Midwife - Night Shift (Re Announced)

Medair is an international humanitarian organization established in 1988. Medair has been operating in Afghanistan since 1996 with programs mainly in the Health, Water & Sanitation, and Livelihoods sectors with significant reconstruction activities in remote areas. Current projects are Water & Sanitation, Food Security, & Disaster Risk Reduction.

Medair is an international humanitarian organization established in 1988. Medair has been operating in Afghanistan since 1996 with programs mainly in the Health, Water & Sanitation, and Livelihoods sectors with significant reconstruction activities in remote areas. Current projects are Water & Sanitation, Food Security, & Disaster Risk Reduction.

An Integrated Emergency Response: Medair aims to respond to high levels of food insecurity, malnutrition, and morbidity in Tirinkot district.  The project intends to improve and extend WASH services including water supply infrastructure and hygiene practices to improve outcomes for vulnerable families.

An Integrated Emergency Response: Medair aims to respond to high levels of food insecurity, malnutrition, and morbidity in Tirinkot district.  The project intends to improve and extend WASH services including water supply infrastructure and hygiene practices to improve outcomes for vulnerable families.

An Integrated Emergency Response: Medair aims to respond to high levels of food insecurity, malnutrition, and morbidity in Uruzgan, which has been significantly affected by drought and conflict conditions. Building upon Medair’s decades of experience in the Central Highlands and Kandahar, the project intends to improve and extend the utilization of lifesaving preventive and curative nutrition and health services by mothers, PLWs, and children U5; to increase access to clean water, to reduce vulnerability to water-related and other preventable diseases, and to improve and increase food security for the most vulnerable families through food voucher distributions.

An Integrated Emergency Response:  An Integrated Emergency Response:  Medair aims to respond to high levels of food insecurity, malnutrition, and morbidity in Uruzgan, which has been significantly affected by drought and conflict conditions. Building upon Medair’s decades of experience in the Central Highlands and Kandahar, the project intends to improve and extend the utilization of lifesaving preventive and curative nutrition and health services by mothers, PLWs, and children U5; to increase access to clean water, to reduce vulnerability to water-related and other preventable diseases, and to improve and increase food security for the most vulnerable families through food voucher distributions.

Overall purpose

Overall purpose Overall purpose

To provide safe and quality maternal and newborn care during night hours, ensuring timely management of deliveries, obstetric emergencies, and adherence to ENC (Essential Newborn Care) and national clinical guidelines.

To provide safe and quality maternal and newborn care during night hours, ensuring timely management of deliveries, obstetric emergencies, and adherence to ENC (Essential Newborn Care) and national clinical guidelines.

RESPONSIBILITIES

RESPONSIBILITIES RESPONSIBILITIES

Technical:

Technical: Technical:

ANC Services for Pregnant Women:

ANC Services for Pregnant Women: ANC Services for Pregnant Women:

• Registration of all women attending for Antenatal Care Services.
• Perform history taking, general physical and obstetrical antenatal examinations of pregnant and women and provide diagnosis and appropriate treatment according to National protocols and guidelines.
• Identify patient care requirements for patients and ensure their needs are met.
• Perform investigations as available and refer for further investigations in the nearby health facility.
• Assess for potential complications, high risk patients and refer pregnant women as needed.
• Provide MIYCN through ANC and PNC in coordination with nutrition staff.
• Provide routine ANC medications.
• Check for routine ANC vaccinations (Tetanus Toxoid) and refer clients for immunization to existing EPI health facilities for EPI services as per National guidelines.
• Record all the necessary information on the existing reporting tools (registration book and card for each client) etc.
• Inform Clients for follow up visits.

Registration of all women attending for Antenatal Care Services.

Registration of all women attending for Antenatal Care Services.

Perform history taking, general physical and obstetrical antenatal examinations of pregnant and women and provide diagnosis and appropriate treatment according to National protocols and guidelines.

Perform history taking, general physical and obstetrical antenatal examinations of pregnant and women and provide diagnosis and appropriate treatment according to National protocols and guidelines.

Identify patient care requirements for patients and ensure their needs are met.

Identify patient care requirements for patients and ensure their needs are met.

Perform investigations as available and refer for further investigations in the nearby health facility.

Perform investigations as available and refer for further investigations in the nearby health facility.

Assess for potential complications, high risk patients and refer pregnant women as needed.

Assess for potential complications, high risk patients and refer pregnant women as needed.

Provide MIYCN through ANC and PNC in coordination with nutrition staff.

