Médecins du Monde - Administrator

Médecins du Monde is an international humanitarian organisation whose mission is : to provide medical care for the most vulnerable populations when they are faced with crisis or exclusion from society, the world over, including France, to stimulate voluntary commitment from doctors, other health care providers, and from those whose expertise in other fields is needed for its activities, to enlist all competent support required for the achievement of its projects, to seek at all times to encourage close working relationships with populations in its care. based on its medical practices totally independent action, Médecins du Monde : identifies potential crises and threats to health and dignity so as to help prevent them, mobilises non medical assistance for solidarity campaigns denounces and bears witness to violations of human rights, especially denial of access to health care, develops new approaches and new practices for public health internationally,
based on respect for human dignity, commits itself to a relationship of total transparency with donors, campaigns for establishing humanitarian medical principles based on ethics of accountability.
Location: Indonesia
Closing date: 31 Jul 2008
Job Description

Lembata - Lewoleba

The presence and intensity of malaria in a community has a crucial effect on the health and quality of life of the inhabitants. Apart from its direct effect during acute episodes, it generates chronic anaemia, facilitates infection by other agents and causes physical and intellectual backwardness, particularly evident in children and most seriously affecting pregnant women. Malaria in Indonesia is concentrated in the east of the country, with an endemic level greater than 20% in the provinces of Papua and Nusa Tenggara Timur (NTT). In the latter region, the islands of Alor, Timor and Sumba receive specific support against malaria from the World Fund and UNICEF, among others. The islands of Flores and Lembata run epidemiological surveillance and medication supply programmes, but do not receive permanent support.

MDM chose the East Flores and Lembata districts to analyse the relevance of a campaign centred on anti-malaria actions. The gravity of the problem, the difficulty of access, the absence of other players, and the possibility of reducing disease incidence in a limiter period of time were the deciding factors in proposing a programme for the island of Lembata, intended to cover the whole island (a district with 107,000 inhabitants) concentrated in the zones of highest prevalence of this disease. Eastern Indonesia is an area of high resistance in the predominant malarial parasites (Plasmodium falciparum and vivax) to the commonly used drugs. Means are currently available which, if used with sufficient intensity and speed, make for an effective bulwark against the disease. These are basically early diagnosis, therapy combined with Artemisina (TCA) derivates and the distribution of mosquito nets impregnated with long-life insecticide.

MDM is proposing to reduce the community level of malaria by 40% in the island of Lembata over a period of 16 months (from September 1 2007 to December 31 2008), at an estimated cost of 300,000 Euros.

This project consists of the following units:
1. Direct medical care by two mobile teams (including mass fever treatment if appropriate) using a combined therapy based on Artemisina (TCA) derivatives and rapid diagnostic tests (RDTs).
2. Operational malariometric research which includes an investigation of spleen size in children between ages 2 and 9 in selected villages throughout the island, microscopic examination of blood samples (large and fine droplet) and an entomological study supported by experts from the Indonesian Ministry of Health.
3. Training in matters of prevention, treatment and anti-malaria actions for the benefit of the health professionals and community health staff in the locations of activity of the mobile teams.
4. Support for the laboratories in the district health centres, including technical support and equipment using solar panels so that electric light can be used during daylight (a service currently not available outside the district capital).
5. Distribution of 5,000 mosquito nets impregnated with long-life insecticide in the communities at greatest risk of infection and furthest from the health and information services.

The general objective of the mission is to improve the health of the population of the island of Lembata, Nusa Tenggara Timur (NTT) Province, Indonesia. The specific objective is 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 beneficiaries are:
- Lembata island population: 107,000 people. Among them, 3,000 pregnant women and 5,000under 5 children.
- Health staff and laboratory technicians: 272 staff + community health workers.

The Expatriate team is composed by: 1 medical coordinator, 1 administrator, 1 laboratory technician. The National staff is composed by: 2 medical doctors, 4 nurses, 1 administrator, 1 assistant logistician, 2 drivers, + 2 entomologists.

The Administrator works under the responsibility of the Medical Co-ordinator. He / she has closed link and support from the Desk Officer, the Finances Officer and Public & Institutional Funding Department Officer, all based at the HQ.

His/her main objective is to improve and strengthen the administrative and logistic organisation of the mission, together with the national administrator. The expatriate administrator should provide support and appropriate training to the local administrator and the logistician, in particular regarding procurement rules.

His / her 2 main specific objectives are:
- Supervise and participate in the improvement of the daily management
- Implement or improve sustainable and appropriate procedures.

His / her field of responsibilities encompasses the following topics:
- Finances and accountancy
- Administration
- Human Resources and team management
- Logistics (maintenance and procurements)
- Training

Departure: 01/08/2008
Duration: 8 months
Status: Volunteer
Monthly Allowance: 800 Euros + Daily subsistence

Profile:
- Previous experience with NGOs
- Experience in budget elaboration and follow up
- Capacity to delegate, to train
- Organized
- Previous experience with donors
- Fluent in English (both oral and written)
- Good knowledge of Excel
- Ability to learn a new language (Bahasa Indonesia is a relative easy language)
Interest, curiosity and respect for different cultural background: ability to consider intercultural approach
- Willing to work and live in remote setting with limited amenities and social life
Ability to live and share with an expatriate and local team and with the population
- Good listener
- Communication and negotiation skills, patience and understanding
- Ability to adapt to the context and program needs
Vacancies Contact
secretariat. rhmissions@ medecinsdumonde. net
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