Job Description

Dexis is a dynamic professional services firm dedicated to partnering with government and community leaders both in the U.S. and internationally to achieve critical social outcomes in a rapidly changing world.

At Dexis, you will experience a corporate culture of inclusiveness, respect, fairness, and trust. You will be given the means and mentorship needed to succeed, and your creativity will be rewarded.

LEAP Program Description

Global Solutions Ventures (GSV) – a joint-venture partnership between ZemiTek, LLC and Dexis Consulting Group – is implementing the Long-term Exceptional Technical Assistance Project (LEAP Global), a mechanism originally used by USAID to battle against infectious diseases such as malaria, HIV/AIDS, tuberculosis, neglected tropical diseases, and pandemic influenza. As of July 1, 2025, LEAP Global transitioned to the U.S. Department of State (DOS). This initiative aims to address the complex human resource challenges faced by national infectious disease programs in the USA-supported countries.

The intervention of this project is to hire and embed technical expert advisors and subject matter experts within government entities. By directly embedding the technical expertise within the national programs, LEAP provides long-term, sustainable lifesaving support to empower host governments to lead and manage key aspects of their infectious disease portfolios and improve coordination between the U.S. Government and the host country.

About the Position

The Senior Health Advisor is a U.S. Government (USG)–funded position that will be seconded to the Government of Botswana’s Transition Management Unit (TMU). The Advisor will work closely with the Botswana Ministry of Health (MOH), including the National AIDS and Health Promotion agency (NAHPA) and the Ministry of Local Government and Traditional Affairs (MLGTA), as well as the Botswana-based USG health foreign assistance team, to plan and implement the transformation and transition of USG-funded facility and community-based HIV services to sustainable, government-led and government-financed programming over the three-year period of the health Memorandum of Understanding (MOU) between the Governments of Botswana and the United States. The Advisor will play a central role in supporting the transition of HIV/AIDS programs from U.S. Government support to full Government of Botswana ownership and funding, ensuring continuity of services, sustained health outcomes, and strengthened national systems. The Advisor will support the Government of Botswana in carrying out life-saving humanitarian assistance (LHA) service delivery in full alignment with the new Presidential Executive Order (EO) directives.

The Senior Health Advisor will provide embedded technical assistance to the Government of Botswana, working day to day with the Transition Management Unit, Ministry of Health, and other government program staff to plan, operationalize, and monitor the transition of HIV programs to full government ownership while maintaining high-quality prevention, care, and treatment services for at-risk, hard-to-reach, and high default–risk populations. The Advisor will support Botswana’s capacity to manage and sustain HIV service delivery, ensure continuity of care during transition, lower service delivery costs where feasible, and integrate donor-funded activities and programming into national systems. Key responsibilities include technical leadership in health workforce transition and absorption of donor-supported staff; strengthening of national systems for contracting health work, and utilization of data to guide decision making. The Advisor will collaborate closely with the U.S. Department of State/PEPFAR team to inform and guide U.S. Government investments in transition and will serve as a liaison among the TMU, MOH, MLGTA, U.S. Government agencies and implementing partners, and other stakeholders to ensure coordinated, cost-effective, and sustainable delivery of lifesaving HIV services in alignment with the bilateral MOU and U.S. Government global health priorities.

Overall Objective of Assignment

The Senior Health Advisor will serve as a senior technical advisor on the transformation and transition of HIV services currently supported by the U.S. Government to Botswana government management and financing. The Advisor will:

• Support strategic planning, design, implementation, and monitoring of transition plans for facility and community HIV services, including those delivered through USG implementers;
• Help the Government of Botswana identify and address gaps in service coverage and quality, strengthen key systems (e.g., financial planning, human resources, monitoring and evaluation, social contracting or subventions, and critical supply chain interfaces), and ensure that the transition of services occurs in a phased, well managed manner that safeguards treatment outcomes and epidemic control; and
• Advise the Department of State/PEPFAR team on the design, prioritization, and course correction of USG investments that support HIV service transformation and transition.

Responsibilities

Transition Support to the Government of Botswana (GoB) and TMU (50%)

Transition Strategy and Work-planning

• As part of the joint GoB/USG TMU, work closely with MOH and MLGTA to develop, refine, and implement a national HIV service transformation and transition plan for facility and community-based services currently funded by the United States Government.
• Support GoB counterparts to define clear transition objectives, timelines, milestones, and risk mitigation strategies for services in both health facilities and communities, consistent with the three-year MOU implementation plan.
• Map current USG-funded HIV service delivery platforms (including community and facility models), identify services to be transitioned, and support the development of transition pathways for each service or platform.

