Strategy and Insights Manager, Routine Immunization Access, Uttar Pradesh

Clinton Health Access Initiative (Lucknow, UP, India) 11 hours ago

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:


Through the prioritized implementation of high impact public health interventions like immunization, access to safe drinking water, improved neo-natal and infant care and access to effective treatment for pneumonia and diarrhea, India has reduced its infant mortality rate (IMR) from 89 in 1990 to 32 in 2017 and Under-five Mortality Rate (U5MR) from 126 in 1990 to 39 in 2017[1]. India’s Universal Immunization Program (UIP) is one of the largest public immunization programs in the world. It caters to 26.3 million infants and 30 million pregnant women annually through 9 million planned sessions. The program provides access to vaccines against 11 Vaccine Preventable Diseases (VPDs)[2] at the national level and against two VPDs vaccines at the sub-national level[3].

Under the strong leadership of the Ministry of Health & Family Welfare (MoHFW) and state governments, the entire immunization ecosystem has demonstrated proactive commitment for achieving universal immunization coverage in the country in recent years. Strategic projects in this direction include but are not limited to introduction of new vaccines[4], rolling out of data systems[5], strengthening of national immunization centres such as Immunization Technical Support Unit (ITSU) and National Cold Chain & Vaccines Management Resource Centre (NCCVMRC) and successful piloting of initiatives for bolstering health worker capacity building[6]. Coupled with these initiatives, MoHFW launched Mission Indradhanush (MI) in 2014 and Intensified Mission Indradhanush (iMI) in 2017: catch up and system strengthening campaigns to target underserved, vulnerable, resistant, and inaccessible populations. iMI has resulted in an increase of 6.7% in full immunization coverage (FIC) after the first two phases in prioritized districts[7]. However, the government and partners recognize the need for further efforts in this direction to reduce the 802,000 infant deaths and 989,000 under-five deaths that occur annually in the country[8].

Uttar Pradesh (UP), the most populous state of India, contributes more than 20% (5.7 million) to India’s annual birth cohort. UP has the highest infant mortality (64 deaths per 1,000 live births) and under five mortality rates (78 death per 1,000 live births) in the country[9]. UP’s FIC went up from 51.1% in 2015-16, to 65.3% in 2018 through concentrated efforts and catch up campaigns (MI and iMI) in 60 out of 75 districts. However, wide variations in coverage exist across regional and social categories. In 2018, UP accounted for 25% of under-immunized children in India & 9.5% of world’s under-immunized children. Improvements in UP’s FIC are essential to national and global improvements in immunization coverage, as an increase in UP’s FIC from 65 to 90% could increase India’s FIC by 6 percentage points, and the global FIC by 1%. The government of Uttar Pradesh (GoUP) is currently rapidly implementing a new strategic roadmap for holistic improvement of immunization outcomes in the state.

Program Overview:

CHAI operates an immunization program in India to support the MoHFW’s UIP at the national level and in the focus states of Madhya Pradesh and Uttar Pradesh. CHAI provides catalytic support to the NCCVMRC, which is based out of National Institute of Health and Family Welfare (NIHFW), on national projects for improving availability and efficacy of vaccines and efficiency of vaccines systems by strengthening cold chain management and vaccines delivery & logistics. CHAI also supports national and state governments on broader operational aspects such as planning, capacity building and systems improvements for immunization service delivery. Supporting GoUP since 2013, the Uttar Pradesh Technical Support Unit (UP-TSU) works closely with the Department of Health & Family Welfare and the Department of Child Welfare of GoUP to improve the availability, quality and utilization of critical reproductive, maternal, natal, child and adolescent health (RMNCH+A) interventions and services and has a deep understanding of UP’s health systems, geography and demographics and opportunities.

Recognizing the vision and ambition of the GoUP on improving immunization coverage and equity outcomes in the state, CHAI and UP-TSU are undertaking a transformative project to provide support to GoUP at the state and district levels and in prioritized blocks. A purposely-formulated immunization project management unit (PMU) nestled within the UP-TSU will anchor this support to GoUP. The PMU will design and deploy catalytic support to GoUP based on the guiding principles of impact, integration, investment, and innovation. The PMU will support GoUP on the state’s plans for strengthening evidence-informed decision-making, enhancing state capacity to manage and govern immunization service delivery and augmenting immunization systems in prioritized blocks of the state.

