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 Supply Chain Technical 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 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 Advisor will provide high-level technical guidance to the Botswana Ministry of Health (MOH) including NAHPA and CMS and Ministry of Local Government and Traditional Affairs (MLGTA) on strengthening national healthcare supply chain systems in accordance with the Memorandum of Understanding (MOU) signed between the Governments of Botswana and the United States. The Advisor will work day‑to‑day alongside Botswana government staff as a core member of the TMU to strengthen Botswana’s capacity to plan, finance, manage, and sustain healthcare commodities and supply chain functions, to ensure consistent, efficient, accountable, and transparent delivery of medicines and medical supplies. The Advisor will help ensure the successful implementation of Botswana’s strategies to achieve a cost-effective, resilient, and well‑functioning supply chain that supports lifesaving HIV service delivery and advances Botswana’s path to self‑reliance, in alignment with U.S. Government global health policy and the MOU. The Advisor will also work directly with the Department of State foreign assistance team to guide USG investments in supply chain and procurement and will serve as a key liaison between the Department of State, the U.S. interagency, the Botswana Government, international organizations, and donor agencies to ensure coordinated and effective program delivery.

The Supply Chain Technical Advisor will support the Botswana‑based USG Health Assistance / foreign assistance team, the Ministry of Health, CMS, NAHPA, and the Ministry of Local Government and Traditional Affairs to plan, coordinate, and oversee the strengthening of the national healthcare supply chain. Working alongside government counterparts within the TMU, the Advisor will lead and inform the development of strategic guidance to strengthen Botswana’s capacity to manage and sustain HIV and other priority healthcare commodities ; improve forecasting and supply planning,  strengthen real-time monitoring of stock levels including stock management and quantification; lower procurement costs, including through pooled or coordinated procurement where appropriate; and better integrate donor‑funded supply chain activities into national systems and programming. The Advisor will help ensure the implementation of cost‑effective, sustainable, lifesaving HIV service delivery in alignment with the MOU between the Governments of Botswana and the United States and U.S. Government global health priorities.

Overall Objective of Assignment

The Supply Chain Technical Advisor will serve as a senior technical advisor in strategic planning, budgeting, implementation, monitoring, and evaluation of supply chain and procurement aspects of Botswana’s HIV/AIDS portfolio, within an integrated health systems approach. The Advisor will function as a primary subject matter expert on health supply chain and procurement for both the TMU and the Department of State foreign assistance team. The Advisor will lead and support policy, strategic, and technical engagements on supply chain and procurement with the MOH, MLGTA, the National AIDS and Health Promotion Agency (NAHPA), CMS, the TMU, and the U.S. Government interagency, as well as with international and bilateral organizations and other donor agencies, to address technical issues and coordinate efforts to strengthen HIV/AIDS and broader health supply chains. Work may include serving as a Program/Project Manager for targeted interventions; providing high‑level technical assistance to Botswana counterparts in the development and implementation of policies, strategic plans, and operational guidance; and advising the Department of State on the design, prioritization, and course‑correction of USG investments in supply chain and procurement. The Advisor will promote and help manage a well‑coordinated, government‑led approach to supply chain and procurement across stakeholders.

Responsibilities

Supply Chain Support to the Botswana National HIV program (50%)

Program Planning and Implementation

• As part of the joint GoB/USG TMU, work closely with the Government of Botswana to lead and support the strategic planning and implementation of GoB‑ and USG‑supported efforts to improve HIV and related health supply chain and procurement.
• Monitor and support scale up of planned interventions by participating in fieldwork to improve delivery of supply chain interventions at national and sub-national levels.
• Provide supply chain–related technical input through the TMU, ensuring evidence-based practices are adopted and aligned with GoB policies and broader global health best practices.
• Provide technical and programmatic leadership to strengthen the design, implementation and scale up of HIV supply chain and procurement systems strengthening initiatives as indicated in the workplan.
• Where appropriate, support the use of the pooled procurement mechanisms.
• Provide direct supply chain and procurement technical support as needed for the rollout of HIV prevention or treatment innovations.

Performance Monitoring and Evaluation

• Monitor and analyze program implementation against established indicators, identifying performance gaps and barriers. Provide actionable recommendations to improve supply chain and procurement.
• Collaborate with technical advisors and government staff to institutionalize and scale up supply chain and procurement improvements and initiatives.
• Facilitate routine reviews, including service delivery processes, program reviews, and Data Quality Assessments, ensuring evidence-based adjustments to strategies and operational plans.
• Promote the integration and effective use of routine data systems to strengthen evidence-based decision and system strengthening activities.

Supply Chain Audit and Interface for Transition

• In collaboration with MOH, MLGTA, and relevant supply chain counterparts, provide technical guidance for the design and implementation of any supply chain audit(s) needed to support the transition of HIV services, including mapping current USGsupported commodity flows, warehousing, distribution, and lastmile delivery for facility and community platforms.
• Support GoB counterparts to use supply chain audit findings to identify risks to commodity security associated with the transition (e.g., stockouts, delays, accountability gaps) and to develop mitigation plans and implementation timelines.
• Ensure that recommendations from supply chain audits are incorporated into transition plans, costed implementation plans, and relevant national or sub‑national operational guidelines.

