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
- 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 organizes and carries out surgical activities (particularly obstetric), provides pre- and post-operative surgical care in accordance with regulations and protocols (WHO, MSPP, ALIMA) and universal hygiene standards, in close collaboration with the medical staff of the emergency, intensive care and operating room departments in order to improve the health of patients.
He/She complies with the guidelines for surgical practices within ALIMA projects.
MAIN RESPONSIBILITIES
1- Surgical and obstetric consultation:
- Provides surgical and obstetric consultations.
- Evaluates surgical risks with the anesthesiologist and/or medical staff involved.
- Obtains written consent from the patient before the operation (informs the patient about the proposed surgical procedure, has the patient sign the authorization to operate).
2- Surgery:
- Performs emergency and planned surgical and obstetric procedures in accordance with protocols and regulations, ensures the correct use of surgical equipment and the accuracy of operating room log entries/documentation of all procedures in the operating room.
- Prepares the surgical report after each intervention.
- Accompanied by a doctor or nurse apprentice, he demonstrates and technically trains the staff entrusted to him.
3- Postoperative monitoring of patients:
- Monitors surgical and obstetric cases hospitalized in the surgery and maternity departments.
- Ensures the correct distribution of patients in the departments according to their different pathologies (infected, non-infected, etc.).
- Performs postoperative clinical care and ward rounds in collaboration with the anesthesiologist, operating room nurse, ward staff, or other unit managers to ensure compliance with protocols and judicious use of medications. If necessary, is present in the outpatient department, maternity ward, or emergency room.
- Coordinates the application of clinical policies, tools, guidelines and protocols (antibiotic prophylaxis, postoperative pain management, thromboprophylaxis, cesarean sections, blood transfusions, etc.) and recommendations (hygiene and sterilization rules, prevention of exposure to HIV, TB, syphilis and hepatitis B and C) to minimize clinical risks
- Ensures with the anesthesiologist that pre- and post-operative prescriptions are properly followed.
4- Hygiene and sterilization:
- 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.
- Ensures good hygiene in the operating room and compliance with the decontamination protocol.
- Ensures compliance with sterilization procedures.
5- Data collection:
- In collaboration with the anesthesiologist, performs the collection and analysis of quantitative surgical and anesthesia data using postoperative observation charts, routine data collected, patient records, the surgical department register, etc. to control quality.
- Review data monthly, analyze clinical trends, and comment on adverse events/negative clinical outcomes. Assist in organizing the operating schedule and monitor the use of materials and equipment with operating room staff, communicate instrumentation needs, and coordinate patient transfers.
- Participates in the drafting and analysis of morbidity-mortality reports with the anesthesiologist, the medical referent and the Director of the CH AAP.
6- Collaboration with other services:
- Works closely with the Emergency Department and Maternity Unit by implementing the hospital’s disaster response emergency plan with the anesthesiologist, physician, charge nurse and charge midwife and organizes practical exercises to ensure continuity of services in all circumstances.
- Provides support to other services if needed.
7- 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.: surgical techniques, first aid procedures, caesarean section, hysterectomy).
- Strengthens the capacities of project staff (doctors, midwives, health center managers) in SONUB/SONUC.
- Strengthens the capacity of general practitioners to carry out emergency obstetric interventions (cesareans, hysterectomies).
- Strengthens the capacity of general practitioners to perform obstetric ultrasound.
- Plans, evaluates and supervises the training of staff (emergency and maternity teams) in order to ensure the necessary level of knowledge and improve diagnostic, triage and early detection capabilities for surgical and obstetric emergencies.
- Participates in medical meetings, including the perioperative and maternal 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
8- 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 and obstetric surgery (gynecological and obstetric emergencies including caesareans and hysterectomies)
- Knowledge of obstetric ultrasound
- 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 capitals, located in rural areas and often poorly covered in terms of medical, social and leisure services.
Formation :
Essential: Diploma in surgery, ideally general and obstetric surgery (cesarean and hysterectomy) recognized by the State
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.