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Centre For Health Economics In London (CHIL)

We are a world-leading group of over 50 academics working on a diverse portfolio of health economics research. Our work ranges from developing innovative methods and empirical research to policy engagement and impact. We work across the globe in low, middle, and high income settings.

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About

Based in the Faculty of Public Health and Policy, the Centre For Health Economics In London (CHIL) acts as the central body for staff and students across the School who study or apply health economics.

Themes

Our research spans the field of health economics, including: Economic evaluation and priority setting, Evaluation of complex policy interventions, Health system financing and organization & Preferences and behaviour.

About
About CHIL 2 columns
About CHIL
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We are a world-leading group of over 50 academics working on a diverse portfolio of health economics research, with work ranging from the development of innovative methods and empirical research, to policy engagement and impact.

Members have strong national and international partnerships and a wealth of experience in advising UK and other national governments, international agencies, and organisations.

Overview

Based in the Faculty of Public Health and Policy, the Centre For Health Economics In London (CHIL) acts as the central body for staff and students across the School who study or apply health economics.

The Centre’s vision is forward-looking and emphasises cutting edge methodological development,  rigorous empirical research, and working alongside policy and decision-makers to achieve policy impact.  We seek to improve collaborations among economists and researchers in other disciplines at LSHTM and with research groups and policymakers in the UK and around the world. Centre members’ expertise places them at the forefront in building the capacity of health economists and their policy communities – and embracing respectful collaborations worldwide.

Our teaching programme includes research degrees and multiple masters degree programmes taught in London and through our distance learning programme.

LSHTM economists link to others through IHEA and the UK Health Economics Study Group.

 

Leadership

Director

Kara Hanson, Professor of Health System Economics and Dean, Faculty of Public Health and Policy

Theme Leads

Economic evaluation and priority setting

Anna Vassall, Professor
John Cairns, Professor

Economics of health systems and organisations

Pauline Allen, Professor
Catherine Goodman, Professor

Policy evaluation

Richard Grieve, Professor
Timothy Powell-Jackson, Associate Professor
Ties Hoomans, Assistant Professor

Preferences and behaviour

Fern Terris-Prestholt, Associate Professor
Alec Miners, Associate Professor

Communication Committee

Melisa Martinez-Alvarez, Assistant Professor
Kara Hanson, Professor
Rosa LeGood, Associate Professor
Matthew Quaife, Research Fellow
Sergio Torres-Rueda, Research Fellow
Anna Vassall, Professor
Research
Research CHIL 2 columns
Research CHIL
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Our research spans the field of health economics, covering the four major themes of: economic evaluation and priority setting, policy evaluation, economics of health systems and organisations, and preference and behaviour.

Read more for overviews, areas of interest, relevant publications, and contact points for each theme:

Economic evaluation and priority setting

Overview of theme

The economic evaluation and priority setting group includes over 30 staff members and research degree students from different disciplines including economics, statistics, mathematical modelling and epidemiology. We work in close collaboration with research partners in the UK and several low and middle income countries.

Our work aims to improve health by informing policy, processes and approaches used to allocate resources across health systems in the UK and around the world. Our research draws on strengths in economic data collection, statistical analysis, valuation of health outcomes, and infectious disease modelling.

We value policy impact, and have long established partnerships with a wide range of both global and national policy makers. We regularly support and participate in advisory work, guideline development, national strategic planning and health technology assessment processes.

The theme leads are Anna Vassall and John Cairns.

Areas of active research

We work across a wide range of health topics, addressing both non-communicable and infectious disease burden. We apply and develop methods in the following areas:

  • Improving the statistical analysis of trial and non-trial data
  • Incorporating behaviour, demand and health systems considerations into economic evaluation
  • Designing frameworks for the economic evaluation of multi-sectoral intervention
  • Understanding and estimating costs and resource use
  • Incorporating societal perspective, including the measurement of economic impact
  • Use of capability and well-being methods in global health
  • Incorporating equity in priority settings
  • Evaluation of complex interventions
    • Economic evaluation of a complex intervention to reduce bullying in schools
  • Evaluating disease models in priority setting
    • Cost-effectiveness of population genetic testing for cancer prevention

Recent publications

Guerriero, C., Cairns, J., Bianchi, F. & Cori, L. (2018) Are children rational decision makers when they are asked to value their own health? A contingent valuation study conducted with children and their parents. Health Economics. 27(2):e55-e68.
Langham, S., Wright, A., Kenworthy, J., Grieve, R. & Dunlop, W.C.N. (2018) Cost-Effectiveness of Take-Home Naloxone for the Prevention of Overdose Fatalities among Heroin Users in the United Kingdom. Value in Health. 21(4):407-415.
Li, B., Miners, A., Shakur, H. & Roberts, I. (2018) Tranexamic acid for treatment of women with post-partum haemorrhage in Nigeria and Pakistan: A cost-effectiveness analysis of data from the WOMAN trial. The Lancet Global Health. 6(2):e222-e228.
Manchanda, R., Patel, S., Gordeev, V.S., Antoniou, A.C., Smith, S., Lee, A., Hopper, J.L., MacInnis, R.J., Turnbull, C., Ramus, S.J., Gayther, S.A., Pharoah, P.D.P., Menon, U., Jacobs, I. & Legood, R. (2018) Cost-effectiveness of Population-Based BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, PALB2 Mutation Testing in Unselected General Population Women. Journal of the National Cancer Institute. https://doi.org/10.1093/jnci/djx265.
Sandmann, F.G., Robotham, J.V., Deeny, S.R., Edmunds, W.J. & Jit, M. (2018) Estimating the opportunity costs of bed-days. Health Economics. 27(3):592-605.
Torres-Rueda, S., et al. (2018) Cost and Cost-Effectiveness of a Demand Creation Intervention to Increase Uptake of Voluntary Medical Male Circumcision in Tanzania: Spending More to Spend Less. Journal of Acquired Immune Deficiency Syndromes. https://doi.org/10.1097/QAI.0000000000001682
Hawkins, N. & Grieve, R. (2017) Extrapolation of Survival Data in Cost-effectiveness Analyses: The Need for Causal Clarity. Medical Decision Making. 37(4):337-339.
Pitt, C., Ndiaye, M., Conteh, L., Sy, O., Hadj Ba, E., Cissé, B., Gomis, J.F., Gaye, O., Ndiaye, J.L. & Milligan, P.J. (2017) Large-scale delivery of seasonal malaria chemoprevention to children under 10 in Senegal: an economic analysis. Health Policy and Planning. 32(9):1256-1266.
Remme, M., Martinez-Alvarez, M. & Vassall, A. (2017) Cost-Effectiveness Thresholds in Global Health: Taking a Multisectoral Perspective. Value in Health. 20(4):699-704.
Greco, G., Lorgelly, P. & Yamabhai I. (2016) Outcomes in Economic Evaluations of Public Health Interventions in Low- and Middle-Income Countries: Health, Capabilities and Subjective Wellbeing. Health Economics. 25(1):83-94.
Menzies, N.A., Gomes, G.B., et al. (2016) Cost-effectiveness and resource implications of aggressive action on tuberculosis in China, India, and South Africa: a combined analysis of nine models. The Lancet Global Health. 4(11):e816-e826.
Sweeney, S., Vassall, A., Foster, N., Simms, V., Ilboudo, P., Kimaro, G., Mudzengi, D. & Guinness, L. (2016) Methodological Issues to Consider When Collecting Data to Estimate Poverty Impact in Economic Evalua tions in Low-income and Middle-income Countries. Health Economics. 25(1):42-52.
Vassall, A., Mangham-Jefferies, L., Gomez, G.B., Pitt, C. & Foster, N. (2016) Incorporating Demand and Supply Constraints into Economic Evaluations in Low-Income and Middle-Income Countries. Health Economics. 25(1):95-115.
Wilkinson, T., Sculpher, M.J., Claxton, K., Revill, P., Briggs, A., Cairns, J.A., Teerawattananon, Y., Asfaw, E., Lopert, R., Culyer, A.J. & Walker, D.G. (2016) The International Decision Support Initiative Reference Case for Economic Evaluation: An Aid to Thought. Value in Health. 19(8):921-928.
Fernandes, S., Sicuri, E., Kayentao, K., van Eijk, A.M., Hill, J., Webster, J., Were, V., Akazili, J., Madanitsa, M., ter Kuile, F.O. & Hanson, K. (2015) Cost-effectiveness of two versus three or more doses of intermittent preventive treatment for malaria during pregnancy in sub-Saharan Africa: a modelling study of meta-analysis and cost data. The Lancet Global Health. 3(3):e143-53.
Policy evaluation

