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 skill sets and life experiences. CHAI is deeply grounded in the countries we work in, with the 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 & Country Overview

Governments in many African countries have committed to the goals of sexual and reproductive health and rights (SRHR) and Universal Health Coverage (UHC).[1] However, financing and strengthening health systems to deliver on these commitments and address SRHR inequities has remained a challenge. Many factors including, poor resource mobilization and utilization, onset of COVID-19; the pandemic have strained both domestic resources for health and health systems, making it harder for the increasing numbers of poor and vulnerable people to access sexual and reproductive health (SRH) services as part of an essential package of primary health care (PHC) services. Nigeria has some of the world's worst development and health outcomes. One in 34 women will die due to maternal health causes, and family planning needs are met for only 35.7 percent of women aged 15-49. The needs for SRHR are very high, with its maternal mortality rate ranked the fourth highest worldwide according to the World Bank in 2017 and will likely only increase with Nigeria's population set to double from 200 million in 2019 to 400 million by 2050. Although Nigeria guaranteed health insurance (the Basic Health Care Provision Fund) through federal law in 2014, each state is responsible for delivering and ensuring access to health care and services. Health insurance coverage remains limited, mainly reaching only those who are employed in the formal economy and leaving an estimated 70% of people paying out-of-pocket for health services.

The Clinton Health Access Initiative (CHAI), with funding from the Swedish International Development Cooperation Agency (Sida), is providing technical assistance to governments in Sub-Saharan Africa to strengthen health systems for SRHR and UHC that are resilient to current and future challenges and that meet the needs of these vulnerable populations. CHAI aims to address financial, management, and delivery constraints that prevent people from seeking care and affect health systems’ ability to provide quality, gender responsive services. In Nigeria, we work closely with governments of Kaduna, Kano and Rivers states to meet the needs of the vulnerable populations. Part of our long-term strategy for sustainable health financing is to develop a health financing revenue generating model that consolidates all sources for SRHR service delivery as part of the broader PHC service package in the program states. The program will support the State Health Insurance Agency (SHIA) and the State Primary Health Care Board (SPHCB) to implement these strategies to improve enrolment as well as allocate increased domestic funds to purchase SRHR and other PHC services with the aim of reducing out of pocket spending.

CHAI’s overarching goal is to accelerate regional progress towards UHC and SRHR, by strengthening health systems to sustainably increase equitable access to quality, integrated PHC and SRH services. CHAI’s work supports governments to:

• Define priorities, inclusive of integrated PHC and SRHR, and link priorities to resource allocation.
• Mobilize external and domestic resources for these priorities. 
• Extend financial protection through pooling and pre-payment systems that are responsive to vulnerable groups including women, adolescents, children, and especially the poor
• Improve efficiency, equity, and accountability in how available funds are managed and used to pay for prioritized services; and
• Identify and address management and systems constraints to integrated, gender responsive, quality PHC and SRHR; constraints that persist even after policies, plans, and financing are in place.

CHAI is seeking a highly motivated and resourceful individual as a Senior Analyst to support CHAI Nigeria’s primary health care financing program. The Senior Analyst will be based in Kaduna state and work with a dynamic team of people with diverse backgrounds from CHAI’s Nigeria country office. The Senior Analyst will report to the Senior Program Manager, PHC Financing.

[1] [1] Universal Health Coverage (UHC) in Africa: a framework for action. (2016) Washington, D.C.: World Bank Group. http://documents.worldbank.org/curated/en/735071472096342073/Main-report

• Conduct in-depth budget tracking and other sources of funding assessments with the Kaduna state teams.
• Facilitate a participatory process of evidence-based costed and phased PHC improvement plan development.
• Support the development and ground-testing implementation of PHC plans within a few initial LGAs/Health facilities to deliver the package of services, including the development of micro-plans to guide the ground-testing.
• Develop evaluation strategies and methods for the evaluation of implementation of PHC improvement plans, and ensure documentation of lessons learned and best practices and course correction.
• Conduct SRMNCH needs assessments and gap analyses to understand the preferences of the vulnerable population to generate evidence on the type of services that should prioritize/included to inform updates to the health benefit package.
• Support the key ministries, departments and agencies to identify, mobilize and increase visibility on external and domestic funds through resource mapping and expenditure tracking to ensure adequate and quality services are provided to enrolled beneficiaries in the health insurance schemes in the state.
• Work with the state governments to design context-specific strategies to expand coverage of state health insurance schemes to informal sector and vulnerable populations.
• Support the state health insurance agency and other key ministries, departments and agencies to define and establish a framework that explicitly prioritizes the needs of the vulnerable groups, women and children in the state.
• Work with CHAI state teams to build the management and organizational capacity of state health insurance agency.
• Support program state to develop and cost Vulnerable Population coverage expansion strategy and ensure and facilitate the inclusion of the plan into the state annual budget/MTEF.
• Support the program intervention design including capacity gap assessments in the health insurance agencies, gaps assessment in the implementation of basic health care provision fund in the state.
• Conduct capacity strengthening activities on Basic Health Care Provision Funds and financial management for the state health insurance agency and the state primary health care board.
• Support the state primary healthcare management board to develop yearly annual operational plans and monitoring processes to improve Sexual and Reproductive Health (SRH) and Primary Healthcare service delivery.
• Support the primary healthcare facilities to efficiently manage capitation funds from the basic health care provision fund and insurance schemes to inform changes in guidance and accountability mechanisms.
• Participate in and sometimes, lead, donor engagement calls including providing regular team updates to CHAI global team colleagues.
• Disseminate learnings including through global summits, sessions at conferences, team calls, and development of case studies.
• Stay abreast of the evolving health financing and Primary Health Care landscape, monitoring key trends in the field, and support learning within the country health financing team and across.
• Take initiative to identify new opportunities and take on other responsibilities as needed and as requested by the Senior Program Manager and Country Director.

We are seeking a proactive and resourceful individual with strong analytical and communication skills for this role. Specific requirements include:

• A Master’s degree with 5–7 years of experience including experience in the health sector in low- and middle-income countries; experience supporting Government public institutions for health is an advantage
• Program management experience, working end to end from strategy development to proposal development, through implementation, monitoring and evaluation and reporting, as well as program budgeting
• Ability to write persuasively using evidence and to explain complex concepts to a variety of audiences including donors and partners as well as senior government
• Strong facilitator and oral communicator able to explain complex concepts to a variety of topics and ideas
• Ability to handle multiple tasks simultaneously and quickly adapt to changing environments
• Entrepreneurial attitude, ability to self-motivate and propose new ideas and solutions
• Full proficiency of Microsoft Word, Excel and PowerPoint
• Strong interpersonal skills and proven ability to build relationships in a multicultural 
• Ability to multitask and to be effective in high-pressure environments
• Excellent organizational and problem-solving skills, and the ability to mentor and coach others.

Advantages

• Experience working in strategy consulting
• Experience working in public health
• Experience working with national and/or sub-national Governments/Ministries of Health in developing

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