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Medecins Sans Frontieres / Doctor without Borders (MSF), founded in 1971, is an international
humanitarian organization that provides emergency medical assistance to population in danger in more than 60 countries. MSF has been present in Nigeria for 20 years. Médecins Sans Frontières is an international independent medical-humanitarian organization, which helps populations in distress, to victims of natural or man-made disasters and to victims of armed conflict, without discrimination and irrespective of race, religion, creed, or political affiliation.

MSF is a civil society initiative that brings together individuals committed to the assistance of other human beings in crisis. As such MSF is by choice an association. Each individual working with MSF does it out of conviction and is ready to uphold the values and principles of MSF.

Job Title: Referral Nurse

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Location: Maiduguri, Borno
Level: 05
Employment type: Fixed term – Contract starting with 6 months
Contract: 208 working hours per month

Main Purpose

  • Ensure the follow-up and management of patients (MSF-staff or beneficiary) in need of referral to a third level health facility, in accordance with the Mission’s policy and referral criteria.

Job Description

  • Ensuring the management of patients referred.
  • Together and in coordination with the project team and the logistics department, organizing the movement of patients and caretakers and accompanying medical staff (when necessary).
  • Within Maiduguri, accompanying the patient to the most appropriate hospital, according to the patient’s pathology and the competencies/specialties of each of the selected structures and according to the mission’s referral policy, to ensure the best possible care.
  • Ensuring regular monitoring of the patient’s progress, with regular visits to the health facilities, participation in ward rounds of our patients, and discussions, if necessary, with the staff, making sure that the treatment is given, and the diagnostic tests are performed within the established criteria.
  • Ensuring that MSF patients do receive timely treatment (are not being kept unnecessarily) for no logical reason in order to avoid additional costs for MSF.
  • Informing the line manager in case of difficulties in management.
  • Taking care of administrative issues related to referrals (completion of patient files, counter-referrals, invoice control, appointments, etc.).
  • Ensuring the regular update of the referral table of each project and send them on a weekly basis for a good follow-up of the evolution of referred patients.
  • Ensuring that the counter-referral file is sent to the projects once the patient is discharged from the health facility.
  • MSF focal point in the hospitals where the patients are referred, were the interlocutor with the nursing staff (nurses, doctors, surgeons) and administrative staff of the health structures involved.
  • If necessary, supporting the department in other areas related to patient management (sending samples, tracking specific drugs with the Ministry of Health and others).
  • According to the national staff health policy, following up on patients (MSF staff) referred to the selected hospitals.
  • Evaluate/validate/schedule (in communication with line manager) needed services outside the framework agreement.

MSF Section/Context Specific Accountabilities

  • Being based in Maiduguri, provide a comprehensive and efficient link between the Gwoza General Hospital and referral hospitals in Maidiguri.
  • Regular communication with patients and caregivers, from reception at the referral hospital, following the patient journey, advocacy on the patient’s behalf as required.
  • Regular communication with the line manager and other hospital Gwoza General Hospital management to ensure the patient receives the best possible care, in the shortest amount of time (including transportation back to Gwoza)
  • Timely reporting of any challenges in patients receiving the best possible care
  • Contacting the line manager in case of ANY questions.
  • Only approving health care as agreed in the MOU with MoH.
  • Any other tasks as agreed by both Referral Nurse and line manager.

Requirements
Education:

  • Registered nurse or other health specialization required
  • Course in tropical medicine desirable
  • Valid practicing license

Experience:

  • 2 years’ Experience in similar contexts
  • Experience with MSF or other INGO and collaboration with Ministry of Health institutions is required
  • Language: English and Hausa Languages Fluently written and spoken
  • Knowledge: Computer literacy in Microsoft office suite
  • Competencies: Commitment to MSF Principles, Behavioural Flexibility, Stress Management, Results and Quality Orientation, Teamwork and Cooperation, Service Orientation.

Renumeration

  • As per MSF salary scale (National contract).

Application Dealine 
15th July, 2025, at 5:00 PM.

Method of Application 
Interested and qualified candidates should Go Click bottom below to Apply.

