CHAI Overview 

The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.  

CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work in conjunction with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.   

At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org 

Background 

Several diseases such as diphtheria, pertussis, tetanus, measles, can be effectively prevented, eliminated, and eradicated by improving immunization coverage rates. By focusing on improving immunization coverage rates, the program aims to improve health in communities and enhance overall public health. A significant challenge lies not only in increasing these rates but also in reaching children who have never had access to immunization services, known as zero dose (ZD) children. ZD children are estimated using the global operational indicator of coverage for the first dose of diphtheria–tetanus–pertussis (DTP1)-containing, which serves as their entry point into the routine immunizationtion services. The prevalence of ZD children is a critical indicator of the accessibility of health services, especially immunization, within the population. In Indonesia, according to WHO and UNICEF Estimates of National Immunization Coverage (WUENIC), the number of ZD children reached 662,614 in 2023, highlighting the need for targeted and strategic intervention to achieve equitable health access. Currently, the Ministry of Health (MOH) is collaborating with several key partners, including the Clinton Health Access Initiative (CHAI), to implement comprehensive strategies aimed at reducing the number of zero-dose children across the nation. 

Starting in mid-2024, Indonesia’s ZD strategy was launched with ambitious goals, targeting a 15% reduction by the end of 2024, followed by 25% reduction in 2025. Understanding existing flow of funds for immunization programs and identify resources (public and private sector) including the bottlenecks for service delivery at the district and PHC (Primary Health Care, or mainly implemented as “Puskesmas”) levels within priority provinces is essential in assisting the mid-level EPI managers to optimize all the resources available for immunization, particularly operational costs to reach ZD and restore backsliding at subnational level. Further, this mapping of flow of funds and resources will also be ulitized to design a practical budgeting model to support the PHCs in securing funding for routine immunization, specifically to reach the target ZD population and restore RI. In the long run, this budgeting model is also expected to improve the ability to sustainably finance immunization at the subnational level. Hence, CHAI is currently seeking a qualified consultant to support the development of this mapping/assessment.  

Objective 

The consultant is expected to: 1) map/assess the existing flow of funds and resources from both public and private sectors (including non-fiscal resources, i.e. human capital, data quality, and policy/ partnership support) for immunization programs; 2) identify the bottlenecks for service delivery (i.e. tracking budget allocation and immunization spending) at district and PHC levels with a high number of zero dose children; and 3) utilize the outputs of point 1 and 2 to design a practical model of need-based budgeting scheme at the PHC and district levels. 

Scope of Work (SoW) 

The consultant shall complete these following activities: 

1. Develop a robust and comprehensive technical proposal outlining methodology and detailed budget plan. 
2. Hold preliminary consultation with key stakeholders to refine the study design and scope. 
3. Design data collection tools and develop study site selection criteria across at least 2 district in 3 CHAI focal provinces for ZD, ensuring representation across typologies (rural-urban), immunization coverage level, and fiscal capacity. 
4. Finalize site selection after iterative stakeholder discussions and desk review. 
5. Develop and submit the study protocol to local Ethics Committees and the Ministry of Health for administrative approval, as well as complete the requirements and respond to the reviewer’s feedback, ensuring the protocol is finalized and approved. 
6. Conduct the assessment/mapping according to the agreed design and methodology. 
7. Perform responsible data management which involves maintaining data quality and appropriateness, ensuring safety and confidentiality throughout the process, from data collection, storage, cleaning, analysis, to preservation. 
8. Analyze and synthesize data to produce key findings on the flow of funds for immunization program, resources (public & private sectors), and bottlenecks for service delivery (tracking budget allocation and immunization spending) at the study sites (district and PHC levels). 
9. Develop a comprehensive report with compelling data visualizations, lessons learned, and key recommendations. 
10. Conduct regular coordination meetings with CHAI and other key stakeholders (e.g., MOH, PHO, DHO, and other relevant stakeholders as needed) to update progress and preliminary findings. 
11. Conduct project implementation and financial management and reporting, in compliance with CHAI SOP, guidelines, and service agreements. 
12. Collaborate closely with CHAI Indonesia team throughout the implementation. 
13. Produce final narrative report  in a publishable format to be disseminated (Full report in Ms Word format, 5-pager Policy Brief in PDF, and a Slide Deck in PowerPoint) once all activities are completed. The narrative report and policy brief should be written in both Bahasa Indonesia and English, while the Slide Deck is in Bahasa Indonesia. 

Qualifications  

CHAI invites individuals/team to participate in this project with detailed requirements as follows: 

Education 

At least one (1) research team member(s) with advanced degree/training in health economics, public health, public/health policy, or other relevant disciplines. 

Skills and knowledge 

• Knowledge of immunization financing in Indonesia, especially related to funding regulation and resource allocation of immunization program from the National level down to District/ City and PHC levels. 

• Extensive experience conducting research (either in quantitative, qualitative, or mixed methods) on health financing and/or resource allocation/mapping for immunization or other MCH (Maternal and Child Health) program in Indonesia. 

• Experience working with government institutions, mainly but not limited to the Ministry of Health, Ministry of Finance, Ministry of Home Affairs, Ministry of Village, Provincial and/or District Health Offices, and PHCs. 

• Experience in communicating with private sectors in relevance with health/immunization program (i.e. vaccine manufacturers, private insurance, private hospital chain/group, etc.) is an advantage. 

Language  

Research team member(s) possess excellent written and oral communication skills in both Bahasa Indonesia and English. 

Application Requirements  

Interested applicants must submit no longer than three (3) pages (exc. Annex) of written proposal in English, including the project timeline. The proposal shall include the following information: 

1. Research title 
2. Narrative background and objectives 
3. Methodology, sample selection and analysis plan 
4. Implementation plan (including team division/allocation) and project timeline 
5. Anticipated risks and mitigation plans 
6. Reference list/bibliography 
7. Annex 1. Annotated budget (in excel format) with breakdown for honoraria (unit cost/rate must be in accordance with the recent SBU regulation from the Ministry of Finance), activities, and other anticipated costs 
8. Annex 2. CVs of key personnels (Principal Investigator/PI, research assistants, and field coordinators) which showcase the profiles corresponding to the required qualification and list of publications. All submitted CVs must be merged in one (1) PDF file. 
9. Annex 3. 1 sample of previous work (published paper or report, in PDF format) 

Project Timeline 

The total expected duration of the assignment is within 4,5 months from 21 July to 26 November 2025. All activities and reports must be finalized and submitted within this period.  

Project Budget 

Budget ceiling to cover all detailed activities and deliverables, including honoraria, travel, and all other expenses required for the research shall not exceed IDR415.200.000,00 (non tax deductible). 

Application Submission 

Please submit your proposal no later than Thursday, 3rd of July 2025 via email to indonesiaoffice@clintonhealthaccess.org and cc to randini@clintonhealthaccess.org with “Proposal ZD Flow of Funds_Applicant’s Name” as the subject line. Ensure each file submitted (i.e. the proposal and all necessary documents listed in the Application Requirements section) is labelled with the Team Leader’s name. Proposals will be evaluated based on the organization and team members’ capacities, track record, proposed approach, and the implementation plan for the 4,5-month project duration. Only shortlisted candidates will be notified. Late or incomplete applications will not be considered.