Job pack: Gynaecologist and Obstetrician Country Ethiopia Employer Negist Elleni Mohammed Memorial Hospital(NEMMH) SNNPRS RHB Duration One Year Job purpose The overall placement objective is to contribute to the maternal and child health program by strengthening the labor and delivery wards of NEMM hospital (through giving clinical and capacity building services); and providing relevant input to the Regional health Bureau and Federal Ministry of Health as appropriate. Contents: 1. Job Description... 2 2. Personal considerations... 5 3. Background and contextual information... 6 Page 1
1. Job Description Responsibilities Key Performance Indicators Competencies Skills and Knowledge The volunteer is expected to oversee patient care in clinical areas through supervising junior staff. He/she is also expected to play a role in clinical activities and in mentoring junior staff and health officers as well as in internal examination assessment. Most skills transfer is expected to take place while working as a doctor alongside colleague doctors, midwives and nurses. You will be working in a clinical role as a doctor in the wards. However, the ultimate objective is not service delivery, but rather creating a better service for pregnant women, providing on-the-job training and introducing more effective protocols and procedures. He/she is expected to play a vital role in the following areas: Diagnoses and treat Obs & Gyna patients Support emergency obstetric care service provision Coach, mentor and train relevant staff in the department of gynaecology and obstetrics to ensure skill transfer and share knowledge. Mentor students at practical training and relevant staff in the department to ensure skill transfer Train local staff in provision of comprehensive emergency obstetric care Support the facilities in setting up of Programmed/scheduled Mentorship and coaching service given to the Medical students(attached to the hospital ) and hospital clinical staff working in the Gy/Ob ward and ensure that they improve in their skills and knowledge to give quality care and improved service Training on B/CEmONC is provided to relevant staff and followed up for improvement in the care and service by the staff trained consequently Relevant and required clinical guidelines, protocols, procedures, systems, etc. are adapted/developed and used or ensure that they are properly practiced if already exist Trainees to and in-service midwives to demonstrate ability managing a safe and clean delivery and post-delivery environment for labouring mothers. Qualitative and simple protocols developed are in use and demonstrable by the trainee. Building and Sustaining working relationships The social skills to build and actively maintain working relationships that foster teamwork and collaboration with others for the benefit of a common goal. Open Minded and Respectful A non-judgemental approach that values other people and culture. Seeking and Sharing Knowledge Recognition that learning is a twoway and continuous process. Facilitating Positive Change The ability to analyse problems and develop lasting solutions in line with VSO approaches. Adaptability A flexible approach and the ability to adapt behaviour to different situations. Resilience The self-confidence to work with a variety of situations, diverse people and ambiguity. Essential Doctor of Medicine (MD) with specialty in GYN/OBY. Either a gynecologist or a Doctor in Tropical Medicine with specialization in Obs & Gyna. - Certificate of Specialty or equivalent post graduate clinical training in Gynecology and Obstetrics. If it is from the Royal college then the candidate should be above STV5 level of training. Desirable -Work experience as GYN/OBY in Africa. Essential A minimum of two years experience as Gynecologist and Obstetrician at a hospital level. Desirable Prior experience in clinical teaching and working in hospital settings Page 2
Responsibilities Key Performance Indicators Competencies Skills and Knowledge key maternal health interventions including maternity waiting homes and introduction of magnesium sulphate. Support the development of standards and procedures for handling pregnant women in maternity waiting homes Assess the situation, and provide technical support that improves the service at GYN/OBY department Monitor and mentor in-service staff on Proper Infection control chain in maternity and labor ward. Develop Emergency protocols for Proper handling of Maternal Emergencies. Assess Gynecological elective cases for surgical intervention and advise accordingly or carry out surgical support whenever it necessitates. Develop performance indicators for Inservice staff and trainees to guide qualitative service delivery in place of placement. Provide supportive supervision, monitor and evaluate the operation of the new MWH of the hospital in Butajira (located 95 km from Hosanna) on a regular basis and document impact. Objectives will be confirmed in a three way discussion between the volunteer, employer and VSO in the first three months of the placement. Due to the nature of our volunteer placements, it is possible that the responsibilities of this role may differ in reality and therefore the postholder will Page 3
Responsibilities Key Performance Indicators Competencies Skills and Knowledge need to be prepared to be flexible and adapt to their environment as necessary. Responsible to: Page 4
2. Personal considerations In addition to the job description, the following information should be used when considering whether a placement is suitable for you. Personal health considerations If you have a significant current or past medical condition and/or you have general concerns about staying healthy as a volunteer, please use this information to assess whether this placement will be suitable for you. All volunteers require medical clearance from a VSO medical adviser before they are able to take up a placement with VSO. Occasionally, VSO may consider that this placement is too great a risk for you in terms of your personal health and you would be advised to consider a different placement. For further guidance about medical assessment and volunteering with a medical condition please see the frequently asked questions on VSO website. Access to medical care and support The standard and quality of local medical care and support available at this placement will depend on its location within the country. Health facilities are likely to be more poorly resourced in rural areas in terms of medical expertise, equipment, infrastructure and regular supplies of medication. However, this may not be the case in the capital city or in a larger town, where in some countries there may be a reasonable standard of medical care. The following gives you an indication of where the placement is in relation to the country office and how easy it would be to make the journey