Preliminary job information

• Job Title: TFC NURSE TEAM LEADER (TFC NURSE TL)
• Country and Base of posting:  YEMEN – MOKHA
• Reports hierarchically to: TFC MD TEAM LEADER 
• Creation / Replacement (incl. name): CREATION 
• Contract Duration: 6 MONTHS RENEWABLE BASED ON PERFORMANCE AND BUDGET AVAILABILITY.
• Announcing Date: 28/07/2022
• Announcement Closing Date: 06/08/2022
• Work Starting Date: ASAP

General information on the mission

Context

Première Urgence - Aide Médicale Internationale (PU-AMI) is a non-governmental, non-profit, non-political and non-religious international aid organization. Our teams are committed to supporting civilian victims of marginalization and exclusion, or those hit by natural disasters, wars and economic collapses by answering their fundamental needs. Our aim is to provide emergency relief to uprooted people in order to help them recover their dignity and regain self-sufficiency. The association leads in average 190 projects a year in the following sectors of intervention: Food Security, Health, Nutrition, Construction and Rehabilitation of infrastructures, Water, Sanitation, Hygiene and Economic Recovery. PU-AMI is providing assistance to around 5 million people in 20 countries across Africa, Asia, the Middle East, Eastern Europe and France.

Yemen is one of the 30 poorest countries in the world with 54% of the population (2014 est.) living below the poverty line on less than two dollars a day. In parallel, since 2011 and the Yemeni revolution, the State is facing major humanitarian challenges. The transitional process failed to provide sustainable peace in the region. The country is now divided in two, with northern Yemen being under severe stress to provide for its population. In March 2015, a Saudi-led coalition began airstrikes in support of southern based pro-government forces, leading to a very unstable situation and dire humanitarian needs. 
The armed conflict has spread rapidly throughout much of Yemen since mid-March 2015, with devastating consequences for civilians. Two years of violence has led one of the world's poorest countries into chaos. Around 70% of the population, or 18.8 million people, now depend on humanitarian aid (OCHA); 2.8 million people are displaced; Dozens of schools and hospitals were the target of attacks; 17 million Yemenis are food insecure and 3 million children and pregnant or lactating women are acutely malnourished. The lack of access to safe drinking water and sanitation also affects 14 million people. 14.8 million people have no access to health care. A generation of Yemeni children is at risk, as nearly 2 million children do not have access to education because of conflict, poverty and discrimination. Yemen has turned into the number one humanitarian crisis in absolute numbers of people in need.

PU-AMI’s history in the country and intervention strategy

PU-AMI has been present in Yemen since 2007. From 2007 to 2011, PU-AMI supported the primary health system in Hodeidah Governorate. After a one-year stand-by in 2011 due to security reasons, the mission re-started in July 2012 with a nutrition project focusing both on emergency response and a longer term community-based approach in Hodeidah and extended its activity in Raymah Governorate. 
In 2017, PU-AMI continues to concentrate its intervention in 6 districts of Hodeida and 3 districts of Raymah. The number of IDPs in those two Governorates is very large and weight consequently on a population already living in extreme precariousness. The core field of intervention for PU-AMI in these Governorates is an integrated approach on nutrition including community-based activities (OTP/SFP and community mobilization as a strong component of the program, within health facilities, but also within an outreached approach and mobile clinics). 
In Hodeidah governorate, PU-AMI works to contribute to reduce the impact and severity of nutritional challenges and to improve health status of most vulnerable populations, through supplementary nutrition integrated response based upon health, hygiene and nutrition education and capacity building (Mobile Health Clinic, support to Health facilities, General Food Distributions, etc.). 
In Raymah governorate, PU-AMI is responding to the ongoing nutrition crisis through the same activities as in Hodeidah (primary health care and management of acute malnutrition for children U5 and pregnant and lactating women), as well as running a Stabilization Centre for severely malnourished children with medical complications. 
As part of this integrated approach in those two governorates, PU-AMI also implements food security and livelihoods activities, mostly consisting on general food distribution and some Food For Training activities (started in 01/2017). In addition, water, hygiene and sanitation will also be part of PUI intervention in the focused area, with WASH being prioritized in the rehabilitation of health facilities to manage more effectively nutrition activities.
In May 2017, PU-AMI started being a part of the Emergency Cholera Response in Hodeida and Raymah through the set up or Oral Rehydration Points and support of one Cholera Treatment Centre in Raymah.
PU-AMI will also position itself in influencing positions, through effective participation to clusters and sub-clusters (nutrition; food security and livelihoods; WASH) and working closely with relevant government departments (MOPIC; MoPHP).The mission will explore opportunities for geographical expansion through developing and clarifying expansion criteria beyond the current Governorates and District.  

