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Professional Nurse : Termination of Pregnancy (Madibeng)

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Apply by: 
Monday, July 24, 2017
Starting Date: 
Tuesday, August 1, 2017
Job Section: 
Work in our Offices
South Africa

Job title:                       Professional Nurse : Termination of Pregnancy (TOP)

Work Location:            Madibeng subdistrict, NW, South Africa

Job Level/Type:           Level 6 (Medical)

Duration:                     1 year

Start date:                    As soon as possible

Reports to:                  Nurse Clinical Mentor


Country Context:

MSF SGBV project in South Africa is strategically located in Bojanala district in North West Province’s platinum mining belt. Bojanala district with an estimated population of 1.5 million is one of the four districts of North West Province and is made up of 5 sub-districts namely Rustenburg, Madibeng, Moses Kotane, Kgetleng and Moretele. Rustenburg with an estimated population of 549,575 people is among the biggest sub-district and is one of the fastest growing cities in South Africa. The significant growth of Rustenburg population is attributed to the impact of presence of one of the world’s largest platinum mines industries where the mining industry provides around 50% of the all formal employment and accounts for 68% of Rustenburg’s economy.

In Rustenburg, MSF supports the DOH in implementing the one-stop patient-centered model of care for survivors of sexual and gender-based violence which is called the Kgomotso Care Centre (KCC). The first Kgomotso Care Centre started operating in Boitekong clinic as a stand-alone structure from mid-2015 in Rustenburg.  In the second half of 2016, MSF has extended support to two decentralized KCCs in Madibeng sub-district, which is Bapong and Letlhabile.

In 2017, MSF plans to improve access by widening the range of services supported and this includes comprehensive family planning, screening for sexual and gender based violence and supporting choice termination of pregnancy (CToP) services, as access to CToP is part of the comprehensive package of care provided to SGBV survivors. A close collaboration and good working relationship with all stakeholders is essential.

*It is MSF’s policy to provide contraceptive and safe abortion care as part of its response to women’s and girls’ health needs, and those who have objections to this practice and are unwilling to support it should not apply for this position.


MSF is currently supporting the DOH in offering comprehensive medical services to SGBV survivors in Bapong and Letlhabile KCC, which are located within the Bapong and Letlhabile CHC respectively. Both these CHCs are currently offering Choice Termination of Pregnancy (CToP) services and MSF is seeking to offer additional support to ensure the consistent availability of good quality CToP services at both these centres.  The main purpose of this position will be to work closely together with the DOH’s CToP provider and together, ensure that good quality CToP services are rendered in accordance with the DOH and MSF Termination of Pregnancy guidelines, and guided by the CToP Act of South Africa (1996).


  • Provide high quality CToP services for all women on request
  • Follow-up CToP clients in the clinic and deal with any complications appropriately
  • Appropriately assess clients for the procedure, as well as afterwards, and in complicated cases to know when to refer clients for hospital care
  • Ensure provision of comprehensive CToP services to all clients in accordance with DOH and MSF guidelines
  • Guarantee confidentiality
  • Guarantee quality and continuity of care to patients
  • Guarantee that hygiene rules, asepsis and waste disposal are respected
  • Guarantee the stock and maintenance of the drugs and equipment
  • Participate in the roster together with the DOH CToP provider to ensure continuity of the service
  • Participation in training and development
  • Mentorship and coaching for new and existing team
  • Participate in data collection and record keeping
  • Ensure a referral link to the KCC for clients when necessary
  • Participate in Sexual Violence Screening activities and health talks


