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

Main Tasks and Responsibilities

• Identifying the needs of health support in the target population in M East Ward Mumbai and participating in the definition, planning, and updating of the appropriate strategy and the activities and its budget. Performing initial data collection and establishing baseline criteria, analyzing data and mapping potential problems (e.g. sample collection, adherence problems, difficulty in pharmacy management, etc.)
• Defining, coordinating and monitoring all medical activities to support health programs , according to Doctors Without Borders India (DWBI) protocols, standards and procedures in order to en-sure quality medical care for patients and their communities and to improve the health condition of the population.
• Monitoring and evaluating the performance of the monitoring tools and coordinating the implementation of medical activities according to DWBI standards, protocols and procedures in order to provide the most appropriate support to the target population. Collecting and analyzing data and documenting the lessons learned
• Ensuring continuous networking and active search for partners to guarantee the achievement of mobile Health deployment through a partnership with one or several other actors.
• In close coordination with the project biomedical service, supervising the appropriate use of medical devices and anticipating and communicating future needs.
• Planning and supervising, in close coordination with the HR department, the associated processes (recruitment, training/induction, briefing/debriefing, evaluation, detection of potential, motivation, development and internal communication) of the staff under his/her responsibility, in order to ensure having the appropriate team in terms of size, capabilities and skills
• Participating in monthly reports according to guidelines (SitRep, statistical report, etc.) and reporting problematic situations and cases in order to help with decision making and resolution of problems
• Support and supervise a medical team in OPD and Outreach. and ensure the smooth running of daily service provision at MEW OPD and Outreach.
• Represent as a medical focal person in MEW project and liaise with RNTCP and other MOH partner for day to day activities.
• Ensure a smooth transfer of DR TB patients from OPD to health posts/other DOT providers after registered for treatment in DWBI-RNTCP joint project
• Supervise outpatient/clinical consultations to all DWBI patients and also perform as a clinician as and when needed.
• Provide management and follow up for HIV care, antiretroviral therapy (ART), DR-TB care, and co-morbidity treatment following the DWBI protocol for the project.
• To contribute towards medical forecasting related to drugs required for the project in collaboration with the pharmacist.
• Particpate in Capacity building activities of staff and partners.
• To participate in any relevant operational research activities, publications, and conferences, including writing publications and providing data analysis.
• Be part of the Doctors roster for staff health matters

Requirements

Specific Skills

• Ability to organise and prioritize workload & taking initiative when appropriate
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team and ability to cope with stress.
• Good Punctuality and ability to act with responsibility
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required
• Aptitude for humanitarian medical work.
• Excellent reporting skills.
• Languages: English, Hindi/Marathi.

Qualifications

Medical doctor ( MBBS /MD . Specialisation in community medicine /Diploma or Masters in Public Health, Family medicine will be an advantage) Desirable specialization or training in Tropical Medicine or related studies. Essential 2-year working experience related to the diploma/degree

Experience

• Previous experience in similar position required (managerial experience)
• Previous experience with DWBI in the field preferred.

HR & Benefits (Non-negotiable)

• Monthly Gross Salary: INR 1,00,038/-
• Secondary Benefits as per policies:
  • 13th Month Salary/ Festival Bonus
  • 18 Annual Leaves
  • 12 Casual Leaves
  • Other compassionate leaves
  • Medical Reimbursement including dependents
  • Personal Accidental Insurance including dependents

Application Procedure

To apply please email your CV and motivation letter with the subject Ref: Position Name to:

msfocb-mumbai@brussels.msf.org

by 10th November 2019, 5:00 pm. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW

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.