Provide MIYCN through ANC and PNC in coordination with nutrition staff.

Provide routine ANC medications.

Provide routine ANC medications.

Check for routine ANC vaccinations (Tetanus Toxoid) and refer clients for immunization to existing EPI health facilities for EPI services as per National guidelines.

Check for routine ANC vaccinations (Tetanus Toxoid) and refer clients for immunization to existing EPI health facilities for EPI services as per National guidelines.

Record all the necessary information on the existing reporting tools (registration book and card for each client) etc.

Record all the necessary information on the existing reporting tools (registration book and card for each client) etc.

Inform Clients for follow up visits.

Inform Clients for follow up visits.

Clinical Care

Clinical Care Clinical Care

• Conduct safe and respectful deliveries during night shift.
• Provide immediate newborn care according to ENC protocols.
• Identify and manage obstetric emergencies; refer complicated cases promptly.
• Provide counseling to mothers on breastfeeding, hygiene, and family planning.

Conduct safe and respectful deliveries during night shift.

Conduct safe and respectful deliveries during night shift.

Provide immediate newborn care according to ENC protocols.

Provide immediate newborn care according to ENC protocols.

Identify and manage obstetric emergencies; refer complicated cases promptly.

Identify and manage obstetric emergencies; refer complicated cases promptly.

Provide counseling to mothers on breastfeeding, hygiene, and family planning.

Provide counseling to mothers on breastfeeding, hygiene, and family planning.

Documentation & Reporting

Documentation & Reporting Documentation & Reporting

• Record all deliveries, complications, and outcomes in delivery registers.
• Fill full all relavent documents on time without any error.
• Submit accurate night shift reports to the supervisor each morning.
• Ensure confidentiality and proper documentation of patient records.

Record all deliveries, complications, and outcomes in delivery registers.

Record all deliveries, complications, and outcomes in delivery registers.

Fill full all relavent documents on time without any error.

Fill full all relavent documents on time without any error.

Submit accurate night shift reports to the supervisor each morning.

Submit accurate night shift reports to the supervisor each morning.

Ensure confidentiality and proper documentation of patient records.

Ensure confidentiality and proper documentation of patient records.

Facility Standards & Coordination

Facility Standards & Coordination Facility Standards & Coordination

• Ensure delivery kits and sets are sterilized and available during night shift.
• Maintain infection prevention and control (IPC) standards in the HF.
• Coordinate with pharmacists regarding essential drugs and supplies.
• Support cleaners in maintaining hygiene and sanitation in delivery rooms.

Ensure delivery kits and sets are sterilized and available during night shift.

Ensure delivery kits and sets are sterilized and available during night shift.

Maintain infection prevention and control (IPC) standards in the HF.

Maintain infection prevention and control (IPC) standards in the HF.

Coordinate with pharmacists regarding essential drugs and supplies.

Coordinate with pharmacists regarding essential drugs and supplies.

Support cleaners in maintaining hygiene and sanitation in delivery rooms.

Support cleaners in maintaining hygiene and sanitation in delivery rooms.

Competency

Competency Competency

• Ability to work independently during night hours.
• Strong decision-making skills in emergencies.
• Team-oriented with supportive supervision skills.
• Commitment to patient safety and confidentiality.

Ability to work independently during night hours.

Ability to work independently during night hours.

Strong decision-making skills in emergencies.

Strong decision-making skills in emergencies.

Team-oriented with supportive supervision skills.

Team-oriented with supportive supervision skills.

Commitment to patient safety and confidentiality.

Commitment to patient safety and confidentiality.

PNC Services include:

PNC Services include: PNC Services include:

• Provision of information to Mothers on routine postnatal visits.
• Perform physical examination including of measurement of blood pressure, testing of urine for bacteriuria and proteinuria, blood tests to detect syphilis and severe anaemia and routine weight and height measurement at each visit and perform growth monitoring and promotion for newborn/U5 children.
• Identification and manage complications of mothers and newborns during postnatal period and refer as needed.
• Provide health education on essential newborn care practice, including cord care, breast feeding, and thermoregulation, eye care and immunisation, recognition of danger signs, close monitoring of low-birth-weight infants.
• Promotion of exclusive breastfeeding for first 6 months, personal hygiene.
• Education about nutritional supplements, Postnatal vitamin A and iron supplementation for mothers, immunization of newborns and family planning counselling and services for both mother and father.
• Record all the necessary information on the existing reporting tools (registration book and cards for each client etc.)

