Job Vacancy – Study Midwife – Full Time – 100%

Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation. MSF is therefore guided by the principles of neutrality and impartiality. These principles must apply to all MSF staff.

Title:

Study Midwife

Direct Reports:

Epidemiological Activity Manager

Location:

Liwale, Lindi

Main Purpose

In accordance with the Liwale Group B Streptococcus (GBS) study needs, provide obstetrical care to pregnant women involved in the study and their babies, doing follow up before, during and after delivery, according to the study protocol, MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of the activity manager, in order to ensure their health conditions and avoid post-delivery complications.

Accountabilities

• Ensuring the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2), neonatal and comprehensive abortion care, management of victims of sexual violence, reproductive tract infections and Fistula care in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
• Where PMTCT is implemented, ensuring implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counselling, test and post counselling
• Collaborating with the MWAM, medical doctor and /or nurse in the management of Sexual Violence cases
• Assessing the feasibility for referral of pregnant women form the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries.
• Ensuring hygiene and sterilization criteria (including universal precautions) are met according to MSF specifications.
• Performing cleaning and minor maintenance for biomedical equipment used. Following the user manual and protocols and alert supervisor in case of malfunctioning.
• Guaranteeing a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.
• Properly following up all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices
• Ensuring patients’ right to privacy and confidentiality is respected.
• Supervising that administrative procedures of admissions and hospitalizations comply with MSF protocols, as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, etc
• Participating in the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (specially identifying risk cases)
• According to MSF protocols in force, conduct normal deliveries independently, manage obstetric emergencies; identify cases needing referral and send them in time, clean up the newborn, executing and registering first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn and reporting them to the doctor, in order to ensure successful interventions. Supervises the use of drugs, facilities and obstetric material, in order to ensure, in accordance with number of patients and prescriptions, a rational use as well as pharmacy stock levels are permanently updated, kept under appropriate conditions and above minimum safety point.

1 BEmONC = basic emergency obstetric and neonatal care = Administration of antibiotics, oxytocics, anticonvulsants, manual removal of the placenta, removal of retained products following abortion, assisted vaginal delivery, preferably with vacuum extractor and newborn care including neonatal resuscitation.

2 CEmONC = comprehensive obstetric and neonatal care = the full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparatomy), safe blood transfusion and care to sick and low birth weight newborns

MSF Section/ Context Specific Accountabilities

• According to the needs of the Liwale GBS study, title “Feasibility of Screening-based Intrapartum Antibiotic Chemoprophylaxis for Group B Streptococcus Disease Prevention”, collect study data and samples following the study protocol and guidelines and ensure that data collected is stored and reported timely to the activity manager.
• Conduct consent procedures for study participants in strict compliance with the study protocol.
• Report any break in the study protocol in keeping with the ERB ethical protocols
• Ensure the study specimens taken are stored and transported in optimal conditions in accordance with the study protocol from the Liwale Health Centre to the Liwale District Hospital.
• Ensuring proper documentation of all the processes and relevant data with confidentiality at all times following procedures for study guidelines in strict compliance with the study protocol.
• Liaise with the data processing officer and other midwives (MoH and MSF) to ensure completeness and correctness of the data entered into the study data collection forms and report any inconsistencies to the epidemiology activity manager/principal investigator and appropriate MSF/MoH staff for timely correction.
• Report any break in the study protocol in keeping with NATHREC ethical protocols on data to supervisors in a timely manner.
• Keep track of the study participants attentance to PNC follow-up visits in collaboration with the study midwives and the supervisors, and conduct PNC follow-up consultations.
• Good communication and collaboration with multi-disciplinary MSF team.
• Attending community sensitization and PNC visits at decentralized health posts and health centres in collaboration with study team, health promotion and community health workers.
• Conduct of Xpert Xpress GBS tests under the guidance of study lab tech

MSF has been working intermittently in Tanzania since 1993, supporting MOH in a variety of areas, notably the provision of primary and secondary health care and the response to epidemics such as cholera, malaria, and HIV/AIDS. MSF’s latest intervention in the country started in May 2015 with an emergency response to a cholera outbreak affecting both the refugee and the host populations in Kigoma region. During the emergency phase MSF expanded medical and water/sanitation activities to all three refugee camps in the region.

Liwale project officially launched in December 2022, Liwale project is an integrated project supporting MoH in Community based, Primary and Secondary health care for mother and child under 5. MSF is currently supporting 7 health facilities including 4 secondary health care facilities (1 district hospital, 3 health centres) where CEmONC are offered and 3 primary health care where BEmONC are offered. This support includes facilitation for recruitment of 102 health care workers including 50 community health care workers, medical supply, empowerment of team (trainings, team management, quality of care improvement), referrals, Watsan activities and rehabilitations.

Minimum Educational Qualification:

Essential midwifery Diploma qualification or specialization. Desired Bachelor in Midwifery Essential Valid registered midwifery license to practice

Experience:

Essential at least TWO (2) years’ experienced in midwife activities related jobs. Research experience a plus.

Knowledge:

Computer literacy and good sense of number accuracy

Languages:

• Good English spoken and written, and Kiswahili are mandatory. Kisukuma, Kimang’ati essential.

Competencies:

Results and Quality Orientation Teamwork and Cooperation Behavioural Flexibility Commitment to MSF Principles Service Oriented

Women, or any person feeling like being part of a minority is encouraged to apply. MSF is dedicated to fostering a safe work environment with zero tolerance for any form of abuse.

Application Details

All interested candidates shall submit their motivation letter, CV and copy of relevant professional certificates not later than Thursday, 06th November at 9:00 AM. Please quote the job title on the email subject “STUDY MIDWIFE”.

Please send your application to the email address MSFCH-Tanzania-Recruitment@geneva.msf.org. The applications can also be submitted at MSF offices situated at Uporoto Street, Plot No.74, House No.22, Ursino Estate, Victoria, Dar es salaam, or in Nduta Refugees Camp, Kibondo District or MSF Guest House Kibondo or at MSF office situated in Liwale, Lindi.

ONLY SHORT-LISTED CANDIDATES WILL BE CONTACTED If you receive no contact within 6 weeks, you can consider that you have not been pre-selected

The protection of your personal data is important to MSF. By submitting your application, you consent to MSF using your data only for the recruitment process to have all the information and documents necessary to proceed with the recruitment, validation of your application and selection of the most suitable candidate. Your data will be treated confidentially. Only people part of the recruitment process have access to your data. MSF does not sell your data under any circumstances.

If you have any questions or requests, you can contact MSFCH-Tanzania-PAM@geneva.msf.org

At MSF, we are committed to an inclusive culture that encourages and supports the diverse voices of our staff members. We strive to create workplaces where teams of people with diverse backgrounds, characteristics, perspectives, ideas, and experiences work together for the social mission of MSF to create better outcomes for the patients and the communities we work with. We welcome applications from individuals of all genders, ages, sexual orientations, ethnicities, background, religions, beliefs, ability status, and all other diversity characteristics.

MSF does not tolerate sexual exploitation and abuse, any kind of discrimination or harassment, including sexual harassment. All selected candidates will, therefore, undergo reference checks.

Please note that applying to MSF is free of charge, MSF does not charge applicants to consider their application.