2 Job Positions at Health Sector Staff Mutual Aid Group-HSS-MAG: (Deadline 24 September 2021)

Risk and Compliance Manager at Health Sector Staff Mutual Aid Group-HSS-MAG: (Deadline 24 September 2021)

Local QI Teams: Midwife/Nurse:

BACKGROUND:

Rwandan Paediatric Association is working in partnership with The Royal College of Paediatrics and Child Health since 2012 in perinatal care. Providing training, mentoring on quality improvement and health system strengthening strategies to improve clinical skills and care practices. Based on that we have received a fund from James Percy Foundation to implement a 3-year programme. Therefore, we are looking for 3 midwives and 3 neonatal nurses (or nurses with neonatal experience) to join our new programme ‘Rwanda Perinatal System Strengthening’.

Reporting to: Program Manager

Job Title: Midwife / Neonatal Nurse

Contract: 2 years

Location: Karongi, Kamembe, or Musanze (Must live in one of these areas as work will be based in provincial hospitals)

Terms of Reference 

The Quality Improvement Team will be seconded to support three cluster hospital facilities (one central Provincial hospital, with several geographically adjacent district hospitals). Each team will include nurse and midwifery expertise. They will be supported by a team of international volunteer clinicians working across all hubs (see below).

LOCAL QI TEAMS: This team of two members (Neonatal Nurse, Midwife) will be focused on the Provincial hospital and dedicated to the support and development of the Neonatal Intensive Care Unit and perinatal improvement.

INTERNATIONAL SUPPORT QI TEAM: This team of three international members (Paediatrician, Obstetrician, and Neonatal Nurse) will be dedicated to supporting the local QI teams with light outreach support at the District Hospital level with a specific focus on perinatal care improvement across all cluster hospitals.

PROVINCIAL QI TEAM OBJECTIVE

1. Support the hospital in developing and strengthening its ability to provide neonatal intensive care – primarily through the operationalisation or improvement in existing NICU facilities.
2. Work with local counterparts to strengthen general neonatal care quality focusing on the core indicator list set out in the Programme Manual. The focus will be on improving basic routine and emergency care functions associated with improving newborn conditions and outcomes in low-resource settings – temperature regulation, infection control, feeding, and KMC.
3. Work simultaneously with local counterparts in maternity and delivery to strengthen general intrapartum care quality, focusing on the indicators set out in the Programme Manual. As with NNU, the strategic focus will be on improving the basic skills of midwives in identifying high-risk pregnancies early on arrival at hospital, basic fetal monitoring, appropriate identification of emergency labour conditions, and timely communication and decision-making in the case of decision to c-section. Whilst there will be a focus on improving the skills of General Practitioners to manage process around c-section, much of the focus of QI will be on midwives’ knowledge and skills and their consequent ability to manage an efficient ‘flow’ from triage through to postpartum care, minimising avoidable systemic causes of delay which are associated with poor maternal and neonatal outcomes.
4. Strengthen the communication and working relationship between delivery and neonatal care – with a clear focus on enhancing the skills of both midwives and nurses in delivering high-quality immediate and follow-on routine new-born care (from the ‘golden minute’ to the 28^th day and discharge), as well as efficient and effective resuscitation where required.

 Principal responsibilities of the Provincial QI Team Nurse/Midwife will include:

• Reviewing assigned hospital’s facility assessment data and engaging with hospital administrators and Champions to agree a 2-year plan for delivering neonatal care training modules, as well as agreeing schedule and/or opportunities (daily/weekly/monthly) for refresher training, on-job mentoring, and other relevant training/mentoring activities.
• Agreeing with hospital administration consultation and planning process for facility improvement projects (as relevant and necessary) and periodic review of equipment/medicines supply/quality/functionality.
• Agreeing with hospital administrators/Champions indicators, data, and data collection methods for a 2-year period in line with programme objectives and hospital improvement plans.
• Engaging with administrators/Champions to give feedback of data collected and agree on improvements to add to the hospital improvement plans on return of data.
• Engaging with Neonatal & Maternity Champions and RPA Mentor to agree 2-year schedule of training and mentoring activities, and agreeing Champion, Provincial QI Team, and RPA Mentor roles and responsibilities within training/mentoring schedule.
• Agreeing with Neonatal & Maternity Champions and RPA Mentors the consequent schedule of training/mentoring support for 12-month follow-on period (after initial 2 years, following departure of Provincial QI Team).
• In partnership with Neonatal & Maternity Champions and RPA Mentor, planning and implementing quality improvement projects and related periodic audits.
• Contributing with hospital clinical colleagues in the provision of care for neonates (as directed by the hospital administrator/Neonatal Champion, to a maximum of 40% of time weekly, over a 5-day week).
• In consultation with Neonatal Champion and RPA Mentor, to review post-discharge follow-up practice with small/preterm new-borns; agree and implement strategy to strengthen follow-up system.
• Agree with Champions/clinical directors/director generals to introduce and implement introductory work-based training in coordination with RPA.

