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ASO/MCC: General/Oncology Surgeon - Nigeria
Jos, Plateau State
The Federal Republic of Nigeria, with approximately 170 million citizens, is the most populous African nation and the ninth most populous country in the world. While English is its national language, three recognized regional languages and more than 450 other known languages testify to this West African nation's incredible diversity.

Most Nigerians struggle with the tedious tasks of survival. Consumer prices continue to rise, creating increased hardship on the average citizen. The average life expectancy is 52 years; 70% of the population lives below the poverty line.

The internet is full of interesting information/sites about Nigeria. It is suggested that workers learn all they can; they can also feel free to ask questions.

Economically, Nigeria has experienced great fluctuations; the trend in the last 35 years has been downward. Boosted by the oil boom of the 1970's, the economy prospered -- only to plunge as the price of oil bottomed out. Widespread corruption drained off millions of Naira. Nigeria remains almost totally economically dependent on oil, despite its numerous natural and human resources.

While the average Nigerian still holds out hope for things to ultimately improve in their country, serious problems continue. "The government faces the daunting task of reforming a petroleum-based economy, whose revenues have been squandered through corruption and mismanagement, and institutionalizing democracy. In addition, defusing longstanding ethnic and religious tensions are a priority if Nigeria is to build a sound foundation for economic growth and political stability." [CIA World Fact Book]

Nigerian currency comes in Naira. There are Naira notes in denominations of five, ten, twenty, fifty, one hundred, two hundred, five hundred and one thousand Naira. The Naira fluctuates in value.

The largest language groups are Hausa in the north, Yoruba in the west, and Ibo in the east. Hausa is the common trade language throughout northern and central Nigeria, which includes areas with many smaller groups. Members of these smaller groups speak their own language and learn Hausa as a second language to get along socially and commercially. English is the official language in Nigeria. People with a secondary school education know English, whereas less educated and rural people speak only their tribal language and/or Hausa, Yoruba or Ibo.

Nigeria is a tropical country in the northern hemisphere, between four and fourteen degrees north of the equator. In Plateau State there are two distinct seasons: a dry season from October to April, and a rainy season from May to September. During the dry season, harmattan dust fills the air and obscures the sun, lowering temperatures considerably. March and April are the hottest months. The rains bring cooler weather. In Central Nigeria the rainfall is about 40 inches annually. The North receives 10-15 inches annually. In areas where MCC has involvement, temperatures range from 70-115°F (20-50°C), except on the Plateau. With an elevation of 4000 feet, the Plateau has a temperature range of 55-95°F (12-36°C).

Major religions
Religions practiced in Nigeria tend to be regionally and ethnically based. This situation accentuates regional and ethnic distinctions and has often been seen as a source of sectarian conflict among the population. Many conflicts termed “religious conflicts” are in reality political or tribal issues. Christians and Muslims are almost equally divided, together making up about 90% of the total population. [Wikipedia]

Electricity is often sporadic with lengthy blackouts. Electricity is 220 volts, 50 cycle. Rural areas may have no electricity or a generated supply certain hours of the day.
Jan 07, 2019
Ideally, candidates could serve for 2 months
All MCC workers are expected to exhibit a commitment to: a personal Christian faith and discipleship; active membership or participation in a Christian church; and nonviolent peacemaking. MCC is an equal opportunity employer, committed to employment equity. MCC values diversity and invites all qualified candidates to apply.

Anabaptist Service Opportunities Expectations:  Living expenses (food, lodging, in-country transportation, etc.) are provided by MCC. The short term volunteer(s) would cover travel expenses to and from assignment, carry their own health insurance and provide a monthly contribution ($500 suggested donation).  Applicants for this position must be legally eligible to be employed in the U.S. (Preference is for candidates age 55 and up.)

- Board certified professional in relevant field.
- Willingness to walk alongside people, with a non-discriminatory attitude toward race, gender, social status, religion, etc.
- Ability to take initiative, work independently, be outgoing and to be a self-starter, but also to work as part of a team.
- Strong human relations skills, with the ability to listen/facilitate group process.
- Willingness to learn Nigerian style patient care and medical management.
- Able to work in a stressful environment.

