Founded in 2002, by President William J. Clinton and Ira Magaziner, the Clinton Health Access Initiative, Inc. (“CHAI”) is a global health organization committed to strengthening integrated health systems and expanding access to care and treatment in the developing world. CHAI’s solution-oriented approach focuses on improving market dynamics for medicines and diagnostics; lowering prices for treatment; accelerating access to lifesaving technologies; and helping governments build the capacity required for high-quality care and treatment programs. Since its inception, CHAI’s programs have helped more than 11.8 million people in more than 70 countries have access to CHAI-negotiated prices for HIV/AIDS medicines, saving the global health community billions of dollars. For more information, please visit: www.clintonhealthaccess.org.
CHAI provides technical assistance to Sierra Leone's Ministry of Health and Sanitation in two key focus areas: Human Resources for Health (HRH) and Supply Chain (SC). These teams closely collaborate with government to strengthen national health systems and played a vital role in post-Ebola recovery efforts. The HRH team has provided the MOHS with assistance in establishing a national health worker strategy, identifying cost-savings by completing a national payroll verification, increasing the number of salaried health workers, and improving the visibility and quality of the future health worker pipeline. The SC team has provided support with improved forecasting, procurement, and supply planning for the largest national drug and medical commodity supply chain, while also assisting the government with the national procurement unit’s reform process. CHAI Sierra Leone will continue to build upon these accomplishments by expanding into another high priority space – Sexual and Reproductive Health.
Sierra Leone has the highest maternal mortality ratio in the world, with 1,360 mothers dying for every 100,000 live births. This makes Sierra Leone one of the most dangerous places in the world to be a woman, especially an adolescent woman. Childbearing begins at a young age: 34% of pregnancies occur amongst teenage girls and 28% of adolescents (aged 15-19) have begun childbearing, representing one of the highest teenage pregnancy rates in the world. Almost half (46.8%) of deaths among adolescent girls are related to complications in childbirth and 40% of maternal deaths are related to teenage pregnancy.
To reduce maternal mortality, CHAI focuses on averting preventable deaths by building the health system’s capabilities to prevent potential complications from becoming life-threatening, to apply proven and simple interventions to ensure survival, and to quickly refer cases to the appropriate health system level for proper treatment. To reduce unintended pregnancies, CHAI aims to increase access to essential reproductive health products and services in partnership with government by pursuing global and country-focused market-shaping opportunities and in-country engagement around guidelines, registration, tendering, procurement, and service delivery. In addition, CHAI aims to strengthen government health systems and build MoHS capabilities to deliver robust, integrated, reproductive health programs and to counsel adolescent girls and young women on SRH.
CHAI entered this space in Sierra Leone in late 2017 with an initial focus on increasing access to long-acting reversible contraceptives (LARCs). The Sierra Leone SRH team will continue to build upon this initiative with a more comprehensive view to target adolescents, post-partum women, and other vulnerable populations with improved access to essential health commodities and services.
The Sexual and Reproductive Health Program Manager will lead the SRH team’s work in strategizing, developing, and implementing interventions aimed to increase contraceptive prevalence and reduce maternal mortality. The Program Manager will work closely with the MoHS and other partner agencies by providing technical assistance, project management, and implementation support, as needed. Other programmatic needs may arise, so flexibility will be essential.
The Program Manager will report to the Deputy Country Director and will regularly collaborate and communicate with the relevant CHAI global team. He/she will be based in Freetown, Sierra Leone with expected travel to the districts.