Jobs at Médecins Sans Frontières

Main Purpose

Providing nursing care, treatment, patient education ,counselling and follow-up of patients, according to doctors’ prescriptions, protocols applied in service and universal hygiene standards/precautions, in order to ensure the quality and continuity of care for the targeted population.

Accountabilities

• Knowing, promoting, implementing and following up the universal hygiene standards/ precautions, bio-hazard prevention and infection control, security rules and other protocols and procedures in the medical premises and ensuring high standards of hygiene of his/her working environment. Respecting medical secrets and confidentiality at all times.
• Organizing and carrying out care and treatments according to medical prescriptions, and assisting during consultations, and other medical procedures.
• Active participation in health education of the patient (and family) when necessary.
• As much as possible, develop individual PSEC plan
• Ensuring triage of patients in waiting areas, wards or during emergencies, detecting the priority acute/emergency cases, carrying out first aid care and referring them to the doctor when necessary
• Sending material to be sterilized and recuperates it from sterilization
• Carrying out admission, surveillance and follow-up of patients (i.e. assessment of the evolution of their state of health and the identification of any emergency situation or deterioration
• Carrying and supervising administrative procedures and documents (fill in patient’s files, forms, consumptions, statistics, registers, health files, etc.), ensuring an appropriate written/oral handover, and reporting any problematic situations and cases that may arise. Participating in data collection and keeping doctors/supervisors informed .
• Participating in the department-related pharmacy and medical equipment control and maintenance (quality and its functioning, storage conditions, follow-up of expired drugs inventories, stock takes of medicines and material at every team changeover ensuring no material is taken out of nursing area/wards without prior authorisation, etc.)
• Perform cleaning and minor maintenance for biomedical equipment used. Following the user manual and protocols and alert supervisor in case of malfunctioning.
• Supervising and training nurse-aids, nutritional assistants, cleaners and other related staff under his/her supervision, ensuring teamwork and adherence to all appropriate protocols and procedures

MSF Section/Context Specific Accountabilities

• Rapidly identifies outpatients requiring urgent medical care and provides first aid and urgent referral if needed.
• Take and record vital signs (HR, RR, BP, Temp, Ht, Wt, BMI) of the patients and records this in the files.
• Check capillary blood glucose and urinalysis and record results in the patient files and updates the investigation results .
• Ensure the initial assessment of new patients is done in accordance with MSF guidelines .In NCD care this can be very detailed in the case of new diagnosis.
• Improve on the follow-up of the appointments, specialist referals and diagnostic tests. Provide patients support and education through individual and group sessions.
• Follow-up and adress adherence to medication and any challenges faced by the patient Provide medical and psychosocial support to ensure patients’ compliance and improve the outcome
• Make sure that the patient understands his/her treatment protocol..
• Ensure that the patient’s filing and registration aredone in a timely manner and patients’ files are updated with the relevant information
• Complete the individual data and the data of the cohort in a timely manner
• Working in good collaboration with the Secondary Health Care , Primary Health Care and Outreach teams.
• Ensure development and dissemination of adequate IEC/PSEC tools
• Contribute to the defaulter monitoring and tracing
• Participates upon request in continuous professional development activities like morbidity and mortality reviews and CMEs (continous medical education activities).

Requirements

Education

• Essential recognized nurse diploma. Desirable Bachelor in Science of Nursing.

Experience

• Desirable 2 years of previous experience and previous experience in other NGO’s. MSF experience is an asset.
• Demonstrable experience in supervising and training others in a team setting

Languages

• Local language (Somali) and Mission language (English) essential.

Competences

• Results, teamwork, flexibility, commitment, service

Duration : 12 months fixed term contract (with 3 months’ probation period) renewable based on performance

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Main Purpose

Supervising the clinical activities and guaranteeing the quality of midwifery care in the department, according to MSF protocols , values and universal hygiene standards in order to provide a high quality Mother and Child Health (MCH) care to the population.

