Costing Associate, MaxART Immediate Access To ART Implementation Study

In Swaziland, the country with the highest HIV prevalence in the world, a consortium of multi-disciplinary stakeholders (1), led by the Government of Swaziland, is managing an initiative called, MaxART – Maximizing ART for Better Health and Zero New HIV Infections. MaxART includes a unique package of interventions aimed at ensuring that all individuals who need it have access to high quality HIV testing, treatment, and lifelong care. The Clinton Health Access Initiative (CHAI) has been working alongside the Ministry of Health in Swaziland since 2007, and the MaxART project builds on this close collaboration with the government.

With these strong systems and improved understanding of the realities and needs on the ground, the Government of Swaziland – in collaboration with the MaxART Consortium – is also embarking on a 3-year Immediate Access to ART Implementation Study to understand the feasibility, acceptability, outcomes, affordability, and scalability of offering treatment for people living with HIV irrespective of CD4 within its national health system.  There is now considerable evidence from clinical trials that Immediate Access to ART (also known as “HIV treatment as prevention”) could both improve the health of people living with HIV and dramatically reduce the rates of new HIV infection. But evidence is needed to assess what is required to implement this approach in a “real world” setting – and Swaziland is ready to lead the way.

Clinton Health Access Initiative

Founded in 2002, by President William J. Clinton, the Clinton Health Access Initiative (CHAI) is a global health organization committed to strengthening integrated health systems around the world and expanding access to care and treatment for HIV/AIDS, malaria and other illnesses. Based on the premise that business-oriented strategy can facilitate solutions to global health challenges, CHAI acts as a catalyst to mobilize new resources and optimize the impact of these resources to save lives, via improved market organization, management support, and strategic use of data to inform evidence-based, cost-effective policies and programs.  By working in association with governments and other NGO partners, CHAI is focused on large-scale impact.

Job Requirements

The MaxART Costing Associate will work closely with the Research Manager to support the implementation of this Immediate Access to ART Implementation Study. Specific responsibilities include:

  • Collaborate with study Health Economist and Research Manager to implement study operating procedures and monitor study activities and timeline for economic evaluation.
  • Collect comprehensive bottom-up and top-down facility-level cost data for an economic evaluation of HIV/AIDS programs and interventions.
  • Collaborate with Research Manager and Data Manager to prepare regular study updates and analyses of cost data for study Health Economist.
  • Master's degree in public health, health economics, health finance, health management, health policy, or other relevant field.
  • Minimum of 2 years of experience in cost analysis, economic evaluation, capacity building, resource mobilization, data analysis and research design, management, and implementation.
  • Demonstrated understanding of and ability to apply accepted tools, techniques and frameworks for economic evaluation and cost analysis of HIV/AIDS interventions.
  • Experience in conducting economic evaluation and analyzing costing data.
  • Strong quantitative and qualitative research skills.
  • Experience using statistics packages such as SAS or Stata.
  • Experience working on one or more additional areas preferred: HIV/AIDS, health systems strengthening, health policy, and statistics.

 Supervision & Reporting

The MaxART Costing Associate will report to the Clinton Health Access Initiative Research Manager in Swaziland and will work closely with the entire MaxART Consortium and Research Team. 

(1) The MaxART Consortium is comprised of STOP AIDS NOW!, Clinton Health Access Initiative (CHAI), Swaziland National Network of People Living with HIV (SWANNEPHA), Global Network of People living with HIV (GNP+), South Africa Centre for Epidemiological Modeling and Analyses (SACEMA), Southern Africa HIV & AIDS Information Dissemination Service (SAfAIDS) in collaboration with in-country partners including the US President’s Emergency Plan for AIDS Relief (PEPFAR)’s implementing partners, Médecins Sans Frontières, University of Amsterdam, and the United Nations.

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