Background

Médecins Sans Frontières (MSF) / Doctors Without Borders India (DWBI) is an international humanitarian medical aid organisation working in more than 70 countries worldwide. Médecins Sans Frontières is neutral, impartial, independent, and not linked to any political party or governmental body. Our teams provide emergency medical assistance to people in need, irrespective of their nationality, race or religion. In 1999 MSF was awarded the Nobel Peace Prize as recognition for its medical work in several continents.

Note: The position is open for residents of Manipur only

Purpose of Post

Defining, coordinating and monitoring all the IEC (Information, Education, Communication) Health Promotion activities in the project and promoting DWBI services according to DWBI principles, protocols and standards in order to increase the knowledge of the target population around their health, the support of preventive activities and the collaboration to improve the services

Functional and Hierarchical Lines

• Hierarchically accountable to the Project Coordinator
• Functionally accountable to the Project Medical Referent/Medical Coordinator
• Supervises Community Health Educator/Worker/Mobilizers

Accountabilities

• Defining and updating the HP/IEC strategy and related activities through annual project and budget plan (objectives, target population, campaigns, messages, activities, specific actions, etc.).
• Assessing knowledge of the target group on a health risk and analyzing the context (local culture, traditions, habits, health perception) to adapt health activities and support the social mapping (villages, populations, actors), Identifying indicators in order to monitor HP activities results and achievement and using the concrete tools to measure and follow up those activities
• Assessing, developing and adapting IEC/HP materials according to the needs of the project. Ensuring content and format have been pre-tested with target groups in order to ensure the adequacy, relevance, full understanding of the messages. Leading focus-group discussions with target groups in order to ensure the adequacy, relevance, broadcasting and full awareness of the messages, ensuring they are worded in a pedagogic manner
• Liaising with other relevant actors (national and International NGO’s , authorities) also involved in prevention activities, analyzing interventions and building cooperative relationships and advocacy, in order to enhance the influence of the campaigns and messages and to improve awareness among the targeted population;
• Ensuring regular collaboration and coordination with the DWBI medical team, to guarantee that the HP is part of medical activities and contribute to the medical objectives of the project
• Knowing protocol(s) for Sexually Gender Based Violence (SGBV) and ensuring its application. Identifies possible victims of SGBV and referring them to the medical team for treatment according to protocol(s)
• Supervising the IEC/HP team and their activities, in and outside health facilities, reporting difficulties and progress as well as adapting format and content when necessary. Planning and supervising the HR associated processes (recruitment, training, evaluation, development and internal communication) of the IEC / HP staff of the project. This will be done in close coordination with the HR department, the administration manager and project coordinator and according to DWBI vision, values and procedures. Ensuring that HP/IEC participates in counseling services when needed, specially including Prevention Parent to Child Transmission (PPTCT) and Voluntary Counseling and Testing (VTC)
• Participating in the monthly reports according to guidelines (SitReps, statistical reports, etc.)

Context Specific Accountabilities

Manipur project

• Implement the HE/HP and Community Engagement (outreach) activities for HIV/TB/HepC Treatment and Care Programmes in in three districts: the Churachandpur district, Chakpikarong subdivision of Chandel district and Moreh town of Tengnoupal following the recommendations and guidance of HP Advisor.
• Implementation of peer-educators
• Support the medical team in launching mobile HIV and HepC testing in the community
• Provide support in formation of the Community ART Refill Groups (CARG) among ART cohorts from Myanmar, and rolling out the CARG activities in Moreh under the guidance of HIV Advisor.
• Participate in planning and launching of OSCC (One-Stop-Care-Centre) for IVDUs in Moreh town.
• Supervise the Community Health Educators and ART Counsellors and develop the weekly and monthly activities.
• Provide technical support to HP team of other three projects of India OCA Mission such as SGBV Project in Delhi, mental health project in Kashmir and the Mobile Basic Health Service for tribal population Chhattisgarh, via scheduled visits in implementation of HP/CE community activities under the guidance of HP Advisor.
• Develop HP materials for all projects in cooperation with the community and team under the guidance of HP Advisors
• Collect data, social mapping about the villages in DWBI target area (with GPS coordination) mapping of Hot spots/ gathering places of the vulnerable key community groups, existing formal and informal community groups (youth groups, women groups) and formal and informal community leaders and influencers.

