As the Acting Health and Nutrition Coordinator, I have provided leadership, strategic vision, and technical support to all aspects of ongoing Health and Nutrition programs in Pakistan. Reporting to the Deputy Director of Programs, I play a key role in the technical team, identifying programmatic priorities for health and nutrition-related program design, business development, and fostering convergence with other thematic areas where possible.
I am responsible for ensuring the quality of IRC’s healthcare interventions across various sectors, including reproductive health, immunization, child health, communicable and non-communicable diseases, emergency response, nutrition, SRH, MHPSS, and other relevant areas as needed. Additionally, I work with health and nutrition project teams to ensure that on-ground support and interventions adhere to international protocols, guidelines, and best practices.
As part of my role, I actively promote gender equity and inclusion within IRC health services. I also participate in project support and governance committees, offering guidance and support to project implementation teams to ensure the achievement of program goals and objectives.
Main Responsibilities:

Reflective of IRC’s policies and emerging best practices, provide technical and management leadership to ongoing health, nutrition, and subsector integrated programs in Pakistan. Support the development and maintenance of a coherent and evolving health and nutrition strategy across all concerned areas of interventions.
Work in close coordination with Head of Business Development Unit to develop technical proposals of highest quality for health and nutrition interventions.
Supervise all Nutrition program and support for improving in all IRC projects.
Responsible for guiding health and nutrition teams & implementing partners for ensuring that strong data collection and information management systems are in place for ongoing performance analysis and programmatic action, and that all members of the team know their roles and responsibilities for monitoring and evaluation.
Preparation, design and updating of the situation analysis for the nutrition sector to ensure comprehensive and current data on maternal, adolescent and child nutrition is available to guide policy development and the design and management of nutrition programmes.
Generate Nutrition Key Performance Indicators-KPIs data trends to enhance programme management, efficiency, and delivery.
Monitor evolving needs of the target communities, identify health and nutrition needs in new project areas and adjust the programmatic priorities as necessary in collaboration with relevant stakeholders.
Ensure robust monitoring systems are in place and that reviews are undertaken periodically in conjunction with the team, partners, and relevant local stakeholders.
Setting up quality assurance mechanisms and checks in collaboration with other staff. Work in close coordination with Head of Policy, Advocacy and Strategic Partnerships, Head of Business Development, other technical coordinators and Heads of Offices to ensure cross departmental coordination and strategic engagements, profiling and visibility of health-related interventions. 

Technical Support to project implementation teams for Quality assurance:

Ensure that health and nutrition programs comply with international and national quality standards, policies and guidelines.
Lead and participate in strategic programme discussions on the design, Planning and implementation of the nutrition programmes.
Ensure that health and nutrition interventions adhere to donor agreements and IRC’s core policy documents and guidelines.
Formulate, design and prepare nutrition programme proposals, budgeting, and sectoral analysis for effective designing of the Programme.
Work with project teams and respective head of offices to facilitate the timely achievements of project and strategy outcomes, goals and objectives.

Team Leadership and Management:

Maintain open and professional relations with teams, promoting a strong team spirit and providing oversight and guidance to enable staff to successfully perform in their respective positions.
Participate in monitoring and evaluation exercises, including field monitoring, monthly, quarterly, mid-year programme reviews and annual reviews with government and other counterparts to assess progress and to determine required action and interventions to achieve results.
Conduct regular meetings with all direct reports and ensure the same is done throughout the team management structure.
Identify training needs and develop capacity-building plans for health and nutrition staff.
Monitor and verify the optimum and appropriate use of sectoral programme resources (financial, administrative and other assets) confirming compliance with organizational rules, regulations, procedures, donor commitments, and standards of accountability. Ensure timely reporting and liquidation of resources.
Provide technical guidance and operational support to the provincial counterparts, Public, partners, Civil Society Organisations and Community Based Organisations
Promote and ensure staff care and well-being.

Coordination & Representation:

Develops and maintains effective ongoing coordination and liaison with both internal & external stakeholders in the health and nutrition sectors. Thereby representing IRC positions, promoting Country Program’s strategy, and build strategic partnerships.
Participate in discussions with provincial partners, clients and stakeholders to promote nutrition, ECD and development issues including nutrition emergency preparedness and response, for maternal, adolescent, newborn and Child survival and development initiatives.
Closely coordinate with operational departments and cross-sectional outcomes for aspiring towards better results/reach for our clients and/or beneficiaries.
Writing policy papers, briefs and other strategic programme materials for management use, information and/or consideration, as relevant to the nutrition programmes.

