I am a Lecturer in Health Systems Research at the School of Public Health. I have broad research interests around health systems, mainly in middle-income countries, and focus on quantitative and quasi-experimental approaches. I examine the functioning and performance of health systems, including impacts on health outcomes and health inequalities.
My current research activities are related to two NIHR health systems research projects: i) a researcher-led award on Health Financing Fragmentation and Universal Health Coverage; and ii) a Global Health Unit on Health Financing for UHC with the University of York. I am working with international collaborators from Brazil, Colombia, India, Indonesia, Mexico, and South Africa to conduct studies and evaluations related to recent health system reforms and generate globally relevant evidence. My interests span impact evaluations, urban slum populations, primary health care, and macro-economic fluctuations and health.
I have a strong interest in health inequalities, and particularly examining how health systems, primary health care and progress towards UHC affect lower-income and vulnerable groups. I also work on racial and ethnic health inequalities, including those experienced by Indigenous Peoples, and have contributed to a WHO research brief on primary health care and racial and ethnic discrimination.
I am the principal investigator on an MRC/ESRC/Wellcome/FCDO Health Systems Research Initiative funded project examining urban violence, pacification and health systems in Rio de Janeiro’s favellas. This is in collaboration with Professor Rudi Rocha and Instituto de Estudos para Políticas de Saúde (IEPS) in Brazil. I am also interested in the impacts of violence on health systems and health outcomes in other settings.
I joined the Department of Primary Care and Public Health at Imperial College as a PhD student in January 2014 and continued my research as a Research Fellow from 2017 to 2021. I completed my undergraduate degree in Natural Sciences at the University of Cambridge before starting the Masters of Public Health (MPH) at Imperial College in 2012.
Teaching and supervision
I am the module 2 lead for the BSc Global Health course, and I also lecture for the BSc Global Health and MPH programmes at Imperial College. I currently supervise PhD students examining health system performance and reform in middle-income countries. I aso supervise research projects related to health systems for students from the BSc Global Health, MPH, GMPH and BSc in Medical Biosciences courses.
et al., 2020, Primary health care expansion and mortality in Brazil’s urban poor: a cohort analysis of 1.2 million adults, PLOS Medicine, Vol:17, ISSN:1549-1277, Pages:1-20
et al., 2020, Impact of the Programa Mais médicos (more doctors Programme) on primary care doctor supply and amenable mortality: quasi-experimental study of 5565 Brazilian municipalities, BMC Health Services Research, Vol:20, ISSN:1472-6963
Hone TV, Macinko J, Millett C, 2018, Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals?, The Lancet, Vol:392, ISSN:0140-6736, Pages:1461-1472
et al., 2018, Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: a nationwide microsimulation study, PLOS Medicine, Vol:15, ISSN:1549-1277
et al., 2017, Association between expansion of primary healthcare and racial inequalities in mortality amenable to primary care in Brazil: A national longitudinal analysis, Plos Medicine, Vol:14, ISSN:1549-1676