School of Public Health and Community Medicine

Image of video - Analysing health systems: getting the most out of health care resources

Health Economics and Systems Global

. . . Making resources go further

 

Our aim

Policy-makers must have access to the best possible research and analysis to ensure their health investments save as many lives as possible. We are a group of health economists who work in partnership with other scientists and policy-makers to improve the way health care is delivered and financed by health systems in low and middle income countries. We work across the globe in a variety of contexts: in low-income countries (Cambodia, Kenya), middle-income countries (Fiji, Cameroon, Nigeria, Ghana, Papua New Guinea, Indonesia) and post-conflict (Timor-Leste) to build stronger health systems.

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It is our aim to support health systems in these countries to ensure that resources for health are not wasted, and that those who need the services get them - not only those who can pay for them.
 
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Editors-in-Chief
Virginia Wiseman and Sandra Mounier-Jack

Health Policy and Planning

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Equity in Health Care Financing in Low- and Middle-Income Countries: A Systematic Review of Evidence from Studies Using Benefit and Financing Incidence Analyses - Augustine Asante, Jennifer Price, Andrew Hayen, Stephen Jan, Virginia Wiseman

 

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Contact us
 

A/Professor Virginia Wiseman
Head of Health Economics
& Systems Global
School of Public Health and Community Medicine

UNSW Australia
UNSW Sydney, NSW 2052, Australia
T +61 (2) 9385 9801
F +61 (2) 9313 6185
E v.wiseman@unsw.edu.au

Research Profile

Christina Rofe
Project Manager
Health Economics & Systems Global
T +61 (2) 9385 1396
F +61 (2) 9385 3558
E c.rofe@unsw.edu.au

 

Our approach

   
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We undertake evaluations of interventions to change the way health care providers, patients and communities respond to a health problem. We also evaluate the introduction of new health care technologies and interventions. These are typically trial-based studies with cost-effectiveness as a key outcome. For example, to improve the way malaria cases are managed, we have undertaken evaluations of interventions with health workers and schools, in Cameroon and Nigeria

We also evaluate different ways of financing and paying for health care. Many people in low and middle income countries do not receive care when they need it or endure catastrophic costs and loss of income as a result of seeking care. We have studies in Fiji, Timor Leste and Cambodia designed to provide a clearer picture of the fairness and efficiency of current funding arrangements and what can be done to improve things. sphcm.med.unsw.edu.au/SHIFT

We generate high quality evidence on how developing countries can make greatest use of  their  available resources while minimising the burden on the poor. We believe that there is no ‘one size fits all’ approach. All health systems  have their own unique set of goals and challenges. We design and implement research studies driven by the countries themselves, a necessary pre-condition for translating research in policy change.

Associate Professor Virginia Wiseman with Professor Joao Martins in Timor Leste

 

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WHO Director General Dr Margaret Chan“I regard universal health coverage as the single most powerful concept that public health has to offer. It is inclusive. It unifies services and delivers them in a comprehensive and integrated way, based on primary health care.” Dr Margaret Chan, WHO Director-General

 

World Health Report 2010“When people use health services, around 150 million each year suffer severe financial hardship because they have to pay out of their own pockets at the time they receive care, and 100 million are pushed into poverty as a result.“ World Health Report, 2010

 

UNICEF, The Sate of the World's Children Report 2008“Every year, an estimated 9.7 million children under the age of five die from largely preventable causes. The world knows what it takes to improve child health and survival but millions still die because they lack access to these basic services.” UNICEF, The State of the World’s Children Report 2008

 

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Countries where we work

We conduct our research in a variety of countries in Africa, Asia and the Pacific, seeking to identify lessons that are transferable across contexts.
 
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ASIA-PACIFIC REGION
 

Fiji & Timor Leste

Sustainable Health Financing in Fiji and Timor-Leste (Shift Study)
<See project details>

Cambodia

A system wide analysis of health financing equity in Cambodia
<See project details>

Papua New Guinea

Point-of-care testing and treatment of sexually transmitted infections to improve pregnancy outcomes in Papua New Guinea
<See project details>
 
 
AFRICA
 

Cameroon

A cost-effectiveness analysis of provider interventions to improve health worker practice in providing treatment for uncomplicated malaria in Cameroon
<See project details>

Nigeria

A cost-effectiveness analysis of provider and community interventions to improve the treatment of uncomplicated malaria in Nigeria
<See project details>

Kenya

Efficacy and cost-effectiveness of long-lasting microbial larvicides for malaria mosquito control
<See project details>
 
COLLABORATORS
Working with collaborators from other countries including Thailand, United Kingdom and South Africa.
 