Overview of theme

We aim to improve methods for policy evaluation, drawing heavily on approaches developed in economics, but also from related disciplines such as biostatistics and management science. The group’s expertise is in the development and application of quasi-experimental methods including matching, difference-in-differences, flexible regression, and synthetic control methods. Our focus is on applying these approaches to large-scale observational data to address questions of international policy-relevance in health.

We work closely with policy-makers in many different countries, and their requirements motivate our interests in methods development, which takes place in collaboration with a cross-disciplinary network of methodological experts.

The theme leads are Timothy Powell-Jackson and Richard Grieve.

Areas of active research

  • Investigation of synthetic control methods versus difference in difference estimation
  • Application of instrumental variable approaches for evaluating person-level treatment effects
  • Policy-relevant evaluations including of integrated care initiatives in the UK Value of implementation approaches
  • National evaluation of pay for performance in Brasil using quasi-experimental methods applied to linked administrative datasets
  • Large scale randomised controlled trial of a quality improvement and business intervention in private health facilities in Tanzania
  • Analysis of household scanner data on food and beverage expenditures to understand dietary behaviours and evaluation of likely health related food policy impacts

Recent publications

Quirmbach, D., Cornelsen, L., Jebb, S.A., Marteau, T. & Smith, R. (2018) Effect of increasing the price of sugar-sweetened beverages on alcoholic beverage purchases: an economic analysis of sales data. Journal of Epidemiology and Community Health. doi: 10.1136/jech-2017-209791.
Anselmi, L., Binyaruka, P. & Borghi. J. (2017) Understanding causal pathways within health systems policy evaluation through mediation analysis: an application to payment for performance (P4P) in Tanzania. Implementation Science. 12:10.
Lépine, A., Lagarde, M. Le Nestour, A. (2017) How effective and fair is user fee removal? Evidence from Zambia using a pooled synthetic control. Health Economics. 27:493–508.
Cornelsen, L., Mazzocchi, M., Green, R., Dangour, A.D. & Smith, R.D. (2016) Estimating the relationship between food prices and food consumption – methods matter. Applied Economic Perspectives and Policy. 38(3):546-51.
O’Neill, S., Kreif, N., Grieve, R.D., Sutton, M. & Sekhon, J.S. (2016) Estimating causal effects: considering three alternatives to difference-in-differences estimation. Health Services Research and Outcomes Methodology. 16(1-2):1-21.
Kreif, N., Grieve, R., Hangartner,D., Nikolova,S., Turner,A. & Sutton, M. (2015) Examination of the Synthetic Control Method for Evaluating Health Policies with Multiple Treated Units. Health Economics. 25: 1514–1528.
Powell-Jackson, T., Mazumdar, S. & Mills, A. (2015) Financial incentives in health: New evidence from India's Janani Suraksha Yojana. Journal of Health Economics. 43:154-69.
Steventon, A., Grieve, R. & Sekhon, J.S. (2015) A comparison of alternative strategies for choosing control populations in observational studies. Health Services Research and Outcomes Methodology. 15(3–4): 157–181.
Powell-Jackson, T. & Hanson, K. (2012) Financial incentives for maternal health: impact of a national programme in Nepal. Journal of Health Economics. 31(1):271-84.
Sekhon, J. & Grieve, R. (2012) A Matching Method for Improving Covariate Balance in Cost-Effectiveness Analyses. Health Economics. 21(6):695-714.
Economics of health systems and organisations

Overview of theme

The effective design and management of health systems poses many important economics questions, such as:

  • How should we finance health care?
  • What role should the government have in health care provision?
  • How should we regulate private providers?
  • How should we pay health care workers?

Our work involves the use of economic concepts, theories and insights to address these types of dilemmas. We use quantitative, qualitative and mixed methods to understand and analyse specific aspects of health system performance, and to support the design and evaluation of health system strategies and interventions. We study health care markets (e.g. competition and choice); non-market approaches (e.g. planning and regulation); healthcare financing (e.g. purchasing and provider payment), and resource allocation (e.g. rationing mechanisms). We draw on a wide range of economic theories, including principal-agency theory, transaction costs theory, new institutional economics, theory of yardstick competition, and theories of regulation.

Our work encompasses low, middle and high income countries and humanitarian settings. We investigate the variation across these health systems and their contexts, while also striving to identify common insights, and facilitate cross-country learning.

Theme members are also convenors of iHEA’s Special Interest Group on Financing for Universal Health Coverage.

The theme leads are Pauline Allen and Catherine Goodman.

Areas of active research

Healthcare markets and competition
Health system financing
  • Methods for tracking donor aid and domestic expenditure in low- and middle-income countries
  • Political economy of health system financing in low- and middle-income countries
  • Equity of health care financing in low- and middle-income countries
  • Evaluation of health systems’ financing impact on equity in Indonesia
Governance and regulation
Purchasing and provider payment
  • Evaluation of pay-for-performance for health facility staff in Tanzania
  • Health system effects of pay-for-performance in Zimbabwe, Mozambique, Tanzania, Zambia and Brazil
  • Social Impact Bonds to fund innovative services in England
  • Financial incentives to improve quality of care in English healthcare providers
  • Different methods of pricing and risk allocation in the English NHS
Intra-organisational issues
  • How senior managers instil appreciation of organisational goals in front line staff
  • Staff motivation in not-for-profit organisations in England
  • Intra-agency incentives

Recent publications

Pitt,C., Grollman, C., Martinez-Alvarez, M., Arregoces, L., Borghi, J. (2018) Tracking aid for global health goals: a systematic comparison of four approaches applied to reproductive, maternal, newborn, and child health. Lancet Global Health. 6: e859-74.

