Midwife Activity Manager at Alliance for International Medical Action (ALIMA)

THE ALIMA ASSOCIATION

ALIMA’S ETHOS: ALIMA’s purpose is to save lives and provide care for the most vulnerable populations, without any discrimination based on identity, religion or politics, through actions based on proximity, innovation, and the alliance of organizations and individuals. We act with humanity and impartiality in accordance with universal medical ethics. To gain access to patients, we undertake to act in a neutral and independent manner.

Our CHARTER defines the VALUES and PRINCIPLES of our action:

Patient First – Patient centered medical care
Revolutionizing humanitarian medicine through research
Responsibility and freedom: encourage decision-making by those closest to patients
Commitment to a dynamic of continuous quality improvement
Creating a climate of trust among colleagues
Collective intelligence
Environmental liability
CARING - INNOVATING - TOGETHER:

Since its creation in 2009, ALIMA has treated more than 6 million patients. Today ALIMA works in 12 countries in Western and Central Africa. In 2020, we developed 41 humanitarian medical response projects to meet the needs of populations affected by conflict, epidemics and extreme poverty. All of these projects support national health authorities through nearly 330 health structures (including 28 hospitals and 300 health centers). We work in partnership, especially with local NGOs, whenever possible to ensure that our patients benefit from the expertise wherever it is, whether in their country or the rest of the world. In addition, to improve the humanitarian response, we are carrying out operational and clinical research projects, particularly in the field of the fight against malnutrition and haemorrhagic viral fevers. ALIMA is also leading operations in response to the covid-19 pandemic across all of our missions.

ALIMA’S TEAM: More than 2000 people currently work for ALIMA. The field teams, as close as possible to the patients, receive their support from the coordination teams generally based in the capitals of the countries of intervention. These receive support from the 4 desk teams and the emergency and opening service team based at the operational headquarters in Dakar, Senegal. The Paris and New York teams are actively working on fundraising as well as representing ALIMA. The rest of the ALIMA Galaxy includes individuals and partner teams who work on behalf of other organizations such as medical NGOs BEFEN, ALERTE Santé, SOS Médecins / KEOOGO, AMCP, research organizations PACCI, INSERM, Universities of Bordeaux or Copenhagen, the NGO Solidarités International and many others.

COUNTRIES WHERE WE WORK IN 2021: Mali, Burkina Faso, Central African Republic, Nigeria, Niger, Chad, Democratic Republic of Congo, Cameroon, Guinea, South Sudan, Mauritania & Senegal.

THE WORK WE DO covers: Primary and Secondary Health Care, with a main focus on children and women - including treatment and prevention of acute malnutrition, maternal health, mental health, response to epidemics (Ebola, Cholera, Measles, Dengue, Lassa Fever), surgery, displaced populations, and gender based violence, Covid 19.

GOVERNANCE: ALIMA is governed by a Board of Directors of 10 elected positions and 4 co-opted positions from representatives of West African partner NGOs.

Report to(Technical):

Medical referent

Report to (Functional):

Medical Referent/medical coordinator

Area:                             

Medical

POST LOCATION

In Nigeria, ALIMA is running four health, nutrition and mental health psychosocial service projects in Borno State (Maiduguri/Jere), Yobe state (Karasuwa/Yusufari), Research and Lassa fever response in Ondo State, OWO. Also, Nutrition and health in Katsina state, KAITA.

ALIMA’s teams in Nigeria represent about 25 expatriates and more than 150 national staff.

This position will take place in Maiduguri and can support Yobe project if nedded

MISSION ET OBJECTIVES

Define, implement and follow-up all midwife supervisors and maternity related activities in a project area, according to MOH/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 midwife and maternity related activities.

Cultivate the relationship with the MoH stakeholders in order to implement efficiently and ensure the goals as well as to improve targeted population’s health conditions and humanitarian situation.

