MD Doctor

1. Background

Health, Disability and Development Organization (HDDO) is non-Profit, non-governmental and non-political National Organization established in January 2020 under Reg: No:4886 with Ministry of Economic, HDDO is also registered with MoPH by the registration number of 662. HDDO is register with the Ministry of Refuges HDDO is member of the Ministry of Public Health Disability and Rehabilitation working group and the member of Community Based Rehabilitation network. HDDO provided quality services so far in 9 provinces as a professional Organization and as agent of change for Victims of war/ conflicts and Person with Disabilities. HDDO is active member of the Health cluster and reproductive health working group as well. HDDO implements humanitarian and development interventions in areas including primary healthcare, nutrition, physical rehabilitation, disability inclusion, psychosocial support, WASH, community engagement and emergency response.

Health, Disability and Development Organization (HDDO), with funding from the Afghanistan Humanitarian Fund (AHF), is implementing the project “Strengthening Life-Saving Integrated Health and Nutrition Response for Conflict- and Disaster-Affected Communities in Daykundi Province.” The project aims to improve access to essential, quality and life-saving health and nutrition services for vulnerable and underserved communities affected by conflict, disasters and other humanitarian needs.

The project will deliver services through Static Health Centres (SHCs) and Mobile Health and Nutrition Teams (MHNTs). The MD Doctors will serve as key clinical personnel responsible for providing quality primary health care, managing patients, identifying danger signs, stabilizing emergency cases, supporting maternal and child health services, and ensuring appropriate referral of complicated cases.

The doctors will work in accordance with applicable Ministry of Public Health (MoPH) policies, BPHS standards, clinical protocols, HMIS requirements, humanitarian principles, HDDO policies, and AHF project requirements.

2. Purpose of the Position

The MD Doctor is responsible for providing safe, effective, ethical and quality primary health care services to project beneficiaries at assigned SHCs or through MHNTs. The position will provide clinical consultations, diagnosis and treatment within the approved scope of services and applicable national protocols; identify and stabilize emergency cases; support maternal, newborn and child health services; provide preventive and health-promotion services; manage referrals; and contribute to the overall quality of health service delivery. The MD Doctor will also provide technical supervision and guidance to relevant health facility staff and contribute to accurate clinical documentation, HMIS reporting, infection prevention and control, patient safety, and continuous improvement of service quality.

3. Key Responsibilities

3.1 Clinical Service Delivery

• Provide comprehensive primary health care consultations to children, women and men in accordance with approved clinical guidelines and BPHS standards.
• Conduct appropriate patient history-taking, physical examination, assessment, diagnosis and treatment within the doctor's professional scope.
• Provide appropriate management of common diseases and conditions according to national treatment protocols.
• Identify patients requiring urgent or specialized medical attention and initiate appropriate management and referral.
• Ensure rational prescribing and appropriate use of medicines in accordance with approved protocols.
• Monitor patients requiring follow-up and ensure continuity of care.
• Maintain professional, respectful and non-discriminatory relationships with patients and caregivers.
• Ensure informed consent, confidentiality and privacy are maintained during consultations and clinical procedures.

3.2 Emergency and Life-Saving Care

• Identify and assess emergency and life-threatening conditions promptly.
• Provide immediate stabilization and first-line management of emergency cases within the facility's available capacity.
• Ensure timely referral of patients requiring services beyond the capacity of the SHC or MHNT.
• Coordinate with referral facilities and relevant staff to facilitate safe and appropriate referrals.
• Document emergency cases, stabilization measures and referrals appropriately.
• Participate in emergency preparedness and response activities at the assigned health facility or within MHNT operations.

3.3 Maternal, Newborn and Child Health

• Provide appropriate clinical support for maternal and child health services within the scope of the assigned facility/team.
• Identify pregnancy-related danger signs and ensure timely referral of complicated cases.
• Support antenatal and postnatal care activities as applicable to the service package.
• Assess and manage common childhood illnesses according to national protocols.
• Identify sick children requiring urgent or specialized care and facilitate referral.
• Promote appropriate preventive health practices, including immunization, breastfeeding, hygiene and other health-promotion messages.

3.4 Preventive and Community Health Services

• Participate in preventive health activities and health education sessions.
• Provide beneficiaries with appropriate information regarding disease prevention, hygiene, nutrition, maternal and child health, and available health services.
• Support community outreach activities conducted through MHNTs.
• Promote early care-seeking behavior and appropriate use of health services.
• Work with CHWs and other community-based personnel to identify individuals requiring health services or referral.