Haemmerli, M., Santos, A., Penn-Kekana, L., Lange, I., Matovu, F., Benova, L., Wong, K.L.M. & Goodman, C. (2018) How equitable is social franchising? Case studies of three maternal healthcare franchises in Uganda and India. Health policy and planning. 33(3):411-419.
ACTwatch Group, Tougher, S., Hanson, K. & Goodman, C. (2017) What happened to anti-malarial markets after the Affordable Medicines Facility-malaria pilot? Trends in ACT availability, price and market share from five African countries under continuation of the private sector co-payment mechanism. Malaria Journal. 16(1):173.
Allen, P., Osipovic, D., Shepherd, E., Coleman, A., Perkins, N. & Williams, L. (2017) Commissioning through competition and cooperation in the English NHS under the Health and Social Care Act 2012: Evidence from a qualitative study of four clinical commissioning groups. BMJ Open. 7(2):e011745.
Miller, R. & Goodman, C. (2017) Do chain pharmacies perform better than independent pharmacies? Evidence from a standardised patient study of the management of childhood diarrhoea and suspected tuberculosis in urban India. BMJ Global Health. 2(3):e000457.
Moran, V., Allen, P., McDermott, I., Checkland, K., Warwick-Giles, L., Gore, O., Bramwell, D. & Coleman, A. (2017) How are Clinical Commissioning Groups managing conflicts of interest under primary care co-commissioning in England? A qualitative analysis. BMJ Open. 7(11): e018422.
Moran, V. & Jacobs, R. (2017) Costs and Performance of English Mental Health Providers. Journal of Mental Health Policy and Economics. 20(2):83-94.
Sanderson, M., Allen, P., Gill, R. & Garnett, E. (2017) New models of contracting in the public sector: a review of alliance contracting, prime contracting and outcome based contracting literature. Social Policy and Administration DOI: 10.1111/spol.12322.
Sanderson, M., Allen, P. & Osipovic, D. (2017) The regulation of competition in the NHS - what difference has the Health and Social Care Act 2012 made? Health Economics Policy and Law. 12(1):1-19.
Tougher, S., Dutt, V., Pereira, S., Haldar, K., Shukla, V., Singh, K., Kumar, P., Goodman, C. & Powell-Jackson, T. (2017) Effect of a multifaceted social franchising model on quality and coverage of maternal, newborn, and reproductive health-care services in Uttar Pradesh, India: a quasi-experimental study. The Lancet Global Health. 6(2):e211–e221.
Allen, P. & Petsoulas, C. (2016) Pricing in the English NHS quasi market: a national study of the allocation of financial risk through contracts. Public Money and Management. 36(5):341-348.
Montagu, D. & Goodman, C. (2016) Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector? The Lancet. 388:613-621.
Osipovic D. Allen P. Shepherd E. Coleman A. Perkins, N. Williams L. Sanderson M. Checkland K. (2016) Interrogating institutional change: actors’ attitudes to competition and cooperation in commissioning health services in England. Public Administration. 94(3): 823–838.

 

Preferences and behaviour

Overview of theme

Understanding people’s preferences as well as what determines the choices they make is critical for an efficient and effective healthcare system. This theme brings together researchers using classical and behavioural economic techniques to investigate and explain health decisions.

Discrete choice experiments (DCEs) are a method to understand preferences for products and services. They can be used to estimate user valuations and predict uptake prior to implementation. These experiments are being adapted for rapid application within the formative research phase, in order to optimise trials and programming. Their uptake predictions are also being incorporated into cost-effectiveness models, as an improvement on mathematical modelling which has traditionally relied on expert opinion to estimate uptake in projecting the impact of new technologies.

Our group is undertaking DCEs to estimate these parameters in order to improve projections of uptake, and better understand how product attributes such as efficacy affect epidemiological impact and cost-effectiveness directly, and indirectly through increasing attractiveness.

Behavioural economics combines theories from economics and psychology to investigate and understand how people make choices. We are undertaking research that examines how cognitive biases, such as overconfidence, affect decisions made by healthcare providers. We also make use of randomised experiments to study how behavioural interventions can be used to improve quality of care. In addition, we are using it to optimise implementation science research, through changing choice architecture in HIV self-testing.

We are also convenors of iHEA’s Special Interest Group on Health Preference Research.

The theme leads are Fern Terris-Prestholt and Alec Miners.

Image map of research methods of preference and behaviour theme group.

Areas of active research

  • Using discrete choice experiments and revealed preference studies to design and evaluate interventions to improve health
    • Behavioural change interventions to reduce sexually transmitted infections
    • Taxes on sugar-sweetened beverages
    • HIV self-testing in the UK, Malawi, Zambia, and Zimbabwe
    • Comparison of stated and revealed preferences for blood donation using big data and data adaptive model estimation
  • Assessing the role of discrete choice experiments and revealed preference studies in parametrising user uptake in economic evaluations
    • Pre-Exposure Prophylaxis for HIV
    • HIV self-testing

Recent publications

Miners, A., Llewellyn, C., King, C., Pollard, A., Roy, A., Gilson, R., Rodger, A., Burns., F. & Shahmanesh, M. (2018). Designing a brief behaviour change intervention to reduce sexually transmitted infections: a discrete choice experiment. International Journal of STD & AIDS, 0956462418760425.
Quaife, M., Terris-Prestholt, F., Di Tanna, G.L. & Vickerman, P. (2018) How well do discrete choice experiments predict health choices? A systematic review and meta-analysis of DCE external validity. European Journal of Health Economics. 1-14.
Quaife, M., et al. (2018) The cost-effectiveness of multipurpose HIV and pregnancy prevention technologies in South Africa. Journal of the International AIDS Society. 21:e25064.
SESH Study Team. (2017) Crowdsourcing to promote HIV testing among MSM in China: study protocol for a stepped wedge randomized controlled trial. Trials.18:447.
Quaife, M., Eakle, R., Cabrera-Escobar, M.A., Vickerman, P., Kilbourne-Brook, M., Mvundura, M., Delany-Moretlwe, S. & Terris-Prestholt, F. (2018). Divergent Preferences for HIV Prevention: A Discrete Choice Experiment for Multipurpose HIV Prevention Products in South Africa. Medical Decision Making. 38(1):120-133.
Indravudh, P.P., Sibanda, E.L., d'Elbée, M., Kumwenda, M.K., Ringwald, B., Maringwa, G., Simwinga, M., Nyirenda, L.J., Johnson, C.C., Hatzold, K., Terris-Prestholt, F. & Taegtmeyer, M. (2017) 'I will choose when to test, where I want to test': investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe. AIDS. 31(3):S203-S212.
Wambura, M., Mahler, H., Grund, J.M., Larke, N., Mshana, G., Kuringe, E., Plotkin, M., Lija, G., Makokha, M., Terris-Prestholt, F., Hayes, R.J., Changalucha, J., Weiss, H.A. & VMMC-Tanzania Study Group. (2017) Increasing voluntary medical male circumcision uptake among adult men in Tanzania. AIDS. 31(7):1025-1034.
Quaife, M., Eakle, R., Cabrera, M., Vickerman, P., Tsepe, M., Delany-Moretlwe, S., Vickerman, P. & Terris-Prestholt, F. (2016) Preferences for ARV based HIV prevention methods among adult men and women, adolescent girls and female sex workers in Gauteng Province, South Africa: A protocol for a discrete choice experiment. BMJ Open. 6:e010682.
Tang, W. et al. (2016) Crowdsourcing HIV Test Promotion Videos: A Non-Inferiority Trial in China. Clinical Infectious Diseases. 62(11):1436-42.
Terris-Prestholt, F. & Windmeijer, F. (2016) How to Sell a Condom? The impact of demand creation tools on male and female condom sales in resource limited settings. Journal of Health Economics. 48:107-20.
Terris-Prestholt F, Quaife M, Vickerman P. (2016) Parameterising user uptake in economic evaluations: the role of discrete choice experiments. Health Economics. 1:116-23.

 

Each of these themes operate as sub-groups within CHIL, and are led by two or more LSHTM academics. Within them, researchers work on empirical and methodological developments, with particular interests in the following methods:

  • Causal inference approaches to provide accurate, relevant estimates of the effectiveness and cost-effectiveness of new health care interventions.
  • Novel preference elicitation methods and discrete choice experiments
  • Study of health care markets
  • Incorporating constraints in economic evaluations
  • Equity analyses using dynamic demographic and transmission modelling
  • Willingness to pay thresholds for multi-sectoral interventions
  • Cost functions in data scarce environments
  • Standards in global health costing
  • Use of behavioural economics and demand analysis to inform intervention and trial design & parameterise uptake in economic evaluation models
  • Methods for tracking global and domestic resource flows for health
    Teaching
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    Training CHIL
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    Masters

    Health Economics courses are a core part of our Masters teaching in public health. Key to our teaching is the use of our research and policy experience within our teaching materials, featuring prominently in the following face-to-face courses in London:

    Distance learning

    We also have two distance learning courses:

    Economics MSc modules include “Introduction to Health Economics”, “Economic Analysis for Health Policy”, “Economic Evaluation”, and “The Economics of Global Health Policy”.

