Job Description

Job Title : MIDWIFE ACTIVITY MANAGER
Work Location : GALKAYO – MUDUG PROJECT – MSF, SOMALIA
Start date : As soon as possible
Length of contract : Fixed term (1year) 100% with 3 months’ probation period.
Position Scope
This is a project-level position responsible for midwifery and SRH activities across both Galkayo South and Galkayo North. The duty
station is Galkayo South. The position holder is expected to provide balanced support to both locations on an approximately 50/50
basis through regular field presence and remote follow-up. The work schedule may be adjusted by the MTL according to medical
and operational priorities.
Main Purpose:
To define, coordinate, monitor and evaluate all midwifery, maternity and sexual and reproductive health (SRH) activities across the
Mudug Project (GAN and GAS), in accordance with MSF policies, protocols and standards, in order to ensure safe, high-quality,
respectful and patient-centered maternal, newborn and reproductive healthcare.
Accountabilities
 Planning, organizing and ensuring the implementation and supervision, in close collaboration with other medical staff, all
Sexual and Reproductive health activities. Participating in the definition and update of annual project planning and budget,
and if needed, in any emergency activity or exploratory visit in or out of the project area
 Informing other medical managers or doctors about any possible serious problem or complication (i.e. worsening of state
of patients, problems in medicines, etc.). Coordinating and assessing the feasibility for referral of pregnant women to
receive further medical evaluation, in order to manage efficiently the resources needed for delivering MCH care while
keeping good quality levels.
 Assisting and collaborating with the field doctors and nurses when required (normal or complicated deliveries, SV cases,
etc.), to complement the existing human resources and contribute to the resolution of complicated cases. Ensuring the
new-born babies are followed up correctly since delivery and until discharge and that all pregnant women and new born
children are referred to the Extended Program on Immunization (EPI).
 Managing the midwife and maternity staff in the project. Planning and supervising the associated HR processes
(recruitment, training, performance evaluation, motivation, internal/external communication, etc.) in order to improve
staff capabilities and to ensure both the sizing and the amount of knowledge required
 Ensuring and supervising the implementation of protocols by all staff under her responsibility in order to improve the
quality of the healthcare given to population and to prevent any infection due to staff malpractices
 Supervising the proper management/distribution of drugs and use of materials, keeping track of consumption patterns
and supply orders, and monitoring inventories, together with the project pharmacist supervisor & logistician/supply.
Training the midwife and maternity staff in order to ensure having minimum levels of stock to carry out the activities of
the project and a rational and appropriate use of material resources
 In coordination with the project biomedical service supervising the appropriate use of medical devices and anticipating
and communicating future needs.
EXTERNAL/INTERNAL VACANCY
 Supervising administrative procedures and documents, analyzing routine data for monitoring purposes, and being
responsible for the collection and analysis of medical statistics and reporting of SRH activities (participation in
epidemiologicalreports andmonthly reports according to guidelines) in orderto have updated and correct information about
the day-to-day activity in the project and to provide support in the decision-making
 Note: 1. SRH Activities include: antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2),
neonatal and comprehensive abortion care, management of victims of sexual violence, female genital mutilation,
reproductive tract infections and Fistula care.
 Note: 2. 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. 3. CEmONC = comprehensive obstetric and neonatal
care = the full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparotomy), safe blood transfusion and
care to sick and low birth weight new-born)
Context Specific Accountabilities
 Develop a project-wide SRH work plan and maintain balanced follow-up of GAN and GAS, with an indicative 50/50 allocation.
Agree the physical-presence and remote-follow-up schedulewith the MTL and adjustitwhen medical or operational priorities
change.
 Participate in the annual plan revisions and provide suggestions and recommendations to improve SRH activities.
 Work closely with Activity Managers, Medical Activity Managers, Nursing Team Supervisors, Midwife Supervisors and other