TASKS & RESPONSABILITIES

1-      Management Activities

• Participate in the definition and update of semi/annual project planning and budget in order to keep control of the ALIMA activities and projects while adapting the humanitarian assistance given to the population according to the changing conditions and context.
• 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 management of victims of sexual violence, female genital mutilation and reproductive tract infections and Fistula care.
• 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 midwife supervisor, field doctor and midwife 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. Ensures relevant transfer of information from one duty team to another.
• Ensure and supervise the implementation of protocols (ALIMA/MOH) 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.   
• Participate in the Identification of logistic needs in the ANC, PNC, Delivery, FP and SGBV and report in your line manager. Ensure that hygiene and universal precautions in health facilities according to protocols and in cooperation with logistics department and your line manager.
• Supervises and ensures good quality of Prevention Parent to Child Transmission (PPTCT) and Voluntary Counselling and Testing (VCT) activities for all pregnant women. Supervises and ensures that counselling services are done appropriately following protocols.
• Implement SGBV program in all Bemonc if not exist and ensure that all SGBV victim receive the medical treatment according to protocols (ALIMA/MOH) and also receive mental health support.
• Ensure or Implement a CHIPS (TBA) network in different Ward to reduce home deliveries and train them according to the objective of the project.
• Ensures that all midwife and maternity staff promotes and maintains confidentiality regarding all patient cases and records.
• Implement Hotline management for better management of deliveries

2-      Data collection and analysis

• Ensures that recording in individual patient’s card and registration books of all midwifery activities are performed correctly. Ensures that all data management tools are used and are updated properly
• Supervise administrative procedures and documents, analyze routine data for monitoring purposes, be responsible for the reporting of SRH activities (collection and analysis of med statistics), 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.
• Ensure that ‘Mama or dignity or delivery kit’ is available and distribute according to objective of the project.

3-      Management of drugs and medical equipment

• Ensure and 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.
• Ensure the monitoring and supervision are done weekly and monthly for consumption of drugs as well as inventories in cooperation with pharmacist ensuring that drug consumptions match number of patients and prescriptions.

4-      Human Resources Management

• 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.
• Participate with medical referent in processes (recruitment, training/induction, evaluation, potential detection, development and communication) of the staff under his/her responsibility in order to ensure both the sizing and the amount of knowledge required.
• Organizes with your line supervisor, Doctor and maternity MOH supervisor and implements trainings of midwife and maternity staff.
• Informs line manager of any problems that might be linked to work of midwife or maternity staff as well as problematic equipment or material (ex. broken, missing).

5-      Meetings and others:

• Participates in the epidemiological reports related to SRH/SGBV in the project area.
• Participates in meetings with other supervisors in order to ensure smooth collaboration of all departments in terms of activities running.
• Participate in team meetings (SGBV,SRH ….)
• Perform any other duty as assigned by the organization through the head of the Medical Department or medical referent or Project Coordinator.

EXPERIENCE AND SKILLS

Educational:

• Essential Midwifery degree
• Registered Midwife
• Essential 5 years’ experience in midwifery practice and maternity management in hospital
• Previous experience with ALIMA or other NGO’s in developing countries is desirable

Required Skills

• Advanced knowledge in midwifery management  
• Essential computer literacy (Excel, Word, Outlook and Internet)
• Training skills
• Well organized with good negotiation and communication skill
• Ability to work as part of a team, a part of multi-cultural and multi-disciplinary team, in emergency and under pressure, to manage stress easily and result oriented
• Ability to work in close collaboration with MOH staff
• Can work and create teamwork, flexible, and committed to the assigned position 
• Interest in and commitment to ALIMA’s activities, enthusiasm to represent the organization to others, to travel to different regions of Nigeria
• Languages: English compulsory, others are an asset like Hausa, Kanori
• Based in Borno State is an asset

CONDITIONS

Contract term: Contract under ALIMA law, 6 months.

Desired start date: As soon as possible

Salary:  Natinal Grid Salary