Overall objective:

The TFC Nurse Team Leader will organize, supervise, and support the entire nursing clinical team, which will consist of (in its entirety, and inclusive of TFC Nurse TL) 7 GHO auxiliary nurses. The TFC Nurse Team Leader will ensure that daily clinic activities follow Première Urgence Internationale’s technical standards, protocols, policies and procedures, and communicate any issues directly and immediately to the SC Doctor Team Leader.
In addition to the supervision duties, the TFC Nurse TL will also be expected to perform clinical duties relevant to his/her role as a nurse: To provide support for SC admitted children with SAM and medical complications. Maintain accurate patient and PU-AMI records and provide input into PU-AMI reports.  Participate in the smooth functioning of the SC supported by PU-AMI and participate in the capacity building of the government health workers.

Tasks and Responsibilities

1.    To supervise the implementation of the nutrition and health technical services in the SC as defined by the PUAMI SC doctor Team Leader; SC doctor on duty; and the SC AM.

2.    To achieve a high standard of care for patients in the SC in collaboration with all members of the multidisciplinary

3.    To participate in the capacity building of PUAMI clinical nursing staff and nursing government health workers.

Specific Goals and Related Activities

1.    To supervise the implementation of the nutrition and health technical services in the SC

• Ensure that all nursing staff adhere to correct nutrition protocols, as per PUAMI SOPs, national and international guidelines. Inform SC Doctor TL in the event further support is required;
• Ensures that daily, weekly and monthly reporting is completed and sent to the SC doctor TL on a timely basis;
• Ensures that all necessary equipment, drugs and consumables are available, and in good working condition; and to anticipate any needs ahead of shortages, and must inform SC doctor TL immediately of any shortages of drugs, consumables and medical equipment;
• Follows the administration of therapeutic milk and drugs according to international and national protocols (i.e. CMAM guidelines; PUAMI Nutrition SOP);
• Provides support to the Doctor during the triage stage, facilitate the screening of children <5yrs of age in collaboration with government health workers at the TFC
• Strictly follows the nutrition and drug orders as prescribed by the TFC doctor;
• Maintains proper record keeping by ensuring registration of all children admitted and treated in the SC using the relevant tools (i.e. SC registration book). 
• Strictly follows the national CMAM guidelines in the care of all children admitted into the SC; 
• Facilitate IYCF corner service to mothers with children less than 2 years of age and as needed.
• Ensures that all health, nutrition and hygiene promotion education is conducted to a high standard utilizing national and international protocols, approved by the TFC doctor.
• Supervises the preparation of the Formula milks and ensures good quality of hygiene provided by TFC Auxiliary Nurses;
• Is responsible of the stock/pharmacy management of essentials drugs, fresh food and equipment, to be validated by the SC doctor: 
  • Checks that the order forms are in conformity (including consumption coherence) and validates them prior transmission to the TFC doctor; 
  • Checks all deliveries; 
  • Ensure that the requests are done on time using the correct tools; and
  • Performs monthly inventories and assess their consistency with orders and consumptions and immediately notifies the SC doctor TL/doctor on duty of any shortages or issues. 

2.    To achieve a high standard of care for patients in the SC in collaboration with all members of the multidisciplinary

• Ensure all clinical nursing staff adhere to infection-control and waste management policies and protocols, medication administration and storage procedures, and controlled substance regulations, as per PUAMI SOPs, national and international guidelines. 
• Works closely with the MOPHP staffs and contribute to their capacity building through trainings and on job coaching: 
• Works closely with PU-AMI Nutrition team, MOPHP staff in the transfer of child to OTP;
• Works closely with the SC team to see availability, quality, and schedule of caretaker’s food during their stay in the SC; and
• Works closely with the SC doctor, health facility team (HF nurse is the focal point for all referrals), CHVs and community outreach workers to make sure there are effective referral systems between OTP and stabilization centers.

3.    To participate in the capacity building of the government Health Workers

• To identify and conduct any relevant on-the-job training required for the nursing staff (i.e. vital signs, etc). Inform SC doctor TL of any further training needs.
• Works closely with the MOPHP staff;
• Contributes to their capacity building through trainings and on the job coaching; and In General, the TFC Nurse TL ensures the motivation and cohesion of the nursing clinical team; and has to remain flexible and to perform other duties as required for the good care of patients. S/he ensures regular communication with the SC doctor TL and immediately notifying the TFC MD TL of any issues.

Team Management

• Direct functional management: GHO AUXILIARY NURSES
• Indirect management: NONE
• Direct Reports to:  TFC MEDICAL DOCTOR TEAM LEADER
• Direct functional Reports to: TFC MEDICAL DOCTOR WHEN ON SHIFT
• Indirectly Reports to:  HEALTH & NUTRITION PROJECT MANAGER

Required Personal Characteristics (fitting into the team, suitability for the job and assignment)

1.    Good communication, leadership and training skills
2.    Caring and empathetic
3.    Awareness of the impact of the loss
4.    Ability to speak and understand the national language of Raymah governorate.
5.    Reliable and Punctual
6.    Flexible and Committed