Job Description

Preliminary job information

• Job Title: HEALTH FACILITY MEDICAL DOCTOR OFFICER
• Country and Base of posting: YEMEN-MOKHA-MAWZA
• Reports hierarchically to: HEALTH FACILITY ACTIVITY MANAGER
• Management    MBC NURSE & GHO STAFF
• Contract Duration    6 Months (renewable)
• Announcing Date    08 January, 2025
• Announcement Closing Date    22 January, 2025
• Work Starting Date    ASAP

General information on the mission

PU-AMI’s Context & strategy:

Première Urgence - Aide Médicale Internationale (PU-AMI) is an international, non-profit, non-political, and non-religious humanitarian organization which aims to provide rapid global response to the basic needs of populations affected by humanitarian crises to help them regain independence and dignity. PU-AMI provides assistance to more than 6 million people throughout 24 countries, with more than 2,500 staff worldwide.
PU-AMI adopts an integrated approach, to identify and understand the full array of the needs of the people affected by crises. This innovative approach is at the core of every PU-AMI-supported projects, to better target and prioritize actions, stabilize and improve the situation of the most vulnerable groups. It allows the teams to take all aspects of a problem into account, to come up with an efficient combination of solutions, which will have a powerful and long-lasting impact on the affected populations. In this respect, the organization runs around 190 projects a year worldwide, most of which are focused on Health, Nutrition, Food Security, Water, Sanitation and Hygiene, Psychosocial Support, Education and Protection activities. 
In Yemen, PU-AMI is supporting 18 health facilities (Health Centers, Health Units and Therapeutic Feeding Centers) in four Districts in Hodeidah (Al Mighlaf, As Sukhnah, Al Mansuriyah and Al Qanawis), three Districts in Raymah (Bilad At Ta’am, Al Jabin and Mazhar) and two Districts in Taizz (Al Mokha and Mawza). PU-AMI’s operations are managed by two field offices in Hodeidah and Mokha cities, both supported by the Sana’a coordination office. PU-AMI recently established a second coordination office in Aden. 
PU-AMI is participating actively in clusters and sub-clusters (health; nutrition; food security and livelihoods; WaSH) and works closely with relevant government departments.

Overall objective

The HF Medical Officer will assist PU-AMI’s HF and GHO’s Staff in implementing emergency intervention and providing full scope of primary care services, including but not limited to, diagnosis, treatment, coordination of care, preventive care and health maintenance to all patients. Ensure and organize medical activities for patients in accordance to the context, to PU-AMI protocols and to WHO’s hygiene standards, taking into consideration quality and continuity of care and ensure supervision and training of the HF team. In addition, the HF Medical Officer is a member of PU-AMI Heath & Nutrition (H&N) team. In that capacity he/she is expected to be familiar with PU-AMI’s and the GHO/DHO’s principles, polices, goals and objectives and to work collaboratively to achieve them. He/she must be sensible of, and comply with, all Health Facilities policies and procedures, as well as patient right state and MoPHP regulations.

Tasks and Responsibilities

1.    Ensure and conduct primary health care services at the health facility level;
2.    Manage the health facility pharmacy, medical supplies and equipment;
3.    Organize, manage and train the Health Facility health and nutrition team;
4.    Set up and manage an efficient referral system;
5.    Medical data collection, monitoring, analysis and reporting.
6.    Facilitate the communication between GHO staff (OTP Nurses) and PUI Nutrition Officer;:  Report ,Request.
7.    Community Engagement and Mental Health and Psychosocial Support (MHPSS).

Specific Goals and Related Activities

1.    Ensure and conduct primary health care services at the health facility level:

• Work in close cooperation with HF staff in all HF PHC services to ensure the quality of the activities;
• Ensure and conduct the medical consultations with full history taking and clinical examination;
• Provide a diagnosis and prescribe treatment accordingly according to PU-AMI protocols and universal precautions; 
• Provide the caregivers, clients with information related to visit schedule, dates of the subsequent visits, doses required, the potential side effects of the drug, and prevention;
• Apply the Integrated Management of Childhood Illness (IMCI) protocol for CU5 consultations;
• Manage and report any suspected communicable disease case according to PU-AMI protocols and national Disease Surveillance guidelines; 
• Execute any action requested by the Health and Nut PM as part of the outbreak response plan; 
• Record clearly the health status and medical prescription (anyone should be able to read it);

