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UNFPA-SRH Coordinator-P3/P4-Farchana, Chad

Farchana, Chad
Position Title: SRH Coordinator
Receiving Agency: UNFPA
P Level: P3/P4
Location: Farchana, Chad
Duration: 4 months
Language: Fluency in French and English is required. Arabic is an asset
Background Description of Emergency / Justification for Request (Please provide a short paragraph outlining the prevailing humanitarian situation and context and why this justifies the role.)

Since February 2024, Chad has been battling the Hepatitis E outbreak which surfaced in the Ouaddai Province in Eastern Chad where over half a million refugees from Sudan have found refuge and are in urgent need of integrated information and services on Sexual and Reproductive health and the fight against gender-based violence.
To date suspected and confirmed cases have been reported in two health districts of Ouaddai Province (Adré and Amleyuna) including 4 refugee camps and 3 health facilities geographic areas.

As of the 25th of March 2024, a cumulative total of 1,826 cases including 824 women, 1002 men, and 20 pregnant women were reported. In rare cases,
acute hepatitis E can be severe and result in fulminant hepatitis (acute liver failure). These patients are at risk of death. Pregnant women with hepatitis E, particularly those in the second or third trimester, are at increased risk of acute liver failure, fetal loss, and mortality. HEV-infected pregnant women have a higher incidence of fulminant hepatic failure (FHF) than pregnant women with other viral hepatitis. The mortality rate in HEV-infected pregnant women is around 41%, compared to a considerably lower rate of 7% in pregnant women not infected with HEV.

The district of Adré currently with the highest number of suspected and confirmed cases (1,502) is also the point of entry for new refugees and returnees who are coming from Sudan.
The influx of new refugees and Chadian returnees continues in the wake of the ongoing conflict in Sudan since April 15th, 2024. Around 44% of about 700,425 people (556,410 refugees and 144,015 returnees) have been moved from spontaneous reception sites to established refugee camps and returnees’ sites. Fourteen refugee camps and two returnees’ sites have received respectively Sudanese refugees and Chadian returnees, including Gaga, Farchana, Arkoum, Ourang, Metche, and Alacha in Ouaddai province; Goz Amir, Djabal, Zabout, and Kerfi in Sila Province; Mile, Kounougou, Irdimi and Touloum in Wadifira; Tongori returnee’s site in Ouaddai and Degeussa returnee’s site in Sila. These refugees and returnees are predominantly women and children, and their needs are diverse. UNFPA Chad is concerned that the limited funds under its humanitarian unit will not be able to prioritize their sexual and reproductive health and protection needs and ensure that their safety and dignity are adequately preserved.

In general, women and children have limited access to health care in Chad, resulting in maternal and child mortality rates among the highest in the world. Inadequate sanitation facilities in refugees, IDP camps, and host communities led to an unpredictable risk of disease outbreaks that compromised the health and well-being of the host communities, returnees, IDPs, and refugees.

Cases of GBV are increasing in all refugee and returnee camps. Through this BHA grant, UNFPA plans to increase its capacity to deploy SURGE CAPACITY SRH and GBV Coordinators to assist national counterparts and partners in coordinating the HEV-infections disease response across all the refugee camps as well as in the host communities’ areas. There is an urgent need to coordinate the data collection on the number of pregnant women with HEV infections and the outcomes of the pregnancy. Meeting the basic needs of women and girls among these vulnerable populations remains the UNFPA ‘s Chad priority to ensure that they have access to the prevention information and services they require for GBV and reproductive health choices in the context of HEV-infection disease outbreak.

