Clinton Health Access Initiative

Technical Advisor, Vaccines Markets

South Africa
Full Time
Program (Division)
Country Programs - South Africa


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:


Overview of CHAI’s Vaccines Program


To ensure all children have access to effective and affordable immunization, addressing the main causes of child mortality, CHAI’s Vaccines Markets Team works with vaccine manufacturers, Gavi and other global stakeholders to improve availability, affordability and diversity of supply for existing and future Gavi vaccines. In doing this, CHAI is applying the techniques it has used successfully to improve access to HIV/AIDS and malaria treatment: improving market demand transparency for individual suppliers, and working closely with these suppliers to optimize their commercial, costing and pricing strategies in low and middle income markets, to ensure availability of vaccines, keep prices in these markets affordable, yet commercially sustainable.


As part of this work, CHAI is supporting Gavi and other stakeholders to improve access to vaccines for non-Gavi and former-Gavi middle income countries, through policy as well as supplier and country guidance on vaccine access and procurement. These middle income countries sometimes lag behind lower income countries in introducing new vaccines, as they cannot rely on donor funding and visibility on access conditions for suppliers may be limited.


Close collaboration with CHAI’s country teams and global vaccine delivery team is critical in this area of work.


Since 2011, CHAI has worked in vaccine market shaping and has negotiated price reductions for major vaccines. For example, earlier work has resulted in a reduction in the price of rotavirus vaccine by two-thirds, resulting in savings of over USD$600M for global donors and governments over 5 years and a reduction in the price of pentavalent vaccine by 45%, generating savings of $150M over 4 years.


Some selected news articles about CHAI’s work on access in vaccines and other areas are listed here:


WHO press release, January 2018

WHO press release, April 2013

The pandemic context has only reinforced the importance of CHAI’s Vaccines Markets team’s work, coupling the need to ensure supply security for existing vaccines, for which demand and supply dynamics are being disrupted, with the need to accelerate time to market of a suitable COVID-19 vaccine on an unprecedented time frame. CHAI is working closely with many partners towards this goal.


Overview of CHAI South Africa


Over the last few decades, South Africa’s Department of Health (DoH) has made significant progress in increasing access to vaccines in South Africa. However, service delivery challenges still exist. To address these challenges, CHAI South Africa’s (CHAI SA) team is supporting the DoH at national, provincial and district levels to implement a broad range of activities, across demand generation, supply chain strengthening, service delivery expansion, quality improvement and strengthened program monitoring and evaluation, aimed at significantly increasing uptake of quality health services.


The Clinton Health Access Initiative (“CHAI”) strives to be an equal opportunity employer and promotes fairness, respect, equality and dignity in the workplace. CHAI welcomes applications from all qualified individuals and encourages people from historically disadvantaged groups to apply.


The Technical Advisor will be part of the CHAI Vaccines team working to achieve affordable yet sustainable global vaccine prices and supply. The Advisor will report into the South Africa team and work closely with the Global Vaccine Markets and Global Vaccines Delivery teams.


Responsibilities include but are not limited to the following:


South Africa Country team

  • Develop a deep understanding of decision-making processes for vaccine introduction (including for COVID-19), product switches, procurement processes, and financing considerations in South Africa
  • Design and implement strategies to share relevant routine market intelligence on vaccines with immunization stakeholders in-country to inform and influence priority decision-making (e.g., identify relevance of new vaccine insights to countries based on pipeline candidates and commercially-available products)
  • In collaboration with other CHAI teams, foster strong relationships with and support country stakeholders in immunization policy, procurement and implementation (e.g., analytical and coordination support related to vaccine product selection, new vaccine introduction and switch decision-making)
  • Support efforts to optimize procurement policy and support evaluation of tender offers to optimize tendering outcomes (i.e., improved access to affordable products)
  • Understand healthcare dynamics, regulatory policies, price and access pathways and anticipate new trends that may influence the access environment
  • Develop market access roadmaps and readiness assessments prior to new product introduction
  • Act as key point of contact in-country for any discussions related to vaccines markets (e.g. engagements with vaccine supplier(s) and/or other global partners)

Global Vaccines Markets team

  • Contribute insights from middle income countries to support supplier engagements (e.g., demand forecasting, supplier access strategies, regulatory access) and global/regional middle income country initiatives (e.g., Immunization Agenda 2030, Africa MIC Regional Pooled Procurement, UNICEF’s Vaccine Procurement Practitioners Exchange Forum)
  • Lead development of a robust understanding of decision-making processes for vaccine introduction (including for COVID-19), product switches, procurement processes and financing considerations in base and middle income countries in the region (e.g., Algeria, Eswatini, Namibia) and synthesize insights to become CHAI’s thought leader on vaccine procurement in middle income countries
  • Pro-actively liaise between CHAI Global Vaccines Markets and South Africa and eSwatini Country Teams to share bi-directional insights and proactively identify areas for deeper collaboration (e.g., to support South Africa’s new vaccine introduction priorities)
  • Lead development of effective working relationships with partners in South Africa and middle income countries in the region and support regional efforts to improve vaccines affordability and access
  • Prepare reports, presentations, and other analyses to inform global policy, supplier and country practices for enhanced vaccine procurement and access in middle income countries
  • Coordinate the development and implementation of national and regional market access plans


  • Any other duties as required
  • Domestic and international travel may be required


  • Minimum Bachelor’s degree with strong academic performance required
  • 5 or more years of professional experience, in a role that demonstrates an ability to manage complex projects, conduct quantitative (e.g., forecasting) and qualitative analyses and work across multiple teams
  • Demonstrated ability to build strong relationships with individuals of varying levels of seniority
  • Strong problem solving and critical thinking skills, robust analytical and quantitative analysis skills
  • Excellent oral and written communication skills
  • Excellent interpersonal skills, with ability to work effectively in a multi-cultural and remote environment
  • Ability to work independently and effectively in high-pressure, fast-paced environment and handle multiple tasks simultaneously
  • Strong commitment to teamwork, team mission, and hard work 


  • Experience working with vaccine manufacturers or pharmaceutical industry
  • Experience working in South Africa or other middle-income countries in vaccines/other health-related areas and having an established network in these locations, ideally including knowledge of/experience working with government(s)
  • Experience living and working in low-resource settings
  • Advanced degrees in management, public health, or other relevant fields




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