Technical Advisor for Quality Assurance at Jhpiego, April 2024

Jhpiego seeks a Technical Advisor for Quality Assurance to provide technical and program oversight and direction in the area of quality assurance for an upcoming USAID integrated health project in Zimbabwe. This project aims to improve maternal and child health status in targeted areas through a combined maternal and child health and family planning activity. The project will operate over a five-year period.

The Technical Advisor will be responsible for providing leadership and technical guidance in the development and implementation of quality assurance under the leadership of the Jhpiego Technical. This position will ensure the technical and methodological soundness of activities and, in collaboration with the project team and partners, support the design of service delivery strategies, based on sound and current scientific evidence.

This position is contingent upon award from USAID. Zimbabwean nationals are strongly encouraged to apply.

Responsibilities:

Engage local stakeholders to define desired health outcomes for maternal and child health and family planning, develop clinical performance standards, assess existing gaps in meeting standards, and develop a plan of action to achieve the desired health outcomes
Update national standards for quality assurance (as necessary)
Scale up a minimum package of care for different settings (mobile/outreach, static clinics, referrals) providing maternal and child health and family planning services
Develop/refine supportive supervision guidelines for maternal and child health and family planning services
Develop and test approaches for quality and performance improvement and/or human resources development according to the local context
Align quality approaches with Zimbabwe Ministry of Health and Child Care (MOHCC) and district-level stakeholders and their desired health outcomes
Apply quality standards to ensure that health services meet accreditation program requirements, as well as meet client expectations
In collaboration with project staff and the M&E Advisor, ensure that necessary quality improvement planning, budgeting and management activities occur to facilitate smooth and efficient program functioning
Monitor and track improvements and progress toward quality goals
Reinforce the peer review process, including sharing lessons learned and best practices adopted, to continually bridge performance gaps
Provide mentoring and capacity building at the individual and organizational level in specific areas of expertise including but not limited to quality assurance
Provide “train the trainer” sessions, site strengthening, in-service follow-up and supportive supervision to project-supported health facilities, as required by program activities
Coordinate assessments, site strengthening, follow-up and supervision, advocacy, demand creation, policy support, capacity-building and M&E across program sites as required by project activities
Lead the formulation of approaches for scale up of quality assurance services
Actively participate in all Technical Advisory Group Meetings, and represent Jhpiego in professional forums by participating and presenting in pertinent meetings and conferences, as well as technical working groups
Analyze potential quality assurance strategies within the context of the project and explain these, as necessary, to policymakers, funding agencies, and/or program staff
Work with health care providers, local authorities, community members and program team members to identify clinical, community-based service delivery issues that impede access to care and identify appropriate facility- and community-based strategies to address quality assurance service delivery gaps
Advocate with national, district and community-level health institutions to raise awareness about their role in improving health outcomes
Guide MOHCC, professional associations, and other national stakeholders in the revision/development of evidenced-based standards for competency in quality assurance
Collaborate with all local stakeholders and implementing partners, especially the MOHCC and other US and international implementing partners, in order to ensure that all activities conform to the requirements and regulations
Conduct regular reporting to the Technical Director, and program and technical staff, of successes, challenges and lessons learned in implementation related to areas of technical expertise
Document and maintain an inventory of successful tools and approaches for quality assurance
Contribute to the development of business proposals, technical reports and publications as they relate to quality assurance
Author and co-author abstracts and presentations for journals and conference
Document successes, lessons learned and challenges in implementation as well as reports of project activities and results to the program and donor, including routine quarterly and annual reports and other reporting requirements as requested
Maintain excellent relationships with USAID and in-country stakeholders and develop rapid responses to USAID/DC and Mission requests
Work closely with the Technical Director on setting program priorities and directions, and responding to requests for support from local counterparts.
Work with M&E staff to design, implement a plan to track data/results related to quality assurance
Provide technical leadership to the development the project strategic plan, work plan, and program monitoring, in close collaboration with MOHCC, USAID, and other stakeholders
Ensure timely implementation of all program inputs related to maternal and child health and family planning, including planning and implementing assessments, site strengthening, follow-up and supervision, advocacy, demand creation, policy support, capacity-building and M&E across program sites, in close coordination and collaboration with USAID and MOHCC
Assist in the preparation of donor reports and project reports
Contribute to ensuring availability of resources/facilitate the procurement of equipment and supplies required for project implementation

