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Last Mile Senior Advisor (Tanzania)


The Global Health Supply Chain (GHSC) program, supported by the United States Agency for International Development (USAID), provides expert technical assistance to Tanzania to strengthen country supply chain systems across all health elements, e.g., malaria, family planning (FP), HIV/AIDS, tuberculosis (TB) and maternal, newborn and child health (MNCH). In coordination with in-country and development partners, GHSC assists Government of Tanzania (GOT) health programs by providing strategic planning and implementation assistance; improving the delivery of health commodities to service sites; providing capacity building support to broaden stakeholders' understanding and engagement of the supply chain system; and strengthening enabling environments to improve supply chain performance.

Job Summary:

The Last Mile Advisor will work across all objectives of the project to ensure that the critical perspective of the realities at rural health centers and health posts are represented in any and all central level decision-making. This person will also provide leadership and support to the enabling environment work stream which includes team members working on governance systems, establishing operational processes, defining policy recommendation and operationalizing M&E systems.


  • Provide leadership and oversight to activities supporting the enabling environment work stream including strengthening governance systems, establishing operational processes, defining policy recommendation and operationalizing M&E systems.
  • Provide thought leadership and guidance to the GHSC project team to ensure that last mile perspectives are integrated into all project initiatives such as; including unique solutions to address service delivery level challenges; highlighting differences between stated policies and on the ground implementation; sharing best practices and developing activities to improve data quality, streamline workflows and improve efficiency at the last mile; and leading efforts to understand and evaluate the impact of project activities at the service delivery level.
  • Work closely with civil service organizations (CSOs), regional health management teams (RHMTs), council health management teams (CHMTs) and districts to meet project objectives.
  • Support activities within the enabling environment workstream including solidifying the logistic management unit’s role in information sharing and oversight, expanding the role of the private sector, establishing a culture of collaboration and information sharing and strengthening governance and accountability
  • Monitor project implementation and refine project strategies and plans accordingly
  • Contribute both strategically and tactically to analysis of program opportunities;
  • Represent GHSC in technical working groups, committees, government forums, and conferences as relevant;
  • Ensure strong relationships between GHSC, government partners, and global and NGO partners in Tanzania
  • Work with the project management team to support the implementation and monitoring of long-term country strategic plans that reflects GOT and USAID Tanzania’s, priorities and needs and update these as necessary throughout project life.
  • Other health system strengthening initiatives as required
  • Experience in Health System Strengthening Initiatives: Experience working with Tanzania’s health system and working with a variety of stakeholders, including ministries of health and health facility staff, in the areas of program design, implementation or evaluation. Must have strong understanding of the service delivery level and working in rural environments.
  • Coalition-Building. Experience in working with CSOs, government, and other stakeholders to influence change.
  • Communication and interpersonal skills. Strong communication and cross-cultural management skills with experience working with ministries of health and health workers. Persuasive written and verbal communication. Open mindedness to accommodate the non-traditional mix of disciplines within the GHSC team and interpersonal skills to work effectively in partnership with others on the project and externally.
  • Writing and analytical skills. Superb writing skills and the ability to assemble, distill and analyze all necessary information for decision-making and presentations.
  • Problem solving, creative thinking, and analytical skills. Ability to collect and analyze data quickly and efficiently. Ability and confidence to identify and recommend creative solutions to a diverse group of stakeholders. Identifies both opportunities and needs for change. Ability to identify issues or problems and provide a respective solution that is feasible and acceptable to the local context. Explores and shares innovative best practices with others.
  • Commitment to the mission. Passion for the mission of GHSC, including strong commitment to global health, and a belief in the role of private sector solutions to public health systems.
  • Personal qualities. Energy, intelligence, diplomacy, sound practical judgment and the ability to work independently without supervision.
  • Tanzanian national or lawful resident
  • A Master’s degree or higher in public policy, public administration, public health, supply chain or related field;
  • 10+ years of experience in health systems strengthening with a focus on the last mile
  • Excellent written and verbal communication in English
  • Ability to work collaboratively and collegially in an inter-agency and geographically dispersed team
  • Ability to be self-directed, prioritize and perform multiple tasks, problem-solve, and work under pressure;
  • Ability to travel domestically and internationally
  • Ability to establish and sustain professional relationships with government partners, donors, and peer organizations and VillageReach staff in local and overseas offices;
  • Proficiency in word processing, spreadsheet, and presentation programs;
  • Strong oral and presentation-level communication skills;