Recrutement MdM - Postes a l'etranger

HAITI – CHARGE D’ETUDE (Jéremie, La Grande Hanse et Port au Prince)

Wed, 19 Nov 2008 10:56:02 GMT

MDM intervient dans la Grande Anse de façon continue depuis 1989 et bénéficie donc d’une très bonne connaissance des réalités locales et une forte reconnaissance de la part des communautés et institutions locales.
A partir de 2002 MDM s’est engagé dans des projets de développement afin d’appuyer la mise en œuvre du Plan National Stratégique de Santé de 2003 : projet d’appui à la mise en place d’un système de santé intégré et décentralisé puis le projet « Réhabilitation et redynamisation de l’Unité Communale de Santé (UCS) 2 de la Grande Anse 2004-06» en appui à six structures sanitaires.
Or, une évaluation interne menée en avril 2006 a conduit au constat suivant : malgré l’amélioration de l’offre de soins proposée à la population, celle-ci fréquente peu les centres de santé en dépit d’une demande de soins importante et d’indicateurs de santé insatisfaisants. La conclusion apportée par l’évaluation était que l’un des obstacles majeurs à l’accès aux soins est d’ordre financier. Dans un pays où plus de 70% de la population vit avec moins de 1 dollar par jour, le financement de la santé est basé sur le recouvrement des coûts à l’acte et les dépenses de santé constituent un luxe qu’une grande partie de la population ne peut pas se payer.
Les projets de MDM ont été réorientés en 2006-2007 afin de tenir compte de cette problématique : la mise en place d’un système novateur a été initiée dans deux dispensaires, basée sur le principe de la gratuité des soins proposés aux femmes enceintes et aux enfants de moins de 5 ans, complété par un tarif forfaitaire modéré pour les autres patients de 25 gourdes.
MDM intervient pour le moment avec un projet en cours sur la Grande Anse dans 2 dispensaires (Carrefour Charles et Lopineau) et soutient le bureau de l’UCS2. Les résultats dans ces deux dispensaires sont probants, et la fréquentation a été, par exemple, multipliée par 7 (fréquentation enfant de moins de 5 ans à Lopineau) avec la mise en place de ces mesures. MDM accompagne cette expérience d’une activité de plaidoyer auprès des décideurs et différents acteurs du système sanitaire, pour démontrer l’impact de la levée financière dans l’accès aux soins et chercher à étendre ces mesures au niveau national.
Une action d’urgence est maintenant financée par ECHO visant à la sécurisation de l’accès aux soins pour les personnes affectées par le cyclone dans 7 communes du département de la Grande Anse. Cette action d’urgence s’appuie sur les dispositifs de gratuité déjà mis en place par MdM et propose une expansion de la gratuité pour une période limitée de 4 mois pour tous les usagers de 10 dispensaires, afin d’aider les populations à faire face aux difficultés économiques générées par les dégâts de la saison cyclonique.

Le but de l’étude, qui se déroulera sur 3 mois, est d’évaluer l’impact de l’introduction du dispositif de la gratuité totale sur le niveau de fréquentation et surtout sur le fonctionnement économique des structures de santé concernées.
Cette étude portera sur un échantillon comprenant des structures déjà concernées par l’action de long terme de MDM et des structures récemment intégrées au programme dans le cadre de l’action post-cyclonique.
En particulier cette étude devra aboutir à une estimation des coûts de la gratuité liés à l’arrêt des paiements par l’usager ainsi qu’à l’augmentation attendue de la fréquentation des dispensaires.
Cette étude devrait également permettre d’obtenir un comparatif entre le coût d’une gratuité totale et celui relatif à la gratuité pour femmes enceintes et enfants de moins de 5 ans mise en œuvre par MDM dans deux centres depuis deux ans.

Le/la chargé(e) se responsable de :
- Avec le support du Coordinateur Médical National et du Coordinateur Médical de la Grande Anse, prendre connaissance des évaluations et des études comparatives déjà produites par MDM sur les structures concernées par le programme de long terme.
- Collecter, analyser et comparer les données concernant le coût de fonctionnement des structures de santé avant et après l’introduction de la gratuité
- Se déplacer sur le terrain dans les communes concernées par l’étude
- Accéder aux registres et autres fiches de données dans les dispensaires concernés par l’étude
- Rencontrer et interviewer le personnel responsable de la gestion des dispensaires et les personnes clés auprès des autorités sanitaires du département
- Rencontrer et interviewer les acteurs institutionnels concernés au niveau de la capitale.
- Transférer à l’équipe de MDM (et aux institutions de santé) les d’outils de suivi utilisés dans le cadre de l’étude
- Rédaction du rapport final sur l’étude menée (remise du rapport fin mars 2008 au plus tard)
Depart: Dès que possible
Durée: 3 mois
Statut: volontaire
Indemnités mensuelles: 915 Euros + Perdiem
Profil:
- Formation ou expérience significative en économie de la santé
- Expérience de terrain en collecte et analyse comparative de données statistiques
- Connaissance de la Caraïbe
- Connaissance des actions de MDM
- Expertise dans des actions de plaidoyer et l’analyse de données socio-sanitaires
- Expérience dans un pays en crise (Etat fragile) ou bonnes connaissances de cette problématique
- Capacités pédagogiques à transmettre des compétences méthodologiques
- Excellent relationnel et bonne capacité de transmission du contenu et de la méthode de l’étude auprès des parties prenantes concernées.
- Déplacements fréquents dans les communes : accessibilité géographique difficile ; bonne condition physique requise
- Rigueur en matière de règles de sécurité dans un contexte sensible

MOLDOVA - ADVOCACY OFFICER

Fri, 14 Nov 2008 16:00:54 GMT

Médecins du Monde contributes in two years (July 2007-June 2009) to preventing trafficking in human beings and to caring for victims of trafficking in the municipality of Balti and the raions around Floreşti, Făleşti, Rîşcani, Sângerei and Glodeni. More specifically :
- To ensure the prevention of various forms of human trafficking (labour exploitation, forced begging, sexual exploitation, etc.) to populations at risk in connection with the organizations involved in trafficking at the national and regional level (northern region of Moldova)
- To contribute to the establishment and running of a network to identify victims of human trafficking in the north of Moldova
- To contribute to the establishment and running of a network of comprehensive care for victims of human trafficking
- To contribute to advocacy of local and international NGOs on the theme of human trafficking
Drawing on the experience of MDM as a member of the teams of Balti and Floreşti and generally as facilitator of the SNR for the northern region of Moldova, the Advocacy Officer will conduct an assessment of care for victims of human trafficking, make recommendations and report to allow MDM to develop advocacy on human trafficking.
To do this, and based on MDM documents, SNR strategy papers and other external documents on the subject, by conducting interviews and leading focus groups, the Advocacy Officer will:
1. Study and analyze the care and prevention of trafficking in human beings in the north of Moldova during the period october 2005-october 2008 :
- Analysis of preventive actions in place to fight against human trafficking.
- Conducting a study of existing services at local level for the reception and reintegration of victims by identifying their limits.
- Special evaluation of the functioning of the National Referral System (NRS) by focusing on its establishment and development in Balti and the raion of Floreşti.
- Determine the strengths and weaknesses of the SNR, the difficulties encountered in its development.
- Analyze the impact of the SNR on the coordination of the various players involved and the number of cases detected.
- Analysis of developments in the comprehensive care of victims and potential victims:
- Identify the difficulties of multidisciplinary care for victims and potential victims and investigate the improvements in this area in 3 years.
- Put in perspective the difference between the legal framework on human trafficking and the assistance given to victims and the establishment of the framework.
2. following the assessment phase, publish and distribute a report by issuing recommendations based on the findings of the study and on 3 years of MDM experience :
- Make recommendations to each of the different actors involved in the issue of trafficking to improve care for victims.
- Produce a report on the results of the study and proposed recommendations.
- Develop and distribute the proceeds of the capitalization through national and international events. This report will be communicated to key policy makers but also to international organizations and bilateral cooperation agencies.
Profile:
§ Humanitarian experience compulsory
§ Capitalization experience
§ Knowledge in research methodology
§ Knowledge of the issue of human trafficking
§ Knowledge of the Moldavian situation
§ Excellent English and French writing skills (Russian or Romenian is an asset)
§ Ability to get the global picture

Recrutement MONDE - CANDIDATURES SPONTANEES

Thu, 13 Nov 2008 23:00:00 GMT

Statut : Volontaire	Métier : CHIRURGIENS - MEDECINS - SAGES FEMMES - INFIRMIERS -ADMINISTRATEURS - LOGISTICIENS -COORDINATEURS
Départ sur le terrain ? : oui	Date de départ : Toute l'année
Type de contrat : Volontaire	Durée du contrat : selon missions
Indemnités : 800 ou 915 Euros + Perdiem	Expérience humanitaire requise ?: Pas nécessaire
Langue requise : anglais et/ou espagnol et/ou portugais

Cette rubrique s’adresse uniquement aux candidats souhaitant participer à des missions internationales à l’étranger.

Pour postuler: Lettre de motivation (précisez votre préavis, la durée de votre disponibilité et votre niveau en langues étrangères) et CV sont indispensables. Sans ces deux éléments nous ne pouvons traiter votre demande.

Pour information, la pratique courante d'au moins une des trois langues suivantes : anglais, espagnol ou portugais est exigée de tout volontaire ainsi qu'une expérience professionnelle d'au moins deux années (excepté pour les médecins et sages femmes). Les médecins généralistes doivent être, soit thésés, soit détenteurs d'une licence de remplacement, les spécialistes doivent avoir 4 semestres d'internat validés (une formation en santé publique, médecine tropicale ou en maladies infectieuses est un atout). Les postes de coordinations exigent une expérience préalable dans le cadre d’une mission humanitaire à l’étranger. En outre, une disponibilité de cinq à six mois consécutifs est nécessaire (hormis pour les chirurgiens, les anesthésistes et les médecins urgentistes dont la disponibilité doit être de 6 semaines minimum).

