Médecins Sans Frontières (MSF) is an international, independent, non-profit medical humanitarian organization that delivers emergency aid to people affected by armed conflict, epidemics, pandemics, natural disasters and exclusion from healthcare. MSF started working in Yemen in 1986 and has been continuously present in the country since 2007. For more information, visit our Arabic website, www.msf-me.org.
Médecins Sans Frontières Belgium mission in Yemen is recruiting 2 MIDWIVES. Other suitable candidates may be considered for inclusion in a reserve pool for future Midwife vacancies, in accordance with MSF recruitment procedures

• Location: Aden Project – PHCCs and outreach activities in Aden and Lahj governorates, with possible mobility to other project locations depending on operational needs
• Contract duration: Six (6) months, with the possibility of extension
• Contract type: Fixed-Term contract
• Reporting to: Activity Manager

Main Purpose:

Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of a specialist doctor, in order to ensure their health conditions and avoid post-delivery complications. 

Accountabilities:

• Ensuring the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC 1 and CEmONC 2), neonatal and reproductive tract infections and Fistula care in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.  
• Where PMTCT is implemented, ensuring implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counselling, test and post counselling  
• Ensuring hygiene and sterilization criteria (including universal precautions) are met according to MSF specifications.  
• Performing cleaning and minor maintenance for biomedical equipment used. Following the user manual and protocols and alert supervisor in case of malfunctioning. 
• Guaranteeing a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.  
• Properly following up all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.  
• Ensuring patients’ right to privacy and confidentiality is respected.  
• Supervising that administrative procedures of admissions and hospitalizations comply with MSF protocols , as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, etc.  
• Participating in the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (specially identifying risk cases).
• According to MSF protocols in force, conduct normal deliveries independently Manage obstetric emergencies; identify cases needing referral and send them in time, clean up the newborn, executing and registering first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn and reporting them to the doctor, in order to ensure successful interventions Supervises the use of drugs, facilities and obstetric material, in order to ensure, in accordance with number of patients and prescriptions, a rational use as well as pharmacy stock levels are permanently updated, kept under appropriate conditions and above minimum safety point.  1 BEmONC = basic emergency obstetric and neonatal care = Administration of antibiotics, oxytocics, anticonvulsants, manual removal of the placenta, removal of retained products following abortion, assisted vaginal delivery, preferably with vacuum extractor and newborn care including neonatal resuscitation.  2 CEmONC = comprehensive obstetric and neonatal care = the full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparotomy), safe blood transfusion and care to sick and low birth weight newborns.

MSF Section/Context Specifics

1. Antenatal Care (ANC) & Risk Management

• Conduct antenatal care consultations in accordance with MSF protocols and national guidelines, including maternal assessment, physical examination, fetal monitoring, routine screening and MUAC assessment where applicable.
• Identify high-risk pregnancies and recognize obstetric danger signs at an early stage.
• Provide initial stabilization within the Midwife’s scope of practice and facilitate timely referral of complicated cases to appropriate BEmONC or CEmONC facilities.
• Provide health education and counselling to pregnant women on birth preparedness, maternal nutrition, hygiene, danger signs during pregnancy and when to seek urgent care.
• Ensure appropriate follow-up of pregnant women requiring closer monitoring and refer cases needing further medical assessment.

2. Postnatal Care (PNC)

• Provide postnatal consultations to mothers and newborns in accordance with MSF protocols and national guidelines.
• Monitor maternal recovery after delivery, identify postpartum danger signs and manage minor complications within the Midwife’s scope of practice.
• Provide wound care and other basic postnatal interventions when required and according to established protocols.
• Assess newborn health, monitor vital signs and identify signs requiring referral or medical assessment.
• Provide counselling on exclusive breastfeeding, newborn care, maternal hygiene, nutrition and postpartum danger signs.
• Ensure timely referral of mothers or newborns presenting complications beyond the Midwife’s scope of practice.

3. Family Planning Services

• Provide rights-based, confidential and non-discriminatory family planning counselling, supporting clients to make informed reproductive health choices.
• Provide family planning methods in accordance with MSF protocols, national guidelines and the Midwife’s scope of practice.
• Perform insertion and removal of subdermal contraceptive implants when appropriately trained, competent and authorized to do so.
• Identify and manage common contraceptive side effects within the Midwife’s scope of practice and refer complicated cases when necessary.
• Ensure appropriate follow-up of family planning clients and provide clear information on method use, side effects and warning signs.

4. STI / STD Management

• Provide syndromic management of common sexually transmitted infections in accordance with MSF protocols, national guidelines and the Midwife’s scope of practice.
• Conduct appropriate screening and clinical assessment of clients presenting symptoms suggestive of STIs.
• Provide or administer treatment when authorized and according to established protocols.
• Refer cases requiring further diagnostic investigation, medical assessment or specialized care.
• Provide counselling on STI prevention, treatment adherence, safer sexual practices and partner management.
• Maintain strict confidentiality and ensure respectful, non-discriminatory care for all clients.

5. Mobile Clinic & Clinical Management

• Participate in the preparation, organization and implementation of SRH activities within the Mobile Clinic.
• Ensure that the necessary SRH materials, medicines, family planning commodities and medical supplies required for assigned activities are available before departure.
• Monitor stock availability related to SRH activities and promptly inform the relevant responsible person of replenishment needs, shortages or anticipated stock-outs.
• Use medical supplies and medicines rationally and in accordance with MSF protocols.
• Maintain accurate and complete patient records, registers and activity data.
• Ensure strict confidentiality of patient information and appropriate management of medical documentation.
• Contribute to the daily organization and smooth functioning of Mobile Clinic activities in coordination with the medical team.
• Participate in the identification of patients requiring referral and support the organization of appropriate referral pathways.
• Report relevant medical, operational or protection concerns identified during activities to the supervisor or Project Medical Referent.

6. Health Education & Patient Support

• Provide clear and culturally appropriate health education on maternal health, newborn care, family planning, STI prevention and reproductive health.
• Promote informed decision-making and respectful maternity and reproductive healthcare.
• Ensure that patients understand prescribed treatments, follow-up requirements and referral instructions.
• Identify barriers to access to care and communicate relevant concerns to the medical team.

7. Quality of Care, Infection Prevention & Safety

• Apply MSF medical protocols, infection prevention and control measures, hygiene standards and standard precautions during all clinical activities.
• Ensure appropriate use, cleaning and safe handling of medical equipment used during consultations.
• Identify and report any clinical incident, safety concern or deviation from established protocols.
• Participate in activities aimed at improving the quality and continuity of patient care.

8. Data, Reporting & Team Collaboration

• Ensure accurate and timely recording of medical activities and patient data in the relevant registers and tools.
• Contribute to the compilation and verification of activity data when requested.
• Participate in team meetings, medical briefings, debriefings and case discussions.
• Collaborate closely with Medical Doctors, Nurses, Health Promotion staff, Community Health Workers and other relevant team members.
• Support continuity of care through appropriate communication, referral and follow-up of patients.
• Perform other clinical or operational tasks related to the Midwife function, within the scope of practice and as requested by the supervisor according to project needs.

Education & Experience

• Essential: recognized Midwifery qualification. Desirable: Bachelor’s degree in Midwifery.
• Essential: at least two years of relevant professional experience as a Midwife.

Languages

• Minimum English level: B1