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Over the past years Cervical Cancer has swept across Malawi as it accounts for 40% of all cancers among women and kills an estimated 2300 a year. MSF has opened an operating theatre an 18bed inpatient ward and a day clinic as well as palliative care services. MSF also supports the Ministry of Health in provision of chemotherapy for the cervical cancer patients and is currently looking into the possibilities of implementation radiotherapy. This has all been done with the aim of helping make a lasting difference in the lives of the affected women.
Brief description of Malawi
The republic of Malawi is a landlocked country in Southeastern Africa spans over 118484km2() and has an estimated population ofi. Malawis population is young with 44% aged under 15years 51% aged between 1559 years and 5% aged 60 years or older. Malawi is a generally peaceful country and has had stable governments since independence in 1964. Oneparty rule ended in 1993; since then multiparty presidential and parliamentary elections have been held every five years. Malawi remains one of the poorest countries in the world despite making significant economic and structural reforms to sustain economic growth. The economy is heavily dependent on agriculture employing nearly 80% of the population and it is vulnerable to external shocks particularly climatic shocks.
Description of MSF Assignment in Malawi
In 2017 MSFFrance took on the challenge of developing a comprehensive Cervical Cancer program with the ambition of addressing complex issues as inequalities in accessing screening programs early diagnosis and treatment encountered in low and middleincome countries. The program aims to develop new approaches and targets all stages of the Cervical Cancer disease course from HPVinfection development of precancerous lesions and highgrade lesions progression into invasive cancer metastatic cancer and end of life phase. In collaboration with the national Ministry of Health an integrated approach to the diagnosis and management of womens cancers involving vaccination screening diagnosis treatment surgery chemotherapy and palliative care is provided by a team of specialists both expatriate and national.
Testimonial from the national gyneoncological surgeon
The unavailability or otherwise inadequate treatment options for those diagnosed with cervical cancer in Malawi resulted in the creation of cervical cancer death reservoirs. These are pools of women who are at risk of dying from undiagnosed diagnosed but untreated or inappropriately treated cervical cancers. I joined MSF in 2019 as it presented an opportunity for me to take part in addressing this problem. Along with it has been an amazing learning and collaborative working experience that has truly changed the lives of over many women within. To date over 9 ESGO Oncosurgeons have rotated through the project bringing with them the muchneeded experience and skills that have been imparted on me and my colleagues. The holistic approach that we follow at MSF has made it possible to have those that are disadvantaged the most be reached and helped. It is a journey with its highs and lows as the tasks can be challenging but we keep moving as I continue making new friends! Dr George Chilinda (Malawi)
Testimonial from one of the expatriate gyneoncological surgeons
When MSF sent me on my first mission to Malawi I had heard about the endemic threat of cervical cancer in the country but I had of course no idea of how big the problem really was. Treating so many patients many of them in late stages of the disease can be challenging physically and mentally. But I was and still am amazed about the high standards and quality of treatment we at MSF are able to provide even under circumstances in a lowincome country. This is due to our interdisciplinary team of extremely skilled surgeons gynecologists and medical doctors dedicated and caring nurses psychologists and social workers and not to forget the big bunch of logistics and paramedical services. The professional management of the project made my start very easy. The warmth of the friends I made here will make my parting rather hard saysDr SebastianHentsch (Germany).
Gynecologists specialized in Cervical Pathology and/or Gynecological Oncologywill be able to collaborate with the medical team and supervise the quality of healthcare in the projects taking charge of certain consultations themselves and performing surgical interventions.
Two different positions are available in our Oncology Project:
1. Gynecologist with Colposcopy and Cervical Pathology experience
Long term position(6 to 12 months).
2. Gyneoncology surgeon
Short term mission (6 weeks minimum)
They will be handling the following tasks/holding the following activities:
Provide cervical screening diagnosis and precancerous lesion treatment to outpatients: colposcopy biopsy endocervical curettage LEEP thermoablation
Provide ultrasound cancer staging
Perform basic (for the gynecologist) and complex (for the gyneonco surgeon) surgical procedures in accordance with MSF protocols and international guidelines
Participate in the Multidisciplinary Tumor Board (MDT) meeting with the multidisciplinary team for patients treatment pathway (chemotherapy surgery radiotherapy palliative care)
Participate in discussions on and the definition of project objectives
Provide technical expertisein their field of expertise: helping to improve the staffs technical performances improving the quality of care in consideration of patients needs adherence to medical protocols etc.
take part in training offered to the healthcare staffand provide individual mentorship and support.
Requirements:
Diploma:
Medical doctor diploma in obstetricsgynecology
Current matriculation in Medical Council/Board
Subspecialist accreditationin gynecological oncology (only for the Gynecologist specialist in Gynecological Oncology position)
Skills:
Solid surgical skills (see details above)
Availability:
Gynecologist specialist in Gynecological Oncology:6 weeks minimum
Gynecologist with Colposcopy and Cervical Pathology experience :long term position(6 to 12 months)
Language:English B1 level
Would you like to join our team in 2025
We urgently need
1) Gynecologist specialists in Gynecological Oncology as of 01/02/2025 for 1 month mission and
2) Gynecologists with Colposcopy and Cervical Pathology experience for long term positions (612 months)
Please send your application on (using FR or EN version):
live in France(i.eFrench residenteven if this is not the case) so we can followup directly your application.
Only selected candidates will be contacted.
Full-Time