Provision of information to Mothers on routine postnatal visits.

Provision of information to Mothers on routine postnatal visits.

Perform physical examination including of measurement of blood pressure, testing of urine for bacteriuria and proteinuria, blood tests to detect syphilis and severe anaemia and routine weight and height measurement at each visit and perform growth monitoring and promotion for newborn/U5 children.

Perform physical examination including of measurement of blood pressure, testing of urine for bacteriuria and proteinuria, blood tests to detect syphilis and severe anaemia and routine weight and height measurement at each visit and perform growth monitoring and promotion for newborn/U5 children.

Identification and manage complications of mothers and newborns during postnatal period and refer as needed.

Identification and manage complications of mothers and newborns during postnatal period and refer as needed.

Provide health education on essential newborn care practice, including cord care, breast feeding, and thermoregulation, eye care and immunisation, recognition of danger signs, close monitoring of low-birth-weight infants.

Provide health education on essential newborn care practice, including cord care, breast feeding, and thermoregulation, eye care and immunisation, recognition of danger signs, close monitoring of low-birth-weight infants.

Promotion of exclusive breastfeeding for first 6 months, personal hygiene.

Promotion of exclusive breastfeeding for first 6 months, personal hygiene.

Education about nutritional supplements, Postnatal vitamin A and iron supplementation for mothers, immunization of newborns and family planning counselling and services for both mother and father.

Education about nutritional supplements, Postnatal vitamin A and iron supplementation for mothers, immunization of newborns and family planning counselling and services for both mother and father.

Record all the necessary information on the existing reporting tools (registration book and cards for each client etc.)

Record all the necessary information on the existing reporting tools (registration book and cards for each client etc.)

Post Natal Family Planning:

Post Natal Family Planning: Post Natal Family Planning:

• Provide Family planning (FP) counselling and the available services at the site (both mother and father.)
• Provide preconception counselling and preventive screening and family planning options.
• Provide FP commodities e.g., birth control methods, devices, and supplies such as birth control pills, injectables, condoms, diaphragms, and IUDs.
• Record all the necessary information on the existing reporting tools (registration book and FP cards.)

Provide Family planning (FP) counselling and the available services at the site (both mother and father.)

Provide Family planning (FP) counselling and the available services at the site (both mother and father.)

Provide preconception counselling and preventive screening and family planning options.

Provide preconception counselling and preventive screening and family planning options.

Provide FP commodities e.g., birth control methods, devices, and supplies such as birth control pills, injectables, condoms, diaphragms, and IUDs.

Provide FP commodities e.g., birth control methods, devices, and supplies such as birth control pills, injectables, condoms, diaphragms, and IUDs.

Record all the necessary information on the existing reporting tools (registration book and FP cards.)

Record all the necessary information on the existing reporting tools (registration book and FP cards.)

Quality Management

Quality Management Quality Management

• Ensure adherence to the provided internal and external protocols and guidelines.
• Ensure accurate record keeping of all health-related activities, filling in forms, cards, registration books and records keeping.
• Compile daily and weekly reports as required and requested by Health Manager.
• Conduct on the Job training to Health Assistant and NEWs based on need.

Ensure adherence to the provided internal and external protocols and guidelines.

Ensure adherence to the provided internal and external protocols and guidelines.

Ensure accurate record keeping of all health-related activities, filling in forms, cards, registration books and records keeping.

Ensure accurate record keeping of all health-related activities, filling in forms, cards, registration books and records keeping.

Compile daily and weekly reports as required and requested by Health Manager.

Compile daily and weekly reports as required and requested by Health Manager.

Conduct on the Job training to Health Assistant and NEWs based on need.

Conduct on the Job training to Health Assistant and NEWs based on need.

Logistics

Logistics Logistics

• Ensure safe storage of all supplies, medicines and medical material and equipment.
• Ensure accurate record keeping of stock movements.
• Prepare timely stock requests and submit to logs with oversight of Nutrition Supervisor and/or Health Manager.

Ensure safe storage of all supplies, medicines and medical material and equipment.

Ensure safe storage of all supplies, medicines and medical material and equipment.

Ensure accurate record keeping of stock movements.

Ensure accurate record keeping of stock movements.

Prepare timely stock requests and submit to logs with oversight of Nutrition Supervisor and/or Health Manager.

Prepare timely stock requests and submit to logs with oversight of Nutrition Supervisor and/or Health Manager.

