Clinton Health Access Initiative Senior Position Reviews | Glassdoor.co.in

Clinton Health Access Initiative Senior Position Reviews

Updated 3 May 2018

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  1. Helpful (5)

    "Could be so much better"

    StarStarStarStarStar
    • Work/Life Balance
    • Culture & Values
    • Career Opportunities
    • Compensation and Benefits
    • Senior Management
    Former Employee - Senior Position in Boston, MA
    Doesn't Recommend
    Negative Outlook

    I worked at Clinton Health Access Initiative full-time for more than 3 years

    Pros

    Great people. Some are really driven by the opportunity to have an impact on Global Health

    Cons

    Good people are buried under a layer of major organization dysfunction. To start form the top: paranoia, dirty politics, scheming, backstabbing and yelling. At country level, regional and country director have been appointed thanks to the standard cronyism that is widespread. Weak systems to support teams, non-competitive remuneration and overall junior staff who try to reinvent the wheel. No institutional memory and strategy which jumps from one thing to the next on a whim. No performance management. High performers are not recognized. Poor performers are not dealt with appropriately, which is worrisome since many of them are in leadership positions (see cronies above). You only get fired for pissed somebody off, somebody that matters more than you that is. My advice, look for opportunities to build your CV elsewhere.

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    Advice to Management

    Get a new CEO. Come on, it is long overdue.

    Clinton Health Access Initiative2018-05-03
  2. Helpful (6)

    "Too political, not focused on impact anymore"

    StarStarStarStarStar
    • Work/Life Balance
    • Culture & Values
    • Career Opportunities
    • Compensation and Benefits
    • Senior Management
    Current Employee - Senior Position 
    Doesn't Recommend
    Negative Outlook

    I have been working at Clinton Health Access Initiative full-time for more than 3 years

    Pros

    The stated vision and mission are really compelling. The opportunity to be involved in Global Health is really appealing for young and bright individuals interested in working abroad.

    Cons

    Instead of nurturing people and helping them grow, CHAI has a philosophy of squeezing everything they can out of someone, abusing them and replacing them. As a consequence, technical skills are really weak. Most people working at CHAI have no technical background. Promotion are based on politics. The CEO will typically appoint someone to lead an initiative based on who he wants promoted within the organization, not based on merit, results or effectiveness. Usually promotions are based on politics or personal connections. Some friend or government's official child or spouse needs a job? No problem, it sounds like they are going to be a great help for CHAI. The fact that they have no technical expertise or that they cannot lead a team is not a problem. Meanwhile, qualified, smart, motivated people are not promoted, which leads to high rates of turnover. Too bad turnover rates are not considered a problem at CHAI, but a normal part of the cycle. The current CEO is a political person, which is reflected within the organization. Even CHAI's impacts are becoming political. The CEO is more concerned by how CHAI will be perceived rather than how they are going to help patients. CHAI will trade-off quality for politics every time. If CHAI's activity may challenge a government official, CHAI will always give in to avoid any disagreements, even if it means the actual death of the program, or at least forfeiting the hopes of having meaningful and sustainable impact. The CEO thinks that host government officials are always right and that saying otherwise would be neo-colonialist... Nobody is always right. Everyone needs a thought partner and needs to have a balanced opinion, check and balances. Constructive criticisms are good, they really help move the thinking to the next level. By trying to avoid conflict at all cost, CHAI has forfeited its role as a true partner. They have abandoned their staff and removed the possibility of having any true impact. In some cases, CHAI has given up on measuring true impact (no M&E plan) and instead claims that giving control of resources to host government is an impact in itself. This will sure make host government officials happy, but it this an impact in itself? Is this a guarantee of impact? The CEO certainly seems to think so....to the point that he does not advocate for any reporting or control mechanisms. People with US Government agencies who question this strategy are bullied and the CEO does not hesitate to brandish his political friendships to get his way. It is not uncommon to use political capital to get results, but in this case it is moving the organization away form being focused on results towards an organization that is satisfying the pride of one individual.

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    Advice to Management

    Recruit a true senior leadership team. Give them real authority. The current CEO has too many enemies now, whether in Global Health or with domestic agencies. Focus on having true strategies, build partnerships, have your senior team build strong technical teams. Right now, CHAI is centered on one person, the CEO. If he goes (and he needs to), there is nobody else right now to replace him. The current COO does not cut it.

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    Clinton Health Access Initiative2015-02-10
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