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.
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 standardized protocols.
- 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
- Assess, follow up and evaluate the condition of all admitted patients, and inform the Supervisor and/ or Medical Doctor, MwAM on progress and problems or deterioration in the patient's condition or in case of consent refusal for a medical intervention.
- Correctly fill in patient files; vital signs charts, magnesium sulphate charts, blood transfusion chart, prescription chart, oxytocin administration chart, fluid input/output monitoring etc.
- Assist the medical doctor when interviewing and examining patients if needed and during the in-patient rounds.
- Collaborate with TBAs and CHWs for referral of mother in labour, postnatal women from Community for medical évaluation, and/or deliveries.
- In case of induction or augmentation of labour with uterotonics, verify the medical prescription and respect MSF protocol.
- In close collaboration with the other midwives, ensure that the delivery room is never left unattended.
- Participating in the organization of the ward in collaboration with other midwives and the maternity ward supervisor. Give written and oral handover report to colleagues about patient's condition, prescribed treatment and laboratory examination to be done by making ward tour during shift exchange.
- 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.
- Proper examination and follow up of 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
- According to MSF protocols in force, conduct normal deliveries independently.
- Manage obstetric emergencies; identify newborns needing referral to newborn unit and send them in time, clean up the newborn, executing and registering first neonatal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn and reporting them to the doctor, to ensure successful interventions.
- Ensure high Risk Mother discharged from the ward are Booked for appointment at high Risk clinic for MD review as indicated in the file on discharge.
- Supervises the use of drugs, facilities and obstetric material, 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.
- Inform the patient/caretaker about the routines in the Hospital; the locations and use of the water sources, latrines, laundry area, feeding times etc
- Participant in data compilation, regular departmental meetings, CMEs , case review and mortality review.
- Flexible to accept rotations to other hospital departments and delegation of tasks by the Supervisor
Requirements
- Education • Essential: Diploma in Nursing and Specialized in Midwifery. • Desirable: Bachelors in nursing
- Experience • Essential: Proven working experience of at least two years in midwife activities related jobs. • Desirable: Successful previous experience with MSF is an asset
- Languages • Proficiency in English and Kiswahili. Somali language is desirable
- Competencies • Results, teamwork, flexibility, commitment and service
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Purpose of the Role
The Medical Director (DirMed) of MSF Ubuntu provides visionary leadership to the Operational Directorate. As part of the Executive Management Team, the DirMed is accountable for working closely with the Director of Operations to shape and oversee MSF Ubuntu’s medical humanitarian strategy, ensuring its responsiveness to the needs of patients and communities through people-centred approach, high- quality services delivery, and ethical care. This role champions innovation, collaboration, and accountability, and positions MSF Ubuntu as a medical leader within the MSF movement and beyond
Key Responsibilities
Strategic Medical Leadership
- Lead the development and implementation of MSF Ubuntu’s medical strategy in alignment with organisational goals and community priorities.
- Represent MSF Ubuntu within international platforms (e.g., DirMed and MedOps), contributing to MSF-wide medical direction and positioning.
- Ensure alignment between MSF global medical vision and MSF Ubuntu strategic vision.
- Forge and maintain strategic partnerships with academic institutions, health authorities, and civil society actors, enriching MSF Ubuntu’s medical intelligence and innovation.
- Work with the Director of Operations and the wider Management Team of MSF Ubuntu to develop an effective and efficient OD that places communities and patients at the centre of our activities.
Clinical Governance and Medical Quality
- Establish and uphold high standards of clinical governance across all operations, encompassing quality assurance, patient safety, and ethical medical practice.
- Oversee the development and review of medical policies, protocols, and evidence-based care models tailored to humanitarian contexts.
- Lead operational research, innovation, and medical ethics processes, ensuring community-informed and contextually appropriate care.
Medical-Operational Integration
- Guide the integration of medical strategy with operational planning in collaboration with the Director of Operations and MedOps platform.
- Ensure robust medical support to project teams, prioritising emergency response capacity, community health integration, and continuity of care during times of crisis.
- Ensure systems are in place to monitor and evaluate the medical impact of programmes, leading adaptations based on learning and contextual shifts.
- Develop appropriate MEAL (Monitoring, Evaluation, Accountability and Learning) metrics for MSF Ubuntu and ensure the medical teams routinely report against the identified metrics, both quantitively and qualitatively.
Team and Talent Leadership
- Lead, inspire, and manage the Medical Department, creating a performance-driven, collaborative and inclusive team culture.
- Oversee workforce planning, recruitment and development of medical professionals within MSF Ubuntu and its wider pool.
- Strengthen field-facing capacity through mentoring, simulation training, and academic partnerships, enhancing technical excellence.
- Directly manage a Patient Safety Officer, Pharmacist and other Medical Department Managers.
Interdependent Collaboration and Representation
- Actively contribute to cross-functional leadership platforms within MSF Ubuntu and across the wider movement.
- Leverage MSF Ubuntu’s expertise in community leadership and bring lessons from a network of local and regional stakeholders, including local academia, to support intersectional initiatives.
- Represent MSF Ubuntu externally in policy, advocacy, research and institutional partnerships.
- Collaborate with MSF Access to ensure communities and patients we serve have continued access to appropriate treatments, diagnostics and care.
Experience, Qualifications, and Skills
Essential
- Qualified Medical Doctor with postgraduate training in Public Health, Tropical Medicine or a related discipline.
- Minimum eight years’ field experience in medical-humanitarian settings, including senior MSF roles (e.g., Medical Coordinator, or Director of a Medical Unit within MSF).
- Proven ability to lead strategic planning, manage complexity and influence policy at senior levels.
- Experience working in multicultural environments and low-resource settings.
- Fluency in English required
Desirable
- Prior experience with MSF or similar INGO.
- Additional languages such as French, Portuguese, Swahili or Arabic
Core Competencies
- Strategic Leadership
- Medical and Operational Excellence
- Team and People Development
- Ethical and Inclusive Leadership
- Innovation & Adaptability
- Stakeholder Engagement
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