Partners In Health (PIH) Psychiatrist, Dr. Mario Pagenel Global Mental Health Delivery Fellowship, Rwanda


Description
Title: Psychiatrist for the Dr. Mario Pagenel Global Mental Health Delivery
Fellowship
Reports to: Director of Mental Health
Location: Rwanda
Organizational
Profile:
Partners In Health (PIH) is a nonprofit organization
headquartered in Boston, MA, whose mission is to provide quality health care
for the poor and marginalized in Haiti, Rwanda, Lesotho, Malawi, Peru, Mexico,
Russia, Dominican Republic, and Navajo Nation. In addition, PIH has a growing
network of affiliated organizations and initiatives in several other countries,
including Nepal, Burundi, Mali, Liberia, and Togo. Through service delivery,
training, advocacy and research, PIH works around the globe to bring the
benefits of modern medical science to those most in need of it, to serve as an
antidote to despair, and inspire others to do the same.
This fellowship
is offered in collab

oration 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.

Position
Overview:
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.
Global mental
health delivery fellows will be based in Rwanda for one to two years.
This is a
salaried position with benefits. Partners In Health will provide airfare
between Boston and Rwanda as well as living accommodations and meals in Rwanda.
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.
Specific
Responsibilities:
  • Developing strong productive relationships with
    our Rwandan colleagues to identify core challenges to quality mental
    health care and devising collaborative plans for improvement
  • Accompanying 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 health
  • Sharing clinical expertise at the bedside and
    through didactic teaching
  • Providing support to efforts related to the
    development of a model mental health service at the new hospital at Butaro
  • Liaising 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 January, 2015. 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.
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.
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