Introduction to Médecins Sans Frontières (MSF)
- MSF is a needs-based, neutral, impartial emergency medical organization founded over 50 years ago in Paris.
- Principles include providing aid regardless of race, religion, or affiliation; neutrality in conflict zones; and financial independence supported mainly by private donors.
- MSF operates globally with six main operational centers directing projects and approximately 48,000 staff involved worldwide.
Organizational Structure and Roles
- Six operational centers (Amsterdam, Paris, Geneva, Barcelona, Brussels, West Africa) manage project specifics.
- Around 41 offices support fundraising, recruitment, and communications.
- Staff includes medical and non-medical professionals working collaboratively.
Recruitment and Career Pathways
Medical and Non-Medical Profiles Needed
- Medical: Doctors (various specialties including pediatrics, surgery, anesthesiology), midwives, nurses, clinical psychologists, pharmacists, lab specialists.
- Non-Medical: Human resources, finance managers, supply chain/logistics, water and sanitation engineers, construction, biomedical engineers, journalists, advocacy experts.
Candidate Requirements
- Minimum two years professional work experience preferred for confidence and adaptability.
- Experience in team and people management is critical due to high turnover and need for strong leadership.
- Language skills in French, Arabic, Spanish, or Portuguese highly advantageous; English and Norwegian alone may suffice but with increased experience requirements.
- Flexibility, adaptability, and willingness to undertake multiple assignments over a career are essential.
Recruitment Process
- Candidates undergo technical questionnaires, language tests, and pre-departure training.
- First assignments typically last 9-12 months (shorter for certain specialists).
- Candidates should apply approximately six months before availability.
Life and Work on Assignment
- Assignments occur in diverse settings such as Afghanistan, Sierra Leone, Yemen, and Greece, each with unique cultural and security challenges.
- Staff live within compounds or local communities, often working closely with local staff essential for mission success.
- Roles involve hands-on patient care, training local staff, managing teams, budget oversight, and adapting to rapidly changing conditions.
- Psychological support and return debriefings ensure mental well-being post-assignment.
Challenges and Rewards
- Working in high-risk, low-resource settings demands adaptability, cultural sensitivity, and resilience.
- Personal growth is profound; professionals often enhance clinical skills and leadership capabilities.
- Commitment to humanitarian principles and long-term career development within MSF is encouraged.
Support and Development
- MSF provides coaching, mentoring, pre-departure security and cultural briefings.
- Language learning support and continued professional development are available.
- Flexibility to balance MSF assignments with personal life through supportive advisory roles.
Frequently Asked Questions
- Paramedics are typically employed locally; international positions focus more on medical specialties and management roles.
- Legal professionals can contribute within HR as legal advisors.
- MSF emphasizes rapid responses but presence depends on operational priorities; issues like prolonged crises are complex and involve multiple agencies.
- Hospitals often have clauses allowing health professionals to take leave for humanitarian work. For more on responding to crises and preparation, see Fundamentos del Despliegue: Preparación y Responsabilidades para el Personal de Respuesta ante Desastres.
Conclusion and Call to Action
- MSF offers diverse opportunities for individuals passionate about global health and humanitarian aid.
- Interested candidates are encouraged to seek more information, engage with current staff, and consider applying to start their journey.
- Volunteering as a fundraiser or joining via support roles also opens pathways into MSF careers. For guidance on engaging through fundraising efforts, refer to the Comprehensive Guide to Using the Red Cross Mission Card.
For further information and recruitment details, visit MSF Norway's official website or contact the recruitment office directly.
all right good evening everybody good evening Oslo how's it going good we're happy to be here it's 25
degrees outside and it's been so long this summer oh no I'm really glad to see so many of
you it's uh very very nice we're doing this a few times a year uh but uh definitely fantastic audience to see
here uh now um so my name is Emily uh I'm in charge of the recruitment of our Norwegian uh
based uh candidates and Icelandic based candidates and um I'm gonna tell you a bit more about
me afterwards but I'm not alone here to ignite this shutter who's together with me in recruitment we work together and
then we have little Trina uh there um one of our gynecologist obstetrician International staff who's gonna share
her experience with you tonight and then we have Malena um who is Morgan HR Finance uh Thai
profile and has also done uh benchmarking which we call remuneration analysis they started both more or less
at the same time early training applied in 2018 and Malena about the same time um and they will share with you their
path in the organization over the last years we also have everlyn over there who's helping because the gods of I.T
liked your challenges every time we do an information and laughs as well they're working at msf with us and then
we have a great volunteer downstairs that has helped us to organize it all so I know there's people online tonight uh
I'm not good at remembering if they hear me or not so I count on my colleagues to tell me if the mic is on or not for all
the people online uh welcome and um for everybody uh we're taking all questions at the end of the evening so
after our presentations we're spending uh really a big chunk of the evening to actually answer your questions because
there's Flyers there's websites but there's nothing like real people with real experience so uh we want to hear
from you so please take down take notes of on what you hear so that afterwards you can address it and I'm really good
at not letting the crowd go until I have many questions so just help me and Shoot Many afterwards and we'll we'll answer
them together for the people online Shadow will be gathering your questions and and reading them out to me selecting
them so that we have a good variety of topics here tonight um so for my part uh uh msf started 13
years ago uh in 2010 I joined uh back in Belgium in Brussels we have an operational Center there
um and I'm actually myself Belgian um I speak French and Dutch I come from Brussels and I joined the organization
there and worked there for five years um combining uh working uh assisting the general direction there first and then
afterwards I went into the fundraising Department because I had noticed that msf invested
a lot in Human Resources so after a few years of msf I took an HR management uh diploma degree and was in that way
moving over to fundraising where I was actually managing very large team teams of fundraisers that you meet here also
in no way please come over the people that just arrived and just take a seat here everybody
um so that was a kind of the start of it and then I landed in Norway
um in the fundraising Department here as well um and later on I moved properly to uh
the human resource department here as a recruitment responsible I'm just saying that because you see how
people can basically involve in the organization originally uh I am a master in Translation that's what I've studied
then I studied human resources and then I've also studied coaching I've been trained as a as a coach an accredited
coach for msf so I'm coaching people here in the organization and also a bit outside and this is a tool we use in
developing our leaders there is a tool used that we call mentoring and coaching and we have a whole team actually to
support our staff in the projects but also in the offices with the tool of mentoring and coaching so many thing
happened um and then myself I went on assignments as well my first one was in 2011. in
Libya in Tripoli at the start the very start of the Arab Spring um I was working there as human resource
and finance manager um I was the first HR Finance it was an emergency we had to enter uh Libya
in a not too official way because we were not allowed to go there to support the population so it was the very
beginning it was a hell of a of an assignment but it's what we call the Steep learning curve there will always
be one like that for all of us this was definitely mine and then in the year after in 212 I got to go on assignment
to South Sudan in a small place in the north called um dolo where I did something we call
um Team life it's basically making sure sure that when we have very large groups of staff that we deploy in an emergency
so very high Pace uh basic living conditions someone can come there to make sure that our own staff is actually
taking good care of in Terms of daily living conditions so I was there to make everybody's life better and I
loved it a lot and then afterwards it was a 2015
uh very beginning September October November in lesbos Greece when it all started with the influx in migration as
human resource and finance manager um and that was a very um
learning Rich assignment and very tough uh tough because of the the situation tough because it was within Europe and I
was facing um something that you can't understand and I still can't understand in 2023 eight years later the situation
is still a lot better uh the way that uh migrants are received is still uh not a human way of receiving people and
treating people so in that way humanly it was probably one of my top toughest assignments
um and then I got also to do benchmarking which Molina maybe will touch upon later in Liberia where we go
and check basically that our staff that we employ we want to make sure that overall uh everything that is part of
their remuneration is fair to the local market as well so we go we interview we do research We compare with local actors
uh big other ngos Etc to basically see are we giving a Fair uh salary remuneration package to our staff and we
update this every three years um and then um a last assignment I got to do was in
Haiti where I got to go and take all our Haitian stuff through the same recruitment process that you would be
going uh through so that you could go on International assignments so we do that in many of our projects uh it might
happen when we have to close a project we want to make sure that all uh staff have the possibility if they wish to
apply for international assignments because they have a lot of knowledge they have a lot of capacity so that's
what we what we do there and that was my last assignment uh now I'm gonna pass on a form here
where you can pop down uh your details so we can keep you informed about who we need at times
um and other operational news so make sure it goes around everybody and please send it back to to Chicago at uh the end
um oh yeah and one important thing uh here is my stewardess speech uh fire emergencies green light is over there uh
and there's another way that way you follow the green light I had to say it I managed to remember it you
um so so I'm gonna give you a moment to read our character if I managed to change
slides because there is nothing as complicated it's changing
thank you um so just take a moment to read this book
foreign so as you can see it is twofold first of all the fact that we give emergency aid
based on needs regardless of race religion political affiliation gender so myself is a needs-based organization in
that sense and secondly there is the part of Timon the bearing witness so our teams and our colleagues here tonight
when we work in the projects we see life stories we see human stories we see stories that don't make it to the
international media that don't get reported about it's not interesting you know it's not covering
um the financial needs of the big corporate and many other reasons and so msf what we do is to speak about it to
get the attention to also maybe challenge the way that financial means are being spread out around on the
humanitarian needs and the medical needs and basically all of this speaking out is really to try and um have a positive
impact for the populations that don't get any attention otherwise and this is a very important part because originally
msf is in a way born uh but in in a way a marriage of doctors and journalists that together wanted to set up the
project of msf and that's how it all started and that's why you have this very specific
identity to msf these two same part and now I'm gonna show you a little movie
and there goes my first I.T challenge okay I don't have some but you can see how he
earns money what phone he has [Music] foreign
[Music] [Music] how he earns money what phone he has
I don't see who she prays to that she's a threat which border the cross
I don't see if he's a soldier if he's a refugee which side they're on this
