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.
The William J Clinton Foundation (WJCF, India), an affiliate of CHAI, has been working in India in close partnership with and under the guidance of the Ministry of Health and Family Welfare (MoHFW) at both the Central and States’ levels on an array of high priority initiatives aimed at improving health outcomes for people living with HIV/AIDS, TB, Hep C, Cancer and Immunization; providing effective care and treatment for children suffering from malnutrition, diarrhoea, pneumonia, and malaria; and helping increase access to quality family planning services within the RMNCH+A framework. WJCF focuses on improving market dynamics for medicines and diagnostics, lowering prices for treatment, accelerating access to life-saving technologies, and helping build capacity required for high-quality care and treatment programs.
With an estimated annual mortality of ~800,000 and an incidence of more than 1.7 million new cases in 2020 (source PBCR Report, ICMR), cancer has rapidly grown into one of the leading drivers of mortality and morbidity in India. Cervical cancer, with an annual mortality of ~60,000 and an incidence of ~100,000 (source ICMR), is the second most common cancer among women in India. Approximately, 90% of cervical cancer cases are detected at a late (stage III and above), leading to a high Mortality Incidence Ratio (MIR of more than 60%). Five-year survival rate for early-stage cervical cancer is 73.2%, whereas the prognosis for advanced stage is poor, with five-year survival rate at 7.9%. Low awareness, limited availability of trained human resources and technology for treatment, broken referral systems and inadequate monitoring are key barriers in access to quality cancer care.
In 2019, CHAI initiated a program on secondary prevention of cervical cancer through improving access to and strengthening screening and treatment (of pre-cancerous cervical lesions) services. The program initiated catalytic support through technical assistance to the Government of Madhya Pradesh, where CHAI is supporting the state and district health departments to,
The program is embedded in the state governments’ program on strengthening access to screening and management of non-communicable diseases including common cancers.
With the objective of expanding access to quality cancer care across India, CHAI is working towards scaling up the technical assistance efforts to other State Governments in India including Punjab, Chhattisgarh, Sikkim and Tamil Nadu. Learnings and best practices through implementation of the program in Madhya Pradesh – including on capacity building of service providers on screening and treatment, deployment of devices for treatment of cervical pre-cancerous lesions, and collaterals to mobilize eligible beneficiaries in communities for screening – will be leveraged to catalyse and strengthen systems and processes to increase and strengthen access to screening and treatment for cervical cancer prevention. This is expected to significantly inform discourse and policy on cervical cancer prevention at a national scale.
CHAI seeks a highly motivated, entrepreneurial individual with relevant skills to anchor the initiative in respective states. Candidates must have excellent problem-solving ability, leadership, communication and writing skills, be able to function independently, familiar with public health program services, and have a strong commitment to excellence. The State Program Manager must be able to lead a team of associate/s, analyst/s, and independent consultant/s, coordinate the operations through cross-functional teams, and deliver the work with strong commitment towards excellence. CHAI places great value on relevant personal qualities: resourcefulness, responsibility, tenacity, independence, energy, and work ethic.