 Tasks of the Local QI Team (Nurse/Midwife) will include:

 Mentoring and Coaching colleagues

• Maintain communication links with the Hospital Directors.
• Update hospital staff on the progress of the program
• Consider introducing MDT meetings within the hospital
• Being present at the hospital for the UK Quality Assurance visits
• Be a role model at work – support, encourage and communicate with the MDT and your colleagues
• Work closely with the international support team
• Support the facilitation of 3 monthly hospital coordination workshops

Data collection

• Develop and maintain communication links with the data manager
• Complete data collection referring to M and E tools and submit it as required
• Support Champions to complete short monthly/3monthly data collection, of all indicators on the Kobo Toolbox. Complete monthly reports and upload onto SharePoint
• Complete excel teaching log and upload onto SharePoint
• Complete the NICU/NNU mortality data collection monthly (this is the Champions role but will need directing to do this)
• Feedback data was collected to hospital staff to inform HIP

Development and support implementation of Hospital Improvement Plan (HIP)

• Support Champions with the hospital improvement plan, assisting with assigning roles and responsibilities to hospital staff
• Support Champions in reviewing and updating hospital improvement plans on a monthly basis
• Identify gaps in training, equipment, and infrastructure and address them when possible and report them to the RPA administration.
• Support champions in the engagement from hospital staff with quality improvement plans and share them across departments and senior hospital staff

Training

• Run training sessions on maternal and neonatal care as and where necessary
• Conduct bedside teaching/mentoring to colleagues
• Support Champions in taking on training sessions and bedside training

 Knowledge management

• Document best practice examples (e.g., innovative approaches to teaching, or quality improvement approaches) and share them with the RCPCH technical advisor and RPA
• Collate and share posters, and other materials that could be used by other hospitals and health centers

Hospital visits

• Please ensure that a representative from the Local QI Team is present during supervision visits to the hospital by the funder and other relevant organisations

 REPORTING:

 Monthly:

• Ensure data collection is completed by Champions and submitted via the KOBO toolbox
• Your monthly report. Template on SharePoint. Only one per team is required.
• Excel teaching log. Template on SharePoint
• Supporting champions in updating and reviewing the hospital improvement plan. Upload updated HIPs onto SharePoint.

Requirements/Competencies

Degree: A0 with a minimum of 3 years experience/A1 with a minimum of 7 years experience

You must have a Rwandan nursing or midwifery licence to practice

Having experience in training or mentoring in a clinical capacity is an added value

Having previous experience working in remote areas in Rwanda or similar settings is added value

Application Guidelines

Please send us your most recent CV and a cover letter of how you fit the criteria of the role and the preferred location to [email protected] and copy [email protected]

Application deadline: 21^st September (Interviews will be scheduled the following week)

Internal Control Officer at Health Sector Staff Mutual Aid Group-HSS-MAG: (Deadline 24 September 2021)

RECRUITMENT NOTICE Nº 003/09/2021

To address constraints hindering the quality of health services in Rwanda, the Government of Rwanda recommended the Ministry of Health to define strategies to motivate and retain health professionals in the public sector. The Ministry of Health has identified the Health Sector Staff – Mutual Aid Group (HSS-MAG) among the multidimensional strategies that can be implemented to incentivize and retain health professionals in public health facilities in Rwanda. In 2017, the HSS MAG registered as a savings and credit scheme for health sector staff, with the primary objective of improving their socio-economic conditions and promoting access to finance, by assisting staff to make savings and access low-rate loans.

HSS-MAG wishes to recruit the competent and self-driven persons on the following position regardless the gender and other kinds of discrimination.

