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Clinician and researcher positions Medecins du Monde Liberia

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PostPosted: Tue Dec 05, 2006 6:10 pm    Post subject: Clinician and researcher positions Medecins du Monde Liberia Reply with quote

I have attached here a job description for a position in Medecins du Monde Liberia mental health program. It is a program that I have set up with Dr frederique Dorgoul in september 2004 and I thought would be of interet for the members of this group discussion. Orginially focused on the suport of the so called 'child soldiers', this program has now broaden its activities to the civilian population and the most severely mentally ill.
We are now looking for two post:

- First, a psychiatrist or a psychiatric nurse who would be interested to go in the field (see attached profile).

- The other important expatriate profile is not mentioned on this advert. It will have to be tailored around the researcher's capacities and interest. The candidate will look at local mental health idioms of distress, open mole, and the exisiting local coping strategies for this distress. Patients suffering from open mole are mostly direct victims from the conflict and describe their head splitting into 2 and their spirits going away.
The field mission should last between 3 months, 6 months or 1 year according to the availabilities of the researcher.
The researcher will also be under the supervision of Dr Drogoul, a French psychiatrist with extensive experience in mental health in West Africa.

If you know anybody who could be interested by these opportunities, please let me know.

Emilie Medeiros
medeiros emilie [emiliemedeiros@HOTMAIL.COM]

Job Description Mental Health Program Supervisor

Written by: Sébastien BRIGNANO On: October 18, 2006
Post title: Mental health program Supervisor Status: Voluntary
From: 1st of December, 2006 Duration: 6 months renewable
Country: Liberia Base: Gbarnga

Context of intervention
Liberia is standing at a crossroad after fourteen years of brutal civil war, costing 250,000 lives displacing almost half the population, devastating social and cultural life, and all but destroying the countries infrastructure and economy. A peace agreement was signed in Accra in August 2003, and leaded to the installation of an interim government dominated by the country's three former armed factions and tasked with guiding Liberia towards elections in 2005. To support the peace process, the United Nations Mission in Liberia was created (UNMIL) in September 2003 and about 15,000 peacekeepers and 1,000 civilian police were deployed throughout the country. The elections took place peacefully in October 2005, and Mrs. Ellen Johnson Sirleaf was elected with more than 59% of the votes.
The new government of Liberia has been inaugurated on 16 January 2006 and is not expected to be able to assume any significant responsibility for addressing humanitarian needs for a certain period, although urgent issues still need to be tackled.

Program Objective:
Médecins du Monde (MDM) resumed operation Liberia in August 2003.
The general objective of the program is to restore and improve access to health services and develop demand for primary health care through a comprehensive and integrated community approach, including psychological and psychiatric support for the population of 4 districts in Bong county and neighbouring areas.
In order to achieve this objective, MDM implements a three-component program (clinical care, community health and mental health activities), in 10 health structures in the county.
MDM runs two offices: the operational office situated in the county capital, Gbarnga, and the support and coordination office in Monrovia.

Team composition:

Expatriate team:
Coordination team:
- 1 General and medical coordinator (80 % Monrovia, 20 % Gbarnga)
- 1 Field coordinator and general administrator (75 % Gbarnga, 25 % Monrovia)
- 1 doctor (100 % Gbarnga)
- 1 nurse supervisor (100 % Gbarnga)
- 1 mental health program supervisor (100 % Gbarnga)
- 1 logistician (70 % Gbarnga, 30% Monrovia)
- 1 community health supervisor (100% Gbarnga)

National team
Monrovia Office:
1 assistant – log; 1 assistant – admin; 8 guards; 1 cook; 1 housekeeper; 1 gardener; 5 drivers.
Gbarnga Office:
3 clinical supervisors, 3 OB supervisors, 2 nurse supervisors, 4 community health workers, 6 psychological helpers, 1 nurse/pharmacist, 1 admin assistant, 1 logs assistant, 2 builders / maintenance, 1 storekeeper, 1 radio operator, 12 guards, 1 cooker, 1 cleaner, 1 gardener, 8 drivers, 1 mechanics.

The Mental Health Program Supervisor is part of the medical team and is under the direct responsibility of the General Coordinator. He/she will manage a team of 6 mental health helpers.
The mental health program is organized, supervised and supported by a psychiatrist consultant based in France (mail and phone exchanges, frequents visits to the field)
To develop in link with primary health care, a comprehensive and integrated community approach, with psychological and psychiatric support to the population of Bong County.
Description of activities:
Mental Health (per target group of beneficiaries):
- Youth associated to fighting forces: Individual and group consultations at the clinic and through outreach visits
- Women: mother and child link sessions in two clinic and group sessions with the traditional women at the community level
- General Population: - psychiatric consultations with an anthropological approach (pathologies include open mole, psychosis, depression, post-traumatic issues etc…), and work with families and traditionnal and religious helpers.
- community based mental health activities

- Supervise, manage and provide technical support to the work of the mental health team
- Ensure and develop the psychiatric component of the program
- Coordination responsibilities: internal (with the other departments) and external (with all stakeholders)

Essential duties
- Supervise, manage and provide technical support to the work of the mental team
- Plan and follow up implementation of the teams’ activities (field work, reporting etc…)
- Promote areas of collaboration between the mental health and the other departments
- Provide technical support (training curriculum, interview methodology etc.),
- Ensure and develop the psychiatric component of the program
- Conduct psychiatric consultations to the general public in the clinics supported by MDM
- Train the mental health team in conducting psychiatric consultation
- Sensitize the local health clinic staff in recognising psychiatric pathologies and referring adequately, and the community trought traditional women groups and community work.
- Monitor the drug consumption, order and supply.
- Coordination responsibilities: internal (with the other departments) and external (with all stakeholders)
- Report regularly to the medical coordinator on all aspects related to the mental health projects (including all SGBV cases)
- Liaise with the MDM departments to ensure smooth running of the project (especially promoting integration and exchange with the other members of the medical team).
- Liaise with partners involved in mental health and contribute to the development of the mental health sector in Liberia

Profile of the candidate

Sex Any Humanitarian experience Advantage
Nationality Any Emergency experience No
Coordination experience Advantage

Language English Fluency (oral and written) Computer skills Good
French Advantage Driving licence No

Required skills:
 Psychiatrist or psychiatric nurse
 Management skills focusing on capacity building and skills transfer
 Excellent communication skills
 Fluency in English (both oral and written)
 Ability to work in a potentially insecure environment and follow security rules.

Appreciated skills and interest:
 Previous participation in medical program in Africa or in any post conflict situation
 Interest in community mobilization, anthropology and intercultural approaches
 Creativity, patience, and flexibility
 Willing to work and live in group
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