Full-Time Sexual and Reproductive Health Advisor
Job Title: Sexual and Reproductive Health Advisor
Première Urgence Internationale (PUI) is a Humanitarian, non-governmental, non-profit, non-political and non-religious international aid organization. Our teams are committed to supporting civilian victims of marginalization and exclusion, or hit by natural disasters, wars and economic collapses, by addressing their fundamental needs. Our aim is to provide emergency relief to uprooted people in order to help them recover their dignity and regain self-sufficiency. The association leads on average 200 projects per year in the following sectors of intervention: food security, health, nutrition, construction and rehabilitation of infrastructures, water, sanitation, hygiene and economic recovery. PUI is providing assistance to around 7 million people in more than 21 countries – in Africa, Asia, Middle East, and Europe.
Following the escalation of the Chad Lake conflict in Nigeria (North East of the Country), PUI has decided to also respond to this crisis from Nigeria (since the organization already assists the Nigerian refugees in Cameroon).
Humanitarian situation and needs :
With the biggest population in Africa, (between 178.000.000 and 200.000.000 habitants), Nigeria is ranked as the first economy in Africa mainly thanks to oil and petroleum products as well as mineral resources (gold, iron, diamonds, copper etc…). Despite a strong economy (although the past few years witnessed a significant weakening of economic growth), Nigeria suffers from huge socio-economic inequalities, and from high incidence of corruption, at every level. Within this volatile environment, the conflict in the North-East of the country and the linked widespread violence triggered a large scale humanitarian crisis.
Indeed, millions of people have been forcibly displaced in the Lake Chad Basin region due to the so-called Boko Haram conflict, and new displacement continues. Resorting to widespread sexual and gender-based violence (SGBV), forced recruitment and suicide bombings, Armed Opposition Groups’ (AOG) attacks on civilians persist. Ongoing conflict between AOG and Governmental Security Forces in all affected countries as well as the absence of basic services have created acute humanitarian and protection needs for those impacted by the crisis, including refugees, internally displaced persons (IDPs) and local communities.
In 2018, while the conflict lingers, attacks on civilians continue across Borno State. An increased number of attacks on IDPs in camps across the region have been reported since October 2017. In the first half of 2017 the number of suicide bombings in Borno state doubled compared to the same period of 2016. Suicide attacks have shifted geographically, from south central and eastern Local Government Areas (LGAs) to more central LGAs, with significant increases in Jere and Konduga. In December 2017, suicide attacks were still regularly reported.
Assessments conducted in newly accessible areas revealed severe humanitarian and protection conditions. Still, many people remain inaccessible to humanitarian actors due to insecurity, particularly in Nigeria’s Borno State and border areas of Cameroon and Niger.
Humanitarian consequences :
The violence in the Lake Chad Region has uprooted millions of civilians within their own countries, including over 1.8 million IDPs in Nigeria alone. In addition, some hundreds of thousands of Nigerian refugees have fled to neighboring Cameroon, Chad and Niger.
As of January 2018, close to 1,300,000 refugee returnees have been registered in Nigeria, sometimes under conditions that have not been voluntary, safe and dignified. Many of these return movements have resulted in secondary displacements as many areas of origin remain insecure and inaccessible. Projection for 2018 forecast new displacement and arrivals from the inaccessible areas (around 200,000). In total, at least 1.32 million of IDPs are located in Borno State. 50% of them are living in host communities.
The crisis has adversely affected the most vulnerable civilian populations, particularly women and children, older persons and those with disabilities or serious medical conditions. Around 60 per cent of those displaced are children and the number of female and child-headed households is on the rise because male heads of households have either disappeared, been killed or fear to return to join their families. Sexual and gender-based violence (SGBV) is widespread, and many people have suffered the trauma of violent experiences.
The Humanitarian Needs Overview (HNO) 2018 estimated some 7.7 million people in need of humanitarian assistance in Nigeria across the three states of the north east (Borno, Yobe and Adamawa) with most needs concentrated in Borno State. In determining the scale of the response for 2018 (more than 1 billion USD consolidated appeal!), humanitarian partners agreed to focus on states assessed as the most affected by the violent conflict, infrastructure destruction, mass displacement, ongoing insecurity and ensuing factors. The most critical areas requiring humanitarian assistance are located in Borno, Adamawa and Yobe states where millions of people are in need of urgent life-saving assistance.
