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 strengthen and sustain high-quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org
CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.
CHAI Health Workforce Background:
A skilled health workforce is the backbone of every health system and therefore an essential precondition for progress toward universal health coverage (UHC). However, the WHO estimates that there is a global shortage of 18 million health workers. The gap is most acute in Africa (with a shortage of 4.2 million), which bears 24% of the global burden of disease yet has only 4% of the world’s health workforce.
CHAI assists governments to develop their health workforces by enhancing their capacity to train highly qualified health workers and by strengthening national systems to finance, deploy, and manage those health workers. CHAI’s approach to health workforce strengthening is context-specific, and depends significantly on the nature of the challenges and opportunities in a given country. In several cases, CHAI has partnered with government leaders like those in Liberia and Rwanda to plan for and implement long-term, national pre-service training scale-up programs designed to dramatically increase the number of health care providers in the country—from community health workers to pediatric surgeons. This work involves supporting government leaders to set the vision for the future workforce, ensure absorption capacity for those workers, and then develop and mobilize resources for detailed costed plans to expand training capacity in select pre-service training programs for health workers through investments in infrastructure, equipment, faculty development, and visiting faculty to fill gaps and rapidly increase scale. In other contexts, significant workforce expansion may not be possible, so CHAI instead works with governments to get the best out of their existing workforces through management interventions that ensure health workers are effectively deployed, supported, trained, and supervised. These kinds of interventions can be particularly critical at the primary care level, where governments may not have the ability to dramatically expand their primary care workforces, but seek opportunities to improve the availability and quality of essential services provided at that level. Community health workers are proven to be cost-effective in expanding access to critical preventive, promotive, and basic curative services. Community health systems play an essential role in connecting people to the care they need, and CHAI has worked with governments in several countries to design, refine, and scale national integrated community health models that deliver essential primary care services, reduce verticalization and fragmentation, and improve health access and outcomes.
Currently, CHAI is focused on health workforce programming in Ethiopia, Kenya, Liberia, Malawi, Nigeria, Rwanda, Sierra Leone, Zambia and Zimbabwe.
This role will work with CHAI’s Health Workforce Global Team, which provides strategic and technical support across CHAI’s health workforce portfolio. This position will be at least 50% dedicated to a project in Nigeria designed to improve utilization of gender-responsive and essential SRMCH services for vulnerable groups in six states. The position will also support various analytical and other project workstreams on the CHAI Health Workforce Team, including a multi-country project to support health worker interventions for scale up of COVID-19 testing. The primary work will involve supporting the Nigeria team in structuring HRH analyses and identifying interventions to improve health worker availability as well as performance. Opportunities may include designing and conducting analyses to improve deployment/distribution of health workers, informing supervision schemes and initiatives to improve performance and quality, and adapting HRH related tools to the Nigerian context, all with the goal to ensure appropriate staffing for primary health care facilities to provide a minimum package of services.
In addition, the Associate will support the CHAI Health Workforce Global team with other projects as required. One such project will be in conjunction with the CHAI Laboratory Services Team to support COVID-19 testing expansion in countries across Africa through development of interventions related to governance, health worker training, information systems and more. Other projects could include but not limited to supporting analytics to help Ministries develop national health worker targets for prioritized cadres as well as modeling health worker training enrollment scale-up to meet targets. The candidate will work across several country programs and will have additional cross-cutting responsibilities supporting the CHAI Health Workforce Global Team and, therefore, must have a demonstrated ability to produce high quality work independently and manage multiple workstreams. The ideal candidate is highly familiar with key health systems strengthening concepts and approaches and topics in health workforce development.
This position will report to a Manager on the CHAI Health Workforce Global Team, who will provide technical guidance and oversight to the position. The role will ideally be based in Nigeria but can be flexibly based in any of several CHAI program countries in Africa, depending on work permissions. The extent of travel required for the role will be dependent on COVID-19 travel policies.