CToP Services

  • Client assessment and preparation
    • Take a complete medical history
    • Perform physical examination ie. Abdominal palpation, speculum and bimanual examinations
    • Undertaking necessary procedures ie. Perform a pregnancy test, STI screening and management, be able to determine gestational age through the use of ultrasound scanning, be able to take Pap smear, relevant blood investigations etc.
    • Non-mandatory counselling on options available for clients
    • Ensuring a referral is made when necessary according to the referral criteria (ie. For 2nd trimester termination etc.)
  • Management plan
    • Booking the client and arranging for the procedure according to the medical assessment
    • Ensuring adequate pain management is provided
    • Performing the procedure of ToP (either medical or surgical) according to the DOH and MSF guidelines
  • Post-procedure management
    • Ensure patient safety and adherence to discharge protocols and procedures
    • Contraceptive counselling and provision
    • Provision of post-procedure counselling and information
    • Ensure follow-up is given (medical, counselling etc.)
    • Ensure proper necessary documentation is completed

In provision of quality and continuity of care:

  • Respect and guarantee medical confidentiality
  • Provide a friendly, welcoming and non-judgemental environment
  • Respect dignity and the intimacy of patients. Assure a maximum of patients’ comfort
  • Participate in collecting needed date for monthly reports
  • Participate in meetings of the medical team, as required
  • Respect care protocols and the mode of administering treatment
  • Be present at trainings and justify each absence to the line manager
  • Maintenance of Health and Safety Standards in accordance with DOH and MSF regulations
  • Hygiene/asepsis, waste disposal and stock keeping
  • Keep the consultation room clean and tidy
  • Sort waste and use appropriate containers and bins (sharps, combustible waste, domestic waste)
  • Follow cleaning and instrument sterilisation procedures
  • Adequate follow up of used medication during consultations: manage stock files, place a regular order and calculate monthly consumptions
  • Ensure proper management and running of the medical equipment and correct use of the dispensing drug cabinet. Preparing new orders when required,  monitor expiration of drugs and medical items and consumption patterns in order to ensure its rational use as well as ensuring pharmacy stock levels are permanently updated and above minimum safety point

Other responsibilities

  • To ensure the referral link between CToP clients and the KCC services wherever necessary
  • To participate in SGBV Screening activities according to MSF guidelines
  • To actively participate in health promotion activities related to SGBV and CToP activities
  • Carry-out and supervise administrative procedures and documents (fill in patients files, forms, etc.), fill in all necessary registers and health files, participate in data collection and keep the line manager informed.
  • Report to the line manager any relevant information linked to the service provided and participate in monthly reports and definition of annual planning, budget for the project

The tasks listed above are not exhaustive.  Flexibility is a qualification in a humanitarian aid organization, and it may be asked of employees to perform tasks other than those listed in this Job Description.


Education: Technical Qualifications

  • Registered professional nurse with the SANC
  • Work experience of at least 5 years
  • Certified CToP Provider

Experience in:

  • CToP – mandatory; experience working as a CToP provider for at least 1 year
    • Both the provision of medical ToP, and manual vacuum aspiration methods
  • Family Planning – mandatory
  • Care for survivors of Sexual and Gender-Based Violence – desirable
  • Working for an NGO – desirable


  • English and Tswana are mandatory

Personal and Professional Attributes

  • Ability to work well in a team and maintain effective working relationships
  • Demonstrates knowledge and accepts MSF’s principles
  • Demonstrates the flexibility by being able to maintain effectiveness in achieving objectives by adopting to changing circumstances positively
  • Demonstrates commitment to achieving set objectives and possess the drive and tenacity to seek improvement in his/her tasks
  • Demonstrates the commitment to provision of excellent service for the beneficiaries
  • Ability to remain open and non-judgmental towards colleagues and clients
  • Demonstrates an understanding of, and commitment to workplace ethics, mutual respect, caring, being supportive, accountability and responsibility and exhibit these values on a daily basis


  • One year field contract (extendable)
  • Salary according to MSF-OCB Field salary scale. Medical aid + 10% towards retirement
  • Expected starting date: as soon as possible

To apply, please email your CV, Motivation Letter, and the full details of 2 contactable referees to:  or post to Médecins Sans Frontières, 52 Marais Street, Rustenburg 0299

Closing date: 24th July 2017.

MSF reserves the right not to make an appointment if a suitable candidate cannot be found.  While MSF thanks all interested applicants, only short-listed candidates will be contacted.