RESPONSIBLE in the follow up, supervision and monitoring of the curative and preventive care under MCH/FP program-related activities.
Actively participates in the proper planning/organizing of the implementation of Maternal, Newborn, and Child Health Care Program (MnCH) to include activities such as: family planning and immunization activities; health promotions and prevention activities; antenatal and postpartum care; normal and complicated vaginal deliveries; immediate care of the newborn and resuscitation; management of post-partum hemorrhage, AND immediate identification of complicated pregnancies/deliveries for emergency obstetric care and management.
Ensures that all MnCH related activities are implemented according to MSF policies, procedures & protocols, guidelines, and standards, in order to ensure the quality and continuity of care for the target population and avoid delays in the management of obstetric emergencies
- Ensures that cleanliness and safety of work environment for patients and staff is maintained
- Provides guidance in the necessary support and care or advise for the patients.
- Ensures that proper explainations are given to patients and their care takers about patient’s condition and the need of staying in the hospital
- Ensures and supervises the proper follow up of all newborn babies from delivery until discharge
- Ensures and supervises integrated health education within all activities, to patients and their families on topics such as importance of breast feeding, weaning, child spacing, hygiene, child and family health, vaccination and possible complications resulting from harmful traditional practices
- Ensures proper maintenance of MSF equipment and materials aside from their correct use
- Adheres to and reinforce STRICTLY the implementation of MSF obstetrical and reproductive health protocols, clinical guidelines, essential medicine practical guidelines, universal hygienic standards and newborn caring standards and any other MSF protocols in force at all time
- Comply with MSF Health Care Waste Management, hygiene and sterilization procedures.
- Accurate reporting and timely consultation, following the orders of the doctors and/or supervisors
- Ensures complete transfer of relevant information to the next shift team (specially identified risk cases)
- With the expat midwife, review, give suggestions, and develop the guidelines and protocols to benefit patient care and the smooth running of the health facility
Medical – as a supervisor or filling in LHV gaps:
- Responds appropriately to obstetrical emergency situations and complicated deliveries, if needed; implement emergency measures where necessary for complicated cases
- Identifies complications and advise her team members in complicated or high-risk cases that surpass their professional capacities, or when there are any concerns or confusions about how to manage a patient
- Seeks advice from female doctor(women medical officer) on duty or from expat midwife if necessary and understand in which cases that surpass her professional capacities, the female doctor or expat midwife needs to be called.
- Collaborates with the medical doctor and/or expat midwife in the management of Sexual Violence cases
- Assesses the feasibility for referral of pregnant women from TBAs to the OPD/MCH for medical evaluation and collaborate with the TBA’s in order to ensure quality obstetrical care for their patients within the MSF structure in case of non-complicated or complicated deliveries.
- Supervises the referrals, ensures that all patients are referred on time to adequate health structures and ensure that the administrative procedures are properly followed, make sure that patients receive referral forms and ensure follow-up of referrals.
- Act as LHV to manage all stages of normal labour, when needed
- Give assistance to the doctors/expat midwife as needed
- Ensures proper triage of patients and prioritize tasks as much as possible
- Supervise the admission and discharge of patients according to doctor’s orders (documentation and assessment according to MSF protocols)
- Supervise Lady health visitors (LHVs) and community midwifes in their day-to-day work
- Plans and organizes activities in the ward, ensuring that all activities is being carried out according to MSF protocols and guidelines, ensuring adequate bed capacity during the shift, availability of the medical equipment and review / amend these as required.
- Ensure that LHVs and CMWs and other staff under her supervision implement Doctor’s instructions within the premises or the community, in regard to patient’s care as written in the progress/treatment sheet.
- Ensure and supervise that necessary support and care or advise is given t ef normal labor he Doctor)the patients; that patients and their care takers are explained about patient’s condition and the need of staying in the hospital
- Ensure and supervise the proper follow up all newborn babies from delivery until discharge,
- Ensure and supervise integrated health education within all activities, to patients and their families on topics such as importance of breast feeding, weaning, child spacing, hygiene, child and family health, vaccination and possible complications resulting from harmful traditional practices
- Ensure and supervise the promotion of breastfeeding and the WHO code of ten steps to successful breastfeeding by all team members
- Support and promote the normal childbirth process and conduct normal deliveries independently when necessary
- Comply with and ensure the adherence to MSF Health Care Waste Management, hygiene and sterilization procedures.
- Supervise and ensure correct transfer of information between different shifts and disciplines, with special attention to complicated cases.
- Adhere to and reinforce the implementation of MSF obstetrical and reproductive health protocols, clinical guidelines, essential medicine practical guidelines, universal hygienic standards and newborn caring standards and any other MSF protocols in force at all time and support the team where necessary in doing so
- Give an input on any other issue i.e. security that can affect the medical activities to the office and expatriate supervisor immediately.
- Immediately report any information or knowledge which may influence or affect patient care, work within the premise, or with MSF as a whole, to senior program doctor or expat medical team leader.
- Contribute to the MSF identity, values and principles by reflecting, discussing and contributing to the advocacy mandate
- Represent MSF to the community and other agencies and attend meetings as required.
- Perform any other duty as deemed necessary by expat medical team leader
Specific Code of Conduct:
- Ensure no action or omission on her part places the patient at risk, including referring to others when she has reached the limit of her experience
- Does not accept gifts or money from her patients or their family for care provided.
- Upholds good medical practice, updates her knowledge regularly by reading and training.
- Maintain patient confidentiality at all time and respect patients as much as possible.
- Promote the policies and protocols of OCA, refrain from practicing out of regular working station and organization. Should not prescribe medications outside these policies for local purchase from the bazaar.
- Respect the rights of the Patients and caretakers in her care to be informed before any procedure or medication is given and the right to decline care or treatment, and the right to have a female family member for support.
- Maintain and promote a good attitude and proper manner towards patients, their attendants and the medical staff.
- Uphold universal precautions at all times during their practice in MSF medical facility.
- 2 years LHV diploma registered by PNC
- Minimum 2 years of experience with MSF or in NGO/Hospital setting as a LHV/ Nurse Midwife with proven supervisory/leadership skills
- Proficient in English, Urdu and any other relevant local languages
- Basic computer knowledge
- Good interpersonal and communication skills
- Organized and disciplined work attitude, punctuality, time management and ability to work under stress
- Flexibility and adaptability to work in other MSF locations if necessary, in remote areas with marginalized communities, in case of emergencies to work longer hours, extra days to meet the needs of the program.
- Commitment to humanitarian values as outlined in the MSF Charter.
- No other professional commitment..