PIVOT provides a combination of direct patient care and health systems strengthening programs at the community, health center and hospital level. The clinical mentor is expected to improve quality of clinical care through excellent patient care, supportive mentorship, design of program and clinical protocols, and educational initiatives. S/he will work closely with, and under the umbrella of, the Medical Program Coordinator to help improve the medical programs. S/he will work directly with the Infanadiana district hospital medical teams, referral and social workers, as well as MoH staff in all three levels of intervention:
Community: PIVOT supports networks of community health workers who serve as liaisons between the rural villages and the health centers, often more than a day’s walk for our patients. Our community teams train the nationally mandated, locally selected volunteers, providing supplies and support to their relationship with the health centers. Community activities include integrated care for children under five, urgent direct patient care, screenings and referrals for tuberculosis, sensitization of the population, and tracking of family planning / reproductive health cases.
Health centers: PIVOT supports twenty-one health centers in Ifanadiana District through medication reimbursement, training, infrastructure and personnel. In severy key health centers, PIVOT staff directly support malnutrition programs, integrated care for children under five, tuberculosis care, family planning and reproductive health.
Hospital: PIVOT works with MoH partners to transform the district hospital into a dignified life-saving facility by improving the quality of staffing, equipment, facilities and training on procedures and processes. As a result of this strong collaboration, PIVOT and the district hospital have established an action plan for reproductive health and strong governance systems.
Referral system and ambulance network: One of the first of PIVOT’s clinical programs was the establishment of an ambulance referral system for the first time in Ifanadiana District. Currently, the three- ambulance system moves patients in critical need from the community to the health centers, or from the health centers to the hospital.
The PIVOT medical team is comprised of Malagasy doctors, nurses, midwives, and pharmacy professionals, plus social workers, ambulance drivers, and a handful of internationally trained clinicians. The PIVOT medical team works side by side with the Malagasy staff of the Ministry of Health.
• The first responsibility of the clinical mentor is to be a strong, compassionate, and committed physician, spending substantial time (80%) accompanying clinical staff at the district hospital with patients, emergency room consultations, and ensuring a teaching spirit.
• Supports clinical capacity building initiatives as part of continuing education: the clinical mentor will work with PIVOT’s Clinical Team Leader and Hospital Manager – to organize trainings for all staff at the district hospital, including interns, medical students, and volunteers. ?The clinical mentor must demonstrate a great pedagogical capacity in sharing the latest medical and scientific updates.
• Involvement and leadership in regular meetings of clinical staff, and other clinical case presentation forums and scientific discussions.
• Support the quality of care of CHRD clinical services by performing clinical supervision and regular quality of care assessments in the various departments of the hospital, in close collaboration with the clinical referent. Analyze the monthly reports of the clinical team and design a quality of care plan in partnership with the director of the CHRD, the PIVOT CHRD manager and the coordinator of medical programs.
• Provide input in the design of medical programs and clinical protocols: PIVOT supports MoH protocols for the care of hospitalized patients. The clinical mentor will work closely with the medical team to create (if needed) and implement clinical protocols.
• Participate in the planning of activities and adjustments of the Action Plan. The clinical mentor will work closely with PIVOT’s National Director, Medical Program Coordinator and the other team members on the Action Plan for the CHRD and the ongoing training of PIVOT and MoH clinicians.
• Optimize the reference and counter-reference systems, working closely with the PIVOT reference manager, clinical referent, and CHRD manager. Discuss cases to be referred to Fianarantsoa University Hospital. Implement a system tracking references and counter references and ensure continuity of care.
• Work with the monitoring & evaluation team, to elaborate key performance indicators and activities, as well as to analyze the resulting data.
• Contribute to the reporting structure on a monthly, quarterly and annual basis, including the analysis and interpretation of the results of the program in presentations to the senior management team and the national director.
• Support the other medical programs as need arises, particularly peripheral health centers.
• Participate in periodic meetings at the main PIVOT office in Ranomafana.
• Assure the confidentiality of all patient medical information.
This is an excellent opportunity for a dynamic, driven and passionate individual to be part of an exciting global health organization that links access to quality health care to research in an ecologically important context.