Libya - A Medical Coordinator based in Tunis
Starting date : ASAP
Duration of Mission: 12 months (renewable upon funding)
Location: Tunis, Tunisia
Due to the security context, the majority of the humanitarian intervention in Libya are being managed remotely from Tunis.
Première Urgence Internationale (PUI) is a non-governmental, non-profit, non-political and non-religious international aid organization. Our teams are committed to supporting civilians’ victims of marginalization and exclusion, or 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 on average 200 projects per 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 – in Africa, Asia, Middle East, and Europe. PUI Libya mission started implementing operations in East (Benghazi and Alkufra) of Libya in 2017. The organization develop a lifesaving response that provides primary health care services to the most vulnerable population (internal displaced populations and their host communities, migrants, refugees and asylum seekers) combined with an integrated basic needs response to address the overall health situation of the PoC in detention centers and in urban settings.
Humanitarian situation and needs :
After an armed and civil uprising ended Muammar al Gadhafi’s regime in late 2011, the authorities have had difficulties to address pressing security issues, reshape the country's public finances, or create a viable framework for post-conflict justice and reconciliation. Thus, since 2014, non-state armed groups have disrupted Libya's political transition. In 2018, continued political instability, ongoing-armed conflict in Libya, particularly internal struggles between local militias, and the collapse of economy, have led to deteriorating living conditions and reduced access to essential services in most of the country. Civilians continue to suffer from unsafe living conditions, with little or no access to health care services, essential medicines, safe drinking water, shelter and education.
In 2019, the whole population is still affected by the armed conflict and the lack of a functioning government, and 823 000 people will still need humanitarian assistance (including 554,000 people in need of health care services) throughout the whole assessed territory in Libya. The complex humanitarian crisis is primarily driven by the absence of the rule of law, lack of access to basic services, displacement of population, the collapse of the economic system and the financial crisis. On April 4th 2019, the Libyan National Army (LNA) under the guide of General Haftar, announced the beginning of a large scale offensive against the Government of National Accord (GNA) in Tripoli. Soon after, the southern neighbourhoods of the city were engulfed in the conflict. To date, continued clashes, involving the use of heavy weaponry and airstrikes, affected 500,000 people, and displaced over 100,000 people within the Libyan capital, to the neighbouring cities, and, more recently to Tunisia.
Throughout 2018, in Benghazi and its surroundings, the situation remains calm even though heavy fighting took place in other towns of the country (Darnah, Ajdabiya, Tripoli, and Sabha). After two year of siege, the LNA launched an attack on Darnah in May 2018. Then, Haftar announced the capture of the city in June; however, clashes were still ongoing in a small part of the town in November 2018. Near to Ajdabiya, fights erupted in June 2018, when the forces conducted by Ibrahim Jadhran attacked the oil facilities in the oil crescent, under the LNA forces. These fights conducted to some population movements in eastern Libya. However, the overall number of IDPs did not change significantly throughout the year - increasing and decreasing at times - while the total number of returnees has progressively increased. Late in 2018, Benghazi is still the town hosting the highest number of IDPs (25,665 individuals), as well as knowing the highest number of returnees (188,625 individuals) in Libya. Thus, Benghazi appears to be, with Tripoli, one of the two main cities to host the more IDPs. The area appears to be particularly vulnerable locations due to the high damage inflicted by three years of heavy clashes. Among the IDPs population, the Tawergha community living in the camps in Benghazi and its surroundings, is entering its 8th year of displacement with few real chances to return their areas of origin soon. Darnah is the fifth town of returns with 23,863 individuals.
The violation of human rights and humanitarian law, including violations of the right to life, and of children and women’s rights, are widespread, including of Gender-based Violence. There are alarming levels of gender-based violence and grave violations of child and women's rights in the current context.
Still in the same area, since April 2019 the situation remained relatively stable, allowing the PUI program’s to progress with minimum interference. However, this fragile equilibrium could be rapidly overturn depending on the evolution of conflict. Premiere Urgence Internationale (PUI) is monitoring closely the events and, is evaluating potential scenarios in order to plan for contingency in case the security situation deteriorates.