I just see a child a human being a patient
[Music] Doctors Without Borders independent neutral impartial
[Music] okay cool
[Music] um all right
thank you all right cool and actually we have here uh tonight and she's hiding in the kitchen but we have our general
director uh Lindy's Rubin who's uh yes heard me saying her name you can just come and say
just say hi you probably heard about her or seen her face before and she's written a pamphlet uh recently and
there's a very interesting stories in there so now you see her in person in case you've never met her
that was I don't know been 15 years 15 years before that so I've got to see
so many wanting to join us yeah and she started like Molina and I actually nature as a chair manager so you see
where it can take you um you can have big Ambitions uh so impartiality you didn't hear it in the
little movie but basically msf worked by three principles uh the fact that we do not uh make a difference on the patients
we treat so regardless of their backgrounds we will treat them there's the neutrality part in the sense that we
operate in very difficult contexts also armed conflicts uh areas where there are different
um um importance at stake whether politically whether uh ethnically there
can be many reasons uh why we might um have difficulty uh to access our patients but the fact that msf is
neutral and impartial and doesn't take sides lets us access patients even in very complicated tricky areas where
we're going to have to go and negotiate with um conflict leaders access to the
population and the third element is the independency the fact that we do not let economic religious political influences
uh choose who we will give Medical Aid to or not one of these important elements we rely on is our financial
independency msf is over 90 percent privately funded that means that when we go somewhere there is not like in other
situations unwanted funds in our pot because it comes from the public it comes from the
individual you might be one of our donors maybe your parent is maybe your neighbor is to its people wanting to
help this medical course and that gives us a huge power of negotiation by being financially independent
um now overall what does the movement look like today well um it started in 71 in Paris and that's
why we're called mixels and that's what you hear me referring to all the time with the acronym msf
um so it's a while ago it's more than 50 years ago um Lots has been done and a lot of
knowledge has been gathered and we are now six operational centers so what's an operational Center
um and there is one in Amsterdam Paris Geneva Barcelona uh Brussels and uh waka western African
um operational Center and they decide basically on the content of what we do in a project they decide which disease
we will treat they decide whether we should extend reduce stop start Etc they really decide on the content this is not
us hearing animals have no way deciding that a cinema Norway for instance we're called an office and there's about 41
around the world and what we do is support the operational center with communication to the public the national
public with raising funds that's when you meet our teams and also with providing Staffing that's why we need to
recruit people so all of this is a supportive role that we have um we're over 48 000 staff at all times
working in the organization so you get a bit of a of an idea of how big the whole system is and the important part about
us is also that we are an emergency organization so what we wish to reach is when something happens around the world
like a big catastrophe a natural disaster we want to be on the ground within 48 hours but not just be
underground taking pictures we want to already be starting to treat the patients and if you think 48 hours
to actually already start treating patients is very limited time and msf has been able over the over
those 50 plus years to be so reactive with our big Supply Centers we have a huge supply chain that
allows us when something happens to have for instance emergency kits ready uh kids ready for for instance if there's a
need for surgery for our surgeons to pick it up Take It on the first next plane be able to arrive there be able to
take all the small transport that is needed because when you have a natural catastrophe often populations become
unreachable so it's quite a headache but lsf has put everything in place so that um medicines already in the cold chain
Customs are cleared to be able to ship things cargos are ready to be packed there are people ready on arrival Etc
this is a huge change and that's why one of the profiles we uh really always need is in the family of supply chain because
you have the procurement you have the actual supply chain you have the warehousing to store things so that
things are not running out of date etc etc so um the reactivity we have is thanks to
the whole uh big supply chain msf has built and like I said privately funded the best way to support us is to be a
regular monthly donor because then we can focus better how much money we have we can plan in advance and we can also
react in case of emergency because imagine if we had to start sending our teams out first to raise money we'd be
not very effective so that's the best way Financial audit is done every year and
it's on our website and then another important component of msf is that we're an association of members all of us here
msf are members and what does that mean is that we get to go to board meetings and then we have our general assembly
where we can vote and elect our board uh that will be the balancing power with the executive the general director her
boss is actually the president Norway and there are presidents in different layers of hierarchy of
structure of the whole organization so we get to vote we have a voice in our organization we get to uh agree or not
on msf starting to treat certain diseases go in some directions so all of us are very engaged because we all even
have a voice in the organization and that is also all our International staff that bring back directly their knowledge
from working on the ground with the populations and then
um in case you didn't know we received the Nobel Peace Prize in 1999 and we're very proud of that
um so I will have little Tina who will come and join now uh for her part of the presentation uh I know it's actually
Molina sorry yeah yeah and um and well uh I'm fighting with the gods of ID she will start presenting
hello everyone my name is Malena and as mentioned before uh I came very freshly out of University in 2014
International Studies not related to what I ended up doing uh I got a summer job with msf as a
fundraiser so I was traveling with a team knocking on doors throughout the country asking people to support msf
maybe I've been looking on one of your doors as well and I feel completely in love with the
msf and I wanted to continue so I got different opportunities here in msf Norway in the fundraising Department
coordinating fundraising project managing fundraising teams and after some years in 2018 I had enough work
experience in finance HR management to go on a salary Benchmark assignment this is what
Emily mentioned earlier as a remuneration analyst to Greece to analyze the market see where our msf
positioned in terms of salary working conditions Etc to make sure that we are a fair employer increase I did also the
same in South Africa and in 2020 I had enough experience to apply as an international mobile staff meaning that
I could go out as HR and finance manager fantastic yeah yeah
very good here that's it yeah okay
so yeah so being a project HR finance manager HR human resource uh it basically means
that you're supporting the HR administrational Financial activities in a project
so everything from recruitment training development of locally hired hired staff is it okay
or locally hard stuff I'm not intervening in the international mobile team for example and I think it's
basically the same that any HR finance manager would do in any Hospital set of companies that that you already have
outside I was working as an HR finance manager in Sierra Leone for six months and then
I went to Yemen for six months and I also worked in Afghanistan for nine months in Afghanistan I was more of a
flying Asia managed to supporting all the nine projects that we have and
the countries as you can see also geographically a very different context-wise extremely different
um and even though many of the job tasks are the same because msf have their own protocols many of the systems that we're
working are exactly the same but really the my experience both professionally and social was were completely different
and that's why I really recommend everyone to go on more than just one assignment as well because going on one
assignment will not really be representative to the job you do how confident you feel and what you can also
bring to the organization um a bit about the msf projects and the and the context so uh we are working can
I get my notes just for me to remember so I don't forget everything at least the projects were really
different in size like for example in Sierra Leone the project had the 80 locally hired stuff in some of the
projects in Afghanistan we had more than a thousand staff and it really
uh like we we will be hiring everything from of course Hospital cleaners we have nurses medical doctors surgeons Etc a
fantastic let me see but when it comes to International
mobile stuff we are usually around five to uh 15. so it's not as much as all uh I really come in as a neutral person as
HR finance manager often in a very pressed uh or difficult job market for example when we are doing recruitment we
will not put that pressure on our local colleagues so I will be the main responsible for that
uh my team message our finance manager is usually very small compared to the Medical Teams it's usually me and HR
assistant the finance assistant uh and and then as I mentioned with the all the
Medical Teams you will have everything from nurses medical doctors Etc you see on the picture on the left is our nurse
Safi working in an Outreach clinic in Sierra Leone and among the International Teams
we would usually find more like Medical Specialists gynecologists surgeons and physiologists Etc
logistic managers supply chain manager and the project coordinator and myself uh in the in the picture on the right is
the picture of one of the Malaysian surgeons I worked with in Yemen and he's working there together with the yemeni
surgical team I will highlight one of my experiences uh in Yemen I was working in a msf for
any surgical field Hospital very close to the front line and during the time I was there our Medical Teams were
extremely busy in two weeks time we received two or we had two so-called mass casualty events that means that you
have a really large influx of patients more than 30 in a short time frame and
uh we had to really quickly expand all the activities uh so that's where really where the for me as HR and finance team
we had to recruit more yemeni staff uh we also had to allocate the budget correctly and make sure that all our
staff were paid extra for the overtime hours that we're working and also me coming from a fundraising background
it was really cool to see also that msf having private funding and it really meant that we can turn around on the
spot and start to really if the need is changing we're also changing basically it's not like our
money was earmarked and we couldn't turn around and treat the extra patients that we were getting because it was not in
the budget that's usually what I like to emphasize also to people when I was worship
fundraiser but now really seeing it in person in person as well and it was really a fantastic Machinery as you can
see here our field hospital was built of 10 sheets and I was seeing our project teams working day and night to provide
medical care in in really stressed like difficult environment like for you guys who are medical as well
you've probably seen in operational theater you have like a list of patients that you're going to treat and I
remember the team was writing the name of the patients on under the white board on the plastic sheet because there were
too many patients basically for my AJ team as well uh it was really meaningful because they we know that
even though we're not directly treating the patients uh we can be responsible for ensuring that the hospital has the
right people on the job so from the cleaner to x-ray technician to the medical doctor and this is a picture of
my two HR assistant adua and Osama in it involves the daily routine [Music]
um very good thanks for telling me um so daily routine is mostly linked to
management of locally hard stuff uh hiring onboarding development evaluation and all the issues that arise with the
with stuff I guess everyone working in HR know that you have to handle that uh Finance wise you have to make sure
that the bills are paid that we're allocating correctly all the costs according to the budget
uh still quite old-fashioned in many of the projects we're still signing and stamping a lot of documents from working
