Prof Josephine Borghi

Professor of Health Economics

United Kingdom

+44 (0)2079272090

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.


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


Centre for Data and Statistical Science for Health
Centre for Evaluation
Centre for Maternal Adolescent Reproductive & Child Health
Health in Humanitarian Crises Centre
Global Health Economics Centre


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


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. I led the COSMIC project which used system dynamics and agent based modelling to examine how health systems respond to payment for performance. I am interested in the use of complexity science methods to understand how health systems respond to climate and other shocks and how to build resilience, across system scales.

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.

Research Area
Complex interventions
Global Health
Health care financing
Health systems
Maternal health
Mixed methods research

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;
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;
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;
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;
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;
Social science & medicine (1982)
Modelling the implications of moving towards universal coverage in Tanzania.
BORGHI, J; Mtei, G; Ally, M;
Health policy and planning
See more information