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 and Position Overview:

CHAI’s Health Systems Strengthening (HSS) team works with governments to build stronger, more resilient, and more equitable health systems, ensuring that everyone, especially the most vulnerable, can access high-quality primary health care. We support Ministries of Health to increase and optimize health spending, strengthen national systems (e.g., workforce, digital infrastructure, supply chains), and implement cross-cutting reforms that drive long-term improvements in service delivery and health outcomes. This includes work to improve the efficiency, equity, and impact of health financing systems – from resource mobilization and budgeting to strategic purchasing and public financial management. It also includes complementary work to strengthen the health workforce, including critical reforms to optimize workforce education/training, deployment, regulation, and performance management systems.

In Malawi, the goal of CHAI’s HSS program is to support the Ministry of Health (MoH) in operationalizing the Health Sector Strategic Plan III (HSSP III) through strategic initiatives in health financing and workforce development. By aligning scarce external/domestic resources and enhancing evidence-based workforce development and distribution, the program aims to build a sustainable and efficient health system that supports delivery of quality, affordable, accessible and integrated care. The CHAI Malawi HSS team works closely with the MoH and District Councils to sustainably strengthen health systems at the national, district, and facility levels.

In response to growing financial pressures and shifting donor landscapes—including recent U.S. government funding cuts—CHAI is also leading a high-priority initiative to help countries navigate the risks of declining aid while using this moment as a catalyst for reform. This includes identifying and addressing urgent gaps, reprogramming and reallocating resources, and laying the foundation for more sustainable and integrated systems.

CHAI Malawi seeks a Senior Associate, Integrated Health Systems, based in Lilongwe, Malawi. The Senior Associate will work closely with the Government of Malawi to support the transition towards integrated, sustainable, and government-led health systems. The Senior Associate will report to the Senior Program Manager, Health Financing and Health Workforce, within the office’s Health Systems Strengthening Cluster.

This is a challenging but rewarding position which will directly impact the government’s capacity to respond to Malawi’s changing health financing landscape and deliver person-centred health services for the country’s population. It presents an opportunity to work closely with a government that is committed to finding opportunities for sustainable financing of the health sector and delivering a stronger health system for the people of Malawi.

Supporting the transition toward integrated health worker cadres

• Develop a roadmap for transitioning and integrating HIV service delivery roles previously held by donor-supported cadres into sustainable, government-recognized positions. The roadmap will provide clear guidance on how key functions (e.g., facility and community diagnostics, community-based psychosocial support, HIV treatment adherence) will be reassigned to existing cadres and how previous disease-specific health workers can be upgraded to government-recognized cadres that deliver integrated care across a wide range of disease conditions
• Support the Medical Council of Malawi, the Ministry of Health’s Department of Human Resource Management and Development, and other relevant Ministry of Health technical units to absorb key disease-specific roles that were previously supported by donor funding into formal, integrated cadre structures, including task-shifting and regulatory implications
• Engage with training institutions, regulatory bodies and the relevant Ministry of Health Directorates to review and align pre-service education and in-service training curricula to support the transition and role reallocation process, particularly for cadres absorbing psychosocial support and diagnostic responsibilities

Advancing integrated health system planning, funding alignment, and resource mobilization

• Provide technical assistance to the Ministry of Health in strengthening and institutionalizing its “One Plan, One Budget, One Report” reform by operationalizing a multi-year planning and resource mapping approach based on service delivery targets and integrated health system inputs
• Ensure that the roadmap for the integrated health worker cadres and other strategies responding to the changing funding landscape, such as those for holistic supply chain quantification and sustainable digital health systems supported by other CHAI Malawi clusters, are incorporated in the revised, multi-year “One Plan”
• Provide intensive technical assistance to support the Ministry of Health to utilize the revised “One Plan” for the upcoming Global Fund application and other resource mobilization opportunities
• Collaborate with the Ministry of Health to bolster the operationalization and monitoring of the multi-year “One Plan” and promote the allocation of external and domestic resources towards identified priorities through dissemination and engagement with the health sector’s Technical Working Groups, Health Donor Group, and Human Capital Enabler Group

Cross-cutting

• Build strategic relationships and facilitate meetings with government, donors and external stakeholders to drive operational and policy changes
• Backstop fundraising and resource mobilization efforts for the team, including through targeted technical and coordination support and proposal development
• Coordinate across CHAI Malawi clusters to develop and review program workplans, budgets, and reporting for internal and external audiences
• Lead preparation of activity budgets and ensure timely liquidation of all activities once completed, in line with CHAI and donor best practices and policies for sound financial management
• Lead activity logistics in collaboration with the CHAI Finance and Operations teams, including disbursing allowances to meeting participants and ensuring that services such as venue hire, conferencing, printing, etc. are available for activities as relevant
• Perform any other relevant duties and lead day-to-day implementation of activities as assigned.

• Master’s degree in health systems, health economics, public health, health sciences, public policy, or similar subject preferred; bachelor's degree with relevant experience will also be considered
• Minimum of three years of professional experience, preferably in health systems strengthening, health financing, health economics, health workforce, public health, public policy, public sector finance, consulting, or other relevant experience
• Knowledge and experience in health systems, health financing, and/or health workforce, particularly in low- and middle-income countries
• Outstanding analytical skills and advanced proficiency with Microsoft Excel and PowerPoint
• Strategically minded and able to think creatively about long-term program goals and objectives, and the detailed steps necessary to achieve these goals
• Structured thinker with experience analysing and interpreting complex datasets to identify key trends and to translate them into actionable options for decision-makers
• Strong diplomatic and interpersonal skills and ability to build strategic relationships with government partners, donors and other stakeholders
• Demonstrated ability to deliver excellence in high-pressure situations, set priorities, and adapt to rapidly changing environments
• Excellent organizational and problem-solving skills without need for extensive structural or operational support
• Strong writer, facilitator, and oral communicator, able to distil and explain complex concepts to varied audiences, with demonstrated skills in report and proposal writing.

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