Main Tasks & Responsibilities

Medical activities

• Provide outpatient/clinical consultations to all DWBI patients.
• Provide management and follow up for HIV care, antiretroviral therapy (ART), DR-TB care, hepatitis C treatment, opportunistic infections treatment, and co-morbidity treatment following the protocol for the project.
• Arrange referral activities and admissions for DWBI patients between referral hospital, diagnostic facilities, specialty center, and DWBI clinic.
• Reinforce adherence on the therapy, follow up of any adverse events including adverse events reporting, verifies the understanding of the patients with HIV, TB, opportunistic infections, and co-morbidities. To collaborate with patient support team related to this aspect.
• Assist technically the home-based activities of social workers, patient support team, and perform medical home visits.
• Provide medical consultation to national staff including the reading of routine medical checkup results as per Policy.
• Participate along with patient support team, clinic team, Medical Activity Manager, medical technical referent, in providing training, capacity building, and networking for internal/external partners including other NGOs network, hospice staff, hospital staff, orphanage staff, school staff, ART centers doctor on a relevant medical issue.
• To discuss with medical technical referent and other relevant service components ( patient support, clinic nurses/staff) about the management/treatment initiation/end of patients on ART, TB treatment, DR-TB treatment, Hepatitis treatment, opportunistic infection treatment, and co-morbidities.
• To document cases and reports for presentation/reporting/case discussion with headquarter (Brussels or Southern Africa Medical Unit) and prepare a medical discussion with medical technical referent and relevant service components in the medical team.
• Follow the universal precautions including DWBI standard of infection control implemented in the project.

Contribution to the model of care design and improvement

• Prepare and evaluate outpatient department (OPD) consultation and inpatient department (IPD) monitoring tool in collaboration with the medical-technical referent.
• Participate in developing tools including but not limited to pharmacy management tool and data collection tool.
• Contribute expertise in revising and updating medical protocols of the project in conjunction with the medical-technical referent.
• Participate in the project planning activities including future plan of the project and budget planning activities as and when requested by the Medical Activity Manager/PMR

Patient support activities

• Involve and contribute medical expertise in developing health promotion materials.
• Provide medical expertise in training/educational activities about HIV, TB, Hepatitis, opportunistic infections, and co-morbidities for patients and their supporting families, NGO partners, and other target populations.

Data gathering, analysis, and reporting activities Infection control activities Emergency response activities

Requirements

Specific Skills

• Ability to organize and prioritize workload & taking initiative when appropriate
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team and ability to cope with stress.
• Good Punctuality and ability to act with responsibility
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required and aptitude for humanitarian medical work.
• Excellent computer skills (especially MS Office MS Word and MS Excel) & reporting skills.
• Languages: English, Hindi/Marathi.

Qualifications

Education:

• MBBS degree with valid medical council of India or any state medical council registration

Experience

• Desirable 1 year experience in relevant jobs, in similar field
• DRTB/HIV clinical experience preferable.
• Experience in Public Health system / other NGOS will be an added advantage

Benefits (Non-negotiable)

• Monthly Gross Salary: INR 66554 (+INR 22,500 as allowance and Secondary Benefits as per policies:
• 13th Month Salary/ Festival Bonus
• 18 Annual Leaves
• 12 Casual Leaves
• Other compassionate leaves
• Medical Reimbursement including dependents
• Personal Accidental Insurance including dependents

Application Procedure

To apply please email your CV and motivation letter with the subject Ref: Position Name To: msfocb-mumbai@brussels.msf.org by 3rd November 2019 5:00 pm. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Qualified women and minority group candidates are strongly 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.

Main Tasks & Responsibilities

General:

• Upholds MSF’s core principles and values + MSF’s Code of Conduct
• Respects MSF’s identification materials and will NOT abuse their use aside from their intended purposes
• Promotes & maintains MSF quality standards, processes & procedures
• Represents MSF in meetings pertaining to medical Activities in close coordination with PC/MedCo/PMR and Doctors

Planning and Coordination

• Ensure the implementation of laboratory outputs stated in the project Log frame
• Update the lab objectives corresponding to the progress and direction of Doctors Without borders In Mumbai Project.
• Ensure the well-functioning laboratory to support the MSF project in Mumbai.
• Supervises and monitors the proper implementation of the key lab activities.
• Support Mumbai Project in improving programmatic issue and developing new proposal for activities related to Laboratory.
• Support Mumbai project in estimating the budget requested for laboratory connected activities

Doctors without borders clinical laboratory in Shatabdi Hospital.:

• Complete SOPs for all procedures including biosafety measures performed in the clinical laboratory and update the existing ones
• Ensure that internal quality control is set for all test carried out in the laboratory and performed regularly
• Enroll the clinical laboratory in a EQA program with an accredited EQA systems developed in India
• Implement corrective actions to warranty the quality of lab test when Quality Control fails
• Collaborating with the logistic department, ensure that the laboratory equipment receives the necessary maintenance
• Technical support to the project with the view of ensuring quality of diagnostic
• Interpretation of phenotypic and genotypic results coming from external laboratory
• Follow up samples sent to JJ TB laboratory, the ITM in Antwerp and other external laboratories cooperating with Doctors without Borders India
• Focal points with external laboratory partner
• Assist Doctors without border Mumbai project in assessing external Laboratory for possible cooperation
• Contribute to Operational Research ensuring quality of processes and data, writing SOP, and other needs connected to laboratory activities arising during the study.Writing monthly activity reports and other reports as requested.