In the Southeast of the country, the tensions between the Tebu and the Zway tribes seriously affects the health system and the access to basic services. Tribe communities, when they are a minority in the area, are suffering from segregation in most of Al Kufrah’s institutions, including health care facilities. This occurs in a context of underdevelopment and poverty that exacerbates the impact of the conflict on the population in the region. Indeed, this area has been suffering, even before the conflict, from a poor investment from the central government. However, few information are available on this area and its humanitarian needs due to a poor, if not almost inexistent, presence of NGOs
Besides, in the Libyan context, migrants, refugees and asylum seekers leaving outside and within the detention centres (DCs) represents another significant vulnerable group in Libya. Estimated to be around 700,000 to 1 million, they are among the most vulnerable population in the country and are currently facing acute needs. This includes an estimated number of migrants in 55 DCs of 5,000 to 7,000 people at the end of 2018. These persons, including both asylum seekers and refugees, have been consistently identified as being the most vulnerable individuals throughout Libya for several reasons. In particular, they are identified as having reduced access to, and availability of life-saving assistance. Additionally, various report show that refugees and asylum seekers in Libya face significant protection concerns, with their status making them particularly vulnerable to abuse, marginalisation, and exploitation. Those who move through the country are exposed to widespread abuses and human's rights violation along the route. Due to their irregular status, lack of domestic support networks, impunity for crimes committed against foreign nationals, racism, xenophobia and policies linked to the control of mixed migrations flows in Europe, they are highly vulnerable and in need of humanitarian assistance.
As part of our activities in Libya, we are looking for a Medical Coordinator based in Tunis
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.
She/he provides support to programme managers (Deputy Field coordinator Programs and PMs – field officers) who report to them based on a dotted-line relationship.
- Strategy: Working alongside the Deputy Head of Mission Program and cooperating closely with the Headquarter - Technical Department. She/he contributes to the development of new medical initiatives for the mission. She/he carries out epidemiological monitoring for the country and analyses strengths and weaknesses from the point of view of public health.
- Programmes: She/he ensures that medical programme(s) are in line with PUI’s health policy and monitors them for quality and efficiency.
- Representation: She/he represents the mission to partners, authorities and local stakeholders involved in implementing medical programmes.
- Human Resources / Training: She/he participates in the recruitement of the medical team and supervises technically the medical team.
- Logistics and Administration: She/he ensures the activities she/he is supporting comply with PUI logistical and administrative procedures.
- Safety: She/he contributes to compliance with safety rules within the mission and communicates any safety-related information to the Head of Mission. She/he ensures healthcare is provided for expatriate and national staff involved in the mission.
Please download the Job Description below in order to know detailed activities
Training and Experiences
- Desirable: Public health Master
- Required : Registered as a Medical Doctor
- Previous experience with PUI and/or other INGOs (expatriation)
- Project management experience
- Experience of working in Middle East or in similar epidemiologic situation with important prevalence of Non Communicable Diseases would be an asset
- Experience of working in emergency context and through remote management mechanism would be an asset
KNOWLEDGE AND SKILLS
- Good written communication skills
- Knowledge of project management
- Knowledge of procedures of institutional donors OFDA, ECHO, UN agencies, etc.)
- 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 characteristic
- Basic knowledge of Mental Health and Psychosocial Support would be an asset
- English mandatory
- Employed with a Fixed-Term Contract of 12 months.
- Starting Date: As soon As Possible
- Monthly Gross Income: from 2 200 to 2 530 Euros depending on the experience in International Solidarity + 50 Euros per semester seniority with PUI
- Cost Coverde 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 every 2 months + break allowance
Paid Leaves Policy : 5 weeks of paid leaves per year + return ticket every 6 months
To know more about our offer, look at the complete job description
If you wish to apply, follow this link and fill in the form on our website