Role Overview:

CHAI seeks a highly motivated and entrepreneurial individual with outstanding credentials for the role of Strategy & Insights Manager. The manager will oversee and guide the development of the Immunization PMU strategy, undertake programmatic and operational planning and ensure strategic alignment for interventions across the PMU. The manager will be responsible for driving evidence-based decision making and strengthening program review & monitoring mechanisms at the state level. The manager will report to the Immunization PMU lead directly and will work with senior stakeholders across the immunization ecosystem to drive program outcomes. Within the Immunization PMU, s/he will lead a dynamic Strategy & Insights team comprising competencies across advanced analytics, strategic planning and process transformation. The ideal candidate would have strong strategic management and planning skills, rich experience of delivering evidence-based insights, impeccable writing and verbal communication competencies, and have demonstrated excellence in leading high caliber teams for impact. CHAI places great value on relevant personal qualities: resourcefulness, responsibility, tenacity, independence, energy, and work ethic.

[1] Unicef on behalf of UN IGME (2018). Level and Trends in Child Mortality Report 2018 Estimates developed by the UN Inter-agency Group for Child Mortality Estimation. New York

[2] diphtheria, pertussis, tetanus, polio, measles, rubella, severe form of childhood tuberculosis, rotavirus diarrhoea, hepatitis B, meningitis and pneumonia (caused by hemophilus influenza type B)

[3] pneumococcal pneumonia and Japanese Encephalitis

[4] Rotavirus Vaccine, Pneumococcal Conjugate Vaccine, Measles Rubella vaccine, Injectable Polio Vaccine, Tetanus Diphtheria vaccine

[5] electronic Vaccine Intelligence Network (eVIN), National Cold Chain Management Information System (NCCMIS), ANM Online (ANMOL), Surveillance and Action for Events Following Vaccination (SAFE-VAC)

[6] Rapid Immunzations Skills Enhancement (RISE)

[7] Gurnani et al (2018). Improving vaccination coverage in India: lessons from Intensified Mission Indradhanush, a cross-sectoral systems strengthening strategy. BMJ 2018; 363; k4782

[8] Ibid1

[9] National Family Health Survey-4, MoHFW, GoI

  • Lead and execute, under the guidance of the Lead PMU, the process of strategy formulation for Immunization PMU in UP to support GoUP achieve its program outcomes timely and effectively.
  • Design, validate and drive innovative interventions for enhancing evidence-based decision making for the immunization program in UP.
  • Develop and implement strategies for improving immunization data availability & accuracy.
  • Develop transformative program review mechanisms to drive performance.
  • Leverage & integrate multi-modal immunization & other public health data and field insights to deliver evidence-based insights for internal & external immunization program strategy.
  • Support key government and public health stakeholders in long term planning & program review as well as short term decision making for immunization through advanced data analytics, predictive modelling, situation analysis etc.
  • Lead, guide and mentor a high-powered Strategy & Insights team capable of designing and delivering impactful solutions in swift timelines.
  • Lead the strategic & operational planning for the Immunization PMU and undertake regular strategy reviews for course correction.
  • Ensure strategic alignment across the Immunization PMU sub-teams. Identify opportunities for collaboration and resource optimization across the Immunization PMU interventions.
  • Build effective and functional relationships with immunization partners in the state to identify synergies.
  • Support CHAI leadership in managing donor & grant, operations, and finances of the program to meet deliverables within the appropriate timeframes.
  • Travel on short notice to various parts of the state.
  • Perform other responsibilities as requested by Immunization PMU Lead.

  • Relevant work experience of 8+ years and Master’s degree in management, economics, public administration, public health or allied areas.
  • Proven expertise in a demanding results driven environment, in the public and/or private sector, with relevant program management experience.
  • Prior experience in strategic & operational planning / consulting for large organizations.
  • Proven expertise in advanced analytics, predictive modelling, big data, machine learning & related fields.
  • Ability to think strategically, handle ambiguity, and problem solve in a fast-paced, limited-structure, multicultural environment.
  • Exceptional interpersonal skills, demonstrated ability to build strong professional relationships with a range of stakeholders in a challenging, multi-cultural environment.
  • Excellent writing and verbal communication skills required.
  • Proven experience in mentoring and leading teams in a fast-paced and changing environment.
  • Fluency in English & Hindi.


  • Strong understanding of immunization context.
  • Significant government stakeholder management experience.
  • Strong experience in management consulting with highly reputed consulting firms.


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