MAIN ACTIVITIES

MAIN ACTIVITIES MAIN ACTIVITIES

• Deliver ANC, PNC, FP, safe delivery planning and referral for obstetric emergencies.
• Promote internal depatment referral.
• Provide night shift delivery services, ensuring safe maternal and newborn care during evening and overnight hours.
• Facilitate the referral for complicated patients with official document for advance treatment to higher health centers. 
• Record all necessary information in the existing reporting tools (registration book, vaccination cards of service beneficiary etc.)
• Provide health and nutrition education on breastfeeding (EBF), complementary feeding, and hygiene, care of pregnant and lactating women to prevent illness.
• Update all reporting tools on daily basis.
• Keep and maintain a good filing system for all documents.
• Prepare the reports (Daily, Weekly, and monthly) according to the standard reporting tools.
• Assist line supervisor to perform other duties assigned by the organization.
• Ensure safe storage and handling of medicines and equipment.
• Perform any other duties not listed in the JD but requested by line manager or team leader.

Deliver ANC, PNC, FP, safe delivery planning and referral for obstetric emergencies.

Deliver ANC, PNC, FP, safe delivery planning and referral for obstetric emergencies.

Promote internal depatment referral.

Promote internal depatment referral.

Provide night shift delivery services, ensuring safe maternal and newborn care during evening and overnight hours.

Provide night shift delivery services night shift delivery services , ensuring safe maternal and newborn care during evening and overnight hours.

Facilitate the referral for complicated patients with official document for advance treatment to higher health centers. 

Facilitate the referral for complicated patients with official document for advance treatment to higher health centers. 

Record all necessary information in the existing reporting tools (registration book, vaccination cards of service beneficiary etc.)

Record all necessary information in the existing reporting tools (registration book, vaccination cards of service beneficiary etc.)

Provide health and nutrition education on breastfeeding (EBF), complementary feeding, and hygiene, care of pregnant and lactating women to prevent illness.

Provide health and nutrition education on breastfeeding (EBF), complementary feeding, and hygiene, care of pregnant and lactating women to prevent illness.

Update all reporting tools on daily basis.

Update all reporting tools on daily basis.

Keep and maintain a good filing system for all documents.

Keep and maintain a good filing system for all documents.

Prepare the reports (Daily, Weekly, and monthly) according to the standard reporting tools.

Prepare the reports (Daily, Weekly, and monthly) according to the standard reporting tools.

Assist line supervisor to perform other duties assigned by the organization.

Assist line supervisor to perform other duties assigned by the organization.

Ensure safe storage and handling of medicines and equipment.

Ensure safe storage and handling of medicines and equipment.

Perform any other duties not listed in the JD but requested by line manager or team leader.

Perform any other duties not listed in the JD but requested by line manager or team leader.

Education: Minimum 2 Years Diploma in Midwifery, bachelor’s or master’s Degree preferred.

Education: Education: Minimum 2 Years Diploma in Midwifery, bachelor’s or master’s Degree preferred.

Relevant experience:

Relevant experience: Relevant experience:

• Minimum 3 years of experience in Midwifery required.
• BEmONC/CEmONC training and experience or equivalent.
• RMNCH training.
• Family Planning training and counselling experiences.
• Previous experiences working in midwifery programs.
• Good organization, planning and skills are necessary.
• Experience in working in the remote areas with mobile team setup.
• Knowledge of intervention area is a plus.
• Ability to manage working environment according to local culture.
• Develops and promotes effective collaboration within and across units to achieve shared goals and optimize results.
• High flexibility in deployment, possible with Mahram

Minimum 3 years of experience in Midwifery required.

Minimum 3 years of experience in Midwifery required.

BEmONC/CEmONC training and experience or equivalent.

BEmONC/CEmONC training and experience or equivalent.

RMNCH training.

RMNCH training.

Family Planning training and counselling experiences.

Family Planning training and counselling experiences.

Previous experiences working in midwifery programs.

Previous experiences working in midwifery programs.

Good organization, planning and skills are necessary.

Good organization, planning and skills are necessary.

Experience in working in the remote areas with mobile team setup.

Experience in working in the remote areas with mobile team setup.

Knowledge of intervention area is a plus.

Knowledge of intervention area is a plus.

Ability to manage working environment according to local culture.

Ability to manage working environment according to local culture.

Develops and promotes effective collaboration within and across units to achieve shared goals and optimize results.

Develops and promotes effective collaboration within and across units to achieve shared goals and optimize results.

