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.
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.
- 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
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.
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
Organizing and providing diagnostic imaging services and on the job, training according to MSF policies, protocol and international standards, to improve the health situation of the beneficiaries in close collaborations with other medical staff.
Functional and Hierarchical Lines
Hierarchically and functionally accountable to Project Medical Referent
Number of post available: 1
Location: Patna, Bihar
Project: HIV Co-infection
Last application date: 12th May 2019
Starting date: ASAP
Main tasks and responsibilities
- Applying medical knowledge and skills in diagnostic imaging to aid diagnosis and patient treatment options, and collaborating closely with the different departments of the hospital to ensure correct referral justification for radiological exams and the results.
- Ensuring the implementation and monitoring of updated MSF protocols and universal precautions in the radiology department
- As an expert in diagnostic imaging, proposing strategies for departmental improvements (modification on current protocols), and implementing them after validation of Operation and Imaging Advisors.
- Monitoring the proper functioning of the radiology department, equipment and personnel.
- Debriefing with coordination, and providing written reports on main findings, activities, conclusions and further recommendations.
Main responsibilities and tasks
- Will attend the MSF ward at GGSH every day routinely for maximum 21 hours in a week (2-3 hrs a day) to conduct radiological investigations based on medical requirement
- Will oversee with the coordination all legal requirement for radiological equipment in MSF setting in GGSH, Patna
- Will support the medical team in radiological investigations based on the medical condition of the patient.
Essential: MD (Radio Diagnosis) or DMRD or DNB (Radio Diagnosis) from recognised university.
Essential: 1 Year post MD experience: Radiological experience relevant to the mission; plain X-ray reporting, Knowledge of Ultrasound, Color Doppler, X ray Modalities and 3 D and 4 D Sonography in a hospital setting.
Desirable: Experience with MSF or other NGO’s in resource-limited settings or low- and middle-income countries.
Language: English language essential. Mission and local language desirable.
Knowledge: Essential - computer literacy (Word, Excel and internet).
Consultancy Fee & Other Benefits:
Consultancy Fee: Rupees 101,899/- per month (10% TDS deduction as applicable).
To apply please email your CV and motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Consultant Radiologist
Applications that are no completed (CV + Covering letter) will not be considered.
SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR THE INTERVIEW
Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Women candidates are encouraged to apply.