La Chaîne de l’Espoir is an international Non-Governmental Organization (NGO) founded in 1994. Its mission is to strengthen health systems to give everyone, especially children, the same chances of survival and development. The NGO has been working in Afghanistan since the early 2000s. In 2005, it built the French Medical Institute for Children (FMIC) in Kabul, a non-profit paediatric hospital, to provide high quality medical and surgical care for young patients. Since 2006, the Aga Khan Development Network (AKDN) has been responsible for the overall management of the FMIC, with La Chaîne de l'Espoir providing medical support and access to the most vulnerable populations. In 2016, the hospital expanded with the opening of gynaecology, obstetrics and neonatology services, becoming the French Medical Institute for Mother and Child (FMIC). Services for adults have also been developed in recent years.
The goal of La Chaîne de l’Espoir is to increase access to healthcare in particular for the most vulnerable Afghans. To do so, La Chaîne de l’Espoir:
•    Trains and supports the medical, paramedical and technical teams through short- and long-term volunteer missions.
•    Provides free surgical treatment at FMIC and social care for the most vulnerable children and women coming from all the 34 provinces of Afghanistan and offers patients and their caretakers accommodation and food in the Women and Children House (WCH) for free. The house has segregated common areas for men and women, private and shared rooms, a garden and a playroom.
 
 

1)TASKS &   RESPONSIBILITIES:

General description:
CDE, with financial support from the Private Hospital Foundation (FHP) in France, is launching a comprehensive project aimed at supporting reproductive, maternal, and newborn care in three government-run health facilities in the urban areas of Kabul province, Afghanistan. This initiative serves as a pilot project for CDE and will focus on enhancing the RMNCH services at Shiwaki and Buth Khak Comprehensive Health Centre (CHC) as well as providing night shift services at the Gosfand Dara Sub Health Centre (SHC) managed by PUAMI. 

Specifically, CDE will oversee the night shift operations of the RMNCH unit at Gosfand Dara SHC, while PUAMI will handle the day shift. The project, scheduled to commence on January 1, 2025, and run until December 30, 2025, In the result of a collaborative effort between CDE, the Kabul provincial public health directorate, health facilities were selected.  

2) MAIN RESPONSIBILITIES:

Job Description:

Responsible for providing high-quality gynecological   care at the primary health care facilities. The position will be responsible for providing maternity care at the health facilities according to the MoPH and BPHS guidelines. 
Report to: To the in charge of health facility and medical coordinator of CDE 
Location: Kabul, Shiwaki and Both Khak 
• Management of high-risk and complicated pregnancies, including the provision of appropriate medical services at the health facility level and referral of cases requiring advanced interventions like C-sections, hysterectomies, and more to higher-level facilities.
• Oversight of pre-operative and post-operative care for complicated pregnancy cases, including follow-up and monitoring.
• Conducting assisted deliveries, providing on-the-job training for junior doctors and midwives, and supervising staff in the health facilities.
• Participating in health education sessions, offering consultations to high-risk pregnant mothers during antenatal care, and performing necessary procedures such as normal deliveries and breech extractions when needed.
• Maintaining accountability to patients, fostering a friendly and supportive environment, and adhering to health facility protocols for infection prevention as well as maternal and newborn care guidelines set by the Ministry of Public Health (MoPH) and Basic Package of Health Services (BPHS).
• Engaging in ongoing training, meetings, and professional development activities, including conducting ultrasound examinations for pregnant women and managing related administrative duties to ensure accurate patient documentation.
• Responding to emergencies obstetric care and being on call during night shifts, weekends, and national holidays to provide essential care, support midwives, and conduct outreach activities as part of the healthcare team.
• Actively participating in health screening initiatives on international health days to promote community well-being and preventive healthcare measures. 
• Undertaking any other responsibilities as assigned by supervisors and always ensuring strict adherence to infection prevention protocols.
 

1) Competencies

• Expertly applies knowledge in practice
• Maintains transparent and effective communication channels
• Adapts behavior accurately to suit varying situations
• Effectively manages personal stress levels
• Executes tasks with high efficiency
• Demonstrates empathy and insightful understanding towards clients' concerns and needs
• Skillfully organizes work for optimal results
• Recognizes and values the significance of teamwork and collaboration

Directing complex and demanding situations requires a precise approach that upholds the highest standards of performance. This involves a persistent dedication to achieving outstanding results through precise and efficient execution, underscoring a steadfast commitment to excellence.

Effective client interactions express not only empathy but also a profound comprehension of their needs and apprehensions, offering tailored assistance and innovative solutions. Proficiency in task organization illustrates adeptness in managing responsibilities and workloads with efficacy, ensuring objectives are met consistently.

Acknowledging the importance of teamwork and collaboration is pivotal, valuing the diverse contributions of team members while facilitating a harmonious environment that nurtures collective achievement. Embracing this cooperative spirit fosters shared success, bolstering outcomes and relationships for all involved. 

2) Team Relationship

As gynecologist is a key member of team so must have good relationship with all team like gynecologist, vaccinator, nutrition councilor and psychosocial councilor  

3) Profile

Professional Training:

   • Holds a Medical Degree with a specialization in Gynecology/Obstetrics attested by the Ministry of Public Health.
   • Possesses proficient English language skills, with a preference for strong computer skills.
   • Candidates residing locally are strongly preferred.

4) Working experience:

   •    Demonstrated a minimum of 3 years of experience as a specialist/ gynaecologist in a hospital setting
   •    Possession of an ultrasonography diploma is preferred and considered an asset.

5) Specific Skills:
   •     Flexible availability for mixed working hours, including on-call responsibilities and night shifts.
   •    Exhibits strong interpersonal and communication skills, functioning effectively as a team player.
   •    Able to work on ultrasound and handle reporting
   •    Can work during night shift 
   •    Can work alone in clinic 

Only those interested qualified candidates who meet essential job requirements should submit their CVs and cover letters online to afg.recruitment@chainedelespoir.org

Please indicate your name in the title of your email plus vacancy number (CDE-Gynecologist-01-2025).

Only short-listed candidates will be invited for a written test and interview.