Enfin, Médecins du Monde a fixé pour règle de ne plus envoyer de stagiaires sur nos missions à l'étranger. Seuls les stages au siège et dans nos différentes délégations / bureaux en France ou à l'étranger sont possibles. Pour postuler reportez vous à la rubrique "Stages".

Si vous avez l'opportunité de vous rendre à Paris, nous vous invitons à participer à notre réunion d'information, qui a lieu le premier jeudi de chaque mois de 15 h à 17 h, à notre siège (62 rue Marcadet - 75018 Paris - Métro : Marcadet Poissonniers).

RDC (Kinshasa) - Coordinateur Général

Thu, 13 Nov 2008 23:00:00 GMT

Médecins du Monde est présent en RDC au travers de 3 missions :

- Programme d’appui médical et de lutte contre les épidémies sur le District du Tanganyika

- Programme d’appui médical, d’insertion et resocialisation des enfants de la rue à Kinshasa

- Programme intégré de lutte contre le VIH/SIDA et les IST à Goma, Nord Kivu

La coordination générale de ces 3 programmes est basée à Kinshasa.

Le coordinateur général a pour objectifs de :

- Représenter Médecins du Monde en RDC dans le cadre du développement de programmes dans différentes provinces du pays.

- Garantir la cohérence des actions et l’application des stratégies de l’association sur la RDC.

- Alerter et proposer des interventions dans le cadre d’urgences.

Ses responsabilités sont les suivantes :

- Représentant MÉDECINS DU MONDE, responsable du positionnement politique et stratégique en RDC, il assure la cohérence des programmes et veille au respect des cadres contractuels d’intervention.

- Responsable de la veille et de l’analyse géopolitique, il est décisionnel sur les questions de sécurité des missions.

- Responsable de la veille aux problématiques d’urgences épidémiques : il a un rôle d’alerte et de proposition d’interventions d’urgence en fonction de l’évolution du contexte et des opportunités.

Le coordinateur général est sous la responsabilité du Directeur des opérations Internationales et en lien opérationnel avec le responsable de mission et les différentes instances MDM impliquées dans les programmes en RDC.

De plus, il/elle a sous sa responsabilité :

- Les coordinateurs de programmes en terme de cohérence et orientations des programmes, en particulier des objectifs et de l’évolution du contexte de chaque mission, positionnement politique, stratégique et engagements contractuels. Les coordinateurs de programmes sont responsables de la mise en place, de l’évolution des activités terrain, des résultats attendus et du management de leurs équipes.

- La coordination administrative pays pour la supervision des activités administratives et financières en lien avec le coordinateur administratif.

Départ : ASAP

Durée : 1 an

Statut : salarié

Profil :

Expérience de coordination pays dans des contextes difficiles impérative
Expérience souhaitée de coordination de projets médicaux
Expérience d’encadrement d’équipes expatriées
Expérience de négociations, relations avec les autorités locales dans des contextes politiquement tendus
Formation ou expérience en Santé Publique (ou similaire) fortement souhaitée
Connaissances en épidémiologie, gestion de programmes, santé publique
Bonnes connaissances en administration de projets
Rédaction de programmes / connaissance des bailleurs
Français courant (lu, écrit, parlé), la connaissance de l’Anglais serait un atout (quelques interlocuteurs anglophones)
Rigueur, forte implication et grande capacité de travail
Esprit d’équipe, sens de la collaboration, du dialogue et de la négociation.
Capacité d’adaptation dans un contexte de sécuritaire instable et respect des règles de sécurité
Connaissance de la région des Grands Lacs

ETHIOPIA - Midwife - Somali Region (Kebri Dehar)

Thu, 13 Nov 2008 23:00:00 GMT

The Midwife will work on the programme: “Support to Kebri Dehar Hospital and Primary Health Care in Korahe Zone – Somali Regional State – Ethiopia.”

The general objective of the programme is to improve the health status of Korahe Zone population. Assessments have shown a very poor health services' offer, and the region is regularly affected by draughts. The program aims at strengthening Primary Health Care in 6 Health Posts of Kebri Dehar District and in 1 Health Centre and 5 Health Posts from Shilabo neighbouring district, strengthening the activities of Kebri Dehar referral hospital with a special focus on obstetrical activities, and implementing an Early Warning System concerning epidemics and malnutrition in the zone.

At both Health Posts and Kebri Dehar Hospitals levels, the activities of the programme are to:

- assess infrastructure needs

- rehabilitate accordingly and equip according to standard list

- assess needs for trainings and carry out trainings

- revise/update protocols and ensure their implementation

- support drug supply

- implement vaccination outreach programmes, to monitor obstetrical activities

- monitor under-5 nutritional status

- monitor and improve the epidemiological surveillance

- sensitise communities

- carry out health and nutrition assessments.

The midwife will have to supervise, organise and coordinate the mission’s obstetrical and antenatal care part in order to guarantee the obstetrical and antenatal care activity’s pertinence and the contract of objectives’ respect:

- Assessment

- Training

- Supervision and monitoring

- Relations with donors

- Budgetary follow-up

- Relations with medical authorities

Departure: 10/04/2008

Duration: 6 months

Status: volunteer

Monthly Allowance: 800 Euros + Daily subsistence

Profile :

Midwife
Public Health education is a plus
Experience in an international NGO in a similar position
Communications skills, with sense of diplomacy
Ability and flexibility to understand the cultural and health environment and work with the communities and local authorities
Ability to work under pressure in a harsh and isolated environment
Computer skills – Microsoft Office, Internet and data management
English, very well spoken and written

ERITREA - Midwife - (Afabet)

Thu, 13 Nov 2008 23:00:00 GMT

MdM has provided support since 2004 to disfigured people by war, diseases or malnutrition, supporting people excluded by their disability to return to a normal social life. Since March 2006, MdM is providing technical assistance to the Ministry of Health to improve access to obstetrical surgical care in Afabet Hospital and the referral system for high-risk deliveries in Northern Red Sea region, where the estimated maternal mortality rate is one of the highest in the world.

The midwife will have to:

- Provide trainings to Afabet Hospital doctor, midwifes, peripheral facilities health staffs, and trained traditional birth attendants.

- Analyse the gathered statistical data.

- Make the analysis and the assessment of the context, of problems and needs and pass it on to the medical and the general co-ordinators.

- Take part in the preparation and in the realisation of external assessments.

- Propose readjustments of the program’s medical contents and passes them on the medical and the general co-ordinators.

- Exchange medical technical information with headquarters.

- Make an end of mission report and pass it on to the medical and general co-ordinators and headquarters.

Departure : 01/06/2008

Duration : 6 months

Status : volunteer

Monthly Allowance : 800 Euros + Daily subsistence

Profile :

- Midwife

- Experience of humanitarian work

- Experience of surgery is an asset

- Security: experience of difficult working conditions

- Reporting skills

- Ability to observe, to listen and to be comprehensive

- English fluent

LIBERIA - Medical Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

LIBERIA (Gbarnga with stays in Monrovia)

Medical Coordinator (MDM-LIBE-COM)

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 1,800 civilian police were deployed throughout the country. The elections took place peacefully in October 2005, and Mrs. Ellen Johnson Sirleaf was elected.

The new government of Liberia was inaugurated on 16 January 2006. Today, despite major progresses made, the government is not yet able to assume all its responsibility although urgent issues still need to be tackled.

Liberia’s health sector is transitioning from an emergency phase to a development phase. However, a large percentage of the population still has limited access to health and social welfare services. In 2007, 80% of the health facilities are running thanks to a support from INGOs.

The overall goal of the health sector is to expand access to basic health care and one of its major concerns is to reduce the maternal mortality which ranks among the worst in the world.

Médecins du Monde (MDM) resumed operation in Liberia in August 2003.

The general objective of the program is to restore and improve access to health services through a comprehensive and integrated community based approach in 10 areas in the East of the Bong County and in Gbarnga’s surroundings with the following components:

- Community Health working with and trainings the TBAs / TTMs, the CHWs and CHCs, and reinforcing the link between them and the health facilities.

- Primary Health Care with the implementation of the Basic Package of Health services in 10 MoH facilities, ensuring the provision of drugs and the payment of incentives, the buildings maintenance, the epidemical surveillance, the referral of patients for emergencies and continuous theoretical (once a month theoretical training) and on-site trainings

- Reproductive Health with community health components (TBAs/TTMs ensuring the link with the health facilities and the introduction of the Maternity waiting homes), PHC (implementation of the PMTCT at the clinic level, reinforcement of the OB department, develop the family planning and provision of the basic Emoc), Cb Dunbar City Hospital (provision of Comprehensive EMOC incl. caesarean sections and blood transfusion, OB-GYN and neonatal + operation theatre with 50 beds), Phebe hospital (Training of trainers on emergency OB surgery for doctors and interns), Phebe school of nursing (capacity with dorms rehab, reopening of curricula for nurse-midwives, technical and financial support for midwives and anaesthetists programs)

- Mental Health with psychological and psychiatric consultations in the 10 health facilities, activities with ex-combattants, reduction of stigma on mental diseases in the communities, psychosocial activities with the traditional women, SGBV, work in partnership with a local NGO to support the HIV+ patients

The expatriate team is composed by a General Coordinator & an Administrator. On the Monrovia’s base, there are 1 Deputy General Coordinator & one Administrator; On the Gbarnga Base, there are

1 Logistician, 2 doctors, 1 Mental Health Program Supervisor, 1 midwife, 1 community health department supervisor and Surgery teams (rotational): 1 surgeon, 1 anaesthetist, 1 operation theatre nurse.

The national team is composed by 19 people in Monrovia’s Office and 52 people in Gbarnga’s Office.

The Medical Coordinator is part of the coordination team, under the direct responsibility of the General Coordinator. He/She coordinates the different medical projects and supervises the work of the expatriates of the medical program.

