Dr Giulia Greco


Associate Professor
in Health and Wellbeing Economics

15-17 Tavistock Place
United Kingdom

I am a health economist with a research interest in understanding the value of health and quality of life, and the measurement of broader outcomes in the evaluation of public health programmes, including capabilities and subjective wellbeing. I joined the LSHTM in 2006, and I am co-Director of the Global Health Economics Centre.

I obtained a degree in Economics and Public Administration at Bocconi University in Milan and an MSc in Social Policy and Planning for Developing Countries at LSE, with a dissertation on the international migration of health workers. I completed my PhD at the LSHTM on the development of a multidimensional index based on Sen’s Capability Approach to assess women’s wellbeing in rural Malawi. 

In 2013-14 I have supported the development of the Wellbeing and Policy report of the Legatum Commission chaired by Gus O'Donnell with Angus Deaton, Richard Layard, Martine Durand and David Halpern. In 2021, I worked with the WHO Council on the Economics of Health for All, chaired by Mariana Mazzucato, on the development of the 3rd Council Brief on Valuing Health for All and an Insight on time-use data. 

I was awarded an Early Career Fellowship from the UK Medical Research Council to develop a wellbeing measure for use in economic evaluation of public health programmes. I was Honorary Senior Scientist at the MRC/UVRI & LSHTM Uganda Research Unit and Visiting Lecturer at the School of Economics, Makerere University, Uganda from 2016 to 2019.

I was a founder and convener of the iHEA Special Interest Group for Early Career Researchers (2016 - 2021) and I am a convener for the Special Interest Group on Mental Health Economics. I am an elected member of the Executive Council of the Human Development & Capabilities Association and I am an Associate Editor of the Journal of Human Development and Capabilities.

I supervised Ian Ross for his PhD on measuring and valuing quality of life in sanitation interventions in Mozambique and I am currently supervising 1) Kenneth Katumba, with a PhD on the role of structural and behavioural factors for HIV prevention in Uganda; 2) Rebecca Prah, working on the use of novel quality of life measures for assessing adolescent wellbeing and menstrual health in Uganda; and 3) Michaela Takawira, working on the evaluation of a check-up strategy for adolescents in Zimbabwe.


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


Centre for Evaluation
Centre for Maternal Adolescent Reproductive & Child Health (MARCH)
Global Health Economics Centre


I am a Fellow of the UK Higher Education Academy.

I enjoy teaching Health Economics modules to in-house and distance learning students. I am co-Module Organiser for the DL module PHM203: Economic Analysis for Health Policy, and MSc Project tutor for the Masters in Public Health. I was a seminar leader for Introduction to Health Economics at the LSHTM.

I taught in the course Cost-effectiveness Analysis in Health Care for the MSc in Health Services Research; the course Health Economics and Finance for the MPH at Makerere University School of Public Health, Uganda, and a session on the economics of reproductive and sexual health at the East Africa Diploma in Tropical Medicine & Health.

I am a convener of the annual HDCA Summer School




My main research interest is on the measurement and determinants of subjective wellbeing and capabilities, and their use in the evaluation of complex public health interventions, using mixed-methods. In particular, I have been working on:

1) assessment of financial resources for RMNCH in priority countries as part of the Countdown initiative;

2) economic evaluation of reproductive, maternal and newborn health programmes (MaiMwana Project in Malawi; Saving Newborn Lives in Nepal and Malawi; EVA-PMDUP in Zambia and India, OMWaNA Kangaroo Mother Care in Uganda);

3) economic evaluation of complex interventions in schools:

  • Good School and PVACS trials to reduce violence against children in Uganda and Tanzania
  • Problem-solving mental health programme in India (PRIDE)
  • Menstrual Hygiene Management in Uganda (MENISCUS) and Tanzania
  • Adolescent check-up strategies in Zimbabwe, Ghana and Tanzania (Y-CHECK)

4) economic analysis of mental health programmes (RECAP and GOAL in Uganda and Lebanon, CHANGE in Uganda and Ukraine, HIV+D in Uganda)

5) economic analysis of direct and indirect health impacts of extreme heat on pregnant and postpartum women, infants, and health workers, affected by climate change (HIGH HORIZONS)

Research Area
Complex interventions
Economic evaluation
Health care financing
Health outcomes
Maternal health
Public health
Impact evaluation
Mixed methods
Reproductive health
Development studies
Social Policy
Burkina Faso
Least developed countries: UN classification
Sub-Saharan Africa (developing only)

