The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries, while strengthening the capabilities of governments and the private sector in those countries to create and sustain high quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org
CHAI’s sustainable health financing program is working in 10 countries to support Ministries of Health to substantially and sustainably improve access to essential health services for their populations. Health financing is often insufficient and overly reliant on donors and individuals paying out of pocket at facilities. Low income countries in Africa and South East Asia see over half of the global disease burden, are home to 40% of the global population and account for only 3% of health spending. Donor contributions for health have plateaued, and in many countries are likely to decline in the coming years. Domestic resources for health are increasing, but the rate of growth in government spending dedicated to health fluctuates and is often insufficient to meet population needs. In addition, resources that are made available may not be spent efficiently. Healthcare providers face stock-outs, ration services among patients and charge informal or formal user fees, which can act as a deterrent for patients, and particularly the poor, to seek care.
CHAI’s sustainable health financing teams work with governments and key stakeholders to remove financing as a barrier to increased coverage of life saving interventions. Staff members work closely with Ministry of Health partners, to support evidence-based decision-making and design systems to mobilize sustainable resources and ensure those resources go as far as possible so that providers can deliver quality care and patients can access that care.
The goal of the CHAI Sustainable Health Financing program in Malawi is to support the government to progressively move towards universal health coverage through sustainably bringing more resources into the health sector and to ensure they are distributed and utilized equitably, efficiently and effectively for the delivery of high quality health services. The CHAI Malawi Sustainable Health Financing team works closely with departments across the Ministry of Health and Population (MoHP) to provide technical assistance, develop analytical tools, and strengthen capacity to manage spending in Malawi’s heavily donor-supported health sector.
In addition to challenges in financing essential services, Malawi continues to face high disease burdens in HIV/AIDS, tuberculosis, and malaria. All of these programs are predominantly donor-financed. In the 2017-2018 fiscal year, 99% of committed resources for HIV/AIDS were financed by donors, primarily the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), which is the largest health sector donor, and contributed 28% of the total health sector budget. CHAI works with the Government of Malawi to develop robust and prioritized GFATM concept notes, and to support strengthened management of these funds.
As the country is poised to develop its next GFATM concept note for the period 2021-2023, CHAI seeks a Associate, Sustainable Health Financing to provide technical assistance to the Government of Malawi (GoM) to improve the availability and efficient allocation of HIV and TB resources through development of robust, evidence-based and costed TB and HIV national strategic plans (NSPs), to translate these into a successful, prioritized GFATM application, and to support capacity building efforts throughout this process.
The Associate will be based in Lilongwe, Malawi and will report to the Technical Advisor, Sustainable Health Financing, within the Universal Health Coverage and Sexual, Reproductive, Maternal and Newborn Health Cluster. The Associate will work closely with the MoHP, including the Department of HIV and AIDS (DHA), the National AIDS Commission (NAC), and other core stakeholders in the TB and HIV landscape. This challenging and rewarding position will have direct and immediate impact on the lives of thousands of citizens. It presents an opportunity to work with a committed government and group of stakeholders toward sustainable and efficient financing for health in Malawi.
Working in close collaboration with the Senior Associate, Sustainable Health Financing in Malawi, the Associate will support the development of revised HIV and TB NSPs to inform the country’s next GFATM concept note (2021-2023).
- Play a strong technical role in modelling the epidemiological impact of identified priority interventions in the HIV and TB NSPs.
- Update all unit costs used in the previous NSPs according to the current landscape and model interventions across priority areas using different cost scenarios.
- Support timely prioritization and completion of TB and HIV NSPs, including robust costing and M&E frameworks.
- Provide intensive budgeting support to stakeholders to develop the GFATM concept note budget, including developing costing assumptions for all proposed interventions.
- Generate data and provide to MoHP, including DHA, NAC and stakeholders on programmatic targets and associated costs to enable decision-making on prioritization of interventions to include within the GFATM allocation.
- Participate in and help coordinate stakeholder consultation meetings throughout the TB and HIV NSP revision and GFATM concept note development process, including consultations to review progress against targets in the current NSPs, and to set priorities for the revised NSPs and GFATM concept note.
- Work closely with NAC and DHA to identify and develop tools to improve ability to effectively coordinate and manage the HIV response as per the goals and objectives included in the forward looking NSP.
- Perform any other duties assigned by the Technical Advisor, Sustainable Health Financing.
- Master’s degree in Economics, Health Economics, Public Health, Public Policy, Finance or similar subject preferred; Bachelor’s degree with relevant experience will also be considered.
- Minimum of three years of professional experience, at least two of which should be in finance, public health, health research, public policy, health economics, health financing, or other relevant private and public sector experience.
- Experience in costing and developing financial and/or epidemiological models.
- Knowledge and experience in health systems and health financing and/or public sector financing, particularly in low- and middle-income countries.
- Outstanding analytical skills and advanced proficiency with MS Excel, MS Word and PowerPoint.
- Structured thinker with experience analyzing complex datasets to identify key trends and to translate them into actionable options for decision makers.Diplomatic and interpersonal skills and ability to build relationships with government partners, donors and other stakeholders.
- Demonstrated ability to deliver excellence in high-pressure situations.
- Excellent organizational and problem-solving skills without need for extensive structural or operational support.
- Strong writer and oral communicator, able to distill and explain complex concepts to varied audiences.
- Experience working in resource-limited settings, in particular in Sub-Saharan Africa, and in a multicultural office environment.
- Experience working with government ministries and/or multilateral or bilateral donors.
- Experience with programming/coding.
- Experience conducting large-scale secondary research, analysis, and reporting.
- Experience working with Goals/Optima Modelling Frameworks.