ALIMA, the international medical NGO with a human face, which places the co-construction of projects and professional careers at the heart of its model
ALIMA PRESENTATION
THE ALIMA SPIRIT: ALIMA’s purpose is to save lives and care for the most vulnerable populations, without any discrimination based on identity, religion, or politics, through actions based on proximity, innovation, and the alliance of organizations and individuals. We act with humanity, impartiality, and respect for universal medical ethics . To access patients, we are committed to operating in a neutral and independent manner.
THE VALUES and PRINCIPLES of our action, included in our CHARTER:
1. The patient first
2. Revolutionize humanitarian medicine
3. Responsibility and freedom
4. Improve the quality of our actions
5. Trust
6. L’intelligence collective
7. Environmental responsibility
ALIMA promotes and defends the principles of fundamental human rights. ALIMA has a zero-tolerance approach to those guilty of acts of gender-based and sexual violence, as well as to inaction in the face of suspected or actual acts of violence. Protecting the people benefiting from and impacted by our intervention is our top priority in everything we do. Everyone collaborating with ALIMA commits to:
- Respect the charter, the code of conduct, institutional policies including the policy of protection against abuse of power and sexist and sexual violence, the policy of prevention of corruption and fraud;
- Report any violation of policies, framework documents and procedures to a superior, a superior, a referent or a referent.
CARE – INNOVATE – TOGETHER: Since its creation in 2009, ALIMA has treated more than 13 million patients in 15 countries, and currently operates in 12 African countries and Haiti. In 2022, we developed 62 humanitarian medical response projects to meet the needs of populations affected by conflict, epidemics, and extreme poverty. All of these projects support national health authorities through nearly 511 health facilities. We work in partnership, particularly with local NGOs, whenever possible to ensure that our patients benefit from expertise, whether in their own country or elsewhere in the world. In addition, to improve the humanitarian response, we conduct operational and clinical research projects, particularly to combat malnutrition and viral hemorrhagic fevers.
THE ALIMA TEAM: More than 2,000 people currently work for ALIMA. The field teams, closest to patients, receive support from the coordination teams, generally based in the capitals of the countries of intervention. These receive support from the four desk teams and the emergency and openings department team based at the operational headquarters in Dakar, Senegal. The Paris and New York teams actively work on fundraising as well as representing ALIMA. The rest of the ALIMA Galaxy includes individuals and partner teams who work on behalf of other organizations such as the medical NGOs BEFEN, ALERTE Santé, SOS Médecins / KEOOGO, AMCP, the research organizations PACCI, INSERM, the Universities of Bordeaux and Copenhagen, the NGO Solidarités International, and many others.
OUR PROJECT THEMES: Malnutrition, Sexual and reproductive health including gender-based violence, Primary and secondary health, Pediatrics, Malaria, Epidemics (Hemorrhagic fevers, meningitis, Cholera, Measles, Dengue, Covid-19).
OUR COUNTRIES OF OPERATION: Mali, Burkina Faso, Central African Republic, Nigeria, Niger, Chad, Democratic Republic of Congo, Cameroon, Sudan, Mauritania, Haiti, Ethiopia.
ALIMA in Haiti
Following an exploratory mission conducted at the end of 2023, ALIMA officially reopened its mission in Haiti in February 2024. The country has been experiencing a multidimensional crisis for several years, aggravated since 2021 by a major deterioration in security. This unstable context deprives a large part of the population of access to healthcare, whether due to forced displacement or the closure/dysfunction of health structures.
Drawing on its experience, ALIMA has deployed mobile clinics in certain neighborhoods of the capital, such as Cité Soleil, as well as in displacement sites, notably in Champ de Mars and Delmas. Thanks to its community acceptance and the relevance of its interventions to the real needs of the population, ALIMA is now entering a phase of settling down, particularly in the commune of Cité Soleil. This establishment makes it possible to strengthen the provision of care, particularly in sexual and reproductive health (SRH) and the management of sexual violence. At the same time, ALIMA is pursuing and developing a community approach aimed at improving access to health care.
