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Senior Program Implementation Lead at D-Tree International Tanzania

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D-Tree International
Jobs in Tanzania 2023: New Jobs Vacancies at D-Tree International – Tanzania 2023

Senior Program Implementation Lead
Senior Program Implementation Lead Job Opportunity at D-tree International
Reports to:
Zanzibar Director
Location: Zanzibar
Start Date: February or March 2023
Who we are
International is a global digital health organization dedicated to
ensuring that everyone has access to high-quality primary healthcare in
underserved areas. We do this by working with governments to design,
build and deploy digital tools for frontline health workers that improve
their ability to deliver high-quality, evidence-based care. D-tree
engages with governments to develop a shared vision for the potential of
digital health, demonstrates the effectiveness of digital systems to
improve health outcomes, and accompanies governments to scale these
digital systems nationally and institutionalize them within their
broader health systems.

2011, D-tree has partnered with the Zanzibar Ministry of Health to
implement an innovative digital health program, Jamii ni Afya
(“Community is health”) supporting Community Health Volunteers to
provide health services within their communities. This program has
consistently demonstrated improved health outcomes, a strengthened
community health system, and increased use of data for decision-making.
Over time, Jamii ni Afya has grown from a pilot to a national program
and has demonstrated how digital technology can transform the quality of
a health system. This represents the world’s first nationally scaled
digital community health program, bringing high quality health services
to the doorsteps of all of Zanzibar. The digital health program reached
full scale in August 2021, allowing D-tree to focus on program
sustainability, quality and impact. We are currently focused on
transitioning all aspects of Jamii ni Afya to the Government of Zanzibar
(GoZ). A transition plan is being finalized which outlines the GoZ
commitment to increasingly taking full ownership for the program. By
2026, the GoZ will fully own and lead Jamii ni Afya in the areas of
political/financial leadership, technology and program implementation.

What you will do
are recruiting for a Senior Program Implementation Lead to lead
transitioning the daily Jamii ni Afya program implementation,
operations, and management to the government. As an integral part of
D-tree Zanzibar’s leadership team, you will work closely with the
Director, Deputy Director and the team leads who are responsible for
transitioning Jamii ni Afya’s financial and technology ownership to the
government. Together you will ensure that the GoZ has the commitment,
skills, systems, support, and long-term plans required to take on full
ownership of Jamii ni Afya into the future. Specifically, the Senior
Program Implementation Lead will be responsible for ensuring the
national, zonal and district-level health teams have the buy-in,
capacity, and support needed to manage Jamii ni Afya, oversee its
implementation, facilitate program operations, and ensure that CHVs
deliver high quality services to families across Zanzibar. This includes
ensuring that the GoZ is able to independently manage the following
aspects of Jamii ni Afya:

  • CHV replacement and refresher trainings
  • Regular and targeted supervision
  • District-level management of the Jamii ni Afya program, including oversight of supervisors of CHVs
  • District level IT support and basic troubleshooting, with clear standard operating procedures to escalate challenging IT issues
  • Data use to inform program planning and budget requests at the national and district level
  • National level decision-making around Jamii ni Ayfa, including expansion of CHV service delivery package;
  • CHV compensation or workload changes; and coordinating partner support.


Operations and Coordination:

  • Timely and efficient mobile money payment of CHV and Supervisor stipends using the automated pay-for-performance system
  • Timely issuing of data bundles to CHV and Supervisor mobile phones to facilitate app data syncing
  • Adequate district-level budgeting for program activities in annual budgets, and oversight of budgets throughout the year
  • Coordination
    of community health partners interest and support towards a unified
    vision for a Community Health Program in Zanzibar


  • Regular district and national-level data reviews to inform planning and prioritization of activities
  • Monitoring of CHV performance, and appropriate action taken to ensure CHVs consistently meet performance targets
  • Monitoring of program dashboards and ensuring appropriate follow-up and interventions to improve key health indicators
  • Review
    the CHV supervisor and CHV Pay for Performance scheme based on
    implementation learnings and program achievements and revise the
    structure as needed
  • Revise the Jamii ni Afya app content to
    accommodate new national service delivery guidelines or expansion in
    package of services or target group

You will achieve this
through strategic programmatic leadership in which you will champion the
vision for this transition and inspire D-tree staff and MOH partners to
see it through; oversee a team of about 15 national, zonal and
district-level MOH staff to ensure strong plans are in place to execute
this vision; directly build the skills of MOH stakeholders; strengthen
required MOH systems; and represent D-tree within Technical Working
Groups, at high-level meetings and in other forums to advance the Jamii
ni Afya programmatic transition and D-tree interests more generally.