Accountabilities

• Supervising, supporting and evaluating the team under his/her responsibility particularly midwives, midwife assistants and other related staff in her team such as cleaners. Planning and organizing their work (areas, days, absences, visits, holidays, etc) and coaching them in their work with special focus in following all appropriate protocols and procedures
• Ensuring team work and a professional relationship between maternity and other departments.
• Supervising the clinical activities in all the maternity departments and activities such as ante-natal consultations, delivery and after delivery follow up, post-natal consultations, family planning consultations, new-born vaccinations and liaising with the Medical Doctor about the patients who need special care times, visiting hours, etc.
• Ensuring that the staff on duty knows, implements and follows at all times the universal hygiene standards/ precautions, bio-hazard prevention and infection control in the medical premises ensuring high standards of hygiene in the working environment
• Ensuring that all staff using medical devices are qualified and trained, cleaning and minor maintenance tasks are performed according to the protocols, reporting any malfunction to the project biomedical service.
• Being responsible for the department-related pharmacy activities (stock and consumption monitoring) as well as maintenance of the medical equipment
• Being responsible for ensuring that all the administrative procedures, patients’ data and documents are filled in correctly and registered for compiling monthly reports reflecting the activity in the department.
• In certain contexts, being responsible for ensuring that the maternity staff is able to identify, receive and provide care to the victims of the SGBV in collaboration with the Obs Gyne MD and following the protocols

MSF Section/Context Specific Accountabilities

• Supervise clinical activities and guarantee the quality of nursing care, participate in hospital management together with the head nurse and NAM and also accompany the doctor during the ward round; make a tour in the delivery room and the maternity ward every morning together with the midwives. Inform the responsible doctor about those patients who need special care.
• Assure the smooth running of high risk clinic, correct execution of therapy prescriptions by midwives in charge and their completing of the patients’ file, Supervise correct completion of partograph, Oversee medication distribution and check all patient files after the medical tour, and ensure quality and follow up of patients in labour and hospitalised during post-partum period (nursing care, asepsis of injections and wound care, observation of vital signs, body hygiene, nutrition etc ) And quality and follow up of newborns (temperature, weight, breastfeeding new-born vaccination etc. Watch the involvement of auxiliary staff/ nurse aids for certain tasks (help for bladder catheterisation, to put an IV line, inject oxytocin immediately after the baby’s birth etc)
• Ensure handing over at the end of each shift is done appropriately and nursing care and treatment plans are passed on clearly. (Physical hand over of inventories, patient to patient hand over and documentations are up to date).
• Watch over the respect for the medical secret and confidentiality. Assure a maximum of patients’ comfort.
• Supervise efficiently of hospital departmental pharmacy management, weekly order is done according to schedule agreed by project pharmacy managers, follow-up of daily, weekly registration consumption books and reports. Good drug and medical equipment management at the maternity level, the storage conditions, inventories, follow-up of expired drugs at the department level. Ensure resuscitation tray is easily accessible, it’s updated by immediately replaced any drugs/item used, removing any short expiry drug(s) and it’s also well organized and net.
• Ensure the department has the required biomedical equipment’s to enhance the functions of the nursing care. Ensure the daily maintenance, cleaning and storage of those materials in coordination with the Nursing activity Manager /head nurse
• In coordination with the nursing activity manager and head nurse, ensure the daily management of human resources, monthly rosters are done on time and summited to head nurse by 18th of every month, holiday is plane in advance, staffs are present on duty as per roster, any absentees on the schedule reported to the referent responsible. And the midwives, midwives assistant and nurse aid have their objectives in line with their job descriptions. Help to solve interpersonal conflicts arising among the maternity team. Ensure daily duty allocation for all staff on duty for fair task distribution and it’s indicated in the whiteboard.
• Ensure all IPC principles’ are respected and adhered; 5 moment of hand wash are observed, labelling of all I.V lines by indicating date of insertion, proper waste segregation/disposal. Ensure your department is cleaned as scheduled
• Ensure all the staff respects dressing code by putting on scrubs and face mask when on duty during this covid-19 pandemic era.
• Take role in health education and prepare monthly health massages/topics and implemented by the team based on morbidity trend and ensure right messages reach the beneficiaries
• Perform any other duty assigned by the direct supervisor

