Medecins Sans Frontieres is a private, international organisation. The organisation is made up mainly of doctors and health sector workers and is also open to all other professions which might help in achieving its aims. Medecins Sans Frontières provides assistance to populations in distress, to victims of natural or man-made disasters and to victims of armed conflict. They do so irrespective of race, religion, creed or political convictions.

We are recruiting to fill the position below:

Job Title: Midwife

Location: Maiduguri, Borno
Employment Type: Full-time
Contract Period: Indefinite

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.

Main Duties and Responsibilities

• 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 interventions
• Supervises 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.

MSF Section / Context Specific Accountabilities

• Be clinically responsible and independent in providing antenatal care, labour and delivery care and postnatal care
• Manage high-risk cases that present to the maternity ie breech, pre-term delivery, perineal tears, polyhydramnios, neonatal resuscitation, twins, PPH, neonatal sepsis etc and calling for assistance in a timely manner. Conducting a thorough consultation and documenting this with a plan of care
• Identify high-risk women in ANC, educate them, document their information, communicate their case, make a plan to follow their care and plan for referral to Bentui POC or Lankien in a timely manner
• High-risk women identified need to be discussed with the MWAM so that a plan of care can be put in to action, such as ultrasound, ECV, referal, etc.
• Clinical confidence and ampt decision making, if unsure on plan of action to communication to the supervisor in a timely
• To communicate all high-risk procedures to other medics, who may required to be present if emergency occurs
• Manage data of patients
• Prescribe relevant drugs according to MSF protocols and order them when required
• Manage drugs within the department; notify the supervisor of missing or rupturing medical supplies/equipment
• Willingness to improve quality of care
• Completing Document history and examination for women/babies who have been consulted
• Lead and conduct the maternity ward round, making decisions according to MSF protocols and evidence-based practice
• To look after medical equipment and to not overuse medical supplies unnecessarilyTo check all emergency equipment is present, such as emergency boxes and to take action if not
• Give family planning with consent where applicable
• Ensure the implementation of blood transfusion protocol. Transfusions monitoring sheet followed as requested. Transfusion reaction is managed as protocol.
• Attend medical departmental and activity meetings as requested
• Agree to be on-call as rostered
• To maintain the dignity of all cases but particularly those requiring sensitivity, such as family planning, mental health conditions, fertility advice or SV, discussing cases in private rooms
• Consult survivors of SGBV including medication according to MSF protocols and guidelines and complete all relevant documentation.
• Respect survivor-centered principles of: informed consent, respect, dignity, privacy, confidentiality and non-discrimination.

Minimum Required Skills and Qualifications
Education:

• Essential Midwifery Diploma qualification or Specialization. Desired Bachelor in Midwifery.

Experience

• Desirable work experience of 1-2 year

Competencies

• Essential English and Hausa
• Results, Teamwork, Flexibility, Commitment, Service.

Application Closing Date
7th January, 2024.