Who you are
are a highly motivated, inspiring and committed individual who has a
deep understanding of the Zanzibar community health system and existing
strong relationships with key health system actors at the national and
district levels. You have experience fostering government ownership of
health systems initiatives, and extensive experience in building skills
and capacity of government teams to fully own health programs. You are
able to rally people behind an inspiring shared vision, and develop and
execute plans to achieve that vision. You are a strong people manager
with experience managing teams of government staff, and take pride in
supporting the development of those you oversee. And importantly, you
are committed to D-tree’s vision of a world in which everyone has access
to high-quality healthcare.

Leadership & accountability (30% LOE)

  • Based
    on the Jamii ni Afya transition plan, champion an inspiring vision for
    government ownership of Jamii ni Afya program implementation
  • In
    collaboration with D-tree Zanzibar leadership and MOH stakeholders,
    develop a clear plan to achieve full government ownership of Jamii ni
    Afya program implementation by 2026
  • Be accountable for achieving annual milestones and overall progress towards milestones within the transition plan
  • Generate
    awareness of Jamii ni Afya achievements, data, approach, progress, and
    areas of improvement, to improve broad MOH understanding of the program
    and increase buy-in and support

Capacity building and technical assistance (30% LOE)

  • Working
    with GoZ leadership, identify and closely coordinate with a Jamii ni
    Afya Implementation focal person within the National Health Promotion
    Unit, in both Pemba and Unguja, for all transition activities
  • Develop
    plans and build the skills of district, zonal and national MOH staff to
    increasingly manage programmatic, operations and program quality for
    Jamii ni Afya
  • Identify required system improvements at the
    district, zonal, and national level to enable the GoZ to manage Jamii ni
    Afya and implement plans to build or strengthen these systems
  • Establish
    and maintain strong relationships with MOH staff engaged in Jamii ni
    Afya, and ensure they have the buy-in, support and capacity to
    increasingly own Jamii ni Afya implementation activities
  • Develop
    a Jamii ni Afya Operations Manual at the national, district and health
    facility levels to document responsibilities and actions needed for the
    implementation of Jamii ni Afya

Team management (25% LOE)

  • Oversee
    national MOH HPU focal persons (in Unguja and Pemba) who are supporting
    the Jamii ni Afya transition (who will, in turn, oversee district-level
    HPU focal persons)
  • Conduct all activities together with
    national HPU focal persons to build their skills and solidify their
    ownership of Jamii ni Afya.
  • Over time, hand over leadership of activities to these focal persons and provide oversight and support.
  • Mentor HPU focal persons in leadership and management, to be able to fully manage and oversee Jamii ni Afya in the future
  • Develop
    accountability mechanisms to ensure national and district-level MOH
    staff supporting the Jamii ni Afya transition are supporting program
  • Ensure MOH staff have clear responsibilities, work plans and support from the D-tree team

Representation & coordination (15% LOE)

  • Support MOH focal persons to uphold Jamii ni Afya interests among MOH, Implementing Partners and other stakeholders
  • Represent D-tree at relevant Technical Working Groups, MOH and partner meetings
  • Ensure strong coordination across MOH departments and Implementing Partners working in community health
  • Strong
    coordination and collaboration with Senior Government Adviser and
    Senior Digital Health Adviser to inform the implementation and
    sustainability of Jamii ni Afya
  • Communicate effectively through
    available forums at national, district and shehia level about Jamii ni
    Afya and the and role of D-tree
Read Also:


are looking for an inspiring, experienced and committed individual who
can operate effectively at the strategic as well as operational levels
to make our projects succeed.
The following attributes are a general
overview, but we will consider individuals who do not meet all of the
details below if you have the right skill set and attitude.

  • 10+ years of experience working on health systems strengthening initiatives within Zanzibar
  • A minimum of 5 years’ experience managing a team, with demonstrated experience in performance management and capacity building
  • Existing strong relationships with key Zanzibar health system actors at the national, zonal and district levels
  • Previous
    experience supporting government ownership of a donor-funded project
    including demonstrated experience or working closely with District
    Health Teams of the Ministry of Health
  • Strong work ethic and the ability to work independently and make decisions under minimal supervision
  • Superior analytical skills; ability to think logically and rationally about problems and solution-oriented
  • Must be able to handle complex priorities, collaborate effectively with a team, be persistent and work under tight deadlines
  • Good communication skills
  • Excellent written and spoken English and Swahili required
  • Tanzania nationals preferred

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Salary Range:
87,750,000 TZS to 135,000,000 TZS gross annual salary inclusive of all cash compensation.
Starting salaries typically fall in the lower half of the salary range;
however, they are ultimately determined by the scope of the position,
the candidate’s relevant experience, and internal equity.

Application information
To apply for this role please fill in the google form here.
Only applicants who respond to all questions and include their CV as
well as a thoughtful, tailored cover letter will be considered. Please
note that by applying to this position, you consent to your name being
checked against a terrorist watch list prior to an offer of employment.


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