Introduction

The Fleming Fund (FF) is a U.K. Department of Health and Social Care programme to help low and middle-income countries fight Antimicrobial Resistance (AMR). AMR poses a severe global threat, expected to cause 10 million deaths annually by 2050. With potential costs reaching $100 trillion, its impact on the global economy is significant. Fleming Fund Grants aim to tackle the AMR challenge in developing countries including Pakistan. The grants are funded by the UK Department of Health and Social Care and managed by Mott MacDonald for the country, regional and fellowship grants. Pakistan has received Fleming Fund support since 2019 in the form of two Country Grants, 9 Fellowships, and central and local procurement of equipment, reagents, and consumables. Between 2017 and the end of phase-1 of the program in March 2023, the program has provided financial support to grantees to establish and support local development of national AMR surveillance systems.

In partnership with the Fleming Fund, DAI's programme in Pakistan collaborates with the Pakistani government to strengthen systems using a “One Health” (OH) approach – a multisectoral approach to complex health problems that reaches across human health, animal health, and environment sectors. As global leaders in One Health, the DAI team helps incorporate One Health across programme interventions. DAI is helping Pakistan become a leader in combating antimicrobial resistance, and a model for better management of antimicrobials in human and animal populations. DAI and its consortium partners have successfully secured an additional round, Phase 2, of the Fleming Fund Country Grant in Pakistan which spans from January 2024 to December 2025. The Phase 2 of the FFCG programme focuses on achieving four intermediate outcomes: 1) Production of quality AMR/U/C and burden of disease data; 2) Conducting quality data analysis; 3) Sharing quality data analysis with decision-makers; and 4) Contributing to sustainable investments at both the country and global levels to counter AMR.

Position Summary

Under the overarching guidance of the Senior Manager OH (Governance and Advocacy), the Provincial Programme Manager will serve as the primary focal point for governance and advocacy efforts at the provincial level securing policy and practice level changes in a sustainable way. S/he will work closely with Directorate General Health Services Office, Punjab as well as other OH components of FFCGP focusing on AMR and AMC/U Surveillance. The position holder will lead efforts to establish intersectoral coordination, enhance provincial AMR governance structures, and advocate for integrating AMR-related priorities into provincial policies and programs. The ideal candidate will possess a deep understanding of governance systems, policy advocacy, and stakeholder engagement in the public health and related sectors.

Key Objectives:

• Provide technical and administrative support for designated project activities in Punjab, encompassing responsibilities such as work plan development, costing, activity implementation, advocacy and governance.
• Lead the portfolio building of integrating AMR priorities into provincial policies, strategies, and development plans.
• Identify and maintain strong partnerships with provincial stakeholders, including human health, animal health, agriculture, and environment.
• Collaborate with academic institutions and international development partners to drive coordinated efforts and achieve shared objectives.
• Support the activation and operationalization of provincial AMR Steering, Technical Working and coordination committees, to ensure active participation of all One Health sectors.
• Develop and implement provincial advocacy plans to promote AMR awareness and policy prioritization among key stakeholders.
• Provide technical support to strengthen and formalize AMR-related data sharing between the Department of Health and sentinel sites in Punjab.
• Provide support in implementing Dashboard to map the indicators relevant to AMU, AMR surveillance in human, animal health environment in Punjab that need to be reported, consolidated and analysed at provincial level for onwards reporting into the national network.
• Organise events when asked on the activities of FFCGP as when required.
• Coordinate with relevant stakeholders and effectively advocate for and engage the government to buy in their support for FFCGP upcoming workstreams.

Requirements (Education, Experience, Skills, Languages etc.):

• The ideal candidate must hold an advanced degree in Public Health, Social Sciences, Governance, Public Policy or a related field.
• Minimum 10 years of progressive experience in governance, advocacy, or project management, preferably in public health, AMR or One Health initiatives.
• Proven expertise in engaging with government stakeholders and leading multisectoral teams.
• The candidate must possess strong understanding of governance systems, advocacy processes, and AMR challenges in Pakistan.
• The candidate is expected to possess a deep understanding of the AMR One Health sector in Pakistan, including familiarity with AMR, Global Health Security Agenda (GHSA), and other multi sector health initiatives.
• Exceptional analytical and communication skills are required, with experience in preparing detailed reports and presentations for diverse audiences.