Requireements

Education

• Essential: University degree in social sciences, social communication, health promotion or related studies

Experience

• Essential, working experience of in related jobs (health promotion, project coordination, social research), preferably with DWBI.
• Experience in qualitative research is a plus.
• Experience in community engagement, and experience working with Harm reduction and HIV/TB projects. Experience in SGBV desirable.

Languages

• English and Hindi essential;
• Manipur’s local languages and/or Gondi desirable

Knowledge

• Essential computer literacy (word, excel and internet)
• Knowledge of the local context, specifically Manipur

 Competencies People Management and Development, Commitment to DWBI principles, Behavioural Flexibility, Results and Quality Orientation, Teamwork and Cooperatio

HR and Benefits

• Salary Gross (INR): 69,784/-only per month (non-negotiable)
• 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).
• Contributions made for statutory benefit programs such as Provident Fund.
• Covered under accident insurance
• Medical reimbursement for employees and their dependents as per DWBI India health care policy
• A stimulating, professional environment in an international organisation.

Application Procedure

Please clearly state which position you are applying for and send CV and letter of motivation to apply for this position (with phone number) not later than 19 August 2019 to

ccpur-hrm-assist@oca.msf.org

Application without motivation letter will not be accepted.

Due to high volume of applicants only short-listed candidates will be contacted.

Note: We do not use any external recruitment consultants.

Background

Médecins Sans Frontières (MSF)/Doctors Without Borders India (DWBI) is an international humanitarian medical aid organisation working in more than 70 countries worldwide.

Médecins Sans Frontières is neutral, impartial, independent, and not linked to any political party or governmental body. Our teams provide emergency medical assistance to people in need, irrespective of their nationality, race or religion.

In 1999 MSF was awarded the Nobel Peace Prize as recognition for its medical work in several continents.

Purpose of Post

Supporting the Medical Coordinator through delegated tasks and responsibilities including administrative tasks related to the coordination of work, ensuring good relationships with local and national authorities and ensuring adequate program management in the projects, according to DWBI protocols, (para)medical standards, rules of hygiene and the standard precautions in order to ensure the delivery of quality medical care for patients and their communities as well as to improve the health conditions of the targeted population

Functional and Hierarchical Lines

Hierarchically and functionally accountable to the Medical Coordinator

 

Accountabilities

• Monitoring, supervising and evaluating the implementation of medical activities in the project, visiting projects according to preset schedule and participating in defining the human resources needs,
  materials and techniques. Assisting in the implementation of DWBI protocols, (para) medical standards, the rules of hygiene and universal precautions in service.
• Assisting in the collection of information on national health policy (meetings, reports, articles, etc.), collecting and participating in the analysis of epidemiological data (meetings, reports, articles, etc.) from the projects
• Ensuring medical follow up of patients (treatment, improvement) in collaboration with the medical referent of the health structure and overseeing all medical expenses associated with the patient, in collaboration with the supervisors. Organize the administrative and medical information (reports, ongoing treatments), the discharge of patients and return to their homes
• Supporting and supervising the project teams and participating in the management of the medical team in the capital (recruitment, training, monitoring their work, vacation planning, assessments, etc.). Participating in briefings and debriefings of the (para) medical team members and promoting communication and active participation in the development of the project
• Applying the employee health policy and participating in the evaluation of hospital structures that can serve as reference structures for national and international staff. Participating in the medical monitoring of DWBI personnel and overseeing all medical expenses associated with various consultations and hospitalizations in collaboration with the line manager
• Participating in the management of the central pharmacy, advising and guiding the logistics team in the mission of drug stock management. Organizing the start-up, inventory and management of operational medical library according to the classification plan 
• Participating in the data collection and management from the projects as well as preparation of monthly, quarterly and annual reports and organizing · data archiving and medical reports in the project
• Performing other duties at the request of Medco (exceptional strengthening of a field team, involvement in evaluations, etc.)

Context Specific Accountabilities

This position is majorly field-based supporting the clinical activities of all projects as required.

