Location Monguno
Report to:
Midwife supervisor
Report to (functional) :
SRH ACTIVITY MANAGER
Area:
Medical
Code:
Main Purpose
Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to ALIMA obstetrical and reproductive health protocols, universal hygienic and new-born caring standards and under supervision of a specialist doctor, in order to ensure their health conditions and avoid post-delivery complications.
Accountabilities
Ensure 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, ensure implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counselling, test and post counselling
Collaborate with the medical doctor and /or nurse in the management of Sexual Violence cases
Assess the feasibility for referral of pregnant women form the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries.
Ensure hygiene and sterilization criteria (including universal precautions) are met according to ALIMA specifications.
Guarantee a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.
Properly follow up all new-born babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
Ensure patients’ right to privacy and confidentiality is respected
Ensure that administrative procedures of admissions and hospitalizations comply with ALIMA protocols, as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, e.t.c
Participate 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 ALIMA protocols in force, conduct normal deliveries independently Manage obstetric emergencies; identify cases needing referral and send them in time, clean up the new-born, executing and registering first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the new-born 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.
Requirements
Education
Essential midwifery qualification or specialization.
Experience
Essential working experience of at least two years in midwife activities related jobs.
Languages
Essential, mission language; local working language would be an asset.
Competences
Results, teamwork, flexibility, commitment, service
[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
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