Service Delivery Strengthening and Continuity of Care

• Support MOH and MLGTA to identify and address gaps in HIV service delivery for at-risk and hard-to-reach men, women, and children, including those at high risk of treatment interruption, ensuring continuity of care throughout the transition.
• Provide technical guidance on optimizing service delivery models (e.g., differentiated service delivery, integrated primary health care models) to maintain or improve outcomes as financing and management shift to the Government of Botswana.
• Collaborate with government teams and other stakeholders to design and test transition pilots or phased approaches before national scale‑up where appropriate.

Systems Strengthening for Transition

• Strengthen government systems to manage HIV service delivery, including support for financial planning and budgeting for HIV programs, human resource planning and role definition, and integration of HIV services into existing supervision and quality assurance systems.
• Provide technical assistance to MOH, NAHPA, and MLGTA to design or refine social contracting/subvention mechanisms and other approaches to finance nongovernmental or community-based HIV services after transition.
• Develop and deliver training, mentoring, and on-the-job support to government teams to enhance technical and managerial skills required for planning and managing the transition, including co-management of USG implementers, management of any G2G awards, and preparation for fully domestic funding of programming.

Data, Monitoring, and Learning for GoB

• Support MOH, MLGTA, and the TMU to define and monitor key transition and sustainability indicators, and to conduct routine transition reviews at national and sub‑national levels.
• Provide technical assistance to improve the collection, analysis, and use of data by government stakeholders for decision-making related to transformation and transition of HIV services, with a focus on continuity of care, retention, and treatment outcomes.
• Facilitate the documentation and dissemination of lessons learned, promising practices, and innovations related to transition of facility and community HIV services, including government-led case studies and policy briefs.

Stakeholder Coordination, Financing, and Advocacy

• Facilitate coordination between MOH, MLGTA, other GoB ministries, and nonstate actors (e.g., civil society, community-based organizations) to ensure alignment of priorities and roles in transition.
• Build capacity within MOH and MLGTA to lead stakeholder engagement and advocacy efforts to secure domestic funding for HIV services, including engagement with the Ministry of Finance and other relevant ministries.
• Support the government’s management of social contracts, subventions, or similar mechanisms for civil society and community-based organizations providing HIV services, particularly for key and vulnerable populations.
• Participate in and, where appropriate, co‑chair technical working groups and coordination forums focused on HIV services, transition, and sustainability.

Program Management Support to the U.S. Government (USG) Health / PEPFAR Team (50%)

Strategic Guidance and Investment Planning

• Provide high-level technical guidance to the Department of State foreign assistance and PEPFAR teams on the design, prioritization, and sequencing of USG investments that support HIV service transformation and transition, including recommendations for course corrections based on performance, risk, and evolving context.
• Advise on how USG-funded activities (e.g., facility and community service delivery, health systems strengthening, technical assistance) can best support GoB-led transition plans and long-term sustainability.
• Provide input to the USG team on when and how to commission or support supply chain audits related to the transition of services and commodities, and how to integrate audit findings into USG-funded technical assistance and investment decisions.

Program Design, Performance Management, and Oversight

• Support the USG team in the development and review of implementing partner workplans, budgets, and targets to ensure alignment with MOU transition timelines, national transition strategies, and GoB priorities.
• Contribute to the formulation and refinement of performance frameworks and indicators that track transition progress, service coverage, quality, and outcomes for populations affected by transition.
• Monitor program performance related to transition, identify gaps and bottlenecks, and provide actionable recommendations to improve implementation and mitigate risks to service continuity and quality.
• Review implementing partners’ reports and data related to transformation and transition, and provide technical feedback to optimize program performance.

Field Monitoring and Reporting

• Conduct site visits and field assessments (facility and community) to observe transition implementation, verify programmatic data related to transition, and gather qualitative feedback from clients, providers, and managers.
• As relevant to supply chain audits, participate in or observe audit-related fieldwork or verification exercises and synthesize key findings and implications for service transition.
• Provide timely written and verbal feedback from field visits to the DoS health/PEPFAR team and to government counterparts, highlighting achievements, challenges, and proposed corrective actions.
• Produce high-quality documentation for the USG team, including briefing notes, portfolio summaries, transition progress updates, and technical reports, to synthesize progress, highlight achievements, and outline challenges with actionable recommendations.

