FMIC was established as an innovative four-way public-private partnership between the Governments of Afghanistan and France, La Chaine de l’Espoir “Chain of Hope”, and AKDN. The Aga Khan University is managing this facility as part of AKDN initiative. FMIC is a 171-bed tertiary care hospital for adults, mothers and children, located in Kabul, Afghanistan; providing access to Afghans from all 34 provinces with exemplary healthcare services.  FMIC diagnostics offer high-end imaging and state-of-the-art laboratory services; meeting the emergent needs of the Afghan populace. FMIC offers subsidized care through its Patient Welfare Support Program to patients with no wherewithal to afford the cost of services. Since April 2006, FMIC has disbursed over $44.1M in patient welfare support to over 675,000 patients. FMIC serves over 300,000 patients annually.  Furthermore, FMIC has established a 40-bed Women’s and Children’s house to host ultra-poor patients and provide 100% free care including housing and transportation facilities.

1. Regular Responsibilities:

• Coordinate with senior colleagues in IPD and inform in case admission is required or any medical issue arising
• Perform night duties in IPD­-SAM
• Monitor patients' conditions and progress and reevaluate treatments as necessary
• Regular proper handover process
• Assure quality and continuity of care 24/7
• Maintain quality of care
• Refer patients to the local OPD clinics
• Participating in morning reports and rounds
• Assist HoD in daily clinical and administrative tasks
• Any other task assigned by the direct supervisor

Nutritional Responsibilities:

• Inserting nasogastric tube for feeding, responsible of checking the good position before feeding, evaluating and notifying any complications
• Strictly, following the national nutrition guideline and use the national tools along with FMIC tools.
• Nutrition activities and working plan/schedule should share with CDE Nutrition-PM for final validation.
• Informing mothers about the children’s diets and the number and frequency of meals
• Encouraging mothers to continue breastfeeding during the hospitalization
• Watching over the weight curves
• Ensuring the children’s correct and regular growth by examining their weight curves
• Identifying all anomalies in the curves and informing the consultant in the case of weight loss
• Make sure that breastfeeding counseling is given to all the lactating mothers

A) Admissions of eligible beneficiaries (children U5  with severe acute malnutrition with  medical complications:

• Decide which patients are at major risk and need special care in phase I.
• Decide which patients should be admitted rapidly and examine after formal admission and the start of treatment.
• Monitor, prevent and treat hypothermia in consultation with the pediatrician.
• Monitor, prevent and treat hypoglycemia in consultation with the pediatrician.
• Diagnose and treat dehydration were present (strictly using the protocol) in the consultation with the pediatrician
• Follow up on the anthropometric measurement of the children (height, weight, MUAC, checking bilateral edema and W/H percentage) with a nurse or doctor.
• Follow up on the registration of all the beneficiaries in the TFU (registration book ID number, medical and nutrition treatment sheets, follow-up card ID number).
• Follow-up and implementation of the medical treatment for severe acute malnourished children in the IPD SAM.

B) follow up in the  treatment phases  in the TFU:

• Calculation, preparation, distribution, and monitoring of therapeutic milk according to the standard protocols for the beneficiaries.
• Follow up on the anthropometric measurements taken by the registrar according to the protocols, daily, each other day, or on weekly bases and record in the registration book, follow-up cards for each beneficiary.
• Identified patient who needs to be transferred to another phase or OTP, patient with failure to respond to treatment and patients who need to be discharged.
• Follow up of the gain weight and feedback to the caregivers.

C) AT discharge:

• Check if all the procedures are completed before discharge (anthropometric measurements, medical and nutritional treatment, systematic treatment, and health and nutrition education).
• Record all the necessary information on the registration book and card for each beneficiary.

D) Health and nutrition education:

• Provide health and nutrition education to the caregivers and beneficiaries on (breastfeeding, complementary feeding, hygiene, care of pregnant and lactating women, and prevention of illness).
• Provide unique information about the prevention of Malnutrition according to its cause.
• In case of secondary Malnutrition, considering the cause(s) of Malnutrition (i.e CP, Celiac Disease) provide necessary information about lifestyle and diet modification.

E) Reporting and statistics of the center:

• Keep a tally of all the beneficiaries admitted and discharged from the nutrition center (admission, cured, defaulters, death, transfer and referral) by age group and admission criterion used.
• Data collection for the monthly nutrition report preparation with help of head nurse or doctors.

2. Periodic Responsibilities:

• Conducting CMEs out of FMIC for sharing knowledge and information.
• Participating in clinical forums and workshops.

• Ability to work under difficult working conditions
• Critical thinking and problem solving skills
• Competent to take care of Sever Acute Malnutrition (SAM) patients (in the ward)
• Interpersonal skill and good communication skill.
• Having good computer skill specially in MS Office programs.

Please click on below link for apply:

 https://forms.gle/Fu1f7GuL2qV9qXz58