Country-Based PFM Specialist at the Africa CDC and Associate, Vaccine Markets Team at CHAI – Immunization Economics

Country-Based Public Financial Management (PFM) Specialist at the Africa CDC

Deadline for applications is 29 September 2025.

Purpose of Job

The purpose of this position is to strengthen the PFM systems that underpin health financing in AU Member States. The PFM Specialist will ensure that health financing is not treated as a discretionary or donor-driven expenditure, but rather as a sovereign investment central to stability, security, and prosperity. The role will consider models of health financing including publicly socialized health insurance issues and the major questions of strategic purchasing. By embedding within both the Ministry of Health and working closely with the Ministry of Finance, the PFM Specialist will provide direct support to government counterparts and various stakeholders, ensuring that political commitments are translated into concrete fiscal reforms, resource allocations, and implementation frameworks.

The role combines technical, strategic, and political economy dimensions. It is technical in that the PFM Specialist will support budget formulation, expenditure tracking, fiscal space analysis, and execution processes. It is strategic in that the position will help design national health financing roadmaps aligned with Africa CDC’s framework and the outcomes of the Addis–Accra–Kigali processes. It is political in that the PFM Specialist will navigate inter-ministerial dynamics, engage parliamentarians and civil society, and facilitate accountability to the highest levels of government, including reporting to the AU Assembly through Africa CDC’s continental scorecard. Ultimately, the PFM Specialist’s purpose is to anchor Africa CDC’s financing vision within the heart of national systems, so that health budgets are predictable, well-managed, and increasingly domestically financed. By doing so, the Specialist will contribute to expanding fiscal space, strengthening governance, and building the resilience and sovereignty of African health systems.