USG Coordination and External Engagement

• Support coordination within the USG interagency (e.g., State, CDC, DoD) on transition-related issues, ensuring coherent messaging and aligned support to the Government of Botswana.
• Participate in joint GoB–USG transition review meetings, PEPFAR planning and reporting processes, and other relevant forums, representing the technical perspective on HIV program transition.
• Contribute to the preparation of USG reporting and communications related to the MOU and transition, including inputs to PEPFAR Country Operational Plans, annual reports, and high-level briefings.

REPORTING

The Advisor will provide a detailed monthly report to the U.S. Department of State submitted by the 5th day of the following month. Additionally, the Advisor will submit a weekly progress report to U.S. Embassy/Department of State (and participate in weekly calls) to include a short paragraph about main successes for that week.

Supervision

In addition to LEAP Global supervisors and points of contact, the Botswana HIV Program Transition Advisor will report programmatically to the Department of State Health Assistance / foreign assistance or PEPFAR team lead or his/her designee and will have no formal supervisory responsibility. The Advisor will also have an onsite manager/supervisor within the Transition Management Unit, based with the Government of Botswana, who will provide day-to-day technical and operational direction consistent with the roles and responsibilities described above.

Qualifications

• Master’s degree in Public Health, Health Policy, Health Administration, Social Sciences, International Development, or a related field; or a relevant Bachelor’s degree with at least 7 years of progressively responsible experience in HIV program management.
• At least 7 years of professional experience managing or providing technical assistance to HIV prevention, care, and/or treatment programs, including experience with facility and/or community-based service delivery.
• Experience working with or within the Government of Botswana on HIV or broader health programming.
• Experience with programs supporting men, women, and children at high risk of HIV acquisition or at high risk of treatment default, including key and vulnerable populations.
• Demonstrated experience in planning and managing program transformation, transition, or scaleup processes, preferably in the context of donor-to-domestic financing transitions or health system integration.
• Experience providing technical assistance on health systems strengthening areas relevant to transition (e.g., financing, human resources, monitoring and evaluation, social contracting, and/or supply chain-related reviews or audits).
• Experience managing or supporting U.S. Government-funded public health programming (e.g., PEPFAR, CDC) is highly desirable.
• Strong technical understanding of HIV program design and implementation in both facility and community settings, including differentiated service delivery and approaches to reach hard-to-reach populations.
• Excellent interpersonal skills and demonstrated ability to work effectively with government counterparts, international partners, civil society organizations, and community structures in a cross-cultural environment.
• Strong skills in strategic planning, organizational development, and change management, including the ability to facilitate complex, multi‑stakeholder processes.
• Demonstrated ability to analyze data and programmatic information, identify issues or potential risks (including supply chain–related risks), and propose practical, evidence-based solutions.
• Excellent written and oral communication skills in English, including the ability to produce high-quality reports, briefing papers, presentations, and policy documents.
• Strong organizational, planning, negotiation, and problem-solving skills, with the ability to manage multiple priorities and deadlines.
• Good computer skills, including familiarity with Microsoft Office programs and basic data analysis or visualization tools.

Preferred Criteria

• Relevant technical experience obtained in Botswana and strong knowledge of the local health system and cultural context.
• Experience in managing or advising on social contracting or subvention mechanisms for HIV or other health services.
• Experience managing or supporting G2G (government-to-government) awards or similar arrangements.
• Experience supporting or interpreting supply chain audits or related assessments in a public health context.
• Excellent written and oral communication in Setswana.

Dexis is on a mission to help solve today’s most pressing global political, social, and economic challenges and create a world where all people are safe and prosperous. As a Dexis employee, you will be challenged, empowered, and mentored. Our motto is “find a way or make a way” — that’s how Dexis goes “all in.” How will you?

If you are passionate about this opportunity, apply now!

Only those applicants who meet the above criteria will be contacted for interview.

Dexis is an Equal Opportunity Employer, and does not discriminate on the basis of race, color, sex, national origin, religion, pregnancy, disability, age, genetic information, military service, veteran status, ethnicity, citizenship, sexual orientation, gender identity, marital status, childbirth and related medical conditions, including lactation, or any other protected class under applicable law.

As part of a competitive benefits package for eligible employees, Dexis provides healthcare insurance in addition to other staff welfare benefits and perks.