Doctors Without Borders / Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural and man-made disasters and exclusion from healthcare in more than 65 countries. MSF offers assistance to people in need and irrespective of race, religion, gender or political affiliation.  

MSF has worked in India since 1999, providing free-of-charge essential healthcare to people in remote areas; treatment and care for people affected by HIV/AIDS, malnutrition; hepatitis C, tuberculosis, kala azar, and sexual and gender-based violence; an important subject for our action is containing the effect of antibiotic resistance. MSF also responds to natural disasters and other emergencies, provides mental healthcare and advocates for the development of more effective and affordable medicines to improve access to treatment everywhere.

We currently run projects in the states of Andhra Pradesh, Bihar, Chhattisgarh, Delhi, Jammu and Kashmir, Jharkhand, Maharashtra, Manipur, Telangana and Uttar Pradesh. 

MSF was awarded the Indira Gandhi Prize for Peace, Disarmament and Development in 1996 and the Nobel Peace Prize in 1999. 

 MSF OCBA in Bihar 

MSF has been working in Bihar treating kala azar since 2007 with a gradual transition of the project to focus on HIV-kala azar co-infected patients. After treating more than 13,000 patients in Vaishali, MSF began focusing on the treatment of kala azar-HIV co-infection in partnership with the Rajendra Memorial Research Institute of Medical Sciences (RMRIMS) in Patna in 2016. 

Further, MSF has collaboration with All India Institute of Medical Sciences (AIIMS), Patna and Bihar State AIDS Control Society (BSACS) with whom MSF is conducting two qualitative studies focusing on the perception of the quality of life by VL-HIV co-infected patients and the stigma which PLHIV group faces at health facilities and in community. Anecdotal evidence from different sources suggests that there is a very high level of stigma attached to HIV in Bihar. Data collected from health structures show that PLHIV often seeks for health services with advanced HIV bearing multiple opportunistic infections and complications. To make the matter worse, these patients do not get adequate and prompt healthcare, this leaves them with no option but succumbs to their illness at home. Hence, MSF strives to implement a project for treating life-threatening diseases in people living with HIV in Bihar in collaboration with BSACS and Government of Bihar (GoB). 

This seamless partnership for over more than a decade with the Government of India, the State Government and other stakeholders has enabled MSF to provide the best quality of care, free of cost treatment to the people of Bihar without any discrimination on the basis of caste, colour, religion or economic status. The major beneficiaries of MSF services have been the most vulnerable and the most in need.

Working in HIV-VL co-infection has led us to realise the systematised discrimination against HIV patients by the community and even by health care providers with them often being excluded from healthcare outside of government ART centres. Bihar, with a population of 110 million people is one of the largest states and least economically developed. It has an estimated adult HIV prevalence in the range of 0.21– 0.25% accounting for 150,000 PLHIV and 7,514 deaths (5,794-10,575) annually. By March 2018, 46047 PLHIV were on ART in Bihar, a number representing under 50% of all diagnosed PLHIV in the state, this is far from the global goal of having on ART the 90% of all diagnosed as HIV infected.

As per July 2017 WHO guidelines for those above 5 years of age, Advanced HIV disease is defined as presenting for care with a CD4 count below 200 cells/mm3 or presenting with an AIDS-defining event, regardless of the CD4 cell count. All children less than 5 years are considered to have Advanced HIV Disease. 

The mortality rate of advanced HIV disease is estimated to be between 30 to 40%. In Bihar, within MSF´s existing HIV related project we have a number of observed cases bearing severe disease where specialized medical care is required including palliative and end of life care for some among them including psychosocial support for patients and family members. In such situations, where we have tried to refer the patients into the public or private sector, they have been refused admission, ignored, and ultimately sent home to die. 

 MSF Response 

In this situation, MSF in collaboration with MoH (BSACS and NACO) has planned to set up a program as inpatient centre in a district hospital to provide care and treatment for patients in advanced HIV disease with special attention for those with life-threatening conditions. Patients in critical lethal conditions will be able to access to palliative care.

The main purpose of the program is to provide care for seriously ill patients living with HIV in order to decrease mortality and improve the quality of life, paying special attention to patient´s rights and dignity and providing holistic care including medical and psychological support.

Referral criteria to MSF care centre

  • HIV patients with CD4 less than 200 plus a threatening condition other than the ones WHO clinical staging 
  • Suspected or diagnosed advanced HIV disease regardless of CD4 count 
  • Danger signs  (seriously ill patients) in PLHIV, independently of previous CD4 and or WHO clinical status
  • Other HIV related life-threatening conditions such as IRIS, suspected clinical failure, and drug hypersensitivity. 

