• Manager, Immunization Management Systems and Capacity

    United States
    Full Time
    Program (Division)
    Vaccines - Vaccines
  • 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


    Immunization is a powerful tool for saving lives and improving health outcomes globally. Each year, national immunization programs reach 22 million infants in sub-Saharan Africa alone, and since the Expanded Program on Immunization (EPI) was launched in 1974, two to three million deaths have been averted each year, globally. For every dollar invested in immunization, there is a US$16 return, making it one of the most cost effective public health interventions available.


    However, despite these tremendous successes, significant gaps still remain, with 2 million children (primarily in lower-income and lower-middle income countries) dying each year from vaccine- preventable diseases, and an estimated 20 million children still under-immunized.


    Improvements in coverage and equity have been slow, and more innovative approaches (products, practices, systems, and policies) need to be developed, scaled up and implemented globally. Moreover, national immunization programs face unprecedented challenges due to the introduction of costly new and complex delivery vaccines, and, for some, due to impending transition from Gavi support. These challenges pose a significant threat to the sustainability of the gains in coverage and equity that have been made by national immunization programs and partners over the past four decades.


    Since 2010, the Clinton Health Access Initiative (CHAI) has worked to save lives and reduce the burden from vaccine preventable diseases by improving access to immunization services in resource-limited setting by strengthening national immunization programs and by leveraging its experience in-country to improve the global immunization ecosystem. CHAI is pursuing six complementary strategic goals:


    1. Improving affordability and supply security of immunization products;
    2. Accelerating the uptake of new or under-utilized vaccines;
    3. Enhancing the performance of vaccine cold chain and logistics systems to increase effective immunization coverage;
    4. Improving the design and implementation of service delivery to reach the unreached
    5. Supporting successful transition from Gavi support; and
    6. Strengthening the management system and capacity of immunization programs


    In partnership with The Bill and Melinda Gates Foundation and Gavi, CHAI aims to strengthen the management systems and capacity of immunization program, in order to increase coverage and equity of vaccination. Effective management systems are at the core of ensuring well-functioning, efficient, and sustainable national immunization programs and of making sustainable progress on every program objective. However, many countries have significant gaps in immunization program management, particularly across their many sub-national units, as well as in communication and coordination between and across the national and sub-national levels. CHAI will develop and scale up an improved performance management approach for the immunization program at sub-national level, building on its past successful experience in some demonstration geographies. CHAI will also help Ministries of Health develop more effective approaches to communicate and coordinate efforts for the national and sub-national government units supporting immunization.


    CHAI's vaccine program very closely supports the national immunization programs in ~10 focus countries. While most of the work will be grounded in a set of these focus countries (currently Cameroon, Ethiopia, Kenya, Lesotho, Nigeria, Tanzania, and Uganda, with potential to expand), the purpose of this work is to both achieve scalable and sustainable impact in those focus geographies; and generate useful evidence, learnings and momentum that can propel other countries and partners’ efforts forward and shape the global immunization ecosystem.


    LOCATION: This role has flexibility to be based in a CHAI program country, pending country team leadership approval. Preferred location is in a sub-Saharan Africa program country.


    As part of the Global Vaccines Delivery team, the Manager, Immunization Management Systems and Capacity (MSC) will work in collaboration with his/her direct reports, country and program leadership to: (i) support program and grant management, (ii) develop CHAI's vaccines program in the area of management systems and capacity for immunization, (iii) provide strategic and programmatic support for the design and implementation of work in focus countries, and (iv) Improve national and global practices and policies related to management systems and capacity. His/her work will help to achieve and sustain immunization program outcomes, but it will also serve as a blueprint to identify powerful interventions to improve health systems which could be adapted for other primary health care programs.


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

    • Manage a team of ~3 global associates focusing on strengthening management systems and capacity
    • Support development of program-wide and country-specific objectives, strategies and milestones regarding management systems and capacity for immunization
    • In collaboration with country team and regional manager, regularly assess progress against program objectives in areas of focus and help prepare high-quality briefings for donors and CHAI management, including achievements to date, key risks & opportunities, and action plan going forward
    • Help improve program team effectiveness and engagement


    2) Develop CHAI's vaccines program in the area of management systems and capacity for immunization, in collaboration with program and country leadership

    • Develop/update CHAI’s strategy and thought leadership related to immunization management systems and capacity, both at global and country level, to increase CHAI’s effectiveness and impact
    • Support fundraising and grant development in line with CHAI’s strategy, model, competing priorities and capabilities, both at country and global level
    • Support ramp up of new CHAI staff and of new focus countries and strengthen capabilities of existing CHAI staff, leveraging the institutional knowledge from CHAI
    • Identify how this work can best support other CHAI’s in-country objectives (e.g. improving vaccine supply chain, supporting service delivery at the last mile, ensuring successful transition from Gavi support, etc.), which often require building on strong horizontal management structures. Put in place appropriate mechanisms to ensure cross-fertilization across these objectives.

    3) Provide strategic and programmatic support for the design and implementation of work in focus countries to dramatically and sustainably improve immunization management performance, in collaboration with direct reports and regional manager

    • Contribute to the design, planning and implementation of high-impact work with country teams to transform management systems in CHAI focus countries. Projects will include:
    • Scale up of an improvement “package” for immunization program performance management to all subnational units
    • Strengthening of communication and coordination between and across national and subnational government units
    • Lead the development, effective dissemination and use of a programmatic "toolkit" on strengthening management system and capacity, building on lessons learned across CHAI's vaccines program focus countries. This toolkit shall include:
    • A diagnostic tool for evaluating strength of program management systems that can be used by countries
    • Identification of the core components of a program performance management “package” that is effective and scalable, paired with guidance on adaptation in countries with different typologies (e.g. degree of decentralized decision-making power, maturity of program management structures)
    • A roadmap that identifies processes, structures, people, and funds needed for governments to take a subnational performance management “package” to scale
    • A framework for monitoring management systems improvements, including an evaluation of how management systems contribute to immunization program outcomes


    4) Improve national and global practices and policies related to management systems and capacity, in collaboration with direct reports and program leadership

    • Develop productive relationships with key stakeholders (e.g., WHO, Gavi, BMGF, UNICEF, PATH, JSI, Sabin) and foster effective exchange of know-how with partners
    • Become a respected and trusted thought leader in this area of focus within CHAI and within the global immunization community
    • Disseminate CHAI's programmatic insights into the global immunization community and inform global policies and country practices beyond CHAI focus countries, including through Global working groups (e.g., EPI manager meetings, ESA regional meetings, Learning Network of Countries in Transition, Gavi Leadership Management and Coordination network, etc.)


    • Bachelor's degree (Masters-level or above preferred) in a relevant field
    • Minimum 7 years of work experience in a fast-paced, demanding environment
    • Proven team management skills with a good eye for people development/coaching
    • Excellent strategic thinker and communicator
    • Excellent problem-solving and analytical skills
    • Excellent inter-personal skills, with ability to work effectively in a multi-cultural and often remote environment
    • Strong project management skills, ability to work effectively in a high-pressure environment and handle multiple tasks simultaneously
    • Entrepreneurial and result-oriented mindset, including ability to work independently, self-motivate, and propose and implement new initiatives
    • Strong commitment to CHAI’s and the team’s mission, dedicated team player
    • 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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