The Role

At Last Mile Health, we make bold commitments that inspire innovation. Do you have demonstrated experience as a Technical or Project Director for large, complex donor-funded international development programs? If so, you may be our next Technical Director for the USAID-funded Strengthening Integrated Health Services (SIHSA) Activity.

Last Mile Health is seeking a Deputy Chief of Party/Technical Director (DCoP/TD) for an expected 5-year, estimated $25-$49 million health systems strengthening (HSS) project in Sierra Leone. The USAID-funded Strengthening Integrated Health Systems Activity (SIHSA) will seek to achieve three key objectives: 1) improve the quality of family planning, maternal newborn child and adolescent health, and malaria services sustainably; 2) promote the adoption of crucial health behaviours, and 3) strengthen the stewardship and governance of the Ministry of Health and Sanitation, both at central and district levels, so it is better prepared to plan, budget, allocate resources and monitor health programs.

The DCoP/TD will have both technical and administrative responsibilities. Technical responsibilities include the ability to generally understand the range of the project’s technical activities, the performance of senior and mid-level staff overseeing those activities, and the ability to assess the technical performance of the project and staff. Administrative responsibilities include routine liaising with the client, management of staff, overseeing of project budgets, and overall planning and management of the project.

This position is project-funded, located in Freetown, Sierra Leone, and is open to both Sierra Leonean Nationals and International Candidates. This position will be hired on a fixed-term contract and is contingent upon a successful award.

What You’ll Do

  • Provide strategic direction and leadership for the project, working with the client and a range of stakeholders, such as the Ministry of Health, in-country implementing partners, and global experts.
  • Serve as the primary point of contact with the client on activity planning and implementation, negotiating budgets, and ensuring award compliance
  • Facilitate the development of efficient systems for program performance; refine and document processes to ensure disciplined, measurable results against program targets.
  • Manage project partnership relationships and technical and administrative staff.
  • Mentor a talented team of professionals to ensure a common technical vision for the project that aligns with USAID’s strategic priorities.
  • Represent the project at outside meetings, conferences, and other events.

What You’ll Bring

  • Advanced degree in maternal, newborn, child health and nutrition, public health, health systems, international development, or related degree.
  • Expert understanding of the challenges and opportunities present within Sierra Leone’s health system, including national health system strengthening priorities, health financing strategies, and knowledge of malaria, MNCH and health governance in the country.
  • At least 10 years of experience working on international projects related to global health.
  • At least 5 years of experience as Technical Director for large, complex donor-funded international development programs, preferably with USAID
  • At least 10 years of demonstrated ability to foster partnerships with multiple internal and external partners, subject matter experts, and vendors to help plan work, develop capacity, and ensure timely and effective project delivery.
  • At least 10 years of demonstrated ability to create and maintain effective working relations with host country governments and international organizations (including senior government officials), and U.S. Government agencies
  • Demonstrated capability of managing similar projects in Sierra Leone.
  • Strong commitment to advancing locally-led and locally-owned programs and solutions.
  • Experience with USAID project management, agency policies, and regulations
  • Impressive communication, writing, and interpersonal skills, including the ability to work successfully in teams and with people of diverse cultural backgrounds.
  • Proven success as a people leader, including experience managing large projects with many staff members.
  • Demonstrated ability to manage staff within decentralized branch/field offices.
  • Strong organizational, interpersonal and management skills.
  • Fluency in English language

You’ll Impress Us If

  • You can manage multiple projects across different teams, cultural contexts and time zones.
  • You have experience serving as an effective process manager (develops processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into the efficient workflow; can see opportunities for synergy and integration where others can’t; can simplify complex processes; gets more out of fewer resources)
  • Mission-driven with a commitment to health, social justice and gender equity
  • Strong communication, facilitation and interpersonal skills; ability to interface with diverse stakeholders in a range of multidisciplinary settings

Compensation information

At Last Mile Health, we strive to reward our employees equitably and transparently. This means that we pay our employees based on a clear and consistent methodology and without regard to identity or personal relationships. We have made this model fully transparent so that everyone has access to all information related to compensation. We hope this helps you better understand Last Mile Health’s values and commitments to our employees. We look forward to answering any questions you may have during the hiring process.

Before applying to this role, please take a moment to learn more about our approach to compensation and how compensation works in each of the countries where we operate. Please find the link to our compensation model and benefits overview below:


Compensation for this position:

The Band for this position: SLB-5

The salary range for this role is $90,966 to $118,531 USD dependent upon experience doing an equivalent role. Please note that the compensation is subject to statutory taxes.

Benefits for this role will be within and in accordance with USAID salary bands, allowables and parameters. Specifics of this will be transparently communicated to candidates who are shortlisted for this role and in line with our compensation policies.

About Last Mile Health

Last Mile Health partners with governments to design, scale, strengthen, and sustain high-quality community health systems, which empower teams of community and frontline health workers to bring life-saving primary healthcare to the world’s most remote communities. LMH is a registered 501(c)3 non-profit organization. For more information, visit

We are an equal-opportunity employer and value diversity at LMH. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

How to apply

Submit your application here.

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