Anesthesiologist (Kano, Katsina, Kebbi, Ondo, Ebonyi State)

Maternal and Perinatal Mortality are Obstetric and neonatal tragedies worldwide. Of the global Maternal Mortality occurrences the vast majority occur in low-resource settings and Nigeria accounts for nearly 20% of the global death. The lifetime risk of dying in Nigeria is 1 in 22 during pregnancy childbirth or postpartum period compared to 1 in 4900 in most developed countries. The causes of maternal mortality include Pre-eclampsia /Eclampsia (PEE) obstructed labor postpartum hemorrhage puerperal sepsis and abortion complications.

These causes are treatable and preventable when labour is supervised by Skilled Birth Attendants (SBAs). Perinatal morbidity and mortality are closely related to events during pregnancy and labor. The high rate in Nigeria is a result of poor maternal health sub-optimal care during pregnancy and childbirth and lack of newborn care. The major causes of newborn deaths are birth asphyxia neonatal sepsis and prematurity. Universal access to Comprehensive Emergency Obstetrics and Neonatal Care (CEmONC) services is one of the strategies that can reduce these deaths and sufferings along with the ten core signal functions of the services.

Improving access to quality comprehensive emergency obstetrics and newborn care is critical to reducing these preventable maternal and newborn deaths and is a top priority of the Government of Nigeria. Therefore as part of the commitment of the Federal Ministry of Health and Social Welfare (FMOHSW) to ensure that there are well equipped CEmONC facilities throughout the country to provide quality healthcare services a nationwide CEmONC health facility assessment was conducted. to identified existing gaps. As part of the efforts to bridge the identified gaps in healthcare workers competencies Jhpiego in collaboration with Kebbi Kano and Katsina State Governments through funding from USG in Nigeria provide technical assistance to GoN to bridge the capacities of doctors nurses midwives anaesthetic nurses laboratory scientists/assistants in selected health facilities in 3 states.

Purpose of the CEmONC Health Facility Assessment

This intervention aims to bridge existing gaps in the identified competencies of healthcare workers to provide quality CEmONC services during the recently concluded CEmONC health facility assessment in at least one CEmONC public facility per LGA in the selected states to improve quality services for women during pregnancy labour childbirth and postnatal period.

Specific Objectives

By the end of each 2-day safe obstetric anaesthesia training session learners will demonstrate competency at a minimum standard in the following areas:

1. Evidence-based management of anaesthesia and analgesia for planned/emergency Caesareans and emergency Caesarean hysterectomies including pre-operative assessment planning and care anaesthesia management and monitoring during surgery and post-operative care

2. Evidence-based management of anaesthesia for women with specific obstetric complications including pre-eclampsia/eclampsia and severe obstetric haemorrhage.

3. Appropriate use of Lignocaine and Ketamine in obstetric analgesia and anaesthesia resp.

4. Appropriate technique for the following clinical procedures:

• High and total spinal anaesthesia.
• Difficult airway management including failed intubation.
• Maternal life support.

5. Use of Lignocaine with or without adrenaline in obstetrics.

• Preparation of lignocaine.
• Prevention of complications.
• Diagnosis of lignocaine allergy and toxicity.
• Management of lignocaine allergy.
• Management of lignocaine toxicity.

6. General principles of analgesia and anesthesia in obstetrics including:

• Team-based pre-operative assessment and care.
• Anesthesia management and monitoring during surgery and postoperative care

7. Anaesthetic considerations in special obstetrics conditions:

• Pre-eclampsia/Eclampsia
• Major obstetrics haemorrhage

8. High and total spinal anaesthesia.

9. Difficult airway management including failed intubation.

10. Maternal life support.

1. Each adhoc will participate in a one day skills standardization workshop to be organize by Jhpiego.
2. Conduct an on-site capacity building of an average of 4 healthcare care workers which would include doctors nurses and midwives.
3. Conduct follow up mentoring of the trained healthcare workers to strengthen their confidence and competence in using the newly acquired knowledge and skills.
4. Conduct pre- and post-test assessment for each of the modules of the training package.
5. Compile and submit a comprehensive report of the training within 5 working days after completion of the training.
6. Participate in a one day post-training debrief meeting with key stakeholders in the state.

Deliverables:

1. Detailed and analysed pre- and post- training scores for each of the trainee for each module of the training package.
2. Detail report of the training to be submitted within 5 working days of completion of the training.

1. Registered and practicing anaesthesiologist with at least 5 years post-qualification working experience.
2. Evidence of previous and ongoing work experience providing anaesthesia services for obstetric conditions in a facility delivering CEmONC services.
3. Evidence of previous experience conducting training on anaesthesia component of CEmONC or a similar training especially within the last 24 months or current/recent faculty member/trainer in an obstetric and/or anaesthesiology residency or nurse anaesthetist training program
4. Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
5. Evidence of strong coaching mentoring and facilitation skills
6. Evidence of strong analytical and communication skills.

1. Travel: Ability to travel 70 particularly to Facilities in the work location.
2. Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
3. Evidence of strong coaching mentoring and facilitation skills.
4. Evidence of strong analytical and communication skills.

Jhpiego offers competitive salaries and a comprehensive employee benefits package.

Please apply at must submit a single document for upload to include: cover letter resume and references.

For further information about Jhpiego visit our website at

Note: The successful candidate selected for this position will be subject to a pre-employment background investigation.

Jhpiego is an Affirmative Action/Equal Opportunity Employer

Jhpiego a Johns Hopkins University affiliate is an equal opportunity employer and does not discriminate on the basis of gender marital status pregnancy race color ethnicity national origin age disability religion sexual orientation gender identity or expression veteran status other legally protected characteristics or any other occupationally irrelevant criteria. Jhpiego promotes Affirmative Action for minorities women individuals who are disabled and veterans.

EEO is the Law

RECRUITMENT SCAMS & FRAUD WARNING

Jhpiego has become aware of scams involving false job offers. Please be advised:

• Recruiters will never ask for a fee during any stage of the recruitment process.
• All active jobs are advertised directly on our careers page.
• Official Jhpiego emails will always arrive from a @ email address.

Please report any suspicious communications to

#LI-MO1