Senior Manager, Liberia

ABOUT EVIDENCE ACTION

At Evidence Action, we deliver data-driven interventions that transform lives at an unprecedented scale. We identify neglected global health issues and deploy proven solutions, forging healthier futures for generations.

Our model operationalizes leading academic research (including from Nobel-winning economists). We measure progress and outcomes at every stage to ensure we're making a real impact for people living in poverty and suffering from preventable or treatable health issues. Operating across 9 countries, our team of 800+ has reached over 500 million people, working closely with governments to scale these interventions.

• Our Deworm the World program has delivered over 2 billion treatments, significantly reducing worm prevalence and generating more than $23 billion in lifetime productivity gains.
• Through Safe Water Now, we've saved the lives of over 15,000 children.
• Our Accelerator explores untapped opportunities in global health, testing low-cost interventions with the greatest potential to save and improve lives.

At Evidence Action, your colleagues are your greatest asset. You'll partner with high-caliber colleagues in an environment blending innovation, autonomy, and teamwork. Our team excels in disruptive thinking and believes in rolling up our sleeves to get things done. If you're looking to work flexibly and with purpose, join a team that delivers measurable change for millions.

JOB PURPOSE

The Senior Manager, Liberia will serve as Evidence Action's senior in-country leader, responsible for overseeing two complementary workstreams: the implementation of a 12-month Kangaroo Mother Care (KMC) pilot program and continued technical support to the Liberia Ministry of Health (MoH) and National AIDS Control Program (NACP) to sustain the syphilis screening and treatment gains achieved through the Syphilis-Free Start (SFS) program.

Evidence Action's Syphilis-Free Start (SFS) program has been operating in Liberia since 2020 in close partnership with the Ministry of Health and the National AIDS Control Program (NACP). The program works to integrate dual HIV/syphilis rapid testing and benzathine penicillin treatment into routine antenatal care (ANC) across all 15 counties, with a focus on building government ownership and sustainability from the outset. Between 2020 and 2024, the program tested over 510,000 pregnant women, increasing syphilis screening coverage from less than 10% to 88% and achieving a 94% treatment rate among syphilis-positive women — averting more than 1,900 adverse outcomes and saving an estimated 1,000 lives. Having graduated 15 counties to full government ownership by July 2026, the SFS program is transitioning out of county-level implementation while maintaining national-level technical support to protect the gains achieved.

Kangaroo Mother Care is a WHO-recommended intervention for preterm and low birth weight newborns shown to reduce neonatal mortality by up to 32% compared to conventional care. Despite strong evidence and national policy inclusion, KMC implementation in Liberia remains concentrated in a small number of major hospitals, leaving most facilities without the protocols, training, or quality systems needed to deliver KMC reliably. Evidence Action is launching a KMC technical assistance pilot working through MoH structures to build government capacity to support, monitor, and sustain high-quality KMC practice across pilot facilities.

The Senior Manager will manage the Liberia country team with 2–4 direct reports, serve as the primary MoH relationship holder in-country, and provide operational and financial oversight including bank approvals and mobile money payment authorization.

This position is based in Monrovia, Liberia with regular travel within Liberia. Candidates already based in Liberia or able to independently arrange relocation are strongly encouraged to apply.

DUTIES AND RESPONSIBILITIES

Program Leadership & Management

• Provide day-to-day oversight of both the KMC pilot and SFS sustainability workstreams, ensuring activities are implemented on time, within budget, and in line with Evidence Action's program quality standards.
• Manage Liberia country team, providing regular supervision, performance feedback, and professional development support.
• Serve as the primary in-country point of contact on all program, operational, and staffing matters.
• Contribute to program planning, workplan development, and reporting to the global SFS and MNCH teams as required.
• Document implementation challenges, adaptations, and promising practices across both workstreams for program learning and donor reporting.
• Participate in regional coordination meetings and coordinate Liberia’s monthly updates

KMC Technical Leadership

• Serve as the primary technical liaison between Evidence Action, the Liberia MoH Family Health Department, and key partners on all KMC-related matters, including protocol development, training system design, and integration of evidence-based KMC standards into national newborn care guidelines.
• Build MoH understanding of the global evidence base for KMC to secure government buy-in for the program's three core behaviors: immediate initiation after birth, a minimum of 8 hours of daily skin-to-skin contact, and zero separation of eligible newborns from their caregivers.
• Advise facility teams on KMC protocols for small and sick newborns, drawing on WHO guidelines and Liberia's national standards, covering immediate initiation, continuous skin-to-skin positioning, feeding support, thermal care, and infection prevention.
• Support MoH to plan and execute Training of Trainers for facility mentors and county health team supervisors.
• Support facility readiness assessments to identify infrastructure, staffing, and equipment gaps, and help facilities establish or strengthen zero-separation workflows, including space reconfiguration, task shifting, and family accommodation protocols.
• Facilitate routine data review sessions with facility teams, helping them use KMC indicators to identify gaps and make operational adjustments.

SFS Sustainability & MoH Technical Support

• Provide ongoing technical support to MoH and NACP to sustain syphilis screening and treatment rates post-SFS handover
• Regularly participate in MoH and NACP technical working groups and planning processes to ensure syphilis maintains visibility and prioritization within the national HIV and PMTCT agenda.
• Support Evidence Action's engagement with key stakeholders (i.e Global Fund) to ensure syphilis testing and treatment commodities remain prioritized and procured in sufficient commodities

Data, Monitoring & Quality Systems

• Work with MoH and facility teams to ensure KMC indicators are captured accurately in HMIS and facility registers, including duration of skin-to-skin contact, initiation timing, and separation incidents.
• Support integration of KMC and syphilis data into DHIS2 reporting workflows.
• Contribute to monitoring and evaluation activities, including periodic data quality reviews, facility observation tools, surveys, and progress reporting to Evidence Action's MNCH and SFS teams.

Financial & Operational Oversight

• Authorize bank transactions and mobile money payments in accordance with Evidence Action's financial controls and approval thresholds.
• Review and approve expenditures, ensuring alignment with approved budgets and program workplans.