He/She coordinates the whole medical program in order to guarantee the effective implementation of the projects’ objectives and their pertinence. The medical program is made of 4 components: Community Health, PHC, Reproductive Health and Mental Health. He/she advises directly the General Coordinator on public health issue and participates into the negotiations with local and national authorities.

His essential duties are the following:

- Coordination of the medical projects

- Reporting and strategy

- External representation and coordination with local and international partners

Departure : 01/05/2008

Duration : 1 year

Status : salaried

Profile :

Health professional (midwife, medical doctor, nurse) with background in public health
Knowledge and experience of reproductive health projects
Ability to work with and supervise a team
Ability to represent the organization and negotiate with program partners
Excellent communication skills
Good organization skills
Understanding and interest in collaboration with national authorities
Fluent in English (both oral and written), French is an advantage
Training skills
Computer literacy
Good understanding and interest in administrative, HR, financial and logistics management
Good team member
Ability to work in a resource limited context
Willing to live and work in a group
Knowledge of Africa is an asset

RDC (Kalémie) - District du Tanganyika - Coordinateur de Site

Thu, 13 Nov 2008 23:00:00 GMT

République Démocratique du CONGO – Kalémie – District du Tanganyika

Coordinateur de Site du Tanganyika

Référence MDM-RDC-CoordoSite

Médecins du Monde est présent en RDC au travers de 3 missions :

- un programme de lutte contre le VIH et les IST dans les zones de santé de Goma et de Karisimbi dans la province du Nord Kivu,

- un programme « enfants des rues » dans des communes de Kinshasa,

- un programme de Soins de Santé primaire et de lutte contre les épidémies sur le district sanitaire du Tanganyika dans la province du Katanga.

Le coordinateur de site est en charge d’assurer la coordination de l’ensemble des volets du programme du Tanganyika. Le début de l’implantation de MÉDECINS DU MONDE dans le district du Tanganyika se situe en avril 2002 par l’appui au renforcement du système de Soins de Santé Primaire, tout d’abord sur le territoire de Kongolo, puis en mars 2005 sur le territoire de Kalémie (Zones de Santé de Kalémie et Niemba).

Aujourd’hui l’objectif du programme est de contribuer à l’amélioration de l’état de santé des populations de 11 Zones de Santé du District Sanitaire du Tanganyika à travers un système de santé efficace et visant la durabilité et plus spécifiquement l’amélioration de la qualité et l’accessibilité des services curatifs, préventifs et promotionnels pour les populations des 11 Zones de Santé du District Sanitaire du Tanganyika sur une période de 36 mois. C'est-à-dire l’opérationnalité de 121 centres de santé, 5 maternités de HGR et 3 Centres de Traitement Choléra, l’accessibilité financière aux services de santé garantie, des soins curatifs de qualité offerts sur les 121 centres de santé, les 5 maternités et les 3 CTC, que la politique nationale de promotion de la santé soit appliquée localement et que les capacités des partenaires institutionnels soient renforcées.

Le coordinateur de site assure la coordination des différents volets du programme et s'assure de la mise en place de l'ensemble des activités au regard des objectifs initiaux en lien avec le coordinateur Général, le desk et le responsable de mission.

Il est responsable :

- De la bonne mise en œuvre du programme sur le district sanitaire en lien avec le coordinateur médical et le coordinateur administratif.

- Du respect des objectifs du programme et du bon déroulement des activités (processus).

- Du suivi et du management des équipes expatriées et locales.

- De la représentation de MDM dans le Katanga (auprès des bailleurs de fonds, autorités nationales, acteurs internationaux)

- De la sécurité des membres de l’équipe

- De la bonne circulation de l’information entre l’équipe terrain, le coordinateur général, le desk et le RM

Départ : ASAP

Durée : 1 an

Statut : salarié

Profil :

Expérience antérieure de coordination de programme de santé.
Solide bagage en santé publique
Management d’équipe.
Capacités de négociation, relations avec les autorités locales.
Capacités à tisser un réseau partenarial avec les acteurs nationaux et internationaux
Connaissance des bailleurs européens
Capacités d’analyse (contexte géopolitique) et compétences en termes de gestion de la sécurité
Français courant (lu, écrit et parlé)

SUDAN (Darfur & Khartoum) - Human Ressources Officer

Thu, 13 Nov 2008 23:00:00 GMT

Darfur
Darfur is located in the west part of Sudan and is facing a situation of conflict since April 2003 when two rebel movements (SLA and JEM) launched an insurgency against the rule of Khartoum. The Sudanese government responded disproportionately to that small rebellion launched by groups of young men, in protest against the marginalization and neglect of their region and the deadly attacks on their indigenous communities throughout the previous decade by militiamen. The government’s army led these same militias, known as the janjaweed, into an indiscriminate counter-insurgency campaign targeted at these same communities. The ensuing humanitarian emergency in Darfur is affecting today more than 3.5 million people, including more than 2 million Internally Displaced persons (IDPs) and approximately 220,000 refugees in eastern Chad and more than 200,000 dead.
The rapid and uncontrolled growth of the movements proved a complicating factor, as their political action is generally weak, and their military command and control diffuse. Rebel fragmentation is already playing out in other ways, challenging the implementation of any peace agreement.
MdM activities in Darfur were located in Nyala (South Darfur) and in Kass (Northern Nyala). In Nyala, MdM was working in Kalma camp by supporting a comprehensive PHCU (Primary Health Care Unit) with special mainstreaming on victims of violence. Besides this PHCU, MdM implemented mobile clinics in the area of Kass (Northern Nyala), in remote areas, and in Djebel Mara to re-activate the offer of health care services for vulnerable population affected by the conflict.
The Board of Médecins du Monde - France, on 20th January 2007, decided the suspension of the activities of the organisation in Darfur for an unspecified duration. This decision was based on the current security conditions which prevented to appropriately respond to the needs of the population and which considerably restricted the access to the most vulnerable people in remote areas. MdM has since officially announced its intention to return to South Darfur and a team has conducted an assessment mission to define the feasibility of a new program with the following characteristics.
Situated on the eastern down slopes of the crater in Jebel Mara, a few isolated valleys connect together numerous villages in the area of Deribat. With a wall of three thousand meter high mountains to the west and difficult ranges of lower mountains to the south it has always been slightly isolated from the rest of Darfur. Its location and mountainous trails has safeguarded it from the direct impact of nomadic tribes during the conflict.
The tribal setup of this area is dramatically simple compared to the rest of south Darfur. With an exception of few, everybody is Fur and they have stayed in these valleys for generations. Migration in and out of these valleys was quite uncommon before the conflict started. This has slightly changed with the conflict having chased many people from the east into these valleys to join their relatives. Their communal approach has survived the conflict as the majority of the population seems to have remained in place. In this communal approach there are ways to provide care to the poorest while road reconstruction or street cleaning are shared by all who live in the villages.
The area has been under SLA control for most of the time during the conflict. Recently, Abdel Wahid, who controls most of the rest of Jebel Mara with his SLA faction, came into the valleys to add them to the area of his control. This takeover seems to have happened in a relatively calm way in which the population was spared of the impact of the limited fights. The population’s support, not to say request, for this takeover seems quite unanimous.
Analysing the security situation in the state up close it clarifies that the current access problems are related to increased fractioning of the rebel movement, increased fighting in several areas and a resulting direct threat to INGO cars and property. With now only one controlling party and only one tribe in and around the valleys of Deribat, further split of into factions or fighting less likely to happen today. Hijacks and robberies are therefore highly unlikely in the area. In a strange way this makes this area one of the safest places to operate at this moment in time in southern Darfur.
With a strong ability to take care of itself when the crops are good the population has been able to stay in their valleys. However, that does not create a full food balance. The medical situation is also quite specific as a number of dedicated medical staff has continued their work in the health district that was set up in 1997 by UNICEF. Having been trained once and in most cases years before the conflict, the capacity of the health staff is due for an update. Being cut-off from any distribution of drugs and having only limited commercial traffic in and out of the valleys, drugs are generally not available or quite expensive in the commercial dispenser stores. Main pathologies seem to be: Diarrhoea, Malnutrition, Maternal and infant-related morbid-mortality, Malaria, Acute jaundice, Pneumonia (Acute Respiratory Infections). It can be concluded that pregnant women, young mothers and their newborn infants’ situation is a medical priority. For immunisation UNICEF had started to provide a cold chain but it has never been structurally integrated in the health care system. The last campaign on measles was in 2004 while outbreaks were still reported last year. Apart from some polio campaigns there seems to be literally non existent immunisation coverage. Having been identified a problem for Darfur in general; the referral options in these valleys are virtually non existent.
The expatriate team is composed by in:
Khartoum: 1 Site Coordinator, 1 Logistician,
Nyala: 1 General Coordinator, 1 Administrative coordinator, 1 Logistian coordinator, 1 Human Resources Officer,
Deribat: 1 Site Coordinator, 1, Medical Coordinator, 1 Medical Doctor, 1 Midwife, 1 Nurse, 1 Logistician
The national team is composed by: Administrator assistant, liaison officer, security officer, logistician assistant, medical team, drivers, guards, cook, cleaners, etc. (Recruitment on process in Darfur); recruitment done in South Sudan and Khartoum.
The post of Human Resources Officer comes under the management responsibility of the Administrative Coordinator and in operational consultation with the National Human Resources Managers at headquarters.
The Human Resources Officer is in charge of evaluating, developing and deploying HR tools and procedures in line with MDM national policies and internal procedures. Make recommendations concerning the future role and responsibilities of a Human Resources position on the field.
The Responsibilities are the following:
- Monitoring of legislation: Draw up and implement a procedure for monitoring changes to the law and statutory requirements
- Recruitment: Devise and implement a standardised recruitment procedure for use at all sites
- Staff pay: Update salary scales, ensuring they comply with legislation, and harmonise pay scales in relation to each site
- Archiving: Design and set up a secure system for archiving HR documents
Departure: ASAP
Duration: 6 months
Status: volunteer
Monthly Allowance: 800 Euros + Daily subsistence