    Study with us

    If you are interested in undertaking research or studies on health economics at LSHTM, further details - including on the application process – are available for the face-to-face, distance learning, and research degree programmes. There is also advice on scholarship funding.

    For any other information on studying at LSHTM, please contact the Study Team.

    Members
    Members CHIL 2 Columns
    Members CHIL
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    Research staff

    Kara Hanson
    Director of CHIL, Professor of Health System Economics and Dean of Faculty of Public Health and Policy
    Health Systems and Organisation
       

    Pauline Allen
    Professor
    Health systems and organisation

    Kaja Abbas 
    Assistant Professor
    Economic evaluation and priority setting
     
    Katherine Atkins
    Associate Professor
    Economic evaluation and priority setting
    David Bath
    Research Fellow
    Economic evaluation and priority setting
    Preferences and behaviour
    Nicolas Berger
    Research Fellow
    Policy evaluation
    Preferences and behaviour
      Blandine Binachon
    Research Fellow
    Economic evaluation and Priority Setting
    Jo Borghi
    Associate Professor
    Health systems and organisation
    Fiammetta Bozzani
    Research Fellow
    Economic evaluation and priority setting
    Health systems and organisation

    Laura Cornelsen 
    Assistant Professor in Public Health Economics
    Preferences and behaviour
    Policy evaluation

    John Cairns
    Professor
    Economic evaluation and Priority setting
    Preferences and behaviour
      Marc d'Elbee
    Research Fellow
    Economic evaluation and priority setting
    Preferences and behaviour

    Antonia Dingle
    Research Fellow
    Health systems and organisation

    Rosalind Eggo
    Assistant Professor
    Economic evaluation and priority setting
    Policy evaluation

    Camilla Fabbri
    Research Fellow
    Preferences and behaviour
    Policy evaluation

     
    Silke Fernandes
    Research Fellow
    Economic evaluation and priority setting

    Giulia Ferrari
    Research Fellow
    Economic Evaluation
    Policy evaluation
                    

    Lucy Gilson
    Gabriela Gomez 
    Assistant Professor
    Economic evaluation and priority setting

    Catherine Goodman 
    Professor
    Health systems and organisation

    Giulia Greco
    Assistant Professor 
    Economic evaluation
    Policy evaluation
           

    Richard Grieve 
    Professor
    Policy evaluation
    Economic evaluation and priority setting

    Manon Haemmerli
    Research Fellow
    Health Systems and organisation

     
    Pitchaya Indravudh
    Research Fellow
    Preferences and behaviour
    Policy evaluation
    Mark Jit
    Professor
    Economic evaluation and priority setting
    Marcus Keogh-Brown
    Associate Professor in Economic Modelling
    Policy evaluation
    Economics of health systems and organisations
    Jessica King
    Research Fellow
    Policy evaluation
    Health systems and organisation
    Roxanne Kovacs
    Research Fellow
    Preferences and behaviour
    Policy evaluation
    Yoko Laurence
    Research Fellow
    Economic evaluation and priority setting

    Cherry Law
    Research Fellow
    Preferences and behaviour
    Policy evaluation

    Rosa Legood
    Associate Professor
    Economic evaluation and priority Setting
    Aurelia Lepine 
    Assistant Professor 
    Preferences and behaviour
    Policy evaluation
    Melisa Martinez-Alvarez Alexina Mason
    Associate Professor
    Economic evaluation
    Finn McGuire
    Rosalind Miller
    Research Fellow
    Health systems and organisation
    Anne Mills
    Professor of Health Economics and Policy
    Health systems and organisation
    Economic evaluation and priority setting
    Alec Miners
    Associate Professor
    Preferences and behaviour
    Economic evaluation and priority setting
    Valerie Moran
    Research Fellow
    Health systems and organisations
    Policy evaluation
    Jason Ong
    Associate Professor (Hon)
    Economic evaluation and health Preference research
    Catherine Pitt
    Assistant Professor of Health Economics and Policy
    Health systems and organisation
    Economic evaluation and priority setting
    Timothy Powell-Jackson
    Associate Professor
    Policy evaluation
    Health systems and organisation

    Matthew Quaife
    Assistant Professor 
    Economic evaluation and priority setting
    Preferences and behaviour

    Zia Sadique
    Assistant Professor
    Economic evaluation and priority setting
    Policy evaluation
    Marie Sanderson
    Research Fellow
    Health systems and organisations
    Frank Sandmann Mariana Sapiaka 
    Research Fellow
    Economic evaluation and priority setting

    Neha Singh
    Assistant Professor
    Health systems and organisation Policy evaluation

     

    Sedona Sweeney
    Research Fellow
    Economic evaluation and priority setting
    Stefanie Tan
    Research Fellow
    Health systems and organisation
    Henning Tarp-Jensen Sergio Torres Rueda
    Research Fellow
    Economic evaluation and priority setting
    Anna Vassall
    Professor of Health Economics 
    Health systems and organisation
    Economic evaluation and priority setting

    Marcella Vigneri
    Research Fellow
    Policy evaluation

    Jack Williams
    Research Fellow
    Economic evaluation 
    Virginia Wiseman
    Fern Terris-Prestholt
    Associate Professor
    Economics of HIV
    Jack Dowie
    Economic evaluation and priority setting
    Preferences and behaviour
     

    Honoraries

    Hannah-Rose Douglas Lorna Guinness
    Honorary Assistant Professor
    Economic evaluation and priority setting
    Costing and financing
    Aurelia Lepine 
    Assistant Professor 
    Preferences and behaviour
    Policy evaluation
    Kate Mandeville Dirk Mueller Richard Smith

    Students

    Nurilign Ahmed
    PhD candidate
    Policy evaluation
    Economic evaluation and priority setting

    Nikita Arora
    PhD candidate

    Kaat De Corte
    PhD candidate
    Preferences and behaviour
    Policy evaluation 
    Rym Ghouma
    PhD candidate
    Preferences and behaviour
    Policy evaluation
    Darshini Govindasamy
    PhD candidate
    Policy evaluation 
    Justine Hsu
    PhD candidate
    Economic Evaluation
    Policy evaluation
    Cheryl Johnson
    PhD candidate
    Policy evaluation
    Economic evaluation and priority setting
    Jennifer Lundqvist
    PhD candidate
    Nantasit Luangsanatip
    PhD candidate
    Diana Mendes
    PhD candidate
    Miguel Pugliese-Garcia
    PhD candidate
    Ian Ross
    PhD candidate

    Linda Sande
    PhD candidate

    Mikyung Kelly Seo
    PhD candidate
    Economic evaluation and priortity setting
    Policy evaluation
    Li Sun
    PhD candidate
    Economic evaluation and priority setting
    Sarah Tougher
    PhD candidate 
    Muntaqa Umar-Sadiq
    PhD candidate
    Toby Watt
    PhD candidate

    Manon Haemmerli
    PhD candidate

     

    Henry Cust
    PhD candidate
    Frederik Federspiel
    PhD candidate
    Economics of health systems and organisations
    Publications
    Publications
    2019 publications
    Paragraph

    2019 publications

    Repositioning the boundaries between public and private healthcare providers in the English NHS

    Allen, P; Sheaff, R.