Lab Stock Management

• Support the projects ordering Reagents, consumables and equipment to be used for laboratory and laboratory connected activities in the project
• Work with the Pharmacy team in planning, reviewing the necessary amount of lab reagents, consumables and equipment to order based on the medical needs ETC

Human Resources Management

• Develop in collaboration with the Project Medical Referent and with HR job descriptions for laboratory personnel to be hired by Doctors without Borders.
• Supervises, coaches and supports the lab team (Shatabdi Lab & JJ Lab).
• Carry out regular performance review of laboratory personnel as requested by the project
• Ensure that each member of the laboratory is well trained and able to perform the assigned task in safety
• Detect and Suggest Training needs for the laboratory team
• Organize and implement trainings for the laboratory team

Requirements

Specific Skills

• Ability to organize and prioritize workload & taking initiative when appropriate
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team and ability to cope with stress.
• Good Punctuality and ability to act with responsibility
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required and aptitude for humanitarian medical work.
• Excellent computer skills (especially MS Office MS Word and MS Excel) & reporting skills.
• Languages: English, Hindi/Marathi.

Qualifications

Education:

• Master’s Degree in microbiology and Licensed clinical/medical Microbiologist

Experience

• 3-4 year experience with TB Laboratory process and procedure and/or Gene Pyrosequencing is an asset
• Experience in Supervision, Management and Coaching
• Ability to demonstrate initiative, work independently and problem solve
• Computer literacy: Microsoft Office is essential
• Excellent communication and interpersonal skills

Benefits (Non-negotiable)

• Monthly Gross Salary: INR 77,538 and Secondary Benefits as per policies:
• 13th Month Salary/ Festival Bonus
• 18 Annual Leaves
• 12 Casual Leaves
• Other compassionate leaves
• Medical Reimbursement including dependents
• Personal Accidental Insurance including dependents

Application Procedure

To apply please email your CV and motivation letter with the subject Ref: Position Name To: msfocb-mumbai@brussels.msf.org by 3rd November 2019 5:00 pm. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Qualified women and minority group candidates are strongly 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.

Purpose of the Position

The position is envisioned to support the Chief of Operations Asia on a day to day basis with project operations across Asia. The person would be involved   in security management and coordination tasks, ensuring a smooth relation with local and national authorities, contributing to the context analysis and follow-up, providing translations and interpretations. The Chief of Operations may also delegate, ad hoc, some project responsibilities to the Deputy Project Coordinator (Asia) which would require independent handling. He/she will contribute to the supervision, monitoring and follow-up together with the COO of all aspects of the projects in order to ensure its efficient and smooth functioning.

Main Tasks & Responsibilities

• Supporting the Chief of operations (Asia) in promoting and protecting the image of establishment externally and assisting in context analysis, disseminating relevant context information to the coordination team, regularly informing them on key issues, updating general information on the context for internal documents and advising on cultural appropriateness of organized activities and individual behaviours;
• Analysing the risks and the security level of the context of the operations and assisting in conducting risk assessments and in the development security plans for the mission and project. Advising the Chief of operations (Asia) on aspects of security management;
• Contributes to the planning, supervision, monitoring and follow-up, together with the PC, of all aspects of the projects, according to the project plan, MSF operational policy and main strategic lines.
• Participate in the security management in the project, updating the security guidelines.
• Support the Chief of Operations (Asia) in planning and organizing project’s human resources, participate in their day-to-day management, in the induction of new staff, undertake evaluation of staff under his/her direct supervision and define training needs accordingly.
• Establishing and maintaining external relationships with relevant authorities and stakeholders. Keeping good knowledge of counterparts in different administrations and departments and keeping up to date records of field contacts (other NGOs, UN agencies, local authorities, etc.) verifying that they are easily accessible, in order to facilitate contacts and meetings.
• Assisting the Chief of operations (Asia) or representing in meetings (NGOs, official bodies and administrations, etc.)and preparing full report
• At the request of Chief of operations (Asia) , preparing and conducting an information briefing, focusing on the country context for Staff
• Writing letters and correspondences with officials and partners and preparing reports, internal memos and formal requests. Monitoring the correspondences in the absence of the Chief of operations (Asia)
• Assisting in the elaboration of the advocacy plan of the mission in collaboration with the coordinators and the Communications responsible and supporting its implementation and follow up.
• Keeps all the documents, reports, files updated, properly filed, and easy to access for the Chief of operations (Asia). Regular liaison with external stakeholders including legal departments in various countries across Asia in order to support operations.
• Participate in exploratory missions according to the Chief of Operation’s indications, in order to better comprehend context, priorities, constraints and population needs.
• Participate in any emergency response
• Any other task assigned by the Chief of Operations (Asia)

