Job Title: Nurse Midwife
Requisition ID: req3918
Employment Category: Regular
Employment Type: Full-Time
Location: Kigoma, Tanzania
The International Rescue Committee (IRC) is one of the largest humanitarian agencies in the world, providing relief, rehabilitation and post-conflict reconstruction support to victims of oppression and violent conflict. IRC has worked for over seven decades and today is involved in over 25 conflict zones in the world. IRC addresses both the immediate, life saving needs of conflict affected people in an emergency and the reconstruction needs in post conflict societies. IRC is committed to a culture of bold leadership, innovation in all aspects of our work, creative partnerships and thorough accountability to those we serve. The IRC is an international agency with offices in London, New York, and Geneva.
IRC has started implementing health programming related to primary health care, reproductive health, as well as Mental Health and Psychosocial support (MHPSS) aimed at supporting the MoH and improving access to health care for Burundian Refugees crossing the border into Tanzania. Activities are currently on health facilities (Health Centres, Health Posts, and Health Screening Sites) and support to government facilities.
The Nurse Midwife will be responsible for providing safe mother hood, quality reproductive health and well being for girls and women in Kibondo camp, within the IRC supported Clinics at Public Health care Level, but also assist in the improvement of Reproductive Health Services at community level.
- Conduct antenatal care services – Physical examination; counseling on birth plan, child-spacing, nutrition and breast feeding; IPT; LLITN distribution; administration of Tetanus toxoid, haematenics and de-worming.
- Conduct deliveries at the health facility level, while being able to detect early signs of abnormalities in both the mother and the baby and taking appropriate action.
- Perform Post natal services, Physical examination; administration of Vitamin A; counseling on child-spacing, nutrition, child health and exclusive breast feeding.
- Provide abortion care for mothers who come with threatening, spontaneous and inevitable abortions
- Counseling and provision Family Planning
- Counseling and treatment for STI screening
- Provide Clinical care for survivors of sexual assault.
- Conduct health education on family planning and reproductive health.
- Carry out Growth Monitoring services on children less than five years.
- Manage essential drugs and medical supplies efficiently.
- Manage complications, stabilize mothers and neonates and refer to higher levels of management
- Carry out any other duty that will be assigned by your supervisor or as need arises
Clinical based Tasks:
- Asses, plan, direct and evaluate total nursing care as determined by the patients age related physical psychosocial and cultural needs in accordance with established standards, policies from the ministry of Health,Tanzania
- Screening patients at the triage area and organize good patient flow according to first come first seen basis
- Observe and maintain patient confidentiality at all the time as well protection of data and information
Monitoring & Reporting:
- Collect, collate and use data accurately to generate reports.
- Assist CO staff in maintaining the registration of girls, women for medical consultation.
- Assists medical staff in weekly and monthly collection of data and compiles, shares it after careful analysis the results with the RH supervisor each month
- Health professional RN with strong midwifery background.
- 3 years experience in clinical work especially maternal and child health care.
- Ability to validate and interpret health data.
- Ability to work independently and as a collaborative team member.
- Fluency in English and Kiswahili; Knowledge of Kirundi language is an advantage
- Ability to live in a high insecurity environment.
Job Title: Consultancy for a Rapid Assessment on Mental Health & Psychosocial Support (MHPSS)
Requisition ID: req3923
Employment Category: Consultant
Employment Type: Part-Time
Location: Kasulu, Tanzania
TERMS OF REFERENCE FOR A SHORT TERM CONSULTANCY FOR A RAPID ASSESSMENT ON MENTAL HEALTH & PSYCHOSOCIAL SUPPORT (MHPSS) -TANZANIA
The International Rescue Committee responds to the world’s worst humanitarian crises and helps people to survive and rebuild their lives. Founded in 1933 at the request of Albert Einstein, the IRC offers help to people whose lives and livelihoods are shattered by conflict and disaster to survive, recover, and gain control of their future. IRC is currently working in Tanzania providing mental health and psychosocial support services as one among many other programs including education, Reproductive Heath, Women Protection & Empowerment and Child Protection in Nyarugusu, Nduta and Mtendeli refugee camps all in Kigoma region. As of 31 October 2018, Tanzania host 288,722 refugees and asylum-seekers, mainly from Burundi (203,781) and the Democratic Republic of Congo (84,320) and others (621). These Terms of Reference relate to an assessment on mental health and psychosocial support services including a component of the awareness, accessibility, addressing needs and coping mechanisms of the refugee population.
The primary goal is to identify mental health needs in the community, the availability of MHPSS services, identifying/exploring community perceptions on mental health concerns and on people with mental health concerns, the level of awareness and accessibility of/barriers to MHPSS services as well as the available community structure/mechanisms for coping. The outcome of this assessment will internally assist IRC’s MHPSS program to improve the program and as well it will help other MHPSS actors in Kigoma region and improve coordination among MHPSS WG members and other stakeholders serving the refugee population in Kigoma region.
