Medical Coordinator – Chad – M/F At ALIMA

ALIMA in CHAD

The history of ALIMA programs in CHAD: Chad faces a complicated security situation given the regular incursions of the former Boko-Haram (current Islamic State in West Africa). ALIMA began its activities in Chad in 2012 in partnership with the Chadian medical NGO Alerte Santé. In 2012, the project established in the N’Gouri health district, in the Lac health region, was implemented thanks to the support of ECHO, UNICEF and WFP. This project continued during 2013 and 2014 during which the emphasis was placed on improving the quality of care, a major challenge in Chad given the difficulties in mobilizing qualified medical skills. In 2015, 6,500 SAM children were cared for, including 724 children suffering from medical complications, hospitalized at the UNT of the N’Gouri District Hospital. In addition, a pediatric component has also been integrated into AS/Alima’s action in N’gouri, making it possible to care for 8,606 children in pediatric consultations and 419 in hospitalization. Due to significant deficiencies in the medical field in the Lac region and the worrying nutritional situation (the WHO alert threshold of 2% has been exceeded), ALIMA/AS will continue its action in the 12 health areas of the District of Ngouri in 2016. From 2016 the project in 2016 supports SAM and MAM children in 12 health areas, to set up a PB-mothers component as well as a wash in Nut component. This volume of activity has continued to increase. Since April 2013, ALIMA/AS has also supported the treatment of SAM in N’Djamena thanks to the support of ECHO. Before the implementation of this ALIMA/AS project, only the Notre Dame des Apôtres dispensary in the South district offered free treatment for malnutrition in the capital. With two years of activities, the project has made it possible to show the extent of the problem of malnutrition in urban areas (in N’Djamena the SAM rate reached 2.8%). In 2015, the project cared for 16,490 SAM children on an outpatient basis, including 3,330 in hospitalizations at the Chad-China Friendship Hospital. A workshop on the management of severe acute malnutrition in urban areas was also organized. In 2016, outpatient treatment of SAM in the first 4 UNAs and hospitalization in 1 UNT will continue. In addition, a training center will be set up within the UNT in order to be able to provide training to doctors, nurses and nutritional workers wishing to strengthen their capacities in the field of SAM management. In these two projects ALIMA/AS work in collaboration with local and national health authorities and numerous training sessions are organized. In addition to these two regular projects, ALIMA and Alerte Santé also implemented two emergency interventions in 2014 to quickly respond to the influx of refugees and returnees from the Central African Republic. In the Gaoui camp, ALIMA/As provided primary care as well as screening and treatment for SAM, thanks to the support of UNICEF. On the other hand, community health and water, hygiene and sanitation activities were carried out in the Doyaba camp, with a hospital component supporting secondary care at the Sarh District Hospital, thanks to the support from the French Embassy. Malnutrition consequently weakens the health of children in addition to exposing them to malaria and diarrhea. In N’Djamena, this results in a significant proportion of diarrhea among SAM children admitted to structures supported by ALIMA and appears to significantly increase the probability of mortality. Faced with the non-existence of alternatives allowing a better understanding of the local epidemiology of diarrheal pathogens, ALIMA is considering the very promising option from 2016-2017 of resorting to the use of qualitative molecular diagnostics through the Biofire system, in the aim of evaluating the infectious causes of acute diarrhea in SAM children with complications, thus improving drug prescriptions and therefore the treatment of these patients. A research project is therefore underway within the UNT of the HATC. Following an evaluation carried out by ALIMA teams from April 25 to May 2, 2018 in Bagassola including a visit to MSF Switzerland mobile clinic sites highlighting the needs in terms of health and nutrition, the gap at the health district level of Liwa and the lack of positioning of humanitarian actors who can resume activities, ALIMA intends to support the Liwa DS in the field of health and nutrition. The objective of the action is to contribute to the reduction of morbidity and mortality among displaced and indigenous populations in the Liwa health district, through the establishment of a mobile clinic and medical and nutritional care for children under 5 years old suffering from SAM. this results in a significant proportion of diarrhea among SAM children admitted to structures supported by ALIMA and appears to significantly increase the probability of mortality. Faced with the non-existence of alternatives allowing a better understanding of the local epidemiology of diarrheal pathogens, ALIMA is considering the very promising option from 2016-2017 of resorting to the use of qualitative molecular diagnostics through the Biofire system, in the aim of evaluating the infectious causes of acute diarrhea in SAM children with complications, thus improving drug prescriptions and therefore the treatment of these patients. A research project is therefore underway within the UNT of the HATC. Following an evaluation carried out by ALIMA teams from April 25 to May 2, 2018 in Bagassola including a visit to MSF Switzerland mobile clinic sites highlighting the needs in terms of health and nutrition, the gap at the health district level of Liwa and the lack of positioning of humanitarian actors who can resume activities, ALIMA intends to support the Liwa DS in the field of health and nutrition. The objective of the action is to contribute to the reduction of morbidity and mortality among displaced and indigenous populations in the Liwa health district, through the establishment of a mobile clinic and medical and nutritional care for children under 5 years old suffering from SAM. this results in a significant proportion of diarrhea among SAM children admitted to structures supported by ALIMA and appears to significantly increase the probability of mortality. Faced with the non-existence of alternatives allowing a better understanding of the local epidemiology of diarrheal pathogens, ALIMA is considering the very promising option from 2016-2017 of resorting to the use of qualitative molecular diagnostics through the Biofire system, in the aim of evaluating the infectious causes of acute diarrhea in SAM children with complications, thus improving drug prescriptions and therefore the treatment of these patients. A research project is therefore underway within the UNT of the HATC. Following an evaluation carried out by ALIMA teams from April 25 to May 2, 2018 in Bagassola including a visit to MSF Switzerland mobile clinic sites highlighting the needs in terms of health and nutrition, the gap at the health district level of Liwa and the lack of positioning of humanitarian actors who can resume activities, ALIMA intends to support the Liwa DS in the field of health and nutrition. The objective of the action is to contribute to the reduction of morbidity and mortality among displaced and indigenous populations in the Liwa health district, through the establishment of a mobile clinic and medical and nutritional care for children under 5 years old suffering from SAM.

