Anesthesiologist – RCA – M/F At ALIMA

PRESENTATION ALIMA

THE ALIMA SPIRIT: ALIMA’s purpose is to save lives and care for the most vulnerable populations, without any identity, religious or political discrimination, through actions based on proximity, innovation and alliance of organizations and individuals. We act with humanism, impartiality and respect for universal medical ethics. To access patients, we are committed to intervening in a neutral and independent manner.

THE VALUES and PRINCIPLES of our action, enshrined in our CHARTER :

1. The patient first

2. Revolutionizing humanitarian medicine

3. Responsibility and freedom

4. Improve the quality of our actions

5. Trust

6. Collective intelligence

7. Environmental responsibility

ALIMA promotes and defends the principles of fundamental human rights. ALIMA has a zero-tolerance approach towards people guilty of acts of gender-based and sexual violence as well as towards inaction in the face of alleged or proven acts of violence. Protecting those benefiting from and impacted by our intervention is our top priority in everything we do. Anyone collaborating with ALIMA undertakes to:

• Respect the charter, the code of conduct, institutional policies including the policy of protection against abuse of power and sexist and sexual violence, the policy of

prevention of corruption and fraud;

• Report any violation of policies, framework documents and procedures to a superior, referent, referent or at [email protected]

CARE – INNOVATE – TOGETHER:

Since its creation in 2009, ALIMA has reached more than 18 million beneficiaries in 15 countries, mainly in Africa. In 2024, we developed 59 humanitarian medical response projects to meet the needs of populations affected by conflicts, epidemics and extreme poverty. All of these projects support national health authorities through health structures (including hospitals and health centers). Our action results from constant adaptation to realities on the ground and advances in medicine. In 2024, ALIMA reached 5.9 million beneficiaries. We work in partnership, particularly with local NGOs, whenever possible to ensure that our patients benefit from expertise where it is found, whether in their country or in the rest of the world.Furthermore, to improve the humanitarian response, we carry out operational and clinical research projects, particularly in the field of the fight against malnutrition and viral hemorrhagic fevers.

ALIMA TEAM: more than 2000 people currently work for ALIMA. The field teams, as close as possible to patients, receive their support from coordination teams generally based in the capital of the countries of intervention. These receive support from the 4 desk teams and the emergency and opening department team based at the operational headquarters in Dakar, Senegal. The Paris and New York teams are actively working on fundraising and representing ALIMA. The rest of the ALIMA Galaxy includes individuals and partner teams who work on behalf of other organizations such as the medical NGOs BEFEN, ALERTE Santé, SOS Médecins /KEOOGO, AMCP, the research organizations PACCI, INSERM, INRB, the Universities of Bordeaux or Copenhagen, the NGO Solidarités International and many others

OUR PROJECT THEMES : Malnutrition, Sexual and reproductive health including gender-based violence, Primary and secondary health, surgery, pediatric care, killer diseases such as Malaria, AKI, Diarrhea, Epidemics (Hemorrhagic fevers, meningitis, Cholera, Measles, Dengue, Mpox, Covid-19).

OUR COUNTRIES OF INTERVENTION: Mali, Burkina Faso, Central African Republic, Ethiopia, Haiti, Nigeria, Niger, Chad, Democratic Republic of Congo, Cameroon, Guinea, South Sudan, Senegal, Mauritania and Sudan.

DESCRIPTION OF THE ALIMA MISSION IN CAR

Since its creation in 2009, ALIMA has led humanitarian interventions focused on health. Present in the Central African Republic since 2013, the organization develops activities focused on the medical-nutritional care of children, reproductive health, primary and secondary health care, response to epidemics as well as operational research. With its 15 years of experience in humanitarian medical action, including in the CAR, the organization relies on both the expertise of international professionals and that of local staff to effectively respond to the needs of populations.