Requirements

Education

• Diploma in Kenya Registered Community Health Nursing (KRCHN). Desired Bachelor in Nursing

Experience

• Minimum 3 year experience as Midwife. Experience as Supervisor in Maternity Ward and experience with NGOs/MSF is an asset.

Languages

• Mission language essential (English). Local language desirable (Somali/Kiswahili)

Knowledge

• Essential computer literacy (word, excel and internet)

Competencies

• Results and Quality Orientation L2
• Teamwork and Cooperation L2
• Behavioural Flexibility L2
• Commitment to MSF Principles L2
• Stress Management L3

Duration : 12 months fixed term contract (with 3 months’ probation period) renewable based on performance

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Main Purpose

Performing the day to day purchasing activities in a particular supply office (coordination or project level) according to MSF protocols and standards in order to ensure an optimal running of the project.

Accountabilities

• Performing on a day to day basis the purchasing activities of a supply office, analysing market sources and competitive pricing conditions among different suppliers in order to ensure an ongoing supply of goods, following the procurement procedures and according to MSF standards and protocols. Including the following activities:
• Constantly assessing the local market, seeking products and suppliers that offer the best value for money and negotiating prices in order to guarantee the best quality and pricing for MSF goods and commodities. Regularly updating the supplier-item-price data on the supply office and informing the Supply (Activity) Supervisor / Logistics Supervisor of all information or modifications to the data i.e. price, address, items available
• At the request of the line manager, obtaining different quotations from suppliers according to the MSF Purchasing policy and placing purchase orders to pre-selected suppliers with whom prices have been agreed
• Requesting invoices or receipts, without delay, for all purchases, checking they are correctly filled and translating information written in local language before approval
• Managing the administrative and accounting procedures related to purchases: completing purchase orders, checking delivery notes (against orders), managing advances issued by the Finance Department, etc. Updating information on purchase lists after purchases are made
• Assisting in reception control process with the storekeeper
• Performing delegated tasks according to his / her activity and as specified in his/her job description

MSF Section/Context Specific Accountabilities

• Act as backup for Supply Chain Officer and Storekeeper.
• Create In Kind donation orders/ Purchase Orders

Requirements

Education

• Essential, secondary education; commerce related studies desirable

Experience

• At least 2 years’ experience in supply chain related jobs

Languages

• Essential mission working language and local language

Competencies

• Results and Quality Orientation L1
• Teamwork and Cooperation L1
• Behavioural Flexibility L1
• Commitment.to MSF Principles L1
• Service Orientation L1
• Stress Management L2

Duration : 12 months fixed term contract (with 3 months’ probation period) renewable based on performance

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Main Purpose

Ensure the implementation of all nutritional related activities of the programme and coordinate and manage the team under his/her responsibility according to the MSF protocols in order to improve the nutritional conditions of the target population.