Security Situation Summary in country and main threats: (i.e armed conflict, terrorism, crime, social unrest, hazard)

UNFPA’s security situation is dominated by the death of the opposition leader which might likely heighten political tensions in the run-up to elections. With the presidential election scheduled for May 6, 2024, there are risks of pre-election unrest in the run-up to this date.
Role Description: Under the overall supervision of the CO Humanitarian Programme Coordinator, the Field SRH Coordinator will be part of the UNFPA Humanitarian Response Team under the overall direction of the UNFPA Representative and programmatic guidance of the CO Deputy Representative. The Field SRH Coordinator will be the Focal Point for coordination, implementation, monitoring, and reporting on SRH activities, to strengthen UNFPA’s immediate humanitarian response in the East Province following the resurgence of hepatitis E combined with the influx of new refugees from Sudan’s crisis. Proposed Interventions to be supported aim at ensuring the continuity of SRH and GBV services for the most affected population in the three affected provinces.
The Coordinator will work closely with the focal points in the State Ministries of Health and County Health Department, implementing partners as well as sister UN agencies (UNHCR, UNICEF, IOM, WFP and WHO) to ensure improved RH services. The Coordinator is expected to interact positively with government officials, UN agencies and other organizations.

MAJOR DUTIES AND RESPONSIBILITIES: We ask Country offices to review the list of duties and responsibilities and make appropriate amendments where necessary.
The Coordinator will support implementation of the MISP as well as monitor and report on progress; with strategies to include advocacy for RH services, ensuring quality of care for services offered through facilitation for capacity building, provision of emergency RH supplies, and monitoring of RH activities.
The Coordinator may be called upon to identify and facilitate operational partnerships, propose medical supplies needs, equipment, and accessories periodically, and coordinate the provision of such supplies to the partners.
The Coordinator will advise accordingly on the integration of comprehensive health (RH/HIV/GBV) services into primary health care, as the situation stabilizes.
Under the technical direction of the Humanitarian Programme Coordinator and in close collaboration with the Senior Midwife and GBV specialists at the field level, as well as the GBV Coordinator at the CO level, the Coordinator will:
  • Provide leadership/support at the state and county levels in RH coordination and programming for improved response;
  • Facilitate and liaison in order to improve services delivery and information, and improve the visibility of UNFPA in humanitarian work;
  • Carry out routine needs assessments and gaps and make proposals to improve RH service delivery and expansion to the target groups in the conflict affected populations;
  • Facilitate the coordination of all RH stakeholders; including implementing partners, at the field level as needed through an effective coordination mechanism such Working Group and assist in the reproduction of national guidelines, protocols and IEC material for improving RH service delivery;
  • Facilitate capacity building (formal/ informal with supportive supervision) to Health services providers including TOT and trainee’s training on needs and gaps areas;
  • Collect, analyze, and provide feedback on RH data to implementing partners and CO
  • Undertake regular monitoring and evaluation of RH interventions in the zone of operations;
  • Regularly monitor and prepare reports on the proper use of the commodities and supplies received through UNFPA; including technical reports and periodic situation reports;
  • Assist the CO in proposal writing for resource mobilization;
  • Perform any other duties assigned by the Supervisor.
Qualifications and Skills Required:
An advanced University degree in Medical sciences or public health, or equivalent qualifications;
  • 5 or more years of working experience in the field of reproductive health, preferably in the UN system or INGO;
  • Experience in coordination and implementation of Minimum Initial Service Package (MISP) for Reproductive Health;
  • Humanitarian experience and international experience are of added advantage;
  • Fluency in oral and written French and English; working knowledge of Arabic language a plus.
CANADEM and its partners have a no-tolerance policy for inaction to prevent, respond to and follow up on alleged cases of Sexual Exploitation, Abuse, and Harassment (SEAH). For this reason, we adhere to all policies, procedures and training of the United Nations on The Prevention of Sexual Exploitation, Abuse, and Harassment (PSEAH). CANADEM mandates all deployees successfully complete the PSEA online course. This e-learning course is composed of a set of lessons designed to raise awareness about SEAH, become familiar with a range of measures to combat SEAH, understand the impact on victims and the consequences for UN Personnel who commit Sexual Exploitation, Abuse, and Harassment.

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