1. RECRUITMENT DETAILS:

A) Position: Internal control Officer

Number of needed staff: One per position

Employment period: Open-ended period (Full-time)

Working place: HSS-MAG Head Office

2.  INTERNAL CONTROL JOB PURPOSE STATEMENT

Reporting to the General Manager, the Internal Control Officer is responsible for increasing the operational efficiency of HSS-MAG, detecting and eliminating fraud, and ensuring compliance with relevant regulations

2.1.     Key responsibilities

• Review of credit bookings and system limit for approvals, documentation, and perfection
• Review of risk asset reports for unauthorized credits disbursements and set up rates
• Review of the cheques-in-clearing process for irregularities
• Monitor month-end and member’s statement distribution for prompt and efficient delivery service
• Review of contingent asset and liability instruments for proper approvals and documentation in compliance with the HSS-MAG’s credit policy
• Review of credits in general for performance and recovery efforts on problem loans
• Review member’s complaint register and suggestion boxes
• Review all sensitive accounts to ensure that they are operated in line with the approved policy of HSS-MAG
• Lead the process for internal controls reviews across the HSS-MAG
• Deliver adequate and timely reporting on the internal control framework and control
• Deficiencies to ensure appropriate communication, documentation, escalation to business partners, senior leadership and audit committee
• Deliver adequate and timely action plans and monitor progress to address and resolve control deficiencies
• To plan, organize and carry out the internal controls function including the preparation of an audit manual and audit plan.
• Conduct risk assessment of all Units
• Reports risk management issues and internal controls deficiencies identified directly to the General Manager and Audit Committee and provides recommendations for improving the organization’s operations
• Carry out detailed investigations when discrepancy, cash suppression or fraud is noticed.
• Internal control checks and records to safeguard HSS-MAG assets.
• Make recommendations regarding facilities, equipment, personnel, procedures and systems to improve operational efficiency.
• Evaluate compliance with existing HSS-MAG policies and procedures, identifying and proposing modifications as needed.
• Identify areas of financial and administrative strengths and weaknesses and develop best practices.
• Develop and implement appropriate operating procedures to ensure compliance with HSS-MAG and industry policies.
• Monitor and provide advice to management to minimize risk resulting from poor controls.
• Daily, weekly and monthly report.
• Ensure compliance with KYC procedures in processing new customers in an effort to control Money Laundering activities.
• Ensure that suspicious transactions are identified and duly reported as per the reporting guidelines to the General Manager for further action.
• Ensure implementation of treasury and Cash management policies in the back office and report any identified weaknesses.
• Ensure Implementation & Compliance with Business Continuity Management Policies.
• Monitor and evaluate procurement process in compliance with HSS-MAG procurement policy.
• Monitor system access user rights and all IT related processes
• Review and monitor any other process that is initiated either as a result of a new product or Service for which HSS-MAG may bring on board.
• Actively seek standardization and automation, apply and implement best practices for managing internal controls and deploy innovative technology where possible to enhance and continuously improve the design and operating effectiveness of the controls, documentation, provides support to the HSS-MAG’s anti-fraud programs.
• Review the responses to internal and external audit management letter queries to ensure that recommendations are implemented and ensure that all action items are resolved

2.2. Key measurable goals

• Reliable financial reporting;
• Effective and efficient operations;
• Minimum frauds & forgeries;
• Compliance to the internal polices Manuals and procedures

2.3. Skills & Competencies:

• Proficiency in Microsoft Excel and other Microsoft office programs
• Knowledge of existing regulatory framework
• Excellent reporting skills
• Firmness
• Integrity
• Flair for details.
• Analytical thinking
• Account reconciliation skills
• A good numerical skill

2.4. Requirements:

• Ambitious professional with a Bachelor’s Degree in Accountant, Business and Administration, Finance or related field having a master’s degree is an advantage;
• At least three (3) years of relevant professional experience from a Microfinance environment or any other financial institution.
• To be between 25 and 38 years old

JOB APPLICATION PROCEDURES

Interested candidates should submit soft copies of the motivation letter; copy of ID; CV and copy of required degree, other important documents, and a Maximum of 3 persons of professional references addressed electronically to the HSS-MAG Office at the Ministry of Health, latest 24/09/2021 at 6:00 PM on the following email address: [email protected]

 Questions/clarifications may be requested by email to the following email address: [email protected]

 Kindly note that only shortlisted candidates will be contacted for the exam and interview.

Done at Kigali, on 03/09/2021

UWAMBAYINGABIRE Claudine

General Manager