Profile:

* Experience in team management

* Experience in a similar position

* Experience in negotiations and relations with national authorities in a difficult legal, administrative, legal and political context (very important)

* Experience abroad

* Legal experience or knowledge

* Administrative Human Resources management background

* Excellent command of Excel

* Patience, reactivity, anticipation, adaptability, capacity to take initiatives, impartiality

* Organisational skills, rigor

* Ability to synthesise, to classify and to manage priorities, to produce tools and documents

* Listening and diplomacy skills

* Capacity to work and to live in tense conditions

* Excellent knowledge of Office Pack & Windows Environment

* English (Fluency oral and written) + French and Arabic would be assets

RDC (Kalémie) – District du Tanganyika - Logisticien

Thu, 13 Nov 2008 23:00:00 GMT

Il existe plusieurs missions en RDC :

- un programme intégré de lutte contre le VIH et les Infections Sexuellement Transmissibles dans les Zones de Santé de Goma et de Karisimbi dans la province du Nord Kivu (projet implanté depuis 08/2003)

- un programme Enfants des Rues dans des communes de Kinshasa

- un programme de Soins de Santé primaire et de lutte contre les épidémies sur le District Sanitaire du Tanganyika dans la province du Katanga

Le district du Tanganyika (un des plus vastes de la République Démocratique du Congo) est situé dans le Nord de la province du Katanga (dont le chef lieu de province est Lubumbashi). Il s’étend sur une superficie de 150.723 km² et couvre une population estimée à 1.922.863 d’habitants (pour une densité de 15.4 habitants au km²). Le projet de MdM couvre 57% de cette population et 49% des 11 Zones de Santé du district. Le programme se déroule sur l’ensemble du district sanitaire de Kalémie qui comprend les Zone de Santé d’Ankoro, de Kabalo, de Kalémie, de Kansimba, de Kiambi, de Kongolo, de Manono, de Mbulula, de Moba, de Niémba et de Nyunzu, et six territoires administratifs (Kabalo, Kalémie, Kongolo, Manono, Moba, Nyunzu). La durée de l’action est de 36 mois soit du 01 octobre 2006 au 30 septembre 2009.

Le début de l’implantation de MdM dans le district du Tanganyika se situe en avril 2002 par l’appui au renforcement du système de Soins de Santé Primaire, tout d’abord sur le territoire de Kongolo (Zones de Santé de M’bulula et Kongolo), puis en mars 2005 sur le territoire de Kalémie (Zones de Santé de Kalémie et Niemba). Ces projets mis en œuvre par MdM ont bénéficié de l’appui financier de l’Aide Humanitaire de la commission Européenne (ECHO). D’autres Zones de Santé (Moba, Kansimba, Manon, Kiambi et Mulongo) ont été appuyées par GOAL et COOPI qui sont intervenues également sur le district du Tanganyika.

Dans le cadre du processus de désengagement d’ECHO pour la mise en place de programme de développement, l’Union Européenne à travers le Fonds Européen de développement (FED) a financé une première phase de trois ans.

Le projet santé FED sur le Tanganyika (phase transitoire entre l’urgence et le développement) a été scindé en deux volets :

- le volet offre de soins qui sera assuré par MdM,

- le volet gestion des médicaments assuré par PSF – CI pour la mise en place d’une centrale d’achat et de distribution de médicaments dans le district du Tanganyika (CADMETA).

L’objectif global est de contribuer à l’amélioration de l’état de santé des populations des 11 Zones de Santé du District Sanitaire du Tanganyika (province du Katanga) à travers un système de santé efficace et visant la durabilité. L’objectif spécifique est d’améliorer la qualité et l’accessibilité des services curatifs, préventifs et promotionnels pour les populations des 11 Zones de Santé du District Sanitaire du Tanganyika sur une période de 36 mois.

Les Principaux Résultats attendus à l’issu du projet sont :

- 121 centres de santé, 5 maternités de HGR et 3 Centres de Traitement Choléra sont opérationnels.

- L’accessibilité financière aux services de santé est garantie.

- Les soins curatifs offerts sur les 121 centres de santé, les 5 maternités et les 3 CTC sont de qualité.

- La politique nationale de promotion de la santé est appliquée localement.

- Les capacités des partenaires institutionnels sont renforcées.

Le programme comprend également un autre projet spécifique :

le projet de renforcement des capacités de surveillance et de prise en charge des maladies à potentiel épidémique dans le district médical du Tanganyika (financement ECHO ; durée 9 mois : 15/04/08 au 15/01/09)

L’équipe expatriée est composée de 11 personnes basées sur le district du Tanganyika à Kalémie : 1 coordinateur de programme, 1 coordinateur médical, 1 coordinateur administratif et logistique, 1 administrateur, 1 logisticien, 2 coordinateurs médicaux voltigeurs, 2 administrateurs voltigeurs, 2 logisticiens voltigeurs et à Kinshasa, d’1 coordinateur général et d’1 coordinateur administratif.

L’équipe nationale est composée d’1 chef de projet (médecin), 1 administrateur, 1 logisticien par site assureront la mise en œuvre et le suivi quotidien du projet.

Les responsabilités du Logisticien sont :

- Le volet logistique et le management (supervision, gestion et suivi) de l’équipe logistique de MdM dans le district Tanganyika

- L’amélioration des référentiels logistiques et assurer la cohérence et l’harmonisation des procédures logistiques de MDM sur le programme Tanganyika

- Le suivi et l’évaluation régulière (en lien avec le coordinateur du programme et le coordinateur administratif et logistique) des procédures et guides de sécurité et de leur application

- La participation à la rédaction des documents du programme dans son domaine de compétence

- L’ Animation de l’équipe volante logistique

Le logisticien est sous la responsabilité du coordinateur administratif et logistique du programme Tanganyika.

Le contexte politique est fragile.

Départ : 01/08/2008

Durée : 1 an (possibilité de renouvellement)

Statut : volontaire

Indemnités : 800 Euros + Per Diem

Profil :

- Formation logistique

- Compétences et expérience en gestion logistique d’un programme humanitaire comportant l’ensemble des composantes suivantes : gestion RH, achats, gestion des parcs (auto, moto, informatique), organisation

- Maîtrise de la chaîne logistique

- Expérience professionnelle et/ou de vie en Afrique fortement recommandée

- Connaissance de la région des grands lacs

- Maîtrise parfaite de l’installation et du fonctionnement du matériel de communication (HF, VHF, VSAT, Thuraya et autres téléphones satellites, etc.….)

- Français courant (lu, écrit, parlé)

- Très bon niveau en informatique (Word, Excel et autres logiciels)

- Forte implication, rigueur

- Grande capacité de travail

- Esprit d’équipe, sens de la collaboration, du dialogue et de la négociation

- Capacité d’adaptation dans un contexte sécuritaire instable et respect des règles de sécurité

PERU (Lima) - Coordinador General

Thu, 13 Nov 2008 23:00:00 GMT

PERU

COORDINADOR GENERAL (Lima)

Referencia MDM PEROU-COORDOG

El objetivo del puesto es de coordinar y gestionar el desarrollo del proyecto de "Promoción del acceso a la salud sexual y reproductiva para gestantes y madres adolescentes del cono sur de Lima metropolitana".

El proyecto se desarrolla en el Cono sur de Lima metropolitana, en los distritos de:

· San Juan de Miraflores

· Villa el Salvador y

· Villa María del Triunfo

Este proyecto tiene una duración de 4 años (de octubre 2005 a diciembre 2009). El puesto debe ser cubierto rápidamente por un periodo de 1 año.

Los responsables directos son (Sede en Paris) : Responsables asociativos de la Misión (RMs), Responsable de Desk.

El objetivo general es de contribuir a mejorar el acceso a la Salud Sexual y Reproductiva para las Gestantes y Madres Adolescentes a través del fortalecimiento de redes sociales y promoción del derecho a la salud en los distritos de San Juan de Miraflores, Villa Maria del Triunfo y Villa el Salvador durante un periodo de 3 años.

Los Objetivos específicos son:

- Reforzar la salud sexual y reproductiva de las gestantes y madres adolescentes como prioridad entre las comunidades, las autoridades religiosas y públicas, actores de la sociedad civil organizada e instituciones académicas

- Promover la salud sexual y reproductiva y el acceso a servicios existentes para la población adolescente a través de actividades de Información, Educación y Comunicación

- Mejorar y garantizar servicios de SSR específicos para adolescentes en las estructuras sanitarias primarias

Los beneficiarios directos son 48 000 adolescentes de 10 a 19 años de edad en los 3 distritos. Es una población estigmatizada que tiene poco acceso a servicios de SSR preventivos y curativos, que presenta altos indicios de embarazo, y que es víctima de violencia sexual.

El proyecto se ejecuta mediante una colaboración estrecha con los 3 Municipios, las autoridades sanitarias y diversos actores de la sociedad civil organizada.

Los recursos humanos están componiendo de 2 expatriados (1 coordinador general y 1 administradora) y 14 nacionales (1 coordinadora médica, 3 coordinadoras de campo con perfiles de enfermera, 3 obstétricos, 2 sicólogos, 1 asistente administrativa, 1 secretaria, 2 chóferes logísticos y 1 encargada de la limpieza).

Las responsabilidades directas del puesto y tareas a desempeñar son las siguientes:

- Implementación del proyecto

- Informes, comunicación y representación institucional

- Administración, gestión de RRHH y financiamiento

Salida: lo mas rápidamente posible

Periodo: 1 año

Estatuto: voluntario

Indemnización mensual: 915 Euros + Per Diem

Perfil:

- Médico y/o especialista en salud pública

- Interés particular sobre el tema de SSR para adolescentes.

- Experiencia de trabajo en equipo

- Habilidad para la elaboración de informes/documentos (datos epidemiológicos, testimonios, informes de actividad, informes para financiadores, etc.).

