Medical coordinator – Haiti – M/F At ALIMA

Mission description:

ALIMA has been operating in Haiti since February 2024 to meet the health needs of the most vulnerable populations.

In the Metropolitan Area of Port-au-Prince, ALIMA deploys mobile clinics in the sites of displaced people in the municipalities of Port-au-Prince and Delmas, as well as in the host communities of the municipalities of Cité Soleil and Croix-des -Bouquets.

Through these mobile clinics, ALIMA provides an integrated primary health care package, including curative consultations, care for pregnant and breastfeeding women, children, as well as sexual and reproductive health activities.

In addition, ALIMA also provides management of malnutrition, mental health and psychosocial support services, as well as health promotion activities in order to strengthen prevention and access to care within communities.

Furthermore, in the commune of Cité Soleil and Croix de Bouquet

ALIMA supports the Ministry of Public Health and Population (MSPP) in the gradual reopening of health structures. This support aims to promote the sedentary lifestyle of medical activities and to sustainably strengthen the provision of care.

Through all of its interventions, ALIMA ensures the care of patients in primary and secondary health care, thus contributing to improving access to quality care for populations affected by the humanitarian crisis.

ALIMA continues its efforts not only to network in order to promote any possibility of consortium or partnership with other local or international humanitarian actors but also to seek funds and thus offer broader support to the crisis affecting Haiti.

In the South-East of Haiti, ALIMA intervenes to respond to health emergencies while sustainably strengthening the capacities of the local health system in close collaboration with the Ministry of Health and Population (MSPP) as well as the South Health Department -East (DSSE). The NGO’s intervention specifically targets pregnant and breastfeeding women, children under five, internally displaced and deported people, as well as isolated and vulnerable communities.

Intervention strategy :

The approach is based on an integrated intervention strategy, which aims to respond to health emergencies while sustainably strengthening the capacities of the local health system in close collaboration with the Ministry of Health and Population (MSPP) as well as the Department Sanitary of the South-East (DSSE).

The NGO’s intervention specifically targets pregnant and breastfeeding women, children under five, internally displaced and deported people, as well as isolated and vulnerable communities.

Security context :

Haiti has been experiencing a major crisis situation for several years which increased considerably in 2023. Since July 2018, Haiti has been plunged into a major socio-political crisis, evolving towards a multidimensional crisis.

Political crisis : Since the resignation of Prime Minister Dr Ariel Henry in 2024, Haiti has been going through a prolonged institutional crisis. A Transitional Presidential Council (CPT) and a transitional government had been set up to ensure the governance of the country according to a road map aimed at restoring institutions and organizing elections.

However, the mandate of the Transitional Presidential Council ended on February 7, 2026, without the main objectives of the transition having been achieved. Since this date, executive power has been exercised mainly by the Prime Minister, in a context marked by the absence of institutional counter-powers.

Economic crisis : Haiti has a very low Human Development Index (HDI) of 0.493, ranking 163rd out of 188 countries. Inflation peaked at 49.6% in January 2023. Dollarization of the economy, monopolies, massive imports of basic necessities, exchange rate volatility and fuel shortages exacerbate poverty. The World Bank predicts a fifth consecutive year of recession since 2018.

Security crisis : The security situation in Haiti remains extremely worrying, particularly in the Metropolitan Area of Port-au-Prince (ZMPP), where clashes between armed groups continue to lead to numerous human losses, massive population displacements and a deterioration of access to essential services.

Since April 2026, the Gang Suppression Forces (GSF), deployed in support of national forces after the departure of the Multinational Security Support Mission (MMAS), are deployed to carry out operations aimed at regaining control of areas under the influence of armed groups. Despite this intensification of security operations, violence persists and clashes remain frequent.

According to the United Nations, the violence caused 5,519 deaths and 2,608 injured between March 2025 and January 2026.

Humanitarian context :

The clashes caused the displacement of nearly 1.47 million people, spread across 81 internally displaced sites (DTM Round 13).

The municipalities of Tabarre, Cité Soleil, Port-au-Prince, Carrefour and Croix-des-Bouquets are among the most affected, with more than 146,000 displaced people having very limited access to basic health services.

