The Medical Doctor (MD) is overall responsible for health facility based healthcare services delivery (including PHC, SRHR, Immunization, Public Health Nutrition and MHPSS), supervision, reporting, management and coordination in line with project scope of work and relevant treatment protocols and guidelines. He/she is accountable for all health facility staff leading, monitoring routine activities and services delivery, capacity building and constructive feedback and local level conflicts management within the health facility and with local community or clients within his potential and assigned authority.
As health facility in-charge, the medical doctor is responsible for CBHC (community-based health care) program related activities at health posts level within the catchment area, close follow up of performance, reporting and regular communication with CHWs, FGAGs and HP level health committee members and target communities. He/she is also responsible to make sure that HF level operation & maintenance activities, supply of medicines, medical supplies, equipment, CHWs and other project related requirements are on time reported, requested, received and properly prescribed and distributed by relevant staff. Organizing regular HF and HP health committee meetings, reporting and addressing the agreed action points and feedback remain the HF in-charge key responsibility. He/she is accountable to make sure that different HF services related management and technical guidelines, policies, protocols and quality tools are implemented within individual staff scope of work and according to the organization, donor and ministry of public health recommendations.
The health facility doctor is bound to deliver quality OPD services to all clients using proper reporting and documentation (HMIS tools & organization/donor recommended formats) including patient history, physical examination, prescription of required medicines, health education and proper counseling of patients and clients and referral of complicated and severe cases.
The medical doctors is basically responsible for delivery of quality and on time out patient department (OPD) counseling services to all clients (male, female and children) visiting the clinic as per ministry of public health guidelines and treatment protocols including taking proper history of each individual clients/patient, undertaking required physical exam, prescription of essential medicines, health education and counseling of patient or caregiver and suggesting certain diagnostic tests and referrals of severe and complicated cases.
He/she will be responsible for overall health facility management (planning, supervision, feedback, administrative issues and health facility operation related activities) and make sure all other services units like reproductive healthcare services by community midwife, public health nutrition services by nutrition counselors and nurse, psychosocial counseling by the counselors, immunization services by vaccinators and community-based healthcare services by community health supervisor and network of community health workers are delivered according to the relevant guidelines and with due quality of care to all clients without any delay or discrimination.
The health facility doctor is official in-charge and holds the responsibility for on time reporting of the all activities and healthcare services including maintaining medical record, review and data quality with active involvement of other staff and on time correction measures. Regular practice of standard infection prevention and healthcare waste management by all staff within the health facility including availability of the required tools, guidelines and commodities remain his/her key responsibility. All HF-based committees are established and actively working and reporting as per assigned TORs including HMIS committee, IP committee, HQIP committee, EPI and CBHC committee, SRHR committee etc.
He/she is holds the responsibility to undertake formal or informal sessions required for the capacity building of the health facility staff and community health workers based on their needs/feedback and internal supervision or observations of daily activities and clients/community findings. He/she will also make sure that monthly health facility and health post based meetings are regularly organized, documented and reported as per plan. Organizing health education sessions for OPD clients remains one of the key function of the health facility facilitated by the doctor to ensure public awareness and promote preventive measures.
Maintain close working coordination with all staff within the health facility and regular communication with community health workers and local community elders (health facility and health posts Health Committee members. He/she will also maintain close working coordination with project supervisor and sub office for on time supply of different items, commodities, reporting formats (medicines, consumables, kits, equipment, vaccines and health facility running cost/related items/supplies).
Safeguarding Responsibilities:
Safety and Security Responsibility:
We all have a responsibility to promote a safe and secure work environment, foster a safety and security culture, and ensure consistent application of, and compliance with, CARE Afghanistan safety and security policies and procedures.
