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.
CHAI Ethiopia is currently carrying out a wide range of programs to support the Federal Ministry of Health in improving access to and increasing the quality of health services. As one of CHAI's largest field offices with more than 170 staff, the Ethiopia office operates programs across health workforce development; maternal, newborn and child health; HIV/AIDS; nutrition; vaccines; and health financing.
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 17 million health workers, and the shortage is expected to further worsen in Africa and Southeast Asia by 2030. Although the workforce landscape in every country is unique, governments of most low-income countries face two major barriers to workforce scale-up: (1) Production constraints, namely the ability of national universities and schools to provide high quality pre-service training at scale for the cadres and specialties required to meet service delivery demands, and (2) Financing constraints, primarily but not limited to the capacity of the government to finance health workforce production, and salaries. As such, CHAI's Health Workforce Programs focus primarily on achieving transformative, long-term improvements in the quality and scale of pre-service education that are complemented by interventions to improve the financial and management sustainability of an expanded workforce.
CHAI assists governments to design, mobilize resources for and implement health workforce strategies that move beyond marginal improvements toward transformational changes in the quantity and composition of their workforce. Specifically, in many contexts, CHAI supports governments to develop health workforce strengthening programs that emphasize the following areas: 1) strengthening the capacity (faculty, infrastructure, management) of national training institutions, and 2) improving governments' capacity to optimally deploy, finance and manage their health workers.
CHAI currently has active health workforce programs in Liberia, Malawi, Sierra Leone and Zambia; a new program in Ethiopia will begin in 2018.
Ethiopia Project Background
As a part of its commitment to achieving Universal Health Coverage, the Government of Ethiopia has prioritized national investments in the public health sector to increase the availability and quality of specialty health services with emphasis on connecting rural communities to district-level and referral facilities. Toward this end, the Federal Ministry of Health (FMOH) requested CHAI to develop academic partnerships to scale up training of medical specialists based on CHAI's experiences with similar programs in Rwanda and Liberia. In order to ensure that this work aligns with national service delivery needs, CHAI will collaborate with FMOH to set national targets for prioritized cadres (including select medical specialists and the mid-level providers who enable delivery of specialist services), establish educational quality standards for relevant training programs, and design and resource a comprehensive program to strengthen and scale-up training of targeted cadres.
CHAI will approach this work in two phases: during Phase I (2018), CHAI will develop medical specialist staffing targets for Ethiopia's district and referral facilities, establish national training standards for five priority medical specialty programs, and conduct assessments against these standards at existing medical specialty training programs and associated clinical facilities. This work will inform the development of a costed, prioritized strategy to strengthen medical specialty programs; CHAI will support the government to mobilize resources and engage partners to implement this strategy. During this phase, assessment, planning and quality improvement will likely be focused on medical specialty programs in internal medicine, obstetrics and gynecology, pediatrics, surgery, and anesthesiology.
During phase II (2019), CHAI will develop guidelines and conduct similar assessments for mid-level providers who are integral to the delivery of specialty services, such as nurse anesthetists and OR technicians, as well as primary care providers more generally, who play a key role in the referral system that generates demand for specialty services. This work will inform a costed strategy to scale production and improve quality of the mid-level providers required to achieve Ethiopia's vision of high quality, accessible specialty services.
The CHAI team deployed during Phase I will design, collect, and synthesize data from 12 existing and 4 proposed training hospitals across Ethiopia and work closely with stakeholders in Government, the health education sector, and INGOs to inform program design. The team will rely on clinical experience from global and domestic experts, and work closely with the CHAIâ€™s Global Health Workforce Team to leverage CHAI's health workforce experience in other countries.
CHAI is seeking a highly motivated individual with outstanding technical and managerial capabilities to guide program strategy, provide technical input and oversight for a large-scale health workforce intervention being designed in Ethiopia, and other projects as required. This individual will play a critical role supporting the CHAI Ethiopia country team to develop: national minimum standards/guidelines for priority residency training programs, national evidence-based and financially feasible staffing targets for medical specialists, training institution and training hospital assessments, and the development of a costed investment plan to improve the quality and quantity of priority specialists in Ethiopia. The Program Manager will work directly with the CHAI Ethiopia Senior Program Manager, who is tasked with leading the CHAI Health Workforce Team in Ethiopia, to inform program design and manage and provide technical assistance on key deliverables.
The Global Health Workforce team has engaged in similar design phases in Liberia, Malawi, Rwanda and Zambia. The Global Team's Ethiopia Program Manager will draw on the collective health workforce team knowledge-base to provide targeted support to the Ethiopia effort, and will be responsible for coordinating technical inputs from the Global Health Workforce team as well as drawing lessons learned from other country programs.
The novelty of the assessments being developed and conducted, the scale of the program being designed and the ambitious timeline by which to accomplish this cannot be overstated. In addition, the Program Manager may have up to 25% of her time allocated to supporting program design and implementation in other CHAI countries and/or with other vertical CHAI teams. The desired candidate must be able to multi-task effectively and have experience supporting health system strengthening program design using analytical approaches. Successful candidates must have a passion for results, a commitment to evidence-based policy, and a demonstrated capacity to work in high-stress environments. This position will report to the CHAI Global Health Workforce Team Associate Director.
The role will involve travel up to 60% and can be based in the United States or any of several CHAI program countries in East or Southern Africa, pending leadership approval.
 Liu, Jenny X., et al. "Global health workforce labor market projections for 2030." Human resources for health 15.1 (2017): 11.
The Program Manager will support the CHAI Ethiopia Senior Program Manager and the CHAI Ethiopia team in each of the following areas:
Analytical Technical Assistance
Intervention Design and Resource Mobilization