Download Employer Info Session: Clinton Health Access Initiative

“It struck me that this was a
problem that cried out for
organization and
entrepreneurial skill…
For a relatively small amount
of money, we could have a
huge impact”
- President William J. Clinton
The Clinton Health Access Initiative
Bloomberg School of Public Health – 10.10.2012
Ira Magaziner
All lives have equal value – we are separated from the people
behind the statistics by an “accident of latitude and longitude”
• Malaria kills one child every 45 seconds
• About one in four children < 5 years old is underweight in the developing world
• A person dies an AIDS related death every 20 seconds and nearly 7400 people are newly
infected each day
• In 2010, around 6.6 Million PLWHAS were receiving ART in low and middle income
countries, but over 7 Million others are waiting for access to treatment.
“They’ve taken operational excellence to
a level never seen before"
“Nobody wants to buy sour milk”
CHAI Strategy
For CHAI, a transformational program is one that creates a fundamental positive
change in the way that relevant actors approach and realize achievements.
Contained within this definition are 4 core components that are required for a
program to be transformative:
1. Degree of Impact
 Dramatic improvement over counterfactual
2. Scale of Impact
 Transformative impact must be large scale
3. Breadth of Impact
 Change the way that other actors think about/approach an issue
4. Sustainability of Impact
 CHAI should be able to phase out its activities without erosion of the
impact achieved
CHAI seeks to achieve transformative impact, engaging all key actors to
take new approaches that dramatically the scale & speed of impact
Background
 In 2006, children were falling far behind adults in ARV treatment. There was modest,
fragmented effort to overcome the challenge
 UNITAID and CHAI launched an ambitious to drive down pediatric drug prices and support
governments and their partners to rapidly scale-up to close the gap
Impact
Average Annual Price of Pediatric ARVs
Number of children on treatment
$1,553
$631
2006 (MI)
2006 (LI)
+400%
-92%
250,000
$54
$52
2007
2010
150,000
Sites Accessing EID HIV Testing
+2,200%
<200
2006
1,400
2007
2,900
2008
200,000
UNITAID
Inception
100,000
4,600
2009
50,000
0
2005
2006
2007
2008
2009
6
CHAI’s market shaping work centers on simultaneous engagement
with manufacturers and country governments
Supply Manufacturer side interactions…
…collaborations with governments and
partners
Example: Price Reduction for TDF Since 2006
Focus countries
(2010 & 2011)
(per patient per year)
$207
- $69
New suppliers
- $36
Cheaper inputs
- $24
New process
$78
2006 Price
•
•
•
•
2011 Price
Optimize product design
Enhance competition
Reduce production costs/risks
Negotiate prices
•
•
•
•
International guidelines inclusion
Product adoption and uptake
Access to pricing/tendering
Forecasting
7
CHAI is at its best when it pairs its country work with work globally to create a
feedback loop between global policies and resources and realities of country
programs
Tanzania pilot proves subsidy model;
identifies issue of remote access
1
 <$1 million
spent
 100,000+
treated
2
Support 9 countries to translate
global policy to effective local programs
Annual volume of ACT Sales
0
4
10,000
Incorporate new solutions into
appropriate future for program
3
Test innovative solutions to
remote access & targeting during
Phase 1
?
8
8
working to continue fulfilling our vision throughout the
developing world
 Founded: In 2002 (became separate 501(c)(3) organization in 2010)
 Leadership: President Clinton, Chairman of Board; Ira Magaziner, CEO and Vice
Who we
Chairman of Board
are
 Staff: ~550 full-time employees; ~100 volunteers¹ (<10% based at HQ)
 Budget² : ~$70,000,000
Notes: ¹ Numbers correct as of 09/01/11
² Budget quoted for year 2011
9
Our currently focuses on six key focus areas within global health
Strategy Overview
HIV/ AIDS
 Improve efficiency and effectiveness of global spending, increase long-term
survival for PLWHA & accelerate scale-up of eMTCT & TasP
Value for Money
 Increase efficiency of spending on key health commodities and identify and
pursue significant structural inefficiencies in global health spending
Malaria
 Support rapid scale-up of effective treatment and diagnosis, achievement of
elimination where feasible, and sustained financing
Human
Resources for
Health
 Improve the production, distribution, and quality of health professionals to
significantly accelerate closing the human resource gap
Vaccines
 Accelerate introduction and reduce prices of new vaccines and improve the
efficiency of vaccine delivery
Maternal and
Child Mortality
 Accelerate scale-up of essential child treatment with a focus on zinc/ORS and
improve systems to reduce maternal/neonatal mortality in key countries
10
CHAI Values: Work with Urgency
CHAI operates with a set of core values that are
fundamental to our work:
1.
We work with urgency
• We understand that the faster we act, the more lives that can
be saved
2.
We work in cooperation with and at the service of our partner
governments
• When invited by these governments, CHAI works as trusted
advisors to expand access to treatment, strengthen
management capacity and expand the health care workforce.
CHAI Values: Mission Driven, Humility, Trust
CHAI operates with a set of core values that are
fundamental to our work:
3.
4.
5.
6.
We are a mission driven organization
We operate with humility
We operate based on trust
We are frugal
•
We are mission-driven and feel that donor money we raise should go
as much as possible to saving lives directly.
CHAI Values: Culture
CHAI operates with a set of core values that are
fundamental to our work:
7.
8.
We recognize our staff is our greatest asset
•
Our success is driven by the talent and hard work of the exceptional
individuals working at CHAI.
•
CHAI strives to support our well-performing staff to grow and thrive
within the organization and to enable them to have a major impact
in fulfilling the mission that caused them to come to work at CHAI.
We have an entrepreneurial and action-oriented culture
•
Our goal is to take initiative and take action: be transformative
Who thrives at CHAI?
Skills
•Brightest and best
• Very strong quant skills for analysts
• Consultants work well, provided can also get things done
• Ability to assess, identify creative/lasting solutions, act fast, adapt if not working
• Global health experience an advantage but not essential – ditto developing world
experience
Character
• Humble, not credit seeking
• Put the mission first, ahead of personal objectives
• Persistent yet diplomatic
• Collaborative internally and externally
Sacrifice
•High intensity work
• Able to cope with unstructured, often chaotic environment
Why Apply?
Recruitment Team Contact Information
Website: http://www.ClintonHealthAccess.org
Email: [email protected]
President Clinton meets with Arriet, an HIV positive girl receiving ARV treatment with the help
of a CHAI clinic in South Africa. (2006).