    Journal of Health Organization and Management, 2019

    Clinical impact and cost-effectiveness of primary cytology versus human papillomavirus testing for cervical cancer screening in England 

    Bains, I; Choi, Y; Soldan, K; JIT, M.

    International journal of gynecological cancer, 2019

    Disparities in trajectories of changes in the unhealthy food environment in New York city: A latent class growth analysis, 1990–2010 

    Berger, N; Kaufman, T; Bader, M; Rundle, A; Mooney, S; Neckerman, K; Lovasi, G.

    Social Science & Medicine, 2019

    Cost-utility of screening for depression among asylum seekers: a modelling study in Germany 

    Biddle, L; Miners, A; Bozorgmehr, K.

    Health Policy, 2019

    The impact and cost-effectiveness of community-based HIV self-testing in sub-Saharan Africa: a health economic and modelling analysis

    Cambiano, V; Johnson, C; Hatzold, K; Terris-Prestholt, F; Maheswaran, H; Thirumurthy, H; Figueroa, C; Cowan, F; Sibanda, E; Ncube, G; Revill, P; Baggaley, R; Corbett, E; Phillips, A.

    Journal of the International AIDS Society

    Road to nowhere? A critical consideration of the use of the metaphor ‘care pathway’ in health services planning, organisation and delivery

    Checkland, K; Hammond, J; Allen, P; Coleman, A; Warwick-Giles, L; Hall, A; Mays, N; Sutton, M.

    Journal of Social Policy, 2019

    HIV self-testing alone or with additional interventions, including financial incentives, and linkage to care or prevention among male partners of antenatal care clinic attendees in Malawi: An adaptive multi-arm, multi-stage cluster randomised trial

    Choko, A; Corbett, E; Stallard, N; Maheswaran, H; Lepine, A; Johnson, C; Sakala, D; Kalua, T; Kumwenda, M; Hayes, R; Fielding, K.

    PLoS medicine, 2019

    Using paradata to collect better survey data: Evidence from a household survey in Tanzania 

    Choumert-Nkolo, J; Cust, H; Taylor, C.

    Review of Development Economics, 2019

    Socio-economic patterning of expenditures on 'out-of-home' food and non-alcoholic beverages by product and place of purchase

    Cornelsen, L; Berger, N; Cummins, S; Smith, R.

    Britain Social Science and Medicine, 2019

    Fat tax or thin subsidy? How price increases and decreases affect the energy and nutrient content of food and beverage purchases 

    Cornelsen, L; Mazzocchi, M; Smith, R.

    Great Britain Social Science & Medicine, 2019

    Translating the results of Discrete Choice Experiments into p-/e-/m-health decision support tools 

    Dowie, J; Kaltoft, M.

    Studies in health technology and informatics, 2019

    Uncertainty-Adjusted Translation for Preference-Sensitive Decision Support 

    Dowie, J; Kaltoft, M.

    Studies in health technology and informatics, 2019

    Equity, economic evaluation, and disease transmission modelling – 26-27 March 2018: Pre-meeting reviews

    Drake, T; Medley, G; Vassall, A; Gomez, G.

    Optimizing HIV testing services in sub-Saharan Africa: cost and performance of verification testing with HIV self-tests and tests for triage

    Eaton, J; Terris-Prestholt, F; Cambiano, V; Sands, A; Baggaley, R; Hatzold, K; Corbett, E; Kalua, T; Jahn, A; Johnson, C. 2019.

    Journal of the International AIDS Society, 2019

    Enhancing financial protection under China's social health insurance to achieve universal health coverage

    Fang, H; Eggleston, K; Hanson, K; Wu, M.

    BMJ (Clinical research ed.), 2019

    TB Fast Track: a study to evaluate the effect of a point-of-care TB test-and-treat algorithm on early mortality in people with HIV accessing ART, a trial with randomisation at clinic level

    Fielding, K; Charalambous, S; Hoffmann, C; Johnson, S; Tlali, M; Dorman, S; Vassall, A; Churchyard, G; Grant, A. 

    To SIB or not to SIB? A comparative analysis of the commissioning processes of two proposed health-focused Social Impact Bond financed interventions in England

    Fraser, A; Tan, S; Mays, N.

    Journal of Economic Policy Reform, 2019

    Exploring the impacts of the 2012 Health and Social Care Act reforms to commissioning on clinical activity in the English NHS: a mixed methods study of cervical screening

    Hammond, J; Mason, T; Sutton, M; Hall, A; Mays, N; Coleman, A; Allen, P; Warwick-Giles, L; Checkland, K.

    Strategic Purchasing: The Neglected Health Financing Function for Pursuing Universal Health Coverage in Low- and Middle-Income Countries; Comment on "What’s Needed to Develop Strategic Purchasing in Healthcare? Policy Lessons from a Realist Review" 

    Hanson, K; Barasa, E; Honda, A; Panichkriangkrai, W; Patcharanarumol, W.

    International Journal of Health Policy and Management, 2019

    Application of provincial data in mathematical modelling to inform sub-national tuberculosis program decision-making in South Africa

    Hippner, P; Sumner, T; Houben, R; Cardenas, V; Vassall, A; Bozzani, F; Mudzengi, D; Mvusi, L; Churchyard, G; WHITE, R. 2019.

    PloS one, 2019

    Palm oil and dietary change: Application of an integrated macroeconomic, environmental, demographic, and health modelling framework for Thailand

    Jensen, H; Keogh-Brown, M; Shankar, B; Aekplakorn, W; Basu, S; Cuevas, S; Dangour, A; Gheewala, S; Green, R; Joy, E; Rojroongwasinkul, N; Thaiprasert, N; Smith, R.

    Food Policy, 2019

    Risk classifications interfere with preference-sensitive, decision support

    Kaltoft, M; Dowie, J.

    Studies in Health Technology and Informatics, 2019

    What will it take to eliminate drug-resistant tuberculosis?

    Kendall, E; Sahu, S; Pai, M; Fox, G; Varaine, F; Cox, H; Cegielski, J; Mabote, L; Vassall, A; Dowdy, D. 

    The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberculosis and Lung Disease, 2019

    Sexual risk reduction interventions for patients attending sexual health clinics: a mixed-methods feasibility study

    King, C; Llewellyn, C; Shahmanesh, M; Abraham, C; Bailey, J; Burns, F; Clark, L; Copas, A; Howarth, A; Hughes, G; Mercer, C; Miners, A; Pollard, A; Richardson, D; Rodger, A; Roy, A; Gilson, R.

    Health technology assessment, 2019

    Measuring patient trust: comparing measures from a survey and an economic experiment 

    Kovacs, R; Lagarde, M; Cairns, J.

    Health Economics, 2019

    Acceptability and predictors of uptake of anti-retroviral Pre-Exposure Prophylaxis (PrEP) among fishing communities in Uganda: a cross-sectional discrete choice experiment survey

    Kuteesa, M; Quaife, M; Biraro, S; Katumba, K; Seeley, J; Kamali, A; Nakanjako, D.

    AIDS and Behavior, 2019

    Nutrition Transition and Changing Food Preferences in India” Journal of Agricultural Economics

    Law, T; Fraser, I; Piracha, M. 

    Journal of Agricultural Economics, 2019

    Purchase trends of processed foods and beverages in urban India

    Law, T; Green, R; Kadiyala, S; Bhavani, S; Knai, C; Brown, K; Dangour, A; Cornelsen, L.

    Global Food Security, 2019

    Quantifying the public's view on social value judgments in vaccine decision-making: A discrete choice experiment

    Luyten, J; Kessels, R; Atkins, K; Jit, M; Van Hoek, A.

