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This role was posted on May 8, 2026, and applications will close on May 18, 2026.

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

Financial Analysis (20%)

• Conduct financial analysis to support strategic decision- making and operational improvements for Achieve Project
• Prepare financial summaries for the Achieve Project
• Collaborate with program teams to ensure adherence and financial planning as required for the Achieve Project

Compliance (15%)

• Support the Malawi Program team in ensuring compliance with LMH Finance Policy and adherence with International Generally Accepted Accounting Principles (GAAP), US federal regulation requirements, and Malawi Finance Regulations.
• Ensure compliance with donor rules, regulations, and reporting standards for the Achieve Project.

Document Management(5%)

• Maintaining accurate financial documents for all payments and receipts
• Ensure that documents are sequentially filed for ease of access, future reference, and are maintained in safe places.
• Maintain scanned copies of all financial documents and upload scanned documents onto Google Share Drive.

Operations(10%)

• Coordinate logistics for Achieve project activities (travel, workshops, equipment)
• Support the preparation of purchase requests, bid evaluations, and contracts

What You’ll Bring:

• Bachelor’s degree in a relevant field, such as Accounting and Finance, etc., studying towards ACCA/CIMA
• Experience working with payment processing, cash management, bank payments, taxes, internal controls, etc.
• Relevant experience working on accounting and financial management in INGOs
• Willingness and ability to travel to program implementation areas to provide field support when required.

You’ll impress us if:

• You have demonstrated knowledge and experience with NetSuite Financial Management software
• You have progressive experience in managing donor-funded project finances.
• You can support project communication across different stakeholders

About Last Mile Health

Last Mile Health (LMH) saves lives in the world's most remote communities by partnering with governments to bring critical primary care services to the doorsteps of people living in the last mile. LMH is a registered 501(c)3 non-profit organization and currently works in Ethiopia, Ghana, Liberia, Malawi, Uganda, and Sierra Leone with US offices in Boston. For more information, visit www.lastmilehealth.org. We are an equal-opportunity employer and value diversity at LMH. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.