Pact is an international nonprofit that works in nearly 40 countries building solutions for human development that are evidence-based, data-driven and owned by the communities we serve. Founded in 1971, Pact works with partners to build resilience, improve accountability, and strengthen knowledge and skills for sustainable social impact.

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Pact is initiating a new activity in Malawi as part of the ACHIEVE project, a global project funded through the U.S. Department of State. The activity in Malawi will align with ACHIEVE’s overall strategic objectives which include achieving and maintaining HIV/AIDS epidemic control among pregnant and breastfeeding women, infants, children, and adolescents and improving integrated maternal, newborn, and child health and nutrition services. The activity will be implemented in Zomba, Thyolo, Karonga, and Balaka districts with limited focus also at a national level possible. In close coordination with the Ministry of Health, ACHIEVE will support the availability of integrated, quality lifesaving services to women, newborns, and children at community and facility levels; expand the availability of lifesaving HIV services by strengthening the integration of HIV services in ANC platforms, among others; and strengthen subnational health management teams to plan, manage, monitor, and evaluate their health programs.

The Technical Director will work closely with the Project Director to provide technical leadership and oversight for the ACHIEVE Malawi activity, which aims to improve, sustain, and further integrate MNCH and HIV/AIDS services at health facility and community levels and ensure that client-centered, high-impact, high-quality services are available to Malawians in the target districts. The Technical Director will ensure quality, timeliness, and efficiency of all project technical activities covering clinical services, lab services, community support services, and transition and sustainability interventions.

Position Location: One of the focus districts (or potentially Blantyre)

• Provide technical leadership in the design, coordination, and supervision of technical approaches aimed at strengthening high-quality, integrated MNCH/Nutrition/HIV services, including but not limited to:
  • Clinical capacity building for frontline health workers in areas including maternal and newborn health, Malaria in Pregnancy (MiP), and Integrated Management of Newborn and Childhood Illness (IMNCI)
  • Strengthening referral systems and ensuring access to emergency transport
  • Expanding service delivery through integrated outreach platforms and use of Quality Improvement tools and techniques for maternal & newborn health
  • Procurement of commodities and/or equipment for MNCH and nutrition based on gaps identified by district councils and facilities and aligned with the essential health service package and/or essential equipment list
  • Supporting Government to develop District and Health facility implementation plans related to the activity interventions
  • Supporting the implementation of a decentralized approach to supportive supervision and mentoring to foster local buy-in, ownership, and sustainability, including field visits, peer supervision, and coaching systems
  • Supporting capacity transfer to accelerate the rollout of Direct Facility Financing (DFF) and strengthening evidence-based distribution of work public data systems to collect and monitor financial data
  • Implementing systems to measure progress and signal sustainability at the district level based on health performance, institutional capacity, and financial mobilization
• Ensure collaboration and coordination with government and other key stakeholders, ensuring adherence to internationally endorsed and recognized guidance and standards.
• Monitor implementation of activities to ensure timely completion of objectives and targets.
• Coordinate closely with other technical, MEL, and finance/ops/admin staff to ensure that ACHIEVE meets stated goals, outcomes, benchmarks, and reporting requirements.
• Provide supportive supervision to designated staff members.
• Oversee the development of project technical deliverables (workplans, reports, guidance, tools, etc.).
• Represent ACHIEVE/Malawi in technical working groups and in planning, coordination, and performance review meetings.
• Work closely with the U.S. DOS, government, implementing partners, and other relevant stakeholders to identify, document, and disseminate best practices.

• Graduate degree or higher in medicine (MD/DO), nursing, or other clinical specialty plus graduate degree or higher in public or global health, international development, or relevant field such as medicine, public health, health system management, social administration, or social sciences.
• A minimum of 8 years’ progressive leadership and experience in clinical services, health administration, or program management for large-scale, international development assistance programs is required.
• Familiarity with the following technical subject areas: ANC, PMTCT, MiP, safe childbirth, essential newborn care, postnatal care for mothers and newborns, IMNCI, immunization, nutritional support for pregnant and breastfeeding women (PBFW) and children, screening and treatment for malaria and acute malnutrition, integrated psychosocial support to improve health outcomes in these areas, HIV case finding, ART initiation, adherence support, prevention of HIV-associated infections
• Experience using low-dose high-frequency and other training, coaching, and mentorship capacity strengthening approaches
• Demonstrated experience leading successful teams, achieving deliverables on time and within budget, and interacting effectively and collaboratively with a broad range of senior and mid-level public and private sector counterparts, donors, and other key stakeholders.
• Ability to develop and maintain strong relationships with government and civil society stakeholders.
• Ability to travel within Malawi.

• A minimum of 5 years’ experience working directly with clients/patients in a clinical setting.
• Knowledge of USG rules, regulations, and policies.
• Familiarity and/or experience working with the Ministry of Gender, Community Development and Social Welfare and/or HIV sensitive case management approaches.