Our action in the field :
PUI is present in Nigeria since April 2016. The Humanitarian NGO is targeting the needs of crisis affected populations in Borno State through a gradually implemented comprehensive integrated response.
PUI started its intervention with a focus on urgent needs pertaining to access to food commodities for IDPs and host communities (through a cash-based approach) and then up-scaled its response late 2016 with the inclusion of Primary Health Care and Nutrition activities. This was focused on populations living in Maiduguri (capital city of Borno state).
Also, as access and logistics were and remain a main constraint for the humanitarian community, PUI launched an inter-agency logistics platform in Maiduguri managing storage and cargo and servicing around 30 different humanitarian organizations.
Finally, and as resilience of affected communities remains a priority for the organization, a pilot livelihood recovery project was launch in order to decrease reliance on direct assistance and foster aid sustainability.
Following a comprehensive and inclusive programming exercise during the last quarter of 2017, the main programmatic objectives of the mission for 2018 were defined and can be synthetized as follows:
- Continue and further develop the response to urgent needs of IDPs and Host Communities living in Maiduguri City through Food Security, Health and Nutrition activities.
- Further develop the integrated multi-sector response in Maiduguri City with the widening of the sectoral scope of PUI intervention by adding Protection and a strong outreach component, to the response portfolio (either directly or through coordinated approach with external actors)
- Continue and further develop the logistics support to the humanitarian community from Maiduguri City Warehouse
Develop the opening of an additional operational base in Kukawa LGA with the provision of health and nutrition services for IDPs and host communities starting in June 2018.
As part of our activities in Nigeria, we are looking for a a Sexual and Reproductive Health Advisor.
The Sexual and Reproductive Health (SRH) Advisor provides technical support to PUI activities in Nigeria, in order to build capacity of staff and the health system overall, and to improve the quality of Sexual and Reproductive Health activities in our areas of intervention.
Tasks and Responsibilities:
Programs: Ensures that Sexual and Reproductive Health (SRH) services and activities follow PUI health policy and intervention framework, align with established national guidelines, and reflect internationally accepted standards. In collaboration with the Medical Coordinator and working along with Program Manager and other appropriate staff; provides technical support to the effective implementation, monitoring and quality assurance of SRH services and actions.
Human Resources: In collaboration with Program Manager, provides training and technical support to the health teams as per the identified needs. The SRH Advisor may, as program and budget considerations allow, also build capacity of one national SRH staff to take on advisory responsibilities
Logistics and Administration: Abides to logistical and administrative procedures pertinent to the SRH Advisor’s role and responsibilities.
Representation: Represents the organization before partners, authorities and local actors involved in SRH through regular participation at appropriate coordination meetings and ad-hoc events as required.
Safety: Contributes to efforts aimed at ensuring compliance with safety rules at the site, and transmits all information relating to safety concerns to his/her immediate supervisor.
Strategy: Contributes to the development of new interventions on the basis of identified needs.
Qualified Midwife (preferable) or Nurse with SRH experience, especially in active management of labour.
Required Personal Characteristics (fitting into the team, suitability for the job and assignment):
Ability to work independently while keeping team spirit oriented behaviour
Ability to withstand pressure
Open-minded & diplomatic skills
Analytical & Strategic skills
Capacity of organization and management of priorities
Proactive and trouble-shooting skills
Ability to work and manage issues professionally and with maturity
Ability to integrate the local environment into operations, in its political, economic and historical dimensions
Languages: English Mandatory
Fixed-term Contract: 4 months
Starting Date: July 2018
Monthly Gross Income: from 1 980 up to 2 310 Euros depending on the experience in International Solidarity + 50 Euros per semester seniority with PUI.
Cost Covered: Round-trip transportation to and from home / mission, visas, vaccines…
Insurance including medical coverage and complementary healthcare, 24/24 assistance and repatriation
Housing in collective accommodation
Daily Living Expenses (« Per diem »)
Break Policy: 5 working days at 3 and 9 months + break allowance
Paid Leaves Policy: 5 weeks of paid leaves per year + return ticket every 6 months