contracts to different bills so the picture is from Sierra Leone when I was get filling for the finance assistant
and project coordinator at the same time and I was keeping all of their stamps for signatory that's also why we as you
can see in the back we were calling the age of Mr Powerhouse because we were the power of the signatories
I worked on in quite established projects in Sierra Leone Yemen and Afghanistan there were no emergency
projects even though of course for the emergencies can arise but usually then the working hours are from eight to five
approximately but when you are out on assignments you can expect that sometimes you will be working a little
bit more as well uh the international team is as the name implies very International and these are
the guys that you are living with sharing toilet with and also working with of course
um in Yemen in Afghanistan uh we didn't have as much Freedom as in Sierra Leone for example where we could actually go
out on the weekends spend time with with our colleagues and in this kind sort of high insecurity
compound assignments uh you need to be prepared to spend more time inside try to find the activities that are
meaningful like cooking it can be learning a language French or Arabic would be very useful uh also just
work out to keep saying like in host in Afghanistan we were making these obstacle courses cooking gingerbread
Etc trying to have fun and so
uh I would of course mainly be working with my International colleagues when it comes to recruitment more strategic on
the project level but I really am completely completely dependent on the local
team of my national colleagues because they are first of all the project memory uh usually International stuff we come
and go stay six months nine months maximum while these guys are really often been there for years uh this is my
team in Sierra Leone on my last working day uh this is also some of my colleagues
teammates in Yemen also actually Jalal on the left he used to be the head nurse in this project but
he's now also an international mobile stuff from Yemen uh one of the most challenging
experiences I had was recently in Afghanistan uh I guess all of you have heard that
December last year also Taliban put a ban on women from uh working from studying
luckily the health sector is still accepted and I saw my female colleague sitting on the hospital for Crime
because they were studying to become medical doctors try the colleges midwives they had a few months left and
now they were thrown out of university for the mere fact of being female and this was this picture is from host
it's a maternity hospital in Afghanistan where 70 percent of our staff are female and we have more than 3 000 staff in
Afghanistan 50 of them in total are female stuff um
as responsible for the human resources of course I focus more on the well-being of our staff rather than the patients
and so the Asia resistant and I actually on women's day we organized the discussion group only
for our female staff where we uh where we ask how msf as an employer can allow our female staff to
just breathe a little bit while they are at work because usually it was not so easy to do that elsewhere and they came
with Amazing Ideas everything from having like a staff room only for female where they can have
discussions where they can maybe study a bit maybe have a gym Etc and it was really nice to see that even though we
cannot change the situation in the country at least we can try to uh make a little difference for our
staff by being a responsible employer I will go quickly through the last slides as well
um me from being a project HR manager in Sierra Leone and in Yemen I went to Afghanistan as a mission HR manager
meaning that I was supporting all the nine projects giving support to the HR managers
and I while I've Been On Assignment I also done some additional trainings like people Management training uh case
management and abusive and appropriate behavior different trainings organized by msf I'm also learning French
and that's actually something msf is supporting me to do uh more than or apparently 70 percent of all our uh all
our project countries are in French or arabic speaking countries so really think about that if that if you want to
go out on the field assignment as well uh NYX for me I'm actually going back to
Afghanistan in four weeks now as a HR special or HR implementation specialist a little bit different for
what I've been doing before and not really representative a picture of Afghanistan but it's from Kabul
uh I might be able to or be ready to go in a French speaking assignment next year but I will probably have to go back
as an HR project HR manager so that the tasks are a little bit easier for me because the language will be more
difficult uh I think that's it I know we're a bit
present time also so I will say thank you very much for listening and I really hope to see you as one of my
colleagues in the near future [Applause] hello sorry
I'm coldly I have a completely different profile from Malena as I'm a gynecologist
and you can also see I'm a bit older than whatever and I've started also I I am working in drama hospital as a
gynecologist I've been working as a gynecologist for many many years and I have three children so I decided
to uh wait to join msf until my children were so old that I felt it was okay to leave them back home
um so I was recruited my I I still remember very well my information meeting in 2000 around 19 I think it was
uh I had just moved back from Sri Lanka where I had lived for three years with my family and I was really really ready
to join msf I felt that the recruitment process was very easy they welcomed me and also I have a profile of course that
I really want so then it's easier but I think it's not that has it's not a hassle it's a nice nice recruitment
period and you hear quite quickly a part of a family yeah in the postal office so uh yeah
I have done two assignments with the msf I worked in host just the same as Molina and I also worked in Sierra Leone
full-time as of course as an obstetrician um
yeah this is me in one of the operating theaters in uh in one of my assignments
so I I worked in Sierra Leone as you see down there in Africa and also in Afghanistan so you get a lot of like um
go get to visit many different countries if you go out with msf but the medical activities in all the
projects are mainly the same for a gynecologist do what is called obstetric care where
you help with deliveries you do in-hospital observational high-risk pregnancies it's a lot of course
delivery care but also outpatient clinics very help out if with spontaneous abortions post-delivery
Family Planning and prenatal checkups and there's also in this Hospital which is mostly modern and child hospitals
also neonatal care and pandemic care up to in Canada it was five years in host it was
just the neonatals uh there's also a lot of health promotion going on and you're also supporting local Health Centers and
also provincial local hospitals uh quickly about Afghanistan Afghanistan has a lot of different
ethnic groups they have two main languages it's a Islamic tradition almost all of Afghans are Muslims and
they have food from Persia Asian India very nice food
and there's an it's a climate if you go in the winter you'll get snow in the summer you can have like 40 degrees and
very dry it's a beautiful country and it's a country we don't you don't get to visit
as a tourist and it's quite exciting and you can see yeah before I went to Afghanistan I very much felt it was
country a great country or a blue country or like all women in burkas blueberries it was like no not something
maybe you want to go on the somewhere you want to go as a tourist but as you see from the pictures and this is me
sitting in one of the shops where one of the local um ethnic groups were selling their
beadwork it's full of colors really uh and the modern child health in
Afghanistan Afghanistan has the highest birth rates of any non-african country but it also has the highest maternal
mortality rate of in the world of the highest in the world and also a really high new Naval mortality rate so you can
really make a difference when you go out with msf to help people um
uh host maternity hospital has also Mariana mentioned opened by msf in 2012 and it has meant a drastic reduction in
both material and and prenatal mortality in the province and it's also called the baby Factory and that's because in in
the hospital I work in in Drummond we have about 2 000 deliveries a year in host I have two thousand deliveries a
month so it was really a baby Factory uh very long is also a country with a
lot of poverty and a lot of difficulties for both mothers and children it had it's
completely different than Afghanistan it has a tropical climate it has beautiful beaches it's rain forests
and but Muslims also make the most of most of their population here uh it's a previous colony and it's had
its troubles Through The Years with Civil War and Ebola outbreak uh
also Sierra Leone has a very high material mortality rate and it's even worse than in Afghanistan
and it has also a very high mortality rate among children and they as Africa in Afghanistan also
has a very limited access and utilization of healthcare that's why you are so very needed when
you go out in Canada the hospital was opened in 2021 so it's quite new it was a
Maternity Ward opened uh in 2022 so when I was there we had we celebrated one year of the hospital being opened it's
also teaching hospital and the um the picture in the left lower corner is from the msf academy where you train
the local staff in and supervised the local staff because that's one of the most important
thing when you go out it's not like always the Hands-On work you do yourself with the patient with this supporting
the local staff and supervise the local stuff so when you leave again they're able to do
to work with the patient in the in the best way possible so that's like maybe the main thing you go out to do is to
help the local staff getting better [Music] educated and better in helping people
so uh even though a lot of the daily routine is supervising there's also plenty of
Hands-On practice so if you really love the work you're doing I don't know if anyone say a
midwife or a gynecologist but you get to do plenty work with patients in well as well as the supervising you have the
same kind of daily routine as you have in a hospital back home you do your morning rounds you do your
emergency work and you have a roster and that's depending for a gynecologist on how many local gynecologists there are
in the hospital and also how many International gynecologists in the hospital so when I was in host we
were three international gynecologists and four local gynecologists and but in Canada we were only two International
and far and we didn't have any local gynecologists at all because there's hardly any doctors in Sierra Leone I
think they educate around 10 doctors a year and the population is about 7 million people
and very few of them become gynecologists and very very few of them go to the remote areas and Sierra Leone
so I think in the part of Sierra Leone I was I don't think I had a single gynecologist
except for me and my Japanese colleague that was there and the colleagues are extremely
extremely important the local colleagues that you get they're the ones doing the work even though you think you come from
Norway you're able to do anything or and you you have a lot of experience like I have when you come to these places
you're not able to do anything if you don't get the support of the local stuff they know the culture they know the
context they know the language often like when I come to Afghanistan I'm not able to speak Pashto I'm 100 dependent
on me device or local gynecologists that can help me speak to the patients to understand what the problem is
and you have very close cooperation and collaboration with a lot of different staff both the medical
staff but also all the support staff that you need you're not able to give medicine if not the pharmacologists give
you them you're not able to work or the local staff need to get have someone that pays them their salary
and and you need Logistics to make sure you have the medical equipment needed and so you won't as I said 100
dependent on them to do your work as a for me to do my work as a gynecologist [Music]
so I just want to show you some pictures here so you see when these are pictures of me and local stuff and international
stuff in host so you see we wear the head scarves because of the cultural setting in Afghanistan
uh and in Canada it's a bit different where we don't need headscarf but
uh yeah if you see the team and teamwork it's very dependent on what setting you're in
like also Molly and I showed earlier that the team live in host is very and it's like you have this more compound
that you stay in all the time when you're there you're not able to go outside because of security reasons but
it's very it's a cozy little compound and you stay there with around 40 14 15 International stuff and you live with
