2. Purpose of the Position
The Midwife is responsible for providing quality, respectful and evidence-based maternal, newborn and reproductive health services to women and newborns at assigned SHCs or through MHNT outreach activities. The position will provide antenatal and postnatal care, support safe and clean deliveries where delivery services are within the approved facility package, provide family planning counselling, identify maternal and neonatal danger signs, support emergency obstetric and newborn care within the approved scope, and ensure timely referral of complicated cases. The Midwife will work closely with the MD Doctor, nurses, CHWs, vaccinators, nutrition staff and other health personnel to ensure integrated, patient-centred and quality health services.
3. Key Responsibilities
3.1 Antenatal Care (ANC)
- Provide quality antenatal care to pregnant women according to approved national guidelines and BPHS standards.
- Conduct appropriate history-taking and routine maternal assessment.
- Monitor maternal and fetal wellbeing during ANC visits.
- Identify pregnancy-related risks and danger signs.
- Provide appropriate counselling on nutrition, hygiene, birth preparedness and complication readiness.
- Counsel pregnant women on the importance of regular ANC attendance.
- Promote institutional delivery and timely care-seeking for pregnancy complications.
- Provide appropriate referrals for women requiring further assessment or specialized services.
- Maintain complete and accurate ANC records and registers.
3.2 Postnatal Care (PNC)
- Provide appropriate postnatal care to mothers and newborns.
- Assess maternal and newborn health status during postnatal visits.
- Identify maternal and neonatal danger signs requiring immediate attention or referral.
- Provide counselling on breastfeeding, maternal nutrition, newborn care, hygiene and family planning.
- Promote early postnatal care and follow-up.
- Support identification and referral of mothers and newborns requiring additional medical care.
- Maintain appropriate PNC documentation and reporting.
3.3 Safe Delivery Support
Where delivery services are included within the approved service package of the assigned health facility:
- Provide or support safe and clean delivery services in accordance with approved clinical protocols.
- Monitor the mother and fetus during labour and delivery.
- Identify complications and danger signs promptly.
- Apply appropriate infection prevention and control measures.
- Ensure essential delivery and newborn care practices are followed.
- Support immediate newborn care, including appropriate breastfeeding initiation and thermal care.
- Ensure appropriate documentation of deliveries and maternal/newborn outcomes.
- Refer complicated deliveries promptly to an appropriate higher-level facility.
4. Emergency Obstetric and Newborn Care
- Recognize maternal and newborn emergency signs promptly.
- Provide immediate first-line management and stabilization within the scope of the position and available facility capacity.
- Support emergency obstetric and newborn care in coordination with the MD Doctor.
- Ensure timely referral of complicated or high-risk cases.
- Coordinate with the MD Doctor and referral facility as appropriate.
- Educate patients and caregivers regarding the need for urgent referral.
- Complete appropriate referral documentation.
- Follow up on referred cases where feasible.
The Midwife will not undertake procedures or clinical decisions outside her professional qualifications, approved scope of practice or facility capacity.
5. Family Planning and Reproductive Health
- Provide accurate and confidential family planning counselling.
- Explain available family planning options according to the approved service package.
- Support informed and voluntary decision-making by clients.
- Provide approved family planning methods within the Midwife's professional scope and training.
- Identify clients requiring additional medical assessment and refer them appropriately.
- Promote healthy birth spacing and reproductive health awareness.
- Maintain confidentiality and respect clients' privacy and dignity.
- Ensure family planning services are provided without coercion, discrimination or judgement.
6. Newborn Care
- Provide essential newborn care according to approved national protocols.
- Assess newborns for danger signs and common health concerns.
- Support appropriate breastfeeding initiation and counselling.
- Promote exclusive breastfeeding and appropriate newborn care practices.
- Identify newborns requiring urgent medical attention.
- Coordinate with the MD Doctor regarding sick or high-risk newborns.
- Facilitate timely referral of newborns requiring higher-level care.
- Maintain accurate newborn service records.
7. Maternal and Child Health Counselling
Provide appropriate counselling and health education to mothers, pregnant women and caregivers on:
- Antenatal and postnatal care.
- Birth preparedness and complication readiness.
- Danger signs during pregnancy, delivery and the postnatal period.
- Newborn care.
- Breastfeeding and infant feeding.
- Maternal nutrition.
- Family planning and birth spacing.
- Personal hygiene and infection prevention.
- Immunization and child health.
- Appropriate care-seeking behaviour.
- Available health and referral services.
8. Nutrition Integration
As part of the integrated health and nutrition response, the Midwife will:
- Identify pregnant and lactating women who may require nutrition screening or additional support.
- Promote appropriate maternal nutrition counselling.
- Support identification and referral of malnourished or nutritionally vulnerable women and children.
- Coordinate with nutrition staff and other health personnel.
- Promote appropriate infant and young child feeding practices.
- Support integration of nutrition messages into routine maternal and newborn health services.
9. Support to MD Doctor and Health Facility Team
- Work closely with the assigned MD Doctor to ensure coordinated clinical care.
- Provide relevant clinical observations and updates regarding patients.
- Support the MD Doctor in managing maternal, newborn and reproductive health cases.
- Coordinate with nurses, CHWs, vaccinators and other health staff.
- Participate in clinical review and case-management discussions as appropriate.
