Psychiatrist for the Dr. Mario Pagenel Fellowship in Global Mental Health Delivery 192 views


Position Title:  Psychiatrist for the Dr. Mario Pagenel Fellowship in Global Mental Health Delivery

Location: Haiti

Organizational Profile:

Partners In Health (PIH) is an international health organization relentlessly committed to improving the health of the poor and marginalized. PIH partners with local governments to build local capacity and works closely with impoverished communities to deliver high-quality health care, address the root causes of illness, train providers, advance research, and advocate for global policy change. 

PIH currently has implementation programs in Haiti, Rwanda, Lesotho, Liberia, Malawi, Peru, Mexico, Russia, Sierra Leone, Navajo Nation (New Mexico) and Rosebud (South Dakota) . Through our partnership with Harvard Medical School and the Brigham and Women’s Hospital, we support a wide range of programs in dozens of other countries around the world. 

General Responsibilities:

The Dr. Mario Pagenel Global Mental Health Delivery Fellowship with Partners In Health (PIH), is a placement in Haiti with Partners In Health’s sister organization, Zanmi Lasante (ZL), in collaboration with the Haitian Ministry of Health (MSPP). Since the January 2010 earthquake, the MSPP has prioritized mental health as a central component of Haiti’s effort to rebuild its health care infrastructure and services, with the ultimate goal of a national mental health plan and decentralized mental health services. 

The Fellowship honors Dr. Mario Pagenel, beloved ZL physician and Director for Training and Medical Education, who perished in Haiti’s 2010 earthquake. Dr. Pagenel had a special interest in psychiatry, mental health, social medicine and health equity. 

Following the earthquake, PIH/ZL worked to implement a comprehensive, Haitian-led response to our patients’ mental health needs, more than tripling the size of our mental health and psychosocial team. As PIH/ZL has worked to coordinate activities within the context of a broader national response, it has continued to expand psychosocial support and mental health services in both its existing catchment areas and in new ZL-supported settlements in Port-au-Prince, integrating mental health and psychosocial support with medical and community-based interventions. By September 2010, the ZL mental health and psychosocial support team had offered more than 10,000 support services in Port-au-Prince spontaneous settlements alone, including psycho-education, counseling, and individual and group therapy. PIH/ZL has staffed each of its hospitals in the Central Plateau and Artibonite Valley with a full complement of Haitian psychologists, social workers and social work assistants, with the aim of delivering services and developing a comprehensive continuum of care for mental health needs spanning the community to the hospital. By building capacity through the employment, training and mobilization of Haitian mental health clinicians, PIH/ZL seeks to develop locally feasible and sustainable structures for mental health care and, over time, to establish generalizable models for a system of mental health service delivery to serve Haiti and its people. With the breaking of ground for construction of a world-class teaching hospital at Mirebalais, there will be a timely opportunity to develop a model hospital-based, public-sector mental health service. 

The Fellowship provides an opportunity for career development in global mental health delivery for post-graduate psychiatrists. It offers a combined focus on training, research and advocacy. The fellowship will consist mostly of service delivery, and includes an academic research component.

Over the course of the year, the Fellow will develop an area of academic focus in global health related to mental health service delivery, selecting an academic mentor with expertise in their area of interest. Fellows will therefore have the opportunity to collaborate in and develop mentored research and educational projects, and will have the option of participating in ongoing research efforts. To facilitate career development in global mental health, Fellows will be eligible to attend a 3-week intensive summer program in Global Health Effectiveness at Harvard Medical School and Harvard School of Public Health.

Global mental health delivery fellows will be based in Haiti for one or two years.

Specific Responsibilities:

  • Developing strong productive relationships with site-based colleagues to identify core challenges to the quality of mental health care and devise collaborative plans for improvement
  • Accompanying local health care workers (physicians, nurses, psychologists, psychiatric nurses, social workers, social work assistants and community health workers) in developing their capacity to implement new program initiatives and quality care interventions in mental health
  • Sharing clinical expertise at the bedside and through didactic teaching
  • Supporting strengthening of a model mental health service at the District (general) Hospital level
  • Liaising with the country’s Ministry of Health; and
  • Developing an area of academic focus in research or education related to global mental health delivery.


  • We are recruiting a board-eligible or board-certified psychiatrist to join us. Applications are due by March 1, 2019, for a Summer 2019 start date. We welcome candidates with backgrounds and interests in: 
  • Collaborative learning.
  • Teaching and mentorship.
  • Specialty interests, for example in consultation-liaison psychiatry, child and adolescent psychiatry, and emergency psychiatry.
  • The improvement of healthcare within the public sector.
  • Community outreach, primary care, and hospital based tertiary care.
  • Research in global mental health delivery.
  • Some proficiency in Haitian Creole and conversational French is strongly preferred.
  • Applicants must be prepared to commit to at least 75% time in Haiti over the duration of the fellowship.
  • A strong interest in social justice and health care issues. 

Application Materials Required:

  • A one-to-two page document summarizing your experiences and interest in the Pagenel Fellowship. Please summarize why you are interested in working in Haiti and what skills and expertise make you best suited to serve there.
  • CV with the names of two references and their contact information
  • Applications are due March 1, 2019 for a Summer 2019 start date. 
  • We have separate applications for both the Haiti and Rwanda positions. Applicants need only to apply to one of these positions (whichever location is preferred) and state location preferences in the cover letter.

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