Main responsibilities:

Responsible for designated health, Nutrition and mental Health programs for its delivering and timely implementation in coordination with the Health Coordinator.
The focal point for designated IRC’s health services in the camp setting and responsible for their programmatic, operational, partnership, financial, and staffing aspects.
Plan and/or collaborate with internal and external partners to establish monitoring benchmarks, performance indicators, and measurements, to assess and strengthen performance accountability, coherence, and delivery of concrete and sustainable results for the assigned sector in nutrition programmes.
Also oversee and lead the implementation of Health-related activities before, during and after an Emergency Response in the event of a mass casualty or natural disaster.
Prepare regular and mandated programme/project reports for management, donors and partners to keep them informed of programme progress.
Will be responsible for the management of the PHCC/comprehensive and limited SRH/Referral hubs Project.
Oversee all Family Planning supportive projects and SRH activities in all over the projects.
Organize and implement capacity-building initiatives to enhance the competencies of the community, partners, government and other stakeholders to promote sustainable results on nutrition and ECD-related programmes.
Responsible for overall project management and coordination of quality emergency health programs, including PHCC/comprehensive and limited SRH/Referral hubs Project. Ensure that program goals, objectives, targets and activities are met, as stated in the donor agreed project work plans and log-frame.
Lead the Emergency Health and Mental Health program.
Ensure development and execution of project planning and management documents, including but not limited to project results framework, detailed implementation plan, financial plan, M&E plan, procurement plan, human resource plan.
Prepare quality report for internal, external (Govt) and donor purposes, management and other internal and external reports and ensure their timely submission.
Work with relevant department to provide accurate and timely spending plans, cash forecasts, and salary allocations. Put in place measures to track financial spending and ensure budget is spent as per health project financial plans.
Work closely and coordinate with IRC Operations, Finance and Grant departments to ensure compliance with grant requirements.
Ensure coordination between IRC health projects, to increase harmony and complimentary between activities and locations, including as it pertains to referrals and ambulance dispatch.
Thoroughly observed the cases for protection and its approval as per policy.
Mange all cases of protection, assault and support psychological and medical support with a clear referral pathway with confidentiality.
Work closely with other IRC programs present in the same location in camp setting, such as Women’s Protection and Empowerment, child protection, education and integrate program components.
Provide strategic oversight on coordination of ambulance services, emergency referral hubs, live bed management, logistics in both camp and outside camp setting.
Support the process of program staff recruitment as need and when required.
Authorize expenses, monitor program expenditure and budgets, and work with Program, Grants, Finance, Operation and Supply Chain team to ensure resources are optimally utilized and spending is in line with IRC’s financial procedures and donor requirements.

Program Quality and Technical Support.

Conduct regular monitoring visits to the various project sites, ensuring that projects utilize standardized protocols, policies and guidelines, as outlined by the Ministry of Health and WHO. Identify technical quality and/or other implementation issues and provide solutions and follow-up to ensure projects are on track to meet goals and are consistent with established standard methodologies.
Provide operational and technical support to relevant Provincial Government Departments in the institutionalization, capacity strengthening and rollout of Nutrition interventions at scale and with concrete results.
Ensure that the health and mental program is implemented in line with the IRC Strategic Action Plan and its outcomes and Health sector requirements.
Assess unmet needs in the health sector with a special focus on Primary health, mental health and Sexual & Reproductive Health and make recommendations for how IRC can better address identified unmet needs, contributing to the IRC’s health strategy.
Support in emergency preparedness. response, and recovery initiatives for programme development, contingency planning and/or to respond to emergencies in the country.
Ensure training and ongoing capacity building opportunities for existing and new staff on technical and project management skills.
Responsible for performance management including setting performance objectives and conducting regular performance appraisals on progress with supervisees, providing timely and constructive feedback to develop their professional practice.
Ensure staff well-being and care is prioritized and is an integral part of weekly/monthly work plans.
Dedicatedly build strong functional relationships with relevant actors at camp level for camp access and approval and with other international and national actors/organizations and UN agencies.
Maintain open and professional relations with all IRC and partner team members, promoting a strong, respectful team spirit, ensuring effective communication, and opportunities for debriefing.
Advance major incidents to the Emergency Health Coordinator, Senior Program Coordinator and Security Manager.

Program Management:

Lead and manage emergency medical programs, ensuring they are implemented effectively and efficiently.
Conduct risk assessments and vulnerability analyses to identify high-risk areas and potential crises.
Create detailed work plans for emergency activities, including resource allocation and timelines.
Develop and oversee the implementation of medical response plans.
Maintain open and professional relations with teams, promoting a strong team spirit and providing oversight and guidance to enable staff to successfully perform in their respective positions.
Coordinate with local health authorities and other stakeholders.
Identify training needs and develop capacity-building plans for health and nutrition staff.

