MSF recruits 01 Patients Safeguarding: 2 years mission, Mobile Implementation Officer M/W
Background for the role:
Reason for the project: MSF-OCP wants to prevent and treat more proactively the abuse of its patients and their caretakers. Up to now, some awareness workshops have taken place in some hospitals, and there is a process/methodology for management of abuse by the EAMA cell. But as reflected by the small number of incidents reported, it is obvious that these abuses are under-reported, and active sensitization and engagement towards patients need to take place.
Project objectives and deliverable expected
The final objective of the project is to implement prevention, identification and management of abuse on patients and caretakers in MSF health structures.
The project will start with a literature review and implementation in 2 pilot sites. At the end of the first year, the objective is to have a written synthesis of the key strategies for prevention, identification and management of abuse, and the lessons learnt from pilot implementation.
The second year, the objective will be to start the scale-up of prevention, identification and management of abuses on patients in MSF health structures with a defined methodology and identification of the means
Purpose of the mission:
Prevention, identification and management of abuse of patients and caretakers within MSF-OCP projects.
- The MIO reports to the Project Manager in charge of Patient Centered Care
Stages of the project:
- The objective of the first year is to define a model for prevention, detection/ reporting and management of abuse of patients in MSF health structures, through literature review and the implementation of 2 pilots.
Literature review:
Meet with MSF staff and external stakeholders in order to review different methods to prevent, identify and manage abuse of MSF patients (note that the main issue is the identification and notification of abuse).
Review the work done by previous persons who worked on this topic, based on written documents and interviews (e.g., MIO for patient centred care, 2020, head of EAMA Cell)
Pilot phase:
Identification of 2 MSF structures (possibly in 2 different contexts) where the project can start and implementation of the proposed strategy.
Synthesis:
Written synthesis of the key strategies for prevention, identification and management of abuse, and the lessons learnt from pilot implementation. Presentation and discussion with Medical Directors, Operations Directors, Deputy General Directors, Project Manager in charge of patient cantered care and the EAMA cell to discuss and to further define a model in order to scale-up the implementation within MSF OCP.
- Second year. The objective is to start the scale-up of prevention, identification, and management of abuse in MSF health structures with a defined methodology and identification of the means (different options are possible: integration in the cell or second MIO to support the scale-up etc…).
Some elements that will be integrated into the work:
Awareness around abuse: Ensuring that all staff, patients and caretakers are aware of the problem of abuse and the risks to the patients and caretakers.
- Set-up meetings with staff to discuss questions regarding abuse or misbehaviour toward beneficiaries (that is, to identify the best way to address staff reluctance on this topic, understanding that this topic may be perceived by staff as questioning the quality of their work). To mitigate this, integrate in these meetings a part to discuss the inverse, that is “abuse of staff by patients/beneficiaries”.
- Identify mechanisms to inform patients of their rights. Discuss the interest in developing a patient charter, and whether it should it be generalized to all structures…
Prevention of abuse: Ensuring measures are taken to minimise the risks of abuse
- Support projects to identify the places/times at high risk for abuse of patients and mitigation measures to reduce risk of abuse
- Establish a risk assessment tool allowing each field to assess the risk of abuse for beneficiaries according to the target population & the context (examples: discrimination linked to ethnic’s groups, young patients, female patients, and mental health patients etc…) and mitigation measures
Reporting of abuses: Ensuring that patients and caretakers are clear on what steps to take where concerns arise regarding abuse
- Consult with patients and caretakers to identify best ways to report abuses and complain.
- Work on different reporting mechanisms to be sure that patients have access to relevant persons in MSF if there are victims of abuses.
- Systematize consultations at admission and discharge, which would aim to: inform the patient about his/her illness, the care to be continued after discharge, give a hospitalization report and set up an empathic setting in which the patient could communicate about abuse.
- Proposal for systematic reporting (to EAMA Cell or alternative process).
Managing and Responding to abuse: Ensuring that action is taken to support and protect individuals where concerns arise regarding possible abuse.
- Clarify the support role of EAMA Cell to the field teams.
- Propose a specific management process for abuse of patients: via EAMA unit or an alternative
- Propose a systematic risk assessment for the security of the complainant (mitigate risk of retaliation in case of complaint)
- Clarify sanctions for national and international staff.
- Clarify the management and support (including legal, psychological/medical care etc.) of victims.
Expériences / Formation
Requirements
- Qualifications in a relevant field (psychology, social sciences, health, social work)
- Operational managerial/coordination experience in an NGO/MSF
- Experience in managing abuse of power in humanitarian settings
- Experience with Survivors of sexual violence, children at risk of abuse is an added value.
- Ability to listen and empathize, and to communicate clearly
- French and English language mandatory, any other language is a plus (Arabic, Hausa, Swahili)
- Autonomy L3
- Service Orientation L3
- Teamwork and Cooperation L4
Status : Mobile implementation officer contract (field contract). Duration of 24 months.
The position is located either in Paris, or where the project manager is resident with visits to the HQ in Paris in order to organize the discussions. Overall, 70% on the field and 30% where the person is located.
Salary: 1765 gros/month , salary level 10 according to the MSF field salary scale and according to seniority and experience.
Comment postuler
Kindly send your application (cover letter & resume) on:
Deadline for application is the 23th of January 2022
Please note that only selected candidates will be contacted.