ALIMA benefits from solid experience in strengthening the RCA healthcare offering, both at primary and secondary level. Concerning secondary care, it supports several hospitals in the localities of Obo, Zémio, Bimbo, Boda, Bocaranga and Ngaoundaye. The Obo and Zémio hospitals have been supported by ALIMA since 2019 as part of a medical assistance project intended for host, displaced and refugee populations in Haut-Mbomou. These two structures, fully operational to date, have benefited from financing support from the BEKOU/RELSUDE Fund since 2018. ALIMA strengthened the capacities of the operating room by carrying out rehabilitations and assigning a surgeon as well as an anesthesiologist to ensure emergency managementthus contributing to the transfer of skills at the local level. This position is a continuation of the achievements of the previous phase, with the aim of compensating for the lack of qualified human resources and strengthening the capacities of existing staff of the Ministry of Health at the Zémio secondary hospital, in the Haut-Mbomou prefecture.

In Zemio, ALIMA supports the Ministry of Health through three funding courses including:

1. FH Project: Contribute to providing emergency medical and nutritional assistance for displaced populations and hosts in the Zémio health zone of the Haut Mbomou Health District in the Central African Republic. (02/01/2026 to 01/31/2026).
2. Project for <<Access to medical consultations via telemedicine in a context of deteriorated security>>. This project aims to contribute to reducing the morbidity and mortality rate in the insecure Mboki area in Haut Mbomou. It is funded by Grand Challenge Canada for a period of one year (May – December 2026)
3. A << Medical-nutritional emergency response project for the assistance of displaced people and hosts affected by the crisis in the sub-prefecture of Zémio, Haut-Mbomou Health District with CDCS funding (Ministry of Europe and foreign ministries) for a period of one year (August 2026-May 2027).

Context of Haut Mbomou:

The Haut Mbomou prefecture, located in the southeast of the country, has a population of around 89,026 inhabitants in 2026.

Since 2023, the area has experienced degraded security: clashes between militias, national forces (FACA) and armed groups such as the UPC. This violence causes murders, kidnappings, destruction of property and massive displacements.

According to IPC projections (August 2026), more than 39% of the prefecture’s population lives in severe food insecurity phase 3 and 5% in phase 4, particularly in the sub‑prefectures of Bambouti, Djema and Obo classified in phase 4 (emergency). The internally displaced population (IDPs) numbers in the thousands, and access to livelihoods is hampered by insecurity (blocking roads, fields), making access to health services extremely limited.

The health sector is also affected: less than half of the infrastructures are fully operational, there is less than one doctor per 10,000 inhabitants, and many structures have neither basic equipment (electricity, imaging, reagents) nor essential medicines.

Actors, NGOs and local government are working to improve humanitarian access (rehabilitation of bridges, patrols, multi-sectoral assistance), but access remains difficult and coverage varies depending on the area.

The Zémio sub-prefecture is going through a complex and deep crisis, marked by a continued deterioration in security. The area is affected daily by serious violence, including armed clashes, kidnappings, extrajudicial executions as well as strong intercommunity tensions. These recent attacks have also forced part of the population to flee, causing massive displacements towards the Democratic Republic of Congo (DRC).

On a strictly humanitarian and health level, the situation is seriously deteriorating due to severely limited access and a virtual absence of humanitarian actors on the ground. The local health system is particularly affected: medical structures are under-equipped and, for some, are simply no longer functional, which extremely complicates the care of vulnerable populations remaining there.

Mission Location: Zemio – RCA

PROTECTION OF BENEFICIARIES AND MEMBERS OF THE COMMUNITY

Level 3: As part of their duties, the position holder will be required to visit the programs and be in contact with vulnerable children and/or adults. Therefore, criminal record check or presentation of a certificate of good conduct and morals will be necessary. In situations where it is impossible to provide a criminal record or a certificate of good conduct and morals, a sworn declaration will be requested.

FUNCTIONAL AND HIERARCHICAL LINKS

· He reports to the Project Referral Physician, under the technical supervision of Comed and the Surgery – Anesthesia Technical Referent.

· He/she collaborates closely with the Surgeon and all staff in the operating room and interacts with doctors and nurses from the emergency, intensive care and surgical departments.

