Director of Nursing & Midwifery, General Medicine

Midwife, Nurse
Kono, Freetown
February 21, 2026
Fixed Term
Application ends: March 6, 2026

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Job Description

Job Title:   Director of Nursing & Midwifery, General Medicine
Work Location:Primarily based in Kono, could also be required to work at other PIH SL sites as necessary
Department:Clinical
Report to: Hospital Administrator
Requisition No:4703
Line Management Yes
Position Overview
The Director of Nursing & Midwifery, General Medicine will play an integral role in leading PIH-SL in the expansion of General Medicine services – including Internal Medicine, Emergency, NCD, Pharmacy and Radiology, Surgery, Critical Care, and Anesthesia at PIH supported facilities. The Director will work in close collaboration with their service counterpart, the Medical Director, General Medicine, their cadre counterpart, the Director of Nursing & Midwifery, RMNCAH, and MOH to ensure that high-quality and evidence-based care is being delivered across the entire Koidu Government Hospital (KGH) campus and network of peripheral health units (PHUs). The Director will serve as part of the Joint Hospital Management Committee and PIH’s Senior Management Team, and will be responsible for implementing key PIH and MOH strategic objectives that fall within general medicine services. 

The ideal candidate must have a deep commitment to social justice, be adept at working in limited-resource settings and has great interpersonal and communication skills. The candidate must also have well-documented nursing and midwifery experience, particularly in the service areas listed above. This position is open to both national and international candidates.

Essential Duties and Responsibilities: 
Overall General Medicine Services Strategy and Leadership (50%)

  • Work in close collaboration with their service counterpart to develop and implement the overall nursing  and midwifery strategy in general medicine across PIH supported facilities, including both at KGH and the PHUs. 
  • Provide primary clinical oversight and leadership of the following services/ departments: Internal Medicine, Emergency, NCD, Pharmacy and Radiology, Surgery, Critical Care, and Anesthesia.
  • Establish and maintain strong partnerships with both local and central MOH stakeholders, especially the Directorate of Nursing and Midwifery and the Nursing and Midwifery Council, to continuously ensure that our plans and strategies are aligned with their most updated plans and strategies.
  • Establish and maintain partnerships across OnePIH Nursing and Midwifery to ensure alignment with strategy.
  • Develop, manage, and track annual budgets to support organizational objectives. 

General Medicine Clinical Care and Support (50%)

  • Oversee the delivery and quality of nursing and midwifery care in general medicine services across PIH-SL–supported sites, ensuring high standards of service and systematic identification and resolution of performance gaps.
  • Work in close partnership with their service counterpart and the health information system team to monitor medical programing and promote a culture of data driven decision-making and evidence-based practice.
  • Strengthen leadership and clinical capacity within the general medicine services by implementing structured mentorship and capacity-building initiatives that contribute to sustainable health system strengthening.

Other

  • Other duties as delegated by the line manager and that fall within the scope of work and role level.
  • This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the postholder.
Education and Work Experience Requirements: 
  • BSc or Masters level training as a nurse-midwife with a minimum of 10 years of combined clinical and health programmatic experience. License must be active.
  • Minimum of 5 years’ experience in global health delivery in resource-limited settings and experience designing, implementing, and managing nursing and midwifery programs.
  • Minimum of 5-10 years of experience in a senior leadership and management position with demonstrated ability of effective communication and leadership across diverse groups of stakeholders.
  • Demonstrated ability of project management at a high strategic level to interact with organizational senior management teams, including proficiency in budget management, program monitoring, management of large and multidisciplinary staff, etc.
  • Proven experience and interest in providing clinical education, training, or mentorship to health workers.
  • Proven commitment to PIH core values, including social justice and humility, and a demonstrated capacity working across multicultural and multidisciplinary teams.
Organisation Profile 
Partners In Health (PIH) is a global health and social justice organization that responds to the moral imperative to provide high-quality health care globally to those who need it most. We currently work in 11 countries, including Sierra Leone, where we strive to ease suffering by placing patients at the center of all care, bringing the benefits of modern medicine to all. In Sierra Leone, PIH is committed to strengthening long-term health system in support of the Ministry of Health (MOH), guided by public sector accompaniment, integrated and comprehensive services, and a commitment to advancing health equity. Partners In Health has built the Maternal Center of Excellence (MCOE) as an expansion of the Koidu Government Hospital in Kono district to raise the standard of care for mothers and newborns in Sierra Leone. A cutting-edge facility, the MCOE expands the campus of Koidu Government Hospital, dramatically increasing the number of beds, services, and facilities available to mothers and babies. By introducing new technology, investing in training for health care workers, and offering a preferential option for the poor, this cutting-edge facility will also prove what is possible as a model for care across the continent and beyond.
Misconduct Disclosure
Partners In Health Sierra Leone is dedicated to preventing unwanted behaviour in the workplace, including sexual harassment, exploitation, abuse, financial misconduct, and ensuring the welfare of those we serve. We expect all staff, consultants, contractors, vendors, and volunteers to uphold these values as outlined in our code of conduct.

The successful candidate will receive appropriate training and must adhere to the organisation’s safeguarding policies. Employment offers are contingent upon satisfactory references and screening checks, which may include criminal records and terrorism finance checks.

As a participant in the Inter Agency Misconduct Disclosure Scheme, we request information from previous employers about any instances of sexual exploitation, abuse, or harassment. Additionally, Partners In Health Sierra Leone will share records of such misconduct with other agencies upon staff departure, ensuring transparency and accountability. By applying, candidates acknowledge and agree to these recruitment procedures

Method of application
Interested candidates are required to apply through our website: www.pih.org/employment. In your application, please ensure to include names, addresses, email addresses and telephone numbers of three (3) referees not later than 12:00pm GMT (Midnight) on Friday, March 6th, 2026