• Performing duties of a medical doctor / Medical Activity Manager in mission’s projects during periods of human resource gap
• Supporting Project Medical Referrent / Medical Activiy Manager in designing the medical protocols and implementing them at clinic after approval by MedCo, and management of clinical program as required or assigned
• Supporting Project Medical Referrent of Manipur, Medical Activiy Manager of Bijapur and Delhi SGBV Project, Project Pharmacist of Manipur, and Nusring Supervisor (Pharmacy in charge) in Bijapur in forcasting and monitoring monthly consumption of medicines and medical products, and pharmacy management to ensure it is maintained up to DWBI standard following Mission Pharmacist’s recommendations and advice.
• Supporting Mission Pharamacist in specific pharmacovigilence activities
• Performing reception quality control of drugs at the warehouse upon delivery by the Suppliers in absence of Mission Pharmacist
• Participating Meeting between Medical Department and Log Department at Coordination
• Assessing the humanitarian and health needs of population affected by natural disaster or conflict together with logistic team as and when it occurs.
• Health briefing to newly arriving expats when delegated by MedCo.
• Performing specific tasks of clincal / program monitoring as assigned by Medical Co-ordinator / Deputy Medical Coordinator
• Supporting Medical Cordinator / Deputy Medical Coordinator in day to day administration / management of the mission as required or assigned

Requirements

Education

• Essential: MBBS degree with valid medical council of India or any state medical council registration.
• Desirable: Diploma in public health / public health administration / hospital administration

Experience

• Minimum two years of work experience in clinical medicine
• Clinical experience in HIV, TB and HCV is desirable

Language

• Excellent command of English with working knowledge of Hindi

Knowledge

• Essential computer literacy (word, excel and internet)
• Desirable knowledge in stock management software.

Competencies

People Management and Development, Commitment to DWBI Principles, Behavioural Flexibility, Result and Quality Orientation, Teamwork and Cooperation

 

HR and Benefits

• Salary Gross (INR): 66,554/- per month (non-negotiable)
• 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).
• Contributions made for statutory benefit programs such as Provident Fund.
• Covered under accident insurance.
• DWBI provides medical reimbursement for employees and their dependents as per health care policy.
• A stimulating, professional environment in an international organization.

Application Procedure

Please clearly state which position you are applying for and send CV and letter of motivation to apply for this position (with phone number) not later than 25 August 2019 to

india-hrmcoassist@oca.msf.org

Application without motivation letter will not be accepted.

Due to high volume of applicants, only short-listed candidates will be contacted.

Note: We do not use any external recruitment consultants.

Background

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 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 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 perception of 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 with HIV in Bihar. Data collected from health structures show that PLHIV often seek 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 succumb 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 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 confection, 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, 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 in patient 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.

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

To provide day-to-day medical care in IPD,OPD and Palliative  patients under MSF care.Working collaboratively with Doctors, Health promotion team, colleagues, the patient's family and other team members, that focuses on treating illness to improve quality of life.

Functional and Hierarchical Lines

Hierarchically and functionally accountable to the Nursing specialist Supervisor.

Main Tasks and Responsibility

• To provide and ensure correct nursing care of the HIV patients who are under treatment with MSF and assist doctors in the care, procedure and treatment of the patients
• To provide correct nutritional screening, drug dispensary, give IV fluids and injections to advanced HIV patients according to prescriptions and protocols
• To attend and ensure the implementation of correct protocols concerning follow up of the HIV/VL patients
• To provide instant emergency treatment to critically ill cases in consensus with doctors.
• Participate actively in medical rounds and provide the updated information about patients’ status
• To observe and ensure correct follow-up of patients.
• Perform rapid laboratory tests according to MSF and other protocols (MOH, international recommendations) when needed and confirm the result with doctors on duty.
• Record the required medical data accurately and collaborate in the reports.
• Keep proper records and ensure their safe custody.
• Respects the principles of aseptic technics and sterilisation.
• To respect and promote absolute confidentiality of any information related to HIV patients.
• Participate in meeting and conferences when required, to facilitate - medical/nursing training sessions, both internally and externally.
• Participate and give correct health education messages to patients and their attendants. Specifically giving appropriate information about HIV, TB and Kala Azar among other HIV related diseasesː signs & symptoms, correct treatment; follow up, nutrition, and prevention.
• To respect and promote medical ethics.
• Give support to the laboratory activities when needed.
• Give support to the pharmacy activities when needed.
• Manage unconscious patients.
• Help the patients to meet their daily needs.
• Maintain privacy to the patients and keep confidentiality of the patients
• Able to go for home visits to provide palliative care along with the medical and supporting teams.