MISSION AND MAIN ACTIVITIES

It organizes and executes anesthesia operations in accordance with standard rules, protocols and hygiene standards, in close collaboration with surgeons and medical staff, and strengthens the knowledge and practical skills of anesthesiologist staff through training on on-the-job and knowledge transfer, with a view to ensuring the quality of care provided to patients.

He.She respects the guidelines for surgical practices within ALIMA projects.

MAIN RESPONSIBILITIES

• Ensure pre-operative consultations (pre-anesthetic visit) in order to assess the operating risks in collaboration with the surgeon, provide appropriate information to the patient and decide on the type of anesthetic to use, in order to guarantee optimal conditions prior to the intervention. Perform all surgical anesthesia safely and appropriately.
• Prepare the required anesthetics, materials and equipment beforehand.
• Administer anesthetics and maintain anesthesia while respecting current hygiene and asepsis rules.
• Monitor the patient’s vital parameters throughout the procedure.
• Ensure the transfer of patients to the recovery room and their return to a complete state of consciousness, and define the analgesic protocol.
• In collaboration with the surgeon, advise adequate post-operative care, including intensive care, including fluid management, oxygenation monitoring, airway management, and physiotherapy and torso mobilization, with special attention to pain relief during the awakening process.
• Implement and supervise hygiene rules and procedures as well as medical protocols in the operating and recovery room and concerning anesthesia equipment (decontamination, sterilization, storage conditions, etc.) in order to ensure safety and the protection of patients and staff.
• Supervise the operating room pharmacy (orders, inventories, expired products) and ensure that the operating room register is kept and that consumption and empty bottles of narcotics are monitored, in order to maintain an adequate stock.
• Ensure the proper operation and maintenance of equipment in the operating room (oxygen extractor, ventilation, etc.).
• Organize the tasks of the staff under his responsibility and participate in other team management activities (recruitment, training, performance evaluation, motivation, internal/external communication, etc.) in order to guarantee appropriate resources (staff, skills and abilities).
• Collaborate with other project departments (respond to emergency requests, intervene to support other services if necessary, etc.) and participate in any emergency activity or exploration mission in order to globally support the ALIMA project through its expertise and his abilities.
• Ensure compliance with administrative procedures (complete patient files, forms, statistics, databases, etc.) and develop regular reports covering results, procedures and problematic situations and cases, in order to have access to correct and up-to-date information regarding daily activity and support decision-making.
• Identify HD staff to be trained in the practice of resuscitation and anesthesia for emergency management, simple and urgent surgical interventions as well as post-surgical monitoring;
• Develop a training plan including a theoretical part and a practical part;
• Ensure training of identified personnel;
• Evaluate the training (grid with evaluation/rating indicators) and ensure post-training follow-up.

7. Implementation of protective measures against abuse of power, gender-based and sexual violence:

• Participates in training and awareness sessions
• Applies standards relating to the prevention of abuse
• Ensures that team members follow training and awareness sessions and apply abuse prevention rules.
• Helps create and maintain a fulfilling and protective environment

EXPERIENCES AND SKILLS

Experiments:

• Two years of experience as an anesthesiologist.
• Experience working with ALIMA or other NGOs in developing countries desired.
• Experience in a comparable intervention context (medical humanitarian), desired.
• Experience in team management desired.

Training:

• Essential – State-recognized medical or nurse anesthetist diploma.

Qualities of the candidate:

• Ability to analyze, organize and listen
• Critical sense and strength of proposal
• Rigor, autonomy and curiosity
• Flexibility and stress management
• Ability to work in a team in multicultural contexts

Languages

• Good command of French (read, written, spoken) essential
• English is an asset

CONDITIONS

Duration and type of contract : Fixed-term contract under French law – 08 months

Taking up a position As soon as possible

Salary : VERY COMPETITIVE SALARY + EXPERIENCE + PERDIEM

ALIMA supports:

• Travel costs between the expatriate’s country of origin and the place of mission
• Accommodation costs
• 2.08 days of leave per month
• Per diem daily
• Medical coverage from the first day of the contract to one month after the date of departure from the country of mission for the employee and his beneficiaries
• The break policy every 3 months (for 6 months of mission)
• Evacuation for the employee