if you were ill. Hosanna, where the hospital is located is 230 km south of Addis Ababa and about 160 km southwest of the Southern Nations Nationalities and Peoples Regional (SNNPR) State capital of Hawasa. Hawassa, the capital city of SNNPR is one of the rapidly growing city and known as a recreational area. Hosanna is a big town with basic infrastructure and is very green. The area and people were friendly and attractive to live. In terms of access to medical facilities the volunteer could have better options. One is that there is a referral and University teaching hospital in Hawassa which is fairly equipped and staffed. There are also other private hospitals and laboratories in Hawassa. On other hand Sodo Christian hospital which consists of foreign specialists is located some 90 km South East of Hosanna and is one of the health facilities providing quality services. For issues and cases require further consultation and treatment VSO has contract arrangements with some private hospitals and a consultant in Addis Ababa. Accordingly, there are selected Hospitals to give service to staff and volunteers which are located in the Addis Ababa city. They are 5-15 minutes drive from the program Office. The Korea Hospital and Hayat are the two best equipped local hospitals and can provide comprehensive medical services. In Addis there are additional well equipped private hospitals that give service 24 hours. For general / minor health concerns VSO have a contract with Dr Melaku Ferede, a general internal medicine specialist with a clinic 10 minutes drive from the Programme Office. He has long experience of treating expatriates and can provide basic laboratory services in-house. Address: Silasse Higher Clinic PO Box 32919 Addis Ababa Tel.:- Mobile 0911 214 874 cell phone (24hrs), 0116 461 286 (home), 0111 242 020 and 0111 240 888 (office) Page 5
This placement is: in a big town 230 kms from the capital 4 hours to travel on asphalt road. There is no flight to this placement If you wish to discuss your personal circumstances or health concerns in confidence with VSO s medical team before you apply for this placement please contact medical@vsoint.org. Accompanying partner or family: If you have a partner or children who are planning to accompany you to your placement, please use this section to assess whether this placement will be suitable for you. This placement does not have any restriction for accompanying partners. But for children who are school age all schools available in the placement area are local. One cannot get international schools. Motorcycle requirements Motorbike riding essential Yes/No Line taxis: hail-and-ride minibuses/taxis running prescribed routes around the city Security information There are no security concerns in Hosanna. The area is safe and calm. The people are cooperative and friendly. The area is stable over the last decades and no particular case of security concern in the area. 3. Background and contextual information Ethiopia is one of the countries in the world with high number of child and maternal mortality rate. As Ethiopia s 2009 demographic and health survey showed 25,000 women died every year giving birth, and 400,000 more suffer long-term disabilities due to complications during pregnancy, delivery or postpartum period while 300,000 babies died annually across the country. Recognizing the problem, the Government of Ethiopia has been working aggressively to improve the situation in collaboration with all concerned and meet the MDGs 4 and 5. However, the progress registered so far is not to the required level. The annual performance report of HSDP III (2008/9) also concluded that maternal health coverage is still low in the country, and the national targets set for the year were not achieved (80.5% for ANC coverage and 37.1% for proportion of deliveries with skilled health attendants). The report generally revealed that Maternal mortality is still unacceptably high in the country. The Southern Nations Nationalities and Peoples Regional State (SNNPR) is the third largest administrative region of Ethiopia and represents about 20% of the country s population. With a population of just over 15 million people (2007 census), it is the most diverse region in the country in terms of language, culture and ethnic background. Page 6
The major problems for high maternal and child mortality rate are inadequacy of staff/skilled human power and poor quality services for B/CEmONC (Basic/ Comprehensive Emergency Obstetric and Newborn Care). Recognizing the problem, VSO Ethiopia has developed a five years program area plan with a focus of improving child and maternal health by bridging the shortage of skilled human power. To this end, VSO Ethiopia has identified teaching hospitals as strategic partners to support the realization of national targets in area of maternal and child health. This placement will therefore contribute to the Program Area Plan objectives no. 2 of VSO improving child and maternal health. Moreover, it will contribute to the regional HSDP and the MDGs 4 and 5. This placement is aimed at carrying out tailored capacity building activities primarily focusing on building capacity of junior doctors and other health officers in the hospital and other health facilities in the area. Hadiya zone is one of the zones in SNNPR which is found 7 0c 3 19-7oc 56 13 east longitude line. Hadiya zone neighbors with Halaba special wereda and Oromia region in South East, Silte zone in north east, Yem special wereda and Oromia region in South west; Kamabatta Tambaro zone in South West, Wolayta zone in South and Gurageh zone in North. Administratively Hadiya zone is divided in to 10 weredas and 1 town administration. It has 305 Rural and 23 urban kebeles. Total population of Hadiya zone is 1,609,788, of which 788,635(49%) were male and 821, 152 (51%) were females. Population density of Hadiya zone is 415 people/sq.km which is one of the most densely populated areas of the country. Total area of the zone is 4109 sq.km out of this 69% cultivated land and the rest is forest grassland. NEMM Hospital is situated 230 km south of the capital Addis Ababa, Ethiopia, and 95 km to the west of Butajira town in the Rift Valley. It is located in the Hadiya Zone of the SNNPR, the Southern Nations, Nationalities, and Peoples' Region, one of the nine ethnic divisions of Ethiopia. With 250 beds, the hospital provides clinical services for Hadiya zone and its surrounding communities, serving approximately more than 2,000,000 people. NEMMH is a general hospital serving the total population of more than 2.5 million including the catchments areas outside Hadiya Zone. Surrounding zones like Kambatta and Tambaro, Silte and Gurghe zones are also beneficiaries of the hospital. Further information on VSO s work in each of the countries we work in can be found on the VSO website. Page 7