Required Qualifications:

A medical degree (doctor or nursing) or Master’s in Public Health
5+ years’ experience successfully implementing large, multi-partner, multi-year international health sector development projects (approximately $3-5 M per year) that have implemented successful activities in quality assurance; preferably in Zimbabwe
Experience training health workers on clinical aspects related to quality assurance
Experience building capacity at individual and organizational levels;
Skill in at least two or more of the following technical areas: strengthening service delivery programs, training, performance and quality improvement
Experience with a mix of practical technical skills in family planning necessary for strengthening quality assurance service delivery at the regional, national, clinical and community-level
Excellent diplomacy skills and a proven ability to establish and maintain interpersonal and professional relationships with USAID, host-country counterparts and representatives from other key stakeholders such as NGOs, CSOs, and the private sector
Previous experience working in Zimbabwe with intimate understanding of local health system and quality assurance gaps and opportunities, and solid relationships at government agencies
Knowledge of USAID programs, regulations, compliance and reporting requirements
Experience in research to practice—identifying and adapting best practices to specific project contexts
Excellent skills in facilitation, team building, and coordination
Excellent verbal, written interpersonal and presentation skills in English
Ability to coach, mentor and develop technical capacity in regional and national programs and technical staff
Proficiency in Microsoft Office
Ability to travel nationally 50% of time

More Information

Job City Harare

Jhpiego

Our History

Responding to the Changing Needs of Women and Families Worldwide

Since its founding in 1974, Jhpiego has been innovating to save the lives of women and families worldwide. From the first day, Jhpiego has been asking the question: How can we make lifesaving services available and accessible to the people who need them—all over the world?

Dr. Theodore M. King, an early innovator and champion for women’s health, was the moving force behind the founding of Jhpiego, an affiliate of Johns Hopkins University. In the early 1970s, King recognized the need to make physicians, nurses and administrators from developing countries aware of reproductive health breakthroughs, such as laparoscopy (a procedure used to inspect internal reproductive organs for infertility or to provide contraception by closing off the fallopian tubes) and modern contraceptives. Originally known as the Johns Hopkins Program for International Education in Gynecology and Obstetrics, the organization was funded through the United States Agency for International Development (USAID). Under King’s leadership, as a founder, trustee and later president of Jhpiego for 14 years, the organization conducted a steady stream of programs throughout the developing world.

How Did We Get from There to Here?

Early on, Jhpiego established itself as a leader in reproductive health training. Beginning in 1974, Jhpiego held training sessions on family planning/reproductive health for doctors and nurses in the USA In 1979, Jhpiego started its first in-country training programs in Tunisia, Brazil, Kenya, Nigeria, Thailand and the Philippines. From 1987 through 2004, Jhpiego conducted three global Training in Reproductive Health Projects, funded by USAID. Beginning in 1993, Jhpiego published learning materials on long-acting family planning methods.

Over the years—to respond more effectively to the needs of individual countries—Jhpiego became increasingly field-based and established its first field office in Kenya in 1993. Today, Jhpiego has field offices in more than 30 countries worldwide. Similarly, Jhpiego’s programming areas have expanded to meet changing needs in the field. In addition to family planning and reproductive health, Jhpiego now has expertise in maternal and child health, infection prevention and control, HIV/AIDS and infectious diseases.

Jhpiego’s work has also expanded to address reproductive health policy and guidelines and to support health systems strengthening. For example, in 1996 in Brazil, Jhpiego launched a performance and quality improvement approach, now known as Standards-Based Management and Recognition (SBM-R), which has since been implemented in 30 countries. SBM-R empowers health workers and facilities to improve the performance and quality of their services by providing them with the tools and methods they need to make decisions, solve problems and innovate at the local level.