Scope of work
The MHPSS assessment will be provided by a skilled and experienced MHPSS consultant. The candidate should have a concrete background and experience in conducting assessments.
The consultant will be responsible for adapting/updating of the assessment tools (questionnaires), methodology, training and supervision of data collectors as well as managing the process analysis, presentation of the findings and producing final report.
The candidate will ensure that all ethical considerations are taken into account from the design phase to the final stage of the assessment. The designed tool should aim to capture the following as per the objectives.
Objectives of Rapid Assessment:
- IRC will conduct a rapid assessment of mental health and psychosocial support (MHPSS) needs and services for refugee population in Kigoma region, in order to inform planning for expanded services. The specific objectives of the rapid assessment are:
- To assess the range, scope and scale of mental health issues faced by refugee population in Kigoma region including those living in camps and those in other locations including reception and identification centers.
- To map existing MHPSS services in the region and assess the capacity to meet the increased case load, scope and range of specific MHPSS support needs.
- To identify good practices and possible gaps in MHPSS service provision response to the increased case load.
- To propose a set of recommendations on how to best address existing gaps including immediate and medium/long term actions in light of the realities of the context.
The findings of the rapid assessment should include recommendations that address the following:
- How can identification and accurate assessment and referral of refugees with MHPSS needs be strengthened among protection and health actors?
- How can the capacity of existing MHPSS service providers and other actors (protection and health) be strengthened to provide MHPSS support?
- How can coordination, referral and cooperation between different MHPSS and protection/health actors be strengthened?
- What are the current positive coping mechanisms available in the community structure and how should this feed into current MHPSS programming?
Time Frame and Deliverables:
- Weeks 1 – detailed research methodology and development of assessment tools (remote)
- Weeks 2-3– field research and data collection: Site visits, interviews, FGD’s
- Weeks 4-5 – draft report and recommendations
- Weeks 6 – Final report – (maximum 25 pages); summary of findings and recommendations (maximum 3 pages).A draft final report of not more than 25 pages, excluding annexes, which should include as a minimum:
- The methodology used
- The analysis, findings and lessons learned – with clear findings for the objectives outlined in this TOR
- Clear recommendations for any identified gaps, strengths and other key issues that would lead to project adjustment or future design considerations.
- List of key informants/stakeholders interviewed
- final report refined to address comments and feedback received from the team during the validation / review workshop.
The rapid assessment methodology will include:
- Desk research/ Secondary data review of both qualitative and quantitative data
- Semi-structured key informant interviews with, MHPSS service providers, government authorities, and other stakeholders
- Site visits and observations
- Focus group discussions with and local community members.
- Detailed assessment questions and methods will be developed by the consultant in close consultation with MHPSS Senior Manager. The preliminary findings will be shared with stakeholders and recommendations will be refined based on consultative discussions.
- Methodological guidance may also be drawn from the following resource: Assessing mental health and psychosocial needs and resources – Toolkit for humanitarian settings (WHO and UNHCR`(2012)
- Focus Group Discussions of 8 to 10 facilitated by national staff in collaboration with incentive staff to 24 groups/8 per camp. This will comprise adolescents (Boys and girls), adults(F & M), the elderly (F&M) and influential people (zone leaders, religious leaders, teachers)(F&M)
- Individual respondents will be taken from the client feedback forms
- The Key informants will be from UNHCR, MSF, TRCS (members of the MHPSS/WG).
- The tools to be used for FGD will be derived from the WHO/ UNHCR assessment toolkit.
- It should thus encompass a combination of both qualitative and quantitative methods. It should also allow for wide consultation with all interested partners and stakeholders.
The preferred candidate should meet the following criteria:
- Advanced university degree in mental health field
- Previous MHPSS assessment experience
- Familiarity with the Tanzania refugee mental health context
- Excellent analytical, writing, and communication skills
- Fluency in English
Minimum criteria for submission of the proposal for the BID
- The consultant /institution should submit a technical and a financial proposal and is expected to demonstrate that it has a track record of not less than three (3) years of experience executing similar assignments
- The Technical proposal should have the following details: Understanding of the assignment and its tasks, Methodology and approach to be used, Operational plan with clear timeline, Outline of the team that will implement the work, with CVs for key personnel and clearly specified roles for each team member (if any)
- Past Performance: Applicants must prove that they have enough experience in assignments comparable with the work they are bidding for in terms of scope and complexity as specified in section 6 of this TOR and proven experience in conducting search assignments.
The IRC will provide the following at no cost to the consultant:
Travel costs (to and from their location) however no costs associated with preparing the application including proposal submission will be met by IRC
The consultant / team must comply with The IRC rules and procedures related to security and relations with the media
The consultant/ team must respect the ethics related to survey/assessment practices
The IRC team will be responsible for the safety of the consultant
Documents of reference (To be availed by IRC
Relevant project documents as deemed necessary
- The consultant will work closely with the M & E Manager (Health and fully supported by the) Senior Mental Health and Psychosocial Support Manager
- The consultant will report to the IRC’s Senior Health Coordinator.
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