Dr Johanna Hanefeld BA MSc PhD

Associate Professor Health Policy and Systems Research


I am head of the Anthropology, Politics and Policy Group in the Department of Global Health and Development, and a Senior Lecturer in Health Policy and Systems' Research. My work is situated within the field of health policy and systems research and focuses on the political economy of global health. Current research focuses on health systems and medical travel and migration, policy analysis of evidence to policy uptake, trade and health, governance and health inequalities. I am interested in actor power and health policy analysis

My background is diverse: a policy analyst by training, I worked on HIV and AIDS, initially for the Panos Institute based in Zambia and then as researcher for Amnesty International. I have also worked for WHO EURO on social determinants of health and health equity, and on national health policies.




I am module organiser for 'Globalisation and Health' in D2 and tutor on the MSc in Public Health.

In addition, I supervise several doctoral students working on trade and health, global health diplomacy, policy analysis and ethics.

Together with Prof John Porter I am the convenor of the LSHTM Ethics and Human Rights Seminar Series and the LSHTM Ethics and Philosophy Fellowship Programme.


Current research focuses on several areas:

Trade in health services, including medical tourism, working closely with Professor Richard Smith. Together with colleagues from the University of York I recently completed an  NIHR funded research project, which examined the impact of medical tourism and migration on the UK NHS. Results were widely covered in the media. Research in this area extents to work on health systems impact, including developments for measurement and methods. I currently co-edit the Elgar Handbook on Medical Tourism and Patient Mobility.

Policy analysis research focused on global health governance and on governance of health systems, including collaborative work with colleagues in Zambia, India and South Africa. This includes a programme of research on the role of global health actors, such as the Global Fund, in national level policy processes. I am interested in both qualitative analysis of policy processes and more quantitative systems level analysis. A particular interest within this has been on power. 

Policy analysis focused on the uptake of evidence from clinical trials into national and global guidelines on anti-retroviral treatment. This work, conducted through a grant by MRC Clinical Trials Unit, includes national level processes in Uganda and Zimbabwe.

Preparatory work supported by the Wellcome Trust on health inequalities comparing the role of different types of evidence and policies to address inequalities in sub-Saharan Africa and South America. 

I am co-convenor of the SHaPeS working group of Health Systems' Global which aims to bring together social science approaches for research and engagement in health policy & systems. 



Research areas

  • Equity
  • Global Health
  • Globalisation
  • Health inequalities
  • Health policy
  • Health systems
  • Implementation research
  • Inequalities
  • Social and structural determinants of health
  • Trade


  • Policy analysis
  • Social Sciences

Disease and Health Conditions

  • Non-communicable diseases


  • Euro area
  • Latin America & Caribbean (all income levels)
  • South Asia
  • Sub-Saharan Africa (all income levels)


  • Chile
  • Ethiopia
  • India
  • Kenya
  • South Africa
  • Uganda
  • Zambia
  • Zimbabwe

Other interests

  • Access To Medicines
  • Economic Development
  • Equity And Equality
  • Ethics And Human Rights
  • Evidence-informed health policy making
  • Governance
  • Human Rights
  • Medical Tourism
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