relevant colleagues to ensure coordinated patient care, clear responsibilities and continuity between locations. In
collaboration with the IPC Supervisor and relevant department managers, ensure adherence to IPC standards in all
supported SRH services, including hand hygiene, environmental cleaning and disinfection, transmission-based precautions,
surgical-site infection prevention, episiotomy care and catheter-related bloodstream-infection prevention. Participate
actively in the IPC committee. Take the lead in analyzing and narrating the Sexual and Reproductive Health part of the
Monthly Medical Report (MMR).
 Conduct regular supportive supervision and patient-file spot checks in maternity, ANC, PNC and SV/SGBV-related servicesin
GAN and GAS. Document findings, agree corrective actions and monitor completion. Support the MTL in analysing the drug
and medical materials consumption, preparing drug/medical material forecasting (daily, weekly, monthly) etc. necessary for
SRH department & the project medical orders and patients support.
 Conduct random patient files spot-check to ensure proper documentation, compliance with MSF medical protocols and
good practices (on a regular basis and in collaboration with the other team members).
 Identify emerging community needs and service gaps in the SRH domain within the project catchment areas and propose
realistic, evidence-based responses. Monthly Initiate the Maternal and Perinatal Death Surveillance review of the in
Maternity department as well and report within the 48 hours all medical incidents that have occurred.
 Ensure all the clients are receiving the Birth Spacing methods based on their need in a transparent and informed decision
making.
 Support Midwives to provide confidential post abortion care, based on each patient’s individual clinical needs and informed
choices, in accordance with MSF protocol
Maternity:
 Assess learning needs and strengthen the competencies of Midwife Supervisors, Midwives and maternity teams in GAN and
GAS through coaching, bedside mentoring, on-the-job training, and face-to-face sessions and approved remote-learning
support.
 Develop effective communication mechanism with the project team to continuously provide the needed support (when IMS
team are working remotely from Nairobi).
 Developing relevant SOPsfor the different midwifery procedure and ensuring their appropriate use
 Ensure proper implementation of Kangaroo Mother Care, Zero separation and breastfeeding protocolsfor Low-birth weight,
Sick and well newborns.
 Ensure timely referral for comprehensive neonatal care of all New Born with medical complication, early communication
with Neonatology unit based on risks factors identified/prognosis during pregnancy or labour period.
SGBV:
 Lead the effective implementation of confidential, survivor-centered medical care for survivors of SGBV within MSFsupported services, including the development and delivery of training and coaching so that Midwives,
Medical Doctors and other relevant staff can identify, receive and manage cases safely, sensitively and
confidentially.
 In coordination with the MTL and PC, collaborate with appropriate health and protection service providers to strengthen
referral pathways and support comprehensive care services for survivors.
 Ensuring accurate, anonymized and timely data collection on all maternal and reproductive health services including
SGBV.
 Provide functional supervision and technical guidance to the SGBV focal persons and other relevant staff, and
contributing to their performance evaluations to maintain high-quality service delivery

Experiences and Qualifications

 Essential: Bachelor of Science degree in Midwifery, or Bachelor of Science degree in Nursing and
Midwifery.
 Valid professional Midwifery license/registration to practice medicine in Somalia is mandatory.
Experience
Technical knowledge
• Essential: Minimum of 10-years’ experience as a midwife or 5 years as a Midwife supervisor or, 2
years as Midwife Activity manager, or 2 years as SRH implementer.
• Essential: Minimum of 3 years’ experience with MSF or another medical humanitarian
organization; emergency response; clinical mentoring; SRH needs assessments; concept notes or
proposals; and the Somalia context.
• Knowledge of SRH, maternal and newborn care, clinical quality improvement, data analysis and
reporting. Knowledge of the Minimum Initial Service Package (MISP) is an asset.
Languages
Knowledge
• Essential: Advanced proficiency in English and Somali.
• Essential: Proficiency in Microsoft applications (word, excel, PoWER POINT, OUTLOOK/Teams
and internet)
Competencies • People Management and Development
• Commitment to MSF Principles
• Behavioural Flexibility
• Results and Quality Orientation
• Teamwork and Cooperation

Skills Required

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