- Provide technical guidance to relevant health workers within the Midwife's professional scope.
- Promote teamwork and effective communication among facility staff.
10. MHNT-Specific Responsibilities
For the 6 Midwives assigned to MHNTs, additional responsibilities include:
- Participate in scheduled MHNT field visits according to the approved project work plan.
- Travel to targeted communities to provide maternal, newborn and reproductive health services.
- Provide ANC and PNC services during mobile/outreach activities.
- Provide family planning counselling and other approved reproductive health services.
- Identify pregnant women requiring facility-based or higher-level care.
- Identify maternal and newborn danger signs and facilitate timely referral.
- Conduct health education and awareness sessions for women and caregivers.
- Coordinate with CHWs and community representatives to mobilize eligible women for services.
- Support community-level identification of pregnant women and women requiring follow-up.
- Maintain accurate records of services delivered during each field visit.
- Participate in monthly field deployment as scheduled.
- Follow HDDO-approved security, movement and field-visit procedures at all times.
11. SHC-Specific Responsibilities
For the 5 Midwives assigned to SHCs, responsibilities include:
- Provide regular maternal, newborn and reproductive health services at the assigned SHC.
- Manage ANC and PNC service provision.
- Support safe delivery services where included in the facility service package.
- Provide family planning counselling and services within the approved scope.
- Monitor maternal and newborn cases and coordinate with the MD Doctor.
- Identify complicated cases and facilitate appropriate referral.
- Maintain facility registers and clinical records.
- Support health education and community awareness activities.
- Participate in facility-level meetings, supervision and quality-improvement activities.
12. Referral and Follow-Up
The Midwife will:
- Identify high-risk pregnancies and complicated maternal/newborn cases.
- Initiate timely referral in coordination with the MD Doctor.
- Ensure referral forms and relevant clinical information are completed accurately.
- Explain referral requirements to patients and caregivers.
- Coordinate with referral facilities when required.
- Follow up on referred cases where feasible.
- Maintain referral records and contribute to referral monitoring.
13. Infection Prevention and Control
- Follow all applicable infection prevention and control (IPC) procedures.
- Maintain appropriate hand hygiene practices.
- Use personal protective equipment appropriately.
- Ensure clean and safe practices during maternal and newborn care.
- Follow appropriate waste segregation and disposal procedures.
- Maintain cleanliness of the maternal and newborn service environment.
- Immediately report IPC gaps or risks to the responsible supervisor.
14. Clinical Documentation and HMIS
- Maintain accurate and complete patient records.
- Record ANC, PNC, delivery, family planning and newborn services appropriately.
- Maintain required facility registers and reporting forms.
- Ensure service data are complete, accurate and submitted on time.
- Support HMIS reporting in accordance with MoPH requirements.
- Participate in data-quality verification and correction of identified discrepancies.
- Protect confidential patient information and medical records.
15. Community Accountability and Patient-Centred Care
The Midwife shall:
- Provide respectful, dignified and non-discriminatory care.
- Respect the privacy and confidentiality of all clients.
- Inform beneficiaries about available services and referral options.
- Report safeguarding or protection concerns through established procedures.
- Ensure women and girls can access services safely and respectfully within the project's service arrangements.
16. Coordination and Communication
The Midwife will maintain effective coordination with:
- Project Manager.
- Project Health & Nutrition Officer.
- Assigned MD Doctor.
- Nurses and other health facility personnel.
- Nutrition personnel.
- Referral facilities and health service providers.
The Midwife shall communicate clinical, operational and security concerns promptly through the appropriate reporting lines.
17. Medicines, Supplies and Equipment
- Use medicines, maternal health commodities and supplies appropriately.
- Monitor availability of essential supplies required for maternal and newborn services.
- Report shortages, expired items, damaged supplies or other concerns promptly.
- Ensure appropriate care and use of medical equipment.
- Maintain accountability for equipment and supplies assigned to the service area.
- Support proper stock and consumption documentation as required.
18. Compliance and Internal Controls
The Midwife must:
- Comply with HDDO policies and procedures.
- Follow MoPH/BPHS standards and applicable clinical protocols.
- Comply with AHF project requirements.
- Follow approved working hours, attendance and leave procedures.
- Protect project assets, equipment, medicines and supplies.
- Maintain accurate records and documentation.
- Follow applicable security and field-movement procedures.
- Report suspected fraud, misuse of project resources, safeguarding concerns or serious operational risks through established channels.
19. Key Deliverables
During the 11-month project implementation period, the Midwife is expected to contribute to:
- Provision of quality ANC services.
- Provision of quality PNC services.
- Safe delivery support where included in the approved facility service package.
- Provision of family planning and reproductive health services.
- Appropriate maternal and newborn emergency identification and stabilization.
- Timely referral of complicated and high-risk cases.
- Quality newborn care and counselling.
- Integration of nutrition screening, counselling and referral.
- Health education for women, caregivers and communities.
- Accurate and timely HMIS and clinical reporting.
- Proper maintenance of patient records and registers.
- Effective coordination with MD Doctors and other health staff.
- Quality maternal and reproductive health services through MHNT outreach activities.
- Effective participation in scheduled field visits by MHNT Midwives.
- Compliance with MoPH, HDDO and AHF requirements.