High flexibility in deployment, possible with Mahram

High flexibility in deployment, possible with Mahram

Languages: Good Pashto - oral and written skills and good English - oral and written skills is required.

Languages:  Languages:  Good Pashto - oral and written skills and good English - oral and written skills is required.

Computer: Working knowledge in MS word and excel is required.

Computer: Computer: Working knowledge in MS word and excel is required.

Other skills:

Other skills: Other skills:

• Ability to work in a team and coordinate tasks and responsibilities.
• Ability to organize people in an orderly way and prioritize tasks.
• Good listening and counselling skills, patient, and kind attitude.
• Highly motivated to provide high quality services to beneficiaries of poor communities in a challenging setting.
• Good problem-solving skills with a solution-oriented attitude.
• Flexible and willing to perform other tasks as required.
• Respectful and kind with other staff, beneficiaries, and communities.
• Honest in dealing with beneficiaries and Medair staff.

Ability to work in a team and coordinate tasks and responsibilities.

Ability to work in a team and coordinate tasks and responsibilities.

Ability to organize people in an orderly way and prioritize tasks.

Ability to organize people in an orderly way and prioritize tasks.

Good listening and counselling skills, patient, and kind attitude.

Good listening and counselling skills, patient, and kind attitude.

Highly motivated to provide high quality services to beneficiaries of poor communities in a challenging setting.

Highly motivated to provide high quality services to beneficiaries of poor communities in a challenging setting.

Good problem-solving skills with a solution-oriented attitude.

Good problem-solving skills with a solution-oriented attitude.

Flexible and willing to perform other tasks as required.

Flexible and willing to perform other tasks as required.

Respectful and kind with other staff, beneficiaries, and communities.

Respectful and kind with other staff, beneficiaries, and communities.

Honest in dealing with beneficiaries and Medair staff.

Honest in dealing with beneficiaries and Medair staff.

Interested applicants should apply and forward their applications through the online JOB APPLICATION FORM which can be found under the submission email. The link should be copied, pasted, and opened on a new page.

Interested applicants should apply and forward their applications through the online  JOB APPLICATION FORM JOB APPLICATION FORM which can be found under the submission email. The link should be copied, pasted, and opened on a new page.

Note: Please indicate the position title and vacancy number in your application letter. Applications received after the closing date or without the exact position title and vacancy number will not be given consideration. After submitting the online application, if some applicants do not immediately receive an automatic email from Medair, they shouldn't worry about their submission. When you open the link. please use the dropdown menu and choose the title of the position.

Note: Please indicate the position title and vacancy number in your application letter. Applications received after the closing date or without the exact position title and vacancy number will not be given consideration. After submitting the online application, if some applicants do not immediately receive an automatic email from Medair, they shouldn't worry about their submission. When you open the link. please use the dropdown menu and choose the title of the position. Note: Please indicate the position title and vacancy number in your application letter. Applications received after the closing date or without the exact position title and vacancy number will not be given consideration. After submitting the online application, if some applicants do not immediately receive an automatic email from Medair, they shouldn't worry about their submission. When you open the link. please use the dropdown menu and choose the title of the position. Note: Please indicate the position title and vacancy number in your application letter. Applications received after the closing date or without the exact position title and vacancy number will not be given consideration. After submitting the online application, if some applicants do not immediately receive an automatic email from Medair, they shouldn't worry about their submission. When you open the link. please use the dropdown menu and choose the title of the position. Note: Please indicate the position title and vacancy number in your application letter. Applications received after the closing date or without the exact position title and vacancy number will not be given consideration. After submitting the online application, if some applicants do not immediately receive an automatic email from Medair, they shouldn't worry about their submission. When you open the link. please use the dropdown menu and choose the title of the position.

Note2: The position will be based in Gizab district, The post holder is expected to be available, willing, and autonomous to travel and stay within the project area (this is for 24 hours service delivery in Gizab District).

Note2: Note2: Note2: Note2: The position will be based in Gizab district, The post holder is expected to be available, willing, and autonomous to travel and stay within the project area (this is for 24 hours service delivery in Gizab District). The position will be based in Gizab district, The post holder is expected to be available, willing, and autonomous to travel and stay within the project area The position will be based in Gizab district, The post holder is expected to be available, willing, and autonomous to travel and stay within the project area The position will be based in Gizab district, The post holder is expected to be available, willing, and autonomous to travel and stay within the project area (this is for 24 hours service delivery in Gizab District). (this is for 24 hours service delivery in Gizab District). (this is for 24 hours service delivery in Gizab District).