them you eat with them you chat with them and you quarrel with them every day and you also get your hair done there by
their local stuff and you can also like in Afghanistan you can you the carpet sellers come into the hospital so I
actually bought this carpet you see here no this one this one it's in my
in one of my rooms back home uh and your team life is very different if you go to a place like Sierra Leone
where you can go wherever you want except you need to be in at 2AM in the morning which is not for home
um but as you can see it's green where we're going on Hikes and we could also go on weekends weekend trips and yeah
life was completely different and also I was walking to the hospital every day when I was in Canada it was about a 50
minute walk and every day I passed through the a village called Norway that was quite nice
so a couple of words on the challenges as I said we when you go to a place like Afghanistan I was there for three months
I couldn't go outside of the compounds for security reasons for three months which which is a difficult
I think but we had like a a little exercise room uh with the treadmill where we so I walked or I'm on the
treadmill every day we had a basketball no um volleyball field and we have this
ping pong table and you you just use a real life opportunity to have to try and relax and if you are there longer I was
there for three months but if you have an assignment that's longer you're allowed to go out for weekends and then
you also get holidays so then you can relax outside of the compound but that's what I found most difficult
uh security issues is also something to think about but I was much more scared of how I would feel before I went to
Afghanistan being there in this compound it felt absolutely Totally Secure I didn't have any life thoughts of
insecurity actually while I was there and then another challenge is that you you meet a lot of people you get a lot
of stories you see quite much and you have a lot of personal meetings and it can sometimes be difficult
but also when you get home here you'll have talks to a psychologist and you will talk to your colleagues that's been
out before and if you need you can continue these talks for two two years afterwards so it's it's a life system
when you get home and but it's a part of this is that you experience difficult things
and also for me being away from my husband and three children it's also a challenge but there's also always a
Wi-Fi and in Afghanistan it was very very good so I talked to my children I think every day on FaceTime actually so
and yeah and to relax is what I said the physical activity that's my way of relaxing is going on
Hikes which was very difficult in Afghanistan that's why I walked on the treadmill I think almost every day
but yeah and then listening to music reading books we were also in the compound we we watched films
when we needed to relax together in the living room uh I'm good on time or almost two
minutes okay I'll just go through this one so why and what next I went for me this gives me a lot of
personal growth I think it's it's like I had a huge multi I'm born in
Norway my education as a doctor has been free I've been giving everything from my birth until now with very few challenges
compared to the rest of the world and in a way for me and myself is really giving something back I can go to to the very
less fortunate than myself and I can share with them some of the expertise and the things I've learned here I can
use for the better in the part of the world where they're very much less fortunate as I said
but it's also a professional growth I really increase my obstetrical skills when I've been out because you know
everything is so technical you don't always get to need use your clinical right
but anyway in when you get to these settings you're I feel like I'm an obstetrician in 1920s sometimes and it's
fun it's actually very fun and not having to depend on all the technical equipment and really just
be an old-fashioned doctor I like that uh yeah and then it's also a personal challenge you get out of your
comfort zone I can assure you of that you'll get after your cough itself and for me I'll do a new assignment when
I when my work back home allows and my family life allows and just now I don't have a specific plan but I'll do one
soon and I'd love to go back to Afghanistan [Applause]
write down your questions that is a lot of interesting things so I'm sure you will want to know more about what they
said but uh well I'm still dealing with the it um
I invite each of you to turn to your neighbor and don't leave anybody out just turn to your neighbor and in one
minute find out why you're here tonight from each other go ahead [Music]
[Applause] [Music] foreign
[Music] [Music] our staff
um as you've understood from my colleagues and they are a good representation is that we need both
medical and non-medical to make it all work and basically the repartition is about half half
um but you're wondering probably like okay uh here I am I have my background uh does msf need me and that's a very
important question so um we are going to talk about it now but all information all details are on our
website in each of the profiles you will see it and you find many details there but I'm a bit curious quickly to see
who's here uh tonight in the audience so um any doctors here tonight put your hand up high then I can really
see easily very high high high yes a few okay cool because our doctors they work with intensive care with uh emergency
they can be working with infection prevention control uh we might be needing uh doctors with pediatric skills
doctors that have a background in public health or infectious diseases Etc the question to ask yourself is what is msf
doing abroad in a project what is msf working with and in that sense you will understand which type of
specializations or experiences we need so this is overall a handful of different aspects that our doctors work
with but we also need uh very strongly pediatricians any pediatricians here tonight
or wishing to specialize no so if you don't know what to specialize in yet or if you know about a pediatrician please
tell them about Arnie because we have many projects where we take care of our children
um and then we come to um the most uh difficult hard to find Specialists and that's uh part one of
them is the surgeons so a background in orthopedic in plastic surgery we also do trauma surgery because that's the kind
of patience we treat any surgeons tonight no so if you meet one hopefully in a
good situation a happy situation not when you're lying down tell them that msf needs them
anesthesiologists need to work with the surgeons any anesthesiologists yes one you very good come and talk to
us afterwards and then as you've understood uh someone as a beautiful with a warm heart a big smile and a very
big heart and that had a happy recruitment process which is not usually it's always the feedback I I received
that it was smooth and easy so that was cool anyone like Lil a gynecologist obstetrician
someone thinking of specializing so you see how hard it is and we've done a lot to try and get these Specialists
we have to work all the time they are called the gas poor very difficult to get but we don't give up so please share
information to them when you meet them tell them msf needs them any psychiatrists because we do a lot of
mental health projects no well they are hard to find as well especially in Norway so now you know
what we spend a lot of our time on uh and then on the paramedical side uh so along with our guy names works also Our
Midwives Our Midwives are big responsibilities where they go abroad because there are often local midwives
they're also birth attendants some midwives need to work with patients for instance that have dealt with sexual
violence or uh need to work with termination of pregnancy in the countries where uh termination of
pregnancy is illegal any midwives tonight yay cool one
um don't hesitate to pick this lady uh tonight talk about the great projects where you
would meet and then the nurses along with you know our doctors kind of background but also nurses with
um pediatric skills neonatal we need a lot we work a lot with uh malnourished children there's big needs there but
also Public Health Etc any nurses tonight hi hi
cool many great wow fantastic um and then uh clinical psychologists uh they are the the big backbone of our
mental health projects which is a very big component of every medical project has now mental health components
clinical psychologists so one here anymore no um and then uh we're on the clinical
pharmacists pharmacies yes and yes and maybe we've talked via
email yes yes it's great that you're here tonight um and someone over here is what I
missed oh yeah over there fantastic because we need pharmacists uh we obviously along in the medical projects
a lot of work to do and the background is uh in terms more of Hospital Pharmacy uh Etc
um big stock management big budgeting Etc um
so great to have you here tonight and then the health promoter so that's more people that have studied anthropology or
sociology or public health they are basically um the bridge between the communities
and msf's project because you would think that anytime we open a project we're present patients are just like
running into our door to come and seek medical care but that's not the reality because there is such a knowledge bridge
that needs to be built uh that is respectful of local customs of local beliefs of local needs Etc so a lot of
information work is done by our health promoters any background like that yep cool great
um and then epidemiologists because as you know we work with epidemics any epidemiologists no I
know wow fantastic cool come and talk to us because you are rare as
so it's really cool that you're there any lab Specialists obviously work ah very good yeah we work a lot with the
laboratory analysis microbiology virology Etc this type of background that can
come in uh in relevant um and then uh we need non-medicals as well so
um and there's a few of us here tonight and I haven't told you but I have another colleague Cecil over there that
has joined a bit later she has a lot of experience from abroad as well in Human Resources finance manager
um and uh yes any background in Supply I told you about msf supply chain ah yes
some people are waving hello okay cool very good and then water and sanitation so you know to do Waste Management to
make sure that we have clean water to make sure that we have latrines everywhere all this work that goes along
in the medical projects any water and sanitation Engineers any plumbers no
no um we do a lot of construction we have big structures uh they take many
different type of traits so it can go from Constructors and Architects anyone and then it's also the whole
um electricians mechanics and um more overall also biomedical
engineers no okay so we must have a very medical crowd uh tonight I think because then we
come to a more General profile that's nothing you can really study for but it's like what experience and exposure
you are going to have had in your life so um I know that many of you have in the
family or whatever have for instance some Hooter and this Hooter you had to put some planks together and then you
wanted electricity so you've put actually an electricity system and then you've also done maybe some sewage and
you've done all this maybe not like with all the accreditations but you've become a very handy woman or man and this is
what we need from our general logisticians is basically that is very handiness about it any handy people here
tonight how many shy ones come on Norway I'm sure there's a few more great very good
um and then more on um from our family in finance Human Resources so having worked with accountancy budgeting
because when you go out you're in charge of the big budgets the big forecasting the big financial planning you're not
like registering uh all uh the claims and and the bills Etc that's all our local colleagues team that would be
working on that but really like the higher financial management and then in terms of Human Resources uh everything
that Molina has explained before uh really having HR professionals that can do the whole HR line and be the guarant
of that in the project Any Human Resources Finance people here tonight the hands yeah cool
um and then yes for the last two uh profiles journalists humanitarian
advocacy that's I will be honest it's a rare profile in the sense that we don't need so many of them but when we need
them they need to have very different language knowledge skills a lot of experience from having already reported
the type of work we do having done humanitarian and advocacy in the same type of work environment as msf is
operational in that's kind of the background plus uh being bilingual at least with French or maybe Arabic plus
another language because you are really writing and Reporting Etc anyone with the background like that tonight
oh fantastic oh wow three very good news looking forward to hear from you guys afterwards
um so that's overall a bit here 75 countries red area is where msf is operational in 2022.
