The Role

At Last Mile Health, we are all stewards of our reputation and our resources. We are committed to managing our resources responsibly to honor the trust that our patients, partners, and collaborators have put in us. Do you have experience providing accounting and financial management support in project operations? If so, you may be a great fit for the Finance and Operations Consultant role supporting the Achieve Project.

The consultancy will play a critical role in strengthening financial stewardship by ensuring accurate disbursements, monitoring expenditures against approved project budgets, and maintaining compliance with donor regulations, GAAP standards, and Malawi Finance Regulations. By preparing financial reports, conducting analysis, and supporting strategic decision‑making, the consultant’s work will enhance transparency and accountability across the Achieve Project.

Additionally, the consultant will support operational efficiency by coordinating logistics for project activities, managing procurement processes, and maintaining meticulous financial documentation. Through close collaboration with the Senior Finance Manager and country program teams, the consultant will help streamline workflows, safeguard resources, and provide the financial insights needed to sustain high‑quality community health interventions in Balaka and Thyolo.

This position is based in Lilongwe, Malawi, and is open to Malawian nationals.

Project Description

In partnership with Pact and the Ministry of Health, Last Mile Health (LMH) is set to implement the anticipated Adolescents and Children HIV Incidence Reduction, Empowerment, and Virus Elimination (ACHIEVE) Project in Malawi. Within the ACHIEVE scope, LMH will focus on strengthening maternal and child health systems by enhancing the skills and capacity of community health workers (CHWs), supervisors, and district officials. This work centers on upgrading and deploying the integrated Community Health Information System (iCHIS), alongside upskilling and supervision of CHWs in Community-Based Maternal and Newborn Care (CBMNC) across Balaka and Thyolo districts. In collaboration with the Ministry of Health’s Digital Health Division, Community Health, and Reproductive Health Directorate, LMH will support CHWs to deliver timely care to pregnant women, track patients, identify danger signs for referral, and ensure appropriate follow-up.

Through ACHIEVE’s Objective 3, strengthening health systems for sustainability and transition to Government of Malawi ownership, LMH is advancing three strategic priorities:

• Enhancing iCHIS functionality and developing a costed roadmap for integration with the Malawi Healthcare Information System (MAHIS);
• Building the capacity of over 1,000 CHWs in Balaka and Thyolo to deliver quality services using iCHIS and CBMNC; and
• Developing a sustainable financing model for the maternal emergency transportation system, m-mama.

Together, these efforts aim to improve district-level service delivery, strengthen emergency referral systems, and ensure long-term financial and operational sustainability for maternal and child health in Malawi.

Consultancy Details

Estimated start date: June 2026

Commitment: Up to 35 hours/ week

Estimated Fees Amount: $2200 – $2500/ month

Location: Lilongwe, Malawi

Scope of Work

The Finance and Operations Consultant (Achieve Project) will partner closely with the Senior Finance Manager and Country Programs team in supporting finance and operations processes for the project.

What You’ll Do:

Accounting and Reporting (50%)

• Liaise with team members in managing disbursements, including proper verification and review of all LMH financial forms, invoices, receipts, and payments to ensure accuracy of information.
• Monitor project expenditures to ensure alignment with approved budgets
• Manage activity advance accounts, ensuring timely and accurate liquidations of funds.
• Support the preparation of donor financial reports

• Liaise with team members in managing disbursements, including proper verification and review of all LMH financial forms, invoices, receipts, and payments to ensure accuracy of information.
• Monitor project expenditures to ensure alignment with approved budgets
• Manage activity advance accounts, ensuring timely and accurate liquidations of funds.
• Support the preparation of donor financial reports
• Coordinate logistics for project activities
• Manage procurement processes
• Maintain meticulous financial documentation

• Accounting and financial management support
• Project operations
• Financial reporting
• Financial analysis
• Logistics coordination
• Procurement management
• Financial documentation maintenance
• Compliance with donor regulations, GAAP standards, and Malawi Finance Regulations

• Experience providing accounting and financial management support in project operations.
• Malawian national.