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1. BACKGROUND TO THE ASSIGNMENT:
International Medical Corps (IMC) has launched a new project in the Central African Republic (CAR), funded by the United Nations Population Fund (UNFPA) through the Korean International Cooperation Agency (KOICA). The project, “Saving lives, building resilience, providing integrated maternal and newborn health and VAWG services in humanitarian settings”, is implemented in Bria and Ndele health districts.
Key activities include:
- Strengthening Maternal and Newborn Health (MNH) services through mobile and static clinics.
- Raising awareness of pregnancy danger signs and promoting rapid referral via local leaders and associations.
- Violence Against Women and Girls (VAWG) prevention and response services management and prevention
- Repairing obstetric fistulas and reintegrating survivors into society, with surgeries conducted at Bria Referral Hospital.
Currently, fistula surgeries are performed by a Ministry of Health team based in Bangui and deployed across the country. The Consultant Gynecologist/Surgeon will provide technical support and capacity building to this team, ensuring sustainable skills transfer and improved outcomes for women affected by fistula
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2. PURPOSE OF THE ASSIGNMENT:
The consultant will build the capacity of surgical and clinical staff from the Ministry of Health and Population in the Central African Republic on fistula repair techniques. Through hands-on training, mentorship, and skills transfer, the consultant will strengthen the ability of healthcare providers to deliver quality fistula repair services, resulting in improved patient outcomes, reduced postoperative complications, and the sustainable development of local expertise within the facility.
The consultant will deliver specialized training and mentorship to Ministry of Health surgeons and allied staff engaged in fistula repair. The role emphasizes capacity building, surgical excellence, and knowledge transfer to strengthen national fistula repair services.
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3. SCOPE OF THE ASSIGNMENT:
Training and Mentorship
- Conduct theoretical sessions on fistula etiology, diagnosis, and surgical procedures involving MoH staff (surgeons and medical staff) in Bangui capital city and Bria regional hospital
- Deliver hands-on surgical training in fistula repair procedures
- Provide technical support and supervision to MoH staff during live surgeries to ensure safe practice.
- Provide mentorship and coaching to junior surgeons, nurses, and anesthetists.
Capacity Building
- Develop standardized training materials and surgical protocols in line with the host country and international protocols.
- Train MoH staff on pre-operative and post-operative care specific to fistula patients.
- Introduce best practices for infection prevention and patient safety.
Knowledge Transfer
- Establish a system for ongoing peer learning and skill reinforcement.
- Recommend further training needs and advanced skill development pathways
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4. DELIVERABLES DESCRIPTION:
Training sessions conducted
- Number of theoretical sessions (dates, topics, participants)
- Number of hands-‑on surgical trainings (dates, procedures, participants)
Supervision of Surgeries
- Number of surgeries supervised
- Type of cases and outcomes
Mentorship and Coaching
- Number of junior staff mentored (surgeons, nurses, anesthetists)
- Methods used (one‑-on-‑one, group coaching, bedside teaching)
Outputs (Measurable and Achievable)
- Number of MoH staff trained (disaggregated by role and sex)
- Number of standardized training materials/protocols developed
- Number of peer learning sessions established
- Infection prevention and patient safety practices introduced
Documentation (Required Attachments)
- Attendance sheets (signed by participants)
- Surgical supervision logs (case type, trainee involvement, outcomes)
- Documentation of surgical cases performed during training.
- Copies of training materials/protocols developed
- Photos (if permitted) of training sessions or workshops
Recommendations and Next Steps (Timely)
- Further training needs identified
- Advanced skill development pathways suggested
- Adjustments to protocols or training methods
Communication and Coordination
- Weekly check-‑ins summary with hospital focal points
- Monthly coordination meeting notes with MoH representatives
Annexes that consultant will submit
- Attendance records
- Supervision logs
- Protocol drafts
- Any additional supporting documents
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DUE DATE(S)
Training dates 4th August to 6th August 2026, 11th August to 13th August
Supervision during fistula surgery dates 20th August 31st August 2026
15th September to 25th September 2026
Mentoring and coaching dates from 4th August to 29th September
Final report summarizing training outcomes, challenges, and recommendations.30th September 2026
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