    Social Science & Medicine, 2019

    Financial interests of patient organisations contributing to technology assessment at England's National Institute for Health and Care Excellence: policy review

    Mandeville, K; Barker, R; Packham, A; Sowerby, C; Yarrow, K; Patrick, H.

    BMJ, 2019

    Economic cost analysis of door-to-door community-based distribution of HIV self-test kits in Malawi, Zambia and Zimbabwe

    Mangenah, C; Mwenge, L; Sande, L; Ahmed, N; d'Elbée, M; Chiwawa, P; Chigwenah, T; Kanema, S; Mutseta, M; Nalubamba, M; Chilongosi, R; Indravudh, P; Sibanda, E; Neuman, M; Ncube, G; Ong, J; Mugurungi, O; Hatzold, K; Johnson, C; Ayles, H; Corbett, E; Cowan, F; Maheswaran, H; Terris-Prestholt, F.

    Journal of the International AIDS Society, 2019

    Chronic hepatitis B virus case-finding in UK populations born abroad in intermediate or high endemicity countries: an economic evaluation 

    Martin, N; Vickerman, P; Khakoo, S; Ghosh, A; Ramsay, M; Hickman, M; Williams, J; Miners, A.

    BMJ Open, 2019

    What can we learn from China's health system reform?

    Meng, Q; Mills, A; Wang, L; Han, Q.

    BMJ (Clinical research ed.), 2019

    Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment

    Miners, A; Nadarzynski, T; Witzel, C; Phillips, A; Cambiano, V; Rodger, A; Llewellyn, C.

    PLOS MEDICINE. 2019

    Use of Lotteries for the Promotion of Voluntary Medical Male Circumcision Service: A Discrete-Choice Experiment among Adult Men in Tanzania

    Ong, J; Neke, N; Wambura, M; Kuringe, E; Grund, J; Plotkin, M; d’Elbee, M; Torres-Rueda, S; Mahler, H; Weiss, H; Terris-Prestholt, F.

    Medical Decision Making, 2019

    The regulation of competition and procurement in the National Health Service 2015-2018: enduring hierarchical control and the limits of juridification

    Osipovic, D; Allen, P; Sanderson, M; Moran, V; Checkland, K. 2019.

    Health Economics, Policy and Law, 2019

    Malaria, medicines and miles: a novel approach to measuring access to treatment from a household perspective

    Palafox, B; Goodman, C; Hanson, K.

    SSM - Population Health, 2019

    Serostatus Testing & Dengue Vaccine Cost-Benefit Thresholds

    Pearson, C; Abbas, K; Clifford, S; Flasche, S; Hladish, T. 

    arXiv-q-bio, 2019

    Patient costs incurred by people living with HIV/AIDS prior to ART initiation in primary healthcare facilities in Gauteng, South Africa

    Pillai, N; Foster, N; Hanifa, Y; Ndlovu, N; Fielding, K; Churchyard, G; Chihota, V; Grant, A; Vassall, A. 2019.

    PloS one, 2019

    Effects, equity, and cost of school-based and community-wide treatment strategies for soil-transmitted helminths in Kenya: a cluster-randomised controlled trial

    Pullan, R; Halliday, K; Oswald, W; Mcharo, C; Beaumont, E; Kepha, S; Witek-Mcmanus, S; Gichuki, P; Allen, E; Drake, T; Pitt, C; Matendechero, S; Gwayi-Chore, M-C; Anderson, R; Njenga, S; Brooker, S; Mwandawiro, C.

    Lancet, 2019

    A multi-criterial support tool for the multimorbidity decision in general practice 

    Rajput, V; Kaltoft, M; Dowie, J. 

    Studies in Health Technology and Informatics, 2019

    Associations between women’s economic and social empowerment and intimate partner violence: findings from a microfinance plus programme in rural North-West province, South Africa

    Ranganathan, M; Knight, L; Abramsky, T; Muvhango, L; Polzer Ngwato, T; Mbobelatsi, M; Ferrari, G; Watts, C; Stöckl, H.

    Journal of Interpersonal Violence, 2019

    Building a tuberculosis-free world: the Lancet Commission on tuberculosis

    Reid, M; Arinaminpathy, N; Bloom, A; Bloom, B; Boehme, C; Chaisson, R; Chin, D; Churchyard, G; Cox, H; Ditiu, L; Dybul, M; Farrar, J; Fauci, A; Fekadu, E; Fujiwara, P; Hallett, T; Hanson, C; Harrington, M; Herbert, N; Hopewell, P; Ikeda, C; Jamison, D; Khan, A; Koek, I; Krishnan, N; Motsoaledi, A; Pai, M; Raviglione, M; Sharman, A; Small, P; Swaminathan, S; Temesgen, Z; Vassall, A; Venkatesan, N; van Weezenbeek, K; Yamey, G; Agins, B; Alexandru, S; Andrews, J; Beyeler, N; Bivol, S; Brigden, G; Cattamanchi, A; Cazabon, D; Crudu, V; Daftary, A; Dewan, P; Doepel, L; Eisinger, R; Fan, V; Fewer, S; Furin, J; Goldhaber-Fiebert, J; Gomez, G; Graham, S; Gupta, D; Kamene, M; Khaparde, S; Mailu, E; Masini, E; McHugh, L; Mitchell, E; Moon, S; Osberg, M; Pande, T; Prince, L; Rade, K; Rao, R; Remme, M; Seddon, J; Selwyn, C; Shete, P; Sachdeva, K; Stallworthy, G; Vesga, J; Vilc, V; Goosby, E. 

    Lancet, 2019

    Applying user preferences to optimize the contribution of HIV self-testing to reaching the "first 90" target of UNAIDS Fast-track strategy: results from discrete choice experiments in Zimbabwe

    Sibanda, E; d'Elbée, M; Maringwa, G; Ruhode, N; Tumushime, M; Madanhire, C; Ong, J; Indravudh, P; Watadzaushe, C; Johnson, C; Hatzold, K; Taegtmeyer, M; Hargreaves, J; Corbett, E; Cowan, F; Terris-Prestholt, F.

    Journal of the International AIDS Society, 2019

    Estimating the impact of TB case detection in constrained health systems: an example of case finding in South Africa

    Sumner, T; White, R; Houben, R; Vassall, A; Fiammetta, B. 

    American Journal of Epidemiology, 2019

    Evaluating the cost-effectiveness of existing needle and syringe programmes in preventing hepatitis C transmission in people who inject drugs

    Sweeney, S; Ward, Z; Platt, L; Guinness, L; Hickman, M; Hope, V; Maher, L; Iversen, J; Hutchinson, S; Smith, J; Ayres, R; Hainey, I; Vickerman, P.

    Addiction, 2019

    Widening perspectives on social impact bonds

    Tan, S; Fraser, A; McHugh, N; Warner, M.

    Journal of Economic Policy Reform, 2019

    Using discrete choice experiments to inform the design of complex interventions 

    Terris-Prestholt, F; Neke, N; Grund, J; Plotkin, M; Kuringe, E; Osaki, H; Ong, J; Tucker, J; Mshana, G; Mahler, H; WEISS, H; Wambura, M.

    Trials, 2019

    Understanding demand for higher quality sanitation in peri-urban Lusaka, Zambia through stated and revealed preference analysis

    Tidwell, J; Terris-Prestholt, F; Quaife, M; Aunger, R.

    Social Science & Medicine, 2019

    Adjusting for Inflation and Currency Changes Within Health Economic Studies

    Turner, H; Lauer, J; Tran, B; Teerawattananon, Y; JIT, M.

    Value in Health, 2019

    Comparing the application of CEA and BCA to tuberculosis control interventions in South Africa

    Wilkinson, T; Bozzani, F; Vassall, A; Remme, M; Sinanovic, E.