Technical Support:

 Ensure that health and nutrition interventions adhere to donor agreements and MC core policy documents and guidelines.
Work with project teams and respective heads of offices to facilitate the timely achievements of project and strategy outcomes, goals and objectives.
Develop emergency protocols and work plans as needed.
Ensure compliance with communicable and non-communicable disease protocol guidelines. 
Control waterborne, vector-borne, airborne, and other diseases. 
Align with national programs in the project, such as Polio, EPI, and others. 
Provide support and training during outbreaks and emergencies. 
Promote the Early Warning System (EWS).

Team Leadership:


Supervise and support medical staff and volunteers.
Conduct regular meetings with all direct reports and ensure the same is done throughout the team management structure.
Provide training and capacity-building for team members.


Resource Management:


Ensure the availability and proper use of medical supplies and equipment.
Manage budgets and financial resources for medical programs.


Monitoring and Evaluation:


Monitor program activities and outcomes.
Conduct regular evaluations to assess the impact and effectiveness of medical interventions.


Reporting:


Prepare and submit regular reports on program progress and challenges.
Maintain accurate records and documentation.

Main Responsibilities:
 Emergency Response: Provide immediate medical care and support to individuals involved in accidents, natural disasters, or other emergency situations, both on-site and during transport to medical facilities. Assess the condition of injured or affected individuals, prioritize treatment based on severity, and initiate necessary medical interventions to stabilize patients.
Trauma Management: Manage trauma cases effectively, including assessing and treating injuries resulting from accidents, falls, or other traumatic events. Perform primary and secondary surveys of trauma patients, administer first aid, splint fractures, control bleeding, and manage airway, breathing, and circulation as per established protocols.
Medical Triage: Conduct triage of patients to determine the urgency of medical treatment and allocate resources, accordingly, ensuring life-threatening conditions receive prompt attention.   
 Coordinate with other medical personnel and emergency responders to organize triage areas and ensure smooth patient flow during mass casualty incidents or disasters.
Search and Rescue Operations:  Participate in search and rescue operations to locate and evacuate individuals stranded or injured in remote or hazardous environments, such as mountains, forests, or water bodies. Provide medical assistance to rescued individuals, administer first aid, and stabilize patients for evacuation to appropriate medical facilities.
Emergency Medical Transport: Accompany patients during medical evacuations or transfers between healthcare facilities, ensuring their safety and providing continuous medical care and route. Monitor patients' vital signs, administer medications as needed, and communicate with receiving medical facilities to provide essential patient information.
 Mental and psychological Support: Support and supervise MHPSS activities through the MHPSS Officer. Serving as a master trainer for Mental Health and Psychosocial Support (MHPSS) programs.
 Preventive Measures:    Educate communities and individuals on preventive measures to reduce the risk of accidents, injuries, and emergencies, including safety guidelines for various activities and environments. Collaborate with local authorities, community leaders, and organizations to implement initiatives aimed at improving safety awareness and emergency preparedness in the community.
Manage training for MERC Medical technicians and other medical staff for emergency road traffic accidents.
Provide trainings to all medical staff (MTs) Emergency service, golden hour management & civic responsibilities, and triage.
 Training for all the female health worker of MERS 1122 (Maternal Emergency Referral Services) regarding ANC/ PNC, SBAs and labour emergency (PPH, prolong delivery etc).
Training for MERS staff on family planning i.e post abortion family planning, post pregnancy family planning etc
Training to all MERC and MERS about NLS (Neonatal Life Support)
Basic life support (FBAO Management, CAB, CPR), PALS, NBLS, ACL.
Medical & traumatic emergencies (angina, snake bite, poison & corrosive intake electric shock, burns, wound & fracture management, and others.
Fire types, fire extinguishers, fire escape routes, emergency moves and others).
PASS method.
Refer serious patients to Karachi and other parts of the country from Quetta in ALS ambulance for further management. 

 Key Responsibilities  
 Strategic Planning and Program Development 

Lead the design, implementation, and monitoring of MSF medical and nutrition strategies.  
Assess and analyze the health and nutrition needs of target populations to guide project activities.  
Ensure alignment with MSF protocols, national health policies, and humanitarian principles.  
Develop contingency plans for medical emergencies, including disease outbreaks and malnutrition crises.  

 Coordination and Representation  

Represent MSF in meetings with the Ministry of Health (MoH), WHO, UNICEF, and other humanitarian organizations.  
Coordinate with other NGOs, health authorities, and donors to ensure complementary activities.  
Liaise with relevant partners on health and nutrition policies and facilitate referrals between MSF and other healthcare providers.  

