DOCTOR (General Practitioner)
Angoche Rural Hospital, Mozambique M7


The Skillshare International health programe in Mozambique aims at improving access to health care services for rural communities by helping to build the capacity of health care institutions through skills development, and supporting the delivery of primary health care programmes. Angoche Rural Hospital is the only hospital providing primary health care services to Angoche district and surrounds in a catchment area inhabitied by over 250,000 people. Your day to day activities include heath care management of emergencies/urgent care, in-patients and out-patients. You will also participate in training programs to improve the skills of staff. You must be willing to live and work in difficult weather (warm/hot) and under-resourced conditions, in an area falling within the malaria belot. You must be willing to learn Portugese, the working language. This is two year placement with opportunities for renewal.
 


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What is the Person Specification?
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Country

Mozambique is an independent Republic in southern Africa, and a member of the Southern African Development Community (SADC), and the Commonwealth of Nations. Before independence in 1975 Mozambique, then known as Mozambique province, was a Portuguese colony.

It is an area of 799,300 square kilometres, and is surrounded by Tanzania in the north, South Africa and Swaziland in the South, Malawi, and Zambia and Zimbabwe in the west and the Indian Ocean to the east. The latest population census puts the population at about 10,000 million inhabitants.

Maputo is the capital city and is located near the eastern border with Mozambique Channel (Indian Ocean). It lies between latitude 10 27' North: 26 52' South and Longitude 20 12' East and 40 51' East.


Mozambique has an invigorating tropical climate. Within the four seasons of the year, Mozambique has two, namely Summer running from June to February and Winter from March to July. Summer is the rainiest season while Winter often brings cold weather. The temperatures vary from 12 degrees c or less in the winter to a maximum of 35 degrees c or higher in Summer.

The Country boasts an abundance of natural resources. There are many deposits of diamond, silver, iron, copper, granite, clay, sandstone rock, a few deposits of gold, etc. There is also water in abundance.

Mozambique faces major economic and social challenges following the devastation of civil war. 70% of the country's population live in absolute poverty in the rural areas and access to health is difficult. To reach basic health services people have to travel up to 30kms, rising to 45kms for the nearest doctor. The rural literacy rate is an alarming 32%, dropping to 16% for women. As many as 45% of children are malnourished. Working with donors, the Government has prioritised public investment in education, health, water and sanitation.

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Region

Angoche is a district of Nampula, situated in the north of Mozambique. The climate is humid tropical with a rainy season from December until April.

Angoche is the old Portuguese centre with wide roads leading from the outskirts of town to the sea and buildings from the imperial era. It consists of two housing areas (baerros) to the north and south of the centre holding a population of 60,000 inhabitants.

The history of Angoche was connected with slavery. In nowadays serves as a principal centre for artisan fishing and industrial enterprises such as cashew nut production, and rice, salt and cotton production. There are shops, supermarkets, restaurants and night clubs.

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Duties and Responsibilities

Job Purpose

  • Assist in improving the quality of care provided to patients
  • Assist in raising the number of patients that have access to GPs and therefore improved treatment

Tasks

Design stratgies to improve patient care

To complete medical and surgical out-patient consultations.
Management of emergencies
Provide medical and surgical support to in-patients
Prescribe medication
Assistant to health posts in the surrounding villages
Training and staff development
Other duties commensurate with general practice

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Person Specification

Essential
Professionally qualified General Practitioner/Doctor with at least 2 years experience of in-patient/out-patient consultations.
Experience of handling emergency admissions.
Ability to work as part of a team.
Willing to cover for shortfall of skills
Must be willing to learn Portuguese.

Desirable
Ability to work with people from different cultures, and to adapt work practice accordingly.
Ability to train others

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Placement Information

Angoche Rural Hospital was built before Mozambique's independence (1975). The hospital is a referral centre for four southern districts of Nampula province, namely: Angoche, Mogincual, Moma and Meconta. It is still incorporated int he National Health System under the Ministry of Helath. The hospital comprises of two wards (male and female), one Paediatrics unit, and Obstetric and Gynaecology ward, and one Surgery and Orthopaedic ward. Most admissions are due to malaria, with an average of 2 to 3 monthly deaths, this occurs more often in the paediatric ward. The Hospital also functions as a probation centre for nursing courses and medical technicians. The Provincial Health Directorate does workplace allocation.

Angoche is one of the biggest cities in Nampula province. It is located by the seaside about 180km from Nampula city. There are two sand roads connecting both towns as follows:

  • Nampula - Nametil - Angoche about 175kms
  • Nampula - Liupo - Angoche about 185kms

Both roads are under maintenancce, although in summer, rains sweep off the gravel creating potholes and cuts on the road. In those times, the journey from Nampula can take up to 4 or 5 hours. Bridges along the roads are metallic and in good condition.

The city of Angoche is divided into two distinct parts, one with conventional buildings where the shops, administrative institutions, police, telecommunications, schools and private houses are located. The other section, known as The Bairro de Inguri where the major population of the town lives, has houses built mostly of mud bricks dried in the sun and covered with palm tree leaves (Swahili architecture design).

Despite the presence of running tap water, Angoche residents are advised to boil water and filter it before consuming it due to avoid contracting cholera. Normally Angoche is a warm/hot place. Malaria is endemic in area. Residents use mosquito nets and have nets on windows and doors to keep mosquitoes out.

Angoche Rural hospital is the referral centre for 4 southern districts of Nampula province. The hospital is short staffed and presently has one GP. Equipment present is not well maintained due to lack of resources. Serious medical cases are referred to Nampula.

Currently Angoche has mobile phone connection, and modern land telephones at TDM where people can call all over the world.

There are several shops where people can buy food and drinks, cleaning produts,a nd some elctronic devices, although the prices are expensive compared to purchasing in Nampula. There are also some bakeries, and two pharmacies.

For fresh food, seafood is available and lowly priced compared to other parts of Mozambique. Fishermen sell at markets and home to home. Vegetables are seasonal and shortages are therefore experienced. Fresh meat is available - goat, beef and poultry.

Angoche is mostly a Muslim town. Angoche does not have establsihed boarding houses or hotels. Travellers rent private houses. Some houses are of very good standrds with hot water, TV and security. Many people stay at the INAS (NAtional Institute for Social Action) house, or Dona Virginia (Bairro do Muchelele) and in Bairro Puli, in private houses to rent.

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Other Information

The GP will be accountable to the Hospital Director.

Interested GPS should expect a relatively lengthy delay in taking up the placement. It will take 5-9 months from the period of being offered the position by Skillshare International to th epoint of taking up the placement. This is due mainly to the long periods it takes the Mozambique government to issue appointment letter to medical doctors who plan to live and work in the country.

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