PIH Psychiatrist for the Dr. Mario Pagenel Global Mental Health Delivery Fellowship Job Vacancy in Rwanda

Job Title: Psychiatrist for the Dr. Mario Pagenel
Global Mental Health Delivery Fellowship
Reports to: Giuseppe Raviola, Director of Mental
Health
Location: 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, Kazakhstan, Rwanda, Lesotho, Malawi,
Burundi, the Dominican Republic and Boston.
This Fellowship is offered in collaboration with
the Brigham and Women’s Hospital, Children’s Hospital Boston, and Massachusetts
General Hospital.
Position Summary:
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 Parters 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 have supported the MoH to
comprehensively strengthen the public health system in rural, underserved areas
of the country since 2005.
The Government of Rwanda is committed to
strengthening service delivery, infrastructure and research in mental health
throughout the country. In a country with only two psychiatrists and two
neurologists for more than 9 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, with the imminent elaboration of a CHW mental
health component. 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.
Global mental health delivery fellows will be based
in Rwanda for 1-2 years.
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
    future 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, 2013. 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 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 3-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. Fellows will have another 3 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 1-2 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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