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NURSE MIDWIFE

--ALIMA--

Coutry: SOUTH SUDAN

Project: RAJA - PROJECT – DEIM ZUBER SITE

Position: Nurse Midwife

Functional and hierarchical links:

  • He/She reports to the Medical Project Coordinator

  • He/She supervises the national Nurses/midwives

  • He/She collaborates with other services (OPD/OTP/ITFC/IPD/outreach/surveillance epidemic) and department (Logistics & Administration)

The ALIMA ASSOCIATION    

ALIMA’s aim since its creation in 2009 is to provide a high standard of healthcare in situations of emergency or medical disaster and to improve the practice of humanitarian medicine by developing innovative projects associated with medical research.  

By joining us, you will integrate a young and dynamic organization and contribute to its associative development as well as its operational impact on the field. As Head of Mission, you will have the opportunity to manage challenging and innovative medical programs in the line of ALIMA’s values and objectives while bringing your humanitarian experience.

Since its creation, the association and its partners have successfully developed in line with the increase in humanitarian medical needs, especially in Western and Central Africa: 650,000 patients treated in 2015 including over 48,000 hospitalizations, new governance between the partners of the medical NGO platform in the Sahel, new innovative approaches and operational research projects. With operations in ten countries, 17 projects + 7 research projects, over 1,300 employees and a budget of €35 million in 2016, ALIMA is a dynamic NGO, effectively deploying medical aid for the most vulnerable.

CONTEXT

ALIMA supports one health and nutrition project in Raja, 1 project in Aweil and 1 Ebola Viral Disease project in Juba, South Sudan.

An independent nation as of 9 July 2011, South Sudan was the location of much of the fighting during the second Sudanese civil war (1983–2005), which pitted a coalition of Sudanese armed forces, paramilitaries, and non-state armed groups against the rebel Sudan People’s Liberation Movement/Army (SPLM/A). Both sides armed Southern tribal militias, and the SPLM/A split numerous times, with some factions returning to the government only to rebel once again. In the latter phases of the war, much of the conflict was intra-Southern, with the pro-government fighting conducted by a patchwork of Khartoum-supported Southern commanders and militias loosely organized under the banner of the South Sudan Defence Forces (SSDF).

The SPLA and the Government of Sudan signed a series of agreements culminating in the Comprehensive Peace Agreement of 2005, which established a six-year interim period for Southern Sudan to consider its future relationship with Sudan, while the SSDF was side-lined. Following the death of SPLA leader John Garang, his successor Salva Kiir attempted to integrate the former SSDF commander into the army through the 2006 Juba Declaration, even as the inner circle of the regime moved more decisively towards supporting independence.

The fragile governing coalition between former enemies unravelled in 2013 after President Salva Kiir’s unilateral sacking of his cabinet and the firing of his vice-president, Riek Machar, who was close to anti-SPLA militia leaders from the civil-war era. The political crisis became a military and humanitarian one after elements of the SPLA killed an unknown number of ethnic Nuer in Juba in December 2013, rebel cadres rapidly self-mobilized, with Riek as leader, and large numbers of the army defected to the rebellion, known as the SPLM-in Opposition (SPLM-IO). Fighting concentrated largely in Greater Upper Nile.

In the current analysis period of January 2019, 6.17 million people (54% of the population) are estimated to have faced Crisis (IPC Phase 3) acute food insecurity or worse, out of which 1.36 million people faced Emergency (IPC Phase 4) acute food insecurity and 30,000 faced Catastrophe (IPC Phase 5) . The people in Catastrophe (IPC Phase 5) in January 2019 are found in four counties, namely: Canal/Pigi and Pibor (former Jonglei); Panyikang (former Upper Nile); and Cueibet (former Lakes). Large-scale humanitarian assistance is urgently needed to save lives and protect livelihoods in these counties. Compared with the same time last year, the January 2019 levels of food insecurity reflect a 13% increase in the population facing Crisis (IPC Phase 3) acute food insecurity or worse in the post-harvest season.

