• Associate, Immunization Strategy and Service Delivery

    United States
    Full Time
    Program (Division)
    Sexual Reproductive Maternal Neonatal and Child Health - Global Vaccines
    Additional Location Description
    Flexibility to be based in a CHAI program country, pending country team leadership approval.
  • Overview

    The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries, while strengthening the capabilities of governments and the private sector in those countries to create and sustain high-quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org


    CHAI works in close partnership with country governments as well as with implementing partners and other major stakeholders to identify the key obstacles to access and scale-up of essential health services, and to develop sustainable strategies to overcome them. To do this, CHAI applies diverse approaches and skills, beyond the ones traditionally used in global health, including those from the private sector.


    CHAI is driven by its mission and a set of values that are integral to its work.


    Overview of CHAI's Vaccines program

    Immunization is one of the most successful public health interventions in history. National immunization programs reach >100 million infants every year and have averted globally two to three million deaths every year since the launch of the Expanded Program for Immunization (EPI) in 1974[1], whilst the pneumococcal conjugate vaccine (PCV) and rotavirus vaccines could save ~1 million lives per year[2]. Furthermore, great advances in discovering and financing new vaccines provides a great opportunity for countries to further reduce burden of disease, such as human papillomavirus (HPV). Despite these successes, 1.5 million children still die each year of vaccine-preventable diseases, many of them in low-income countries, as immunization programs there face unprecedented challenges, such as unsustainable resources and phasing out of substantial Gavi financial support, insufficient and under-performing health managers and workers to handle new and complex vaccines, and lack of alignment between evidence of need and government priorities.


    In 2010, CHAI launched a vaccine program to reduce mortality and morbidity from vaccine preventable diseases by improving access to immunization services through national immunization programs. Since then, CHAI has become a core partner in the immunization space and is pursuing five complementary strategic objectives:

    1. Improving affordability and supply security of existing, second generation and future vaccines;
    2. Accelerating the uptake of new or under-utilized vaccines, with a focus on those requiring new or complex vaccine delivery platforms;
    3. Improving effective immunization coverage and reaching the fifth child;
    4. Supporting successful transition from Gavi support; and
    5. Strengthening the management system and capacity of immunization programs

    CHAI's vaccine program very closely supports the national immunization programs in ten focus countries - Cameroon, Ethiopia, India, Indonesia, Kenya, Lao PDR, Lesotho, Nigeria, Tanzania, and Uganda – and also engages with global stakeholders such as Gavi, WHO and UNICEF to inform global policies and practices.


    Position Overview

    We are seeking an Associate/ Senior Associate to join the Global Vaccines Delivery team and support CHAI's work in strengthening immunization management systems, supporting Gavi transitioning countries, and service delivery globally and across its focus countries.


    We are seeking a motivated individual with superior analytic, problem-solving, and cross-cultural communication skills. The candidate should be particularly strong at presenting data and messages powerfully through written documents and presentations; working collaboratively in a fast-paced, multi-cultural environment; and functioning independently with minimal guidance. 


    For the first 6-8 months, this role will involve providing support to three areas of work: strengthen immunization management systems, support successful transition from Gavi support, and improve service delivery. During this time, the Associate will work closely with other Global Vaccines Delivery team members to develop and shape CHAI’s strategy while supporting specific countries to implement related in-country work. After this initial phase and upon discussion with managers, the successful candidate will become a technical lead of one of the three areas of work in which to continue strategy implementation and in-country support.


    This role has flexibility to be based in a CHAI program country, pending country team leadership approval.


    [1] With diphtheria, tetanus, pertussis and measles. WHO/UNICEF Fact sheet No378, April 2013.

    [2] Gavi (www.gavialliance.org/about/value/tried-and-tested/)


    Key responsibilities for this role include, but are not limited to:

    1) Provide strategic and programmatic support for the design and implementation of in-country work, which will dramatically improve immunization management systems, Gavi transition and service delivery

    • Provide input on the high-level approach needed to meet in-country grant and program objectives related to immunization management systems, Gavi transition, and/or service delivery, in line with the program strategy
    • Contribute to the design, planning and implementation of high-impact work with country teams to sustainably transform management systems and/or service delivery in CHAI focus countries. Projects could include:
      • Service Delivery - Diagnose supply- and demand- side service delivery bottlenecks and developing strategies and interventions for improvement; develop robust monitoring and evaluation frameworks in which to assess impact of interventions
      • Immunization Management Systems  – Support the development of strategic and operational plans for immunization at national and sub-national levels; identify management system performance challenges; strategize with country teams on system redesign to increase efficiency and effectiveness of management systems; establish and institutionalize performance management processes, etc.
      • Gavi transition – Diagnose key risks to “successful” transition in the areas of financial sustainability, procurement, and organizational capacity; support the development of strategic plans to address those key risks at national and sub-national level; map and identify cost-saving synergies; etc.
    • Support continuous development and effective dissemination and use of programmatic "tool kit", lessons learned, and other know-how related to ISPE, Gavi transition, and service delivery across CHAI's vaccines program focus countries.

    2) Inform national and global practices and policies related to immunization systems management, Gavi transition, and service delivery

    • Inform practices & policies based on robust evidence base, insightful analytical perspective, and lessons learned from CHAI and other partners to promote improved outcomes of immunization programs
    • Develop relationships with key stakeholders in relevant areas and establish yourself as a respected and trusted thought leader in this area of focus within CHAI and within the global immunization community
    • Disseminate CHAI's programmatic insights to the global immunization community to inform policy and practices

    3) Support the development of CHAI's vaccines program, in collaboration with program and country leadership

    • Support development of program-wide and country-specific objectives and strategies regarding service delivery, Gavi transition, and immunization systems management
    • Develop program thought leadership in immunization management systems, Gavi transition, and/or service delivery to deliver against current and future goals
    • Support ramp up of new CHAI staff and new focus countries and strengthen capabilities of existing CHAI staff immunization management systems, Gavi transition, and/or service delivery, leveraging the institutional knowledge from CHAI vaccines program

    4) Support program and grant management, in collaboration with program and country leadership

    • Assess progress against overall objectives & milestones in areas of focus and help prepare high-quality briefings for donors and CHAI management, including achievements to date, action plan going forward, and key risks & opportunities
    • Assess effectiveness of CHAI's theory of change and approach related to immunization management systems, Gavi transition, and/or service delivery in focus countries and recommend improvements


    • Bachelor's degree (Masters-level or above in business, finance, or health science preferred) + at least 3 years of relevant professional experience in public or private sector
    • Exceptional problem-solving and analytical skills (qualitative and quantitative), including experience with quantitative modeling, data analysis, business case analysis, and study design
    • Excellent interpersonal and cross-cultural communication skills, with proven track record of building strong & effective working relationships remotely
    • Proficiency at Microsoft Excel or other data-analysis tools (specialized modeling or programing experience is NOT required)
    • Excellent communication skills in English (including synthesis & presentation) with diverse audience
    • Demonstrated capacity to synthesize evidence into an effective presentations and actionable recommendations for broad range of audience, including Ministries of Health, global donors and policy makers
    • Excellent ability to work independently, set and achieve ambitious targets with limited guidance, and manage competing and sometimes shifting priorities, often under tight deadlines
    • Ability to travel extensively (at least 35% of time) to focus countries and other locations as needed for work 



    • Knowledge of vaccines, health systems strengthening, and/or health financing
    • Experience in a top tier management or consulting firm
    • Experience working with government and in developing countries, notably in Sub-Saharan Africa
    • Professional proficiency in a second language of a vaccine program country


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