Technical Advisor – HPRS TIER Integration

South Africa
Full Time
Program (Division)
Country Programs - Country Teams


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:


CHAI South Africa’s Monitoring & Evaluation (M&E) and Health Information Systems (HIS) Program

In response to the policy shift to standardize the monitoring and evaluation system for the National ART and TB programs in South Africa, the CHAI M&E/HIS program has played a significant role since 2011 in strengthening the rollout of the 3-Tiered M&E System for the National Department of Health (NDOH). Since January 2015, CHAI has supported the NDOH to integrate the TB and HIV information systems at facility level, which are now used to monitor HIV, pre-ART, ART and TB. CHAI continues to support the NDOH to implement and maintain a standard HIV/TB M&E system nationally, and to strengthen the quality and utilization of routine data in order to enhance clinical service provision and to inform program management.


Overview of the post

The Technical Advisor – HPRS TIER Integration (TA-HTI) will act as an NDOH resource to inform, drive, and coordinate processes regarding the integration of TIER.Net and HPRS. The TA-HTI will help ensure that interoperability between these two critical systems is maintained, and that the day-to-day processes (especially change management processes) to operationalize this interoperability is mapped out and executed, as seamlessly and effectively as possible. The TA-HTI will work with both the M&E/HIS Team, as well as the team managing the implementation of HPRS, to provide technical guidance and stewardship with respect to TIER’s role in the integration and implementation process. The TA-HTI will play a critical role in directing change management guidance, grounding this work in a systems strengthening frame, as well as providing TIER-related technical expertise into operational decision-making around TIER and HPRS interoperability. In addition, the role will be responsible for developing guidance materials that provide structure and processes to guide integration of the two health information systems as comprehensively as possible.


The position reports to the Program Manager, and is based at the NDOH office in central Pretoria. The TA-HTI is expected to travel approximately 40% of the time. This is a one-year contract position.


  • Inform and help drive strategy development for the integration of TIER and HPRS health information systems in concert with teams supporting implementation of HPRS
  • Provide technical expertise and input into discourse around the interoperability of TIER and HPRS
  • Envision and draw-out the data flow between HPRS and TIER, as well as associated data management tasks and timelines
  • Develop guidance materials, including SOPs, policies, and informational guides, that lay out defined frameworks and processes to manage day-to-day operationalization of the interoperability between HPRS and TIER
  • Support refinement and dissemination of guidance materials
  • Coordinate and manage engagements with the HPRS strategy and implementation team to ensure consistent, and well-informed, representation of TIER in all strategy and implementation discussions and documents
  • Coordinate, oversee, quality check, and inform HPRS TIER integration implementation activities along the health system cascade
  • Provide regular feedback to the National Implementation Team on the progress of TIER/HPRS integration
  • Conduct, and take part in, engagements with facilities to plan for and inform the strategy that will drive integration of HPRS and TIER


  • Tertiary level degree in public health, epidemiology, biostatistics, information technology or equivalent experience
  • Minimum 3 years of experience in working with, implementing, and/or maintaining ART and/or TB M&E systems, notably TIER.Net, DHIS, and/or ETR.Net
  • Solid understanding of the national vision for various eHealth initiatives, particularly with respect to HPRS and the unique patient identifier
  • Credible understanding of the implementation of HPRS at the facility level
  • Demonstrated experience working within National Department of Health structures to drive change management and provide technical guidance on health information systems
  • Experience driving health information system initiatives in resource-limited and complicated operating environments
  • Extensive knowledge on current guidance in place to plan for interoperability
  • Experience in leveraging ART and TB data to strengthen program performance
  • Experience in developing and facilitating trainings and quality improvement processes
  • Experience working with government officials and health system actors at various levels
  • High level of proficiency in Microsoft Office (Word, Excel, PowerPoint, OneNote, Outlook), internet and Skype
  • Valid driver’s license


Required skills and behaviors:

  • Excellent interpersonal and communication skills (written and oral English)
  • Attention to detail, strong commitment to excellence
  • Fast learner
  • Analytical and critical thinking
  • Results-oriented, able to multi-task and to work at a rapid pace
  • Strong organizational skills
  • Self-directed, able to work independently, set priorities, and manage time effectively
  • Entrepreneurial approach to problem solving and working within non-standard contexts
  • Able to efficiently communicate and collaborate with physically dispersed managers and team members
  • Approachable, able to build and maintain effective relationships with the team, colleagues, NDOH, and external partners
  • Proactive, flexible, resourceful, resilient, able to resolve problems
  • Values diversity, able to work in multicultural and multidisciplinary teams
  • High ethical standards, integrity, honesty, openness and transparency


Advantages and desired skills:

  • Strong familiarity with the District Health Information System (webDHIS) and other national-level health information systems


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