Accountabilities

• Schedules and organizes all nutrition related activities, its organization design and sizing as well as its associated budget in order to efficiently maintain the continuity of the nutritional healthcare at the standard quality levels.
• Supervise, in close coordination with the HR department, the associated processes (recruitment, training, evaluation, development and communication) of the nutrition staff of the project in order to ensure both the sizing and the amount of knowledge required, improve people capabilities and skills.
• Supervise the implementation of the nutritional program according to MSF protocols, standards. This includes:
• Draw up outpatients activity planning,
• Follow up the evolution of patients and discuss the problem cases taking part in the medical assistant’s round, and install referral system
• Check that medical and nutrition prescriptions are carried out.
• Check the diffusion, knowledge and application of medical, nutritional and anthropometric protocols.
• Supervise nursing care and hygiene circumstances.
• Ensuring that all staff using medical devices are qualified and trained. Ensuring cleaning and minor maintenance tasks are performed according to the protocols. Reporting any malfunction to the project biomedical service.
• Ensure that mothers are well informed about the functioning of the centre, the state and evolution of their child: their tasks (help with cleaning, feeding their child, etc)
• Supervises, in cooperation with the pharmacist and project medical referent, the management of the pharmacy, ensuring reception and storage of orders, preparing new orders when required, supervising expiration terms and consumption patterns, in order to ensure, a rationale use as well as pharmacy stock levels are permanently updated and above minimum safety point.
• Ensure correct nutritional data collection (registers, nutritional forms, morbidity forms), compile weekly and monthly statistics for the outpatients unit, report this information to the line manager and provide feedback on the results to the team. In these sense, this function includes all kind of nutritional information that nutritional supervisor has in his /her hands.

MSF Section/Context Specific Accountabilities

• Is the focal person for all nutrition activities for Dagahaley.
• Responsible to ensure that all nutritional screening activities, ATFC; ITFC and SFP programs are in accordance with MSF standards.
• Responsible for the therapeutic food stock management including monitoring of consumption and orders.
• Report any security related occurrences on therapeutic food or any other incidences occurring at nutrition program to the supervisor.
• Participate in nutrition activities e.g. nutrition survey and malezi bora campaigns.
• Ensures that there is active monitoring of the nutritional situation in Dagahaley camp.
• Make analysis of nutrition registration book; coordinate the absent and defaulter training with the outreach team.
• Prepare monthly, quarterly and annual medical report.
• Analysis of data of nutrition activities
• Ensure quality of care for all nutrition related activities.
• Ensures participation with nutrition related stakeholders.
• Prepares timely reports and submission of the reporting deadlines is respected.
• Ensures that the staff in the nutrition department follow the MSF guidelines.
• Provides training to the staff in the department and ensures that the quality standards are maintained
• Responsible for the management of the team in the nutrition department.

Requirements

Education

• Nurse qualification. Desirable with a Nutritionist Diploma

Experience

• Minimum 2 years’ experience as Nutrition nurse.

Languages

• Essential, mission language (English) and local language (Kiswahili/Somali)

Competencies

• Results
• Teamwork
• Flexibility
• Commitment
• Stress management

Duration : 12 months fixed term contract (with 3 months’ probation period) renewable based on performance

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Main Purpose

Supporting the Watsan Supervisor in the implementation, monitoring, maintaining, and troubleshooting of Water Hygiene Sanitation activities and infrastructure in the project according to MSF protocols, standards and procedures in order to improve health and living conditions of the target population.

Accountabilities

• Carrying out tasks directly related to the Watsan activities such as construction and maintenance of infrastructures in the project according to MSF protocols and standards concerning the operation of water supply, waste management and excreta disposal, hygiene and infection control.
• Ensuring the cleaning and maintenance of the Watsan structures and when applicable, of the medical facilities;
• Identifying, recruiting, training and supervising daily labourers or hygiene agents for Watsan activities
• Informing the Watsan Supervisor of any difficulties, anomalies and problems that may affect the normal functioning of activities and tasks in his/her area of responsibility;
• Assisting the Watsan Supervisor in Watsan data collection and reporting, as well as maintaining updated files and records of assigned project activities
• Being responsible for equipment, tools, and consumables, verifying that they are safely used and maintained. Reporting to the supervisor any need of renewal and the weekly/monthly consumption.

Requirements

Education

• Technical certification or proven background, desirable specialization in water and sanitation

Experience

• 2 years previous experience in technical works

Languages

• English & Kiswahili

Competences

• Results, teamwork, flexibility, commitment, stress management & service oriented.