Infrastructure losses are extensive. South Sudan is one of the most logistically challenging places in the world and has one of the most underdeveloped communications technology infrastructures. The severely under developed and under maintained roads makes 60 per cent of the country inaccessible by road during the rainy season. Prior to the conflict, healthcare was extremely difficult to access in South Sudan, with an estimated 0.15 doctors per 10,000 patients and 0.2 midwives/nurses per 10,000 people. As of September 2015, some 55 per cent of the health facilities in Unity State, Upper Nile State and Jonglei were no longer functioning. The rising cost of living and impact of the conflict have undermined people’s ability to access safe water, including due to the destruction of water points. 110 million square metres of land is contaminated by landmines and explosive remnants of war. The latest UN updates suggest that about 7,1 million (more than half the population) were assessed to be severely food insecure between May and September 2019. 

POST TYPOLOGY

Health/SRH/Nutrition and EPREP

Mission Location: RAJA PROJECT – DEIM ZUBER SITE, South Sudan

MAIN PURPOSE

Define, implement and follow-up all national midwifes, and maternity related activities in Deim Zuber (BEmONC and Stabilization Center), according to ALIMA policies, analyzing statistics and reports and ensuring the proper implementation of protocols and management of staff involved, in order to provide a high quality Mother and Child Health (MCH) care to the population. Manages staff involved in the Maternity and the Stabilization Center.

 es (OPD/OTP/ITFC/IPD/outreach/surveillance epidemic) and department (Logistic & Administration)

MISSION AND MAIN ACTIVITIES

    · Plan, organize and ensure. the implementation and supervision in close collaboration with other medical staff all Sexual and reproductive health activities (i.e. antenatal and postnatal care, family planning, obstetrical care (BEmONC[1]), neonatal and comprehensive abortion care, management of victims of sexual violence, female genital mutilation and reproductive tract infections care), and admission of children under 5 in the Deim Zubeir Stabilisation Center.

     · Coordinate and assess 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. Ensures that all pregnant women and new born children are referred to the Extended Program on Immunization (EPI).

    · Assist and collaborate with the field doctor and nurse when required (normal or complicated deliveries, SV cases, etc.), to complement the existing human resources and contributing to the resolution of complicated cases. Ensures the newborn babies are followed up correctly since delivery and until discharge. When Maternity services are implemented.

      ·  Ensure and supervise the implementation of protocols by all staff he/she is in charge of, in order to improve the quality of the healthcare given to population and prevent any                  infection due to staff malpractices.   

      · Plan and supervise the processes associated to HR and team management (recruitment, training, performance evaluation, motivation, internal/external communication, etc.) of the midwife and maternity staff in the project, in order the appropriate team size, capabilities and skills, and enhance the health promotion and disease prevention when providing basic health education to patients.

      · 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 local midwives and Traditional Birth Attendances to develop new skills. At the same time, you will need to learn cross-cultural issues surrounding childbirth

      · Participate in the definition and update of annual project planning and budget, as well as participate in any emergency activity or exploratory visit in or out of the project area if needed, in order to keep control of activities and projects while adapting the humanitarian assistance given to the population according to the changing conditions and context.

      · Supervise and analyze routine data for monitoring purposes, be responsible for the reporting of SRH activities (collection and analysis of med statistics), and participates in the epidemiological reports related to health facilities in the project area and in the monthly reports according to guidelines, in order to have updated and correct information about the day-to-day activity in the project and support decision-making.

      · Informs other medical managers or doctors about any possible serious problem or complication (i.e. worsening of state of patients, problems in medicines, etc.).

Supervise the proper distribution of drugs and use of material, keeping track of consumption patterns and supply orders, and monitoring inventories, together with the project logistician, as well as train midwife and maternity staff on these matters, in order to ensure having minimum levels of stock to carry out the project and a rational and appropriate use of material resources. 

REQUIREMENTS

    EDUCATION:

·      Certified Nurse Midwife (CNM) certification and /or License

    EXPERIENCE:

·      Two years’ experience as a midwife. Having worked with NGO’s and in developing countries is desirable.

·      Advance Life Support in Obstetrics (ALSO) course

·      Experience in obstetric emergencies/complicated deliveries, termination of pregnancy, sexual violence. 

·    Knowledge of STDs, HIV/AIDS, and/or PMTCT protocols. Etc

       LANGUAGES: English essential, loca language desirable (ARABIC)        

    KNOWLEDG: Essential computer literacy (word, excel and internet)

    COMPETENCES:

  • Commitment, Result oriented

  • People Management, Teamwork, Flexibility