THE AGA KHAN UNIVERSITY

CHAIR, DEPARTMENT OF PAEDIATRICS AND CHILD HEALTH, PAKISTAN

AUGUST 2020

For more information, please contact: Daniel Frost - Partner, Cielo Executive Search [email protected]

CONTENTS

1. Executive Summary 2. Overview – The Aga Khan Development Network 3. Overview – The Aga Khan University 4. Overview – The Medical College, Pakistan 5. Overview – The Aga Khan University Hospital, Pakistan 6. Overview – The Department of Paediatrics and Child Health 7. Position Description 8. City/Country Overview: Karachi, Pakistan

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1. EXECUTIVE SUMMARY

The Aga Khan University in Pakistan has retained Cielo Executive Search to lead the search process for the new Chair, Department of Paediatrics and Child Health. The overall responsibility of the Chair is to lead the Department to a position of academic and professional eminence, while furthering the goals and mission of the College of Medicine, and of the Aga Khan University Hospital in Karachi. Participating in teaching, research and clinical care, the Chair will serve as a role model for and represent both faculty and students.

This Assignment Brief provides detail in regards to the Aga Khan Development Network (AKDN), Aga Khan University (AKU), the Medical College, the Aga Khan University Hospital (AKUH), the Department of Paediatrics and Child Health, Job Description and information on the base location of Karachi, Pakistan.

Daniel Frost is a Partner in the global Academic Medicine & Higher Education Practice at Cielo Executive Search. He has 15 years Executive Search experience across Africa, Asia and the Middle East. Cielo's global presence includes more than 2,000 employees, serving 177 clients across 95 countries in 39 languages. For more information, visit www.cielotalent.com

To formally register interest in the position, please submit your full CV in confidence to the retained search partner, Daniel Frost [email protected]

Daniel Frost – Partner Cielo Executive Search Tel: +971 55 380 4761 [email protected]

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2. OVERVIEW – THE AGA KHAN DEVELOPMENT NETWORK

The Aga Khan Development Network (AKDN) is a network of private, non-denominational development agencies founded by the Aga Khan. The overall goal of the Aga Khan Development Network (AKDN) is to improve the quality of life in the areas where its member institutions work. The Network’s vision and strategies encompass an improvement in material standards of living, health and education, as well as a set of values and norms in the organisation of society, which include pluralism and cultural tolerance, gender and social equity, civil society organisation and good governance. The AKDN therefore has a holistic view of what constitutes progress that goes beyond material benefits and which encompasses a more rounded view of human experience and aspirations.

AKDN Agencies: ▪ Aga Khan Academies ▪ Aga Khan Agency for Habitat ▪ Aga Khan Agency for Microfinance ▪ Aga Khan Education Services ▪ Aga Khan Foundation ▪ Aga Khan Fund for Economic Development ▪ Aga Khan Health Services ▪ Aga Khan Trust for Culture ▪ Aga Khan University ▪ University of Central Asia

The Aga Khan Development Network (AKDN) works to improve the quality of life for tens of millions of people in 30 countries. Many of its institutions have been operating in the developing world for over 50 years. Today, the Network employs over 80,000 people. Its budget for non-profit social and cultural activities stands at US$ 950 million. The Network’s economic development arm, the Aga Khan Fund for Economic Development, generates annual revenues of US$ 4.3 billion, and all of its surpluses are reinvested in further development activities, usually in fragile, remote or post-conflict regions.

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3. OVERVIEW – THE AGA KHAN UNIVERSITY

Over the last 35+ years, the Aga Khan University (AKU) has built a global reputation for its work to improve quality of life in developing societies through high-quality teaching, research and health-care delivery that reflects its core values of equity and pluralism. The Board of Trustees includes current and former leaders of such institutions as the University of California, San Francisco; the University of Toronto; and the American University in Cairo. Partners and supporters include the development agencies of Canada, France, Germany, the United Kingdom and the United States, as well as the Bill & Melinda Gates Foundation, the Harvard Kennedy School and the University of Alberta. AKU graduates hold key positions at leading institutions such as Yale University, Johns Hopkins University, UNICEF and many others.