    Journal of Benefit-Cost Analysis, 2019

    The cost-effectiveness of one-time birth cohort screening for hepatitis C as part of the NHS health check programme in England

    Williams, J; Miners, A; Harris, R; Mandal, S; Simmons, R; Ireland, G; Hickman, M; Gore, C; Vickerman, P.

    Value in Health, 2019

    How equitable is health care spending in Cambodia: results from a benefit incidence analysis

    Wiseman, V; Asante, A; Ir, P; Limwattananon, S; Hayen, A; Jan, S; Liverani, M.

    Health Policy and Planning, 2019

    Exploring the determinants of distress health financing in Cambodia: results from a cross-sectional survey

    Wiseman, V; Ir, P; Asante, A; Jacobs, B.

    Health Policy and Planning, 2019

    Patients with positive malaria tests not given antimalarial medicines: under-prescription of artemisinin-based combination therapies amongst 106,106 patients with malaria in ACT Consortium studies in Africa

    Wiseman, V; O’Boyle, S; Bruxvoort, K; Goodman, C; Clarke, S; Baptiste, L; Mbacham, W; Onwujekwe, O; Staedke, S; Burchett, H; Schellenberg, D; Nyomugyenyi, R; Whitty, C; Ansah, E; Abdulla, A; Kachur, P; Reyburn, H; Hopkins, H. 

    Lancet Global Health, 2019

    Assessing the quality of primary healthcare in seven Chinese provinces with unannounced standardised patients: protocol of a cross-sectional survey

    Xu, D; Hu, M; He, W; Liao, J; Cai, Y; Sylvia, S; Hanson, K; Chen, Y; Pan, J; Zhou, Z; Zhang, N; Tang, C; Wang, X; Rozelle, S; He, H; Wang, H; Chan, G; Melipillán, E; Zhou, W; Gong, W.

    BMJ open, 2019

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    Events
    Events
    Masterclass: Instrumental Variable (IV) methods
    Paragraph

    Invitation to a one-day Masterclass on

    APPLICATION OF INSTRUMENTAL VARIABLE METHODS IN HEALTH ECONOMICS AND OUTCOMES RESEARCH

    Prof Anirban Basu, The CHOICE Institute, University of Washington

    LSHTM, 15-17 Tavistock Place.

    Tuesday, July 23, 2019

     

    We are delighted to invite you to attend our masterclass on the use of Instrumental Variable (IV) methods in health economics and outcomes research on the 23rd of July at the London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, WC1H 9SH. The masterclass is being organised by the Health Economics Hub and led by Professor Anirban Basu, University of Washington, an expert on the use of IV methods. 

     

    This masterclass will address the major concern in observational studies of selection bias or confounding by indication, using real-world examples of high health policy relevance. Participants will be able to gain practical skills in applying alternative IV methods through computer-based practicals using Stata and interactive lectures led by Prof Basu.

     

    Participants will be introduced to the key concepts and assumptions behind IV methods, drawing on the treatment choice literature, and take part in a topical discussion of the plausibility of IV that are commonly available in routine datasets. It also covers recent developments in IV methods, and the new opportunities and challenges raised by large-scale routine data.

     

    Target audience

     

    The masterclass will be suitable for those interested in designing, analysing or interpreting IV studies. While the masterclass does not have any formal pre-requisites, to benefit from the practical sessions in the afternoon participants will know the basic principles of statistics and have a working knowledge of the Stata software.

     

    Practicalities

     

    Registration and coffee start at 9 am, and the masterclass will finish at 4 pm. The registration fee of £100 includes lunch, tea and coffees. A link to register will be added here shortly. Please click this link to register. If you are an LSHTM staff member or PhD student, please contact Nuru.Saadi@lshtm.ac.uk

     

    You are also warmly invited to a free public lecture (open to all, on a first come, first served basis) which will be held after the masterclass by Prof Basu titled the ‘Economics of choices in the era of personalised medicine’ and a subsequent wine reception. Please follow this link to register. 

     

    Participants wishing to participate in the Stata practicals should bring their own laptops with the latest version of Stata installed.

     

    Programme

    Time

    Session

    Lead instructor

    9-9.30am

    9.30-11am

     

    11-11.15am

    Registration & Coffee

    Lecture 1: Introduction to Instrumental variables (IV): key concepts and standard methods

    Coffee break

     

    Anirban Basu

    11.15-12.45pm

    Lecture 2: IV methods for assessing heterogeneity and personalisation

    Anirban Basu

    12.45-1.45pm

    Lunch

     

     

    1.45-2:30pm

    Practical 1: IV estimation: standard approaches to IV estimation and assessment of instrument validity

     

    Stephen O’Neill

    2:30-3.30pm

    Practical 2: IV methods for personalisation

     

    Stephen O’Neill

    3.30-4pm

    Wrap up and areas for future research

     

    Anirban Basu

    4.00-5.00pm

    Tea break

     

     

    CHIL@IHEA2019
    CHIL iHEA organised sessions

    Time and room

    Session title

    LSHTM lead

    Abstract

     15th July, 10:30am – 12:00pm

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 115

    Understanding the Drivers of Provider Behaviour in the Prescribing of Antibiotics: Evidence on Supply-Side Moral Hazard from Audit Studies in Three African Countries

    Jessica King

    This organised session brings together three studies conducted in Tunisia, Tanzania and South Africa to understand the drivers of provider behaviour in the prescribing of antibiotics. Antibiotic resistance—the ability of microbes to evolve and withstand the effects of antibiotics—is a significant cause of morbidity and mortality globally. It also imposes a substantial economic burden on society. Researchers will present findings from a set of audit studies that examine the role of supply-side moral hazard in explaining why primary healthcare providers over-prescribe antibiotics. The studies focus on uncomplicated respiratory tract infection in which antibiotics represent unnecessary treatment, and they randomly assign different mystery patient cases across providers to provide experimental variation in patient knowledge, patient preferences and/or provider incentives.

     

    15th July, 15:30pm – 17:00pm

     

    Room: Universität Basel - Kollegienhaus - Regenzzimmer 111

    Less costly and less effective: Dilemmas of south-west interventions

     

    Sergio Torres Rueda/David Bath

    Economic evaluation has been adopted as an important component of healthcare decision-making in many countries. However, very little attention is given to ‘south-west interventions’, which are less effective but also less costly than current practice. Such interventions may free up resources that can be allocated more efficiently to other activities. The session considers the ethical and methodological issues around the adoption of south-west interventions, alongside two case studies (targeted insecticide spraying for malaria in Tanzania and discontinuation of cotrimoxazole preventive therapy in HIV-positive adults in Uganda), and also reflects on the effective communication of economic evaluation results to policymakers.

     

    15th July, 15:30pm – 17:00pm

     

    Room: Universitätsspital Basel - ZLF – Gross

    Multiple Funding Flows and Incentives – How Does the Provider Payment Mix Shape Provider Behavior in Low- and Middle-Income Countries? 15th July

    Kara Hanson

    In many LMICs the healthcare purchasing architecture is fragmented across multiple agencies and provider payment mechanisms. From the providers’ perspective, this system translates into multiple funding flows, characterised by differences in incentives and accountability requirements.  These in turn can trigger behavioural responses, both intended and unintended, from providers, with consequences for health system efficiency, equity, quality and sustainability.  Together researchers from RESYST and WHO Dept of Health Systems Governance and Financing have developed a conceptual framework to analyse multiple funding flows, and applied it .  in case studies in 6 LMICs.  The aim of this session is to raise awareness of issues related to multiple funding flows, and to engage the audience in a critical reflection on how greater alignment of funding flows can be achieved, and a future research agenda. The framework and key findings will be presented, followed by moderated group discussion on key policy implications.

