Nigeria - A Medical Coordinator in Maiduguri
Première Urgence Internationale (PUI) 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 200 projects a year in the following sectors of intervention: Food Security, Health, Nutrition, Construction and Rehabilitation of infrastructures, Water, Sanitation, Hygiene and Economic Recovery. PUI is providing assistance to around 7 million people in 21 countries across Africa, Asia, the Middle East, Eastern Europe and France.
With the biggest population in Africa, (between 178.000.000 and 200.000.000 habitants), Nigeria is ranked as one of the first economy of the continent thanks to oil and petroleum products as well as mineral resources (gold, iron, diamonds, copper etc…). Despite a strong economy, Nigeria suffers from huge inequalities between rich and poor, and from a high rate of corruption, at every level. Moreover, a great ethnic diversity (more than language groups led by the family or clan manner) mixed with a federal mechanism make it a real powder keg.Within this volatile environment, the conflict in the North-East of the country and the linked widespread violence triggered a large scale humanitarian crisis.
Indeed, millions of people have been forcibly displaced in the Lake Chad Basin region due to the so-called Boko Haram conflict, and new displacement continues. Resorting to widespread sexual and gender-based violence (SGBV), forced recruitment and suicide bombings, Armed Opposition Groups’ (AOG) attacks on civilians persist. Ongoing conflict between AOG and Governmental Security Forces in all affected countries as well as the absence of basic services have created acute humanitarian and protection needs for those impacted by the crisis, including refugees, internally displaced persons (IDPs) and local communities.
Assessments conducted in newly accessible areas revealed severe humanitarian and protection conditions. Still, many people remain inaccessible to humanitarian actors due to insecurity, particularly in Nigeria’s Borno State and border areas of Cameroon and Niger.
Boko Haram uprising:
The situation changed in 2009 when the Nigerian government launched an investigation into the group’s activities following reports that its members were arming themselves. The present insurgency in Borno State began in 2009, when the jihadist rebel group Boko Haram started an armed rebellion against the government of Nigeria. Originally the group had alleged links to al-Qaeda. The insurgency took place within the context of long-standing issues of religious violence between Nigeria’s Muslim and Christian communities. When the government came into action, several members of the group were arrested, sparking deadly clashes with Nigerian security forces. The group’s founder and then leader Mohammed Yusuf was killed during this time while still in police custody.Occidental political/military support:
In 2015, an occidental military coalition (US, France, British) deployed troops to (Cameroon, Niger, Tchad, Nigeria), with the approval of the governments concerned. Their primary mission is to provide intelligence support to local forces as well as conducting reconnaissance flights. A program is also conduct to transfer military vehicles to the local Armies to aid in their fight against Islamist militants.
Rapid current stocktaking:
Following these counter-offensive and military support, several capitals city of Local Governmental Areas (LGAs) of Borno State were liberated. But out of the city, in the country side, the Boko Haram superiority is maintained. => At the end of the 3rd quarterly of 2016, from 60 to 80% of Borno State is considered as being under the control of Boko Haram. Since the current insurgency started in 2009, it has killed 20,000 and displaced 2.3 million from their homes and was ranked as the world’s deadliest terror group by the Global Terrorism Index in 2015.
The violence in the Lake Chad Region has uprooted millions of civilians within their own countries, including over 1.8 million IDPs in Nigeria alone. In addition, some hundreds of thousands of Nigerian refugees have fled to neighboring Cameroon, Chad and Niger.
As of January 2018, close to 1,300,000 refugee returnees have been registered in Nigeria, sometimes under conditions that have not been voluntary, safe and dignified. Many of these return movements have resulted in secondary displacements as many areas of origin remain insecure and inaccessible. Projection for 2018 forecast new displacement and arrivals from the inaccessible areas (around 200,000). Intotal, at least 1.32 million of IDPs are located in Borno State. 50% of them are living in host communities.
The crisis has adversely affected the most vulnerable civilian populations, particularly women and children, older persons and those with disabilities or serious medical conditions. Around 60 per cent of those displaced are children and the number of female and child-headed households is on the rise because male heads of households have either disappeared, been killed or fear to return to join their families.Sexual and gender-based violence (SGBV) is widespread, and many people have suffered the trauma of violent experiences.
The Humanitarian Needs Overview (HNO) 2018 estimated some 7.7 million people in need of humanitarian assistance in Nigeria across the three states of the north east (Borno, Yobe and Adamawa) with most needs concentrated in Borno State. In determining the scale of the response for 2018 (more than 1 billion USD consolidated appeal!), humanitarian partners agreed to focus on states assessed as the most affected by the violent conflict, infrastructure destruction, mass displacement, ongoing insecurity and ensuing factors. The most critical areas requiring humanitarian assistance are located in Borno, Adamawa and Yobe states where millions of people are in need of urgent life-saving assistance.
