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Prof Josephine Borghi

Professor of Health Economics

United Kingdom

Tel.
+44 (0)2079272090
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.

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 teach on the Distance Learning module Evaluation of Public Health Interventions.

Research

My research focuses on understanding the effect of health financing reforms and global challenges like climate change and COVID-19, on the ability of health systems to deliver effective and affordable services to the population.  I am also interested in the design and effect of policy interventions targeted at making health systems more sustainable and resilient.  I am currently leading the REACH project which aims to inform health system adaptation strategies related to routine maternal and child health care in the context of floods and heatwaves in Brazil and Zambia.  I am also leading the FINTRACK study which examines how COVID-19 has affected health care financing in Tanzania, Malawi, Zambia, Senegal and Côte d'Ivoire.

My  background is in health economics and I have experience leading research projects involving a range of methods including: economic evaluation of health care programs, mixed methods evaluation of complex interventions and theories of change, and system dynamics and agent based modeling.

Her research is primarily focused on vulnerable populations, such as mothers and children, refugees, and poor populations in low- and middle-income settings.

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

Implementation and effectiveness of free health insurance for the poor pregnant women in Tanzania: A mixed methods evaluation.
Kuwawenaruwa, A; Ramsey, K; Binyaruka, P; Baraka, J; Manzi, F; BORGHI, J;
2019
SOCIAL SCIENCE & MEDICINE
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;
2017
Health policy and planning
Trends In The Alignment And Harmonization Of Reproductive, Maternal, Newborn, And Child Health Funding, 2008-13.
MARTINEZ-ALVAREZ, M; Acharya, A; Arregoces, L; Brearley, L; PITT, C; GROLLMAN, C; BORGHI, J;
2017
Health affairs (Project Hope)
Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time.
BORGHI, J; Munthali, S; Million, LB; MARTINEZ-ALVAREZ, M;
2017
Health policy and planning
Effects of Payment for Performance on accountability mechanisms: Evidence from Pwani, Tanzania.
Mayumana, I; BORGHI, J; Anselmi, L; Mamdani, M; Lange, S;
2017
Social science & medicine (1982)
Modelling the implications of moving towards universal coverage in Tanzania.
BORGHI, J; Mtei, G; Ally, M;
2012
Health policy and planning
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