Lorna Guinness


Honorary Assistant Professor

15-17 Tavistock Place
United Kingdom

I am a Health Economist with over twenty years of experience in low- and middle-income settings. I have worked within international funding agencies, as a consultant and in academia carrying out research, policy advice and training in economic evaluation, efficiency and equity analyses in low income countries both in Africa and Asia. 


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


I am a distance learning tutor responsible for course design and delivery across modules in Introduction to Health Economics, Economic Evaluation and Impact Evaluation.  I have developed a number of short courses on the economics and financing of health care for different funding agencies including UNICEF, DfID, the British Council, UNAIDS and AusAID. I supervise PhD students in the area of economic evaluation of healthcare programmes in low and middle income countries with a specific interest in cost estimation.  I sit on the steering committee of the LSHTM Global Health Leadership course.


Research Area
Economic evaluation
Health care financing
Disease and Health Conditions

Selected Publications

Estimating the Unit Costs of Healthcare Service Delivery in India: Addressing Information Gaps for Price Setting and Health Technology Assessment.
Bahuguna P; Guinness L; Sharma S; Chauhan AS; Downey L; Prinja S
Applied health economics and health policy
Process evaluation of health system costing - Experience from CHSI study in India.
Prinja S; Brar S; Singh MP; Rajsekhar K; Sachin O; Naik J; Singh M; Tomar H; CHSI Study Collaborating Investigators; Bahuguna P
PloS one
Addressing the Cost Data Gap for Universal Healthcare Coverage in India: A Call to Action.
Prinja S; Chauhan AS; Rajsekhar K; Downey L; Bahuguna P; Sachin O; Guinness L
Value in health regional issues
Examining Approaches to Estimate the Prevalence of Catastrophic Costs Due to Tuberculosis from Small-Scale Studies in South Africa.
Sweeney S; Vassall A; Guinness L; Siapka M; Chimbindi N; Mudzengi D; Gomez GB
Cost variations in prevention of mother-to-child HIV transmission services integrated within maternal and child health services in rural Tanzania.
Vyas S; Luwanda LB; Guinness L; Kajoka D; Njau P; Renju J; Hassan F; Wringe A
Global public health
Assessing the costs and efficiency of HIV testing and treatment services in rural Malawi: implications for future \"test and start\" strategies.
Vyas S; Songo J; Guinness L; Dube A; Geis S; Kalua T; Todd J; Renju J; Crampin A; Wringe A
BMC health services research
Households forgoing healthcare as a measure of financial risk protection: an application to Liberia.
Gabani J; Guinness L
International journal for equity in health
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