2.    Manage the health facility pharmacy, medical supplies and equipment:

• Make regular monthly drugs consumption report, order and inform about needs before shortage of drugs;
• Participate in the preparation of the necessary equipment for the daily consultations;
• Contribute and monitor the HF pharmacy: availability of the relevant drugs and medical supplies;
• Contribute and monitor the quality of the disinfection and sterilization process of the material and medical equipment;
• Is in charge of new needs identification, in terms of drugs and medical equipment;
• Collaborate with HF nurse and/or drug dispenser in indicating the HF needs in medical equipment and drugs;
• Participate in the monitoring of the waste management according to PU-AMI waste management procedures

3.    Organize, manage and train the HF health and nutrition staff:

• Responsible of planning the activities of the all HF team members to cover the patients’ health needs;
• Supervise and motivate HF health team and more particularly staff carrying out medical activities;
• Follow and collaborate with all the staff in following the implemented activities correctly and scientifically;
• Organize and work in collaboration with HF nurse and other HF GHO staff;
• Participate to the organization of the HF services in collaboration with HF nurse and other HF staff;
• Check the good course of medical activities within the HF (IMCI, vaccination, CMAM, Lab, pharmacy, FP, ANC and PNC);
• Build the technical capacity of HF GHO staff following national and PU-AMI medical protocols.
• Train a multidisciplinary HF team and particularly staff carrying out medical activities (formal and informal training);
• Provide training for the staff under his/her supervision as advised by PU-AMI;
• Assist in the management and training of CHVs attached to the health facility level;
• Strengthen link between CHVs and health facility.
• Train health staff on providing basic psychosocial support and mental health first aid.

4.    Set up and management of an efficient referral system:

• Organize the internal referral process of the patient (triage, IMCI, vaccination, CMAM, FP, ANC, PNC, pharmacy);
• Manage the emergency and electives referral cases according to PU-AMI referral protocol;
• Decide the transfer of the patients to the hospital of reference, in collaboration with the Health and Nut PM and GHO/DHO; 
• Refer complicated SAM/malnourished children to SC/TFC after medical evaluations of the child and follow up; 
• Refer complicated deliveries as well as complicated pregnancies (if there is no HF OBS/GYN specialist) to tertiary HF; 
• Ensure a medical follow-up of quality and if necessary (and possible) refer to other more specialized HF.

5.    Medical data collection, monitoring, analysis and reporting;

• Collect reports from all staff members, review them, and document them;
• Compile and send the validated reports in due time to the health facility activity manager (HFAM)/Health and Nut PM;
• Ensure quality information and presentation in all reports and provided monthly back to the health Facility team;
• Participate in the development of the plan of action;
• Submit weekly and monthly health and nutrition reports of the HF services; 
• Monitor the medical activities, analyze them in the context, with a public health approach;
• Make propositions of possible evolution if necessary;
• Report immediately to HF HFAM any problem arising in the service, especially the loss/robbery/damage of medical equipment or supplies.
• Be aware of the security rules and social and political situation in the field at any time and provide feedback to Health Facility Activity Manager (HF AM).

6-   Ensure and organize the communication between Nutrition officer and OTP nurses:

• Ensure the submission of report to nutrition officer on time.
• Raise the needs of the nutrition activities to nutrition officer.
• Communicate with nutrition officer and / or SC TL on the referral of complicated SAM/malnourished children to SC/TFC after medical evaluations of the child; 
• Ensuring support for nutrition officer in Health and nutrition education is disseminates to the Target beneficiaries.

In general, the HF Medical Officer has to be flexible in performing his/her duties to ensure that beneficiaries are getting good quality services and perform other additional duties on request of the HF AM.

Team Management

Number of people to manage and their position. 

• Direct management: Health Facility MBC Nurse; GHO staff
• Directly reports to: Health Facility Activity Manager,
• Indirectly reports to: Health and Nutrition PM Mokha
• Functional links: Pharmacy Officers, Nutrition Officers, C4D supervisors, Psychologist officer

Required Profile

 Required Personal Characteristics (fitting into the team, suitability for the job and assignment)

• Able to provide training and supervision to others;
• Proven management ability and inter-personal skills 
• Team spirit;
• Capacity to organize the work and supervise the team;
• Strong commitment to support/develop capacity of PU-AMI/GHO staff;
• Ability to work on own initiative and collaboratively as part of a diverse team and manage a varied workload;
• Availability to work in rural areas;    Willing to work in challenging environment and extra-hours if and when required;
• Cross-cultural awareness, flexibility and self-control;
• Analytic thinking, information seeking and Handling;
• Capacity to work under stressful situations;
• Self-motivated, flexible and adaptable to the needs of the team and organization
• Problem solving and leadership skills;
• Initiative and proactivity;
• Good human relations and communication skills

Other

• Motivation to help people in need.
• Conflict resolution and diplomacy experience
• Good communication and diplomacy skills to manage relationship in potentially tense situations