Travel

Please note that the position would need to travel 60% of the time to project locations in India, Bangladesh and South East Asia (non-negotiable)

Requirements

Specific Skills

• Needs to be an excellent public speaker – able to present and defend MSF projects before audiences.
• Computer proficiency in MS Excel and Word;
• Good analytical skills, at ease with figures and economics data;
• Excellent communication and diplomatic skills, including writing skills;
• People Management and Development;
• Commitment to MSF Principles;
• Behavioural Flexibility;
• Results and Quality Orientation;
• Teamwork and Cooperation.
• Excellent spoken and written (formal) English is necessary

Qualifications

Education:

• MBBS Degree (Bachelor of Medicine, Bachelor of Surgery)

Experience

Essential:

• Essential previous experience of at least two years required in the field of humanitarian aid with MSF or other NGOs.
• Essential working experience in developing countries.

Desirable:

•  Experience in NGO

Benefits (Non-negotiable)

• Monthly Gross Salary: INR 1,13,742/-
• Secondary Benefits as per policies:
  • 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 establishment policy.

Application Procedure

Please send your CV and cover letter (in a single PDF file only), stating your motivation and what can you contribute to the position, with the subject Ref: Dep. Project Coordinator (Asia) to msfe-delhi-recruitment@barcelona.msf.org on or before 17th November, 2019. Applications that are not 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. Qualified women and minority group candidates are strongly 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.

Main Tasks & Responsibilities

• Be familiar with and understand the ethical standards and regulatory obligations that govern human subjects’ research; in general and specifically at the site
• Ensure the protection of the rights, safety, and welfare of all study participants and safety of study staff;
• Assist the Site PI in study start-up activities, including regulatory and ethics committee application, budget development, staff recruitment;
• Provide and maintain education in GCP and other regulations that govern the research activities, as well as in study procedures, to site trial staff;
• Oversee subject recruitment and study enrollment goals;
• Provide assistance to ensure that the study is planned, set up, conducted, documented and reported according to the protocol, effective standard operating procedures (SOPs), GCP, and applicable international and national regulations;
• Ensure that the data (from clinical, laboratory, pharmacy…) are generated, collected and documented with accuracy, consistency and integrity;
• Ensure that site trial staff adheres to the study procedures, verification procedures, audits and inspections procedures;
• Collaborate and support the Site PI in preparation and timely submission of reportable adverse events to the MSF Pharmacovigilance Unit, central research team, local authorities, and relevant ethics committees;
• Assist in site budget development and payment request submission.
• Be responsible to evaluate site capacity (material and staff) and identify efforts to be deployed to reach site initiation;
• Support the Site PI in preparation of documents to obtain study approval from all local relevant authorities, including drug license importation;
• Review and ensure conformity with local requirements and GCP requirements all trial documents relevant to the site, including the study protocol, the patient information leaflet, informed consent form (ICF) etc.;
• Manage translations (as required), Participate to recruitment of site staff, manage contracts with vendors;
• Ensure completion of logistical preparation for the trial site;
• Ensure that all study staff is trained according to the protocol, operating procedures and GCP;
• Ensure with the Site and Trial pharmacists that study drugs will be available at dispensing site according to trial schedule, are stored according to trial standards and that drug accountability is organized on recruitment site and at the pharmacy;
• Ensure that quality assurances are in place according to the requirements from the laboratory coordinator from ITM (Antwerp, Belgium) for TB laboratories and with other laboratories for clinical lab tests;
• Initiate the Investigator Site File (ISF) and ensure that all essential documents to start recruitment are filled in the TMF

Requirements

Specific Skills

• Ability to organise and prioritize workload & taking initiative when appropriate
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team and ability to cope with stress.
• Good Punctuality and ability to act with responsibility
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required and aptitude for humanitarian medical work.
• Excellent computer skills (especially MS Office MS Word and MS Excel) & reporting skills.
• Languages: English, Hindi and or Marathi.