- Creativity in problem-solving a plus.
Invitations to serve with MCC are contingent on the successful outcome of criminal background check(s)
MCC Nigeria seeks a General/Oncology Surgeon to work in conjunction with the relevant staff, including volunteers, to develop/assist in implementing a more organised surgical service at Faith Alive Foundation -- an evangelical Christian, non-profit, medical and social services center which strives to meet the needs of humanity in a holistic way. This position would be supervised by Dr. Christian Isichei and other medical doctors.
Limited dental care available; Security issues; Occasional evening and weekend work; Limited dietary options
The General/Oncology Surgeon would be seconded to Faith Alive Foundation (FAF), an evangelical Christian non-profit organization, established in 1996 in Jos.

FAF envisions a self-sustaining, internationally recognized, medical and social services center which meets the needs of humanity in a holistic way. To be able to accomplish this vision, FAF seeks “to serve humanity by expressing God’s love through compassionate voluntary services and the provision of free holistic healthcare and social services for improved quality of life. FAF provides a full range of medical, social & spiritual care and support to those in need, particularly those affected by HIV/AIDS”. More information about Faith Alive Foundation can be found on their website:

Faith Alive operates small satellite clinics in outlying areas so that patients don’t need to travel great distances to receive care at the main hospital in Jos. These sites include Kafanchan and Bakin-Kogi (Kaduna States), Yola (Adamawa State) with Faith Alive clubs in secondary schools, Andaha (Nasarawa State), and Fobur and HwolYarje (Plateau State) Outreach Centers.

A specific schedule will be arranged between the short term Surgeon and their supervisor, so as to accommodate the participant’s individual strengths, qualifications, and/or interests.

Possible duties may include the following:
● Assist mainly in surgeries, but also at clinics, pre & post operatively and with ward rounds. Routine surgeries occur mainly on Thursdays, Fridays and occasionally Saturdays. The short term Surgeon may also wish to be involved in emergency surgeries
● Assist in research, mentoring and policy formation, such as surgical standard operation procedures/auditing, including use of checklists and sterilization/standard precautions.
● Provide mentoring, training, support, advice, and facilitation of learning for Faith Alive staff in its quest for standardized patient care, especially in surgeries.
● Work with staff on some diagnostic procedures such as ultrasound, use of available digital X-ray machine, VIA, etc.
● Capacity Development and Learning.
In a reciprocal manner, the short term Surgeon will help with the development of staff's surgical and patient care capacity:
a) In addition to being part of the Faith Alive surgical team, coordinate with the Daily Health Talk Organizer to help out with occasional health talks to patients and staff (on surgical as well as spiritual issues).
b) Guest lecture to the surgery department of Jos University Teaching Hospital and at Faith Alive’s clinical meetings held on Fridays 3-4pm in various disciplines, including surgeries. Surgeries and HIV/AIDS are topical issues at Faith Alive Foundation and Hospital.
c) Help in the administration of chemotherapy and counseling/follow up for surgical patients, especially oncology patients.
● Palliative Program.
There is currently an epileptic palliative care program at Faith Alive that needs resuscitation in every aspect.
a) Faith Alive, being a comprehensive holistic health center, believes in a FROM BIRTH TO DEATH concept and has a standard delivery suite, pre-natal/labor/delivery and post-natal programs that strongly believe in male involvement.
b) There is also a cemetery for patients abandoned to Faith Alive's ministry.

Some possible challenges to be aware of are:
• Jos will be cold and dusty from October to February.
• The local diet would include fish/seafood and, in many homes, there is a heavy use of peanut products in daily food preparation.
• High levels of pollution (from automobiles, burning trash, etc.)
• Outside of Jos, there would be long distances to emergency medical care; long distance walking/biking may also be required.
• North American standard dental care is not available.
• Professional counseling and mental health services are extremely limited.
• There is political instability & security issue are high, though Jos is very calm now and conditions are improving.
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