um so which um which language would be a lot spoken over here which one over not making a mistake over
here yeah so the reason why we say that we need languages is because that's where
we are operational um most of you have had French at school
you can't hide it I already know it um and it gets Rusty yes but there's ways to update it there's ways to be
interactive when I recruited Malena she did not speak French yet and now today when she sits in front of me I'm
speaking French all day to her like that's what she did she's amazing and so many of our stuff they just come out of
themselves whether using an app for instance Duolingo or whether doing Roofing in France go and speak French to
the goats or whether you may be fine to speak the love language um and you it takes you along very many
exchanges there's many ways to update uh or reach these language skills so what we're really saying is like try to make
that effort for msf because you will come in as much more needed as much more also uh diverse in the project we can
send you to um and you're waiting time might be much shorter to go on an assignment just
because we never have enough people speaking French that I can assure you um and Arabic is a great great asset but
also Spanish comes in also Portuguese can be relevant sometimes Russian is as well or even some other languages
um but overall the biggest needs for our International staff uh are more like French Arabic Spanish Etc
um if you only speak Norwegian and English um we can still need you and we will
then be really looking at your experience so the buy the bar might be higher because you do not speak one of
the most needed languages that's simply based on the operational needs but it is not as such that we don't recruit uh
people with only English and Norwegian so please do still apply if you have those two languages
and then I'm gonna do a quick test to still try and get the sound because maybe it's the microphone that blocked
our sound so people online sorry you'll be back with Samsung foreign
yeah yeah it didn't work but I will still uh show you uh the video at least we will have tried
um [Music] okay
[Music] [Music] foreign
[Music] Center in Brussels [Music]
thank you thank you all right
so that's how they used to make movies in the past as well
um so overall these are the four uh main responses that msf is giving in its
medical action and these are the operations or medical and non-medical side and I'll just let you read this for
a minute okay silver roll
our stuff um is represented by uh about a balance of uh 10 of international staff versus
about 83 percent of our national colleagues and like my colleagues have explained you we cannot function as an
organization without a local colleagues because they are ambassadors in their communities they are the justification
of why msf can be present there and accepted they the local knowledge they're also part of our security uh
that they contribute to and they are really overall the biggest Workforce of msf so when we say that each profile
will need experience in people management it is because by default in any profession you will go out to you
will by default be a man manager you will have a team to take care of and what we want is people to have had that
experience because you're coming in and you're only there for a short amount of time
so we want you to have done supervision we want you to know how it is to give feedback regularly to stuff to follow up
to develop them find out if they need training to be able to have hard conversations also sometimes to know
really about how it is to give feedback to do evaluation all these things that are part of being a manager we want you
to have had that experience here because there's a lot of turnover for our teams you are only there maybe six months
maybe even 12 but imagine yourself having a new manager every six months yes you want to have a good manager for
this amount of turnover so that's why we suggest people to really try and take their time if you don't have that
experience yet try to ask your boss try to find ways also as a volunteer maybe to be in charge of teams to gain that
maybe you already have it in your role nowadays currently or maybe you need to build towards that but it is something
that we require we know our Medicals have a limited scope of how you can really fully be a
full manager because of the way hospitals are set up but we still want you to really try and get this position
somewhere in a different project down the line where you're going to be able to build some of those very important
skills now overall the general criteria for recruitment so if you haven't done so yet uh go and read our Charter on our
website and then for all profiles we ask a minimum of two years work experience now really this is just a minimum what
it means is that we want you to feel confident in your shoes as a professional because you have learned a
lot here but you need to imagine that when you arrive land on your first assignment it's gonna take you so much
time to First learn how the organization functions what does my role actually look like within the whole setup of msf
you're going to have the cultural aspect you're gonna have so many different elements to deal with that you're not
gonna be at your professional best in your first assignment when you land it's gonna take you time to get there
so what we want is you to be able to be confident to land like that so that you know how to find Solutions
around you that you're used to learn new processes Etc and this minimum of two years is more like having enough
experience in your job in your role so that you can meet a new environment with many unplanned challenges as well
because that is the nature of what we work with that is the nature of the environments we're in
for the first assignment it is an availability from nine up to 12 months it might be that you go out for a bit
less but we need to be able to have this flexibility of working with you up to 12 months for first assignment except for
the gynecologist anesthesiologists and surgeons they go out for less Long they go out for three months for their first
assignment because otherwise we simply would have zero around the world they are not freed up in that way in any
other way did I say something about languages uh people management have also covered
and yes to have gone out with your backpack or not uh but have gone out in the world realize a bit how the
situation is in low-income low-income countries uh so that it's not when you land on your first assignment that you
realize what the work really looks like so get out there do your experiences because it will really help you further
down in your career with NSF previous experience in mentoring coaching can be great previous non-government
organization experience can be great and then for the medicals it is a great asset if you have the tropical medicine
course from the list of accredited courses that is on our website um except for the Guyanese
anesthesiologists and surgeons and emergency doctors um overall
what we're looking for is um flexible people uh adaptable people um there will be no two days the same
on your assignment that is something we can really sign up on today we don't know so many things we can say for sure
but that's one that there will always be changes is really something for sure and you need to assess with yourself if that
is something that you like is it something that you're actually looking for is it something that when heads
the fan and you've worked for hours days weeks months maybe with your whole team maybe on something
but then the environment is going to change and from one day to another things will change and it will no longer
be the same reality you will have to adapt if it's something that you can just of
course steam out scream bang the table if you need but then compose back to yourself
and be solution oriented and look around you who's around you what are the possible solutions you're never alone
you always have a team you find Solutions together if this is in your nature to be able to be resourceful like
that and you're good at it then this can be something for you because what it definitely doesn't need to be is that
change works against you because you won't have the energy that you need for yourself and you will drain the team
around you because it's always about adapting and finding new solutions to the reality that we're meeting
the willingness to go on several assignments my colleagues have said it we're looking for people that want to
build a career with msf because we're gonna invest a lot in you your first assignment before you're actually really
really giving back to the patient project it's not happening right away we invest a lot in you we train you we give
you the opportunity to learn it's normal that's just the way it has to be but that's a lot of investment and as you
know we're privately funded it is you guys making msf's money so we need to invest it and use it as best as possible
and what does that mean is that we need people that want to build a career go on several assignments to say it very
bluntly we are not there to be a sexy line on your CV we cannot afford it so that's the question you have to ask
yourself are you in for the long run don't know what the long run might look like you don't know because things
happen in life that we all know and we have a very open dialogue about that but it is to really see this if it's working
for you if this is good for you that you won't actually to build on and we will invest we will grow you as a manager if
you have the right skills for it you will grow into coordination much faster than you would in any normal job here
out in in Norway but it is really to see this project as a long-term one and yes the
Parts in the world where we are needed are the ones with conflicts other ones in unstable areas that's where the
patients are so this is where we need you so to have this understanding and this total acceptance that that's where
you will go and work is very important to ask yourself in advance and can I ask some people to open some windows because
it's getting really hot um health-wise to be in good health uh not just physically but also mentally
because like my colleagues have said you're gonna meet a lot of hard situations so don't run off from your
ghosts by Going On Assignment that's never a good solution and um
it's uh it feels maybe very watered away but some countries still have some exceptions so we always have to request
approval from the operational Center for people over 60. as such um there is no maximum age at which you
can work for msf but here in Norway the insurance and pension system and all this is covering you easily up to 67 and
afterwards it's a case-by-case situation where you might have to insure yourself or find some tricky Solutions with the
pension but it is totally possible because I have several colleagues that are older than 67. it's just that we it
then becomes more of a case-by-case situation do you have Norwegian or Icelandic
nationality or a residence permit that allows you uh to travel and be employed anywhere around the world is uh needed
also to receive visas for countries uh you need a permit that will allow for um the country where we want to send you
to give the right Visa now the opportunities um it is a very Multicultural uh
environment and lillen Malena touched upon this um it is also the the challenge of
working with your colleagues waking up with your colleagues meeting with your colleagues being all the time with your
colleagues living maybe in a compound area so uh to understand that you're actually going to learn a lot about
yourself on assignments this is also something we can sign off on uh because you will in challenges meet yourself
you're gonna meet yourself in the mirror you're going to meet yourself through others and that's the personal
development you're not gonna just learn technical hard skills but you're gonna learn a lot of human skills very
beautiful ones and they will grow you they will stay with you and you will never come back the same from an
assignment as you departed you will have learned a lot and you will grow as a person so it is to realize that that msf
is much more than just going out as a technical professional it is also as a human person that you go out