A not-for-profit organization and an agency of the Aga Khan Development Network, the University has campuses and programmes in Pakistan, Kenya, Tanzania, Uganda, Afghanistan and the United Kingdom. AKU began life as a health-sciences university and is renowned for its leadership in health professional education, research and clinical care in South Asia and East Africa. The Aga Khan University Hospital, Karachi and the Aga Khan University Hospital, Nairobi were the first hospitals in their regions accredited by the Joint Commission International and the College of American Pathologists.

Subsequently, AKU has launched programmes in teacher education, the study of Muslim civilizations, journalism, early childhood development and public policy. In the near future, AKU will launch an undergraduate arts and sciences programme to educate future leaders and establish additional graduate professional schools.

The goal, in the words of founder and Chancellor, His Highness the Aga Khan, is to be “on the frontiers of scientific and humanistic knowledge, radiating intelligence and confidence, research and graduates, into flourishing economies and progressive legal and political systems.”

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4. OVERVIEW – THE MEDICAL COLLEGE, PAKISTAN

The Aga Khan University Medical College in Pakistan was established in 1983, as a part of the University’s Faculty of Health Sciences. The Medical College faculty has a tripartite mission of provision of quality patient care, creating new knowledge through research and educating the leaders of tomorrow.

Pakistan and other developing countries have unique challenges and AKU, being a first-world institution in a third-world setting, is in a singular position to help solve these problems through research and training. The research portfolio of the faculty is diverse and is spread across the basic sciences, translational, clinical and public health domains. The academic programs in the Medical College, which include undergraduate medical education and graduate programs (Masters, MPhil, PhD), attach great emphasis to the professional, personal and intellectual development of students, so that its graduates become contributory members and leaders of society, setting the benchmark for quality of care, developing innovative solutions to health challenges and providing policymakers with evidence-based recommendations.

The Aga Khan University Medical College works closely with the School of Nursing and Midwifery and the University Hospital to produce excellence in educational programmes and medical practice.

Faculty, students and staff are devoted to the highest standard of education, scholarship and research. The faculty also provides the highest level of patient care through collaboration with various health care professionals and use of state-of-the-art equipment to support diagnosis and treatment in the University Hospital.

Programmes

Undergraduate Programmes ▪ MBBS Programme ▪ Associate of Science in Dental Hygiene

Graduate Programmes ▪ Master of Science in Epidemiology and Biostatistics ▪ Master of Science in Health Policy and Management ▪ Master of Health Professions Education ▪ MPhil in Biological and Biomedical Sciences ▪ PhD in Health Sciences

Postgraduate Medical Education ▪ Internship Programme ▪ Residency Programmes ▪ Fellowship Programmes

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Continuing Medical Education and Continuous Professional Development ▪ Department of Continuing Professional Education ▪ Lectures, Symposia, Meetings, Courses and other events

Other programmes ▪ Elective Programme / Visiting Student Programme ▪ Human Development Programme

Research

Health related research has always been a high priority activity of AKU. For the Medical College (being a part of AKU’s Faculty of Health Sciences), the over-arching theme is 'Social and Economic Determinants of Health' (SEDOH), the current shorthand for describing health approaches that move beyond biomedical and behavioral risk factor approaches to health promotion. This includes: ▪ Maternal and newborn child health ▪ Non-communicable diseases ▪ Infection, immunity and inflammation ▪ Human development ▪ Neurosciences ▪ Stem cell biology

Research in AKU’s Medical College spans many disciplines but particularly emphasizes problems of the developing world, such as investigation of the causes and treatment of childhood diarrhea, studies of the immunological characteristics of tuberculosis and leprosy, genetic basis of disease within the Pakistani population and community-based health systems development. Faculty research can be either basic, translational or clinical.

The Medical College also has a Clinical Trials Unit dedicated to advance AKU’s research mandate.

