Professor Susannah Mayhew


in Health Policy, Systems and Reproductive Health

Room 314

15-17 Tavistock Place
United Kingdom

+ 44 (0)20 7299 4672

+ 44 (0)20 7299 4637

I did my PhD in the Health Policy Unit in the 1990s then worked at the Nuffield Institute for Health, University of Leeds until the end of 2001 when I joined the Centre for Population Studies at LSHTM. In 2012 I moved to the Department of Global Health and Development in the Faculty of Public Health and Policy.

I lived in West Africa for a number of years (and was born in Ghana) and have conducted research in a variety of countries across sub-Saharan Africa and South-East Asia including Ghana, Sierra Leone, Kenya, Swaziland and Pakistan.


Department of Global Health and Development


Centre for Evaluation
Maternal, Adolescent, Reproductive & Child Health (MARCH)
Health in Humanitarian Crises Centre


I teach a variety of sessions on the PSD MScs (Demography and Health, Reproductive and Sexual Health Research). I am also involved in the Distance Learning module on Global Health Policy and Environmental Change.

I give a range of external lectures at institutions including the Nuffield Institute for Health, Leeds, UCL, Oxford and other European universities.

I have supervised ten doctoral students who have successfully completed, and currently supervise another four, who have/are examining a range of reproductive health and policy issues (including abortion, domestic violence, maternal health policy, HIV/RH integration, NGO contracting and the framing of health financing policies, Ebola-epidemic responses) in Ghana, Sierra Leone, Kenya, Swaziland, Indonesia, Malaysia, Pakistan and Ecuador.


I am head of the Department of Global Health and Development, having previously been head of the Anthropology, Policy and Politics Group in that Department. My main research interests lie in analysing the health policy and systems development issues in relation to population, sexual and reproductive (including maternal) health and services - and how these relate to the SDGs and changing climate contexts for global development.  I have conducted research at policy, health systems, health service and community levels in a wide range of countries.

In sub-Saharan Africa a large body of my work has been exploring the integration of reproductive health and HIV/AIDS services to understand how policies are translated into practice and how policies and programme structures affect service delivery. I wasPI on the Integra Initiative, a Gates-funded five-year research programme (and its 18 month follow-on), to evaluate different models of delivering integrated RH/HIV services in Kenya and Swaziland.

Current work includes MRC funded study of the EBola-responses in Sierra Leone examining how international, national and local responses, tensions and contexts played out and what lessons can be learned for health systems strengthening.

I was also PI on an ESRC-DFID funded 3-year research project to examine the accountability of global, bi-lateral and national institutions involved in climate change policy and governance, with a focus on vulnerability, climate-change adaptation capacity and the impact of population dynamics.

Under previous DFID Research Programme Consortia (RPCs) I coordinated work under the theme of 'Integration' for the DFID RPC on 'Reproductive Health and HIV' and managed LSHTM's component of another DFID RPC on 'Reproductive Health and Rights'. At community and service delivery levels in Ghana, my early work identified community perceptions and use of STI/HIV services. I was a core partner on an EU-funded research project in Ghana on perceptions of Emergency Contraception among urban dwellers and providers, as part of a four-country study comparing acceptability and accessibility of EC in Ghana, Burkina Faso, Senegal and Morocco.

In Asia, my work has been concentrated in Pakistan where I led components of two projects investigating the health needs and service provision for marginalised groups at risk of HIV (sex workers and injecting drug users) and documenting their experiences of abuse.

My systems level work has included investigation of decentralisation dynamics in sub-Saharan Africa (with the Nuffield Institute for Health, Leeds) and an analysis of attempts to contract NGOs to deliver HIV services to marginal groups in Pakistan (with a doctoral student).

Also with doctoral students I am building up a series of case studies testing, critiquing and developing theoretical approaches and techniques for health policy development and implementation analyses.

Research Area
Climate change
Health care policy
Health impact analysis
Health policy
Health sector development
Health services research
Health systems
Sexual health
Global Health
Implementation research
Qualitative methods
Reproductive health
Operational research
Policy analysis
Social Sciences
Social Policy
Disease and Health Conditions
Emerging Infectious Disease
Sexually transmitted infection
Sierra Leone
South Asia
Sub-Saharan Africa (developing only)

Selected Publications

Fertility intentions and contraceptive practices among clinic-users living with HIV in Kenya: a mixed methods study.
Mayhew, S.H. ; Colombini, M. ; Kimani, J.K. ; Tomlin, K. ; Warren, C.E. ; Integra Initiative, . ; Mutemwa, R. ;
BMC Public Health
Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration.
Mayhew, S.H. ; Ploubidis, G.B. ; Sloggett, A. ; Church, K. ; Obure, C.D. ; Birdthistle, I. ; Sweeney, S. ; Warren, C.E. ; Watts, C. ; Vassall, A. ; Integra Initiative, . ;
PLoS One
Reliance on condoms for contraceptive protection among HIV care and treatment clients: a mixed methods study on contraceptive choice and motivation within a generalised epidemic.
Church, K.; Wringe, A.; Fakudze, P.; Kikuvi, J.; Nhlabatsi, Z.; Masuku, R.; Initiative Integra, .; Mayhew, S.H.; COLLABORATORS;Abuya, T. ; Askew, I. ; Birdthistle, I. ; Church, K. ; Colombini, M. ; du-Preez, N.F. ; Kikuvi, J. ; Kimani, J. ; Kivunaga, J. ; Mak, J. ; Mayhew, S. ; Michaels, C. ; Mutemwa, R. ; Ndigwa, C. ; Obure, C.D. ; Sweeney, S. ; Vassall, A. ; Warren, C. ; Watts, C. ; Zhou, W. ;
Sex Transm Infect
Planning adaptive health systems: the climate challenge.
Mayhew, S. ; Hanefeld, J. ;
Lancet Glob Health
Need, demand and missed opportunities for integrated reproductive health-HIV care in Kenya and Swaziland: evidence from household surveys.
Mak, J. ; Birdthistle, I. ; Church, K. ; Preez, N.F. ; Kivunaga, J. ; Kikuvi, J. ; Masuku, R. ; Mayhew, S.H. ; Integra research team, (inc Howard, N;) . ;
Protecting the unprotected: mixed-method research on drug use, sex work and rights in Pakistan's fight against HIV/AIDS.
Mayhew, S.; Collumbien, M.; Qureshi, A.; Platt, L.; Rafiq, N.; Faisel, A.; Lalji, N.; Hawkes, S.;
Sex Transm Infect
See all Professor Susannah Mayhew's Publications