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Nemat Abaker, MSF midwife supervisor in the maternity ward doing consultations for pregnant women in MSF fixed clinic in El Geneina, West Darfur. The majority of our patients come from the more than 100 sites in the state capital more than 100,000 people displaced people have taken shelter following episodes of deadly violence earlier this year. Water and sanitation conditions in these sites are very poor, contributing to poor health. 
(Written consent)  

 Testimony: 
“We provide reproductive healthcare for women, and we assist them during deliveries. We also provide all prenatal and postnatal care for the mothers. Usually, we receive more than 40 women and assist 5 deliveries a day in the clinic. 

Recently, we started to see fewer patients coming to us because of the recent violence here in El Geneina and attacks on the hospitals which lead to forcing these facilities to close its doors to patients. 

Even before these difficulties, women who face very critical conditions prefer to give birth at home and risk complications rather than going to a hospital. Even if it means a higher risk of dying during childbirth. There are many internally displaced people here and they are living in harsh living conditions which also brings bad consequences for women’s health and wellbeing  

Most of the time mothers come alone without a caretaker and they are in a bad nutrition condition, carrying the responsibility and care for their whole family.” (June 2022)  

 “I am very happy to be a woman and I thank God for creating me as a woman. However, many women in Sudan struggle. They work very hard to feed their children. Even when they are pregnant, they go out to work and get called out by people telling them they should stay home and care for their children. Some girls get married as early as 14 years old and are prevented education, because an educated woman would be strong and resist.   

In the MSF fixed clinic in El Geneina, Western Darfur, we see the many challenges women face to seek medical services. There are lots of displaced people in the city. Some pregnant women come for a first visit and would not come back for the next. Even if our services are free of charge, some women tell us: “I have nothing to eat, how can I come to you again?” Many pregnant women come alone to the clinic, there is no caretaker for them. Even after deliveries, husband usually don’t come. In another MSF clinic here in Darfur, we saw a girl who had gone through an unsafe abortion, she had severe anaemia. She spent three days without nobody asking about her. It is a neighbour who saw her by chance in the hospital and alerted the husband. Why did he not come with her?   

When I was a young student, I saw a woman die while giving birth, because of a lack of medical care. She had been delivered by a traditional birth attendant. At that moment, I decided to complete my education in order to avoid this to happen again. With MSF I can keep learning and achieving this. Helping mothers and their babies is the most important thing for me. I hope to learn more, know more, help more.” (March 2022)
Nemat Abaker, MSF midwife supervisor in the maternity ward, completing consultations with pregnant women at the fixed clinic in El Geneina, West Darfur, Sudan, June 2022.
© Majd Aljunaid/MSF
Jobs in the Field

Midwife

Nemat Abaker, MSF midwife supervisor in the maternity ward, completing consultations with pregnant women at the fixed clinic in El Geneina, West Darfur, Sudan, June 2022.
© Majd Aljunaid/MSF

As a midwife with MSF your experience in both complicated and normal deliveries will be essential.

With responsibilities ranging from conducting deliveries independently to supervising the use of medical resources, midwives play a vital role in safeguarding the health of mothers and infants in humanitarian contexts.

The role of a midwife with MSF is crucial in providing obstetric care to pregnant women and their babies in challenging environments. Working under the supervision of a specialist doctor, midwives ensure the implementation of antenatal and postnatal care, family planning, and obstetric services according to MSF protocols. They also manage cases of sexual violence, reproductive tract infections, and neonatal care, while upholding hygiene standards and ensuring a steady supply of essential drugs and equipment.

This is an exciting and diverse role involving some or all of the following:

Responsibilities:

  • Provide obstetric care to pregnant women and their babies, including follow-up before, during, and after delivery.
  • Implement and ensure continuity of antenatal and postnatal care, family planning, obstetric care, neonatal care, and comprehensive abortion care.
  • Collaborate in the management of sexual violence cases and assess the feasibility for referral of pregnant women.
  • Ensure hygiene and sterilisation criteria are met, and perform cleaning and minor maintenance for biomedical equipment.
  • Guarantee a regular supply of drugs and equipment required for maternity activities and follow up newborn babies until discharge.
  • Respect patients' right to privacy and confidentiality and supervise administrative procedures.
  • Participate in the organisation of the ward and ensure transfer of relevant information to the next shift team.
  • Conduct normal deliveries independently, manage obstetric emergencies, and identify cases needing referral.
  • Supervise the use of drugs, facilities, and obstetric material to ensure rational use and appropriate stock levels.
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Shuk Lim Cheung/MSF

Requirements:

  • Midwifery qualification or specialisation.
  • At least two years of working experience in midwife activities/related jobs.
  • Proficiency in the programme language.

Assets:

  • Bachelor in Midwifery.
  • Experience in midwife-related jobs.
  • Proficiency in the local working language.
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