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5. OVERVIEW – THE AGA KHAN UNIVERSITY HOSPITAL, PAKISTAN

The Aga Khan University Hospital (AKUH), over the past three decades, has been a leader in delivering quality healthcare in the region, and has adapted to the rapidly changing and challenging healthcare needs of the people we serve. We are committed to delivering patient-centered care, at par with the best hospitals around the world. We are:

Demonstrating Quality and Excellence: Our quality standards are recognized through our accreditation by the Joint Commission International (JCI), the gold standard in quality and patient safety, and by the College of American Pathologists (CAP), the gold standard in clinical laboratory testing. Today, we are the only Academic Medical Centre in Pakistan to hold both of these gold standard accreditations. Moreover, we have maintained JCI accreditation since 2006, raising the standards of healthcare delivery in the country. We take great pride in this and are dedicated to continuously improving quality standards and serving more and more patients.

Focusing on the Community: Over the years, we have focused on improving access to patients across the country. Our integrated healthcare network reaches across Pakistan through four Secondary Hospitals in Karachi and Hyderabad, a network of over 270 Clinical Laboratories in over 128 cities, over 25 Medical Centers, satellite Pharmacies and Home Healthcare Services. We aim to make quality healthcare facilities available to local communities near their homes through our subsidized clinics which are facilitated by our medical centres across Karachi and in other cities of Pakistan.

Our commitment to making quality healthcare accessible to all is also demonstrated by our Patient Welfare programme. We are a not-for-profit, private hospital, and just in 2018, we provided Patient Welfare of Rs.2.3 billion to financially support the cost of medical treatment for over 780,000 patients. Our spend on Patient Welfare has more than doubled since 2013.

Partnering with Different Organizations and Programmes: To improve healthcare outcomes around Pakistan, the Aga Khan University Hospital has partnered with the Government of Sindh to eliminate Hepatitis C. We have partnerships and have signed MOU’s with several other institutions including:

▪ Pakistan Children’s Heart Foundation (PCHF), to make quality healthcare treatment available to children with congenital heart disease. ▪ Provincial TB Control Programme (PTP), to fight against TB and to establish a Treatment and Referral Center of Tuberculosis at AKUH,K for drug-sensitive TB, in collaboration with Provincial TB Control Programme Sindh. ▪ National AIDS Control Programme (NACP) to fight against HIV/AIDS and establish treatment centres at AKUH,K.

Training our Staff: We focus on training and developing our staff to improve and enhance their skills. This not only contributes to streamlining processes but also encourages them to enhance their practical skills to become leaders. Almost 40% of our workforce are females who make diligent contributions in different roles at the Main Hospital, Secondary Hospitals, Medical Centres, Clinical Laboratories and Pharmacies.

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Working on our Future Plans: As a leading University Hospital in the region, we invest heavily in new technology and employ ground-breaking research in treatment and care to best serve our patients. AKUH is a quaternary care hospital; we are fully equipped to manage complex cases and in recent years have helped transplant patients recover to lead normal lives. Our patient acuity levels are comparable to the top 50 hospitals in the United States with the highest Case Mix Index. We honour the highest ethics in medical practice and provide life-saving treatment to anyone who walks through our doors.

AKUH strives to maintain the highest standards of safe and quality health care for all patients, in all our facilities. Our Quality and Patient Safety team has extensive training and experience in managing and ensuring the highest Quality Standards within our facilities and systems to ensure patient safety. We ensure that proper checks and balances are followed in all aspects of the delivery of our healthcare services, including Infection Control. Our high-performance standards have been certified by two prestigious global accrediting bodies; Joint Commission International (JCI) and College of American Pathologists (CAP).

For more information on AKU, please visit: http://www.aku.edu

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6. OVERVIEW – THE DEPARTMENT OF PAEDIATRICS AND CHILD HEALTH

The Department of Paediatrics and Child Health is committed to providing state-of-the-art high-quality clinical services to children & adolescent’s health. The Department consists of a group of dedicated and diverse full-time and part-time paediatric faculty.