um basically what we do is uh we build careers and that is with the person that we call the development advisor we have
two colleagues as such here in our office and they're gonna send you on different assignments
and they will try to also let you touch back with what you need here in Norway we know it's important to have time with
family we know it's important to touch base with your community because you remain part of it and it is to find this
both ways agreements where it is possible to combine your life in Norway with going abroad on assignments every
now and again with msf some people say um I'm resigning from my job I want to see
what's in for me with msf I'm gonna make myself 100 available for an amount of time other people just ask their
managers to have a one-year break to be able to go on a first assignment and then see and already inform that this is
something a career I wish in parallel and all of our International staff manage to find that balance but it is
really a case-by-case balance and that's why there's many of us here tonight that can that can answer sometimes how we try
to find it now the conditions um it is to work in high security
environments a little touched upon it how it was for her before going to Afghanistan and then
when she went Malena as well um and they want to go back because security is the most important thing for
msf the security of our staff is like the number one uh consideration we have
security focal points in each operational Center that constantly monitor the situation we have measures
in case of uh escalating uh security situations there's many many things in place guidelines Etc trainings but it is
also for you to understand that when you go out there is no hundred percent security
and there's no international organization that can actually ensure that we do our best it's the number one
but it there is always a risk and that is something that you have to take into account
um but it is something that is the priority number one for msf and that's why we're seeing compared to other
organizations sometimes as quite strict with curfews Etc it's simply to ensure the security of our staff
celery um at the moment it's 19 768 per month growth and it is subject
to change um and there is no figure to give just yet but by the time you apply and you
would go out the figure will have changed um it is a whole International uh
important project that is at the moment ongoing um you receive a per diem to be able to
um pay some basic food costs Etc on the ground and every three months you're allowed five days off uh where uh you
can then depending on the country where you are based and the security guidelines you could you will have to
take your break maybe in in a region around country maybe you can go back to Norway and maybe at that time even if
today you think oh everything I do is go back to Norway maybe at that time then it won't actually totally be the first
thing you need um so that all depends a bit on where you're going on assignment we vaccinate
you you get pre-departure course uh psychosocial support is there before during and after we also do return knee
workshops where all our staff comes together to get some tools to get some time with other colleagues that have
gone out to give you tools basically to also digest everything you will have been through to be able to meet your
environment again after assignments because coming back home is not always per se easy and we have a lot of
experience on that so we try to pass that to our staff um
now if you're not totally ready to apply it then go out or if it's in the waiting process we always need fundraisers uh
without fundraisers there is no International stuff so it's always something you can consider
um and we are based in uh not only Oslo but Bergen tournament still is your lady because she's in
charge of that for the whole of Norway and come and talk to her to ask some questions afterwards if you wish if
you're a student join student written grantser it already brings you in contact with everything we do you get to
go to interesting evenings debates Etc uh presentations from uh from lindis for instance and so on
um so there's the info and then basically after uh this evening and after processing with yourself your
family your goldfish your cat your partner if this is something for you hopefully you apply on your post with
all the documents listed there there will be most probably a technical uh questionnaires Etc based on your profile
very specific there will be language tests and so on and if all this goes through positive
and this is always based on the needs of our operations at the time of your availability to go out so if you apply
let's say nine months before you think you can actually sit on a plane then we will time the recruitment process to
meet this availability date because we will have other people that we need to send out before you so this is always a
bit how it's done what we suggest to have good time for Shada and I do not need to overwork and stress is to apply
about six months before your availability date that's the best timeline for you and us and to be able
to train you and prepare you well uh in advance um
based on the operational needs it might be that you go out on your first assignment very urgently within four
weeks or it can sometimes take up to 12 months it really depends on the need at the time of your availability
um but overall we always try to to find a good combination there um
yes so this is uh and I uh that's where you can contact us the website um and overall now I we've spoken a lot
and we're gonna hear from you with questions so please come because you have a lot of uh
important experience as well we're gonna pause the microphone to each other um and we really want to take any
question or questions even personal ones because it's tonight you can actually address this so please go ahead the
people online Shada is selecting your questions uh and she will speak out at times and just read it out uh I'll pause
the microphone here so here in the public just speak loudly so everybody benefits from hearing your question
and who's making this evening smooth and starts with the opening question yeah thanks
can you take it in English yeah thanks um so what do you do in between assignments as you work here 100
thank you so the question what I do in between assignments uh currently I am working full-time as a international
staff meaning that I take breaks in between the assignments and that's something I'm really thankful for today
my development advisor as well that she's really understanding that I also have my private life here in Norway and
I'm not getting like the nagging now you have to go out again it's for like how much time do you need in between so
that's a decision I've taken it means that in between assignments I don't have a salary as well
and what if you want to share what would be things you do or you like to do or what I like to do in between uh be with
friends and family and be out learning French I went to France [Music]
for four weeks also this summer to speed up a bit my my French Foreign next come on guys lift your hands I'm
gonna say it everything yes over there opportunities or needs or use that for people who work with law
yeah what opportunities for people working with laws so there is uh one position in the domain of Human
Resources that's called like legal advisor um and it can be
really working with labor laws local labor laws Etc building a project having new projects making sure that all our
human resources system is in line with legal and you want to add something to your question that's
not the same as humanitarian counseling is it no not at all but that's also like a
law kind of uh yeah it is yeah and maybe Sicily want to say maybe what if you've seen a legal advisor in
one of your projects I have but also with that kind of experience or education you could also
fit into the HR profile myself I have some legal background and that's very very handy when you come to
a country with no labor law uh or an internal organizations for example so that could also be a role
foreign vestment so we usually make people access it after their first assignment
after we've had an experience together to see how it's going but sometimes it does happen that uh you know a very
needed profile uh in a certain language and the person is for instance at the level A2 it's like this this kind of a
classic way of of assessing people that's where msf is actually gonna pay for you to get to B1 for instance so
that can happen it will be very operational based it will be very specific because they need your pearl of
a of a profile right there and then we can invest people management that really rather comes after a first assignment
um so overall yeah it's not like this we're gonna give you this course before your first assignment to make up for the
experience we ask uh people to have in terms of supervision do you have someone to give you some
tips about how to deal with another cultural yeah so the question was do we give some sort
of training for cultural awareness or people management yes there is a compulsory
um I will say equivalent to one week free departure training so we don't just send you out like that
um we do train you on very different uh uh default aspects of the organization um and then there are some technical uh
trainings as well based on your profile that you're sent to for for Alexa what's uh water and sanitation etc etc so yeah
who else yeah I I haven't seen anything about operation managements on the ground I mean I can see some of the
roles that you are listing but uh does that mean that all the operation managements have done from overseas
so the project management the project coordination I hear you're asking for you the reason why we don't list it is
that because unless you've been a very high senior profile with a very similar organization
you will not be sent on your first assignment in that position yeah it's a risk we cannot take basically unless we
have a very very high track record and there are not so many totally similar organizations it would be the
International Red Cross that gets closest to msf's way of operating and so as such you would have an entry role uh
if you're a non-medical quite a classic entry role is into Human Resources Finance because usually it's already
something you possess and then you could make your way through different assignments and we would bring you to
project coordination if this is the right fit with msf yeah nope
uh in your experience how how our employers attitudes towards getting or giving medical
professionals and leave to to go on assignments ah yeah yeah so are you a consultant or yeah so me
myself I go on online but also you have a clause in your deal when you are employed in a Norwegian
hospital that says that your employer need to look upon your asking to go with a humanitarian organization and be like
welcoming to that question so that's a clause you have in your deal with the hospital actually I think it
says up to a month each year but you probably won't do it every year so yeah and that advice for all hospitals yeah
that applies for all hospitals so if you go in and read your like the the all the deals that's been made you'll find that
actually in in it's not so well known it's not but it's there and actually because you're an
anesthesiologist I think yeah yeah we actually have quite many uh msf stuff spread among the
hospital sector of uh of Norway so something that can be useful for you is if we know which hospital you work with
uh we could for instance put you in contact with one of our current or former International staff and if you
have some like you know you want to exchange like how is it taken Etc some tips and tricks that's really something
we're also happy to do because msf is so known around and we go so much to give presentations and so on around the
medical sector sometimes we've also even tried to make deals with hospital to manage to get a few of these ladies per
year uh Etc so that's something we still work on but yeah don't hesitate to reach out to us if you need support for the
negotiation part and also something to add is like in your negotiation with your uh with your employer you really
have to make them understand that the experience you're going to gain on your assignment is invaluable to what you
