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'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, whilst the pneumococcal conjugate vaccine (PCV) and rotavirus vaccines could save ~1 million lives per year. 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.
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
CHAI's vaccine program very closely supports the national immunization programs in 11 focus countries - Cameroon, Ethiopia, India, Indonesia, Kenya, Lao PDR, Lesotho, Nigeria, Tanzania, Uganda and Vietnam- and also engages with global stakeholders such as Gavi, WHO and UNICEF to inform global policies and practices.
In Gavi-supported countries, Gavi often bears over 70% of immunization costs - a large fraction of this consisting of subsidies for new vaccines introduced with Gavi support. Thus, one of the key concerns is whether countries that transition from Gavi support will be able to sustain their immunization schedule and coverage rates when they are fully self-financing. Countries approaching or currently in transition thus need to think strategically about their financial planning, which new vaccines to introduce, and to plan and mobilize domestic and external resources early to ensure those new vaccine costs can be sustained post-transition.
Once countries are fully self-financing, they will also no longer have access to Gavi Health System Strengthening (HSS) funds, which are the primary source of “change money” for many countries and thus critical to fund much needed improvements to their vaccine delivery system. Once Gavi support ends, countries will lose processes to conduct immunization program planning, review and monitoring with a minimum frequency and quality, currently embedded in Gavi applications and program reviews such as the Gavi Joint Appraisal (JA).
To address these challenges, CHAI will support focus countries (Vietnam, Lao PDR, Indonesia, Kenya, Nigeria) to sustain high immunization coverage, while effectively deploying the limited amount of Gavi support they have before it phases out and ensure high risks and dependencies at the national and subnational level are addressed.
We are seeking a Program Officer to join the Indonesian Vaccines Delivery team and support CHAI's work in helping the Indonesia government navigate and plan for Gavi transition.
We are seeking a motivated individual with excellent skills in health economic analysis, strong understanding of the Indonesian health financing system and its health decentralization landscape. The candidate should excel at both sound knowledge of historical background in Indonesian health financing and the present institutional arrangement for health planning and budgeting.
The successful candidate will provide support to the vaccine program manager in the following areas:
● Sustainable financing for immunization, including introduction of new vaccines;
● Access to affordable vaccines via effective procurement, payment and financing processes;
● Strengthening of institutional capabilities, in the context of the transition, to ensure sustained program performance;
● Adequate and timely preparations for a successful transition from Gavi support.