The clinical services of the Children's Hospital are the second largest in the hospital and consist of 128 inpatient beds and spread over 13 locations. These include two general paediatric wards (with high dependency units, infection prevention units, and semi-private rooms). In addition there is an 8-bedded Paediatric Intensive Care Unit and a 4-bedded Paediatric Cardiac Intensive Care Unit. Neonatal services include a 23-bedded Neonatal Intensive Care Unit and two well-baby nurseries.

Outpatient general and sub-specialty services are available at the main campus. In addition, community- outreach through the four secondary-care hospitals including both inpatient and outpatient services falls under the Department.

New services and specialties are continuously being developed and offered including Paediatric Palliative Care services and the Child Development and Rehabilitation Center.

Faculty and Staff:

▪ Total number of faculty staff in the department: 67 (Fulltime, 45 / Part time, 22) ▪ Total number of clinical faculty in the department: 55 (Fulltime, 37 / Part time, 18) ▪ Total number of research faculty in the department: 12 (Fulltime, 8 / Part time, 4)

Clinical Services:

▪ General Paediatrics ▪ Paediatric Sub-Specialty Care Neonatology, Cardiology, Hematology, Neurology, Nephrology, Infectious Diseases, Gastroenterology, Hepatology and Nutrition, Palliative Care, Critical Care, Endocrinology, Metabolic and Genetics diseases, Behavioral psychology, Neurodevelopmental and Physical therapy, Child Protection service.

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Academic Programmes:

The Department has a robust academic portfolio with faculty involvement encompassing all levels of scholastic initiatives.

Paediatric Undergraduate Clerkship One of the most highly rated rotation by the Medical College students. It comprises of not only the hospital paediatrics rotation but also primary/secondary care rotation.

Paediatric Residency Program Highly rated by incumbent trainees not only in Karachi but all over Pakistan. It is also one of the largest programs in university having more than fifty residents, rotating in four different hospitals in two cities. Many of the alumni of program are now faculty in the department or in other academic institutions all over the world.

Fellowship Programs From the first neonatology fellowship to the most recent first endocrinology fellowship in Pakistan, the department has to its credit many national firsts including hematology-oncology, neurology, infectious diseases and critical care. In addition to these there is also a robust cardiology fellowship being offered by the department. Most of these are accredited by College of Physicians and Surgeons Pakistan (CPSP) for FCPS training.

Graduate Programs and Other Course Educational Endeavors Departmental faculty is deeply involved in various graduate programs offered by the university like Masters programs in Epidemiology& Biostatistics, Health Policy & Management, Health Professions Education, MPhil in Biological and Biomedical Sciences and PhD in Health Sciences.

The faculty offers research methodology course every year for its trainees in addition to many short courses and workshops on manuscript writing, systematic reviews etc. Faculty is also actively involved in CME and CPD activities at national and international levels.

Research:

Research is a particular strength of the Department. Over the past five years, the Departmental faculty secured extramural grants in excess of $82 million. The major funders include the Bill and Melinda Gates Foundation, The Gavi Alliance, NIH USA, CDC USA, UNICEF, WHO, Wellcome Trust and others. The focus is on community-oriented research of public health importance, and the major topics covered include malnutrition, infectious diseases particularly vaccine preventable diseases, neonatal health, and others.

The Department along with the affiliated Center of Excellence of Women and Child Health manages various community field sites across the country and also has infectious diseases and nutrition labs that support the field-based research. There is a broad base of faculty scientists, with more than 15 faculty receiving extramural grants in the past five years. The Department collaborates heavily with other Departments within the University and with outside institutions in its research, both national and international.

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7. POSITION DESCRIPTION

Job Title: Chair, Department of Paediatrics and Child Health

Reports to: Dean, Medical College, Chief Executive Officer, AKUH (Pakistan) and Divisional Chair, Women and Child Health

Location: Karachi, Pakistan

The Chair has overall responsibility for the conduct of the academic mandate of the department, consistent with the mission and policies of the Aga Khan University and the Aga Khan University Hospital, inclusive of the outreach facilities incorporated within AKU.

