The EU Aid Volunteer will be based in Nouakchott and will be under the direct supervision of the Country Coordinator. He/She will be in charge of strengthening the skills of the national MdM coordination team, more specifically the Finance Manager and the Country Logistics Manager. Thus, she / he will be able to support MdM's civil society organizations as well, in relation to the ongoing projects that we have in partnership. In 1993, Médicos del Mundo Spain began to develop programs and projects for Maternal and Child Health (SMI) in Mauritania, evolving since 2000 to programs and projects on Sexual and Reproductive Health (SRH), a field in which and a long experience in different continents and countries. Throughout these years of presence in the country, Médicos del Mundo has carried out more than thirty interventions of both development and humanitarian action. In the field of development, interventions have focused on the strengthening of Primary Health Care (PHC) in different settings and places: the strengthening and decentralization of tuberculosis services at the national level (Nouakchott with the creation of Assaba, Hodh El Garbi, Hodh El Chargui, Nouadibou) and improving access to primary health care for the population in Nouakchott, Nouadibou and the Trarza region. In the field of humanitarian action, the organization has responded to health emergencies of various kinds: cholera (Nouakchott), floods (Hodh El garbi / Tintan), expulsions of immigrants (Nouadibou) and the response to the successive nutritional crises that the country is experiencing since 2012, among others. Likewise, it maintains contingency plans in its areas of action to be able to act in case of need. Operationally as the most recent background and as actual projects, it is worth mentioning: - The reinforcement of sexual and reproductive health services in Nouakchott and Guidimakha through the creation of the first two units of care and treatment of victims of sexual violence in the country in the intervention areas already mentioned and the holistic work on the violence based on gender, specifically child marriages, female genital mutilation, conjugal and sexual violence. -The care and treatment of children under 5 years of age in situations of severe acute malnutrition and prevention at the community level. -The strengthening of health structures and health personnel through training supervisions with a vision of universal health coverage and gender equity. Currently, and with a focus on equity and human rights, MdM develops its activities of institutional strengthening of the health system focused mainly on primary health care in the field of nutrition, sexual and reproductive health and protection of children in situations of vulnerability in the Guidimakha region and in the city of Nouakchott, where several projects are implemented with the aim of strengthening access to social services for women, adolescents and children. Likewise since 2016, MdM works directly in the field of gender-based violence, more specifically in sexual violence and in female genital mutilation, ensuring the right to access integrated and quality basic services (doctors- psychological-legal) in collaboration with the Ministry of Health, civil society organizations, WHO and the United Nations system.
Operational details & security context
Médicos del Mundo works in Mauritania in two geography areas: Nouakchott and Guidimakha. Each of the field offices counts with a house of passage and the offices of work for all the teams in the town centers. We have 5 cars pick up.
In terms of human resources, the MdM mission team in Mauritania is composed of thirty-two (32) people between Guidimakha and Nouakchott, the capital (a finance, accounting manager, a country logistics manager and a head of administration-log at level of Guidimakha base). Coordination with headquarters in Madrid is done on a regular basis to ensure proper planning, implementation and monitoring of activities.
With regards to technical and financial partners in the field, Médicos del Mundo works in close collaboration with the Directorate of the Social Register of the country, the Ministry of the Interior, the Ministry of Health and the Ministry of Women, the Family and the Ministry of Health. childhood (MASEF) at the central level. Regarding the decentralized level we work in collaboration with regional health, Islamic affairs and MASEF of Nouakchott North, East, West and Guidimakha. We collaborate with schools of public health and high schools and public schools. Médicos del Mundo participates at the national level in all consultation frameworks concerning health, GBV, human rights and Nutrition in general and discusses with international technical and financial partners such as WHO, UNICEF, IOM, UNFPA, human rights office of the United Nation System, the European Union, the French Embassy, AECID / OTC and international NGOs. As national partners, we work with 4 civil society organizations: SOS PE, AMSME, AFCF and Action.
In relation to the security, Médicos del Mundo is part of the national security meetings with the rest of international partners to assess the state of security. Currently the security situation in the country is stable. The first risk is the traffic accident. For this, the organization counts with a plan of response and adapted risk, which is followed and respected by all the national team and expatriate. Médicos del Mundo in its policy of neutrality, works more on the acceptance and the protection of the personnel and the assets of the organization and to do so, it has put in place security management tools which are always validated by the headquarters in Madrid. The security rules will be shared with all volunteers for an acquaintance prior to their deployment in the field. Assistance is also available from headquarters, including a security officer, a gender advisor, and a psychological intervention protocol for emergencies.
In terms of health, vaccination against yellow fever is mandatory, even if it does not ask us to enter the country. It is to be done in an approved center. Anti-malarial treatment is to be expected, as well as vaccines for food hygiene (typhoid fever and hepatitis A.). MdM has a list of health structures, specialists and reference laboratory when needed. Namely that the volunteer will have international health insurance in case of major need and medical expatriation, as well as evacuation protocols.