Selected Publications

The economic burden incurred by families caring for a young child with developmental disability in Uganda.
Katumba KR; Tann CJ; Webb EL; Tenywa P; Nampijja M; Seeley J; Greco G
PLoS global public health
Menstrual health interventions, schooling, and mental health problems among Ugandan students (MENISCUS): study protocol for a school-based cluster-randomised trial.
Kansiime C; Hytti L; Nelson KA; Torondel B; Francis SC; Tanton C; Greco G; Belfield S; Nakalema S; Matovu F
Assessing equity of access and affordability of care among South Sudanese refugees and host communities in two districts in Uganda: a cross-sectional survey.
King J; Prabhakar P; Singh N; Sulaiman M; Greco G; Mounier-Jack S; Borghi J
BMC Health Services Research
Early care and support for young children with developmental disabilities and their caregivers in Uganda: The Baby Ubuntu feasibility trial.
Nanyunja C; Sadoo S; Kohli-Lynch M; Nalugya R; Nyonyintono J; Muhumuza A; Katumba KR; Trautner E; Magnusson B; Kabugo D
Front Pediatr
Incorporating Concern for Health Equity Into Resource Allocation Decisions: Development of a Tool and Population-Based Valuation for Uganda.
Yang F; Katumba KR; Greco G; Seeley J; Ekirapa-Kiracho E; Revill P; Griffin S
Value Health Reg Issues
The EmpaTeach intervention for reducing physical violence from teachers to students in Nyarugusu Refugee Camp: A cluster-randomised controlled trial.
Fabbri C; Rodrigues K; Leurent B; Allen E; Qiu M; Zuakulu M; Nombo D; Kaemingk M; De Filippo A; Torrats-Espinosa G
PLOS Medicine
Cultural and linguistic adaptation of the multi-dimensional OXCAP-MH for outcome measurement of mental health among people living with HIV/AIDS in Uganda: the Luganda version.
Katumba KR; Laurence YV; Tenywa P; Ssebunnya J; Laszewska A; Simon J; Vassall A; Kinyanda E; Greco G
Journal of patient-reported outcomes
Effectiveness and cost-effectiveness of integrating the management of depression into routine HIV Care in Uganda (the HIV + D trial): A protocol for a cluster-randomised trial.
Kinyanda E; Kyohangirwe L; Mpango RS; Tusiime C; Ssebunnya J; Katumba K; Tenywa P; Mugisha J; Taasi G; Sentongo H
International journal of mental health systems
How does sanitation influence people's quality of life? Qualitative research in low-income areas of Maputo, Mozambique.
Ross I; Cumming O; Dreibelbis R; Adriano Z; Nala R; Greco G
Social Science & Medicine
Measuring and valuing broader impacts in public health: Development of a sanitation-related quality of life instrument in Maputo, Mozambique.
Ross I; Greco G; Opondo C; Adriano Z; Nala R; Brown J; Dreibelbis R; Cumming O
Health Economics
The Economic Costs of Childhood Disability: A Literature Review.
Shahat ARS; Greco G
International journal of environmental research and public health
Developing the EQ-5D-5L Value Set for Uganda Using the 'Lite' Protocol.
Yang F; Katumba KR; Roudijk B; Yang Z; Revill P; Griffin S; Ochanda PN; Lamorde M; Greco G; Seeley J
Preventing violence against children in schools (PVACS): protocol for a cluster randomised controlled trial of the EmpaTeach behavioural intervention in Nyarugusu refugee camp.
Devries KM; Fabbri C; Allen E; Barongo V; Shayo E; Greco G; Kaemingk M; Qiu M; Steinacher R; Tol W
BMC Public Health
Economic evaluation of the Good School Toolkit: an intervention for reducing violence in primary schools in Uganda.
Greco G; Knight L; Ssekadde W; Namy S; Naker D; Devries K
BMJ global health
Development, Validity, and Reliability of the Women's Capabilities Index.
Greco G; Skordis-Worrall J; Mills A
Journal of human development and capabilities
Comparing women's financial costs of induced abortion at a facility vs. seeking treatment for complications from unsafe abortion in Zambia.
Moore AM; Dennis M; Anderson R; Bankole A; Abelson A; Greco G; Vwalika B
Reproductive health matters
Overview, methods and results of multi-country community-based maternal and newborn care economic analysis.
Daviaud E; Owen H; Pitt C; Kerber K; Bianchi Jassir F; Barger D; Manzi F; Ekipara-Kiracho E; Greco G; Waiswa P
Health policy and planning
Malawi three district evaluation: Community-based maternal and newborn care economic analysis.
Greco G; Daviaud E; Owen H; Ligowe R; Chimbalanga E; Guenther T; Gamache N; Zimba E; Lawn JE
Health policy and planning
Developing a dataset to track aid for reproductive, maternal, newborn and child health, 2003-2013.
Grollman C; Arregoces L; Martinez-Alvarez M; Pitt C; Powell-Jackson T; Hsu J; Greco G; Borghi J
Scientific data
Countdown to 2015: changes in official development assistance to reproductive, maternal, newborn, and child health, and assessment of progress between 2003 and 2012.
Arregoces L; Daly F; Pitt C; Hsu J; Martinez-Alvarez M; Greco G; Mills A; Berman P; Borghi J
The Lancet Global health
What is a good life? Selecting capabilities to assess women's quality of life in rural Malawi.
Greco G; Skordis-Worrall J; Mkandawire B; Mills A
Social science & medicine (1982)
Collecting and analysing cost data for complex public health trials: reflections on practice.
Batura N; Pulkki-Brännström A-M; Agrawal P; Bagra A; Haghparast-Bidgoli H; Bozzani F; Colbourn T; Greco G; Hossain T; Sinha R
Global health action
Measuring time use in health economics: a methodological perspective
Pitt C; Greco G; Hanson K; Mills A
International Health Economics Association, 7th World Congress on Health Economics
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