3.5 Nutrition-Related Clinical Support

• Screen patients for signs of malnutrition when required as part of the integrated health service package.
• Identify children and other beneficiaries requiring nutrition-related assessment or referral.
• Support integration of nutrition screening and referral into routine health consultations.
• Coordinate with nutrition staff to ensure appropriate referral and follow-up of identified cases.
• Provide appropriate counselling and health education related to infant and young child feeding and other nutrition-related issues within the approved scope of the project.

3.6 Referral Management

• Identify complicated, severe or emergency cases requiring referral to higher-level health facilities.
• Ensure appropriate referral documentation is completed.
• Explain referral requirements and procedures to patients and caregivers.
• Coordinate with referral facilities and project staff where necessary.
• Follow up on referred cases where feasible and document referral outcomes.
• Maintain appropriate referral records while protecting patient confidentiality.

3.7 Supervision of Health Facility Staff

• Provide clinical guidance and day-to-day technical support to assigned health facility staff.
• Supervise and support nurses, midwives, vaccinators, CHWs and other relevant health personnel.
• Ensure health workers perform their duties according to approved clinical protocols and job responsibilities.
• Identify technical capacity gaps and communicate training or mentoring needs to the Project Health & Nutrition Officer.
• Participate in supportive supervision and staff performance discussions when requested.
• Promote teamwork, professional conduct and respectful patient care.

3.8 Quality Assurance and Patient Safety

• Ensure health services are delivered in accordance with applicable MoPH/BPHS standards and approved clinical protocols.
• Promote safe and appropriate clinical practices.
• Ensure infection prevention and control measures are followed.
• Monitor appropriate use of medicines, medical supplies and equipment.
• Identify gaps affecting quality of care and report them to the relevant supervisor.
• Participate in quality-improvement initiatives and corrective actions.
• Maintain a clean, safe and patient-friendly clinical environment.

3.9 HMIS and Clinical Documentation

• Ensure all patient consultations and services are accurately documented.
• Maintain complete and accurate medical records and registers.
• Ensure health service data are recorded in accordance with HMIS requirements.
• Support timely compilation and submission of required health service data.
• Verify clinical data before submission to the responsible reporting personnel.
• Maintain confidentiality of patient records and personally identifiable information.
• Participate in data-quality checks and correction of identified discrepancies.

3.10 MHNT-Specific Responsibilities

For doctors assigned to Mobile Health and Nutrition Teams (MHNTs):

• Participate in planned mobile/outreach visits according to the approved project work plan.
• Provide clinical consultations and essential health services in underserved communities.
• Coordinate with other MHNT members to provide integrated health and nutrition services.
• Support community mobilization and health-promotion activities.
• Identify emergency and complicated cases requiring referral.
• Coordinate with CHWs and community representatives to facilitate access to services.
• Ensure mobile service records are accurately completed and submitted.
• Follow approved movement, security and field-visit procedures.

3.11 SHC-Specific Responsibilities

For doctors assigned to Static Health Centres (SHCs):

• Provide regular clinical services during approved facility operating hours.
• Manage daily patient consultations and clinical workload.
• Coordinate with nurses, midwives, vaccinators, CHWs and other facility staff.
• Ensure proper functioning of clinical services within the assigned SHC.
• Monitor patient flow and identify service-delivery bottlenecks.
• Support appropriate referral and follow-up of complicated cases.
• Participate in facility-level health and quality review meetings.

4. Coordination and Communication

The MD Doctor will:

• Report operationally to the Project Manager and receive technical guidance from the Project Health & Nutrition Officer.
• Coordinate with the relevant Provincial Public Health Directorate (PPHD) and health authorities as applicable.
• Maintain effective coordination with SHC/MHNT team members.
• Coordinate with nurses, midwives, vaccinators, CHWs, nutrition personnel and other project staff.
• Coordinate with referral facilities when managing referred patients.
• Provide timely updates regarding clinical, operational, supply or service-quality issues.
• Participate in relevant project meetings, technical discussions and review sessions.

5. Medicines, Supplies and Equipment

The MD Doctor shall:

• Use medicines and medical supplies appropriately and according to approved protocols.
• Monitor availability of essential medicines and clinical supplies at the assigned facility/team.
• Report stock shortages, expired/damaged items and other supply-related concerns promptly.
• Promote rational use of medicines and medical commodities.
• Ensure appropriate use and care of medical equipment.
• Report damaged, missing or malfunctioning equipment to the responsible supervisor.