In the last quarter of 2023, field assessment visits to the municipalities of Port-au-Prince, Tabarre and Cité Soleil allowed us to assess the humanitarian situation in general, vulnerabilities and local capacities through the analysis of the context, the needs of displaced populations as well as the functionality and accessibility of the healthcare offer (Choléra, VBG in particular).Highlights from this assessment show that there are needs in the health components below:

• In emergency obstetric health care in the commune of Cité Soleil and in displaced persons sites:
• In the area concerned by our “Cité soleil” and satellite districts assessment, 85% of health facilities are closed and the remaining 15% operate with great difficulty.
• Few health structures are functioning; these are mainly private establishments offering only primary health care. The only private hospital providing secondary health care is Fontaine Hospital. Pregnant women no longer have access to childbirth services, unless they go to another municipality, notably Port-au-Prince, where the Peace Hospital is located, which faces capacity problems ‘welcome.
• Attendance at health structures has fallen from 30% to 19% over the last 5 years before 2022, while the average number of consultations per patient has increased by (2.8 to 4.2) for those who manage to attend the structures. In the ZMAPP, 29% of individuals who had a health problem and needed care reported not being able to obtain health care. This proportion is particularly high in the municipalities of Croix-des-Bouquets (58%), Cité Soleil (54%) and Tabarre (45%);
• Massive internal population displacements took place due to the violence. As of December 2023, there were 33,655 displaced households or 146,584 Internally Displaced Persons (IDPs) spread across 74 sites in the West department;
• In addition, food insecurity is experiencing a worrying increase in the country. All departments are either in crisis phase or emergency phase according to the Integrated Food Security Classification Framework Bulletin (Sept 2024).There are also 6,000 people in the camps for displaced people who are in natural disaster (IPC5). The number of children suffering from MAG in 2024 is 276,736 children or 125,046 MAS, an increase of 9% compared to 2023. Nearly one in four children suffer from chronic malnutrition which has lasting physical consequences. Only 12% of ZMAPP residents received humanitarian assistance between June 2022 and 2023. This figure is only 5% for the inhabitants of the commune of Tabarre, 2% for those of Croix-des-Bouquets and 1% for the inhabitants of Carrefour

Means of the mission :

HR Expatriates :

Coordination: 7

ZMPP project: 5 including 1 referring doctor

South East Project: 5 including 1 referring doctor and 1 attending physician

Local HR:

Coordination: 13

ZMPP project: 57

South East Project: 20

Priority

The medical coordinator must define the objectives and technical orientations of the mission, propose strategies consistent with the medical and humanitarian needs of the intervention areas and technically support all of the mission’s medical teams.

1. Analyzes, defines and adjusts the medical objectives of ALIMA projects in its mission country.
2. Collects data and analyzes it, interprets and defines the mission’s medical operational strategy
3. Implementation of ALIMA programs,
4. Participation in the pharmaceutical management of projects and contribution to the organization of medical projects
5. Program monitoring and evaluation: monitors developments and adapts activities accordingly. He ensures the efficient and appropriate deployment of resources. Collects information for activity reports.
6. Team health: Develops the staff health policy for the country and organizes with the mental health mission manager, the ‘psychological support of staff. Participates in the analysis of psychosocial risks including.
7. Animation and supervision of the team: Leads, supervises and supports the team by promoting understanding of the issues related to the project and the mission.
8. Team security: he.she must be experienced in security management, analysis and assumptions. He.She builds and maintains a network of formal and informal relationships around the project. It assesses the risks and threats linked to the implementation of project activities;
9. Representation and negotiation: Represent the NGO to local authorities. Negotiate space.
10. PSEA Policy: it. She ensures that her team, partners and community members are aware of ALIMA policy and have access to information (complaint reporting mechanism, focal point…).

Challenges :

In the context of insecurity and instability of populations, providing access to primary, secondary and preventive health care to populations requires operational flexibility.

The main risk considered is armed violence, based on the experience of previous shocks experienced by the region.

The main crisis factors are:

• Political instability
• The massive and sudden influx of internally displaced persons (IDPs);
• the occurrence of natural disasters (hurricane, floods), epidemics and the persistent food crisis.

The main challenges of the next 3 to 6 months of the mission:

1-monitoring and project activities;

2-support for the development of the mission strategy

3-continuous monitoring of community anchoring;

4-maintenance and development of relationships with stakeholders.

EXPERIENCES AND SKILLS
Education: Doctorate in Medicine
3 years of experience in a similar position with a medical NGO
Able to work in a volatile security context
Experience in Performance-Based Financing
Experience in developing project proposals and donor reporting
Monitoring-evaluation
Database management in Excel
Strategic vision
Management
Investigations (SMART, CAP…)
Computer science (Word, PowerPoint, advanced Excel)

LANGUAGES
French
English

CONDITIONS

Duration and type of contract: 6 months renewable
Salary: According to ALIMA salary scale + valuation of experience + Perdiem
ALIMA supports:
Travel costs between the expatriate’s country of origin and the place of mission
Accommodation costs
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
Evacuation for the employee and his beneficiaries