Title: Referral Nurse for Maternal and Child Health (MCH)
Reports To: Coordinator of Medical Programs
Location: Ranomafana, Madagascar
Percentage Effort: Full-time
Key Words: Global health, maternal and child health, family planning, capacity building.
Start Date: Summer 2018
Expected Commitment: Minimum of 2 years.
Organizational Profile
PIVOT (www.pivotworks.org) is a global health care NGO guided by the principle that all people have intrinsic worth and deserve to live healthy and productive lives. As a social justice organization working in a setting of extreme poverty and disease, PIVOT’s core objective is to address social inequity by advancing universal access to quality healthcare, while creating a health care system that can serve as a model for the country of Madagascar. Since 2014, PIVOT has partnered with the government of Madagascar to strengthen the health system and create a model health district in Ifanadiana district, adjacent to Ranomafana National Park and 11 hours from the capital. The district has a catchment area of 200,000 people, more than 75 percent of whom live in extreme poverty.
PIVOT collaborates directly with the Madagascar Ministry of Health (MoH) to strengthen a district hospital, 21 health centers, and community health programs. The model is advanced across three major components: 1) horizontal readiness (e.g. infrastructure, supply chain, personnel), 2) vertically integrated clinical programs (e.g. maternal and child health, malnutrition, tuberculosis), and 3) data systems and research. Currently, PIVOT is a 187-person organization with 6 international staff in Madagascar, and a United States-based headquarters.
Position Overview
PIVOT provides a combination of direct patient care and health system strengthening activities at the community, health center and district hospital level. The referral nurse for maternal and child health will take on a mentoring role, supporting the implementation, ongoing improvement, and monitoring & evaluation of all activities tied to maternal and child health, as well as reproductive health.
The referral nurse will work directly with the coordinator of medical programs to expand the annual program planning for MCH and reproductive health, including the defining of priorities and activities, the outlining of clinical protocols, and active participation in educational initiatives and social programs for mother and children.
They will work directly with the medical teams of the district hospital and health centers, as well as the community, social, and reference teams of PIVOT at all three levels of intervention:
Community: PIVOT supports networks of community health workers who serve as liaisons between the rural villages and the health centers, often more than a day’s walk for our patients. Our community teams train the nationally mandated, locally selected volunteers, providing supplies and support to their relationship with the health centers. Community activities include integrated care for children under five, urgent direct patient care, screenings and referrals for tuberculosis, sensitization of the population, and tracking of family planning / reproductive health cases.
Health centers: PIVOT supports twenty-one health centers in Ifanadiana District through medication reimbursement, training, infrastructure and personnel. In severy key health centers, PIVOT staff directly support malnutrition programs, integrated care for children under five, tuberculosis care, family planning and reproductive health.
Hospital: PIVOT works with MoH partners to transform the district hospital into a dignified life-saving facility by improving the quality of staffing, equipment, facilities and training on procedures and processes. As a result of this strong collaboration, PIVOT and the district hospital have established an action plan for reproductive health and strong governance systems.
Referral system and ambulance network: One of the first of PIVOT’s clinical programs was the establishment of an ambulance referral system for the first time in Ifanadiana District. Currently, the three-ambulance system moves patients in critical need from the community to the health centers, or from the health centers to the hospital.
PIVOT’s clinical staff consists of a team of Malagasy physicians, midwives, nurses and pharmacists, as well as social workers, ambulance drivers, and a handful of expatriate clinicians. The PIVOT teams work side-by-side with Malagasy MoH health staff.
Responsibilities:
Qualifications and Competencies:
This is an excellent opportunity for a dynamic, driven and passionate individual to be part of an exciting global health organization that links access to quality health care to research in an ecologically important context.
Professional
Other
Please submit your CV and letter of interest to jobs@pivotworks.org no later than May 31, 2018. Applications will be considered and interviews scheduled on a rolling basis. Please refer to the job title in the title of your email.
For more information on PIVOT, please visit our website at www.pivotworks.org.
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