I am a health systems researcher with a background in psychology. My research focuses on understanding the complexities of working in health systems in low- and middle-income countries, how these impact motivation, wellbeing, retention and quality of care provided by health workers, and how health workers can be supported, technically and interpersonally. I use a wide range of quantitative and qualitative methods in mixed methods designs that closely align with global health practice.
Affiliations
Teaching
I currently teach on the Distance Learning Module Evaluation of Public Health Interventions and supervise several doctoral students as well as MSc summer projects.
Research
I am interested in health systems in resource-limited settings, and particularly in the people working therein. My research aims to understand which factors affect their wellbeing, motivation, performance, and retention/migration, and how these can be improved.
My current main project investigates psychological wellbeing of health workers across multiple countries in Sub-Saharan Africa, determinants of good vs poor wellbeing, and consequences for performance, using both quantitative and qualitative methods and primary and secondary data. Subprojects include: A quantative analysis across 12 countries to understand the link between wellbeing and quality of maternal and childhood care; in response to COVID-19, a longitudinal qualitative study in Burkina Faso, the Gambia, and Senegal to capture health workers' experiences, coping, and resulting psychosocial wellbeing during the first nine months of the pandemic; a qualitative study in Burkina Faso to understand the compound effects of multiple shocks and crises for health workers' psychological wellbeing; and a review of the mental health impacts of workplace violence against health workers. I further undertake methodological research into the measurement of health worker wellbeing.
I am further engaged in projects investigating the impact of health financing arrangements on health worker motivation and performance; on the role of climate and climate shocks in health worker wellbeing and performance; and on the impacts health worker migration from low- and middle to high-income countries.