Libya – A MHPSS Technical Advisor based in Tunis

Informations clés

Titre du poste

Libya – A MHPSS Technical Advisor based in Tunis

Pays

Libye

Lieu (ville/région)

BENGHAZI AND AL KUFRAH

Type de collaboration

Salarié

Type de contrat

CDD

Date de prise de poste

01/06/2020

Durée du poste

4 months renewable

Résumé du poste

Contexte

Humanitarian situation and needs

Crisis context

After an armed and civil uprising ended Muammar al Gadhafi’s regime in late 2011, the authorities have had difficulties to address pressing security issues, reshape the country’s public finances, or create a viable framework for post-conflict justice and reconciliation. Thus, since 2014, non-state armed groups have disrupted Libya’s political transition. In 2018, continued political instability, ongoing-armed conflict in Libya, particularly internal struggles between local militias, and the collapse of economy, have led to deteriorating living conditions and reduced access to essential services in most of the country. Civilians continue to suffer from unsafe living conditions, with little or no access to health care services, essential medicines, safe drinking water, shelter and education.

In 2019, the whole population is still affected by the armed conflict and the lack of a functioning government, and 823 000 people will still need humanitarian assistance (including 554,000 people in need of health care services) throughout the whole assessed territory in Libya. The complex humanitarian crisis is primarily driven by the absence of the rule of law, lack of access to basic services, displacement of population, the collapse of the economic system and the financial crisis. On April 4th 2019, the Libyan National Army (LNA) under the guide of General Haftar, announced the beginning of a large scale offensive against the Government of National Accord (GNA) in Tripoli. Soon after, the southern neighbourhoods of the city were engulfed in the conflict. To date, continued clashes, involving the use of heavy weaponry and airstrikes, affected 500,000 people, and displaced over 100,000 people within the Libyan capital, to the neighbouring cities, and, more recently to Tunisia.

The violation of human rights and humanitarian law, including violations of the right to life, and of children and women’s rights, are widespread, including of Gender-based Violence. There are alarming levels of gender-based violence and grave violations of child and women’s rights in the current context.

Still in the same area, since April 2019 the situation remained relatively stable, allowing the PUI program’s to progress with minimum interference. However, this fragile equilibrium could be rapidly overturn depending on the evolution of conflict. Premiere Urgence Internationale (PUI) is monitoring closely the events and, is evaluating potential scenarios in order to plan for contingency in case the security situation deteriorates.

In the Southeast of the country, the tensions between the Tebu and the Zway tribes seriously affects the health system and the access to basic services. Tribe communities, when they are a minority in the area, are suffering from segregation in most of Al Kufrah’s institutions, including health care facilities. This occurs in a context of underdevelopment and poverty that exacerbates the impact of the conflict on the population in the region. Indeed, this area has been suffering, even before the conflict, from a poor investment from the central government. However, few information are available on this area and its humanitarian needs due to a poor, if not almost inexistent, presence of NGOs.

Besides, in the Libyan context, migrants, refugees and asylum seekers leaving outside and within the detention centres (DCs) represents another significant vulnerable group in Libya. Estimated to be around 700,000 to 1 million, they are among the most vulnerable population in the country and are currently facing acute needs. This includes an estimated number of migrants in 55 DCs of 5,000 to 7,000 people at the end of 2018. These persons, including both asylum seekers and refugees, have been consistently identified as being the most vulnerable individuals throughout Libya for several reasons. In particular, they are identified as having reduced access to, and availability of life-saving assistance. Additionally, various report show that refugees and asylum seekers in Libya face significant protection concerns, with their status making them particularly vulnerable to abuse, marginalisation, and exploitation. Those who move through the country are exposed to widespread abuses and human’s rights violation along the route. Due to their irregular status, lack of domestic support networks, impunity for crimes committed against foreign nationals, racism, xenophobia and policies linked to the control of mixed migrations flows in Europe, they are highly vulnerable and in need of humanitarian assistance.


OUR action on the field

Besides, in the Libyan context, migrants, refugees and asylum seekers leaving outside and within the detention centres (DCs) represents another significant vulnerable group in Libya. Estimated to be around 700,000 to 1 million, they are among the most vulnerable population in the country and are currently facing acute needs. This includes an estimated number of migrants in 55 DCs of 5,000 to 7,000 people at the end of 2018. These persons, including both asylum seekers and refugees, have been consistently identified as being the most vulnerable individuals throughout Libya for several reasons. In particular, they are identified as having reduced access to, and availability of life-saving assistance. Additionally, various report show that refugees and asylum seekers in Libya face significant protection concerns, with their status making them particularly vulnerable to abuse, marginalisation, and exploitation. Those who move through the country are exposed to widespread abuses and human’s rights violation along the route. Due to their irregular status, lack of domestic support networks, impunity for crimes committed against foreign nationals, racism, xenophobia and policies linked to the control of mixed migrations flows in Europe, they are highly vulnerable and in need of humanitarian assistance.

