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Clinton Health Access Initiative

CHAI embeds teams within Ministries of Health in 35+ countries to strengthen public and private health systems rather than delivering care directly.

The Clinton Health Access Initiative (CHAI) works alongside governments to strengthen public and private health systems in developing countries. Operating at the intersection of government, business and health, the organisation embeds its teams within Ministries of Health rather than delivering health services directly. Its stated purpose is that no one should die because they cannot access healthcare.

CHAI maintains a presence in ministries in over 35 countries across Africa, Asia and Latin America. The organisation's workforce is deliberately decentralised: 85% of staff are based locally in the countries served, and nearly 70% are nationals of those countries. This places its centre of gravity in the communities where it works and allows programmes to adapt quickly to real-world conditions.

The work spans global health systems strengthening, healthcare access and delivery, public health programme implementation and government capacity building. Staff operate in a partnership model that works alongside governments rather than above them. The organisation describes itself as valuing frugality, humility and learning from the communities it serves, and recruits people who are impatient for change, action-oriented and inclined to solve problems with urgency.

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