Recruitment

GENERAL PRACTITIONER/DOCTOR
ANGOCHE RURAL HOSPITAL

The hospital needs two experienced general practitioners/doctors to improve the numbers and quality of patient assistance, providing both emergency and ward cover and assisting in the aim of mortality reduction (many from malaria and unsanitary living conditions).
 

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The Placement:

The General Practitioners/Doctors will increase the hospital's capacity to provide services. This is currently limited by a shortage of qualified personnel. Therefore it is expected that assistance in all emergencies and medical situations will be a part of the duties.

Angoche Rural Hospital is a government funded establishment of some vintage comprising two wards (male and female), paediatrics, obstetric gynaecology ward and a surgery and orthopaedic ward. It is situated in the centre of Angoche.

Currently the main activities are disease prevention, an extended vaccination programme and pre-birth assistance. The hospital also functions as a probation centre for nursing courses and medical technicians drawn from the regions (Nampula and Cabo Delgado).

Discussions are being held with the Government regarding plans for refurbishment of the infrastructure and 1 billion Meticais has been allocated to this project. No timetable has yet been agreed for implementation.

Major decision-making regarding health matters is made by the Health Ministry. Budgeting is completed at hospital level and submitted to the Ministry of Health. Charges are made and income used for consumerables at the discretion of the hospital. It employs 61 staff.

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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.

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.

Duties and Responsibilities

  • To complete medical and surgical out-patient consultations.
  • Management of emergencies on a day to day basis.
  • Provide medical and surgical support to in-patients on a daily basis.
  • Assist in improving the quality of patient care assistance, and increasing the number of patients treated.
  • Report to the Hospital General Doctor (Hospital Director) and assist in meeting hospital aims for development in patient care and staff development.

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.
  • Ability to be flexible to accommodate issues/situations that arise which are not specifically indicated in the job description e.g. call out to emergencies, 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.
  • Experience of working with technical and nursing students.
  • Valid driver's licence.

Placement Information

Accountability:
Hospital Director (General Doctor)

Terms and Conditions:
40 hours per week, including emergencies at weekends.
7.30am to 12.30pm - 2pm to 5.00 pm
30 days pa holiday entitlement after one years work (according to the contract).

Environment:
Work environment is that of a very busy hospital with increasing numbers of patients attending. An ambulance is in use and available for emergency transport for the GPs.

Resources available comprise a x-ray machine, a reasonably equipped laboratory for analysis of malaria, urine, faeces, etc., a reasonably equipped theatre for surgery. Electrical power is available through a power-generator when the electrical supply fails and has capacity to provide power to the whole hospital. Material for surgery is available. This is one of the best rural hospitals in terms of equipment and space.

Other Information

The working hours will involve working at weekends and being on emergency stand-by for 24 hours cover.

Accommodation is to be provided by the City Council and it is possible both GPs will have to share one house.

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