Task and Reponsibilities
· Apply medical knowledge and skills to diagnose and prevention. Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols.
· Keep the patient and/or his/her family informed about the illness and provide appropriate explanations about the treatment to follow, checking they have understood.
· Follow up the evolution of the hospitalized/IDP patients, through daily visits, consultations, and examinations, prescribing the necessary treatment following MSF protocols, deciding whether they can be discharged or transferred to other departments – in collaboration with other doctors- and informing their family about the patient’s evolution.
· Check and control the rational distribution of medicines and equipment under his/her responsibility and take care the quality, disinfection, and sterilization of the medical material. Assure general compliance with standing hygiene standards.
· Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patient’s illness, medical error and monitors the proper functioning of the department, equipment, or material.
· Ensure ongoing training of the medical/paramedical multidisciplinary team to optimize the quality of care.
· Knows and ensures all MSF medical protocols are followed and implemented, checking universal precautions are always followed and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.
· Manage the team under his/her direct responsibility according to MSF HR policies and procedures, supervising their performance, organizing, and scheduling shifts and rotations, directly participating in emergencies and on calls if necessary.
· Leading, promoting and supporting antimicrobial stewardship efforts in the healthcare facility(s) across the spectrum of healthcare.
· Establish and participate in a multidisciplinary AS committee (that meets regularly with Terms of Reference).
· Identify antimicrobial stewardship priorities together with the AS committee and the mission.
· Monitor, collect and analyse the antimicrobial data reported to the multidisciplinary AS committee.
· Conduct regular audits relevant to stewardship priorities. This might include audits of antibiotic use, treatment of select conditions, indications for microbiology testing, and communication of results.
· Provide feedback to the project and the mission regarding results of audits and plan improvements.
· Co-ordinate and deliver education to other medical, nursing and pharmacy staff around stewardship.
· Support other clinical staff regarding antibiotic choices and regularly participate in clinical rounds.
· Liaise with the laboratory for timely communication of results (where relevant), interpretation of results and feedback to clinicians.
· Collaborate with lab + IPC to prospectively monitor pathogens of concern and respond to hospital outbreaks including outbreaks of multidrug resistant organisms/bacteria (MDRO).
· Identify opportunities to improve stewardship in the project (e.g., therapeutic drug monitoring, OPAT).
· Participate in relevant project level committees (e.g., IPC, Quality improvement, Morbidity + Mortality reviews).
· In collaboration with IPC and the clinical team, participate in detection, management, and prevention of healthcare associated infections.
MSF Section/Context Specific Accountabilities
- Leading, promoting and supporting antimicrobial stewardship efforts in the hospital.
- Regularly monitor through chart and prescription review adherence to MSF protocols in terms of antimicrobial use in the departments and share feedback to the prescriber if noticing any deviation from the protocol.
- Establish and lead the monthly AMS committee meeting in the hospital.
- Identify antimicrobial stewardship priorities together with the AS committee and the project.
- Regularly perform prescription audit, Point Prevalence survey, and other antibiotic surveys and feedback to the team regarding the results of the audit.
- Attend daily ward rounds, work in close collaboration with the chief of the wards and engage them in antimicrobial stewardship activities, support other clinical staff regarding antibiotic choices to improve their prescribing behaviour.
- Ensure the availability of updated guidelines in the different departments.
- Drafts, reviews, and follows the implementation of antibiotics guidelines (MSF or MOH), protocols, SOPs, and tools according to the needs of the project.
- Identify training needs in the departments related to antimicrobial use and share with Line manager.
- Conduct training sessions on basics concepts of microbiology, antimicrobial resistance and antibiotic treatment and follow-up the didactic trainings through bedside coaching, AMS ward rounds and clinical case discussions for prescribers, pharmacists, and nurses.
- Co-ordinate and deliver education to other medical, nursing and pharmacy staff around stewardship.
- In collaboration with IPC and the clinical team, participate in detection, management, and prevention of healthcare associated infections.
- Work in collaboration with the IPC supervisor to enhance IPC measures as part of the AMR pillars.
- Participate in the IPC committee and emphasize the importance of adherence to IPC measures.
- Collaborate with lab + IPC to prospectively monitor pathogens of concern and respond to hospital outbreaks including outbreaks of multidrug resistant organisms/bacteria (MDRO).