Since May 2016 and the beginning of the exploratory mission, PUI still identifies the support to the health system and the improvement of access to health care as some of the major needs for the eastern Libyan population along with its ongoing field intervention. This analysis has been confirmed by the 2019 HNO, which defines the access to critical services (including public healthcare services and Wash facilities) as the second key humanitarian priority need, with the health sector being the one with the highest number of people in need (554,000 individuals). PUI Libya mission has started implementing operations in East of Libya (Benghazi area) in 2017 and developed an emergency health response that provides primary health care services to the most vulnerable population. PUI’s intervention focuses on health care through the deployment of Mobile Health Teams (MHT) delivering direct services to internal displaced populations, the host communities, migrants, refugees and asylum seekers. To date, PUI has three mobile health teams operating in the entire eastern Libya, two of which targeting vulnerable communities in urban setting and one targeting refugees and asylum seekers in detention centres. Since 2018, PUI has extended its area of intervention to in the north eastern Mantikas namely Al Wahat (Ajdabiya Baladiya), Al Marj, Al Jabal Alakhadar, Darnah and Al Butnan (Tubruq Baladiya) to better reach out the most vulnerable. In 2019, PUI Benghazi office is starting a new project called Evidence Based NCD care, a model for PHC in Libya with the objective to enhance access to Non-Communicable Disease health services in the PHC level in the target area. The project includes 2 health facilities and 2,000 patients will benefit from the services.

In the view to extend its operational coverage in 2018, PUI conducted an exploratory mission in the Al Kufrah region (southeast Libya) in order to identify the specific needs of this isolated area and develop an adapted humanitarian response. Thus, PUI intends to implement comprehensive health related activities to ensure a continuous access to essential care. The operation will start in Winter 2019 after a three-month inception phase including capacity building of the team and installation of a PUI office, composed of a full management and health team.

In 2018-2019, PUI has also enhanced its strategy of intervention. Although the focus remains health and direct service delivery, it includes other related sectors and approaches to ensure an integrated response. Thus, PUI conducted several rehabilitation projects in order to allow the reactivation of primary health care centres and the functioning of the Al Jalaa Hospital’s emergency room (the main trauma centre of Benghazi. Additionally the rehabilitation projects also led the restarting of a water pumping station in a conflict-affected area of Benghazi and the reactivation of the only laboratory providing drugs and food quality testing in the eastern Libya. Rehabilitations within the refugee’s detention centres have also been implemented to meet the Wash minimum standards for the detainees.

In line with its country strategy 2020, PUI Libya plans to reinforce its MHPSS intervention.

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

Responsabilités

The Mental Health and Psycho-Social Support Technical Advisor (TA) will be working under the responsibility of the Medical Coordinator based in Tunis and will be in direct contact with the HQ MHPSS technical advisor. She/he will be in charge of the development, implementation, monitoring and standardization of PUAMI MHPSS in Libya. Depending on the security and access situation, she/he will be mainly based in PUI field office in Benghazi (2/3 time) with frequent trips to Al Kufrah field office (1/3 time). More specifically the MHPSS TA will be responsible to strengthen quality and access to mental health services in Libya and to improve access to quality mental health and psychosocial care through enhancing technical capacities of PUI MHPSS team, capacity building of stakeholders at different interventional levels and promotion of mental health care.

Principales activités

Strategy: Working alongside the Medical Coordinator and cooperating closely with the Headquarter/Technical Department, she/he provides strategic guidance to the mission on MHPSS programming and contributes to the development of the related country strategy and operation framework of intervention.

Programmes: She/he will ensure implementation, oversight and monitoring of the activities related to MHPSS of the program in the frame of PUI response in East of Libya. She/he will develop PUI internal capacity on MHPSS by development of internal curriculums and human resources capacity building. S/he will be in charge of developing PUI MHPSS component, enlarging the scope of activities implemented. S/he will develop and/or reinforce the quality assurance process for MHPSS activities following national and international standards.

Representation/Coordination: S/he coordinates PUI’s representation to consortium partners, donors, and authorities within the related sub- sector, in the technical field of expertise, and ensures that information about the program is properly distributed.

Human Resources / Training: S/he supports the targeted staff members and oversee the technical training activities and permanent supervision according to identified needs.

Logistics and Administration: S/he ensures the activities for which s/he is responsible comply with logistical and administrative procedures.

Safety: S/he contributes to compliance with safety rules within the mission and communicates any safety-related information to the Head of Mission.

Profil recherché

Formation

Formal degree as Clinical psychologist

Expériences
professionnelles

Previous experience in MHPSS in a humanitarian context

At least 2 years of previous clinical experience

Aptitudes
transversales

Good written and oral communication skills

Knowledge of programs management

Knowledge of Pack Office

Langues

Fluency in written and spoken English and Arabic

Special
conditions

TUNISIA (Tunis) with 90% of time in LIBYA  (Benghazi and AL Kufrah)

Conditions

Rémunération

Employed with a Fixed-Term Contract – 4 months renewable

Starting date: As Soon As Possible

Monthly Gross Income: from 1980 up to 2310 Euros depending on the experience in International Solidarity + 50 Euros per semester seniority with PUI

Prises en charge

Cost Covered: Round-trip transportation to and from home / mission, visas, vaccines…

Insurance: including medical coverage and complementary healthcare, 24/24 assistance and repatriation

Housing: collective accomodation

Daily living Expenses (« Per diem »)

Vacances

Break Policy  : 5 working days at 3 and 9 months + break allowance

Paid Leaves Policy  : 5 weeks of paid leaves per year + return ticket every 6 months

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Personne chargée de l'offre

Responsable

Jason Arthaud, Human Resources Officer for expatriates


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