- Francés y Español fluidos

- Excelente manejo de computadora y programas Word, Excel, Power Point e Internet

ZIMBABWE (Harare, Chipinge) - Medical Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

ZIMBABWE

MEDICAL COORDINATOR (Harare 50 %, Chipingue 50%)

Reference MDM-ZIM-COM

2008 is the tenth year in a row of negative growth in Zimbabwe real GDP. The economy has shrunk by about 44% between 1998 and 2007. The key indicators paint a picture of rampant unemployment, with the urban situation also becoming of particular concern in recent years. The poverty situation has become worse in view of the consecutive depressed harvests and a phenomenal rise in the cost of living.

Inflation figures reach a new height every month. In 03/2008, inflation reached 355 000%, making this the world’s highest rate. Meanwhile, the rise in salaries lags way behind the price rises, eroding the purchasing power of incomes. With the aim of reducing inflation by bringing back hard currency into the formal economy, the Monetary Policy announced on 30 April 2008 that it would allow a daily floating inter-bank exchange rate. However, unintentionally, this has exacerbated the competition between the rates offered in the formal sector and the informal sector – in essence it appears that the rate has only been partially liberated. The Zimbabwe dollar exchange rate was 100 000 000/ 1 USD on 04/2008, 17 000 000 000 Zimdollars/ 1 USD (cash)/ 40 000 000 000 Zimdollars/ 1 USD (bank transfer) on 06/2008.

This economic situation has undermined the provision of health services in a country, which experiences one of the worst generalised HIV epidemics (15.6%). And this is especially relevant in Chipinge District and rural areas where there is limited access to private services and provision of supplies is often erratic due to logistical constraints.

To develop a longer term approach:

In this context, MDM is undertaking a comprehensive HIV prevention, care and mitigation initiative in partnership with the Ministry of Health and Child Welfare (MOHCW) to provide aid to the population of Chipinge District since 2005. The project is establishing a model of management centered on the patient, by applying the national HIV/AIDS policy.

However, the current environment and lack of essential non HIV-related health care provision impacts on the morbidity of the general population, as well as those on ARV. Subsequently, MDM is planning to develop a primary health care (PHC) project, which will adopt an integrated approach, in order to strengthen the current HIV initiative, whilst also supporting MOHCW structures in terms of broader health needs.

To answer the current political crisis:

The period since the March 29th harmonized elections has compounded the situation still further. Acts of politically motivated violence have increased the demand on already over-stretched facilities. Additionally, this period has been marked by reduced access of humanitarian actors, inhibiting not only comprehensive assessment, but also support. Therefore, MDM is implementing an emergency intervention, in order to address the more pressing needs in terms of medical care of those victims of political violence in Chipinge.

The Expatriate team is composed by 5 expatriates: General Coordinator, Medical coordinator, Administrative coordinator, Logistic coordinator, Field coordinator.The National staff is composed by in Harare: Administrative assistant, Logistic assistant, Driver (2), Guard (4), cook, office orderly and in Chipinge: Medical doctor, Field teams (3x3pers), Administrative assistant, Logistic assistant, Mechanic, Storekeeper, Driver (4), Guard (12), cook, office orderly.

The objective of the Medical Coordinator is to supervise, organise and co-ordinate the mission’s medical part in order to guarantee the pertinence of the medical activities and the respect of the project’s goals and expected results. His main duties are:

- Programme Monitoring and Evaluation

- Human Resources

- Internal Coordination

- External Coordination and representation

- Proposal writing and reporting

- Admin-Logistics

Departure: 15/09/2008

Duration: 1 year

Status: Salaried

Profile:

§ Medical doctor with HIV/AIDS qualifications

§ Previous experience in HIV/AIDS programs preferably in Sub-Saharan Africa

§ Previous experience in Southern Africa is an added advantage

§ Experience in community mobilisation and participatory methods

§ Experience in medical personnel management

§ Ability to network with other partners

§ Proven ability to compile timely reports and in developing project proposals for funding

§ Must be computer literate, especially in MS Word, MS Excel. Previous knowledge of EPIINFO and FUCHIA an advantage

§ Ability to communicate verbally and written in English, French would be an advantage

§ Personal skills: Human sensitive, team work, diplomat

§ Possession of a valid International or Zimbabwean Drivers’ license will be of great use

ZIMBABWE (Harare, Chipinge) - General Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

ZIMBABWE

GENERAL COORDINATOR (Harare – 80 % ChipiNge – 20 %)

Reference MDM-ZIM-COORDOG

To develop a longer term approach:

In this context, MDM is undertaking a comprehensive HIV prevention, care and mitigation initiative in partnership with the Ministry of Health and Child Welfare (MOHCW) to provide aid to the population of Chipinge District since 2005. The project is establishing a model of management centered on the patient, by applying the national HIV/AIDS policy.

However, the current environment and lack of essential non HIV-related health care provision impacts on the morbidity of the general population, as well as those on ARV. Subsequently, MDM is planning to develop a primary health care (PHC) project, which will adopt an integrated approach, in order to strengthen the current HIV initiative, whilst also supporting MOHCW structures in terms of broader health needs.

To answer the current political crisis:

The Expatriate team is composed by 5 people: General Director, Medical coordinator, Administrative coordinator, Logistic coordinator, Field coordinator. The National staff is composed by in Harare: Administrative assistant, Logistic assistant, Driver (2), Guard (4), cook, office orderly and in Chipinge: Medical doctor, Field teams (3x3pers), Administrative assistant, Logistic assistant, Mechanic, Storekeeper, Driver (4), Guard (12), cook, office orderly.

The objective of the mission is: To ensure the overall representation, as well as the general coordination of the project and the team, in order to ensure that MDM projects in Zimbabwe comply with the organisation mandate and that they are in line with their objectives as per agreement with donors/partners.

His responsibilities are the following:

- To represent MDM in the country and manage the communication process with Headquarters.

- To strengthen cooperation with all partners at national and local levels.

- To support the development of MDM overall strategy in Zimbabwe.

- To supervise the management of the team.

- According to experience, to lead or to support the security management.

His main activities are:

- External Coordination and representation

- Human Resources

- Internal Coordination

- Programme Monitoring and Evaluation

- Security

- Proposal writing and reporting

- Admin-Logistics

Departure: 01/11/2008

Duration: 1 year

Status: Salaried

Profile:

- Previous experience as a Country Director or previous humanitarian experience with strong abilities in networking and team coordination

- Ability to represent MDM with national authorities, humanitarian partners, the donor community

- Ability to communicate verbally and in written in English

- Proven ability to compile timely reports and to develop project proposals for funding

- Ability to work in a multicultural setting and as part of a team

- Previous experience in HIV/AIDS projects would be an advantage

- Previous experience in Southern Africa is an added advantage

- Good analytical skills

- Computer literate, particularly in MS Word and Excel

- Personal skills: Diplomacy, networking and skilled in conflict mitigation

- Possession of a valid International or Zimbabwean Drivers’ license will be of great use

RDC - Kinshasa - Référent Ressources Humaines

Thu, 13 Nov 2008 23:00:00 GMT

Médecins du Monde est présent en RDC au travers de 3 missions :
- Programme intégré de lutte contre le VIH/SIDA et les IST à Goma, Nord Kivu
- Programme d’appui médical, d’insertion et resocialisation des enfants de la rue à Kinshasa
- Programme d’appui médical et de lutte contre les épidémies sur le District du Tanganyika

Objectif global du poste :
Assurer la mise en place et le développement des outils de gestion administrative et des parcours des ressources humaines nationales au regard des politiques nationales et des procédures internes MDM.

L’équipe expatriée est composée de 18 personnes basées sur le district de Kinshasa et Kaliémie

L’équipe nationale est composée de 28 personnes à Kinshasa, de 128 pour le programme du district du Tanganyika et de 22 pour le Programme Goma SIDA .

Sous la responsabilité directe du coordinateur administratif :

Le référent ressources humaines est responsable de :
- travailler en étroite collaboration avec les différents administrateurs sites des programmes pour s’assurer de la meilleur interprétation et application des dispositifs légaux et internes en matière de la gestion des RH.
- s’assurer de la cohérence, de l’harmonisation, de l’actualisation, de la finalisation de la grille des métiers, des fiches de postes et de l’appropriation par les équipes administratives des procédures et politiques RH de MDM sur l’ensemble de la RDC en lien étroit avec le desk et la chargée de ressources humaines nationales basées au siège.
- développer une politique et mettre en place les outils pour l’accompagnement du parcours des salariés nationaux.

Départ : 01/09/2008
Durée : 12 à 18 mois
Statut : Volontaire
Indemnités : 800 Euros + Per Diem

Profil :

- Expérience en gestion des Ressources Humaines (2 ans min) et en travail humanitaire serait un plus
- Formation en économie, Droit, ou tout autre domaine apparenté
- Français courant (lu, écrit, parlé) et des connaissances en Anglais serait un atout
- Informatique : Word, Excel (très bon niveau)
- Esprit d’équipe sens de la collaboration, du dialogue et de la négociation
- Rigueur, forte implication et patient
- Capacité d’adaptation dans un contexte de sécuritaire instable et respect des règles de sécurité
- Prévoir des déplacements fréquents
- Goût pour la formation

OCCUPIED PALESTINIAN TERRITORY ( Jerusalem) - Medical Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

OCCUPIED PALESTINIAN TERRITORY (Jerusalem)

Medical Coordinator

Reference MDM-COM-PALESTINE

Médecins du Monde (MDM) is an international solidarity association, which depends on the volunteer commitment of its members and medical professionals, in order to assist the health needs of the most vulnerable populations both in France and in 54 countries around the world.

Based on its medical experience, it bears witness to the obstacles in accessing medical care and denounces the violations of human rights.

MDM-F is currently working in 3 locations

• Nablus: Mental Health and psycho-social programs

• Jerusalem Governorate: Primary Health Care (PHC)

• Gaza: PHC, Orthopaedic surgery support, support of Palestine Red Crescent Society (PRCS), Basic Life Support training, Emergency drug and medical equipment donation

The Medical Coordinator participates in the development of MDM-F programs within the Palestinian Territories.

