Interests:Health systems; economics; health care finance and reform; health insurance; commodities; institutional development; private sector; political economy; antimicrobial resistance; sexual and reproductive health.
Skills:Policy analysis, evaluation design and implementation, strategy development, economic analysis.
Background and relevant experience:
- BA degree in Economics, Politics and Philosophy (Oxford University, UK); MA in International Affairs (Columbia University, USA), with specialisation in Economics and Development.
- Since 2001, independent consultant in developing countries. Issues have included sector reform; programme design and review; aid effectiveness; value for money; organisational learning.
- Previously 10 years as consulting economist with National Economic Research Associates, including office director in Madrid, on NERA-UK’s Management Board and head of health consulting for Europe.
- Projects advising public/private sector clients in Europe, Latin America, Asia and Africa on institutional, economic and strategic issues, incl. health care finance and reform; social health insurance; pharmaceutical policy and usage; and hospital and primary provider organisation.
- Member, Global Fund, Technical and Evaluation Reference Group (TERG), 2016-2022.
- Member, Governing Body, University College London Hospital (UCLH) NHS Foundation Trust.
- Member, Network of International Consultants in Health and Development (NICHAD).
Recent projects include:Bill & Melinda Gates Foundation, 2022- (continuing)
Team Leader, Evaluation of family planning project in Nigeria
Fleming Fund, Anti-Microbial Resistance, 2016 – (continuing)
Member of managing agents’ team, responsibilities including country assessment; political economy analysis; VfM. Country focus: Uganda Programme value £230m+.
FCDO, Evaluation of UK aid to Nepal health sector over 16 year period, 2022
Unitaid, Evaluation of Strategy, 2021
Results workstream leader on evaluation of Unitaid’s 2017-2021 Strategy, with recommendations for next strategy period
G7 Annual Progress Report, 2021 Theme: Universal Health Coverage and Global Health Security, 2021
Team Leader for the drafting of this report for FCDO and DHSC, as part of UK G7 presidency
GAVI (Vaccine Alliance) Design of organizational Theory of Change, 2021
Design of ToC in relation to market shaping activities
GAVI (Vaccine Alliance) Review of private sector engagement, 2020 – 2021
Chair, Steering Committee
DFID Neglected Tropical Diseases, 2019 – 2021
VfM and M&E adviser on continuous Third Party Monitor for ASCEND programme; value £220m
Ipas, 2019 – 2020
Team Leader, evaluation of strategy of the US-based NGO Ipas, for NORAD, SIDA, MinBuza. Country focus: Bolivia, Nigeria
Wellcome Trust, 2019
Evaluation of Drug Resistant Infections strategy and advice on future strategy
Population Services International, 2019
Review and advice relating to monitoring and evaluation, especially in relation to adolescents
DFID WASH and Nutrition, Nigeria, 2019
Team Leader for two-sector integrated Business Case; value >£100m
Independent continuous monitoring and evaluation of DFID WISH programme, 2018 – 2022
Advisory pool, independent monitoring of DFID’s leading sexual and reproductive health and rights programme
DFID Reproductive Health, 2018
Lesson learning from 20-country Prevent Maternal Death (PMD) reproductive health programme. Country visit: Uganda. Lead on data systems
DFID Kenya, 2018 – 2019
Advice relating to Kenya Family Planning programming
UNRWA Health and education services, Gaza, 2018
Independent monitoring on behalf of donor – Lead for Health
DFID Neglected Tropical Diseases, 2017 - 2018
Team Leader, review of support to WHO on this issue. Country focus: Ethiopia
Global Fund for Children, childhood slavery, 2017
Project design, DFID-funded
Global Fund to fight AIDS, TB and Malaria, 2016 – 2022
Evaluation of selected aspects of GF support across all countries, including data system investment, health systems assessment. Country focus: Guatemala, Myanmar.
DFID Reproductive Health, 2016 – 2017
Team Leader – scoping of WISH (Women’s Integrated Sexual Health) programme, in Africa and Asia. Country study: Niger. Programme value £200m+.
External Review for WHO of its Tropical Disease Research (TDR) Special Programme.
NORAD / Palestinian Authority, 2015-16
Evaluation of support by NORAD and WHO to Palestinian National Institute of Public Health
DFID Reproductive Health, 2015
Team Leader - Annual Review of PMDUP (Prevention of Maternal Deaths due to Unwanted Pregnancy) reproductive health programme in 14 countries across Asia and Africa. Country visits: Bangladesh, Ethiopia. Programme value approx. £70m
Evaluation of BLM family planning / HIV services – for Royal Norwegian Embassy, DFID, Government of Malawi.