Our actions in the field:
PUI started its intervention in Nigeria in April 2016, with a focus on meeting urgent needs, including improving access to food commodities for Internally Displaced People (IDP) and host communities (HC), later adding Primary Health Care and Nutrition activities. This initial intervention was focused on populations living in MMC. In parallel, PUI launched an inter-agency logistics platform in Maiduguri, serving around 30 different humanitarian organizations, to enhance humanitarian access in Borno.
In 2018, PUI will strengthen and scale-up its response around 3 areas of focus:
Focus 1: Protracted presence of IDPs among vulnerable host communities in MMC: urgent needs of IDPs and Host Communities living in Bolori II
Focus 2 : IDPs (protracted presence and newly arrived) and Host Communities living in sub-serviced hard to reach areas (Kukawa LGA)
Focus 3: Storage and Transportation Challenges facing the Humanitarian Community
Following a comprehensive and inclusive programming exercise during the last quarter of 2017, the main programmatic objectives of the mission for 2018 were defined and can be synthetized as follows:
– Continue and further develop the response to urgent needs of IDPs and Host Communities living in Maiduguri City through Food Security, Health and Nutrition activities.
– Further develop the integrated multi-sector response in Maiduguri City with the widening of the sectoral scope of PUI intervention by adding Protection, WASH… to the response portfolio (either directly or through coordinated approach with external actors)
– Continue and further develop the logistics support to the humanitarian community from Maiduguri City Warehouse
Develop the opening of an additional operational base in Kukawa LGA with the provision of health and nutrition services for IDPs and host communities starting in July 2018.
As part of our actions in Nigeria, we are looking for a Medical Coordinator.
The Medical Coordinator is responsible for the success of the mission’s medical strategy and the quality of current and future medical programmes at the definition, implementation and evaluation phases. He/She provides support to health and nutrition programme managers and health technical advisors who report to them on the basis of a dotted-line relationship.
In the context of health and nutrition activities opening in a new area of intervention, the Medical Coordinator strongly supports the team for the development and the implementation of medical protocols and activities according to the national and international standards in order to insure the quality of medical care provided in the primary health centre facilities, the health outposts and the mobile clinics supported by PUI. This includes, but is not limited to, medical staff recruitment, definition specifications for procurement of health related supply, work or services (such as health facilities rehabilitation), capacity building of staff, and organisation, planning and implementation of health and nutrition activities.
Tasks and Responsibilities:
Strategy: Working alongside the Head of Mission and cooperating closely with the field coordinator, he/she contributes to the development of new medical initiatives for the mission. He/She carries out epidemiological monitoring for the country and analyses strengths and weaknesses from the point of view of public health.
Programmes: He/She ensures that medical programme(s) are in line with PUI’s health policy and monitors them for quality and efficacy.
Representation: He/She represents the association to partners, authorities and local stakeholders involved in implementing medical programmes. He/she actively attend health working group and coordination mechanisms for health intervention.
Human Resources / Training: He/She support the medical team (PUI employees), provides regular capacity building and trainings according to the needs, provides support to programme managers for recruiting technical staff and supervises technical training activities on the basis of identified needs.
Logistics and Administration: He/She ensures the activities for which he/she is responsible comply with logistical and administrative procedures.
Safety: He/She contributes to compliance with safety rules within the mission and communicates any safety-related information to the Head of Mission. He/She ensures healthcare is provided for expatriate staff involved in the mission.
Training and Experience:
Training: Medical training OR Paramedic training + Public health
Experience: Humanitarian experience in a similar field.
Software: Pack Office (excel is mandatory)
Required Personal Characteristics (fitting into the team, suitability for the job and assignment):
Ability to work independently, take the initiative and take responsibility
Resilience to stress
Diplomacy and open-mindedness
Good analytical skills
Organisation and ability to manage priorities
Proactive approach to making proposals and identifying solutions
Ability to work and manage professionally and maturely
Ability to integrate into the local environment, taking account of its political, economic and historical characteristics
Fixed-term contract: 12 months
Starting Date: December 2018
Fixed-Term Contract: from 2 200 up to 2 530 Euros depending on the experience in International Solidarity + 50 Euros per semester seniority with PUI.
Cost Covered: Round-trip transportation to and from home / mission, visas, vaccines…
Insurance including medical coverage and complementary healthcare, 24/24 assistance and repatriation
Housing in collective accommodation
Daily Living Expenses (« Per diem »)
Break Policy: 5 working days at 3 and 9 months + break allowance
Paid Leave Policy : 5 weeks of paid leaves per year + return ticket every 6 months
Please send your application (Resume and Cover Letter) to Emmanuelle Gracia, Human Resources Officer for Expatriates, at firstname.lastname@example.org