In the coming months, ALIMA will maintain its mobile activities while consolidating its fixed structures, expanding its scope of action in SRH and pediatrics. Its intervention will gradually expand in the metropolitan area of ​​Port-au-Prince as well as in the provinces. Nutritional care, from screening to treatment, will be integrated cross-functionally into each of its strategic areas. In addition, ALIMA will support local actors in responding to sexual violence.
In 2025, in response to the multiple crises affecting the Southeast of Haiti, ALIMA is strengthening its presence in the municipalities of Belle-Anse and Anse-Ã -Pitres. The objective is to reduce morbidity and mortality among displaced, deported, and host populations through three priority areas of intervention:
- Improving access to care: ALIMA supports the provision of primary, pediatric, and emergency obstetric health care, while ensuring appropriate medical and psychological care for survivors of gender-based violence, with appropriate referral mechanisms. This focus also includes the rehabilitation of health infrastructure.
- Prevention and treatment of malnutrition: Integrated nutrition services to provide free care for children suffering from acute malnutrition, whether severe or moderate.
- Rapid response to emergencies: A contextual monitoring system will be put in place to enable the investigation of alerts within 24 hours, thus ensuring a rapid and appropriate response to emerging needs.
Mission Location: Anse-Ã -Pitres, Southeast Haiti
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 the presentation of a certificate of good character will be required. In situations where it is not possible to provide a criminal record or a certificate of good character, a sworn statement will be requested.
FUNCTIONAL AND HIERARCHICAL LINKS
- Line Manager: Project Medical Officer
- Functional manager: Medical coordinator
- Supervises: anesthetist nurse, recovery room nurses, and in certain areas intensive care nurses, the surgical department nurses and maternity midwives
- Works closely with all operating room staff and interacts with doctors and nurses from the emergency, intensive care and surgical departments and the midwives of the maternity ward at the Anse-Ã -pitre Hospital.
MISSION AND MAIN ACTIVITIES
He/She is responsible for anesthesia (pre-anesthesiologist assessment, administration of anesthesia, recovery period, pharmacy, equipment, general organization, etc.) and pre- or post-operative care related to his/her specialty (resuscitation, pain, ATB, etc.).
He/She complies with the guidelines for anesthesia practices within ALIMA projects.
MAIN RESPONSIBILITIES
1- Preoperative consultation:
- Ensures that the patient signs the authorization to operate.
- Respect medical confidentiality and inform the patient of their illness and treatment.– Scheduled interventions
- Provides pre-operative consultations for patients undergoing surgery.
- Assesses the operative risk in collaboration with the surgeon.
- Decide on the type of anesthesia to be performed.
– Urgent interventions
- Perform the necessary resuscitation maneuvers.
- Assesses the operative risk in collaboration with the surgeon.
2- Anesthesia:
- Prepares the medications, materials and equipment necessary for administering anesthesia.
- Performs the anesthesia using the technique initially chosen, respecting the hygiene and asepsis rules in force.
- Ensures continuous monitoring of the patient throughout the procedure.
3- Immediate postoperative monitoring (recovery room):
- Ensures immediate awakening of the patient.
- Ensures transfer and installation in the recovery room.
- Transmits necessary information to nurses in the recovery room.
- Assesses pain and establishes a postoperative pain relief protocol.
- Makes postoperative prescriptions relating to his specialty (hydric resuscitation, ATB, analgesics).
4- Postoperative care:
- Makes a joint visit with the surgeon once or twice a day.
- Renews prescriptions and ensures compliance.
- Pay particular attention to proper pain management:
- Systematic pain assessment once or several times a day.
- Adapting prescriptions to pain scores.
5- Hygiene:
- Ensures compliance (by himself and his colleagues) with hygiene rules concerning the protection of patients and staff.
