The Health Systems Strengthening Lead provides strategic and technical leadership to strengthen the FCI-Ethiopia hub-and-spoke network as an integrated, resilient, sustainable, and government-aligned health system. Reporting to the Technical Director, the Lead translates the six-health system building blocks service delivery, health workforce, health information systems, access to essential medicines and technologies, health financing, and leadership/governance into practical actions across FCI hubs, spokes, community platforms, FBO-owned facilities, and their linkages with government systems.
The Lead ensures that FCI-Ethiopia delivers integrated, people-cantered, equitable, and quality services without creating parallel or vertical systems. This includes integrating MNCH & Nutrition and HIV & TB, strengthening facility and community readiness, workforce capacity, referral and back-referral systems, and linkages between FBO and government health facilities.
Advertisement
The Lead strengthens service delivery through integrated care models, facility readiness, catchment-based approaches, referral networks, and continuous improvement; strengthens the health workforce through capacity building, mentorship, supportive supervision, and competency development; and strengthens health information systems through DHIS2, eCHIS, data quality, reporting, and data use for decision-making.
The Lead also supports access to essential medicines, vaccines, diagnostics, equipment, and technologies, ensuring FCI investments complement government supply systems. This role promotes efficient and sustainable financing, ensuring resources are targeted to priority system gaps and provide value for money. Through leadership and governance, the Lead strengthens coordination, accountability, regulatory compliance, partnerships, and alignment with FMoH, Regional Health Bureaus, Zonal/Woreda Health Offices, and other relevant institutions. The position provides technical oversight for facility readiness assessments, health system diagnostics, integrated mentorship, referral systems, continuous quality improvement, performance reviews, and learning. Overall, the Lead ensures that the six building blocks function as one interconnected system, enabling FCI-Ethiopia to strengthen existing government and FBO systems, avoid duplication and parallel structures, and establish sustainable, integrated health services that can continue beyond the project period.
Lead overall planning, implementation, monitoring, and reporting of project activities.
Develop annual work plans, procurement plans, and implementation schedules.
Coordinate project implementation across all target districts.
Supervise Project Officers and facilitate performance management.
Ensure timely delivery of project outputs and outcomes.
Coordinate quarterly review and reflection meetings.
FCI hubs, spokes, FBO-owned facilities, government facilities, and community platforms function as a coordinated service delivery network.
Readiness gaps in facilities and communities are systematically identified, ranked by priority, and addressed.
MNCH & Nutrition and HIV & TB services are increasingly delivered through integrated platforms rather than parallel systems.
Functional community–facility referral and back-referral mechanisms are established and used.
Improved continuity of care from community to primary and referral-level facilities.
Improved access to people-centered, equitable, integrated, and quality services.
Continuous quality improvement has become part of routine service delivery.
Facility, FBO, HEW/CHW, and community health workers have the competencies required to deliver integrated services.
Workforce capacity gaps are systematically identified and addressed through targeted capacity development. Functional mentorship, coaching, and supportive supervision systems are established.
Improved provider competency, performance, teamwork, and appropriate task sharing.
Reduced duplication of training and technical support through integrated capacity-strengthening approaches.
Ensure quality implementation of:
Support adaptation and contextualization of project materials.
Ensure safeguarding, disability inclusion, gender, and conflict sensitivity standards are maintained.
Coordinate technical support from F&D, Peacebuilding, and MEAL teams.
Medicines, Diagnostics, Equipment & Health Technologies Critical commodity and equipment gaps are systematically identified and addressed.
Stronger linkage of FCI-supported facilities with government procurement, supply-chain, and logistics systems.
Improved forecasting, stock monitoring, rational use, maintenance, and management of essential commodities and equipment.
Reduced service interruptions caused by avoidable commodities, equipment, or technology gaps.
FCI investments complement rather than duplicate government supply systems.
Health Information & Digital Systems
DHIS2, eCHIS, and other relevant digital systems are effectively used and aligned with government systems.
Improved data quality, reporting, referral tracking, and performance monitoring.
Functional performance dashboards and routine data-review mechanisms support decision-making. Facility, hub, community, and project teams increasingly use data to identify gaps and improve performance.
Improved visibility of integrated MNCH, Nutrition, HIV and TB service performance.
Stronger coordination and collaboration between FCI, FMoH, RHBs, Zonal/Woreda Health Offices, FBOs, facilities, and communities.
FCI interventions are aligned with national policies, strategies, standards, guidelines, and government priorities.
Clear roles, responsibilities, accountability, and coordination mechanisms are established across the hub-and-spoke network.
Increased government and FBO ownership of FCI-supported interventions and systems.
Strengthened regulatory compliance, governance, accountability, and joint performance review.
Monitor project expenditure against approved budgets.
Ensure donor compliance and WV grant standards.
Prepare quality programmatic reports.
Coordinate audits and project reviews.
FCI resources are strategically directed toward priority health-system gaps and high-impact interventions.