Partner Coordination and Resource Management

• Serve as the technical liaison on supply chain for DoS to NAHPA, MOH, MLGTA, Global Fund, World Bank and other stakeholders to harmonize technical approaches and systems performance across the portfolio.
• Contribute to the joint planning, reviews and coordination platforms to ensure harmonized implementation across the health sector.
• Strengthen effective use of resources by providing as needed support for supply chain aspects of Global Fund grant applications, workplans, and implementation reviews, ensuring alignment with grant objectives.
• Document and share best practices and innovations to expand the impact of successful supply chain strategies nationwide.
• As needed collaborate with stakeholders to strengthen pre-service and in service training to support supply chain and procurement.

Program Management Support to the Department of State (DoS) Health Assistance Office (50%)

• Provide high‑level technical oversight and strategic guidance for the supply chain and procurement components of the USG health portfolio in Botswana, ensuring alignment with U.S. Government global health strategy, the MOU implementation plan, and the Government of Botswana’s national HIV and other health program strategies.
• Shape USG program design and investment decisions by contributing to performance frameworks, budgets, and implementation plans that prioritize sustainable, life‑saving HIV and other essential health services and strengthen national supply chain systems.
• Review implementing partners’ workplans and progress reports to ensure compliance with program strategies and optimize service delivery.
• Monitor program performance (identifying gap and bottle necks) and support continuous quality improvements to strengthen data driven solutions to improve the supply chain.
• Conduct site visits and field assessments to verify programmatic data and observe project implementation, providing direct feedback to the DoS office.
• Produce high-quality documentation, including briefing notes, portfolio summaries, and technical reports, to synthesize progress, highlight achievements, and outline challenges with actionable recommendations.

Technical Assistance to the DoS Team

• Provide strategic guidance on Supply Chain and Procurement for HIV/AIDS in the context of evolving policies and regulatory environments.
• Advise the Department of State foreign assistance team on prioritization, sequencing, and risk management for USG investments in supply chain and procurement, including recommendations for course corrections based on performance and evolving context.
• Support the DoS team and implementing partners in program design and results-based management for systems strengthening.
• Monitor national supply chain policy developments, ensuring U.S. government investments remain consistent with the MOU implementation plan, national priorities, and the Botswana National Strategic Plan.
• Facilitate stakeholder engagement with the Government of Botswana, Global Fund, civil society, and other partners to harmonize programming and strengthen collaboration.
• Serve as liaison for DOS to support capacity of Botswana’s supply chain system to improve and deliver sustainable health systems improvements for service delivery.

Deliverables:

1. Meeting Reports: Submit detailed reports from key meetings with government, interagency groups, technical working groups (TWGs), donors, and implementing partners. Reports should include actionable recommendations and follow-up plans.
2. Weekly Updates: Provide concise weekly updates to the DOS Health Assistance Team Lead or designee, summarizing key activities, progress, and challenges.
3. Monthly Performance Reports: Deliver comprehensive monthly reports summarizing program achievements, challenges, and data-driven recommendations for improvement. Include quantitative stock management metrics.
4. Field Visit Reports: Conduct and document at least two field visits per month, providing detailed assessments of program implementation, data quality, and service delivery outcomes.
5. Technical Guidance Documents: Develop and submit at least one internal technical guidance documents or policy briefs per quarter, identifying and addressing critical gaps or emerging issues in supply chain.
6. Implementation tracking: Co-develop quarterly updates on the Supply Chain assistance with Government of Botswana counterpart for sharing with the Transition Management Unit Lead and USG health leads.

REPORTING:

The Supply Chain Technical 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 the U.S. Department of State (and participate in weekly calls) to include a short paragraph about main successes for that week. The format for reporting may be adjusted with concurrence from the COR.

SUPERVISION:

In addition to LEAP Global supervisors and points of contact, the Supply Chain Technical Advisor will report programmatically to the Department of State Health Assistance / foreign assistance 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 or local equivalent from an accredited program in Pharmacy, Public Health, Medicine, or Supply Chain Management.
• Minimum 7 years of experience in global health initiatives, HIV/AIDS programs, or public health systems management.
• Demonstrated experience in public health supply chain management and program development.
• Demonstrated experience with procurement, warehousing, distribution, and inventory management of health commodities.
• Experience supporting the implementation of electronic inventory management systems and data reporting tools.
• Proven ability to build capacity and train government or partner staff in supply chain best practices.
• Strong knowledge of HIV/AIDS service delivery, commodities procurement, and public health programs in Sub-Saharan Africa.
• Ability to quantitatively and qualitatively analyze program data, monitor performance, and evaluate progress.
• Excellent English verbal and written communication skills.
• Ability to work independently and collaboratively across governments, multilateral institutions, non-governmental organizations, and the private sector.
• Prior experience working with the U.S. government is preferred but not required.

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.