MDM France has been working in Indonesia since 1998, first at Moluques Island and after in Papua. A program post-tsunami was created in Aceh at the end of December 2004 and followed until the 30 September 2006.
Lastly, a program was created after the inundations in Jakarta from February until May 2007.
Three programs are actually running:
- primary health care and prevention of infectious diseases in the Puncak’s district Jaya, Papua
- primary health care in the North’s quarters’ shantytowns of Jakarta
- primary health care for the Punan population of East Kalimantan
The MDM’s office in Jakarta, intervenes also as base country, in back-up of the different programs. More over, emergencies and disasters’ kits are positioned; material and Human Resources are listed in order to intervene in a quick and appropriate way in case of emergency. The MDM’s team at Jakarta is composed by 2 expatriates: a country coordinator and a medical coordinator, and a national team of 9 people.
There is some malaria in the East of Indonesia. Its endemic behaviour reaches over 20% in Papua and Nusa Tenggara Timur (NTT) population. This areas offers a strong resistance to the dominate parasite (Plasmodium falciparum and Vivax) and to the treatments used in general.
The department of Nusa Tenggara Timur is composed of several islands (Alor, Timor, Sumba, Flores and Lembata). The Mondial Funds and the UNICEF offer a support to the first three islands. The island of Lembata where MDM proposes to intervene was beneficent of training activities, epidemiological supervision and supplying in medicaments but without receiving permanent support.
Malaria is the first cause of mortality in Lembata and in the adjacent districts of the Indonesian department of Nusa Tenggara Timur. In 2005, Malaria represented 18, 2 % of the total of curative activities of health’s services of the district (26 521 situations admitted).
In 2006, it was the first of 10 main causes of mortality of patients admitted at the hospital and equally from those who had used services of external consultation (4 499 users, 44, 6%). It means that this intervention after reducing the weight of malaria will reflect favourably on the general health of population and on the capacity of healthy services in order to resolve others pathologies.
Generally speaking, the presence and intensity of malaria in a community have a crucial impact on the health and quality of life of its members. More of its direct effect on health during sharp episodes, it generates chronic anaemia, facilitates infection by others agents and induces a delay in the physical and intellectual development, especially on children and with more gravity on pregnant women.
The importance of Malaria’s problem, the difficult access, the absence of others actors and the possibility to reduce the charge of illness in a limited time, were determinating factors in the choice of Lembata, with a coverage of all the island but with a concentration on the areas of major prevalence of illness.
The general objective of the mission is to improve the health of the population of Lembata’s island, and more especially to create a plan of fight against Malaria in the waste affected communities in order to contribute to the reduction (40%) of prevalence in 16 months.
The main activities are:
- study Malaria-metric close to children of 2 to 9 years old in at least 10 selected villages
- Offering some training to the health’s staff and agents of communal health about prevention, treatment to fight against Malaria on the places of the team activities.
- Support to the 7 health laboratories of the district
- Distribution of 5000 nets impregnated with anti-mosquito substances in the high-risk infection communities and the most distant from the health’s services of reference. This distribution will be accompanied by information sessions, education and communication in order to diffuse basic concepts of fight against Malaria
The main duties and responsibilities of the medical coordinator are:
- Responsibility of implementation of activities and coordination of program
- Responsibility of implementation and respect of administrative procedures, financial and logistical
- Charge of analysis of humanitarian situation, political and geopolitical & transmission of this analysis to the coordinator at MDM’s office in France
- Representation of MDM close to sanitary and political authorities & others partners
- Preparation with the nurse of trainings for the health’s staff and communal health’s agents
- Following up the Malarian-metric study
- Analysis of information collected and redaction of the monthly medical report
- Redaction of a monthly report of coordination
- Participation to the meetings with different partners and representation of MDM
- Charge of management of Human resources (expatriate and national)
Profile:
- To be a Doctor
- Public health, tropical medicine, knowledge of malaria appreciated
- Knowledge of the health’s systems
- Medical Anthropology appreciated
- Experience in conception / adaptation of material IEC
- Experience in NGO in a similar position
- Experience in management of program
- Capacity to represent MDM
- Qualities of relationship
- Knowledge of Asia is a wish
- Capacity to the communication and negotiation
- Reactivity, anticipation, adaptability, capacity to take initiatives
- Organisation and rigor
- Capacity to the training of a new language (Indonesian is easy to command)
- Patience and kindness, capacity to live in a isolated area