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 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, across the globe, averted two to three million deaths every year since the launch of the Expanded Program for Immunization (EPI). The introduction of the pneumococcal conjugate vaccine (PCV) and rotavirus vaccines could save a further ~1 million lives per year. Furthermore, great advances in the development and financing of new vaccines provides countries the opportunity to further reduce the burden of diseases such as human papillomavirus (HPV).
However, despite these successes, 1.5 million children still die each year of vaccine-preventable diseases. Many of these are in low-income countries, where immunization programs face unprecedented challenges in accessing vaccines and ensuring they reach all targeted children.
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 settings. CHAI does this by strengthening national immunization programs at the country level, and then leveraging that experience to improve the global immunization ecosystem. Within that effort, 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 Global Vaccines Delivery (GVD) program 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.
Improving Vaccines Supply Chains
Ensuring that vaccines are both safe and consistently available is a considerable challenge in lower- income countries. Many immunization programs struggle to deliver on this goal, resulting in children not receiving the vaccines they need and costly wastage:
• Interruptions in stock availability are common, and can interfere with a child’s immunization schedule. A 2015 study of WHO member countries found that 30% reported district-level stockouts, and 81% of these led to disruptions in immunization service delivery. The same study observed that, in Sub-Saharan Africa, when a country had a national stock-out, there was an 89% chance a stock-out would occur lower in the supply chain.
• Many countries in Sub-Saharan Africa and Southeast Asia still have “ad hoc” supply chains in the lower tiers of the system, meaning that products are not transported downstream in an organized, predictable manner.
• Many countries still lack access to timely, continuous data about how much product is in the supply chain at each level, and how well the supply chain system is operating. This means that stock-outs can happen at the last mile without being captured and reported upward, and makes improving the supply chain more difficult.
To help ensure that children are able to access the full schedule of life-saving vaccines, CHAI supports supply chain work in several countries that is focused on ensuring that certain core elements and practices are in place:
• Critical supply chain processes—forecasting, ordering, issuing, distribution, etc.—have high-quality, well-defined processes that are adhered to by all staff throughout the supply chain.
• Supply chain managers and EPI programs have visibility into critical data points and key performance indicators, such as stock-outs, on-time in-full distribution, and order accuracy.
• Supply chain leaders, at each critical supply chain tier, regularly meet to review performance data, identify problematic performance areas, and implement solutions.
Current work in supply chain will be grounded in a set of CHAI focus countries -- currently Cameroon, Ethiopia, Kenya, Lesotho, Nigeria, Tanzania, Uganda, India, Indonesia, and Lao PDR -- with potential to expand.
This role has flexibility to be based in the US-East Coast or in one of CHAI’s Vaccine Program focus countries in Africa or Asia, pursuant to CHAI country team leadership approval. Significant travel (~35%) is expected with this role.
As part of the GVD team, the Manager, Supply Chain will work in collaboration with other managers and directors on the vaccines team, direct reports, and country leadership to:
• Develop and lead the Supply Chain area of CHAI's Global Vaccines Delivery Program;
• Manage CHAI’s Global Vaccines Delivery Supply Chain program and team
• Provide strategic and programmatic support for the design and implementation of supply chain work in focus countries, and;
• Represent CHAI globally for vaccine supply chain and engage with relevant stakeholders to influence global policies and practices
1) Develop and lead the Supply Chain area of CHAI's Global Vaccines Delivery Program
• Develop/update CHAI’s strategy related to supply chain to ensure powerful impact on immunization outcomes and supportive health systems, both at global level and also customized to each supply chain focal country.
• In collaboration with program and country leadership, support fundraising and grant development in line with CHAI’s strategy, model, competing priorities and capabilities, both at country and global level.
• Develop CHAI’s capabilities and toolkits related to supply chain, in order to increase CHAI’s effectiveness and impact. Support the ramp up of new CHAI staff and of new focus countries.
• Strengthen capabilities of existing CHAI staff, leveraging CHAI’s institutional knowledge.
• In collaboration with CHAI’s regional and technical managers, identify how CHAI’s supply chain work can best support other CHAI’s objectives (e.g., improving immunization management systems, 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.
2) Manage CHAI’s Global Vaccines Delivery Supply Chain Program and Team
• Manage a team of three global supply chain associates, who each provide support to a portfolio of 3-5 focal countries, in addition to supporting grant management and global deliverables (see #3 below).
• Within the supply chain team, develop and implement team-wide management approaches to improve efficacy, efficiency and team health.
• In collaboration with regional managers, regularly assess progress against program objectives; identify course correction or additional initiatives needed to maximize program impact.
• Prepare high-quality technical briefings for donors and CHAI management (vaccines and global), on supply chain, including achievements to date, key risks & opportunities, and action plan going forward;
• Collaborate with Regional managers on Global Vaccines Delivery team to provide support on grant management (i.e., grants reprogramming, donor reporting, etc.) as needed; and
• Help improve the Global Vaccines Delivery team’s overall team effectiveness and engagement with CHAI country teams.
3) Support direct reports, in collaboration with regional managers, in providing strategic and technical support for the sustainable strengthening of immunization supply chain performance in focus countries as per CHAI strategy
• Support supply chain associates and regional managers to ensure the design, planning and implementation of CHAI’s supply chain work within focal countries country will yield powerful, scalable and sustainable impact in those countries;
• Help set global support priorities that are high-impact and responsive to country needs, in collaboration with regional managers and direct reports;
• Ensure that the supply chain technical advice and deliverables produced by direct reports and country teams are technically and strategically sound;
• When required—e.g., due to bandwidth needs or the technical complexity of a topic—provide direct support to country teams, complementing the work of direct reports and regional managers.
4) Represent CHAI globally for vaccines supply chain and engage with relevant stakeholders to influence global policies and practices
• Develop productive relationships with key global stakeholders (e.g., Gavi, BMGF, UNICEF SD/PD, PATH, JSI, VillageReach), and foster effective exchange of know-how and coordination of efforts with partners.
• Distill, document and disseminate, in a thoughtful and rigorous manner, supply chain lessons learned and implementation toolkits.
• Become a respected and trusted representative and thought leader on supply chain within CHAI and within the global immunization community.
Inform and improve global policies & strategies and country practices beyond CHAI focus countries. This might include participation in global working groups (e.g., EPI manager meetings, ESA regional meetings, Immunization Supply Chain Steering Committee, TechNet, etc.).
Other responsibilities as needed.
• Bachelor's degree (Masters-level or above preferred) in a relevant field
• Minimum 7 years of work experience in a fast-paced, demanding environment
• Exposure to supply chain systems and knowledge of how they operate
• Proven team management skills with a good eye for people development/coaching
• Prior experience working in an environment of high ambiguities and unstructured problems
• Excellent strategic thinker and communicator
• Excellent problem-solving and analytical skills
• Excellent interpersonal skills, with ability to work effectively in a multi-cultural and often remote environment
• Strong ability to understand and present data; familiarity and experience with analysis of qualitative and quantitative data (e.g., modeling, data analysis, business case analysis, study design)
• 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
• Master’s degree or above in business, science or engineering, with a focus on supply chain management is preferred
• Extensive understanding of and experience with supply chain technical concepts (e.g., inventory control systems—min/max systems, 2-bin system, Newsvendor problem--, Logistics Management Information Systems)
• Extensive knowledge of public health systems
• Experience in a top tier management or consulting firm
• Experience working collaboratively as part of a management team
• Experience working with government and in developing countries, notably in Sub-Saharan Africa
• Professional proficiency in a second language of a vaccine program country (e.g., French)