    16th July, 13:30pm – 15:00pm

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 115

    Cost Modelling for Decision-Making: Alternative Methodological Approaches from the Fields of Malaria, Tuberculosis, HIV, and Maternal, Newborn, and Child Health

    Catherine Pitt

    Estimates of intervention costs are critical for priority setting, but they must reflect how costs vary within countries, between countries, and at scale. Relevant data to inform these estimates are, however, scarce both for existing and new interventions, especially in low- and middle-income countries (LMICs), where resources are most limited and the need for accurate estimates greatest. This session will explore a range of alternative methods for modelling the costs of interventions and intervention packages. By drawing together examples from HIV, tuberculosis, malaria, and maternal, newborn, and child health (MNCH), we will bring together differing approaches from some of the leading causes of morbidity and mortality in LMICs. This session will provide an opportunity to learn across these sometimes-siloed areas of health and to reflect on methodological underpinnings of cost estimations for decision making in data-poor settings.   

     

    16th July, 13:30pm – 15:00pm

     

    Room: Universität Basel - Kollegienhaus - Fakultätenzimmer 112

    Evaluating taxes on sugar-sweetened beverages: how are we doing it?

    Cherry Law, Laura Cornelsen

    With the popularity of taxes on sugar sweetened beverages (SSB) among governments, increasing work has been done to produce evidence on their impacts on consumer, industry and other stakeholders in the society. The comparability of this evidence does not only depend on the country characteristics but crucially on the methodology used to generate them. Through bringing together SSB tax evaluation studies from four different countries, this session will highlight the difference in the approaches used as well as the difficulties encountered. It will also point to potential future collaboration, such as on cross-country comparison of the effectiveness of SSB taxes.

     

    16th July, 10:30am – 12:00pm

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 115

    Innovations in Cost Estimation for Health Services in Low and Middle-Income Countries

    Sedona Sweeney (led by Harvard)

    Data on the cost of health services can serve several purposes, including estimation of efficiency, budgeting, and assessing economic burden of illness on households. However, cost data are expensive to collect. Moreover, costs are often sensitive to contextual factors, complicating the task of generalizing existing estimates to different settings. This session brings together four studies working on methods for making the best use of data collected through an individual studies, and synthesizing estimates from multiple studies to generalize to new settings. Presentations will discuss generation of study-level cost estimates and methods for pooling existing cost data to fill evidence gaps. 

     

     

    17th July, 08:30am – 10:00am

     

    Room: Universitätsspital Basel - Klinikum 1 - Hörsaal 4

    Pathogens, Preferences and Predictions - understanding the economics of infectious diseases

    Gabriela Gomez

    We aim to discuss how the uniqueness in epidemiology and biology of infectious diseases creates challenges that can be explored by applying economic methods. Chaired by Dr Conteh (ICL), Dr Hauck (ICL) will introduce a theoretical framework. Dr Gomez (LSHTM) will present on the treatment and communication of uncertainty in the valuation of future technologies in tuberculosis. Ms Lau (ICL) will present on prevalence-elastic behaviours and individuals’ choices to vaccinate against seasonal flu. Our third presenter, Dr Naylor (LSHTM), will discuss how economic theory can be used to establish methods in estimating antimicrobial resistance burden. Two discussants (Dr Patoulliard, health economist at WHO’s Malaria Programme and Dr Winksill, mathematical modeller at ICL) will comment on this work.

    17th July, 08:30am – 10:00am

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 120

    Sanitation & Hygiene – a Public Health Challenge Requiring Behavioural Solutions Informed By Health Economics 

    Ian Ross

    Sanitation and hand hygiene programmes which focus on delivering information and resources often succeed in changing knowledge but not behavioural or health outcomes. The aim of this session is to showcase recent studies which employ health and behavioural economic methods. The first presentation describes a study in Zambia which compared stated and revealed preference data to understand demand for sanitation. The second describes an RCT which evaluated a novel hygiene informational campaign in Bangladesh using entertainment and edutainment. The third describes a study using Indian survey data on wages and walking time for open defecation to derive conclusions for economic evaluation.

     

    17th July, 10:30am – 12:00pm

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 114

    Measuring and Valuing Outcomes of Interventions Affecting Multiple or Under-Researched Populations and/or Outcomes with Multiple Dimensions

    Silke Fernandes

    To measure and value outcomes is often challenging for any intervention. However, if interventions have the potential to affect more than one population, or if the outcome should reflect multiple dimensions of health and well-being, this process can be very complex. This session will use case studies to reflect on the two proposed themes, followed by a semi-structured discussion. The case studies are based on experiences from malaria during pregnancy, gender based violence and the measurement of wellbeing among youth living with HIV in sub-Saharan Africa.

    17th July, 10:30am – 12:00pm

     

    Room: Universität Basel - Kollegienhaus - Seminarraum 105

    ‘No Size Fits All’ - Measurement and Use of Data on Preference Heterogeneity to Inform HIV Testing Programs: Lessons from Discrete Choice Experiments, 17th July

    Jason Ong, Fern Terris-Prestholt

    Great progress has been made towards achieving the UNAIDS target of 90% of people living with HIV knowing their status, however there are populations at high risk who remain untested.  The aim of this session is to provide examples of how discrete choice experiments may be used to measure preference heterogeneity among hard-to-reach populations, and how these data may be used to inform HIV testing strategies. A systematic review and three applied analyses among high risk populations in China, Australia and Tanzania highlight the role of DCEs in optimising programmes for high uptake.

     

    17th July, 10:30am – 12:00pm

     

    Room: Universität Basel - Kollegienhaus - Hörsaal 119

    Financing reproductive, maternal, newborn, and child health in low-income countries: Past trends and future challenges

    Catherine Pitt

     

    To achieve universal health coverage (UHC), low-income countries (LICs) must navigate a rapidly changing global health financing landscape. While donor assistance comprises a decreasing proportion of health expenditure in middle-income countries, it continues to occupy a prominent place in many LICs. As donors being to push for greater domestic resource mobilisation in LICs, the potential effects of this shifting focus remain unclear.  Reproductive, maternal, newborn, and child health (RMNCH) relies on both vertical programmes, such as for immunizations, as well as a well-functioning wider health system, especially for maternal health. Further, RMNCH has benefitted from the innovative Global Financing Facility (GFF), making it an interesting case study in health financing. Understanding the extent to which domestic and donor financing benefits RMNCH nonetheless raises numerous methodological challenges.

    This session will give participants a greater understanding of the latest trends in RMNCH financing estimates across LICs; provide an opportunity to reflect on the methodological challenges in generating and using key health financing data and in disaggregating financing data by demographic groups and health areas; and create a forum to discuss the challenges facing LICs in financing RMNCH in ways that promote UHC.

     

    17th July, 13:00pm – 14:30pm

     

    Room: Universitätsspital Basel - Klinikum 1 - Hörsaal 3

    Economic Evaluation of Violence Against Women and Children Prevention Programming: Results and Key Methodological Challenges

    Giulia Ferrari

    Violence against women and girls (VAWG) is a global health priority. However, it is unclear which prevention strategies are cost-effective. We present methodological work and results from cost-effectiveness studies alongside randomised controlled trials and scale-up, addressing this question. This session is chaired by Prof Vassall. We show how we tackle methodological challenges in quantifying costs (Mr Torres-Rueda) and effects (Dr Ferrari) of VAWG prevention. We present three case-studies: VAWG prevention in Rwanda (Dr Hitimana); sexual violence prevention in Kenya (Ms Orangi), and prevention of corporal punishment in schools in Uganda (Dr Greco). Dr Garcia-Moreno (WHO), reflects on the policy implications.