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Dr Josephine Borghi

BA MSc PhD

Associate Professor
in Health Economics and Policy

Room
Room 308

LSHTM
15-17 Tavistock Place
London
WC1H 9SH
United Kingdom

Tel.
00 44 (0)20 79272090

I have been a Health Economist for 20 years. Following an MSc in Health Economics at the University of York, I began working at the LSHTM in 1999. Following a year as a Consultant in Central and South America, I returned to the LSHTM in 2002 to work on the economic evaluation of maternal and newborn health programmes.

In 2006 I completed my PhD, which explored the measurement of non-health benefits from health interventions within a cost-effectiveness analysis in Nepal. From 2007 I was based in Dar es Salaam, Tanzania at the Ifakara Health Institute, where I led evaluation research on health insurance schemes and payment for performance.  I returned to London at the end of 2012 and have been involved in evaluating the effects of health financing reforms on health systems in a range of countries.

Affiliations

Department of Global Health and Development
Faculty of Public Health and Policy

Centres

Centre for Evaluation
Maternal, Adolescent, Reproductive & Child Health (MARCH)
Centre on Climate Change and Planetary Health

Teaching

I helped design and run the Distance Learning module Evaluation of Public Health Interventions.  

Research

My research aims at understanding the effect of financing mechanisms, such as health insurance and payment for performance schemes, on the functioning of health systems in low and middle income countries.  My research also examines international aid and domestic financing for health, the determinants of financing levels and how funding is allocated and its effects health outcomes and equity.  I'm also interested in models for financing  health care for refugees.

I am currently undertaking mixed methods research in Mozambique and Zimbabwe to understand the health system effects of payment for performance schemes; we are using system dynamic modelling in Tanzania and Zambia to examine how health systems respond to payment for performance; I'm involved in research in Brazil to assess the effect of the PMAQ scheme on equity of funding and quality of primary health care; and I'm involved in research in Uganda examining the financing of care for refugees.

Research Area
Complex interventions
Economic evaluation
Health care financing
Health policy
Health systems
Maternal health
Equity
Evaluation
Impact evaluation
Discipline
Health economics
Policy analysis
Social Sciences
Country
Brazil
China
Ethiopia
Lebanon
Mozambique
Sierra Leone
Tanzania
Uganda
Zambia
Zimbabwe
Region
Latin America & Caribbean (all income levels)
South Asia
Sub-Saharan Africa (developing only)

Selected Publications

Implementation and effectiveness of free health insurance for the poor pregnant women in Tanzania: A mixed methods evaluation.
Kuwawenaruwa A; Ramsey K; Binyaruka P; Baraka J; Manzi F; Borghi J
2019
Social science & medicine (1982)
How to do (or not to do)… Measuring health worker motivation in surveys in low- and middle-income countries.
Borghi J; Lohmann J; Dale E; Meheus F; Goudge J; Oboirien K; Kuwawenaruwa A
2017
Health policy and planning
Trends In The Alignment And Harmonization Of Reproductive, Maternal, Newborn, And Child Health Funding, 2008-13.
Martinez-Alvarez M; Acharya A; Arregoces L; Brearley L; Pitt C; Grollman C; Borghi J
2017
Health affairs (Project Hope)
Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time.
Borghi J; Munthali S; Million LB; Martinez-Alvarez M
2017
Health policy and planning
Effects of Payment for Performance on accountability mechanisms: Evidence from Pwani, Tanzania.
Mayumana I; Borghi J; Anselmi L; Mamdani M; Lange S
2017
Social science & medicine (1982)
Modelling the implications of moving towards universal coverage in Tanzania
Borghi J; Mtei G; Ally M
2012
Health policy and planning
Who pays and who benefits from health care? An assessment of equity in health care financing and benefit distribution in Tanzania
Mtei G; Makawia S; Ally M; Kuwawenaruwa A; Meheus F; Borghi J
2012
Health policy and planning
See more Publications