The United States Government and the Government of Uganda recently signed a five-year bilateral health cooperation memorandum of understanding to advance health systems and combat infectious diseases. This agreement is part of the America First Global Health Strategy, which emphasizes direct partnerships with sovereign nations through government to government (G2G) awards rather than through NGOs, promotes national ownership of health systems, prioritizes on-budget financing, and requires recipient countries to increase their domestic health investments alongside U.S. assistance. Below is a summary of some of the process metrics that the MOU will track. HIV outcomes focus on the number of people receiving antiretroviral treatment (ART), new HIV diagnoses among infants (with age definitions shifting from 0-18 months to 0-12 months), new diagnoses among older children and adults (12+ months), and the percentage of pregnant and breastfeeding women living with HIV who receive ART. Maternal and Child Health (MCH) outcomes include the percentage of surviving infants receiving at least one dose of inactivated polio vaccine (IPV1), the percentage of children aged 12-23 months with at least one measles-containing vaccine (MCV1) and tracking of antenatal care (ANC) visits shifting from measuring average number of visits to the percentage of pregnant women with at least 4 ANC visits. Malaria outcomes measure the percentage of confirmed malaria cases receiving first-line antimalarial treatment and the number of insecticide-treated nets distributed (with distribution targets expanding from women and children to all populations at risk). TB outcomes track the number of notified tuberculosis patients (both bacteriologically confirmed and clinically diagnosed) and the percentage of notified TB patients who successfully completed treatment, including disaggregation for multidrug-resistant TB (MDR-TB). The first step for the Embassy in Kampala in designing the G2G agreements architecture, is to conduct a risk assessment. This Adviser will support the risk assessment process and risk mitigation planning to unlock the Embassy’s ability to achieve its public health objectives related to the MOU across HIV, TB, malaria, maternal/child health, and health security. This Technical Adviser will provide technical services to the GOU in carrying out life-saving humanitarian assistance (LHA) service delivery in full alignment with the new Presidential Executive Order (EO) directives and simultaneously support the U.S. Embassy Kampala, Department of State (DoS), in administering and overseeing Government-to-Government (G2G) awards to the Government of Uganda by assessing fiduciary risks, strengthening public financial management systems, and ensuring compliance with U.S. Government and Government of Uganda financial and contracting requirements under the rubric of attainment of the disease and health element specific MOU objectives. The Adviser will not conduct the risk assessments but will provide expert services to the Department of State and the GOU to support oversight of the G2G risk assessments which will be carried out by another party (TIFA). The expected outputs are completion of the mandatory assessments and development of mitigation plans required to enable G2G funding through GOU systems to pay for the achievement of HIV, TB, MCH, and malaria specific outcomes.
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Job Type
Full-time
Career Level
Mid Level