Organization: Clinton Health Access Initiative
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 Senior 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 Global Fund application, and to support capacity building efforts throughout this process.
The Senior 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 Senior 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 Sustainable Health Financing Team in Malawi, the Senior Associate will help strengthen the capacity of MoHP and NAC, and support the development of revised HIV and TB NSPs to inform the development of the next GFATM concept note (2021-2023).
- Support MoHP and NAC to lead a series of consultations and workshops to review the current TB and HIV NSPs, including conducting an assessment of programmatic progress to date against targets set within the 2021-2026 HIV NSP.
- Support MoHP and NAC in convening thematic and prioritization workshops with technical experts and national stakeholders to finalize forward looking goals, objectives, strategies, interventions, activities, and targets for the NSPs.
- Oversee CHAI’s technical role in modelling the epidemiological impact of identified priority interventions in the TB and HIV NSPs.
- Oversee CHAI’s support to MoHP and NAC in costing updated TB and HIV NSPs.
- Ensure the revised, costed TB and HIV NSPs are used to inform GFATM concept note development, through providing technical assistance and detailed budgeting to support stakeholders to develop the GFATM concept note budget.
- Support prioritization of interventions within the concept note to ensure the proposed activities fit within the overall GFATM allocation, including understanding the targets and associated costs for each activity.
- Support the development of a financial gap analysis for interventions included within the GFATM concept note.
- Support the creation of analytical frameworks to guide intervention and budget development for the health systems components of the GFATM application.
- Develop strategies for building capacity of national stakeholders to routinely undertake costing and prioritization exercises and embed a capacity building approach across the above activities.
- 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 five years of professional experience, at least three of which should be in finance, public health, health research, public policy, health economics, health financing, strategic management or other relevant private and public sector experience.
- Knowledge of the TB and HIV prevention, treatment and care landscape.
- 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.
- Knowledge and experience in strategic planning.
- Strategically minded and able to think creatively about long-term program goals and objectives, and the detailed steps necessary to achieve these goals.
- 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.
- Strong diplomatic and interpersonal skills and ability to build strategic relationships with government partners, donors and other stakeholders at senior levels.
- Demonstrated ability to deliver excellence in high-pressure situations, set priorities and adapt to rapidly changing environments.
- Excellent organizational and problem-solving skills without need for extensive structural or operational support.
- Strong writer, facilitator 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 in developing donor funding proposals.
- Experience with programming/coding.
- Experience conducting large-scale secondary research, analysis, and reporting.
- Experience in shaping or contributing to national health policy decisions.
- Experience working with Goals/Optima Modelling Frameworks.