Reporting

• Filling in the register book/patient card, noting every pertinent information that happened during the shift and any changes in prescription or patients to be followed up
• Ensuring to give oral/written handover at every shift change, drawing attention to any notable events during the shift
• Participating in departmental and project meetings.
• Collaborate in the reports as needed
• Participating in data collection for the operational research studies executed in the project

Managing medicines and departmental material

• To understand, maintain and improve the MSF medical stock management systems.
• Handing over stock cards of medicines and material at every shift change
• To ensure that the daily consumption is in line with stock and place an order if necessary
• To guarantee the proper sterilisation process is being done

Producing statistics 

• Filling out registers and health files correctly
• Participating in data collection with the departmental manager

Other Responsibilities

• Performing any other professional tasks as required by the Supervisors.
• Maintains a flexible approach and responds to the needs of the project even outside of this job description.
• To assist in the assessment of humanitarian needs and emergency interventions arising in the region and if needed, showing flexibility, adaptability and commitment.
• To respect MSF internal regulations, the contract and the present job description.

Required Working Days

The nature of the work requires presence during night shifts, weekends and Public Holidays as per duty roster. Sundays are considered as a weekday. Special arrangements are only considered for official Public Holidays (as per Internal Rules and Regulations).

Requirements

Qualifications Essential: General Nursing & Midwifery (GNM) with active registration under INC or state nursing council. Desirable: BSc Nursing or Post Basic B.sc Nursing Work experience Essential

• 1 year of experience in hospital
• Experience in critical care unit
• Experience in paediatric and neonatal cases.

Desirable

• 2 years’ Experience with HIV patients is an asset
• Experience in Emergency or ITU
• Similar Experience in INGO/MSF or similar organizations.

Specific skills

• Ability to organize and prioritize workload & taking initiative when appropriate
• Good spoken & written English; Essential good understanding of local language(s)
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team
• Ability to manage stress
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required
• Willingness and ability to live and work in a rural setting
• Punctuality and ability to act with responsibility
• Understanding of MS Office especially Word, Excel & PowerPoint
• Must be proficient in medical nursing procedures including IV Cannulation, administering IV, IM, SC injections; use of IV fluids etc.
• Management of unconscious and palliative care patients.
• Better knowledge about end of life care.
• Absence of prejudices against HIV infected patients

Desirable skills

• Good knowledge of MoH policies and general system of health management
• Knowledge of MSF principles

HR & Benefits

• SALARY: Rupees 26,917 gross/month. NON NEGOTIABLE
• Benefit of 13th Month Salary.
• PF and Gratuity are applicable as per law.
• TOTAL LEAVES: 18 days annual leave; 12 days holidays as per organization public holiday list
• Sick/Casual leave of 12 days as per calendar year (pro-rated based on hire date).
• Relocated staff will be provided with Accommodation allowance & Shifting allowance. (Only for out of state candidate).
• Wide Medical coverage (Employee + Direct Relatives), as per organization policy.

Application Procedure

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-hr@barcelona.msf.org

Applications that are no completed (CV + Covering letter) will not be considered. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW. Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Women candidates are encouraged to apply.

Background

Médecins Sans Frontières (MSF)/Doctors Without Borders 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.

Accountabilities

Referrals

• Responsible for providing proper care to referral patients while implementing referral protocols & DWBI standard Guidelines.
• He/She will be the key for decision making regarding the type of health structure & admission depending upon the patient’s health status under the direct supervision of PMR.
• Support & functionally supervise the referral nurses in quality follow-up and decision making of referral patients.
• Ensure that the referral protocol is followed and adapted according to the context.
• Active participation / chair the weekly referral meetings with nurses and doctors.
• Update the PMR on specific cases referred from outreach or Mobile Clinic whenever needed.
• Continue to evaluate the structures identified as providers of secondary level care for patients in need.

