Associate, Tb

Overview:
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.

CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.

At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries.

In India, CHAI works in partnership with its India registered affiliate William J Clinton Foundation (WJCF) under the guidance of the Ministry of Health and Family Welfare (MoHFW) at the Central and States' levels on an array of high priority initiatives aimed at improving health outcomes. Currently, WJCF supports government partners across projects to expand access to quality care and treatment for HIV/AIDS, Hepatitis, tuberculosis, COVID-19, common cancers, sexual and reproductive health, immunization, and essential medicines.

**About the project**

In India, the lack of medical imaging infrastructure at the community level coupled with the nonavailability of qualified radiologists to interpret X-ray’s leads to a significant delay in screening and diagnosis of Tuberculosis (TB). Chest X-ray (CXR) is a rapid imaging tool that allows for easy identification of lung abnormalities and is a crucial tool for early detection of tuberculosis (TB) Currently, only 11% of public health facilities in the country have X-ray devices available at Community Health Centres (CHCs) or district hospitals consequentially delaying the diagnosis of TB or adding to the out-of-pocket expenditure required by patients if done outside the public health facilities.

To address these delays at the community level, WJCF, with support from The Global Fund, aims to address the gap by introducing and operationalising hand-held X-ray devices integrated with Computer-Aided Detection (CAD) software. Deployment of a high-sensitive screening tool (X-ray) along with high throughput interpretation (CAD) and subsequent linkage to CBNAAT for diagnostics would reduce delays in diagnostics and pre-treatment loss to follow-up (LTFU). In addition, would be of significant use of active case finding in various settings. The project is currently be implemented in urban and rural districts in Uttar Pradesh, Bihar, Rajasthan, Gujarat, Tamil Nadu, Kerala, Uttarakhand, and Haryana; and is required to be further scaled up by WJCF to 2 Districts of South Garo Hills (Meghalaya) & Kohima (Nagaland).

The project aims to generate local evidence and demonstrate various use cases for portable X-ray + CAD to improve TB case finding and reduce diagnostic delays. With an objective that the local evidence would lead to greater buy-in at the state level, facilitate the effective transition of project activities to the government and support future scale-up using domestic budgets.

**Role Overview**

Reporting directly to the Technical Lead in Delhi and collaborating closely with the Project Director, the Associate will play a critical role in driving project implementation across state teams. We are looking for an individual who can independently navigate complex multi-stakeholder environments, exhibiting resourcefulness, strong communication skills, and an unwavering commitment to project success.

**Responsibilities**:

- Align the project's Monitoring and Evaluation (M&E) framework comprehensively with on-ground implementation strategies across both states
- Conduct regular monitoring of programmatic indicators, ensuring strict adherence to re