 
 
 

Project Staff & Publications


 
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Associate Professor Virginia Wiseman

Head of Health Economics and Financing for Developing Countries Unit
Research Fields: Health Economics, Public Health and Health Services
T +61 (2) 9385 9801
E v.wiseman@unsw.edu.au
 
See Research Profile and Publications

 

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Dr Augustine Asante

Research Fellow
T: +61 (2) 9385 8683
E: a.asante@unsw.edu.au

See Research Profile and Publications

 

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Mrs Christina Rofe

Project Manager
T: +61 (2) 9385 1396
E: c.rofe@unsw.edu.au

 
 
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Associate Professor Andrew Hayen

Head of Biostatistical Unit and Director of Public Health Program
Research Fields: Biostatistics, Epidemiology, Public Health and Health Services
T +61 (2) 9385 2734
E a.hayen@unsw.edu.au
 
See Research Profile and Publications

 

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Mr Repon Paul

Research Officer
T: +61 0470 538 446
E: repon.paul@unsw.edu.au

 

 

 

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Dr Neha Batura

Lecturer
Institute for Global Health
University College London
T: +44 (0)20 7905 2779
E: n.batura@ucl.ac.uk

See Research Profile and Publications

 
 

Previous staff member at UNSW


 

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Ms Jennifer Price

Research Officer
E: jenniferprice.unsw@gmail.com

 

 
 

External collaborators

 

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Professor Joao Martins

Dean, Faculty of Medicine
Universidade Nacional Timor-Leste

 

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Dr Wayne Irava

Centre for Health Information, Policy and Systems Research, Fiji National University

 

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Professor Anne Mills

London School of Hygiene and Tropical Medicine

 

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Dr Lorna Guinness

London School of Hygiene and Tropical Medicine

 

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Dr John Ataguba

Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town

 

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Professor Stephen Jan

George Institute for Global Health

 
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Wilfred F Mbacham

Professor of  Public Health Biotechnology
Chair, Department of Physiology and Biochemistry, Faculty of Medicine
Chair, Graduate Programme, Unit for Life Sciences & Biol of Organisms, University of Yaounde, Cameroon

 

 

 

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Professor Viroj Tangcharoensathien

International Health Policy Programme, Ministry of Public Health Thailand

 

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Associate Professor Supon Limwattananon

International Health Policy Programme, Ministry of Public Health Thailand

 

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Dr Bart Jacobs

Social Health Protection Advisor, Cambodia, Country Rep P4H Network at GiZ
Planning and Health Information, Ministry of Health - Cambodia
Deutsche Gesellschaft für Internationale Zusammenarbeit

 

 

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Dr Por Ir

School of Public Health, National Institute of Public Health in Phnom Penh, Cambodia
Institute of Health Systems Research and Policy Support in the Cambodian Ministry of Health

 

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Dr Marco Liverani

London School of Hygiene and Tropical Medicine

 

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Professor Obinna Onwujekwe

Coordinator, Health Policy Research Group, Senior Lecturer, Departments of Health Administration & Management and Pharmacology and Therapeutics

 

 
 

Useful links to other groups working in this field of research

   

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RESYST - Resilient and Responsive Health Systems
London School of Hygiene and Tropical Medicine

RESYST (Resilient and Responsive Health Systems) is an international research consortium which aims to enhance the resilience and responsiveness of health systems to promote health and health equity and reduce poverty.

 

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Future Health Systems – Innovations for Equity
Johns Hopkins Bloomberg School of Public Health (JHSPH)

The purpose of Future Health Systems consoritum is to generate knowledge that shapes health systems to benefit the world's poor. Future Health Systems addresses fundamental questions about the design of health systems and works closely with people who are leading the transformation of health systems in their own countries.

 

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George Institute for Global Health

The mission of The George Institute for Global Health is to improve the health of millions of people worldwide. They focus on understanding what puts people at risk of death and disability from the most common types of injury, chronic and critical conditions, such as heart disease, diabetes and stroke.

 

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EQUITAP Group:  Equity in Asia-Pacific Health Systems

Equitap is a network of research groups in the Asia-Pacific region, bound by a shared commitment to inform the development of more equitable health systems in their countries, through collaboration to jointly profile, compare and analyze equity in their health systems.

 

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Erasmus University: Health Equity and Financial Protection in Asia Project

EFPA is a EU sponsored collaborative project involving 12 research teams from Asia and Europe. The project is motivated by the related problems of limited and unequal access to health care and households’ exposure to financial risks associated with illness in low and lower-middle income Asian countries.