24 Aug 20 09 Sep 20

Consultancy - Palliative care implementation pilot project

DURATION: September - 31 December 2020

Contacts MSF UK

Project: Non-communicable Diseases (NCD) Advisor
Administrative: Executive Assistant Head of the Manson Unit


  1. To develop an implementation package for context-adapted, integrated palliative care services in MSF OCA projects
  2. To oversee pilot implementation of palliative care in the MSF OCA Abdurafi, Ethiopia project in collaboration with the Ethiopia team


Médecins Sans Frontières / Doctors Without Borders (MSF) provides life-saving emergency relief and longer-term medical care to some of the most vulnerable and excluded communities around the world. As an independent medical humanitarian organisation, we deliver care based only on need, regardless of ethnic origin, gender, religion or political affiliation.

MSF Operational Centre Amsterdam (OCA) has elaborated a Strategic Plan 2020-23 (SP) that includes an objective “to provide contextualised and acceptable palliative care services within OCA missions.”  The aim is to integrate palliative care in “all relevant settings as part of a minimum service provision package” by end 2023, after defining a package and implementation approach in two pilot sites.

While some technical guidance on palliative care has been developed within OCA and across MSF, particularly with anticipated needs for COVID, the full implementation process has yet to be carried out. This process will require introducing an unfamiliar and difficult topic to MSF staff and the people we serve, factoring widely differing perceptions and approaches to serious illness and dying and rendering an acceptable and feasible service. An implementation package that addresses staff and patient needs in keeping with person-centred care therefore needs to be defined.

This consultancy will pilot implementation of palliative care in the MSF Abdurafi, Ethiopia kala-azar and HIV project, which receives advanced-disease patients who would benefit from it. The Ethiopia team have begun initial planning and will participate in the development of the implementation package.


  • A palliative care implementation package for OCA projects that includes at a minimum:
    • Training materials for staff, including self-learning options (given lack of in-person workshops with COVID ongoing)
    • Programmatic guidance for multidisciplinary models of care that can be integrated in inpatient and outpatient services
    • Evaluation plan for 6-month follow up on implementation, including an analysis of all palliative care patients and lessons learnt
  • A summary report on the pilot implementation project in Abdurafi.


  • Medical Doctor, ideally with a Master of Public Health
  • Previous field experience with MSF or equivalent, ideally with knowledge of Ethiopia
  • Previous experience overseeing teams implementing new programmes in humanitarian and/or low-resource settings
  • Good interpersonal and communication skills
  • Excellent report writing skills
  • Ability to work independently, prioritise workload and meet tight deadlines


Place of work: all work will be done remotely.



  • Please send the following to admin.mu@london.msf.org by 15 September 2020:
    • An updated CV
    • A covering letter expressing interest
    • A financial proposal of what you would change
  • For any questions, clarifications and/or queries please write to Amulya Reddy (NCD Advisor) at amulya.reddy@london.msf.org