Ob-Gyn (Kano, Katsina, Kebbi)

Maternal and Perinatal Mortality are Obstetric and neonatal tragedies worldwide. Of the global Maternal Mortality occurrences, the vast majority occur in low-resource settings and Nigeria accounts for nearly 20% of the global death. The lifetime risk of dying in Nigeria is 1 in 22 during pregnancy, childbirth or postpartum period compared to 1 in 4,900 in most developed countries. The causes of maternal mortality include Pre-eclampsia /Eclampsia (PEE), obstructed labor, postpartum hemorrhage, puerperal sepsis and abortion complications.

These causes are treatable and preventable when labour is supervised by Skilled Birth Attendants (SBAs). Perinatal morbidity and mortality are closely related to events during pregnancy and labor. The high rate in Nigeria is a result of poor maternal health, sub-optimal care during pregnancy and childbirth, and lack of newborn care. The major causes of newborn deaths are birth asphyxia, neonatal sepsis and prematurity. Universal access to Comprehensive Emergency Obstetrics and Neonatal Care (CEmONC) services is one of the strategies that can reduce these deaths and sufferings along with the ten core signal functions of the services.  

Improving access to quality comprehensive emergency obstetrics and newborn care is critical to reducing these preventable maternal and newborn deaths and is a top priority of the Government of Nigeria. Therefore, as part of the commitment of the Federal Ministry of Health and Social Welfare (FMOHSW) to ensure that there are   well equipped CEmONC facilities throughout the country to provide quality healthcare services, a nationwide CEmONC health facility assessment was conducted. to identified existing gaps. As part of the efforts to bridge the identified gaps in healthcare workers competencies, Jhpiego, in collaboration with Kebbi, Kano and Katsina State Governments, through funding from USG in Nigeria, provide technical assistance to GoN to bridge the capacities of doctors, nurses, midwives, anaesthetic nurses, laboratory scientists/assistants in selected health facilities in 3 states.

Purpose of the CEmONC Health Facility Assessment

This intervention aims to bridge existing gaps in the identified competencies of healthcare workers to provide quality CEmONC services during the reently concluded CEmONC health facility assessment in at least one CEmONC public facility per LGA in the selected states to improve quality services for women during pregnancy, labour, childbirth and postnatal period.

Specific Objectives

The specific objectives include to build the capacity of healthcare workers to provide quality:

1. Antenatal care (ANC) services in line with the recent WHO guideline on ANC for positive pregnancy experience.
2. Management of labour and childbirth using the national labour care guide (LCG), early identification and management of prolonged labour and imminent labour obstruction, maternal and fetal distress.
3. Prevention and management of obstetrics complications such as use of AMSTL to prevent PPH, use of PPH bundle for early identification and prompt management of PPH, use of MgSO4 for treatment of severe pre-eclampsia/eclampsia, use of parenteral antibiotics for prevention and management of puerperal sepsis, manual removal of placenta, MVA for incomplete abortion, and assisted vaginal delivery with vacuum extractor.
4. Pre-, intra- and post-operative management of patients for Caesarean section and exploratory laparotomy for ruptured uterus.
5. Build the competencies of the healthcare workers to use lifesaving skills such as NASG, bimanual uterine compression, B-Lynch sutures, etc.
6. Build capacity to implement MPCDSR/QoC processes and strengthen the data collection, collation, reporting, analysis and development of action plans to improve quality of maternal and newborn health services.
7. Build capacity to improve two-way referral system in the state.

In collaboration with Jhpiego staff:

1. Each adhoc will participate in a one day skills standardization workshop to be organize by Jhpiego.
2. Conduct an on-site capacity building of an average of 8 healthcare care workers, which would include doctors, nurses and midwives.
3. Conduct follow up mentoring of the trained healthcare workers to strengthen their confidence and competence in using the newly acquired knowledge and skills.
4. Conduct pre- and post-test assessment for each of the modules of the training package.
5. Compile and submit a comprehensive report of the training within 5 working days after completion of the training.
6. Participate in a one day post-training debrief meeting with key stakeholders in the state.

Deliverables:

1. Detailed and analysed pre- and post- training scores for each of the trainee for each module of the training package.
2. Detail report of the training to be submitted within 5 working days of completion of the training.

The preferred candidate should posses the following qualifications and experiences:

1. Registered and practicing Obstetrician/Gynaecologist.
2. Evidence of previous and ongoing work experience in a facility delivering CEmONC services.
3. Evidence of previous experience conducting CEmONC training especially within the last 24 months (preferred) OR Evidence of active involvement in the training of specialist doctors in the field of Obstetrics and Gynaecology.
4. Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
5. Evidence of strong coaching, mentoring and facilitation skills.
6. Evidence of strong analytical and communication skills.

Duration:  Maximum of 11 (eleven) non-consecutive working days (unless otherwise extended by Jhpiego) as follows:

1. On-site training - 8 days
2. Mentoring - 2 days
3. Report writing - 1 day

Jhpiego offers competitive salaries and a comprehensive employee benefits package.

Please apply at www.jhpiego.org/careers

Applicants must submit a single document for upload to include: cover letter, resume, and references.

For further information about Jhpiego, visit our website at www.jhpiego.org

Note: The successful candidate selected for this position will be subject to a pre-employment background investigation.

Jhpiego is an Affirmative Action/Equal Opportunity Employer

Jhpiego, a Johns Hopkins University affiliate, is an equal opportunity employer and does not discriminate on the basis of gender, marital status, pregnancy, race, color, ethnicity, national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status, other legally protected characteristics or any other occupationally irrelevant criteria. Jhpiego promotes Affirmative Action for minorities, women, individuals who are disabled, and veterans.

EEO is the Law

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