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 70 countries. MSF offers assistance to people based on 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, and specialist care for people affected by HIV/AIDS, malnutrition, hepatitis C, tuberculosis, kala azar, and sexual and gender-based violence. We also respond to natural disasters and other emergencies, provide mental healthcare and advocate for the development of more effective and affordable medicines to improve access to treatment for people 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 India
In West Singhbum district of Jharkhand, MSF runs a project for the community-based management of acute malnutrition.
In Patna, Bihar, MSF is focussed on the treatment of Kala Azar – HIV co-infections including generating evidence for better treatment protocols so as to aid kala azar elimination efforts and provide care to a neglected population.
Estimates by the National Family Health Survey (NFHS 4) 2015-16 show that 38.4 per cent, 47 million under-five children in the country are stunted (they have low height for their age); 35.7 per cent, 44 million are underweight (they have low weight for age) and nearly 21 per cent, 26 million are wasted (low weight for height). Jharkhand is one of the most vulnerable and high burden states in India.
MSF has been working in India in the field of nutrition since 2008 running one of the first community-based management of nutrition (CMAM) projects and treating more than 17,000 children with SAM. This project was handed over to government authorities in 2015.
However, a lot of work still remains to be done in India in providing access to treatment for malnutrition drawing on our experience and lessons learnt from Bihar. The Jharkhand project aims to contribute to the establishment and scale-up of nutrition interventions for community-based treatment of severe acute malnutrition for children 6 to 59 months in rural India.
The project is focused on bringing about a change in the way that treatment for SAM (complicated and uncomplicated) is viewed and managed in India, and to enable and initiate the sustainable scale-up of SAM community-based management programs throughout the country.
A strong advocacy component will accompany the project throughout its duration to ensure that evidence and lessons learned are translated into concrete actions through a gradual involvement of governing bodies at national and state level, and with the support of other nutrition stakeholders and partners.
The project implementation has begun since June 2017 in collaboration with and integrated into the government system (Ministry of Health and Jharkhand State Nutrition Mission) and is being expanded in a stepwise manner to cover the whole block of Chakradharpur (31 ATFCs) through community-based interventions. Severely malnourished children with medical complications are managed as inpatients before being referred back to the community component for continued care. Prevention and follow up of children at risk is also an important part of the program.
Number of posts available: 1
Location: Charkradharpur Block, West Singhbum District of Jharkhand
Project: Malnutrition Project
Starting Date: Immediately
Last Date of Application: 31st January 2019
Salary: Rupees 82,399/- per month
Purpose of Post
Provides outpatient and/or inpatient medical care to MSF beneficiaries (mainly Severely Acute Malnourished children between 6 months and 5 years old) according to MSF protocols, values and universal hygiene standards and as defined in the project objectives. Participates in the research component of the project.
Functional and Hierarchical Lines
Hierarchically and functionally accountable to Medical Activity Manager.
Main Responsibilities and Tasks
- Knows and follows all MSF protocols.
- Ensures that professional confidentiality is respected.
- Works on a shift roster, which can include night, weekends and holidays.
- Provides out-patient consultations:
- Has to cover two ATFC each day and assist in research activities.
- Checks that triage is carried out according to emergency criteria and the vulnerability of patients
- Refers emergencies to the hospital and re-orientates non-emergency patients if necessary
- Carries out consultations following MSF treatment protocols and noting observations on health care forms.
- Provides patients with information on their illnesses, explaining the treatments involved and how to follow them, checking that patients have properly understood.
- Ensures the follow up of patients in the outpatients' department.
- Monitors the rational distribution of medicines at the pharmacy level.
- Works in collaboration with a multi-disciplinary team and participates in on-going staff training (care techniques, updating protocols etc.)
- Provides in-patient consultations:
- Carries out the daily departmental rounds
- Examines all the hospitalised patients
- Prescribes the care and treatments required, following MSF protocols and ensuring the rational use of medicines.
- Informs patients about their illnesses, explains their treatments, and answers questions.
- Keeps the hospitalisation forms up to date (details of examinations, entry and exit diagnoses, treatments ) and ensures the application of prescriptions.
- Decides on the discharge of patients according to the state of their health.
- Works in collaboration with the different doctors and supervises transfers towards other departments if necessary.
- Ensures on-going training of the medical/paramedical team in order to optimise the quality of care (participating and/or providing training).
- Manages emergencies and is on call if necessary.
- May be assigned to be responsible for Staff health issues.
- Ensures MSF protocols always followed by medical staff members.
- May be involved in scheduling and rotations of medical staff members.
- Ensures universal precautions followed at all times, contributes to reducing bio-hazard risk, and infection control improvements.
- Participates in the collection and analysis of medical data (medical statistics), checking its validity
- Monitor and inform about type of pathologies, abnormal increases in number of consultations as well as any epidemic potentials.
- Inform line manager about any possible serious problem or complication, ex. worsening of state of patients, problems in medicines.
- Ensure that information is transferred to next duty team regarding patients and their status.
- Inform line manager of any problems that might be linked to work of doctors as well as problematic equipment or material (ex. broken, missing).
- Participates in meetings as required by supervisor.
- Participates in the research component of the project evaluating the patients and ensuring the signature of the informed consent prior to their admission in the study, knowing exclusion/inclusion criteria, filling CRF.
- Ensure the right application of the study protocols, random stratifications, a strict timeline for the follow-up, exit criteria, etc.
- Active participation in the data collection and data analysis of the study.
- Look after all equipment provided.
- Ensure that no material is taken out of the doctor’s area without prior authorisation.
- Keep an updated inventory of all material and equipment used and ask in advance for all renewable material needed.
- Participates in emergency activity or exploratory visit in or out of the MSF area of work upon request
- Essential: MBBS degree - with full and valid registration from Medical Council of India or State Medical Councils
- Desirable: Specialisation or training in nutrition and/or tropical medicine.
- Essential: Preferably at least 1 year of work experience as a medical practitioner
- Desirable: Experience in paediatrics, nutrition, and/or scientific researches.
- Ability to organise and prioritise workload & taking initiative when appropriate
- Good spoken & written English, Essential good level of Hindi.
- Able to integrate into a multi-cultural team and cooperate with co-workers
- Able to work independently as well as part of a team, following strictly the indications of the line manager.
- Ability to cope with stress and frustration.
- Willingness to live and work in a rural setting.
- Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required.
- Good punctuality and ability to act with responsibility
- Understanding of MS Office especially Word, Excel & PowerPoint
- Good knowledge of MoH policies and general system of health management
- Managerial and supervisory experience
Category Level: 9 (as per MSF standards and salary grid)
HR & Benefits
- Salary: Rupees 82,399/- per month including Medical Market Allowance. NON NEGOTIABLE
- Benefit of 13th Month Salary.
- PF and Gratuity are applicable as per law.
- Total Leaves: 30 leaves + 12 public holidays per year.
- Wide Medical coverage (Employee + Direct Relatives), as per organization policy.
- Relocation Allowance: (For outstation candidates only)
- One time INR 12,000 for outstation candidates (Subject to continue for at least 12 months)
- Accommodation: DWBI will provide accommodation to the Doctors at Doctor’s house with minimum basic needs.
- Travel of relocation staff: DWBI will pay, round trip ticket from the project location to the home town in every three months
To apply please email your CV and a motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Medical Doctor to firstname.lastname@example.org & email@example.com on or before 31st January 2019.
C.V´s without motivational letter will not be considered for further stages.
Only shortlisted 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.
Charkradharpur Block, West Singhbum District of Jharkhand