Innovations in Training Methods and Technologies

In 1986, Jhpiego pioneered a competency-based training (CBT) approach that emphasizes learning by doing. CBT focuses on how the participant performs and promotes the trainer’s ability to encourage learning. Jhpiego also introduced the use of anatomic models for “humanistic training.” To minimize risk to clients, learners first practice on models until they achieve competency. In 1995, a clinical training skills manual—the cornerstone of Jhpiego’s training approach—was published. Using a systematic “training of trainers” approach, Jhpiego has created a global network of qualified physician, nurse and midwife trainers.

As early as 1984, Jhpiego collaborated with the University of the West Indies to deliver reproductive health courses, via satellite, to six islands in the Caribbean. In 1987, Jhpiego sponsored a global meeting on reproductive health education and technology with the World Health Organization (WHO) and introduced computer-assisted instruction to simulate clinical situations in several of its US-based courses. In 1995, ReproLine, an online source for reproductive health information, was launched. Today, Jhpiego continues to explore new learning technologies: mobile phones in Afghanistan, a computer-based learning management system in Ethiopia, computer-based training in Ghana, a distance learning program in Zambia.

Practical Solutions for Low-Resource Settings

Since the 1992 publication of its international reference standard Infection Prevention for Family Planning Service Programs, Jhpiego has been at the forefront in promoting evidence-based practices that can protect health care professionals, staff and clients from potentially life-threatening infections. To this end, Jhpiego has tested and introduced practical, low-cost infection prevention procedures that can be implemented effectively in settings with limited resources.

In developing countries, cervical cancer remains the leading cause of cancer deaths among women. In 1995, Jhpiego began research with the University of Zimbabwe to find a low-cost alternative to the Pap test that could make cervical cancer prevention a reality in low-resource settings. Based on the results of this research, Jhpiego helped form the Alliance for Cervical Cancer Prevention in 1999 and received funding from the Bill & Melinda Gates Foundation to expand its cervical cancer program. Since that time, Jhpiego has developed and piloted the single visit approach in which women are screened and treated during the same visit.

In 1995, Jhpiego began addressing HIV/AIDS and its integration with family planning services. Six years later, Jhpiego began work in HIV voluntary counseling and testing with a USAID-funded project in Jamaica. In 2002, Jhpiego received its first funding from the U.S. Centers for Disease Control and Prevention (CDC) for work in HIV/AIDS and, the following year, developed a global learning package on prevention of mother-to-child transmission of HIV—with CDC, WHO and university partners—to enable global scale-up. Also in 2003, Jhpiego began work on male circumcision for HIV prevention in Zambia. In 2008, Jhpiego developed a global learning package on male circumcision for HIV prevention with WHO and UNAIDS.

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This position is contingent upon award from USAID. Zimbabwean nationals are strongly encouraged to apply.

Responsibilities:

