Partners In Health (PIH) Psychiatrist – Global Mental Health Delivery Fellowship Job Vacancy in Rwanda

Organizational
Profile:
Partners In Health
(PIH) is an international non-governmental organization dedicated to delivering
quality health care to people and communities devastated by the joint burdens
of poverty and disease. PIH’s work has three goals: to care for patients, to
alleviate the root causes of disease, and to share lessons learned around the
world. PIH has programs in Haiti, Peru, Guatemala, Mexico, Russia, Rwanda,
Lesotho, Malawi, Burundi, the Dominican Republic and Boston.

This fellowship is
offered in collaboration with the Department of Global Health and Social
Medicine at Harvard Medical School, Brigham and Women’s Hospital, Children’s
Hospital Boston, and Massachusetts General Hospital.
General
Responsibilities:
The Dr. Mario Pagenel
Global Mental Health Delivery Fellowship with Partners In Health (PIH), is a
placement in Rwanda with Partners In Health’s sister organization, Inshuti Mu
Buzima (IMB), in collaboration with the Rwandan Ministry of Health (MoH). The
Republic of Rwanda has made a significant commitment to addressing mental
health concerns, and innovating community-based approaches to decentralized
mental health care. PIH/IMB works to support the Rwandan MoH in its efforts to
combat the burden of mental disorders through both preventive and clinical
approaches. PIH/IMB provide technical support to district hospital and health
center staff—including physicians, hospital and clinic nurses, psychologists,
psychiatric nurses and social workers—at three sites in rural Rwanda.
The Fellowship honors
Dr. Mario Pagenel, a beloved physician working for Partners In Health’s sister
organization in Haiti, Zanmi Lasante (ZL). Director for Training and Medical
Education for ZL, Dr. Pagenel perished in Haiti’s 2010 earthquake. He had a
special interest in psychiatry, mental health, social medicine and health
equity. The Fellowship also honors the people of Rwanda and the staff of IMB,
who stood in solidarity with the Haitian people following the earthquake, and
who serve as living inspiration for how the human spirit can overcome great
adversity.
In partnership with
the Government of Rwanda and the Clinton Health Access Initiative (CHAI),
PIH/IMB has supported the MoH to comprehensively strengthen the public health
system in rural, underserved areas of the country since 2005.
The Government of
Rwanda seeks to strengthen service delivery, infrastructure and research in
mental health throughout the country. With only two psychiatrists and two
neurologists for more than nine million people, hospitals and clinics in rural
Rwanda are faced with a high burden of neuropsychiatric problems. At the three
district sites where PIH/IMB work in collaboration with the MoH, large numbers
of community health workers (CHW) are mobilized to attend to both infectious
and noncommunicable diseases, augmenting the clinical staff shortage.
Elaboration of a CHW
mental health component is imminent. This initiative builds upon efforts by
Rwanda’s MoH to expand on its successful HIV initiatives through scalable
approaches to health care delivery for chronic conditions common in rural areas,
including heart disease, diabetes, hypertension, hemato-oncologic and
neuropsychiatric conditions.
With the recent
opening of a world-class teaching hospital at Butaro in northern Rwanda, there
exists a timely opportunity to further develop model hospital- and health
center- based public-sector mental health services. The Fellowship supports
training of hospital and health center staff in Rwanda in management of severe
mental health problems. Enhancing the capacity of IMB to hone the skills of
practitioners in the hospital setting, particularly at the new teaching
hospital at Butaro is a central aim of the Fellowship. The Fellow will liaise
closely with the Rwandan MoH, teaching health care professionals at all levels
and supporting the mental health desk in the MoH in its task of
decentralization and integration of mental health services nationally.
The Fellowship
provides an opportunity for career development in global mental health delivery
for post-graduate psychiatrists, with a combined focus on training, research
and advocacy. The fellowship will consist mostly of service delivery, and
includes an academic research component.
Over the course of
the year the Fellow will develop an area of academic focus in global health
related to mental health service delivery, selecting an academic mentor with
expertise in their area of interest. Fellows will therefore have the
opportunity to collaborate in and develop mentored research and educational
projects, and will have the option of participating in ongoing research
efforts. To facilitate career development in global mental health, Fellows will
be eligible to attend a 3-week intensive summer program in Global Health
Effectiveness at Harvard Medical School and Harvard School of Public Health:
http://globalhealthdelivery.org/2011/11/join-over-100-health-professionals-trained-in-global-health-effectiveness-2/
Global mental health
delivery fellows will be based in Rwanda for one to two years.
Specific
Responsibilities:
Developing strong
productive relationships with our Rwandan colleagues to identify core
challenges to quality mental health care and devising collaborative plans for
improvementAccompanying Rwandan health care workers (physicians, nurses,
psychologists, psychiatric nurses, social workers and community health workers)
in developing their capacity to implement new program initiatives and quality
care interventions in mental healthSharing clinical expertise at the bedside
and through didactic teachingProviding support to efforts related to the
development of a model mental health service at the new hospital at
ButaroLiaising with the Rwandan MoH. The Fellow will also serve as a supervisor
for US-based psychiatric resident and medical student experiences in Rwanda
with IMB.
Qualifications:
We are recruiting a
board-eligible or board-certified psychiatrist to join us beginning in July,
2014. We welcome candidates with interests in:
Collaborative
learning.Teaching and mentorship.Specialty interests, for example in
consultation-liaison psychiatry, child and adolescent psychiatry, and emergency
psychiatry.Improvement of healthcare within the public sector.Community
outreach, primary care, and hospital based tertiary care.Research in global
mental health delivery.Applicants must be prepared to commit to at least 75%
time in Rwanda over the duration of the fellowship.Some proficiency in
conversational French is strongly preferred. A strong interest in social
justice and health care issues.
This is a salaried
position with benefits. Partners In Health will provide airfare between Boston
and Haiti as well as living accommodations and meals in Haiti. To facilitate
career development in global mental health, fellows will be eligible to attend
a three-week summer program in Global Health Effectiveness at Harvard School of
Public Health. Fellows will have the opportunity to collaborate in and develop
mentored research and educational projects, and will have the option of
participating in ongoing research efforts through the Department of Global
Health and Social Medicine at Harvard Medical School. Fellows will have another
three weeks of time in Boston to develop and refine global mental health
delivery-related skills and knowledge in collaboration with chosen program
mentors.
Application Process:
Interested applicants
should submit a one or two page letter describing their experience and interest
in global health/global mental health, and a CV with the names of two
references by clicking on http://ch.tbe.taleo.net/CH01/ats/careers/requisition.jsp?org=PIH&cws=1&rid=659

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