Program Description:     The USAID funded Urban Health Initiative (UHI) Program’s goal is to improve health outcomes of people living in urban areas, particularly focusing on the health of women and children and other vulnerable populations. Interventions aim to increase demand, access and quality of health services. Lead by Jhpiego and implemented by a dynamic consortium of organizations, UHI is implemented in five cities in Afghanistan – Kabul, Herat, Mazar-e-Sharif, Jalalabad and Kandahar.

Responsible for providing high-quality midwifery care through modelling, education, observation, crisis intervention, problem-solving, clear communication, and teamwork in the hospital while ensuring compliance with midwifery standards and MLMCC procedures.

Position Reports To: Cluster Manager
Supervisory position: No
Location: Kabul city (MLMCC Isteqlal Hospital)
Number of positions: 1

Key Accountabilities
Midwives offer guidance, care, and assistance for women and their partners and families before, during, and after childbirth. They assist women in making their own decisions about the care and services they receive. Additionally, they provide care for newborns, offer health education, and provide parenting support for the first 28 days. Midwives are directly responsible for the health of both mother and child and only refer to obstetricians in cases of complications.

 Foster a positive work environment among colleagues.
 Offer respectful maternity care to patients.
 Be punctual for day and night shifts.
 Participate in the morning report.
 End-of-shift midwives must provide a comprehensive report to on-coming midwives regarding the patients and events during the shift.
 Night shift midwives should stay until the end of the morning report.
 Stay on duty until the relieving shift arrives and is fully updated.
 Sustain accurate and thorough medical records for patients and file them neatly.
 Keep the patient board updated and posted with relevant information.
 Admit new patients, thoroughly diagnose labor, fill out labor admission forms, and order appropriate lab screens based on MLMCC guidelines.
 Identify high-risk pregnancies and emergency cases, implement resuscitation interventions, and promptly refer patients to linked hospitals.
 Supervise and assist mothers in labor, monitor the fetus' condition, and provide labor support and pain management according to advanced midwifery care protocols and procedures.
 Assess labor progress by checking vitals, conducting pelvic exams, monitoring fetal heart rate, and recording on the partograph.
 Identify major complications and refer the patient to a tertiary hospital.
 Conduct normal vaginal deliveries, including starting IVs, delivering the baby using a sterile technique, managing the third stage with routine IM oxytocin, performing episiotomy (as needed), suturing lacerations, and documenting on the Partograph and Labour and Delivery Summary.
 Keep clear, detailed records of deliveries in the Birth Register Book.
 Disinfect, scrub, wash, pack, and sterilize instruments in the Delivery Set.

 Handle complicated vaginal deliveries, such as vacuum extraction and shoulder dystocia during the second stage of labor.
 Provide routine newborn care, including bulb suctioning, drying, assigning APGAR scores, weighing, measuring length and head circumference, monitoring vital signs, administering Vitamin K i.m and Tetracycline eye ointment, placing ID band, and clothing the infant.
 Offer routine postpartum care, including monitoring vital signs of the mother and baby, tracking the mother's input and output, initiating and assisting with breastfeeding, and documenting on the Postpartum Chart.
 babies are referred for vaccination at the clinic before they are discharged.
 Provide health education, including fathers when possible, on breastfeeding, warning signs, newborn care, and family planning during their postpartum stay.
 Counsel and educate women, families, and the community on relevant areas of health including hygiene, family planning, nutrition, warning signs, preparation for childbirth, and parenting. Advise mothers on key messages for infant and young child feeding (IYCF).
 Check stock of supplies and medicines at the beginning of every shift, record needed items, and order from stock or refer to the Midwife Supervisor.
 Adhere to infection prevention policies and procedures in all aspects of the job.
 Share knowledge, skills, and expertise with all maternity staff. Encourage the participation of family members in the birth to support the mother and enhance both mother/baby bonding and family relationships.
 Provide regular feedback to the line manager and report any issues or incidents directly. Participate in training facilitated by the UHI project/hospital directorate.

Competencies
 Demonstrates knowledge
 Demonstrates an open attitude
 Adapts behavior to the needs of the situation
 Manages own stress
 Performs his/her work
 Responds empathetically to clients and understands their concerns/needs
 She organizes her work
 Acknowledges the importance of teamwork and cooperation

QUALIFICATIONS:
 Registered Midwife, bachelor’s degree is preferred
 Five-year experience in similar position desirable
 Good communication skill both in writing and oral in Dari/Pashtu essential
 Communication skill in English oral and written desirable
 Ability to communicate clearly and work well with others in a team environment

Please send your CV to Recruitment-AF@jhpiego.org. For further information about Jhpiego, please visit our website at www.jhpiego.org. Note: Please mention the job title and vacancy number of the position on your email subject line otherwise your application may not be considered . The successful candidate selected for this position will be subject to a pre-employment background investigation. Jhpiego is an Affirmative Action/Equal Opportunity Employer!