§ Contributes to building MDM-F program strategy in the Palestinian Territories

§ Evaluates on an ongoing basis the progress made in current programs, the relevance of program content with respect to the assigned objectives and the evolution in health conditions in the Territories

§ Decides, in conjunction with the General Coordinator, Technical Specialists, the Field Coordination team and the MDM-F desk and RM, on program reorientations and the medical infrastructure to be allocated to the mission

§ Actively participates in drawing up operational proposals for the newly-identified projects.

The Medical Coordinator is responsible for:

§ Ensuring coordination between the partners in Gaza and West Bank (MDM-F and Ministry of Health, PRCS, Palestinian Medical Relief Society, Directors of Shifa, European and Nasser Hospitals) for implementation of programs.

§ Coordination of visits of expatriate specialists with MDM-F desk, Field Teams and partners and ensuring adequate reporting and follow-up of visiting expatriate activities

§ Technical supervision of MDM medical teams in the Palestinian Territories

§ Follow-up of medical programs, including needs assessment in support to the field coordination teams, purchasing of medications in link with the logistics department, medical equipment and furniture/rehabilitation, training and Health Education activities

§ Ensuring medical accuracy of training and Health Education materials

§ Reorientation of training program and Health Education according to needs assessments and changes in context

§ Compilation of data/indicators from medical programs and monthly reporting of activities to MDM-F coordination team

§ Reporting and presentation of activities to key partners in Jerusalem, and if needed in the field

§ Technical referent for medical issues in Nablus programs

§ Drafting of the technical parts of proposals for donors and formal reporting to donors on the progress of medical activities

§ Participation in health meetings (AIDA, WHO, MoH) in West Bank and Gaza to understand and communicate health context in oPt.

§ Coordinate emergency responses in oPt, according to need, ensuring close coordination with other organizations working in the field (UN, ICRC, INGOs, Palestinian NGOs, MoH) in conjunction with HoM and with the field coordinators if appropriate

§ Ensure that occupational health standards are maintained for the safety of the MDM-F team

§ Participation in advocacy and communication campaigns, under supervision of the General Coordinator

§ Participation to maintenance of data collection and up-dated information on activities and local context

Departure: 27/10/2008

Duration: 1 year

Status: salaried

Profile:

- Physician

- Experience and/or knowledge in the public health field

- Experience in development and administration of training programs

- Experience in supervision and team management, if possible abroad

- Strong analytical capabilities

- Strong field experience under potentially hazardous safety conditions,

- Outstanding management and communication qualities

- Competency with Word, Excel, Outlook and Powerpoint

- Knowledge of the Muslim world would be appreciated

- English spoken, written and read – French or Arabic would be assets

INDONESIA (Jakarta) - General Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

INDONESIA (Jakarta) – General Coordinator

Reference MDM-INDO-COORDOG-JAKARTA

With a population of 220 million, Indonesia is the fourth largest country in the world and its population grows by about 3 million each year. 27% of the population lives under the national poverty line. Indonesia is still suffering of the economic collapse of 1997, which had a significant impact on the health status, slowing the development of the health system. Serious concerns remain with the impact of the decentralization process on the health structures and the implementation of policies, the allocation of resources (financial and human) from central level and the lack of minimum standards for basic services.

Conflict and communal violence has decreased in intensity or has been solved, but the consequences are still felt by the population (IDPs, disruption of basic services…), which are not adequately met by the national or local authorities. The archipelago is prone to a variety of natural disasters (earthquakes, tsunami, floods, volcanic eruptions…) with devastating and long-term impact for the affected population. Disaster preparedness is not yet an operative concept in Indonesia.

MdM-France has programs in Indonesia since 1998, first in North Maluku and in Papua. The country strategy is to focus on access to primary health care for the most vulnerable population in the urban context and to intervene among communities living in remote areas and in cultural or development transition.

Three programs are currently implemented:

- Primary Health Care and Infectious Diseases Prevention Program in the Puncak Jaya District of Papua. Ending on 31 december 2009

- Malaria control program in Lembata

- Primary Health Care access program in North Jakarta slums

The General Coordinator to be recruited shall participate to en exploratory mission in Jakarta. The will is to start over a new programme.
MDM has pre-positioned a Disaster Kit and identified human resources in order to intervene appropriately in case of emergency and to assess further needs. Concerned in the first place for the sake of its personnel and the communities we are reaching, MDM Indonesia is following closely the spread of the Bird Flu. As such, this base is the referent for South East Asia and is striving to compile and disseminate information on the virus and to lead a network on this issue.

The General objectives of the programs are:

- Papua Program: To improve in 3 years the health status of people living in the sub-districts of Mulia and Sinak

- Lembata Program: To improve the health of the population of the island of Lembata, Nusa Tenggara Timur (NTT) Province, Indonesia.

The Specific objective is to upgrading the anti-malaria fight in the island of Lembata by direct action in the most seriously affected communities with the aim of reducing the disease burden by 40% within 16 months.

The Expatriate team in Jakarta is composed by: 1 Country Director & 1 Administrator. The National team in Jakarta is composed by: 1 Finance Administrator, administrator, logistician…

The Expatriate team in Lembata is composed by: 1 Medical Coordinator, 1 Administrator and 1 Laboratory Technician. The National team in Lembata is composed by: 2 Medical Doctors, 4 Nurses, 1 Administrator, 1 Logistics Officer Assistant…

The Expatriate team in Papua is composed by: 1 Medical Coordinator, 1 Nurse and 1 Administrator. The National team is composed by: 1 Medical Doctor, 1 Administrator, 1 Logistician…

The General Coordinator will be in charge of the coordination of all the programs set up by MdM in Indonesia. He/she will work closely with the Coordinators of the other MDM programs and the Desk Officer in the HQ. He/she will be in contact with the Heads of Mission (RM) of the different programs implemented in Indonesia.

He/she will have the following duties:

· To analyze the humanitarian, political and geopolitical situation in Indonesia and to report to the Desk Officer and the RM

· To manage, supervise and support the overall planning and implementation of the work of the different programs in order to achieve the objectives

· To represent MDM to local authorities especially MoH, donors, NGOs, UN agencies and embassies and to the media

· To identify new intervention opportunities when/where necessary and set up exploratory missions

· To carry out regular field visits

· To ensure that appropriate logistic, administrative and financial structures and procedures are established and respected

· To ensure the coherence of the programs within the MDM strategies, guidelines and procedures

· To participate to the evaluation missions of the different programs

· To write monthly report and strategic report as required with input and support from the different programs.

· To ensure reactivity in case of emergency in close cooperation with the Emergency Desk

· To update regularly the network on the Bird Flu and disseminate crucial information to partners in Indonesia and other missions in South East Asia

· To look for new funding opportunities

· To work closely with the Coordinators, the Desk Officer and the pertinent RM to prepare projects proposals and donors reports

· To remain well informed of the security context in the country and in the programs areas

· To ensure the maintenance of coherent, appropriate and respected security guidelines and procedures on the different programs

· To oversee budget preparation, setting the parameters and the process, ensuring that country programs are implemented within their budgets

· To supervise and to give support to coordinators and administrators regarding financial and administrative management

· To oversee human resource management of expatriates and local staff

Departure: 15/09/2008

Duration: 1 year

Status: volunteer

Monthly Allowance: 915 Euros + Daily subsistence

Profile:

* Medical profession (doctor or nurse) (desirable)

* Experience in a similar position within an International NGO

* Experience in program management

* Degree in Public Health

* Ability to represent MDM

* Knowledge or understanding of Asia

* Fluent oral and written English (French and Indonesian would be assets)

* Good knowledge of Windows environment (Word, Excel)

* Ability and flexibility to cope with cultural and political environment

* Communication and negotiation skills

* Reactivity, anticipation, adaptability, capacity to take initiatives

* Ability to learn a new language (Indonesian is an easy language)

* Organization skills, rigor

* Patience and understanding

ANGOLA (Province de Huila) - Coordinateur de Site

Thu, 13 Nov 2008 23:00:00 GMT

ANGOLA

COORDINATEUR DE SITE (Province de Huila)

Référence MDM_ANG-CoordoSITE

L'Angola est un pays du sud-ouest de l'Afrique limitrophe de la République démocratique du Congo, la République du Congo, la Namibie et la Zambie. Le 4 avril 2002, les représentants du gouvernement et l’Union Nationale pour l’Indépendance de l’Angola (UNITA) signent un accord de cessez-le-feu et de paix, après la mort du chef de l’UNITA, Joaquim Savimbi. Cet accord met fin à 27 années de guerre civile et rétablit les ententes de Lusaka de 1994 abandonnées par l’UNITA.

Après la cessation des hostilités, plus d’un quart de la population (3.500.000 personnes) était enregistrée comme déplacée à cause du conflit. Approximativement 441.000 angolais réfugiés en Zambie, Namibie, R.D.C. et au Congo, ainsi que 445.000 ex-soldats de l’UNITA et leurs familles regroupés dans 35 camps sont revenus dans leurs zones d’origine, dont beaucoup ne bénéficient pas des infrastructures de base.

Sur 177 pays, l’Angola est au 160ème rang de l’Indice de Développement Humain (IDH) 2005 calculé par le PNUD. L’espérance de vie à la naissance, de 41 ans en 2004, est passée à 38 ans en 2006, un niveau de 30 % inférieur à la majorité des pays en développement. Les taux de mortalité infantile et juvénile sont respectivement de 195 et 265 pour 1000 et représentent les taux des plus élevés dans le monde. Le paludisme, les maladies respiratoires, les diarrhées, le tétanos et la malnutrition sont les principales causes de mortalités. La population est régulièrement affectée par des épidémies telles que le choléra est la fièvre de Marburg. La prévalence du HIV dans le pays est estimée à 3.9% mais ce pourcentage demeure largement sous évalué.