National Staff Health

• Responsible for national staff consultations and implementation of health policy.
• Ensure vaccination, yearly check-up, proper use of protocols, register and data for NSH.
• Responsible for identifying health structures with good care for referring National Staff.
• Report to PMR cases of national staff who need attention like major surgery.

Networking

• Strengthen Community Approach by monitoring and evaluation of referrals to decentralized hospitals with weekly visits and meetings with PHC doctors.
• Conduct assessments of decentralized hospitals to monitor services available for patients and obstacles to follow-up on referral.

Medical Care in Mobile clinics

• Able to provide medical care in mobile clinic for gap filling or when a doctors is on leave & for Peak Season.
• Provide quality basic medical care, diagnosis and treatment, in MSF mobile clinics for primary health care according to DWBI clinical guidelines and protocols, including universal precautions.
• Identify and facilitate proper referral of complicated cases, based on protocol.
• Be involved in monitoring of the medical activities; ensure the rational use of medicines, and inform PMR of any irregularity of drug supply or damaged material.
• Participate to assure the overall good clinic management including training for the nursing staff.

Be always prepared/ready to receive any others tasks assigned by your supervisor

Requirements

Specific Skills

• Able to identify and facilitate proper referral of complicated cases, based on protocol, to hospital and PHCs and ensure patient follow- with the referral team, in collaboration with the PMR.
• Provide skilled health assessment, diagnosis and referral for national staff.
• Networking with MoH officials, PHCs to monitor referrals evaluate medical services and ensure success of project.
• Able to work independently but also able to consult and collaborate with colleagues to monitor effectiveness of project medical activities.
• Excellent reporting skills
• Languages : English is Mandatory, Telugu, Koya, Gottikoya is an advantage

Qualifications

• Essential, MBBS from MCI recognized/approved Medical College.

Experience

• Minimum of 2 year working experience as a Medical Doctor.
• Desirable: previous working experience with DWBI/MSF or with any other NGOs/Public Health/Community experience will be an added advantage

Application Procedure

To apply for this position please email your CV and motivation letter to

msfocb-bhadrachalam-admin@brussels.msf.org

and please mention clearly in the subject line Ref: “Medical Doctor (Referral)” Also you can send and/or drop in the required documents to

House No : 7-1-27, OLD LIC Building, Govt.Hospital Road, Bhadrachalam, Bhadradri-Kothagudem District, Telangana State – 507111.

The last date to submit the applications either online or by person: 4th August 2019 5:00 pm. Due to high volume of applications only short-listed candidates will be contacted and invited for written test and interview.

Background

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 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 the All India Institute of Medical Sciences (AIIMS), Patna and Bihar State AIDS Control Society (BSACS) with whom MSF has conductied two qualitative studies focusing on perception of 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 very high level of stigma attached with HIV in Bihar and PLHIV often presents with advanced stage HIV with multiple opportunistic infections. To make the matter worse, these patients do not get adequate and quality healthcare services leading them to no option, but to succumb to their illness at home. Hence, MSF started a project for treating life threatening opportunistic infections in people living with advanced HIV in Bihar in collaboration with BSACS and Government of Bihar (GoB). This seamless partnership over more than a decade between the Government of India, the State Government and other stakeholders has enabled MSF to provide best quality, 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 those who are the bottom of societal pyramid. Working in this area of HIV-VL confection, has led us to realise the systematised discrimination against HIV patients by the community but more so among health care providers in the public and private sector 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 115,000 PLHIV and 7,514 deaths (5,794-10,575) annually. Only 20,000 HIV patients were on ARVs in 2014. As per July 2017 WHO guidelines for those above 5 years of age, Advanced HIV disease is defined as those 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 of severe disease where specialized medical care is required including palliative and symptomatic care and end of life care for some of 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 or admitted, ignored and ultimately sent home to die.