Engage local stakeholders to define desired health outcomes for maternal and child health and family planning, develop clinical performance standards, assess existing gaps in meeting standards, and develop a plan of action to achieve the desired health outcomes
Update national standards for quality assurance (as necessary)
Scale up a minimum package of care for different settings (mobile/outreach, static clinics, referrals) providing maternal and child health and family planning services
Develop/refine supportive supervision guidelines for maternal and child health and family planning services
Develop and test approaches for quality and performance improvement and/or human resources development according to the local context
Align quality approaches with Zimbabwe Ministry of Health and Child Care (MOHCC) and district-level stakeholders and their desired health outcomes
Apply quality standards to ensure that health services meet accreditation program requirements, as well as meet client expectations
In collaboration with project staff and the M&E Advisor, ensure that necessary quality improvement planning, budgeting and management activities occur to facilitate smooth and efficient program functioning
Monitor and track improvements and progress toward quality goals
Reinforce the peer review process, including sharing lessons learned and best practices adopted, to continually bridge performance gaps
Provide mentoring and capacity building at the individual and organizational level in specific areas of expertise including but not limited to quality assurance
Provide “train the trainer” sessions, site strengthening, in-service follow-up and supportive supervision to project-supported health facilities, as required by program activities
Coordinate assessments, site strengthening, follow-up and supervision, advocacy, demand creation, policy support, capacity-building and M&E across program sites as required by project activities
Lead the formulation of approaches for scale up of quality assurance services
Actively participate in all Technical Advisory Group Meetings, and represent Jhpiego in professional forums by participating and presenting in pertinent meetings and conferences, as well as technical working groups
Analyze potential quality assurance strategies within the context of the project and explain these, as necessary, to policymakers, funding agencies, and/or program staff
Work with health care providers, local authorities, community members and program team members to identify clinical, community-based service delivery issues that impede access to care and identify appropriate facility- and community-based strategies to address quality assurance service delivery gaps
Advocate with national, district and community-level health institutions to raise awareness about their role in improving health outcomes
Guide MOHCC, professional associations, and other national stakeholders in the revision/development of evidenced-based standards for competency in quality assurance
Collaborate with all local stakeholders and implementing partners, especially the MOHCC and other US and international implementing partners, in order to ensure that all activities conform to the requirements and regulations
Conduct regular reporting to the Technical Director, and program and technical staff, of successes, challenges and lessons learned in implementation related to areas of technical expertise
Document and maintain an inventory of successful tools and approaches for quality assurance
Contribute to the development of business proposals, technical reports and publications as they relate to quality assurance
Author and co-author abstracts and presentations for journals and conference
Document successes, lessons learned and challenges in implementation as well as reports of project activities and results to the program and donor, including routine quarterly and annual reports and other reporting requirements as requested
Maintain excellent relationships with USAID and in-country stakeholders and develop rapid responses to USAID/DC and Mission requests
Work closely with the Technical Director on setting program priorities and directions, and responding to requests for support from local counterparts.
Work with M&E staff to design, implement a plan to track data/results related to quality assurance
Provide technical leadership to the development the project strategic plan, work plan, and program monitoring, in close collaboration with MOHCC, USAID, and other stakeholders
Ensure timely implementation of all program inputs related to maternal and child health and family planning, including planning and implementing assessments, site strengthening, follow-up and supervision, advocacy, demand creation, policy support, capacity-building and M&E across program sites, in close coordination and collaboration with USAID and MOHCC
Assist in the preparation of donor reports and project reports
Contribute to ensuring availability of resources/facilitate the procurement of equipment and supplies required for project implementation

Required Qualifications:

A medical degree (doctor or nursing) or Master’s in Public Health
5+ years’ experience successfully implementing large, multi-partner, multi-year international health sector development projects (approximately $3-5 M per year) that have implemented successful activities in quality assurance; preferably in Zimbabwe
Experience training health workers on clinical aspects related to quality assurance
Experience building capacity at individual and organizational levels;
Skill in at least two or more of the following technical areas: strengthening service delivery programs, training, performance and quality improvement
Experience with a mix of practical technical skills in family planning necessary for strengthening quality assurance service delivery at the regional, national, clinical and community-level
Excellent diplomacy skills and a proven ability to establish and maintain interpersonal and professional relationships with USAID, host-country counterparts and representatives from other key stakeholders such as NGOs, CSOs, and the private sector
Previous experience working in Zimbabwe with intimate understanding of local health system and quality assurance gaps and opportunities, and solid relationships at government agencies
Knowledge of USAID programs, regulations, compliance and reporting requirements
Experience in research to practice—identifying and adapting best practices to specific project contexts
Excellent skills in facilitation, team building, and coordination
Excellent verbal, written interpersonal and presentation skills in English
Ability to coach, mentor and develop technical capacity in regional and national programs and technical staff
Proficiency in Microsoft Office
Ability to travel nationally 50% of time

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