Dr Julia Lohmann

Assistant Professor


15-17 Tavistock Place
United Kingdom

I am a health systems researcher with a background in psychology and a specific research interest in Human Resources for Health. I joined LSHTM in 2019 as a Wellcome Trust fellow, having previously completed my PhD on the impact of Performance-based Financing on health worker motivation in Malawi and Burkina Faso at Heidelberg University in Germany.

My areas of expertise include impact and process evaluation of complex health systems interventions as well as exploratory and cross-sectional research in low and middle income countries, using mixed and multi-methods approaches. I have particular experience in the measurement of psychological and other complex intangible constructs with psychometric methods in settings yet lacking culturally appropriate, validated measurement tools.


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


My current main research project investigates mental health of health workers across 12 countries in Sub-Saharan Africa. Health workers are at high risk of poor mental wellbeing due to their particularly strenuous work demands. This is a particular concern in heavily constrained health systems, such as in most low and lower-middle-income countries. To date, however, little attention has been payed to this issue by research and practice. The study therefore aims to assess psychological wellbeing of health workers and to understand reasons for poor (or good) psychological wellbeing as well as potential consequences for performance and turnover, using both quantitative and qualitative methods.

In response to the SARS-CoV-2 pandemic, I am leading a qualitative study on the psychosocial impacts on health workers in Burkina Faso, The Gambia, and Senegal. Research during or in the wake of the Ebola epidemic in West Africa between 2014 and 2016 has described the profound impact on health workers mental health and psychosocial wellbeing. However, many questions remain open. The current pandemic offers an opportunity to fill gaps in knowledge by capturing health workers experiences and their effect on mental health and psychosocial wellbeing throughout the evolution of the outbreak, using a mix of “traditional” qualitative interviews conducted remotely and regular follow-up via WhatsApp audio messages. By documenting “in real time” what health workers at the frontline of a disease outbreak go through, we aim to inform current support activities, and to generate useful information for policy makers and managers designing future disease outbreak strategies and interventions.

Research Area
Complex interventions
Health care financing
Health services research
Health systems
Occupational health
Health workers
Behaviour change
Global Health
Impact evaluation
Mixed methods
Implementation research
Qualitative methods
Randomised controlled trials
Health economics
Social Sciences
Burkina Faso
Central African Republic
Republic of the Congo
The Gambia
Sub-Saharan Africa (all income levels)

Selected Publications

No impact of performance-based financing on the availability of essential medicines in Burkina Faso: A mixed-methods study
Lohmann J; Brenner S; Koulidiati J-L; Somda SMA; Robyn PJ; De Allegri M
PLOS Global Public Health
Why did performance-based financing in Burkina Faso fail to achieve the intended equity effects? A process tracing study
Lohmann J; Koulidiati J-L; Robyn PJ; Somé P-A; De Allegri M
Social Science & Medicine
Exploiting the emergent nature of mixed methods designs: insights from a mixed methods impact evaluation in Malawi.
De Allegri M; Brenner S; Kambala C; Mazalale J; Muula AS; Chinkhumba J; Wilhelm D; Lohmann J
Health policy and planning
Responding to policy makers' evaluation needs: combining experimental and quasi-experimental approaches to estimate the impact of performance based financing in Burkina Faso.
De Allegri M; Lohmann J; Souares A; Hillebrecht M; Hamadou S; Hien H; Haidara O; Robyn PJ
BMC health services research
Psychological wellbeing in a resource-limited work environment: examining levels and determinants among health workers in rural Malawi.
Lohmann J; Shulenbayev O; Wilhelm D; Muula AS; De Allegri M
Human resources for health
Impact of results-based financing on effective obstetric care coverage: evidence from a quasi-experimental study in Malawi.
Brenner S; Mazalale J; Wilhelm D; Nesbitt RC; Lohela TJ; Chinkhumba J; Lohmann J; Muula AS; De Allegri M
BMC health services research
How to do (or not to do)… Measuring health worker motivation in surveys in low- and middle-income countries.
Borghi J; Lohmann J; Dale E; Meheus F; Goudge J; Oboirien K; Kuwawenaruwa A
Health policy and planning
Measuring health workers' motivation composition: validation of a scale based on Self-Determination Theory in Burkina Faso.
Lohmann J; Souares A; Tiendrebéogo J; Houlfort N; Robyn PJ; Somda SMA; De Allegri M
See more Publications