- Apply the protocol in case of blood exposure accidents.
6- Pharmacy and materials:
- Sets up, monitors and controls the stock of anesthesia equipment.
- Supervises the hygiene and integrity of anesthesia equipment: decontamination, sterilization, storage conditions, etc.
- Ensures the tidying, cleaning and restocking of the anesthesia workstation between each patient.
- Establishes pharmacy orders as needed.
- Supervises the monitoring and traceability of narcotics (notebook, empty ampoules).
7- Data collection:
- Collaborates with the surgeon to collect quantitative surgery-anesthesia data.
- Writes and transmits reports for monthly monitoring of perioperative mortality.
- Writes and submits monthly anesthesia/pain quality reports.
8- Collaboration with other services:
- Maintains close collaboration with the emergency department where he can easily be called upon for advice and/or resuscitation.
- Provides support to midwifery teams in the maternity ward and more specifically for the resuscitation of newborns.
- Provides support to other services if needed.
- Oversees the management of emergency carts.
9- Training and Others:
- In collaboration with the referring physician, organizes at least 3 theoretical communications for the staff in general, and for the particular staff previously identified by the project coordination (referring physician, senior nurse) and the Director of the CH AAP; training projects (e.g.: transfusion control, first aid procedures, administration of anesthesia, etc.).
- Strengthens the practical skills of project staff (doctors, nurses, midwives) in anesthesia-resuscitation, in particular staff previously identified by the project coordination (referring physician, senior nurse) and the Director of the CH AAP.
- Plans, evaluates and supervises the training of staff (emergency teams, operating theatre and maternity) in order to ensure the necessary level of knowledge and improve anesthesia-resuscitation skills.
- Participates in medical meetings, including the perioperative morbidity-mortality meeting.
- In all areas of its activity, ensures compliance with medical confidentiality.
- Exercise vigilance and inform your manager in the event of a medical error.
- Knows and helps enforce regulations in cases of accidental blood exposure.
10- Implementation of protective measures against abuse of power, sexist and sexual violence:
- Participate in training and awareness sessions.
- Applies standards relating to the prevention of abuse.
- Ensures that his team members attend training and awareness sessions and apply abuse prevention rules.
- Helps create and maintain a nurturing and protective environment.
EXPERIENCES ET COMPETENCES
Experiences:
- Mastery of general anesthesia and resuscitation
- Ability to work in a team, experience in team management, desired
- Ability to work under pressure
- Ability to live and work in locations often far from capital cities, located in rural areas and often poorly covered in terms of medical, social and leisure services
Formation :
Essential: State-recognized diploma in anesthesiology and resuscitation
Candidate qualities:
- Analytical, organizational and listening skills
- Critical thinking and strength of proposal
- Rigor, autonomy and curiosity
- Flexibility and stress management
- Ability to work in a team in multicultural contexts
- Ability to be independent and quickly take up a position
- Writing skills
- Sense of organization and rigor
- Adaptability, diplomacy and patience
- Strong listening skills
LANGUAGES
- Good command of French (reading, writing, speaking) essential
CONDITIONS
Duration and type of contract : Fixed-term contract under French law – 3 months
Start date : As soon as possible
Salary : According to ALIMA salary scale (level 11) + recognition of experience + Per diem
ALIMA supports:
- Travel costs between the expatriate’s country of origin and the place of assignment
- Accommodation costs
- 2.08 days of leave per month
- Daily per diem
- Medical coverage from the first day of contract to one month after the departure date from the country of assignment for the employee and their dependents
- The break policy every 3 months (for 6 months of mission)
- Evacuation for the employee
How to apply
To apply, please send your CV and cover letter online.
Applications are processed in the order in which they are received. ALIMA reserves the right to close the offer before the initially indicated deadline if an application is accepted.
Only complete applications ( CV in PDF format + Cover Letter ) will be considered.
Female applicants are strongly encouraged.