Specific Responsibilities:

Faculty ▪ Develop a departmental staffing and recruitment plan to fulfill the academic goals of the department. Consultation and agreement with the Service Line Chief for service-related plans and with Section Heads regarding academic plans is required. ▪ Establish a letter of expectations for each faculty member. The expectations for education and research should be based on the overall departmental plans for these areas, while the service expectations will be provided by the SLC. ▪ Conduct performance appraisals for faculty members and use input from SLCs regarding service performance and Section Heads for academic performance. ▪ Provide career counseling and promote career development for faculty members. Identify professional training and development requirements in consultation with Section Heads and SLC for Faculty Development Awards. ▪ Prepare dossiers for appointments, promotions and credentialing/privileging of faculty for approval by the concerned authorities.

Academic Goals ▪ Set a strong academic tone in all activities of the Department through organizing rounds, conferences, journal clubs, research seminars and bench training. ▪ Promote innovation regarding teaching methods and research methodologies.

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▪ Place an emphasis on undergraduate medical education and appoint and support a person responsible for undergraduate medical education. Rotation in the hospital of undergraduate students and interns will be coordinated with the SLC. Apply curriculum and PMDC guidelines. ▪ Foster postgraduate medical education by appointing persons responsible for residency and fellowship training. ▪ Foster continuing education in coordination with the Department of Continuing Professional Education. ▪ Prepare a strategic research and teaching plan (four-year scope) for the Department and the departments/sections and define that in an annual plan for faculty in the LoE's. Foster research development by recruiting researchers within the resources available. Develop a grant acquisition plan for the department. ▪ Be an advocate for the Department in University and Faculty affairs. The Chair is expected to attend the Medical College Faculty Council and Joint Staff Committee meetings and other committees of the University as required.

Service Goals ▪ Ensure the development and application of medical quality management methods within the department, including practice guidelines and audits. ▪ Support the CEO and SLC(s) to ensure that the annual business plans and budgets are developed according to the Service Line objectives and application of quality management methods within the Service Line, including practice guidelines and audits. ▪ Support the development of new services and initiatives that contribute to the financial sustainability of the hospital. ▪ Collaborate in constructive participation in the hospital's goals and initiatives. ▪ Establish effective risk management principles and a patient satisfaction feedback evaluation system. ▪ Foster good professional and working relationships and partnerships with other departments and service lines. ▪ Foster good relations with community physicians and other organizations in the community. ▪ Ensure the productive and cost-effective use of human, material and capital resources entrusted to the department. ▪ Attend the Joint Staff Committee, Credentials Committee and other hospital committees as appropriate.

General ▪ Create an atmosphere of teamwork and take final decisions in line with institutional policies and strategies. ▪ Recruit and retain well-qualified academic and clinical specialists. ▪ Maintain a self-sustaining departmental resource base through responsible and accountable budgeting. ▪ Set an example and provide guidance, support and collaborative inspiration for all personnel in the department ▪ Develop appropriate leadership and management skills through institutional support and encouragement ▪ Pursue international links and contacts for professional growth by inviting eminent specialists to visit AKU and by participating in international forums.

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Person Specifications

▪ RCPCH, EBP, American Boards or equivalent qualification in Paediatrics. ▪ A sustained record of excellence with notable achievements in research, teaching and clinical service. ▪ A strong track record of research publications in peer-reviewed indexed journals and of grant- funded research. ▪ National/international recognition as an academic authority in the field of Paediatrics. ▪ Leadership experience in an academic medical centre with strong administrative and mentoring skills.

