Founded in 2002, by President William J. Clinton and Ira C. Magaziner, the Clinton Health Access Initiative, Inc. (“CHAI”) is a global health organization committed to saving lives, reducing the burden of disease and strengthening integrated health systems in the developing world.
Despite substantial improvements in child health in Uganda since 1990, the country’s under-five mortality rate is still high at 64 per 1000 live births in 2016. 60% of preventable deaths among children in Uganda are caused by malaria (25%), pneumonia (19%), or diarrhea (17%). Government of Uganda distributes lifesaving commodities free of charge through the public health system however frequent stock-outs of essential and life-saving medicines and commodities have been a critical factor hampering child health services. Over the years however, absolute funding for medicines has increased and efforts have been put on training of health care workers of all levels of care, support to NMS and JMS to improve their business processes, management information systems and enterprise resource plans and expansion of storage capacity. Tools for promoting rational use of medicines like the Essential Medicines List and the Uganda Clinical Guidelines have been updated and are available in facilities. Efforts need to be redoubled to support harmonization of procurement and management systems, coordination and rationalization of their use, and strengthening NMS and JMS. Working with the private sector to overcome barriers such as high costs, proper formulation and packaging of these commodities is also critical.
Large facilities frequently lack access to the required medicines and equipment to treat severe childhood illnesses. For example, majority of pediatric wards in higher level public facilities do not have functioning pulse oximeters and dedicated access to oxygen. Even when oxygen equipment is available it is often not properly maintained, leading to frequent non-functionality and inconsistent supply. For severe malaria, IV Artesunate supply remains a challenge due to a limited source of sustainable financing. Additional cross-cutting challenges for higher level facilities include poor order accuracy. There is a lack of data on availability of lifesaving drugs and equipment at higher level facilities (e.g. pediatric masks, nasal tubes and 2nd and 3rd line antibiotics etc).
The Senior Coordinator - ICH will provide technical assistance to enhance access to and appropriate use of life-saving commodities for the prevention and management of malaria, diarrhea and pneumonia among children aged less than five years at facility and community levels. The Senior Coordinator will also help the Ministry of Health and National level warehouses to strengthen the internal capacity required to deliver those commodities to end users and ensure providers optimize use. Furthermore, the Senior Coordinator will support the implementation of a pilot study in three districts in Uganda designed to generate evidence on maximizing operational feasibility of the use of pre-referral QA rectal artesunate (QA RAS) for suspected severe malaria case fatality rate at community level in Uganda.
The Senior Coordinator will report to the ICH Program Manager and will work closely with the Ministry of Health (MOH) and District Health Offices and CHAI partners to support the effective implementation of the CHAI integrated child health program with specific focus on the Public Sector.
We place great value on the following qualities: flexibility, resourcefulness, responsibility, persistence, independence, energy, and work ethic. The Coordinator must be a strategic thinker with the exceptional quantitative and coordination skills. He/she must be a highly motivated individual with outstanding academic credentials and a strong record of achievement.