Improved value for money and reduced duplication across technical and operational activities.
Greater integration of FCI investments into government and FBO plans, systems, and structures.
Sustainable methods are established for functions initially supported by the project.
Increased government and FBO capacity to maintain key interventions beyond project funding
Reduced dependence on parallel project-funded systems.
Produce quarterly reports.
Develop learning briefs and success stories.
Support dissemination of project evidence and learning products.
Lead the development and implementation of the project’s documentation and knowledge management approach for health systems strengthening activities.
Ensure systematic documentation of HSS interventions, implementation experiences, achievements, challenges, solutions, lessons learned, and promising practices.
Coordinate the preparation of high-quality technical reports, learning briefs, case studies, success stories, implementation guides, presentations, and other knowledge products.
Document experiences and lessons across key HSS areas, including leadership and governance, primary health care, human resources for health, health information systems, health financing, supply-chain systems, service-quality improvement, and institutional capacity strengthening.
Work closely with technical leads, monitoring and evaluation teams, project coordinators, and implementing partners to translate routine program data and field experience into actionable learning.
Establish appropriate processes for collecting and organizing project documentation so that important technical resources, decisions, evidence, and learning products are accessible and reusable by project teams.
Facilitate knowledge-sharing and learning forums, including review meetings, learning sessions, communities of practice, workshops, and technical exchanges.
Support teams to identify and document innovations and scalable practices, including the conditions, implementation approaches, challenges, and lessons important for replication.
Ensure that documentation incorporates evidence from monitoring data, supportive supervision, quality-improvement activities, assessments, evaluations, and implementation experience.
Coordinate with relevant government stakeholders to ensure that HSS documentation and knowledge products contribute to institutional learning, program improvement, and sustainability.
Support the dissemination of HSS evidence and learning to appropriate stakeholders through technical briefs, presentations, reports, workshops, and other knowledge-sharing platforms.
Maintain appropriate quality assurance and version control for technical documents and knowledge products before dissemination.
Promote a culture of continuous learning and adaptive management, ensuring documented evidence and lessons are fed back into program planning and implementation.
Ensure that sensitive program information is appropriately managed and that knowledge products comply with applicable data-protection, confidentiality, donor, and organizational requirements
Minimum of eight (8) years of experience in health systems strengthening, clinical service quality or health service management in Ethiopia, of which at least three (3) years in a technical advisory or technical leadership role on a donor-funded Programme.
Demonstrated experience designing or managing clinical mentorship, supportive supervision, or quality-improvement systems (PDSA, SAIA or comparable methodologies) at scale.
Proven experience operationalizing networked or referral-based service-delivery models, such as hub-and-spoke arrangements, networks of care or catchment-based systems.
Substantive working experience with the Federal Ministry of Health, Regional Health Bureaus and Woreda Health Offices on clinical standards, national guidelines, and service integration.
Demonstrated engagement with Ethiopian regulatory and supply institutions as such the Ethiopian Food and Drug Authority (EFDA) and the Ethiopian Pharmaceuticals Supply Service (EPSS) and Ethiopian Hospital Alliance for Quality (EHAQ) on facility or service standards, product quality, or commodity availability.
Experience with facility readiness or capacity-assessment methodologies and the development of facility improvement plans .
Working knowledge of DHIS2 and eCHIS and the use of routine data for clinical quality management
Demonstrated experience designing, implementing, monitoring, and evaluating health systems strengthening (HSS) programs, including areas such as primary health care, governance and leadership, health financing, human resources for health, supply chains, health information systems, and quality improvement.
Proven experience providing technical leadership to complex, multi-partner health programs and translating strategies and policies into operational plans.
Strong experience working with government health institutions, particularly Ministries of Health and subnational health authorities, as well as development partners, implementing partners, and civil society organizations.
Experience strengthening institutional capacity, including supportive supervision, mentorship, workforce development, performance management, and continuous quality improvement.
Demonstrated ability to use health information and program data for planning, performance monitoring, evidence-based decision-making, and adaptive management.
Experience coordinating multidisciplinary teams and building effective partnerships across government, donors, implementing organizations, and communities.
Strong knowledge of primary health care and resilient health systems, with experience integrating disease-specific or technical programs into broader health-service delivery platforms.
Experience managing technical workplans, deliverables, budgets, and performance indicators for large-scale health programs.
Excellent written and verbal communication, facilitation, analytical, stakeholder-engagement, and problem-solving skills.
Ethiopia experience and familiarity with the Ethiopian health system would be a strong advantage if this position is Ethiopia-based.
World Vision is a child-focused organization that is committed to safeguarding all children as well as adult beneficiaries, and has zero tolerance for incidents of violence or abuse against children or adults, including sexual exploitation or abuse, committed either by employees or others affiliated with our work. Therefore, World Vision does not hire staff whose background is not suitable for working with children or vulnerable adults, even if their role does not interact directly with them.
