Recruitment

Occupational Therapy Support Fieldworkers
To operate in a peripatetic role as a professional mentor by providing a reference point for locally trained Occupational Therapists in an agreed location.

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The Placement:

Working in a peripatetic role to be a professional mentor by providing a reference point for the locally trained Occupational Therapists (OT) in agreed locations within Tanzania.

The Action Health OT support workers must be careful that they do not take on the responsibility of developing the services themselves. The initiative for this must remain the Ministry of Health (based in Arusha) and the local OTs engaged in service-delivery.

OT as a health service profession in Tanzania addresses the comprehensive needs of disabled people. It is believed that the training of OTs will have a major impact to the rehabilitative services of the country. An OT training course started in October 1998 with an intake of six students and is the first such programme in Tanzania. The main constraint to the success of the course is a shortage of professional staff due to a lack of available trained local OTs.

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Country

Tanganyika and Zanzibar merged to form the independent United Republic of Tanzania in 1964, Africa's largest country. One party rule came to an end in 1995 with the first democratic elections held in the country since the 1970s. The capital city is Dar es Salaam. However, some government offices have moved to Dodoma which is planned as the new national capital; the National Assembly now meets there on a regular basis.

Tanzania is located on the eastern coast of Africa, bordering the Indian Ocean. It also has borders with Kenya in the north, Mozambique to the south, and Uganda, Burundi, Rwanda and Zambia in the west. The total area, including the islands of Pemba, Zanzibar and Mafia, is 945,087 sq km, 59,050 sq km of which is water (lakes Tanganyika, Victoria and Nyasa). The mainland consists of the central highland plateau area ranging between 900 and 1,800m in altitude and situated between the geographical fault known as the Great Rift Valley.

Climate conditions vary from tropical along the coast plains to temperate in the highlands in the north (including Kilimanjaro 5,895m the highest point in Africa) and south. The central plateau bridges the two extremes and frequently floods in the rainy season. At other times it suffers from drought conditions.

Tanzania has natural resources of hydropower, tin, phosphates, iron ore, coal, diamonds, gemstones, gold, natural gas and nickel spawning industries of diamond and gold mining, oil refining, shoes, cement, textiles, wood products, fertiliser and salt. However the econmy is dependent upon agriculture which provides 85% of exports and employs 90% of the workforce. Topography and climatic conditions limit cultivated crops to 4% of the land area. Primary agriculture processing includes sugar, beer, cigarettes and sisal twine.

Soil degradation, deforestation and desertification are all current environmental issues.

The official languages are English and Kiswahili and there are many local languages. Arabic is widely spoken in Zanzibar. Kiswahili is the mother tongue of the African Bantu living in Zanzibar and nearby coastal regions although its vocabulary draws on a variety of sources including English and Arabic sources, and it has become the lingua franca of central and eastern Africa. The first language of most people is one of the local languages. The dominant religions are Christianity (45%), Muslim (35%), indigenous beliefs (20%) although Zanzibar is 99% Muslim.

Air services are frequently used both for domestic and regional flights and there are regular services to Dar-es-Salaam and other major towns. Road accidents are probably the greatest safety risk, not least from speeding buses. There is a choice of regular long distance bus services between towns (including Kampala, Uganda) although not over night when buses are not allowed to travel.

For shorter journeys there are buses, minibuses and taxis. 20% of roads are paved but if you are travelling out of town you will need 4WD. Tanzania has two rail lines centred on Dar-es-Salaam and reaching to Moshi but not to Arusha. Passenger ferries operate on the lakes and coast.

Region

According to agreed location

Duties and Responsibilities

  • To act as professional mentor to locally trained and qualified Occupational Therapists providing services in various locations throughout Tanzania. The caseload will involve a combination of in-depth support to selected OTs and broader-based support to the majority.
  • To offer practical support in the development of OT services when requested.
  • To provide informal one to one training in professional skills as requested by the OTs.
  • To offer advice on aspects of management and administration.
  • To advise OTs how to raise funds and resources for their work.
  • To look into the options for continuing education for the Occupational Therapists through the Tanzanian Occupational Therapists Association (TOTA) and other sources.
  • To be an active member of TOTA.
  • To work with the Ministry of Health to integrate the work of OTs in individual clinical settings with the government service plan.
  • In response to requests to advise Tanzanian organisations (government and non-government) on the planning and implementation of OT services.
  • To promote and develop links with government and non-government providers of rehabilitation services at national and district level in order to foster the growth of OT services in these settings.

Person Specification

Essential

  • Qualified Occupational Therapist with a minimum of five years post-qualification work experience, with an specialist knowledge in one or more of the following areas: mental health, neurology, paediatrics or Bobath.
  • Be confident of their own OT skills.
  • Have experience of training (for example facilitating workshops), of planning and developing services and activities and of managing or supervising other people.
  • Be willing to support colleagues in networking and promoting OT services, be confident to take part in training and awareness sessions.
  • Be committed to the development of the OT profession. Must be willing to support colleagues in networking and promoting OT services, be confident to take part in training and awareness sessions.
  • Be flexible and adaptable in their approach.
  • Be sensitive, patient and culturally aware. Demonstrate the capacity to acclimatise to the local situation and local systems for doing things.
  • Be able to work independently with minimal support.
  • Be willing to travel in Tanzania by any means.
  • Must be willing to learn Kiswahili.

Desirable

  • Fundraising and proposal-writing skills

Placement Information

Accountability:
Action Health Tanzania Country Co-ordinator

Other Information

These are new positions for which OTs are required to be in post for October 2001.

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