- Liaise with the laboratory for timely communication of results (where relevant), interpretation of results and feedback to clinicians.
- Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patient's illness, medical error, and monitoring the proper functioning of the department, equipment, or material.
- Knows and ensures all MSF medical protocols are followed and implemented, checking that universal precautions are always followed and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.
- Manage the team under his/her direct responsibility according to MSF HR policies and procedures, supervising their performance, organizing, and scheduling shifts and rotations, directly participating in emergencies and on calls if necessary.
- Give regular feedback to the line manager and report directly any issue or incident.
- Flexible to perform additional work-related tasks requested by the Line manager or Functional manager.
Minimum Requirements and Competencies
Education
Essential:
- Medical degree from an agreed university/college
- Specialization in Paediatrics or Infectious Diseases.
Desirable:
- Completed on-line training in antimicrobial stewardship [e.g. BSAC (British Society of Antimicrobial Chemotherapy) and/or WHO (World Health Organisation)]
Experience
Essential:
- At least 5 years’ experience in working as a medical doctor in inpatient settings.
Desirable:
- Experience in reviewing medical records/reviewing appropriateness of antimicrobials.
- Working experience in MSF or other NGOs in a similar position
Languages
Essential:
- Dari/Pashtu: Oral and Written
- English: Oral and Written
AMC Card
Essential:
- Valid AMC Card
Knowledge
Essential:
• Have a working understanding of key pathogens, their usual antibiotic susceptibilities, typical clinical presentations, and empiric or targeted treatment.
• Have a working understanding of the modes of action of antimicrobials including their spectrum of activity.
• Have a working understanding of the key principles of infection prevention and control (IPC) and the relationship between IPC and AMR Antimicrobial Resistance).
• Have a working understanding of the appropriate use of antimicrobials to prevent the emergence of resistance and avoidance of adverse effects.
• Have a working understanding of the use of diagnostic tests in the investigation and management of infectious diseases. How to use data for feedback and reporting.
• Computer literacy – word and excel.
Desirable:
• Understanding of behaviour change principles.
• Able to provide face to face feedback to prescribers about antibiotic prescriptions.
Competencies
• People management
• Commitment
• Flexibility
• Results
• Analytical thinking
• Planning and organization
• Teamwork
How to apply
- Follow the below link OR scan the QR code to access the online job application survey. Candidates must fill in the survey in order to be considered for shortlisting:
LINK: https://forms.office.com/e/7vffSvj5AN
- After completing the survey, send the following documents to email:msf-helmand-recruitment@msf.org
1. CV and motivation letter
2. University Degree/Diploma
3. Other relevant diplomas/certificates
4. ID card both sides (this will be used for visitor authorisation pass)
The email address given in this online survey must be the same as the one used to send your supporting documents.
The interested candidates must answer the online survey and submit their documents before September 10, 2025, at 5:00 PM
**Only applications completing the online survey and sending supporting documents by email will be treated**
The reference MD Antimicrobial Stewardship Focal Point must be stated in the email to be valid. If you do not clearly state the position for which you are applying & attach the required diploma & other supporting documents, your application may not be considered.
Only candidates who meet the essential criteria will be shortlisted and contacted.
MSF does not charge a fee at any stage of the recruitment process. All applications are free for all candidates, and no one should require any payment or compensation during the recruitment process. May the candidate be asked for any fee, he/she must report to MSF Administration through the recruitment contact.
If you are selected to be part of the reserve pool, it means that MSF has validated you to be called in to work on a temporary basis, as needed. It does not guarantee that you will be offered a contract or a permanent position, even if such a position becomes available. A new recruitment can be done according to the current need.
MSF is focused on ensuring that only those who share and demonstrate our values are recruited to work with us. To ensure we meet these standards, MSF has a zero-tolerance response to abuse, maltreatment, and neglect of any kind. We are committed to safeguarding, protection and fulfilling our duty of care to our patients and the individuals and communities we serve, people working in the organisation, and all those MSF interacts with.
All staffs are required to share this commitment through signing and complying with our Behavioural Commitments and all relevant safeguarding policies.
Furthermore, all offers of employment will be subject to satisfactory reference checks.
Médecins Sans Frontières (MSF) Doctors Without Borders) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, healthcare exclusion and natural or man-made disasters to populations in danger in more than 70 countries.
