BA MSc PhD
in Health Economics and Policy
15-17 Tavistock Place
I've been working in the field of health economics and health systems analysis at LSHTM since 1997. After a first degree in economics at Cambridge, and a Masters in development economics at SOAS, I spent two years working as an economic planner in the Ministry of Health and Social Welfare in Lesotho. After joining LSHTM my work mainly focused on the economics of malaria control, and I completed a PhD on the retail sector and malaria control in Tanzania. Between 2006 and 2011 I was based with the Kenyan Medical Research Institute (KEMRI) / Wellcome Trust Research Programme in Nairobi. I am now working in London again, where my work focuses on understanding the private health care sector, access to malaria treatment and improving peripheral public health facility financial and management systems.
I am the module organiser for the distance learning course Economic Analysis for Health Policy, and also teach on the sister face-to-face module of the same name. I currently supervise four research degree students.
A key focus of my research is on understanding and improving private sector healthcare provision in low and middle income countries. I'm interested in understanding the growth of this sector, the incentives private providers face, and consequences for healthcare quality and access, and in evaluating interventions to address this. These interventions may include enhancing regulation, subsidies and social marketing, social franchising, accreditation, and other quality improvement strategies.
A key interest of mine had been the role of the commercial retail sector in malaria treatment. I have been involved in the Independent Evaluaton of the Affordable Medicines Facility-malaria (AMFm) in 7 countries; analysis of the private sector distribution chains for antimalarials in 7 countries (ACTwatch); and evaluations of the strategies to enhance access to and targeting of antimalarial combination therapy in Kenya and Tanzania (ACT Consortium).
I am co-PI of the Maternal Healthcare Markets Evaluation Team (MET), which focuses on innovative private sector strategies to enhance maternal health. Within this, I am leading a study of the nature of competition in the market for provision of maternal health care services in India. I am also leading an evaluation of the PharmAccess SafeCare model for improving quality of care in private facilities in Tanzania, and co-leading a process evaluation of regulatory innovations in Kenya.