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Dr Meenakshi Gautham

MSc PhD

Research Fellow
Health Systems and Policy Analysis

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

Tel.
+91-(0)-124-4234743

My work focuses on pluralistic health systems in low resource settings. I am exploring ways of navigating the challenges and opportunities inherent in these systems in order to operationalise antimicrobial stewardship and strengthen universal health coverage. I currently lead a 'One Health' research team that is engaged in developing a novel antibiotic stewardship intervention in rural West Bengal in India. This intervention focuses on informal private providers for human and animal health, and their relationships and networks with the formal public and private health system, the pharmaceutical industry and rural communities. The study is funded through the Health Systems Research Initiative (HSRI) of MRC/ESRC/DFID/Wellcome Trust and builds on an earlier exploratory study of the drivers of antibiotic use in the same setting. I am also a Co-investigator on a study of 'SMART regulation of antibiotic use in India: understanding, innovating and improving compliance'. This study is led by the University of Edinburgh, UK and the V.P Chest Institute in New Delhi, India. It is funded by the Newton-Bhabha Fund for addressing the challenge of antimicrobial resistance (AMR) in India.  

I joined LSHTM in April 2012 as the India Country Coordinator of IDEAS, a 5-year Gates Foundation funded measurement, learning and evaluation project in maternal, newborn and child health, implemented by LSHTM in Ethiopia, India (Uttar Pradesh and West Bengal) and North East Nigeria. In 2015 I joined the Merck for Mothers study team at LSHTM, researching the private health sector in maternal healthcare in Uttar Pradesh. From 2016-18 I was the PI of an HSRI study exploring the social, economic and behavioural drivers of antibiotic use by informal private healthcare providers in West Bengal, India. Prior to working with LSHTM I was a post-doctoral fellow (2008-2012) with the Institute of Health Policy and Management, Erasmus University, Netherlands, and the Micro Insurance Academy in New Delhi. I completed my PhD at LSHTM (Public Health and Policy) in 2006. Before that I worked as India Programme Manager with Intrahealth International (1997-2001). 



Affiliations

Department of Global Health and Development
Faculty of Infectious and Tropical Diseases
Department of Disease Control
Faculty of Public Health and Policy

Centres

Maternal, Adolescent, Reproductive & Child Health (MARCH)
Antimicrobial Resistance Centre

Teaching

I am a tutor on LSHTM Distance Learning M.Sc courses including Health Policy, Process and Power (PHM 109), and Control of Infectious Diseases (IDM 104). I supervise student dissertations (M.Sc) based on field research projects in health systems, maternal and child health and AMR. Students of the ‘One Health’ M.Sc, jointly offered by LSHTM and the Royal Veterinary College in London, are especially interested in conducting fieldwork in the India study sites.

Research

My research interests include the private health sector, drivers of antibiotic use and of AMR, and universal health coverage. I am particularly interested in the politics of interdependencies between informal ‘street medicine’ providers, the formal health sector and the pharmaceutical industry in order to catalyse positive disruptions in these linkages. Current interests also include exploring the potential of participatory methodologies to manage diverse stakeholders in co-designing innovative interventions and regulations. I lead a private health sector research interest group at LSHTM. I am also on the Advisory Board of SNAP-AMR, a study led by the University of Glasgow to provide novel insights into the biological, cultural and social drivers of AMR in the hospital and community setting in Tanzania.



Research Area
Child health
Clinical guidelines
Health care policy
Health outcomes
Health policy
Health systems
Health technology assessment
Maternal health
Primary care
Quality improvement
Sexual health
Health workers
Disease control
Equity
Evaluation
Health services
Impact evaluation
Mobile technologies
Neonatal health
Private sector
Reproductive health
Discipline
Development studies
Epidemiology
Social Sciences
Disease and Health Conditions
Infectious disease
Sexually transmitted infection
Zoonotic disease
Country
Bangladesh
Ethiopia
India
Region
South Asia
Sub-Saharan Africa (developing only)

Selected Publications

"It's About the Idea Hitting the Bull’s Eye": How Aid Effectiveness Can Catalyse the Scale-up of Health Innovations
Wickremasinghe, D. ; Gautham, M. ; Umar, N. ; Berhanu, D. ; Schellenberg, J. ; Spicer, N. ;
2018
International Journal of Health Policy and Management
District decision-making for health in low-income settings: a qualitative study in Uttar Pradesh, India, on engaging the private health sector in sharing health-related data.
Gautham, M. ; Spicer, N. ; Subharwal, M. ; Gupta, S. ; Srivastava, A. ; Bhattacharyya, S. ; Avan, B.I. ; Schellenberg, J. ;
2016
Health Policy Plan
Adding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India.
Marchant, T. ; Tilley-Gyado, R.D. ; Tessema, T. ; Singh, K. ; Gautham, M. ; Umar, N. ; Berhanu, D. ; Cousens, S. ; Armstrong Schellenberg, J.R. ;
2015
PLoS One
Informal rural healthcare providers in North and South India.
Gautham, M. ; Shyamprasad, K.M. ; Singh, R. ; Zachariah, A. ; Singh, R. ; Bloom, G. ;
2014
Health Policy Plan
See all Dr Meenakshi Gautham's Publications