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 is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.

CHAI approaches some of the most pressing issues in global health with a business-oriented strategy to fundamentally change the underlying economics. CHAI’s solution-oriented approach focuses on improving market dynamics for medicines and diagnostics; lowering prices for diagnosis and treatment; accelerating access to lifesaving technologies; and helping governments build the capacity required for high-quality care and treatment programs. By addressing global market failures and accelerating access to the most effective, high- quality health products at affordable and sustainable prices, CHAI helps patients access the care and treatment they need.

Team Overview:

Despite the remarkable decline in HIV mortality over the last two decades, a frightening stagnation in reduction of HIV-related mortality globally is now occurring – and this is happening in spite of continuous improvements in antiretroviral (ART) coverage. South Africa continues to report significant rates of treatment-naive and treatment-experienced patients presenting to care with Advanced HIV Disease (AHD). In sub-Saharan Africa, more than a third of all people living with HIV (PLHIV) initiating ART have AHD, and approximately 10% die within the first three months of enrolment. Despite these vast numbers, the diagnostic tools, treatment, and preventative services required to address AHD are virtually non-existent in most low- and middle-income countries (LMICs), leading to high mortality rates.

Recognizing the challenges and gaps in meeting the needs of PLHIV suffering from advanced disease, the World Health Organization (WHO) has provided guidelines to countries on the package of interventions and services required to appropriately screen, optimally treat, and prevent AHD-related opportunistic infections (OIs). However, barriers on the supply- and demand-sides of the market mean the necessary commodities and services to diagnose and treat AHD-related OIs are largely unavailable in LMICs.

Position Overview:

CHAI is seeking a highly motivated individual with proven relationship management skills, excellent analytical ability and strong communication skills to play a key role in the Access to Medicines program in South Africa. The Associate will input to a growing CHAI team and will be expected to support the National Department of Health (NDoH) create and execute evidence-based plans and strategies. The Associate will be responsible for a wide variety of tasks, from quantitative analysis to collaborating with stakeholders. The Associate will work in close collaboration with the Program Manager to drive South Africa’s AHD efforts to accelerate affordable availability, introduction, and uptake of effective AHD commodities in South Africa. The role will be responsible for supporting the National Department of Health (NDoH) to develop strategies to adopt and rollout optimal diagnostic and treatment services for AHD. The associate will provide technical expertise to NDoH to generate evidence on effective implementation and uptake strategies, monitoring progress, and problem solving as needed, to achieve the ultimate project objective of catalyzing sustainable markets for AHD commodities.

The Associate must be able to function independently and have a strong commitment to excellence. CHAI places great value on relevant personal qualities: resourcefulness, humility, responsibility, tenacity, independence, energy, and work ethic. The Associate will be based in Pretoria, South Africa, and report to the Access to Medicine Program Manager.

• Support the NDoH in all areas of national AHD efforts, including planning and implementation.
• Develop thorough understanding of the healthcare, pharmaceutical and diagnostic landscape related to the medicines and equipment portfolio within South Africa and globally including key priorities, challenges, and gaps in order to inform program development.
• Oversee the translation of objectives provided by the government, donors, and other partner organizations into clear, prioritised activity plans and being able to report on the progress of executing these.
• Develop and manage collaborative relationships with the NDoH, suppliers, partner organizations and other relevant stakeholders.
• Ensure communication and alignment of activities across government and partner stakeholders’ efforts and across other CHAI programs in South Africa to ensure coordination and successful execution of the program.
• Oversee analyses of policy and regulatory landscape to inform recommendations and support any revisions that may be required to ensure the smooth introduction of products and/or services.
• Oversee quantification, costing, implementation and monitoring of detailed national commodity and equipment procurement optimization, introduction and scale up plans.
• Conduct routine field supervision visits, data collection, and routine data analysis of national and program data.
• Develop and maintain program databases and dashboards for performance monitoring and evaluation.
• Oversee the development and input provided to relevant technical documents including health services provider training curricula, standard operating procedures, and service delivery guidelines to support the program scale up.
• Translate objectives provided by the government, donors, and other partner organizations into clear activity plans, and provide guidance to DoH on prioritization of initiatives.
• Ensure communication and alignment of activities across government and partner stakeholders’ efforts and across other CHAI programs in South Africa to ensure coordination and successful execution of the program.
• Support the Program Manager on key deliverables and ad-hoc requirements, as needed.

• Bachelor's degree in Economics, Public Health, Business, or a related field and minimum of three years professional experience in a private or public sector setting and with increasing levels of responsibility and experience.
• Clinical and/or technical expertise in supporting national health programs
• Advanced problem solving, analytical, and quantitative skills, including significant experience working in Excel (modelling) and PowerPoint, and presenting findings and recommendations (analytical skills and proficiency levels will be evaluated during recruiting process).
• Entrepreneurial mind-set: demonstrated ability to work independently on complex projects and solve challenging problems, in a high-pressure, fast-paced environment.
• Strategically minded, able to think creatively around long-term program objectives and the detailed steps necessary to achieve these goals.
• Demonstrated ability to multi-task with a strong commitment to excellence, both internally and externally, and with limited structural support.
• Demonstrated organizational and leadership skills.
• Exceptional diplomatic and interpersonal skills, and ability to build strong professional relationships with a range of stakeholders in a challenging, multi-cultural environment.
• Ability to navigate complex governmental and organizational processes and favourably influence decision making in a professional and collaborative manner.
• Willingness to travel within South Africa as needed.

Advantages:

• Experience working in HIV programs
• Familiarity with laboratory technologies and systems
• Experience in project management
• Experience working with National or Provincial Departments of Health

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