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Dr Eleanor Hutchinson

Associate Professor

United Kingdom

I am an Associate Professor in Anthropology and Public Health in the Department of Global Health and Development. I have 15 years of experience researching the interactions between service providers, patients and their carers in health systems (primarily) in East and Southern Africa. I work in formal health systems and have worked extensively in medicine markets in Uganda alongside colleagues from Makerere University.

My expertise lies in the use of traditional anthropological methods and social theory across a range of public health areas (HIV/AIDS, malaria and health systems). This has developed into a critical concern with governance: whose rules matter and dominate in a particular setting, which forms of rule breaking matter (most) and what drives them. Alongside anthropology, I draw on anti-corruption theory and am interested in how public health can learn from developments in theory and practice within international development. My research has been funded by MRC, FCDO, the Wellcome Trust and NIHR.

I am the co-lead of the Anthroplogical Approaches to Global Health in the Department of Global Health and Development.

I am a member of the Health Systems Global Thematic Working Group on Action on Accountability and Anti-corruption for SDGs (TWG AAA), I am also a member of the Global Network for Anti-corruption, transparency and accountability in health. I sit on the Policy and Practice committee of the Royal Anthropological Institute.

Affiliations

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

Centres

Malaria Centre
Antimicrobial Resistance Centre

Teaching

I supervise MSc and PhD students. I am the module organiser for Medical Anthropology in Public Health (DL). I deliver the lecture "People Centred Health Systems" on the in house Health Systems Course and the lecture on International Development and Global Health.

I am the Deputy Department Research Degree Coordinator (initial enquiries).

Research

My research focuses on informality in health systems. This includes examining the realities of everyday practice of care providers (doctors, nurses, pharmacists, medicine sellers) and how this is shaped by social, political and economic structures in which policy and the protocols (of complex intervention trials) are implemented. Through this work, I have also explored the unintended consequences of policy change and public health interventions.

I have two main arenas in which I work. The first is in the medicines retail sector, where I have traced how ways of distributing medicines in these highly informal spaces are shaped by socio-economic and political networks, policy changes, public health interventions and social relations. The second is in the formal health system where I have looked at how health workers incorporate change into daily practice and care giving. This has led me to examine how corruption shapes the delivery of care and how effective anti-corruption strategies that take social networks, health system limitations and political systems into acount could be created. My research has been funded by MRC, DFID and Wellcome.

Research Area
Health systems
Medicines
Private sector
Quality improvement
Anthropology
Development studies
Policy analysis
Health inequalities
Disease and Health Conditions
HIV/AIDS
Malaria
Cardiovascular diseases
Country
Malawi
Nigeria
Uganda
Zambia
Region
Sub-Saharan Africa (developing only)

Selected Publications

Targeting anticorruption interventions at the front line: developmental governance in health systems.
HUTCHINSON, E; Naher, N; Roy, P; MCKEE, M; MAYHEW, SH; Ahmed, SM; BALABANOVA, D;
2020
BMJ global health
Where Do We Start? Building Consensus on Drivers of Health Sector Corruption in Nigeria and Ways to Address It.
Onwujekwe, O; Orjiakor, CT; HUTCHINSON, E; MCKEE, M; Agwu, P; Mbachu, C; Ogbozor, P; Obi, U; Odii, A; Ichoku, H; BALABANOVA, D;
2019
International Journal of Health Policy and Management
We Need to Talk About Corruption in Health Systems.
HUTCHINSON, E; BALABANOVA, D; MCKEE, M;
2018
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
Data value and care value in the practice of health systems: A case study in Uganda.
HUTCHINSON, E; NAYIGA, S; Nabirye, C; Taaka, L; STAEDKE, SG;
2018
Social science & medicine (1982)
Doubt, defiance, and identity: Understanding resistance to male circumcision for HIV prevention in Malawi.
PARKHURST, JO; Chilongozi, D; HUTCHINSON, E;
2015
Social science & medicine (1982)
'It puts life in us and we feel big': shifts in the local health care system during the introduction of rapid diagnostic tests for malaria into drug shops in Uganda.
HUTCHINSON, E; CHANDLER, C; CLARKE, S; LAL, S; Magnussen, P; Kayendeke, M; Nabirye, C; Kizito, J; Mbonye, A;
2014
Critical public health
National policy development for cotrimoxazole prophylaxis in Malawi, Uganda and Zambia: the relationship between Context, Evidence and Links.
HUTCHINSON, E; PARKHURST, J; Phiri, S; Gibb, DM; Chishinga, N; Droti, B; Hoskins, S;
2011
Health research policy and systems
Translating evidence into policy in low-income countries: lessons from co-trimoxazole preventive therapy.
HUTCHINSON, E; Droti, B; Gibb, D; Chishinga, N; Hoskins, S; Phiri, S; PARKHURST, J;
2011
Bulletin of the World Health Organization
'Government don't know me and if I stop, they won't know': A qualitative study on the lived experiences of volunteer health workers in the Nigerian health system and their implications for the sustainable development goals.
Odii, A; HUTCHINSON, E; Onwujekwe, O; Ogbozor, PA; Agwu, P; Orjiakor, CT; Babalanova, D; MCKEE, M;
2024
The International journal of health planning and management
The paradoxical surplus of health workers in Africa: The need for research and policy engagement.
HUTCHINSON, E; Kiwanuka, S; Muhindo, R; Nimwesiga, C; BALABANOVA, D; MCKEE, M; Kitutu, FE;
2024
The International journal of health planning and management
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