 Medical Program Management

Supervise medical activities, including outpatient, inpatient, and mobile clinics.  
Oversee maternal and child health services, including emergency obstetric care and nutritional support.  
 Ensure the quality of clinical care in line with MSF protocols and best practices.  
Monitor and manage communicable diseases (e.g., malaria, measles, respiratory infections) and malnutrition.  
Ensure that emergency preparedness plans are in place for epidemics or other crises.  

 Nutrition Program Management 

Oversee the planning and implementation of nutrition programs, including therapeutic and supplementary feeding centers.  
Ensure proper case management of acute malnutrition through outpatient and inpatient services.  
Collaborate with technical nutrition teams to provide regular training and capacity-building activities.  
Monitor nutrition surveillance data to adjust interventions based on evolving needs.  

 Capacity Building and Technical Support  

Provide technical support and mentoring to medical and nutrition staff, ensuring continuous improvement in service delivery.  
Conduct on-the-job training for MSF teams, including clinical protocols, case management, and outbreak response.  
 Organize capacity-building sessions for local healthcare workers in collaboration with the MoH.  

 Monitoring, Evaluation, and Reporting 

Develop key performance indicators (KPIs) for medical and nutrition activities and monitor progress.  
Conduct regular field visits to monitor service quality and identify areas for improvement.  
 Oversee the collection and analysis of health and nutrition data to guide project decisions.  
Prepare and submit monthly and quarterly reports on health and nutrition outcomes to the Head of Mission and donors.  

 Pharmaceutical and Supply Chain Management  

Ensure the availability of essential medicines, medical supplies, and nutrition commodities.  
Collaborate with the logistics team to ensure the timely procurement and distribution of items.  
 Monitor drug consumption and manage stock levels to prevent shortages.  

 Technical Support Provided by the Medical Coordinator 

Guide the implementation of medical and nutrition protocols and ensure compliance with MSF standards.  
Conduct technical trainings on malnutrition, disease control, and emergency care.  
Support teams in tracking health indicators, compiling data, and preparing reports for internal and external stakeholders.  
Ensure that medicines and nutrition supplies are adequately stocked and distributed.  
Work with MoH and partner organizations to align interventions and share best practices.  

Key Responsibilities:

Be responsible for medical data collection, analysis and reporting to the Medical Team Leader in Quatta to ensure a proper monitoring of the program Participate in exploratory situation assessments and define medical operational priorities when needed. Ensure regular contact with MTL at all times.
Ensure and conduct weekly/monthly staff meetings and submit minutes to MTL and vice versa Monitor activity in the different medical specialties, as well as providing technical support to medical personnel through self-knowledge and policies to help MSF medical activities in the field. In this sense, includes monitoring and ensuring compliance with the protocols of MSF medical activities.
 Provide leadership, strategic vision, and technical support to all aspects of ongoing Health and Nutrition programs in Balochistan. 
In collaboration with the logistics team give support to logistics teams in supervision and supply of medical stocks by Conduct regular supervision at all distribution levels/departments where a stock of medical supplies is held, i.e. Pharmacy, Nursing Room, Birthing Unit, Nut, CL,MH, HE, EPI, LAB, Pharmacy etc.
 Ensuring quality of MSF healthcare interventions be it in reproductive health sector, immunization, child health, communicable and non-communicable diseases, emergency response, nutrition, SRH, MHPSS and other areas.
Ensure that standard systems are in place and adhered to.
Train staff in collaboration with MSO on accurate recording of consumption if required. Identify excess stocks in departments and transfer if necessary together with medical supplies officer to either other departments or the medical store in cooperation with the departmental supervisors Work closely with Logistics.
Ensure that health and nutrition programs comply with international and national quality standards, policies and guidelines.

Curative /clinical responsibilities

 Take complete history, perform appropriate examination, diagnose and treat patients according to MSF guidelines and protocols
Appropriate & timely management of paediatric/neonatal patients.
Adaptation and change of medical treatment according to patient’s evolution
Adequate delivery of life-saving measures for emergency & life threatening conditions.
Appropriate & timely intervention in stabilizing critically ill patients AND facilitating their transfer or referral when necessary
Regular ward rounds for admitted paediatric/neonatal patients as per roster in collaboration with medical team and if/when needed or requested
Responsible for the care of the inpatient therapeutic feeding patients and consultation for the patients in the ambulatory therapeutic feeding program.
Appropriate triaging of patients and continuous prioritizing of workload
Communicate any suspected public health problem (eg. Measles, meningitis, etc) to expat doctor and/or nurse