Knowledge of anesthetic drugs for local anesthesia

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

Master

Capacity to manage an eutocic delivery: (labor identification and follow-up, delivery and postpartum activities)

Able to perform a first neonatal checkup

Able to conduct a neonatal reanimation

Able to recognize complication during pregnancy period, delivery and post-partum

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

Emergency

Under Supervision

Appropriation of existing MSF emergency guidelines (meningitis, cholera, hemorrhagic fever, etc.)

Transversal Competencies

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Commitment to MSF’s Principles

Demonstrates knowledge of and accepts MSF’s principles

Respects the choices made by the organisation.
Has basic knowledge of MSF’s mission and main activities.
Respects and accepts the medical ethics and principles of MSF.
Knows the difference between MSF’s activities and those of other NGOs and actors.

Behavioural Flexibility

Accepts changes

Accepts changes without knowing the full reasons for them.
Accepts new ideas in a positive way.
Positively accepts changes in his/her environment.
Accepts arguments opposed to his/her own.
Is willing to listen and to take on new tasks in his/her job.

Stress Management

Manages own stress

Expresses awareness of his/her own stress level.
Is able to identify causes of his/her own stress and/or asks for help in detecting them.
Is able to express to others his/her personal stressors at an appropriate time without overwhelming them.

Results and Quality Orientation

Performs his/her work

Knows objectives of the job.
Defines tasks to achieve objectives and establishes a working plan.
Reviews and checks his/her work to detect mistakes and to correct them immediately.
Values high-quality work.

Service Orientation

Knows and understands clients’ needs and interests

Identifies and has a clear understanding of who the client to be served is.
Identifies clients’ needs and concerns, and provides them with useful information and quick solutions.
Listens to clients and asks them questions to determine their needs and motivations.
Gets to know how the rest of the team works.

Teamwork and Cooperation

Acknowledges the importance of teamwork and cooperation

Is responsible for his/her work because he/she knows the repercussions it has on the team or on others.
Establishes and maintains good working relationships with colleagues, is accessible and listens to others.
Cooperates with the team and supports decisions made.
Demonstrates a predisposition to work with others and gives help when asked.
Acknowledges there are common goals as well as individual objectives deriving from the personal plan of action.

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