CLICK HERE TO APPLY ONLINE

Note

  • Submit your motivation letter, updated CV, and relevant academic certificates through the form. Fill in the required details and attach the requested documents.
  • Only electronic applications will be considered.
  • Physical or hard copy submissions will not be accepted at this time. We thank all applicants for their interest, but only short-listed candidates will be contacted for the recruitment process.
  • MSF is committed to achieving workforce diversity in terms of gender, race, nationality, and culture.
  • Individuals from minority groups, indigenous groups and persons with disabilities are encouraged to apply.
  • We are committed to achieving a balanced gender distribution and therefore encourage women to apply.
  • All applications will be treated with the strictest confidence.
  • MSF provides a work environment that reflects the values of gender equality, teamwork, integrity and a healthy balance of work and life.
  • MSF does not tolerate sexual exploitation and abuse, any kind of harassment, including sexual harassment and discrimination.
  • Women and People with Disabilities are encouraged to Apply.

The post Referral Nurse at Medecins Sans Frontieres (MSF) – Spain appeared first on Advert By Dotifi .Com Domains for almajiri.com.ng | Best African Hausa Music Blog, Entertainment ,News and Gossips .

By 9jabook

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Cheap, potent, and widely smuggled (often from India and other Asian countries), it offered users energy, euphoria, and pain relief — appealing to commercial drivers, laborers, students, and young men seeking confidence or stamina. Scale of the Problem: Millions of tablets seized annually by NDLEA. High prevalence among young males aged 15–35. Linked to increased crime, sexual violence, organ damage (kidney failure, seizures), and mental health breakdowns. Contributed to broader opioid misuse alongside codeine cough syrups. Government responses included tighter import controls and public awareness campaigns, but these only displaced demand to other substances rather than eliminating it. Phase 2: The Rise of “Canadian” (Mid-2020s) “Canadian” or “Canadian Loud” emerged as a popular code for high-grade cannabis (often indica-dominant strains) or cannabis mixed with other synthetics. It gained traction as users sought alternatives or combinations to Tramadol’s effects. This phase marked a move toward imported or locally cultivated premium weed, sometimes laced with stronger chemicals. Youths in urban centers like Lagos, Kano, Jos, and Onitsha embraced it for its perceived “cleaner” high compared to opioids. However, it fueled polydrug use — combining cannabis with opioids, sedatives, or alcohol — amplifying health risks. Phase 3: Exol-5 – The Current Threat (2024–2026) Exol-5 (Benzhexol Hydrochloride / Trihexyphenidyl 5mg), originally a prescription medication for Parkinson’s disease and drug-induced movement disorders, has become the latest pharmaceutical being heavily abused. Why Exol-5? Euphoric Effects: Users report intense euphoria, hallucinations, and a sense of detachment — making it attractive as a cheap “upper” or escape. Accessibility: Sold over-the-counter or on the black market despite being a controlled prescription drug. 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Why This Evolution Continues Supply-Side Failures: Porous borders, corrupt officials, and overproduction of pharmaceuticals enable diversion. Demand Drivers: Unemployment, poverty, peer pressure, trauma, and the pursuit of performance enhancement (e.g., for “hustle” culture). Weak Regulation: Many pharmacies sell restricted drugs without prescriptions. Online and street vendors fill gaps. Displacement Effect: Cracking down on one substance (Tramadol/codeine) pushes users and dealers toward the next available option. NDLEA reports ongoing large seizures, but the problem persists due to high profitability and low risk for mid-level distributors. Broader Impacts on Nigerian Youths Education: Increased dropout rates and poor academic performance. Mental Health: Rising cases of psychosis and depression. Economy: Lost productivity among the working-age population. Crime and Violence: Drug-fueled robberies, cultism, and family breakdowns. Public Health System Strain: Overburdened hospitals treating overdoses and chronic complications. Young people aged 15–39 remain the hardest hit, with national surveys showing drug use prevalence significantly above global averages. What Must Be Done Stronger Enforcement: Consistent prosecution of corrupt enablers and large-scale traffickers. Regulation: Crackdown on rogue pharmacies and better tracking of prescription drugs. Prevention & Rehabilitation: School programs, community outreach, and expanded treatment centers (currently woefully inadequate). Economic Alternatives: Address root causes like youth unemployment. Public Awareness: Honest campaigns highlighting real dangers of “Exol-5” and similar drugs. Conclusion From Tramadol’s opioid grip to “Canadian” cannabis culture and now Exol-5’s anticholinergic highs, Nigeria’s drug crisis is mutating faster than responses can contain it. Exol-5 represents the dangerous new frontier — a legitimate medicine turned youth destroyer due to misuse and greed. Without urgent, multi-layered intervention — combining supply disruption, demand reduction, and socioeconomic support — an entire generation risks being lost to addiction. The time for half-measures is over. Nigeria’s future depends on winning this fight.