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8. CITY/COUNTRY OVERVIEW

KARACHI

Karachi is one of the most dynamic and cosmopolitan cities in Asia and is also known as the "City of Lights" and "The Bride of the Cities." With a population of approximately 16 million, Karachi is the largest and most populous city in Pakistan and the capital of the province of Sindh. It is Pakistan's premier industrial and financial centre, in addition to being considered as the cultural, economic, philanthropic, educational and political hub of the country. Situated on the Arabian Sea, Karachi serves as a transport hub, and is home to Pakistan's two largest seaports, the Port of Karachi and Port Bin Qasim. It also is the site of Pakistan's busiest airport, Jinnah International Airport.

Karachi is the most linguistically, ethnically, and religiously diverse city in Pakistan. It is a melting pot of ethno-linguistic groups from throughout Pakistan, as well as migrants from other parts of Asia. Nearly half of the population speak Urdu as their first language, with Punjabi and Pashto the second most common languages. Many people also speak English, particularly those in the younger generations and workers in the financial and business districts. Karachiites adhere to numerous sects and sub-sects of Islam, as well as Protestant Christianity, and community of Goan Catholics. The city also is home to large numbers of Hindus, and a small community of Zoroastrians.

The most important historical sites in Karachi are the hundred-year old tombs located in the Chowkandi graveyard, as well as many buildings from the Raj era, including the Karachi Port Trust, and Sindh High Court and Frere Hall. Karachi has many beautiful beaches, parks and coastal mangrove forests. The city is also home to some of Pakistan's most important cultural and artistic institutions and events, such as The National Academy of Performing Arts, the National Museum of Pakistan, Mohatta Palace and the Karachi Literature Festival. Shopping in Karachi is an enjoyable experience, since the city holds a complex network of malls having branded imported and local products, as well as small flea markets selling local traditional crafts. Located close to Karachi are the historic city of Thatta, Kirthar National Park, Keenjhar Lake, Haleji Lake Wildlife Sanctuary, Makli necropolis, Sufi shrine of Bhit Shah and archaeological site of Kot Diji.

With its location on the coast, the climate in Karachi remains generally mild and pleasant throughout the year. There are two seasons, with a relatively long summer season which includes the monsoon rains from July to September, followed by a drier and cooler winter period over December and January. For more information on Karachi, please visit: http://www.karachi.com

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PAKISTAN

Renowned for its love of cricket and breath-taking mountains, Pakistan is a historically rich country that has shown considerable economic progress since its independence in 1947. Officially known as the Islamic Republic of Pakistan, Pakistan translates to 'Land of the Pure'. It is the sixth most populous country in the world, with a population of over 200 million at an average annual growth of 2.4 percent, of which over 31 per cent are aged between 15 and 29.

Pakistan has a 1,046-kilometre coastline along the Arabian Sea and Gulf of Oman in the south and is bordered by India to the east, Afghanistan to the west, Iran to the southwest, and China in the northeast. It occupies a geopolitically important location at the crossroads of South Asia, the Middle East, and Central Asia.

Pakistan is an ethnically and linguistically diverse country, with a similarly diverse geography and wildlife. The country consists of an assortment of cultures and traditions, introduced through the numerous kingdoms, empires and dynasties that have ruled Pakistan throughout its history.

More than sixty languages are spoken in the country. Urdu is the national language understood by over 75% of Pakistanis. Both Urdu and English are the official languages of Pakistan, with English primarily used in official business and government, and in legal contracts. Regional and provincial languages include Sindhi, Punjabi, Pashto and Baluchi.

Pakistan’s landscape is blessed with picturesque mountains, green valleys, snowcapped peaks and lakes and pristine beaches; on the other end of the spectrum, the more metropolitan areas and cities are dynamic and busy. Within Pakistan's landscape there are the flat fertile flood plains of Punjab and Sindh provinces, nurtured by the Indus, which is the country's longest river and a key water resource. Pakistan's northern highlands contain the Karakoram, Hindu Kush, and Pamir mountain ranges, with some of the world's highest peaks. These include K2, the second highest mountain the world, and five of the fourteen mountain peaks over 8,000 metres, which attract adventurers and mountaineers from all over the world. Pakistan's largest and least populated province is Baluchistan situated on the Baluchistan Plateau in the south and west.

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