Qualifications

• Essential: Medical degree or Masters Degree in Health Sciences / Pharmacy with Diploma in Clinical Research

Experience

Minimum of 5-6 years working in the clinical trials .

• Interventional Clinical Trial experience as , study coordinator or study monitor (preferably also in Trial Site set-up and Study implementation). Clinical Research Coordinator Certification (CRCC) is desired, but not required
• Comprehensive knowledge and understanding of clinical research regulations (preferably in India) and GCP and ICMR ethical guidelines.
• Thorough understanding of human subjects data confidentiality
• Experience in handing a clinical trial site with 20 + staff members

Benefits (Non-negotiable)

• Monthly Gross Salary: INR 90434
• Secondary Benefits as per policies:
  • 13th Month Salary/ Festival Bonus
  • 18 Annual Leaves & 12 Casual Leaves
  • Other compassionate leaves
  • Medical Reimbursement including dependents
  • Personal Accidental Insurance including dependents

Application Procedure

To apply please email your CV and motivation letter with the subject Ref: Position Name to

msfocb-mumbai@brussels.msf.org

by 22nd September 2019, 5:00 pm. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR INTERVIEW

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

Main Tasks and Responsibilities

• The Project Medical Referent is responsible for medical operations across the project sites: Shatabdi hospital OPD, supported M East Ward health posts, DWBI Clinic, SEWRI GTB hospital, JJ laboratory.
• The PMR collaborates directly with the Project Coordinator, Deputy Project coordinator, Medical Activity Managers, and the Project Technical Referents, the Medical Coordinator and MoH partners, as well as other partners.
• Monitor the project activities by ensuring medical data collection and analysis and reporting to the Medical Coordination.
• Participate in the development of the project policy, annual plan, project proposal, budget review and project reports to partners.
• Participate in exploratory missions / situation assessments and define medical operational priorities when needed.
• Ensure regular contact with MoH, and other local medical actors. Build and maintain network in collaboration with the project coordinator with stakeholders at the project level
• Maintain a close link with the Advocacy and Operational Research activities within the project.
• Ensures regular Medical Meetings involving medical, technical and advocacy managers.
• Coordinates, supervises, coaches, supports and evaluates the medical team members’ performance to improve the medical components of the project and ensure compliance with DWBI protocols and standards as well as MoH protocols.
• Supervises an efficient management of the field pharmacy and medical equipment, Monitors consumption and preparation of medical orders and avoid stock shortage.
• Implements the health policy for international and national staff, providing all prophylactic and preventive necessary measures, structures and emergency plans, managing any medical evacuation in order to ensure DWBI staff health.

Requirements

Specific Skills

• Ability to organise and prioritise workload & taking initiative when appropriate
• Able to integrate into a multi-cultural team and cooperate with co-workers
• Able to work independently as well as part of a team and ability to cope with stress.
• Good Punctuality and ability to act with responsibility
• Demonstrates flexibility in taking up tasks outside of regular job responsibilities as required and aptitude for humanitarian medical work.
• Excellent computer skills (especially MS Office MS Word and MS Excel) & reporting skills.
• Languages: English, Hindi/Marathi.

Qualifications

• Essential - MBBS with managerial experience.
• Desirable specialisation or training in Tropical Medicine or related studies

Experience

• Essential at least 2 -3 year working experience in in the field.
• Desirable: MSF/DWBI experience in similar field. Good Understanding of The MOH system.
• Experience in Public Health system / other NGOS will be an advantage

HR & Benefits (Non-Negotiable)

Monthly Gross Salary: INR 113742 (+INR 22,500 as allowance) and Secondary Benefits as per policies:

• 13th Month Salary/ Festival Bonus
• 18 Annual Leaves
• 12 Casual Leaves
• Other compassionate leaves
• Medical Reimbursement including dependents
• Personal Accidental Insurance including dependents

Application Procedure

To apply please email your CV and motivation letter with the subject Ref: Position Name to

msfocb-mumbai@brussels.msf.org

by 20th September 2019, 5:00 pm. ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR 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.