ALIMA in CHAD
L’history of ALIMA programs in CHAD : Chad faces a complicated security situation in view of the regular incursions of’ex Boko-Haram (current Islamic State in West Africa’). ALIMA began its activities in Chad in 2012 in partnership with the Chadian medical NGO Health Alert. In 2012, the project in the N’Gouri health district in the Lake health region was implemented with support from ECHO, UNICEF and WFP. This project S’ continued during 2013 and 2014 during which the focus was on improving the quality of care, including, a major challenge in Chad is given the difficulties in mobilizing qualified medical skills. In 2015, 6,500 SAM children were taken care of, including 724 children with medical complications,hospitalized at’UNT de l’N’Gouri District Hospital. In addition, a paediatric component has also been integrated into the’as/Alima initiative in N’gouri to care for 8,606 children in paediatric consultation and 419 in hospital. Due to the significant medical deficiencies in the Lake region and the worrying nutritional situation (the’OMS alert threshold of 2% is exceeded), ALIMA/AS will continue its action in the 12 health areas of the Ngouri District in 2016. As of 2016 the project in 2016 supports the MAS and MAM children in 12 health areas, to set up a PB-mothers component and’ a wash in Nut component. This volume of’activities has continued to increase. Since April 2013, ALIMA/AS has also supported the management of MAS in N’Djamena with the support of’ECHO.Prior to the implementation of this ALIMA/AS project, only the dispensary of Notre Dame des Apostles in the Southern District offered free treatment for malnutrition in the capital. With two years of’activities, the project has shown the extent of the problem of malnutrition in urban areas (in N’Djamena the SAM rate reaches 2.8%). In 2015, the project took care of 16,490 MAS children on an outpatient basis, including 3,330 in hospital at the’Hospital of’Amity Chad-China. A workshop on the management of severe acute malnutrition in urban areas was also organized. In 2016, the outpatient management of MAS in the first 4 UNAs and in hospital in 1 UNT will continue.In addition, a training center will be set up within the’UNT in order to provide training to doctors, nurses, nurses, nutritional agents wishing to strengthen their capacities in the field of the management of SAM. In these two projects ALIMA/AS work in collaboration with local and national health authorities and many training sessions are organized. In addition to these two regular projects ALIMA and Health Alert have also implemented two’ emergency interventions in 2014 to respond quickly to the influx of refugees and returnees from the Central African Republic. At the Gaoui camp, ALIMA/As provided primary care and screening and care for MAS, with support from’UNICEF. D’, on the other hand, community health and’eau activities,hygiene and sanitation were conducted in the Doyaba camp, with a hospital component of secondary care management at the’ Sarh District Hospital, Sarh, thanks to the support of’Ambassade de France. Malnutrition consequently weakens the state of health of children and exposes them to malaria and diarrhoea. In N’Djamena, this results in a high proportion of diarrhoea among SAM children admitted to structures supported by ALIMA and appears to significantly increase the probability of mortality. In front of the’inexistence of’alternatives allowing to better understand the’ local epidemiology of diarrheal pathogens, ALIMA is considering the highly promising’option from 2016-2017 to use qualitative molecular diagnostics through the Biofire system, which will,in order to assess the infectious causes of acute diarrhea in MAS children with complications, thereby improving the prescriptions of drugs and therefore the treatment of these patients. A research project is therefore underway within the HATC UNT. Following an evaluation carried out by the ALIMA teams from April 25 to May 02, 2018 in Bagassola including the visit to the mobile clinic sites of MSF Switzerland highlighting the needs in health term nutrition, gap at Liwa health district level and the lack of positioning of humanitarian actors who can resume activities, ALIMA intends to support Liwa’s DS in the area of health and nutrition.The’action objective aims to contribute to the reduction of morbidity and mortality among displaced and indigenous populations in the health district of Liwa, France, through the establishment of’a mobile clinic and the medical-nutritional care of children under 5 years suffering from SAM.
MISSION LOCATION: N’Djamena with regular travel on projects
PROTECTION OF BENEFICIARIES AND COMMUNITY MEMBERS
Level 3: In the course of his duties, the incumbent of the position will be required to visit the programs and be in contact with children and/or vulnerable adults. Therefore, the verification of the criminal record or the presentation of a certificate of good life and morals will be necessary. In situations where the’ impossibility of providing a criminal record or a certificate of good life and morals is noted, a declaration on the’honneur will be requested.
FUNCTIONAL AND HIERARCHICAL LINKS
- Accounts to the head or head of Mission
- His or her technical referent is the medical referent Desk
- Is the referent of the referent doctor or doctors of the projects
- Collaborates with field project coordinators, coordination team
MAIN MISSION AND ACTIVITIES
You are responsible for defining the medical strategy of the mission and monitoring the epidemiological context of the country of’ intervention. You participate in the definition of medical indicators and you ensure their levels of’ reach.
You accompany the medical teams in the development of their competence and ensure that you are responsible for the follow-up of the health staff of the entire mission.
Analyzes, defines and adjusts the medical objectives of ALIMA projects in its country of mission
- Data collection
- Analyzes, interprets and defines the medical operational strategy of the mission
Implementation of ALIMA programmes
- Contributes to the organisation of medical projects
- Participates in the pharma management of projects
- Monitoring and evaluation of projects
Representation & communication
Capacity building and animation of’team
Teams health
Implementation of measures to prevent the abuse of power, gender-based violence and sexual violence
EXPERIENCES AND COMPETENCES
You have a medical or paramedical degree with a Master in public health, project management, epidemiology.
You have successful experiences in similar positions with a medical NGO, you know how to develop propals and donor reports, you know how to, you are at the’aise in external representation and are able to participate in high-level negotiations.
You have skills in monitoring-evaluation, database management and enjoy sharing them with members of the’ medical team.
You master French at’oral as at’, written,
This post is for you !
CONDITIONS
- Duration and type of contract : CDD of French law of 12 months renewable
- Position taking : ASAP
- Salary : According to salary grid ALIMA + valuation of’experience + Per Diem
ALIMA supports :
- Travel costs between the country of origin of the’expatriate and the place of mission
- The costs of’accommodation
- Medical coverage from the first day of the contract to one month after the departure date of the country of mission
- Mission costs for the’employee and its beneficiaries
- L’ evacuation for the’employee and its beneficiaries
How to apply
To apply, please send your CV and Motivation Letter online
Applications are processed according to the’order of’arrival. ALIMA reserves the right to close the’offer before the term initially indicated if an application is accepted. Only complete applications (CV in PDF format + Motivation Letter) will be studied.
Female applications are strongly encouraged.