The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.

CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.

At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: 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.

Program Overview

CHAI’s health financing program is working with countries across Sub-Saharan Africa to support Ministries of Health, Finance and government insurers to substantially and sustainably improve access to essential health services for their populations, towards the goal of universal health coverage. 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. 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; a deterrent for patients, and particularly the poor, to seek care. Even when patients can afford these fees and funds are available, primary health care systems are often fragmented and weak. This situation has been exacerbated with the onset of COVID-19 and ensuing economic crisis which is putting pressure on resources at a time when more health spending is needed.

CHAI’s health financing strategy supports governments to address these challenges by supporting priority setting and benefits package design, investment in upgrading health systems to deliver an optimized package of services and strengthening or improving domestic financing through public financial management and strategic purchasing. At the request of governments, our strategy for health financing is expanding to include work in health systems and management, with a focus on building primary health care systems towards the goal of UHC. This work builds on CHAI’s experience in SRMNCH, health financing and workforce.

At CHAI, staff members work closely with government partners, often with permanent desks in government offices at national and sub-national levels, to support evidence-based decision making and design systems to ensure those resources go as far as possible so that providers can deliver quality care that patients can afford and access. The global health financing team works closely with health financing advisors based in Sub-Saharan Africa.

Role Overview

CHAI seeks a Senior Associate, Health Financing with strong analytical and communication skills and relevant experience in health financing and primary health care systems, to support country teams and governments on their health financing efforts. The Senior Associate will work across a portfolio of countries with a focus on Francophone West Africa, including Burkina Faso and Benin.

This is a challenging, fast paced and rewarding position. This position offers a unique opportunity to work closely with governments who are leading change in the region to achieve universal health coverage. The Senior Associate will provide health financing technical assistance to country teams and governments, help shape CHAI emerging primary health care and health financing strategy and play a key role as part of a growing global health financing team responsible for building out new areas of work for CHAI across sub-Saharan Africa.

The Senior Associate will report to a senior program manager in the global health financing team and work closely with the rest of the team, health financing country teams and governments, and various global teams including Maternal, Newborn & Reproductive Health, Human Resources for Health, Global Markets and others. This position has flexibility to be based in Ouagadougou or Cotonou, pending CHAI country leadership approval.

This role requires up to 50% travel within the Sub-Saharan Africa region with a focus on Francophone West Africa and amount of travel will vary based on needs and in accordance with travel restrictions.

• Act as a key focal point to a set of countries with a focus of Francophone West Africa. As part of this role, support governments and country teams supporting governments in developing and implementing health financing strategies and reforms, including for improved resource mobilization and pooling, strategic purchasing (including priority setting and benefits package design and provider contracting and payment), and financial management. This will include a mix of thought partnership and technical advisory to teams and government stakeholders, and of content creation including the development of literature reviews, concept notes, excel tools, quantitative and qualitative analyses, and training materials.
• Proactively share learnings from other countries and source the appropriate experts from CHAI global and country teams and from CHAI global network to support country programs on technical and strategic topics.
• Design and conduct cost and impact analyses, and other quantitative analyses that help assess opportunities to improve efficiency, effectiveness, and sustainability in health financing for countries in scope of support. Provide training and coaching to teams on analytics, including in the areas of costing, scenario modelling, and budgeting.
• Support the design, implementation and analysis of health system diagnostics, which will aim to support governments map the financing and management bottlenecks for effective service delivery at facility and community levels. Document learnings from those diagnostics in the form of internal knowledge materials or case studies.
• Contribute to shaping CHAI Global Health Financing knowledge sharing approach and support continuous knowledge sharing across countries. This includes the development of relevant documents, publications, and case studies, and the planning and facilitation of learning events including the health financing summits and monthly calls.
• Contribute to CHAI’s strategy on health financing and primary health care globally and at country level, including in country programs.
• This will include participating in strategy sessions, sharing learning from in country work, and developing materials such as strategy documents, concept notes, and proposals.
• Maintain technical expertise in health financing and stay abreast of key challenges.
• Other responsibilities as requested by manager.

• Advanced degree in health economics, public health, public policy, or other relevant disciplines preferred;
• A minimum of 5-6 years of years of experience in a relevant field (e.g. health financing, health economics, financial management, public health, health systems) in the public or private sector with increasing responsibilities;
• Experience working in Sub-Saharan Africa and base location in a program country is required;
• Affinity for analytics and information management, with strong analytical, problem solving, and quantitative modeling skills;
• Demonstrated experience leading complex projects, from strategy design to implementation, preferably in the public health sector;
• Excellent communication and presentation skills with the ability to write in a clear and concise manner, including for technical documents such as national plans and guidelines;
• Direct experience working with government institutions, informing development of government strategy, policy, and operational plans, preferably in health financing or health system;
• Ability to think strategically, handle ambiguity and work in a very fast-paced, limited-structure, multicultural environment;
• Entrepreneurial mindset, including ability to work independently, self-motivate, and take initiative;
• Ability to learn on the job quickly and absorb and synthesize a broad range of information;
• High level of proficiency in Microsoft Office, particularly Excel, PowerPoint, and Word;
• Oral and written fluency in French and English.

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