Pharmacy Technical Advisor – Première Urgence Internationale (PUI) Retour vers les opportunités

General Context :

Libya, a mostly desert and oil-rich country with an ancient history, has more recently been known for the 42-year rule of the mercurial Colonel Muammar Gaddafi – and the chaos that has followed his departure (BBC, 2019). The country has splintered, and since 2014 has been divided into competing political and military factions based in Tripoli and the east. Among the key leaders are Prime Minister Fayez Sarraj, head of the internationally-recognized government in Tripoli, Khalifa Haftar; leader of the Libyan National Army, which controls much of eastern Libya; Aghila Saleh, speaker of the House of Representatives based in the eastern city of Tobruk; and Khaled Mishri, the elected head of the High State Council in Tripoli. 

Humanitarian consequences:

In 2020, the humanitarian situation in Libya is increasingly complex. The protracted nature of the conflict severely impacts on people’s wellbeing and livelihoods. Political stalemate has resulted in a governance vacuum, and coupled with widespread violence and insecurity, including direct attacks on public infrastructures, including health care infrastructures, and have disrupted the economy and public service delivery across the country. Furthermore, spikes in violence, such as the escalation of conflict in Tripoli since April 2019 and clashes in Murzuq in August 2019, have resulted in increased civilian casualties and further displacement (HNO, 2020). 

Across the country, over 301,000 Libyans remain displaced, including 128,000 people due to the Tripoli conflict, reversing the declining trend in displacement. As displacement has increased, so has the number of Libyans who are returning to their homes, around 447,000 people. Living conditions, including access to clean drinking water (36% of HHs report limited access to sufficient water), medical services (22% of PHFs are closed, 33% of PHFs lack of essential medicines), and safe housing (around 4,000 IDPs are in need of shelter) have all degraded due to the protracted situation in the country, particularly for women and children (HNO, 2020).

Despite the crisis, Libya remains an attractive destination for migrant workers due to an economy that relies on foreign labour, higher salaries and historical ties, as well as being a transitory route for people seeking opportunities or asylum in Europe. An estimated 655,000 refugees and migrants are in Libya, including 48,000 registered refugees and asylum seekers. However, refugees and migrants continue to be exposed to protection risks, human rights violations, exploitation and abuse (HNO, 2020).

The main programmatic objectives of PUI can be synthetized as follows:

• Enhance protection environment and access to essential services for conflict-affected communities in Libya.
• Provide life-saving assistance by ensuring a safe and dignified access to health services as well as an access to clean water, basic sanitation facilities and hygiene items for the affected families in Detention Centers. 
• Improve the quality of the health services provided to the people through the national health facilities.

History of the mission and current programs

PUI Libya mission started implementing operations in East of Libya in 2017. The organization has developed a lifesaving response that provides primary health care services to the most vulnerable population (internal displaced populations and their host communities, migrants, refugees and asylum seekers) combined with an integrated basic needs response to address the overall health situation of the PoC in detention centres and in urban settings. As a result, after three years of experience, PUI is now positioning as a significant actor targeting all groups of population in various settings in all eastern Libya. Its constant and solid field presence enables the organization to develop strong relationships with key stakeholders (authorities, local community leaders and local and international NGOs), as well as acceptance in reference to the activities implementation. In 2020, 2 Mobile Health Teams are deployed in Kufra and 1 in Detention Centers in Eastern Libya. PUI is implementing an integrated approach, with Protection and MHPSS specialist embedded in each MHT. Additionally, PUI is working on the reinforcement of the health system through training and capacity building project for health professionals, and the rehabilitation of health facilities. To date, the mission is implementing 4 projects funding by AICS, EU, ECHO/ and UNHCR. 

• • Title: Libya Equal Access and Development for Recovery: enhancing access to health services (AICS) in Al Kufra and Benghazi
  • Title: Life-saving assistance to PoC in detention centres and Assistance to Internally Displaced Persons in East of Libya (UNHCR) in Benghazi 
• Title: Evidence based NCD Care: A Model for PHC in Libya (EU) in Benghazi
• Title: Enhance protection environment and access to essential services for conflict-affected communities in southern Libya. (ECHO / SDC) in Al Kufra

To note, due to the administrative context, the majority of the humanitarian intervention in Libya are being managed remotely from Tunis.

Supply management: He/she is in charge of supervising the good management and documentation of all the supply chain for drugs and medical equipment in compliance with PUI procedures and donors’ guidelines. 

Stocks management: He/she is responsible for supervising the good management of the medical stocks at mission’s level. 

Data collection, treatment and analysis: He/she is responsible for the production of consumption data per project and their analysis and recommendation for efficient utilization of the medical stocks.

Procedures development: He/she is responsible for the development of procedures and SOP for the pharmacy at all levels adapted to the remote setting for the Libya mission

Coordination, reporting and dissemination of information: He/she is responsible for the use of all reporting tools, compile information and disseminate accordingly among concerned services, and the documents achieved in compliance with PUI procedures and donors’ guidelines. 

• TECHNICAL SUPPORT

 He/she carries out an initial diagnosis of the pharmacy component of both bases and the central pharmacy.

 He/she contributes to the identification of training needs of the pharmacy team.

 He/she develops a capacity building plan for all the technical staffs involved in pharmacy management. The plan is scheduled over a defined period of time.

 He/she provides training and technical support to the pharmacist and staff and storekeepers for Benghazi and Al-Kufrah on the following topics: stock management (including Sagastock), rational use, substitution, analysis of consumption, etc.

 He/she is responsible for the setting of objectives for the pharmacy team 

 He/she contributes the organization of the activities for the pharmacy component of the mission according to the context of each operational base, in close collaboration with the Field Coordinators & Medical Coordinator.

He/she defines priorities and objectives to be achieved by the Pharmacists and tracks their realisations through the appraisal process and final appraisal. 

 He/she supports the pharmacist to provide effective support to the bases, contribute actively on drugs and medical equipment need assessment, and proper anticipation for efficient stock management.

• SUPPLY CHAIN MANAGEMENT 

• PROCEDURES DEVELOPMENT

• COORDINATION, REPORTING AND DISSEMINATION OF INFORMATION 

• Line management: Medical Coordinator 
• Technical referent: HQ pharmacist

The Pharmacy TA is the technical referent of the Pharmacist based in Benghazi (and indirectly the Pharmacist storekeepers) 

1. 1. Building the capacity of the Pharmacist in order to ensure his full autonomy on his position

• Develop specific SOP for the Libya mission in order to ensure the compliance with PUI pharmacy management guidelines

• Pharmacist  

• Related medical degree

• Min. 1 year in a similar position

• NGO experience

• Staff training and capacity building.
• Strong organizational skills 
• Good writing skills 
• Good relationships and communications skills 

• Knowledge of procedures: institutional donors (UE, OFDA, ECHO, AAP, UN agencies …) 

• French
• English
• Arabic

• Pack Office
• Sagastock

• Ability to build capacity within the team 
• Ability to show authority, if necessary. 
• Analysis (discernment, pragmatism) and synthesis abilities 
• Organization, rigor and respect of due dates. 
• Great ability to listen and to negotiate. 
• Good people person and good communication skills 
• Ability to remain calm and level-headed 
• Able to take initiative and work in autonomy 
• Demonstrated skills in problem solving, planning, organizing, analysis and reporting. 
• General ability to resist stress and in unstable circumstances particularly 
• Commitment to humanitarian principles, particularly neutrality and impartiality 

INSURANCE including medical coverage and complementary healthcare, 24/24 assistance and repatriation 

PAID LEAVES POLICY: 24 Paid Leave per Year