MSF response

MSF in collaboration with MoH and BSACS has set up an inpatient centre for advanced HIV and palliative care for all admitted patients and those with life threatening conditions. The main purpose of the program is to provide holistic care for seriously sick advanced HIV patients; to improve quality of life by providing comprehensive HIV care and support and palliative care with the focus on patient rights and dignity. Referral criteria to MSF care centre

• HIV patients with CD4 less than 100 regardless of opportunistic infections/comorbidities
• Suspected or diagnosed advanced HIV disease regardless of CD4 count (specific conditions for referral will be defined)
• Seriously ill HIV+ patients with danger signs
• Other HIV related life threatening conditions such as IRIS, suspected clinical failure, drug hypersensitivity and so on

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 population

• Direct Beneficiaries: People living with advanced HIV (PLHIV) – estimated to be 10% of the 115,000 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 Govind Singh Hospital, Patna City, Patna

Purpose of Post

Monitoring mental health related activities in the project, ensuring the quality of care and providing clinical consultation to the Counsellor-Educator/s. Mentoring and training of Counsellor-Educator/s. When required, provide counselling and/or psychosocial support to patients/clients, following medical and mental health MSF protocols and procedures.

Functional and Hierarchical Lines

Hierarchically and functionally accountable to Project Medical Referent

Accountability

• Work in collaboration with the medical team to provide holistic, supportive and palliative care for patients/clients in view of their needs.
• In collaboration with the medical team, identify the mental health needs of patients/clients.
• Identify the necessity of referral to psychiatrist for mental health assessment/diagnosis.
• Ensure that mental health activities are performed with regular follow-up in order to provide the most appropriate treatment for patients/clients with psychosocial challenges.
• Ensure the Counsellor-Educator/s is/are calm and neutral during sessions regardless of personal feelings and/or beliefs and that translators are trained about terminology and appropriate behaviour during sessions.
• Review, develop technical materials tools, guidelines and documents, coordinating and ensuring the implementation of all mental health standard protocols and procedures set by MSF in order to provide the most appropriate treatment for patients/clients.
• Participate in mental health data collection and reporting.

Main responsibilities and tasks

• Provide clinical supervision to the Counsellor-Educator/s in counselling strategies and psychosocial support.
• Assist/mentor Counsellor-Educator/s to conduct basic psychological assessments to evaluate clients’ social and emotional status.
• Consult and collaborate with the medical team on psychiatric concerns and medication
• Provide individual, partner, and family counselling if necessary and required; in areas not limited to: stigma and self-esteem, dignity, adaptation to the illness and its consequences, social functioning, advocacy issues, relationships, communication, dealing with death and dying, grief and loss, spiritual distress/well-being, and legacy work.
• Co-facilitate with Counsellor-Educator/s psycho-educational sessions as necessary and appropriate.
• Refer clients when necessary. Advocate and support access to community resources, providing information and guidance.

Reporting

• Keep systematic records of work and maintain confidentiality.
• Participate in mental health data collection and reporting.
• Make regular reports of work to supervisor.

Teamwork and continuing education

• Take active part in trainings and continuing education opportunities.
• Participate in team meetings.

Specific Skills

• Adheres to all standards, practices and policies regarding confidentiality and privacy of information, set forth by employer.
• Ability to organize and prioritize workload & taking initiative when appropriate.
• Maintain good filing system.
• Good spoken & written English; Essential good understanding of local language(s).
• Good communication and social skills to connect with the community.
• Exhibits creativity & innovation.
• Able to work independently as well as part of a team.
• Ability to manage stress in adverse situations.
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required.
• Willingness and ability to live and work in a rural setting.
• Understanding of MS Office especially Word, Excel & PowerPoint.

Required Working Days

The nature of the work requires presence on Sundays and Public Holidays as per duty roster. Sundays are considered as a weekday. Special arrangements are only considered for official Public Holidays (as per Internal Rules and Regulations).

Requirements

Qualifications

• Essential Master’s degree in Psychology with a diploma in Medical/ Clinical psychology OR PhD degree in Clinical Psychology of a recognized university.

Work experience

• Essential: Previous (working) experience in the field of counselling or medical work.
• Must have experience in counselling and/or psychotherapy.
• Desirable: Previous experience with terminal illness and palliative care counselling an asset.
• Language: English and Local Working Language essential.

HR & Benefits

• SALARY: Rupees 69,784 gross/month. NON NEGOTIABLE
• Benefit of 13th Month Salary.
• PF and Gratuity are applicable as per law.
• TOTAL LEAVES: 18 days annual leave; 12 days holidays as per organization public holiday list
• Sick/Casual leave of 12 days as per calendar year (pro-rated based on hire date).
• Wide Medical coverage (Employee + Direct Relatives), as per organisation policy.

