Prof Josephine Borghi
Professor of Health Economics
I have been a Health Economist for 20 years. Following an MSc in Health Economics at the University of York, I began working at the LSHTM in 1999. Following a year as a Consultant in Central and South America, I returned to the LSHTM in 2002 to work on the economic evaluation of maternal and newborn health programmes.
In 2006 I completed my PhD, which explored the measurement of non-health benefits from health interventions within a cost-effectiveness analysis in Nepal. From 2007 I was based in Dar es Salaam, Tanzania at the Ifakara Health Institute, where I led evaluation research on health insurance schemes and payment for performance. I returned to London at the end of 2012 and have been involved in evaluating the effects of health financing reforms on health systems in a range of countries.
In 2006 I completed my PhD, which explored the measurement of non-health benefits from health interventions within a cost-effectiveness analysis in Nepal. From 2007 I was based in Dar es Salaam, Tanzania at the Ifakara Health Institute, where I led evaluation research on health insurance schemes and payment for performance. I returned to London at the end of 2012 and have been involved in evaluating the effects of health financing reforms on health systems in a range of countries.
Affiliations
Department of Global Health and Development
Faculty of Public Health and Policy
Centres
Centre for Data and Statistical Science for Health
Centre for Evaluation
Centre for Maternal Adolescent Reproductive & Child Health
Health in Humanitarian Crises Centre
Global Health Economics Centre
Teaching
I helped design and run the Distance Learning module Evaluation of Public Health Interventions.
Research
My research aims at understanding the effect of financing mechanisms, such as health insurance and payment for performance schemes, on the functioning of health systems in low and middle income countries. I led the COSMIC project which used system dynamics and agent based modelling to examine how health systems respond to payment for performance. I am interested in the use of complexity science methods to understand how health systems respond to climate and other shocks and how to build resilience, across system scales.
My research also examines international aid and domestic financing for health, the determinants of financing levels and how funding is allocated and its effects health outcomes and equity. I'm also interested in models for financing health care for refugees.
My research also examines international aid and domestic financing for health, the determinants of financing levels and how funding is allocated and its effects health outcomes and equity. I'm also interested in models for financing health care for refugees.
Research Area
Complex interventions
Equity
Evaluation
Global Health
Health care financing
Health systems
Maternal health
Mixed methods research
Country
Brazil
China
Ethiopia
Lebanon
Mozambique
Tanzania
Uganda
Zambia
Zimbabwe
Selected Publications
How to do (or not to do)… Measuring health worker motivation in surveys in low- and middle-income countries.
2017
Health policy and planning
Trends In The Alignment And Harmonization Of Reproductive, Maternal, Newborn, And Child Health Funding, 2008-13.
2017
Health affairs (Project Hope)
Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time.
2017
Health policy and planning
Effects of Payment for Performance on accountability mechanisms: Evidence from Pwani, Tanzania.
2017
Social science & medicine (1982)
The administrative costs of community-based health insurance: a case study of the community health fund in Tanzania.
2013
Health policy and planning
Modelling the implications of moving towards universal coverage in Tanzania.
2012
Health policy and planning