London School of Hygiene & Tropical Medicine (LSHTM)


London School of Hygiene & Tropical Medicine

Brief Description    

LSHTM is a leading European research organisation in the fields of public health, international health and tropical disease research. One of the largest LSHTM research groups involved in health policy and systems research is the Health Economics and Systems Analysis (HESA) which seeks to improve the equity, efficiency and quality of health services in developing countries drawing, in particular, on insights from health economics and policy analysis. HESA places emphasis on: producing and disseminating new knowledge; developing and consolidating strong partnerships with developing country institutions in research, teaching and communicating new knowledge and strengthening collaborating institutions. HESA made a large contribution to the WHO Commission on Social Determinants of Health and its members contributed several papers to this body of work. The LSHTM mission is to contribute to the improvement of health worldwide through the pursuit of excellence in research, postgraduate teaching and advanced training in national and international public health and tropical medicine, and through informing policy and practice in these areas.

Main Tasks

Consortium Partner

Previous Experience       

LSHTM has research collaborations with over 100 countries throughout the world, utilizing its critical mass of multidisciplinary expertise. LSHTM has a strong commitment to partnership with organizations in low and middle income countries to support the development of teaching and research capacity.


Staff Profiles

Josephine Borghi

Picture of Josephine Borghi


Josephine is a health economist with thirteen years research experience in the field of health economics. She has worked within a University setting, in private consultancy and most recently leading a team of economists and social scientists in a Tanzanian public health research centre. An important part of her work involves strengthening local research capacity. In addition to her knowledge of East Africa, Josephine is also very familiar with parts of South Asia where she undertook her PhD field work, and Latin America where she spent a year working as a consultant. Josephine has significant research and training experience in the area of
health financing and equity analysis. She also has expertise in impact and process evaluations relating to public health interventions, including cost-effectiveness and cost-benefit analyses.


Edith Patouillard

Picture of Edith Patouillard



Edith is a health economist who joined the LSHTM in 2005.  She has experience undertaking research in Africa (Tanzania, Zambia, Ghana, Kenya, Swaziland) and in South-East Asia (Cambodia). Her research interests cover the economics of health care markets and evaluations of interventions for improving access and equity in access to quality health care services, notably in the field of malaria. Edith is also interested in evaluating methods for studying private commercial providers in low income settings. Edith is currently based in Tanzania evaluating a pay for performance programme and a demand-side financing programme for maternal and child health services.

Lucy Gilson

Picture of Lucy Gilson



Lucy Gilson holds the appointment of professor both at the University of Cape Town and the London School of Hygiene and Tropical Medicine, UK, and is an honorary professor at the University of the Witwatersrand. She has a BA in Politics, Philosophy and Economics (Oxon), an MA in Development Economics (East Anglia) and was awarded her PhD by the University of London. Over her career, her research has been driven by concern for equity in health and health care.
Lucy is a founding member and remains on the steering committee of EQUINET, the regional network on equity in health in Southern and East Africa, and has recently become a member of the Scientific and Technical Advisory Committee of the Alliance for Health Policy and Systems Research. She is also the Associate Director of the International Consortium for Research on Equitable Health Systems, and has coordinated the Knowledge Network on Health Systems for the WHO Commission on the Social Determinants of Health. She is an editorial board member of the Journal of Health Policy and Planning and an advisory editor (health policy) for the Journal of Social Science and Medicine.


Paul Mee







Paul is an Epidemiologist and Data Scientist, working as a Research Fellow at the London School of Hygiene and Tropical Medicine (LSHTM) UK. He is also a doctoral student based in the Umeå Centre for Global Health Research in the University of Umeå, Sweden. He has more than 10 years of experience of working in health and demographic research in the UK and overseas. Prior to joining LSHTM, he spent 4 years leading a team of data specialists with the University of the Witwatersrand/Agincourt Health and Demographic Survey System based in South Africa where he retains a Visiting Researcher position. He has published 15 peer reviewed publications. His main research interests relate to the manner in which spatial and socio-demographic determinants of morbidity and mortality influence health outcomes and the associated inequalities resulting from these relationships. His work has particularly focused on the impact HIV and related diseases in resource poor regions such as sub-Saharan Africa and an on the impact of the provision of antiretroviral treatment in these areas.



Josephine Borghi
Department of Global Health and Development
Faculty of Public Health & Policy
15-17 Tavistock Place
London WC1H 9SH
United Kingdom
Tel: +255 784 257 116