6. Community Accountability and Patient-Centred Care

• Treat all beneficiaries with dignity, respect and without discrimination.
• Provide clear information about available services and referral options.
• Respect patient confidentiality and privacy.
• Support the project's community feedback and complaints mechanisms.
• Respond professionally to beneficiary concerns within the scope of the position.
• Report serious complaints, safeguarding concerns or protection issues through established HDDO procedures.
• Promote inclusive access to health services for women, children, persons with disabilities and other vulnerable groups.

7. Reporting and Documentation

The MD Doctor will contribute to:

• Daily clinical/service documentation.
• Monthly health service reporting.
• HMIS reporting.
• Referral documentation and follow-up.
• Service statistics and indicator tracking.
• Facility/team activity reports.
• Clinical supervision records.
• Medicine and medical supply monitoring.
• Identification and reporting of service-delivery challenges.

All reports and records must be accurate, timely, complete and properly maintained.

8. Compliance and Internal Controls

The MD Doctor must:

• Comply with HDDO policies, procedures and staff regulations.
• Comply with MoPH/BPHS standards and applicable clinical protocols.
• Comply with AHF donor requirements relevant to service delivery.
• Follow approved working hours, attendance and leave procedures.
• Maintain accurate documentation and records.
• Protect project assets, equipment, medicines and supplies.
• Follow financial, administrative and operational controls applicable to the position.
• Immediately report suspected fraud, misuse of project resources, safeguarding concerns or serious operational risks through established reporting channels.

9. Key Deliverables

During the 11-month assignment, the MD Doctor is expected to contribute to:

1. Quality primary health care services delivered at the assigned SHC or through MHNTs.
2. Timely and appropriate clinical assessment and management of patients.
3. Appropriate identification and stabilization of emergency cases.
4. Timely referral of complicated cases to appropriate higher-level facilities.
5. Effective maternal, newborn and child health service support.
6. Integration of nutrition screening and referral within health services.
7. Accurate and timely HMIS and clinical reporting.
8. Effective supervision and technical support to assigned health staff.
9. Compliance with infection prevention and patient-safety requirements.
10. Proper use and accountability of medicines, supplies and equipment.
11. Appropriate participation in community outreach and health-promotion activities.
12. Accurate documentation of consultations, referrals and services delivered.
13. Contribution to achievement of project health indicators and targets.
14. Compliance with HDDO, MoPH and AHF requirements throughout the project period.

• Qualifications and Experience

Education

Doctor of Medicine (MD) degree from a recognized medical institution.

Valid professional registration/licensing with the relevant Afghan authorities, where applicable.

Experience

Minimum 3 years of relevant professional experience in clinical/primary health care service delivery.

Previous experience working in humanitarian, NGO, BPHS or similar health programmes is highly desirable.

Previous experience working in SHCs, mobile health teams or outreach services is an advantage.

• Technical Skills

The successful candidate should have

Strong clinical assessment and patient-management skills.

Good knowledge of primary health care principles and BPHS-related service delivery.

Ability to identify emergency and complicated cases.

Good knowledge of referral procedures.

Knowledge of maternal, newborn and child health services.

Understanding of nutrition screening and referral.

Knowledge of infection prevention and control.

Ability to maintain accurate medical records and HMIS data.

Good understanding of rational medicine use.

Ability to supervise and mentor junior health staff.

Good communication and interpersonal skills.

Ability to work effectively in multidisciplinary teams.

Ability to work under pressure and in challenging field environments.

• Language Requirements

Fluency in Pashto and/or Dari is required.

Working knowledge of English is an advantage.

• Core Competencies

Professionalism and ethical conduct

Accountability and responsibility

Patient-centred approach

Teamwork and collaboration

Respect and cultural sensitivity

Effective communication

Integrity and confidentiality

Problem-solving

Attention to detail

Adaptability and flexibility

Ability to work under pressure

Qualified Afghan applicants are encouraged to submit their resumes ASAP with a detailed application/ cover letter in one document, including a Vacancy #, contact number, Email address.

Please note that applications received after the closing date will not be given Consideration. Only those candidates will be called for interview who meets the qualification and requirement for the mentioned position.

Qualified applicant can send their CV and interest letter to: [email protected]

Submission Email: [email protected]