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  • Organization: CHAI - Clinton Health Access Initiative
  • Location: Mbabane
  • Grade: Mid
  • Occupational Groups:
    • Development Cooperation and Sustainable Development Goals
    • Innovations for Sustainable Development
    • Managerial positions
    • Public Health and Health Service
  • Closing Date: 2019-02-28

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Manager, Health Service Delivery

Mbabane (Swaziland)

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. 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. For more information, please visit:


The Ministry of Health (MoH) in Eswatini strives to achieve Universal Health Coverage by enabling equitable access to quality health services for their population as outlined in the Essential Health Care Package (EHCP). This commitment is made against a backdrop of rising health care costs and uncertainty around the future availability of donor funding. Acknowledging this, the MoH aims to employ effective, equitable, efficient and sustainable health care financing approaches and reforms to facilitate movement towards UHC. Additionally, the MoH realizing the potential improvements in hospital based service delivery and driven to achieve UHC through greater efficiency, quality, responsiveness and consumer satisfaction is embarking on the implementation of selected hospital governance and management (HGM) reforms as informed by a situational analysis conducted by World Bank consultants. 


CHAI is therefore seeking a Manager, Health Service Delivery to support the MoH in the systematic scale-up of EHCP services across the health system and to support the implementation of selected hospital governance and management reforms. The Manager will work across MoH departments to build and implement an evidence based case study for the scale up of EHCP and  overcome supply chain, budget forecasting, and procurement barriers that can undermine provision of standardized, high-quality care at health facilities.  The Manager will work to support the MoH plan and begin implementation of the HGM reforms to improve the efficiency of operations and quality of healthcare delivery in hospital settings. The Manager must be a highly motivated, entrepreneurial individual with outstanding problem-solving, analytical and communication skills. S/he must be able to function independently and be a thought partner to the team and the MoH. This position is based in Mbabane, Eswatini and reports to the CHAI Health Financing Senior Program Manager.


The Manager will be responsible for providing the MoH with analytical support, informed knowledge-based advice and innovative ideas that can be practically implemented as they navigate EHCP-related decisions as well as analytical and management support for preparatory activities for the HGM reform.




  • Oversee the support to the EHCP office and National Quality Management Program (NQMP) in implementing systematic service scale-ups for general service readiness across the country;
  • Support quantitative analysis to understand the resource needs required for EHCP scale up through an evidence based case study for the scale up of high impact Maternal Newborn and Child Health Services (MNCH) services;
  • Cost resource gaps identified by the facility assessment to determine funding gaps and inform budgeting, prioritization and investment discussions on MNCH as the next phase of EHCP scale up;
  • Support central-level suppliers of essential health service inputs (e.g., drugs, equipment, commodities) in addressing relevant supply chain and budget/procurement forecasting operations that facilitate standardized service delivery aligned with scale-up priorities;
  • Liaise with frontline healthcare workers and quality assurance teams to identify and address key barriers to standardized service delivery across the health system;
  • Identify and realize cost saving efficiency measures to be taken when scaling up services;


  • Develop the performance framework, including hospital indicators and log-frame for the HGM reform;
  • Conduct review of data collection systems, tools and capacity at the pilot hospitals to identify gaps and propose implementable solutions;
  • Support development of Standard Operating Procedures for data collection, analysis and use within the hospital management structures to inform decisions;
  • Baseline study design, including protocol, designing data collection tools and budgeting;
  • Support implementation of the baseline study;
  • Design M&E and data reporting SOPs to guide the new hospital data management structures;
  • Liaise with MoH counterparts to ensure alignment across ministries whose approval is required;
  • Review and development of  hospital management job descriptions and competency frameworks;
  • Development of investment case for use and accountability of Internally Generated Revenues at hospitals;
  • Develop management mentorship and training support programme for board members, hospital manager and senior management team respectively;
  • Support budget preparation and fund raising for implementation

Management & Other

  • Manage a team comprising of Analyst(s) and Associates(s);
  • Other responsibilities as requested by supervisor.



  • Bachelor’s degree and at least 5 years of professional experience in health economics, public health, policy/planning, management consulting, or other relevant private and public health sector experience with leadership experience;
  • Experience in planning and execution of baseline studies, change management research, developing data quality standards and data quality monitoring processes;
  • Exceptional diplomatic and interpersonal skills, and able to build strong professional relationships with a range of stakeholders in a challenging, multi-cultural environment;
  • Robust problem-solving skills, quantitative and qualitative analytical capabilities;
  • Strong written and oral communication skills, including ability to communicate effectively while addressing a broad-ranged audience;
  • Ability to work independently and effectively in high-pressure, fast-paced environment and handle multiple tasks simultaneously;
  • Potential to take on increasing levels of responsibility and leadership on the team; and
  • High level of proficiency in relevant computer applications, particularly Microsoft Excel, PowerPoint, and Word.


  • Master’s degree in public health, health economics, health management or other relevant field;
  • Experience working on national universal health coverage implementation strategies, health service quality improvement and/or supply chain strengthening initiatives in healthcare settings;
  • Experience in cost analysis or economic evaluation;
  • Experience working in public health and with international organizations; and
  • Familiarity with a broad range of key global health issues, including health systems challenges in developing countries.


We do our best to provide you the most accurate info, but closing dates may be wrong on our site. Please check on the recruiting organization's page for the exact info. Candidates are responsible for complying with deadlines and are encouraged to submit applications well ahead.
Before applying, please make sure that you have read the requirements for the position and that you qualify.
Applications from non-qualifying applicants will most likely be discarded by the recruiting manager.

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