Tanzania, 2015 – 2017
Evaluation of NGO outreach family planning services in remote rural areas. Design of new programme to cover this, and gender-based violence.
CHAI (Clinton Health Access Initiative), 2014–16
Evaluation of DFID support to CHAI. Country focus on Mozambique, Tanzania and Ethiopia. Commodity focus on contraceptives.
Annual Review of £35m HIV/SRH programme, lead economist, including design of new VfM framework.
Palestinian Authority, 2013 – (continuing)
Based in West Bank, DFID-funded. Consultant, strategy and efficiency in Ministry of Health; development of programme budgeting.
Review of health financing needs and flows across the Asia-Pacific region and advice regarding implications for donors. Additional advice on funding of family planning and its economic implications.
Palestinian Refugee population health/education (based Jordan), 2012 – 2014
For UNRWA: developed monitoring and evaluation system, indicators/targets to promote efficiency and effectiveness in health and education services to 5m Palestinian refugees in Jordan, Syria, Lebanon, West Bank and Gaza.
Economic aspects of design of family planning programme in Nepal; contribution to Business Case preparation; assessment of FP contribution to Sector-wide Approach (SWAp); programme value approx. £18m.
Visceral Leishmaniasis, 2012 – 2013
Advice to DFID re cooperation with a range of partners, including WHO, Gates Foundation on a programme to address this disease. Geographical focus on South Asia and five East Africa; programme value approx. £30m.
Kenya, 2011 – 2013
Design of separate five-year programmes in maternal health and family planning, funded by DFID; contribution to Business Case preparation; programme value approx. £60m.
Business Case and other consultancy related to a four-year joint health programme (UNICEF, WHO, UNFPA) providing maternal and child health and nutrition across Somalia, funded by a range of donors, including DFID, SIDA and USAID. Programme value approx.$125m
South Africa, 2010 - 2011
Advice to government on development of National Health Insurance, including institutional structure; service package; care purchasing; price determination; and pilot districts. Jointly with Dr Ken Grant.
Mid-term review of Global Programme for Reproductive Health Commodity Security, with focus on value for money in the eliciting of new resources and their allocation.
Marie Stopes International, 2010-2013
Design of and subsequently annual reports on PMDUP (Prevention of Maternal Deaths due to Unwanted Pregnancy) reproductive health programme in 14 countries across Asia and Africa. Successful proposal to DFID for expansion of programme. Expanded programme value: £100m+
Outline for DFID of issues and evidence relevant to malaria in post-conflict fragile states; in relation to equity considerations; and health system strengthening.
For the World Bank: Team Leader for Public Expenditure Review across the health sector. Analysis of the sources and allocation of all public funding of health care, together with efficiency and equity in its use. Main themes include governance, monitoring and evaluation; options for resource allocation; and the procurement and distribution of medicines.
Medicines Transparency Alliance (MeTA), 2010
Evaluation of MeTA following two years of its existence across seven pilot countries. MeTA is a tripartite programme (government, civil society and pharmaceutical industry) aimed at increasing transparency in medicines pricing, procurement, quality and utilisation. Contribution to main findings and specific review of Peru and Philippines.
Review of costs and economic benefits of programme of improved SRH commodity provision, especially as regards institutional strengthening. Ethiopia as case study.
Economic appraisal of five-year Kenya health programme for DFID, focusing on malaria, HIV/AIDS and SRH preventive interventions. Programme includes contingent involvement with SWAp.
Economic appraisal for DFID of proposed project relating to human resources and training for Zambian health sector.
Lead consultant for reform, strategy and macroeconomic issues to the Egyptian Government in relation to the expansion and reform of their social health insurance system. Working as part of consortium led by Hewitt Associates.
DFID internal training, 2008
Editing of CD-ROM course ‘Health Economics for Non-Economists’.
Africa - User fees, 2008
Report for use by DFID Africa, analysing recent experience of user fees within the context of broader health financing issues, together with proposals for future policy.
UNFPA Sexual and reproductive health, 2007
Assessment of UNFPA’s plans for a $750m programme of increased supply of contraceptives and engagement in human, institutional and technological capacity building.
Safe Motherhood assessment tools, 2006
Jointly with Aberdeen University IMMPACT project: Review and development of a number of assessment tools related to safe motherhood.
Member of first Joint Review team, as part of the Kenyan health sector’s Sector Wide Approach (SWAp). Responsible for areas of Planning, Financial Management and Sector Financing.
Evaluation of the merging of resources from the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) with those of Mozambique’s common health fund, developed under its Sector Wide Approach (SWAp). Mozambique was at this time the only country in which such a merger had taken place.