LOCATION OF MISSION: N’Djamena with regular travel to projects

PROTECTION OF BENEFICIARIES AND COMMUNITY MEMBERS

Level 3: As part of their duties, the position holder will be required to visit programs and be in contact with children and/or vulnerable adults. Therefore, a criminal record check or presentation of a certificate of good conduct will be necessary. In situations where it is impossible to provide a criminal record or a certificate of good conduct, a sworn declaration will be requested.

FUNCTIONAL AND HIERARCHICAL LINKS

• Reports to the Head of Mission
• His or her technical referent is the Desk medical referent
• Is the referent of the referring doctor(s) of the projects
• Collaborates with field project coordinators, coordination team

MISSION AND MAIN ACTIVITIES

You are responsible for defining the medical strategy of the mission and monitoring the epidemiological context of the country of intervention. You participate in the definition of medical indicators and ensure their levels of achievement.

You support the medical teams in developing their skills and ensure that you are responsible for monitoring the health of the entire mission.

Analyzes, defines and adjusts the medical objectives of ALIMA projects in its country of mission

• Data collection
• Analyzes, interprets and defines the medical operational strategy of the mission

Implementation of ALIMA programs

• Contributes to the organization of medical projects
• Participates in pharmaceutical project management
• Monitoring and evaluation of projects

Representation and communication

Capacity building and team animation

Team health

Implementation of prevention measures against abuse of power, gender-based and sexual violence

EXPERIENCE AND SKILLS

You have a medical or paramedical diploma with a Master’s degree in public health, project management, epidemiology.

You have successful experiences in similar positions with a medical INGO, you know how to develop proposals and donor reports, you are comfortable in external representation and are able to participate in high-level negotiations.

You have skills in monitoring-evaluation and database management and enjoy sharing them with members of the medical team.

You are fluent in French, both spoken and written,

This position is for you!

TERMS

• Duration and type of contract : 12-month renewable fixed-term contract under French law
• Taking position: ASAP
• Salary : According to ALIMA salary scale + valuation of experience + Per Diem

ALIMA supports :

• Travel costs between the expatriate’s country of origin and the mission location
• Accommodation costs
• Medical coverage from the first day of contract to one month after the date of departure from the country of mission
• Mission costs for the employee and his dependents
• Evacuation for the employee and his dependents