Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation. MSF is therefore guided by the principles of neutrality and impartiality. These principles must apply to all MSF staff.

Title: Obstetrician Gynaecologist

Direct Reports: Project Medical Referent

Location: Liwale, Lindi

MAIN PURPOSE

Implement gynaecological and obstetric procedures, performing any other prior treatment required, during pregnancy or immediately after a woman has given birth in order to improve women’s reproductive health and to reduce pregnancy, delivery and neonatology risks. This will be done in accordance with MSF and/or Tanzanian policies, protocols and universal hygiene standards and in multidisciplinary collaboration with other medical doctors and midwife, nursing services.

ACCOUNTABILITIES

General

• Provide health care related to gynaecology and obstetrics to patients, including prevention, diagnosis and treatment.
• Ensure the implementation of MSF clinical policies, tools, guidelines and protocols related to gynaecology and obstetrics in order to minimize clinical risk and to extend best reproductive practices.
• In collaboration with other medical colleagues, carry out the collection of quantitative gynaecological data and ensure exhaustive use of management tools to improve gynaecological results and to share knowledge among other field specialists.
• Plan and supervise the HR associated processes (recruitment, training, performance evaluation, development and internal/external communication) of the gynaecological staff in order to ensure both an efficient sizing and the amount of knowledge required, to improve people’s capabilities and their active participation in influencing the targeted population using preventive practices. This will be done in close coordination with the HR department.
• Supervise the maintenance and running of gynaecological equipment and drug consumption, preparing new orders when required and ensuring its rational use as well as that pharmacy stock levels are permanently updated and available. This will be done in cooperation with the pharmacist and logistic staff and the management.

Clinical and Quality Care Improvement

• Provide specialist obstetric and gynecological care for complicated pregnancies and deliveries.
• Provide leadership in surgical obstetric care, including complex deliveries and gynecological emergencies.
• Participate in 24/7 on-call coverage for emergency obstetric care
• Implement MOH and MSF standardized clinical protocols for labor management and surgical decision-making.
• Promote appropriate use of: Partograph monitoring and assisted vaginal delivery where appropriate.
• Conduct regular C-section audits to evaluate: Indications, Outcomes, Avoidable surgeries
• Ensure adherence to: Surgical antibiotic prophylaxis and participate in quarterly rational drug prescription analysis
• Collaborate with surgical and nursing teams to improve operating theatre standards.
• Lead maternal death reviews and near-miss audits and identify avoidable factors and system gaps.
• Collaborate with Midwife Activity manager and maternity team to perform patient safety incident (PSI) analysis and ensure immediate reporting within 72 hours of incidence.
• Implement continuous (24/7) telemedicine referral coordination between district hospital, primary health facilities and tertiary care centers to support timely gynecological consultation and patient management.

Team capacity building and Mentorship

• Train and mentor for Medical officers, clinical officers and midwives
• Conduct regular bedside teaching and case discussions with medical doctors and midwives
• Provide training plans and implementation on: ALSO topics such as Shoulder Dystocia, Cord prolapse, breech delivery, vacuum assisted delivery in collaboration with Midwife Activity Manager to Medical doctors and Midwives.

Monitoring, Data, and Reporting

• Maintain accurate maternity and surgical records.
• Monitor key indicators such as: Maternal mortality ratio, C-section rate and Post-operative infection rate.
• Ensure your team members document accurately pre operative checklist and surgical site infection surveillance forms for every surgical case.
• Facilitate medical doctors, nurses and midwives develop a culture of complete and accurate patient file documentations.

Minimum Educational Qualification: Master’s degree in Gynecology from recognized university, essential as a Gynecology Specialist

Experience:

• Essential at least 3-year certified work experience in Gynecology and Obstetrics
• Desirable previous experience with MSF or other NGOs in developing countries

Knowledge: Essential computer literacy (WORD, EXCEL)

Languages: Essential English and Swahili

Women, people living with a disability or any person feeling like being part of a minority is encouraged to apply. MSF is dedicated to fostering a safe work environment with zero tolerance for any form of abuse.

• Provide health care related to gynaecology and obstetrics to patients, including prevention, diagnosis and treatment.
• Ensure the implementation of MSF clinical policies, tools, guidelines and protocols related to gynaecology and obstetrics in order to minimize clinical risk and to extend best reproductive practices.
• In collaboration with other medical colleagues, carry out the collection of quantitative gynaecological data and ensure exhaustive use of management tools to improve gynaecological results and to share knowledge among other field specialists.
• Plan and supervise the HR associated processes (recruitment, training, performance evaluation, development and internal/external communication) of the gynaecological staff in order to ensure both an efficient sizing and the amount of knowledge required, to improve people’s capabilities and their active participation in influencing the targeted population using preventive practices. This will be done in close coordination with the HR department.
• Supervise the maintenance and running of gynaecological equipment and drug consumption, preparing new orders when required and ensuring its rational use as well as that pharmacy stock levels are permanently updated and available. This will be done in cooperation with the pharmacist and logistic staff and the management.
• Provide specialist obstetric and gynecological care for complicated pregnancies and deliveries.
• Provide leadership in surgical obstetric care, including complex deliveries and gynecological emergencies.
• Participate in 24/7 on-call coverage for emergency obstetric care
• Implement MOH and MSF standardized clinical protocols for labor management and surgical decision-making.
• Promote appropriate use of: Partograph monitoring and assisted vaginal delivery where appropriate.
• Conduct regular C-section audits to evaluate: Indications, Outcomes, Avoidable surgeries
• Ensure adherence to: Surgical antibiotic prophylaxis and participate in quarterly rational drug prescription analysis
• Collaborate with surgical and nursing teams to improve operating theatre standards.
• Lead maternal death reviews and near-miss audits and identify avoidable factors and system gaps.
• Collaborate with Midwife Activity manager and maternity team to perform patient safety incident (PSI) analysis and ensure immediate reporting within 72 hours of incidence.
• Implement continuous (24/7) telemedicine referral coordination between district hospital, primary health facilities and tertiary care centers to support timely gynecological consultation and patient management.
• Train and mentor for Medical officers, clinical officers and midwives
• Conduct regular bedside teaching and case discussions with medical doctors and midwives
• Provide training plans and implementation on: ALSO topics such as Shoulder Dystocia, Cord prolapse, breech delivery, vacuum assisted delivery in collaboration with Midwife Activity Manager to Medical doctors and Midwives.
• Maintain accurate maternity and surgical records.
• Monitor key indicators such as: Maternal mortality ratio, C-section rate and Post-operative infection rate.
• Ensure your team members document accurately pre operative checklist and surgical site infection surveillance forms for every surgical case.
• Facilitate medical doctors, nurses and midwives develop a culture of complete and accurate patient file documentations.

• Computer literacy (WORD, EXCEL)

• Master’s degree in Gynecology from recognized university, essential as a Gynecology Specialist
• At least 3-year certified work experience in Gynecology and Obstetrics
• Essential English and Swahili languages