Application Procedure

To apply please email your CV and motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Mental Health Activity Manager to

msfe-delhi-recruitment@barcelona.msf.org

AND

msfe-patna-hr@barcelona.msf.org

Applications that are no completed (CV + Covering letter) will not be considered. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW. Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Women candidates are encouraged to apply.

Background

Médecins Sans Frontières (MSF)/Doctors Without Borders 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

Accountabilities

• In close coordination with the Project Coordinator (PC) and the HR Coordinator and Finance Coordinator, calculating, analyzing and monitoring the project's HR and Financial operational needs and the associated budget.
• Planning, supervising and ensuring the implementation of the associated processes of the project staff (recruitment, training, briefing, induction, evaluation, potential detection, development and communication) in order to ensure both the sizing and the amount of knowledge required.
• Ensuring hiring, amendments and contract termination formalities for employees at project level are according to local labour laws. Archiving and updating individual employee files, informing them on their rights and preparing all mandatory tax declarations, in order to ensure legal compliance.
• Supervising/performing payroll procedures, ensuring that all data related to monthly salary calculation of the project national employees are correctly encoded (days off, unpaid leaves, sick leaves, overtime, salary advance, etc.), in order to ensure on time and accurate salary payments.
• Implementing circuits and workflows (management of cash boxes, transfers, advances, purchase procedures, payment validations, follow up of regular payments, bank reconciliation) in order to anticipate expenses at project level and to optimise cash needs and its security.
• Implementing and supervising transactional procedures and systems in order to ensure transparent accounting practices and full documentary traceability (invoices, receipts, bank statements, etc.). Ensuring and controlling the monthly and yearly accountancy closure and all HR, Administrative and Financial reporting of the Project.

Be always prepared/ready to receive any others tasks assigned by your supervisor

Requirements

Specific skills/Competencies and Knowledge

• Ability to organise and prioritize workload & taking initiative when appropriate
• Ability to work independently as well as part of a team including team cooperation.
• Strong team management skill.
• Well organised with interpersonal skills.
• Result and detail oriented with focus on quality.
• Excellent reporting skills.
• A good decision maker.
• Capable to solve the problems by own.
• Good Planner and strategic thinker.
• Languages : English is Mandatory, Telugu is an advantage
• Commitment to DWBI principles
• Behavioural Flexibility
• People Management and Development

Knowledge

• Essential computer literacy (word, excel, internet)
• Desirable HR and Financial DWBI software (Homère, FPC, Unifield)

Qualifications

• Desirable degree in finance, management (business, HR) or administration.

Experience

• Essential working experience of at least two years in relevant and similar jobs is an asset.
• Desirable working experience with DWBI or other NGOs, in developing countries

HR & Benefits

• Monthly Gross Salary: INR 59899
• Secondary benefits as per policies:
  • 13th Month Salary/Festival Bonus
  • 18 Annual Leaves
  • 12 days of Sick/Casual leave as per calendar year (pro-rated based on hire date).
  • Other compassionate leaves
  • Medical Reimbursement including dependants.
  • Personal Accidental Insurance including dependents.

Application Procedure

To apply for this position please email your CV and motivation letter to

msfocb-bhadrachalam-admin@brussels.msf.org

and please mention clearly in the subject line Ref: “Project FIN/HR Manager.” Also you can send and/or drop in the required documents to:

House No : 7-1-27, Old LIC Building, Government Hospital Road, Bhadrachalam, Bhadradrikothagudem District, Telangana State – 507111.

The last date to submit the applications either online or by person: 11th August 2019, 5:00 pm. Due to high volume of applications only short-listed candidates will be contacted and invited for written test and interview.

Background

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 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 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 perception of 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 with HIV in Bihar. Data collected from health structures show that PLHIV often seek 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 succumb 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 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 confection, 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, 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 in patient 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.

Project Location: Guru Gobind Singh Hospital, Patna

Purpose of Post

Provide outpatient and inpatient medical care to MSF beneficiaries according to MSF protocols; Ministry of Health protocols and international guidelines and recommendations for hospital care and treatment, values, universal hygiene standards, as defined in the project objectives and operational research.