will bring back to your teams to your workplace uh it is very big sometimes they get it easily sometimes not and
again if you need support in in that argument thing don't hesitate to reach out to us
do you know if it's valid for other questions it is for the Medicals yeah
psychologists as well the question is forehead is it for other health professionals as well
I think it's for psychologists they have the same thing I think as well that actually use the that close
to negotiate so but you you also have to use a lot of other arguments I mean just after I came back from Afghanistan uh
the whole thing with the tower bomb happened and a lot of refugees came in from Afghanistan and we had a certainly
a lot of Afghan women in our hospital and it was much easier for me to deal with them and I could also teach the
other doctors like about the context they were coming from why were they afraid when they came into our hospitals
even though we provided Safe Care and why didn't they always want to come and all these things I could tell them about
so you can so it actually helped my hospital that I had just recently been in Afghanistan so use all that kind of
arguments as well uh yes yes yeah yeah we're not finished
we're just gonna like Swoop a bit in between you can say it in a microphone so Anna has a question uh you mentioned
you mentioned that you need minimum of two years of experience and mentoring experience does that mean that there is
no point in applying I'm currently studying and it might be useful later yeah so students we can't take you just
yet you're gonna have to uh work a bit a few years uh and develop those skills and like I said there's different ways
to do it it's professionally but you can already start as a student outside of it as a volunteer many different ways and
definitely our students join us as fundraisers this is an entry door into the organization I mean except the
organicologists three of us are fundraisers uh four over there Lux is one as well like like the amount of
people that started as fundraisers is huge uh for a section like msf Norway so don't hesitate to do that and it's fun
like it's a beautiful working environment and maybe have you done it yes yes cool see someone else here so do
that yes someone else over there question yeah and her okay very loud ongoing operations or assignments now in
Ukraine uh yes and I will let my colleague who was deployed
yes we do absolutely it was my last mission you want to say more yeah we have operations in Ukraine but also in
every single country neighboring to Ukraine uh and quite big operations and we did something really cool in Ukraine
we um as you may we know some of you know that we have a lot of different sorts of
transports and Logistics around the world we use helicopters we use mulpits we use donkeys and whatever and in
Ukraine we actually made a medical train so we used this train to pick up patients in one part of the country and
evacuate them at the other side of the country because this is a big big country and there's no
flight traffic over so we're very much present in Ukraine working with the most vulnerable population which are often
the people are left behind old people suffering from cancer or heart disease or diabetes but also of course
we're running like um the unit for patients with and in all of the bordering countries
included Russia of course and a search for people that are very uh driven to contribute to the Ukrainian uh
situation um it is something we totally understand and we appreciate but there's such you
have to understand that you're joining msf to be sent anywhere around the world where we have the biggest need for you
and sometimes and I'm not saying now exactly to the question you ask but we can have people that have very tight
bones or that come from the country and out of security we might not be able to send you there
because it might be a security risk for yourself meaning that it might put the project at risk I'm not going to go in
the details because maybe it doesn't sound so logic but there msf always make sure that when we send our staff to a
place we're definitely not putting that person at risk um because of previous experience
background etc etc so that's something but we talk about it of course it's everything is a dialogue with us there's
nothing like a four uh format type of relationship as well so more hands
yeah wondering how much of experience you need to
need to have more for what do you recommend oh yeah so uh your
are you like working in a hospital or general practice Yeah okay yeah
I think also to it's the two years of work experience which is of course including your two Nurse service but I
think for for you it's better that we've been working maybe a couple of years after you're in a regular job
before you start to apply I don't know what the definite rules are but no one would you see it as you're going to be
the one medical doctor in the project you're gonna have to deal with everything
maybe mostly things you've never seen so to be able to handle all of this is just gonna take you some years and
working also in in places like leg of Upton and so on are great places actually to gain this experience Fast
Pace uh very team oriented Etc so that's kind of it's a question we cannot answer like like a hundred percent but it's you
that has to feel this um and again um don't hesitate to to maybe you've
done it but talk to some other doctors that have gone out and what was the moment where they felt like okay I think
now I can actually put myself out there to experience this um yeah that's overall and and again
traveling realizing seeing having a very aware knowledge of all the trickiness uh before a doctor is actually able to
treat the patient what can be all barriers because of the environment she explained the culture these are all
things you as a doctor also have to deal with although in Norway you might be protected from all complication type of
outside the medical technical yeah who else
yeah does the msf have a need for paramedics I need for a paramedics uh paramedics
yeah that's always the question uh paramedics actually paramedics are positions filled by our local colleagues
overall so we do not take Internationals as such but your skills can be really handy even sometimes more on the
logistician side to be honest even if it doesn't look like it and then of course if you come in as a logistician and
you're a paramedic I can tell you we're gonna make the best use of everything you know that that will be handy I don't
know a few girls have ever had a colleague that was International staff and had paramedics before now I assuming
it help promotion I've seen a person having paramedic background so working in like ambulance
working as health promotion manager but this person also had like a master in global health something like that on top
of that as well so kind of bringing both of those together yeah online no we're good we've covered the
same type of questions yes yeah yeah yeah very loud so they hear you all the way there or maybe stand up
if you don't know situations when you felt like a middle-aged doctor I don't know if you
want to serve one of these again please one time will be moved like a middle doctor oh yeah yeah
because I'm a bit late yeah it was like especially in Afghanistan where there were so many
deliveries you have to work with like what skills you have because you don't have you know
if you when you work as a slope situation and delivering babies in Norway you are able to monitor the baby
every second during the delivery you're able to monitor everything around the woman when you go to Afghanistan you
almost have no monitoring except to use your hand feel the stomach and and just and and that's when you really and you
also have to keep in mind that you can't just do a cesarean on a woman living in Afghanistan maybe in the mountains
because if you do your cesarean you might harm and put the woman into risk in future pregnancies and they are
giving birth 8 9 10 11 times so in Afghanistan I met a woman she had to live with 23 babies
and if you do cessarians on these women again and again they'll eventually die and then so often you just have to like
do all that you can do to deliver the baby vaginally and you have to use techniques that aren't used in Norway
anymore because their Xenoverse dangerous for the child
but there you have to like think of what is best for the mother the mother's health is what comes first when you come
to a context like that because if the mother dies and she has four children back home then we know from research
that these children will also die if the mother dies so that's the most important thing so
that sometimes then you feel like a doctor in the Middle Ages where you pull out babies by the feet and when they're
fully grown and that's thing you don't do in Norway you go for a cesarean straight away
but it's also an awesome experience so I mean you you yeah so but yeah when it comes to how much experience should
you have I I have to say I was quite experienced when I went to Afghanistan and I was so happy that I was when I
came there because I could just like I have done a lot of things many times before but there was so many new things
so I was so glad that all the like normal things was something I'd done again and again and again back home
because there was so many new things that I had to do that I hadn't done before but I've read about all of them
in books and then also to say that the local stuff the local gynecologists they were so helpful for me like I leaned
heavily on them the first time I went out because they had done all of these procedures before and many times so they
could teach me there was things I could supervise them but they were certainly a lot of situations were there were my
supervisors [Music] what else yeah
yeah countries but then the other ones say Spanish speaking for example
others is this project smaller or another what is it just less products there or this but it's also there's more
people around the world speaking Spanish and so already covering the needs and also as much as we can it will be if
it's projects in South America then hopefully the whole amount of countries speaking Spanish there will have people
that meet the needs better than sending a Norwegian speaking Spanish because of coming from different places
although all our projects are very International we we mix stuff stuff comes from uh everywhere around the
world and also really from our project countries but as such it's always gonna be like who's most relevant that's the
way msf always thinks okay anybody else
yeah how much of research work of would you say that msf does for example we have
Hospital in Afghanistan for quite a while and we heard that the big threat of the mothers and the nurses were
pretty high so how much of research are you doing there and after that how much of the intervention or in uh what kind
of programs are you implementing so it reduces yeah so the question is how much research do we do in our projects and
what do we Implement from those researchers do you want to so when it comes to both perinatal and
maternal mortality they really really uh thing is just to be there just to have an emergency facility will start to help
us right away but what you do in the project is that you really are um keeping a track on why children and
mothers are dying in these hospitals and we are trying to like then focus on these problems and doing that kind of
research and you're also in Afghanistan you were also comparing to the other projects in the country to see what is
helping and then also try to implement the same things into the local or provincial hospitals around so there's
so that in Europe they are keeping databases and they are also making reports on what's happening what's
helping and how can we even help better yeah yeah and like historically for instance
the whole treatment of HIV msf has had a huge impact there um in all the research the data Etc to
manage to get to medicines also with a treatment that was affordable that could be implemented to many more people so in
itself uh we're always busy with research we also do a lot for for instance neglected diseases diseases
that are not at all being taken care of by the big Pharma it's not question
