Multiple Consulting Roles, Programme for Health (P4H) in Malawi

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Multiple Roles, Designing a New Provider Payment Mechanism for Service Level Agreements in Malawi As part of DAI’s Technical Support Programme for Health (P4H),

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As part of DAI’s Technical Support Programme for Health (P4H), we are seeking to fill a range of positions to support Designing a New Provider Payment Mechanism for Service Level Agreements (SLA) in Malawi.

The primary aim of this assignment is to design a feasible, evidence-based SLA Provider Payment Mechanism (PPM) that promotes equitable access to essential health services for women, newborns, and children in Malawi. The assignment will generate value-for-money cost estimates (including both per-service and per-capita costs for MNCH), analyse the current SLA model to improve efficiency and equity, and assess alternative payment options to recommend a blended PPM, particularly for rural and underserved areas. It will also estimate fiscal implications (including Budget Impact Analysis) and develop a governance framework and implementation roadmap, including rate setting, performance verification, and dispute resolution.

Location: Malawi (Lilongwe), with short-term fieldwork in selected locations outside Lilongwe.

Assignment Duration: The expected duration is approximately a 5-7 months, starting early July 2026. Individual assignment lengths are varied, based on the position.

We are recruiting for three consulting roles, with scope of combining positions where candidates meet the criteria. Please indicate the role(s) that you are applying for in the cover letter (max 1-page) and the city and country where you will be based during the assignment period.

The team members must all demonstrate:

Strong interpersonal and diplomacy skills, with demonstrated ability to engage effectively with senior Government officials and diverse stakeholders.
Proven relationship-building and facilitation skills, including the capacity to manage sensitive policy dialogue.
Good understanding of political economy and reform dynamics in low-income countries, including navigating institutional constraints without undermining Government ownership.
Excellent written and verbal communication skills, with the ability to produce clear, policy-relevant outputs in plain language accessible to decision-makers.

The Team Leader will lead the design and delivery of a blended Provider Payment Mechanism. Key responsibilities include steering technical components, driving stakeholder co-design, navigating local political economy, and coordinating a small multidisciplinary team, including a partnership with CHAI who are providing the Ministry with long-term embedded support.

This role will work with the team to conduct and interpret analyses including provider payment modelling, health service costing, excel-based fiscal simulations and budget impact analysis, strategic purchasing analytics, financial flow analysis, and PFM compatibility assessments.

Advanced degree in health economics, public health, health policy, economics, health economics, public finance or related field
Minimum 12–15 years’ experience in health systems strengthening and policy advisory, preferably in sub-Saharan Africa and minimum 8–10 years’ experience in health economics, costing, and provider payment mechanisms
Demonstrated leadership of complex, multi-stakeholder assignments, including Government and development partners
Proven ability to manage teams, deliver high-quality outputs, and facilitate policy dialogue
Strong understanding of health financing and strategic purchasing
Strong expertise in budget impact analysis, financial modelling, and VfM analysis
Experience with public financial management systems, including budgeting, funds flow and expenditure tracking
Advanced quantitative and Excel modelling skills

The expert will work with the Team Leader on stakeholder engagement, facilitating co-design, and navigating the MoHS/CHAM political economy to ensure institutional implementability. Collaborating within a small multidisciplinary team, they provide health economics and governance expertise, designing governance arrangements and conducting complex analyses, including provider payment modeling, health costing, financial flow tracking, and Excel-based fiscal simulations.

Advanced degree in public administration, economics, business administration or related field.
Minimum 8 years’ experience in institutional analysis, governance frameworks and accountability systems
Experience analysing health sector public financial management systems, including budget execution, reimbursement systems, IFMIS, and funds flow bottlenecks.
Experience designing contracting, verification, audit and dispute resolution mechanisms in the public sector
Familiarity with health sector governance and working with non-state providers
Strong analytical and facilitation skills

The Service Delivery / MNCH Expert will provide technical expertise in the design, organisation, and quality of maternal, newborn, and child health (MNCH) services. They will work as part of a multi-disciplinary team that brings together complementary strengths in health financing, public financial management (PFM), institutional governance, and RMNCAH service delivery.

Advanced degree in public health, medicine, nursing or related field
Minimum 8–10 years’ experience in RMNCAH service delivery in low-resource settings
Practical understanding of facility-level operations, quality of care, and access barriers
Experience in equity- and gender-responsive programming
Ability to link financing reforms to service delivery realities