Functional and Hierarchical Lines

Hierarchically & functionally accountable to Project Medical Referent (PMR) and Medical Activities Manager (MAM) (If position available).

Main responsibilities and tasks

Medical Care

• Apply medical knowledge and skills to diagnose and treat effectively, respecting MSF and national protocols and guidelines in inpatient and outpatient departments.
• Keep the patient and/or his/her attendant informed about the illness and provide appropriate explanations about the disease, treatment to follow and prognosis, paying always special attention to preserve the confidentiality, and the rights and dignity of the patients.
• Follow up the evolution of the hospitalised patients through daily visits, prescribing the necessary treatment following designated protocols, under the supervision and mentoring of the PMR/MAM or any other doctor assigned by the coordination of the project like a specialist in HIV/TB or a senior doctor.
• Follow up on daily basis the results of laboratory and other diagnostic tools, including those who are posted in online platforms.
• Correct and exhaustive filling of all medical records, at admission and at every visit, in rounds, urgent consultations and follow up in OPD.
  • This includes, but is not limited to, past medical general history, drug allergies, HIV status, current signs and symptoms, complete physical examination and differential diagnosis at admission as well as any other information considered useful for care and treatment of the patient. For patients with prolonged length of stay, a weekly summary of the evolution and diagnosis of the patient will be required as part of the medical file and the daily evolution comment.
  • Verify exhaustive day by day recording of the treatment sheet of the patient, together with the nurses on duty.
  • Verify that the file and discharge form are correctly filled at the moment of discharge. This includes a report of the cause of death in a clear way (suspected or confirmed).
  • Prepare medical file of patients for presentation for clinical case discussion and/or for submitting to telemedicine platform
• Responsible of doing an appropriate handover of the patients’ status and evolution to the medical team to ensure the continuity of care of every patient. The handover between doctors can be required in a written way (handover book) if considered by PMR.
• Provide comprehensive and continuous care of every patient under his responsibility, evaluating not only for the medical condition, but also for the psychological, social and spiritual needs of the patient.
  • Implement emergency medical care when needed, including CPR and considered reasonable by the condition of the patient and also attend at any moment all the requests expressed by nurses on duty regarding the patients in all shifts.
  • Evaluate and treat in a systematic way all the symptoms of the patient according to the clinical condition
  • Evaluate for every patient at admission and then in regular basis the need for HIV counselling and mental health support and ensure his internal referral, to health promotion (HP) team and mental health (MH) counsellor, respectively.
  • Ensure that the communication with every patient and his family members is done in the most respectful way. It is also expected to promote these attitudes in the rest of the team, medical and paramedical
  • Respect medical confidentiality
• Assure general compliance with hygiene standards. Follow up of standard universal precautions as required and ensure, with the nurses, that infection prevention control measures and  protocols for isolation (contact, airborne..) are respected by patients, family members and medical staff
• Work closely with the rest of medical team (lab techs, nurses, stretch bearers) in order to provide quality medical care.
• Assure overall good clinic management including patient flow, triage, cleanliness of clinic, waste management etc. Identify problems and communicate to the PMR
• Participate in the regular team meetings (doctor´s meeting, medical team meeting, coordination meetings, mortality reviews,…) as required.
• Active participation in all trainings proposed by PMR.
• Active reading of all the medical information shared by PMR and active participation in all the medical discussions
• Participate in the operational research in the project, including outreach activities like asymptomatic study in some districts of Bihar state, as required by the project.

 
Other activities

• When needed, to assist in the assessment of humanitarian needs and emergency interventions arising in the region and/or in the country, showing flexibility, adaptability and commitment when participating in these interventions 
• Maintaining a flexible approach and responding to the needs of the project even if beyond job description.

HR & Benefits

• Salary: Rupees 82,399/- per month including Medical Market Allowance. NON NEGOTIABLE
• Benefit of 13^th Month Salary.
• PF and Gratuity are applicable as per law.
• Total Leaves: 18 days annual leave; 12 days as per organization public holiday list;
• 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.
• 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.

Application Procedure

To apply please email your CV and motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Medical Doctor to

msfe-delhi-recruitment@barcelona.msf.org AND msfe-patna-hr@barcelona.msf.org

Applications that are not completed (CV + Covering letter) will not be considered for further stages.

ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW.

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