Après une dizaine d’années de présence pendant le conflit, à la fois en zone UNITA et en zone gouvernementale, Médecins du Monde se retire de l’Angola en 2001. A partir de juillet 2002, Médecins du Monde début un programme de restauration de l’accès aux soins dans la Municipalité de Mungo, située au nord de la province de Huambo. Le projet inclue la réhabilitation du centre de santé de la ville de Mungo et de 4 postes de santé de la périphérie, la formation complémentaire du personnel de santé. La province de Huambo, fief de Joaquim Savimbi, est particulièrement démunie avec un réseau de structures de santé réduit au minimum, travaillant en autarcie depuis des années, avec très peu de médecins, la majorité concentrée dans la ville de Huambo, pour 2,5 millions d’habitants de la province.

Depuis fin 2004, Médecins du Monde est présent sur la ville portuaire de Lobito auprès d’une population de 350 enfants et adolescents des rues afin de développer un programme de restauration de l’accès aux soins et d’éducation à la santé, et de partenariat en réseau avec les acteurs locaux en matière d’éducation, de formation et de lutte pour les droits de l’enfant . MDM France intervient auprès des Enfants et Adolescents en situation de rue depuis 2 ans, sur le thème de la santé. Mais aussi au niveau social et Psychologique.

MDM est rentré dans une phase de désengagement de ce projet depuis début 2008 et son action vise à renforcer les partenariats et le réseau déjà mis en place afin d’assurer la pérennisation de ce projet au niveau de ses partenaires gouvernementaux et associatifs.

En mai/juin 2008, une mission exploratoire a été menée dans la province de Huila. Les problèmes collectifs de santé identifiés sont les suivants :

Couverture insuffisante pour les soins materno-infantiles

· Insuffisance de dépistage et référence des grossesses à risque

· Mortalité maternelle élevée au centre de référence

· Insuffisance de soins pédiatriques (faible couverture vaccinale, prévalence importante malnutrition,…)

Épidémie VIH

· Prévalence importante (~4,1%)

· Couverture insuffisante dépistage et prise en charge de personnes séropositives

· Problème d`accès aux ARV (prescription médicale obligatoire) et à la PTME

· Manque de sensibilisation/prévention

· Discrimination/stigmatisation de personnes vivant avec le VIH

Déficit RH

· Qualitatif : manque de formation du personnel en place (particulièrement les infirmiers de postes et centres de santé) Fonctionnaires administratifs sur représentés

· Quantitatif : manque de médecins, d`infirmiers particulièrement dans de zones éloignées

· Répartition inégale en fonction du processus de « revitalisation » et des priorités politiques (voir plus bas, contraintes et opportunités)

Compartimentalisation de différents programmes de santé

· Opposition Santé maternelle – santé infantile

· Opposition SMI - VIH

· Opposition préventif- curatif

Médecins du Monde a décidé d’ouvrir un nouveau projet dans cette zone à compter du dernier trimestre 2008 pour une durée minimale de 24 mois, avec pour objectif principal de contribuer à la réduction de la mortalité materno-infantile et à la lutte contre le VIH/Sida dans trois « municipios » du nord de la province de Huila. Le projet se déroule dans le triangle formé par les municipios Caluquembe-Caconda-Chicomba, dans le nord de la province de Huila : 2 municipios, Caluquembe et Caconda, faisant partie du processus de revitalisation depuis 2007 et 1 municipio exclu de ce processus.

Les objectifs spécifiques de ce projet sont :

- Former et accompagner les professionnels de santé impliqués dans la prise en charge de la santé materno-infantile au niveau des 3 municipios

- Accompagner la mise en œuvre des activités des CATV et de la PTME dans les 3 municipios et participer à l`intégration de la prise en charge VIH aux soins de santé primaire

- Accompagner la mise en œuvre du réseau d`agents de santé communautaire dans la zone

- Renforcer l`appui psycho-social et participer à la lutte contre la discrimination des personnes vivant avec le VIH

- Observer et témoigner de l’évolution de l`offre et de l`accès aux soins de santé dans la zone.

L’équipe expatriée est composée de : 1 coordinateur, 1 référent médical VIH, 1 référent santé communautaire, 1 logisticien pour l’ouverture de la mission, 1 administrateur dans un deuxième temps

Le personnel national est quant à lui composé de : 3 infirmiers, 1 animateur social, 1 administrateur, 1 logisticien, 8 chauffeur, 8 gardiens, 2 agents d’entretien.

Les tâches du Coordinateur de Site sont les suivantes :

- En fonction de la date d’arrivée sur site, participe à l’installation de la mission MDM dans la province :

- Coordination du programme

- Représentation de MDM au niveau de la zone d’intervention

- Management des ressources humaines et financières

Le Coordinateur de Site est basé sous la responsabilité de la coordinatrice générale basée à Lobito.

Départ: 15/10/2008

Durée: 9 mois renouvelables

Statut: volontaire

Indemnité mensuelle: 915 Euros + Perdiem

Profil:

¨ Expérience en ONG souhaitée

¨ Expérience en Coordination de Projet et Coordination de Site ou Coordination Générale

¨ Expérience sur des projets en santé publique

¨ Portugais et/ou espagnol indispensable

¨ Français et anglais souhaité

¨ Connaissances informatiques (Word, Excel, Power Point)

¨ Travail en collaboration avec les autorités et les différents acteurs locaux

¨ Capacité à animer une équipe

¨ Compétences en administration / gestion financière de projets

¨ Connaissances en santé publique

¨ Capacité à animer un réseau d’acteurs hétérogènes

BULGARIA (Sliven) - General Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

BULGARIA

GENERAL Coordinator (Sliven)

Reference MDM_COORDOg-BUL

One of the largest Roma communities in Europe lives in Bulgaria: 365 797 Roma are officially recorded and 700 000 unofficially. 10% of the Bulgarian Romas live in Sliven in the Eastern part of the country. Among them, 8000 persons live in the Nadezhda’s quarter including 3200 children and 2100 women of child-bearing age. Nadezhda quarter is the largest of the 4 quarters of the Roma minority in Sliven. The poorest and most vulnerable community is the “Naked” one which represents 50% of Nadezhda’s inhabitants. The “Musicians” one and the “Turks”one count for a quarter of the total Roma community.

The relationships between the various « groups » are complex, especially since the collapse of communism and the impoverishment of the Roma communities. The “Turks” are rather hostile towards the other groups. The “Musicians” is the leader group whereas the “Naked” are rejected by the other groups, even by children. The life expectancy of the Roma population in Bulgaria is of 52 years old (vs 71.75 years old for the rest of the Bulgarian population). 50% of the population is less than 18 years old.

The Roma living in Nadezhda are heavy discriminated in the Bulgarian society although Sliven is a place where thousands of Roma live and where the majority of them is better integrated than in the rest of the country. The access to ambulatory and hospital care depends on the grant of social security rights. However, the reform of the Bulgarian health system in July 2000 brought about the exclusion of the high majority of Roma from access to health care: about a third of the Roma population would be “out” of the system and would not have any social security rights since January 1st, 2005.

Médecins du Monde implemented a Mother and Child Health Care centre in Nadezhda in January 2005. An assessment mission was conducted in July 2005. The programme activities have been stopped in September 2006 for administrative reasons.

The title of the project is:” Improve Mother and Child Health Care of the Roma Population Living in Nadezhda”. The implementation is in Sliven (relatively large town with 110,000 inhabitants; the 8th largest in Bulgaria). The beneficiaries are Roma women and children living in Nadezhda’s quarter (whole population of the quarter, which is around 8000 persons -+/-600 due to seasonal migrations). The direct beneficiaries are 3200 children and 2100 women of child-bearing age (12 years old for Roma).

Since 2004, MdM has been working in the heart of the largest Roma communities in Bulgaria, in the Sliven’s Nadezhda quarter. After two years, the 2006 evaluation synthesized data collected and highlighted the deep disparities between the general population and the Roma local population regarding access to mother and child health cares, access to medical facilities and information on health issues.

In order to meet these needs, MdM elaborated a comprehensive project that aims at giving the community the means and human resources to ensure its access to health. The main goal would be to make the community exercise its rights for medical insurance and for a better access to care and prevention.

The MdM General Coordinator in Sliven is a challenging position that requires commitment, dexterity and diplomacy for:

- Programme planning, supervising and managing activities’ implementation (re-launch the program, guaranty the quality)

- Setting up the programme’ monitoring & evaluation (plan, implementation, reporting)

- Team management in a complex environment

- Collaborate closely with national medical coordinator and most particularly for technical aspects (team training, training plans, health education)

- Elaborating and following-up of programme’s budget

- Building up and upholding effective relations with local authorities

- Conducting a network of partners and promoting the coordination of participants

- Building up the advocacy for ROMs’ health rights (keeping the health and political bodies aware of the problems of access to health care and social situation of Nadezhda quarter)

- Representing MdM for the Bulgarian authorities, the donors, the NGOs, and embassies (regular meetings and negotiations)

- Building relations to donors (fund raising, reporting)

- Capacity building on national team

- Regular relations to the desk officer and the benevolent Mission Responsible: writing of monthly reports and regular contacts and communication

Departure: 01/10/2008

Duration: 1 an

Status: salaried

Profile:

¨ Experienced in health programmes

¨ Extensive experience in programme coordination and team management

¨ Capacity to represent the organization

¨ English speaking (good level)

¨ Computer skills (Word, Excel)

¨ Experienced in management of humanitarian and/or development programmes

¨ Experienced in mother and child health and social issues

¨ Experienced in training methodologies and planning

¨ Understanding of Rom or minorities issues

¨ Skilled in fundraising processes

¨ Qualifications in public health is an asset

¨ Experienced in advocacy or lobbying is an asset

¨ Knowledge in Mother and Child Health would be an asset

¨ Knowledge of Slavic languages (Bulgarian, Russian) would be an asset

¨ Organizational skills, public relations and diplomacy

¨ Interest in the social approach of health issues

¨ Committed and concerned with minorities’ rights

¨ Intellectual curiosity, respect for the others, team spirit, patience and tenacity

