Program Manager, HIV Prevention

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 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.

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Lenacapavir (LEN) is a long-acting injectable HIV prevention product given twice a year. Clinical trials show near-complete protection against HIV, and the twice-yearly dosing can help people who struggle to take daily oral PrEP. In Indonesia, the HIV epidemic is concentrated among key populations, while recent reductions in external HIV funding have put prevention programs at risk.

With funding from GiveWell, CHAI will run a 2.5-year implementation research program to support the introduction of LEN in Indonesia: about 12 months of preparation, followed by 18 months of implementation research. The program aims to reach around 7,000 people from key populations (men who have sex with men, transgender women, people who inject drugs, and female sex workers) across about 20 sites in West and East Java, through community/private clinics and key-population-friendly Puskesmas. The evidence on uptake, continuation, cost, and acceptability will inform the Ministry of Health's (MoH) decisions on national scale-up, policy inclusion, and sustainable financing. The program is organized around four workstreams:

• Regulatory and ethics: secure LEN approval through BPOM’s Special Access Scheme and ethical approval of the study protocol
• Commodities: procure LEN and distribute it to study sites without stockouts
• Service delivery and demand: prepare sites, train health workers and civil society organizations, and generate demand among key populations
• Data and evidence: build the M&E framework with the MoH and SI PrEP/SIHA, and collect and analyze routine data, provider surveys, and key informant interviews

The Program Manager will lead CHAI's day-to-day design, delivery, and learning for the Lenacapavir program in Indonesia. The Program Manager will manage the full project cycle across all four workstreams, lead a small team (a Program Officer and a Senior Admin, Logistic and Data Assistant), serve as the main point of contact for the MoH, BPOM, provincial and district health offices, partners, and the donor. They will also ensure the program generates the evidence and government ownership needed for national scale-up. They are expected to influence program strategy, build relationships with senior stakeholders, and operate independently with strong technical and strategic judgment.

Program leadership and delivery

• →Lead the program through its phases: preparation (regulatory and ethics approval, procurement, M&E set-up, and training), implementation research, and dissemination of results.
• →Translate the proposal into a detailed workplan with clear milestones, owners, and risk mitigation; track progress against the workplan, budget, and indicators, and recommend course corrections to senior management and the donor.
• →Anticipate and manage key risks, such as regulatory or ethics delays, product availability, and lower-than-expected uptake or continuation.
• →Lead, mentor, and set priorities for the program team; supervise consultants and partners; and manage matrixed support from CHAI’s global and regional teams.

Government and stakeholder engagement

• →Build and maintain trusted relationships with the MoH, BPOM, ethics committees, provincial and district health offices in West and East Java, study sites, and community and key population networks.
• →Represent CHAI in HIV prevention and PrEP technical working groups, and coordinate with development partners to align efforts.
• →Prepare clear briefs, presentations, and recommendations for senior government and donor audiences.

Technical delivery and evidence generation

• →Lead the BPOM Special Access Scheme application and the study protocol and ethics approval process, working with regulatory consultants, research partners, and CHAI’s global team.
• →Oversee LEN procurement, importation, and distribution to study sites, making sure supply matches enrolment and that clients can receive their continuation doses on time.
• →Work with the MoH to develop the M&E framework and adapt SI PrEP/SIHA so that LEN uptake and continuation can be tracked, and use routine data to drive reviews with sites and district teams.
• →Oversee site readiness, health worker and CSO training, and demand generation activities that are sensitive to the needs of key populations.
• →Lead analysis of study findings and turn them into policy briefs and recommendations on national guideline inclusion, scale-up, and domestic financing, and share lessons with CHAI Vietnam and regional forums.

Budget and donor management

• →Manage the program budget, forecast spending, and monitor burn rate.
• →Ensure compliance with donor and CHAI financial and fiscal requirements.
• →Prepare timely, accurate narrative and financial inputs to donor reports.

• Master's degree in public health, epidemiology, health policy, medicine, pharmacy, or a related field. A bachelor's degree with significantly more experience or a degree in management and business with extensive health-related implementation research experience may be considered.
• At least five to seven years of progressive experience managing health programs, including leading multiple workstreams or a medium-to-large project from planning through closure.
• Demonstrated experience in HIV programs, ideally HIV prevention or PrEP.
• Experience working with government counterparts, preferably the Indonesia MoH or provincial and district health offices.
• Demonstrated ability to manage budgets and donor requirements, and to supervise and develop professional staff.
• Ability to engage sensitively and without stigma with key populations.
• Excellent written and spoken English and Bahasa Indonesia, including the ability to prepare polished briefs and present to senior audiences.
• Willingness to travel regularly to West and East Java.

• Experience with new product introduction, implementation or operational research, or study design.
• Experience with BPOM regulatory or ethics approval processes in Indonesia.
• Familiarity with SI PrEP, SIHA, or other national health information systems.
• Experience with health commodity procurement and supply chain.
• Experience working with community-based organizations or key population networks.

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