 MSF services 

  • Advanced HIV diagnosis and care package + Palliative care
  • Linkage to care (from ART centres and community to MSF care centre)
  • Retention in care and health promotion activities in the community

 Target pop: 

Direct Beneficiaries: People living with advanced HIV (PLHIV) – estimated to be 10% of the 150,000 diagnosed HIV patients in Bihar

Indirect Beneficiaries: General population of Bihar through decreased spread and increased awareness, others living with HIV with regards to policy change in India.

 Project Location 

Guru Gobind Singh Hospital, Patna.

In the event of a potential emergency situation, be available to work in other States within India and/or the region.

 Purpose of Post 

Execute, according to hygienic standards, housekeeping, cleaning and tiding up activities in order to ensure public and staff private areas are in good condition.

Functional and Hierarchical Lines

Hierarchically and functionally accountable to Project FIN/HR Manager



Number of post available: 1

Location: Patna, Bihar

Project: HIV Co-infection

Availability: Minimum 1 year, annual renewal of contract

Last application date: 19th May 2019

Starting date: ASAP

Email: msfe-delhi-recruitment@barcelona.msf.org AND msfe-patna-fin@barcelona.msf.org  


 Main responsibilities and tasks 


  • Clean bedrooms, bathrooms, toilets and other rooms in MSF houses.
  • Do the laundries iron clothes and other housekeeping activities.
  • Support the cook (washing up, cleaning the kitchen, etc.).
  • Sweep and mop the floors.
  • Restock supplies (toilet paper, soap, etc.) as required.
  • Upon arrival, prepare hot water for tea/coffee and refill drinking water.
  • Check that the toilets are well stocked with paper, soap and condoms.
  • Check that the water supply (kitchen, showers, etc.) is sufficient during water cuts.
  • Keep premises properly locked (doors, windows).


  • Assure general cleanliness of entire house (including entrances and verandas) on a daily basis, i.e. sweeping, mopping, etc.
  • Assure cleanliness of all windows and shelves on a regular basis.
  • Empty dust bins of all rooms on a daily basis.
  • Ensure with logistics department, if needed, that all waste material is disposed on time.
  • Wash and iron clothes, bed sheets, towels and other linen of the house on a regular basis.
  • Washes dishes using soap after each meal.
  • Cleans cooker, fridge, cupboards and other kitchen material and equipment on a regular basis.
  • Assures cleanliness of kitchen and dining room.


Assure that there is always enough water for bathrooms & kitchen in buckets.


  • Make beds daily and change bed sheets, towels, and other linen in the house on a regular basis.
  • Ensure changing of bed sheets and towels on time when visitors come and leave.
  • Ensure that mosquito nets are in place and contact line manager when it is needed to change them.


  • Look after all equipment provided.
  • Ensure that no material taken out of house without prior authorisation.
  • Ensure together with Storekeeper that all supplies in house restocked on time, i.e. LPG Cylinder, toilet paper, soaps, cleaning material, etc.
  • Keep an inventory of DWBI linen, i.e. bed sheets, towels, pillows, blankets, etc. as well as kitchen utensils and equipment, i.e. plates, glasses, cutlery, cookware, etc. and report items missing or needing repair to line manager. 
  • Ensure that toilet paper and soap are always available in bathrooms.
  • Know how to use extinguishers as well as know where they are located.


  • Ensure that line manager is informed of any problems that might be linked to the house as well as problematic equipment or material (ex. broken, missing).
  • Inform line manager of arrival of any materials for house cleaning and cooking.
  • Ensure that no material taken out of MSF house/office without prior authorisation.


  • Prevent entry of anyone in the house without prior authorisation by line manager.
  • Be aware of any document regarding detailed responsibilities of housekeeper (ex. daily tasks).
  • Participate in team meetings and possible trainings.
  • Respect privacy of house residents, i.e. private stuff, clothes, notes, etc.



Education: Literacy essential

Experience: Previous experience desirable.

Languages: Local language essential. Mission language desirable.     



SALARY: Rupees 13,770 gross/month

Benefit of 13th Month Salary

PF and Gratuity are applicable as per law.

TOTAL LEAVES: 18 days annual leave; 12 days paid leave as per specified list of holidays; Sick/Casual leave of 12 days as per calendar year (pro-rated based on hire date).

Wide Medical coverage (Employee + Direct Relatives), as per organization policy.



To apply please email your CV and motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Nurse to msfe-delhi-recruitment@barcelona.msf.org AND msfe-patna-fin@barcelona.msf.org 

Applications that are no completed (CV + Covering letter) will not be considered. 


Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Women candidates are encouraged to apply. 


Patna, Bihar

Application Closing Date
Sun, 05/19/2019