ETHIOPIA - Somali Region (Kebri Dehar) - Site Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

MDM is present in Ethiopia since 1988 and has implemented different programmes (long term and emergency) in different regions. Currently, two programmes are in progress in the northern part of the country (Prevention of mother-to-child transmission of HIV and training in emergency obstetrics and surgery).
The site coordinator will work on the programme: “Support to Kebri Dehar Hospital and Primary Health Care in Korahe Zone – Somali Regional State – Ethiopia.”
The general objective of this programme is to improve the health status of Korahe Zone population. Assessment has shown a very poor health services’ offer, and the region is regularly affected by draughts. The first year phase will aim at strengthening Primary Health Care in 6 and then 8 Health Posts of Kebri Dehar District, strengthening the activities of Kebri Dehar referral hospital with a special focus on obstetrical activities, and implementing an Early Warning System concerning epidemics and malnutrition in the zone.
The second phase that has started in July 2008 carries on with the activities of the first phase and should include 6 new Health Posts from Kebri Dehar district. The support to the hospital, especially to the obstetric and surgery wards, has been reinforced, by hiring some medical staffs to conduct activities in close cooperation with the hospital. In Shilabo district, special attention is paid to the nutrition component of our project.
At both Health Posts and Kebri Dehar Hospitals levels, the main activities of the programme are to:
- assess infrastructure needs
- rehabilitate accordingly and equip according to standard list
- assess needs for trainings and carry out trainings
- revise/update protocols and ensure their implementation
- support drug supply
- implement vaccination outreach programmes, to monitor obstetrical activities
- monitor and improve the epidemiological surveillance
- sensitise communities
- carry out health and nutrition assessments
- conduct mobile health activities according to the needs

The site coordinator will have to supervise and co-ordinate all the activities on Kebri Dehar and Shilabo bases in the respect of people and goods’ safety, in order to guarantee the programs’ pertinence and their suitability to the contract’s objectives.
He/she will be responsible of the security, the management (administrative and the personnel), the accounting, budgetary and financial management, the relations with donors and partners, the budgetary follow-up, the relations with the head office, the relations with the media, and in terms of testimony, Human rights and protection of populations.

Departure : 05/12/2008
Duration : 1 year
Status : salaried
Profile :
- Training in management and administration
- Experience in an international NGO in the field of finance, administration and security
- Communications skills, with sense of diplomacy
- Ability to lead and work as part of a team of expatriate and national staff
- Ability and flexibility to understand the cultural and political environment and work with the communities and local authorities.
- Ability to live and work under pressure in a harsh and isolated environment
- Computer skills – Microsoft Office, Internet and data management
- English: very well spoken and written; French is a plus

PALESTINE (Jerusalem) - General Coordinator

Thu, 13 Nov 2008 23:00:00 GMT

The Israeli-Palestine conflict provides the general background against which MDM involvement in Palestine is set. Since 2000 progress, which had been achieved in the 1990s by means of the Oslo Agreement process and the handover of sovereignty of the Palestinian Territories from Israel to the Palestinian Authority, has been compromised by the start of the Second Intifada. Since then, the conflict has been characterised by:

• Large-scale Israeli military operations in the Palestinian Territories with bombings, destruction of Palestinian Authority infrastructure, destruction of civilian homes, imposition of curfews and huge numbers of arrests of Palestinian civilians.
• Israeli army incursions into Palestinian towns accompanied by arrests, searches or destruction of houses and exchanges of fire resulting in dead and wounded.
• The blockade of the Territories by the Israeli army with the setting up of check-points sealing off the main towns on the West Bank, road blocks on numerous Palestinian routes, imposing of mobile check-points, implementation of a system of travel authorisations and permits and the building of a security wall inside the Territories itself.
• Palestinian suicide bombers used against the Israeli civilian population.
• Confrontations in the Occupied Territories between Israeli and Palestinian civilians or between the Palestinians and the Israeli army.
• Inter-Palestinian conflict, particularly in Gaza, as well as a huge rise in crime and acts of violence committed between families and groups, and inter-Palestinian kidnappings, indicating a collapse of public authority.

Since the death of Yasser Arafat and the election of Abu Mazen as president of the Palestinian Authority, Israel has eased repressive measures imposed on the West Bank while maintaining the blockade of certain towns and thereby continuing to impede the movement of goods and people. At the same time, tensions between Palestinian factions remain high. The accession to power by Hamas in Gaza in June 2007 deepened yet further the gulf between the West Bank and Gaza, imposing a de facto situation where Fatah, under Abou Amzen, governs from Ramallah and negotiates with the Israelis, while Hamas rules Gaza where the population continues to suffer repression. On another front, Hamas has since 2008 pursued a policy of firing Qassam rockets onto Israeli soil, sowing terror among the populations of towns such as Sderot and Ashdod.
The humanitarian situation in the Palestinian Territories has become extremely precarious. A permanent state of insecurity is accompanied by a significant decline in living conditions for the Palestinian population. According to the OCHA , the rise in poverty among the population since the start of the Second Intifada, combined with the impossibility of accessing key services, particularly health and education, has led to a considerable erosion of development indicators for the Palestinian population. A World Bank report in November 2004 stated that almost half of Palestinians were living below the poverty line. The economy remains severely depressed compared to pre-Intifada levels.
Moreover, construction of the wall continues despite condemnation from the International Court of Justice, along with the seizure of land and the destruction of homes. The wall, which in some places penetrates several kilometres inside the Palestinian Territories, is intended to separate Israel from the West Bank, and threatens to restrict yet further the freedom of movement of civilian populations. It also contributes to a severe worsening of the economic crisis in the Palestinian Territories, particularly in the Jerusalem sector.

The general aim of MDM - France intervention in Palestine is to improve the physical and mental health of the Palestinian populations in the Gaza Strip and the West Bank.

In Nablus:
Since 2000, MDM has been working in the field of mental health, initially in Ramallah (2000-2002) and then, since 2003, in Nablus. A field-based needs assessment in the District of Nablus highlighted the extent of psychological problems within the population, as well as the strengths and weaknesses of the existing healthcare system. In view of the needs identified, the response from health professionals and their enthusiastic response to training opportunities, as well as the absence of any healthcare alternatives for psychological/psychiatric cases, MDM, already a recognised player in the field of mental health in the area, considered it essential to pursue its mental health programme. MDM is seeking to develop an operational network of mental health professionals, particularly by means of various training initiatives.

There are currently three strands to MDM intervention:
- Community and destigmatisation initiatives with populations in Nablus
- Participation in a national mental health strategy, in association with the MOH and UNDP, supporting the opening of 2 medico-psychological community health centres in Nablus and Jenine
- A school counselling programme aimed at children in 4 villages around Nablus

In Gaza:
Established in Gaza since February 2002, MDM has implemented long-term programmes to improve medical emergency care by intervening at each stage of emergency treatment. MDM has also responded on many occasions to humanitarian crises:
- First Aid
- Pre-hospital Emergency Care
- Intra-hospital Emergency Care
- Orthopaedic Surgery
- Responding to and Anticipating Humanitarian Crises

In the Gaza Strip and Jerusalem Governorate
MDM-F has since June 2007 been leading a programme to support primary health care centres belonging to the Palestinian Ministry of Health (currently 15 in Gaza and 9 in Jerusalem) and funded by ECHO. The programme has involved improving and strengthening the skills of health centre staff – both nursing and administrative – through day-to-day in-service training, improving running of health centres, developing a health education programme for the populations catered for in partnership with the Palestinian NGO, Palestinian Medical Relief Society, and finally equipping and renovating centres as required. This programme is the main activity in Gaza and in Jerusalem, and will continue in 2009 if ECHO maintains its support.

MDM International Network:

Other MDM delegations are present in the Palestinian Territories:
- MDM-Spain has set up a mental health programme in the District of Salfit, close to Nablus, and is planning to launch a community medico-psychological centre similar to those planned for Nablus and Jenine. The team comprises two expatriate workers.
- MDM-Switzerland has set up a psychosocial welfare programme in Hebron in partnership with a Palestinian association focusing on non-violence and working with children and adolescents. The team comprises one expatriate worker.
- Lastly, MDM-Belgium has just completed an assessment mission looking at women’s mental health in the District of Hebron with a view to potentially launching a project during 2008.

An international coordinator was for a time posted in Jerusalem, but left at the beginning of 2007. The post of international coordinator is currently being reviewed by the various delegations. In the meantime, responsibility for the safety of the different expatriate groups, and occasionally for representing them, falls on the MDM-France general coordinator.
The mains duties and responsibilities of the Coordinator General:
- Follow-up of programmes
- Mission Management and Organisation
- Human Resources Management
- Managing Safety
- Institutional Representation and Coordination
- Communication
- Securing Funding

This mission may rapidly evolve depending on the situation and may at any time involve switching the programmes to an emergency footing. Where there is a fully staffed coordinating team and good technical skills in the field/France (i.e. technical experts on specialist programmes), the desired candidate profile is that of someone with excellent all-round humanitarian skills rather than technical expertise. The candidate must be able to manage on-site programmes and teams, monitor the safety of expatriate and national teams, propose reorientation of activities where necessary, demonstrate good managerial skills in guiding staff, support the teams and be a good communicator.

Departure: 30/10/2008
Duration: 1 year
Status: salaried

Profile:

- Experience of working as an MDM Coordinator is essential
- Experience in running a team and a flair for organisation
- A good understanding of the Israeli-Palestinian conflict and political challenges faced in the Middle East are required along with, if possible, some previous experience in the Middle East
- Must be physically and mentally robust in view of the workload and exhausting environment
- Previous experience of testimony/communication is essential, as is managing safety in a war situation.
- Be capable of taking a global view, keeping a distance and resisting being drawn into the Israeli-Palestinian conflict.
- Responsive, flexible and creative
- Good IT skills
- French and English : spoken, read and written
- Some knowledge in Arabic would be useful
- Driving License obligatory