uh although the biggest amount of people suffer or die from it so a lot of research a lot of lobbying to lower
prices to access to treatments so that's actually a very big part um there's a there's um a part of msf is
working on what we call Access campaign it's access to Affordable medicines maybe that's something you wanna you
wanna go and read a bit about so something you wish to add to yeah so there's the center for neglected
diseases which we had today actually last year hopefully all of you know about it and
um and yeah she has a tissue and um and the money went to actually that fund to be able to work on that at the moment we
have a big campaign on Noma a disease totally uh out of the scope for a big big Pharma so yes that's a big
part of the work there was more hands over there yeah one question uh how were you prepared before you for instance you
went to Afghanistan all the changes in religion and culture and all these things that are different from back home
what you would make before you go to a so-called high-end security context you also need to have a
high security context call with the big guy say of msf in the project so they will tell you everything about the
context about security uh everything that you can imagine you can also ask all your questions and
based on that you also make up your mind if you are willing if you want to go of course this is a bit part of msf also
that we're willing to take a risk but me personally I was always felt very safe with msf because we have the security
protocols we speak with all the stakeholders in the community so that we don't have any enemies and that is
really our security the white t-shirt that we're holding and that we're not using armed guards for example
is that something yeah you also you get this conversation you're also you can also speak to other people if you want
to that has been in these countries like with the same kind of profile I've talked to many like aspiring msfs that
want to go to these insecure and just to see is this something for me isn't this something for me and in addition you'll
also get to speak to a psychologist here before you leave also to like air or what you're frightening of and not
so you you go quite well to that but in such an part of the default course there is also a cultural
awareness but as such you have to understand that it's it's a personal awareness that you're building life
we're not suddenly gonna teach you multiculturality it's something you it's not teachable it's a this real briefing
also yeah you have cultural briefing so you will read papers exactly on the country but it is we at recruitment
level are going to look at it at a much broader scope as a as a disposition as a
way of thinking you have as a way of um being with other people you have um because that's something we'll never
be able to teach someone but we need to know do they have the capacity openness
um humility uh yeah who else there was something I take you
soon some more over there no then yes really loud please in your presentation you mentioned that
the time the msf needs to intervene the situation is for eight hours
and there are people in Sudan maybe heard about the war that started this year like five months ago and there are
so many people that are inside and due to the situation like people may understand that it might be difficult or
dangerous for International Community to come in and interview but there are so many refugees that
actually went outside the country in separate places for more than five months right now and
and they didn't get any kind of help from International organizations and they completely feel ignored
so it's like what uh is there like any problems
or what what's your comments here well what's your question can I ask you just to say what you wish to hear yeah my
question is uh for those people that are actually already went out of complete zones in separate places but they uh
like they're believing they're like almost six months now but like didn't get any help from like
they didn't see any any presence of international uh organizations including the msf as there are so many people that
are actually dying uh like a week ago I was speaking with someone better can I enjoy get to the question yeah the
question is uh uh how long does it take more than six months for msf to get into uh like this kind of situations to help
people and get into it like to offer help so for Sudan for instance so I can take it and maybe my colleagues can have
we are present in Sudan in Sudan inside Sudan who are present and we are having running projects for
the refugees actually coming away migrants the whole Blue Nile State the whole
north of South Sudan is receiving enormous influx of migrants and there are msf projects there
it is a presence now I don't know specifically which one is uh you're referring to and I'm certain we
unfortunately are not covering all the needs that is better myself is working specifically on this context uh at the
moment so that's something yeah for sure maybe you girls have more recent operational updates or Lots maybe about
Sudan I've been spoke about it on the news someone okay this has been covered in the media quite
a lot lately as it is quite a severe situation and our general director has been talking on them okay about the case
so I think there's there is things defined about it and I understand your frustration
um an msf is present but uh recap we're not always present everywhere all the time unfortunately and it's always a
priority of where their leads are the greatest but indeed who are in Sudan and it's been something that we've been
communicating a lot and if you go in and check our Facebook or Instagram or website you will find more information
about our activities in Sudan but also the neighboring countries that are receiving refugees from here
and you can be sure that when the GD speaks out in the media it is exactly to call out for other organizations to take
part because that is often the problem that we're maybe the only one present and we're calling out to the rest of the
humanitarian world to come and do their part as well yeah thanks for the question
who else yes yes yes
how many and people do the Norwegian part have error on an international assignment but any time or I understand
it changes yeah do you often send two Norwegians together or clear your team or is it
more one than one maybe so it's one and one yeah let's be clear but there are places that are
called Little Norway because there are Norwegians that don't speak another language then Norwegian and English and
there's still relevant Sierra Leone kinema is an example almost all our Guyanese and anesthesiologists not
speaking French or Spanish will go to hosts in Afghanistan for sure uh and they are great projects there are a lot
of learning projects as such we're really gonna try not to have five Norwegians together because it wouldn't
be so useful to the project but it can happen that there's a few of you um and then at all times so from Norway
specifically um usually there's about uh between hundreds
um pre-covet 120 departures from Norway msf Norway um and new people so first assignment
who's you guys here tonight uh that can be around on average maybe of post covet uh 30 people 25 and hopefully it's
actually I'm sorry to say but what we're in a way aiming at holistically is to decrease that number
because what we want is that our local colleagues are more and more and more uh given the responsibility to take over
what we used to have to send an international for that's the big overall goal but there are places where we know
that she explained how many doctors uh graduate per year like just imagine um and sometimes also for security
reasons uh impartiality it will be uh safer for the project to have an international making very difficult
decisions uh then to put at risk one of our local colleagues that would have consequences in their private life in
their communities so that's the moments where it is it is a need for an international
okay if there is no more uh urgent questions and anyway uh you might have taken
thoughts so you know our email address uh please don't talk back on questions uh you can ask questions before you
apply or you can decide to apply anyway um because once you apply and you are maybe not like a hundred percent ready
we see that there's still something to develop um it's a dialogue you don't lose your
chance if you apply at that time it's a dialogue we will tell you uh or maybe you fit exactly a need
um at that time so try to yeah if you're ready now apply now if it's in six months apply now uh if it's a bit later
then uh do that later minus six months that's kind of but it's a dialogue with shradha and I we're not like robots uh
luckily uh and um so we will be building that together also for Relevant experience we give
advice Etc so very importantly you know we do a lot on social media communication so please
share share share uh that's a great help I want to join us uh financially that's great want to work for us as a
fundraiser that's even better uh but uh yeah if something touched you tonight from all these great colleagues that I
really really wish to uh thanks and it's super learnful like it's a great uh evening to
learn from you as well even for me still uh so please don't hesitate go for it apply and
MSF recruits a wide range of medical professionals such as doctors with specialties (pediatrics, surgery, anesthesiology), midwives, nurses, clinical psychologists, pharmacists, and lab specialists. Non-medical roles include human resources, finance managers, supply chain and logistics experts, water and sanitation engineers, construction and biomedical engineers, journalists, and advocacy specialists, allowing for diverse career paths within the organization.
Candidates typically need a minimum of two years professional experience to ensure confidence and adaptability in challenging environments. Experience in team and people management is crucial due to high staff turnover and leadership demands. Language skills in French, Arabic, Spanish, or Portuguese are highly beneficial, while English or Norwegian alone may require more experience. Flexibility and willingness to undertake multiple missions are also essential.
Applicants undergo a multi-step process including technical questionnaires to assess specialist skills, language proficiency tests, and pre-departure training covering security and cultural briefing. Candidates should apply about six months before availability. Successful candidates typically receive assignments lasting 9 to 12 months, with some specialist roles having shorter deployments.
Field assignments take place in diverse, often high-risk locations like Afghanistan, Yemen, or Sierra Leone. Staff live within secured compounds or local communities and work closely with local colleagues. Responsibilities include providing direct patient care, training local staff, managing teams and budgets, while adapting to changing conditions. Psychological support and debriefings are provided to maintain mental well-being after assignments.
MSF offers coaching, mentoring, and continuous professional development opportunities including language learning support. Pre-departure briefings prepare staff for the cultural and security challenges ahead. The organization emphasizes flexibility to balance personal life with assignments, and provides psychological support to help staff cope with the emotional demands of humanitarian work.
Yes, MSF actively seeks skilled non-medical professionals including legal advisors within human resources, finance and supply chain managers, logistics experts, and communicators. These roles are critical for operational success, providing support that enables medical staff to focus on patient care and ensuring efficient mission management.
Challenges include operating in resource-limited, insecure environments requiring resilience, cultural sensitivity, adaptability, and leadership under pressure. Rewards involve profound professional and personal growth, enhancement of clinical and management skills, and the fulfillment of contributing to impartial humanitarian aid. Long-term career development and commitment to MSF's principles are encouraged for sustained impact.
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