The topic of ‘Health Systems’ is rapidly growing as a multi-disciplinary area of research and teaching at the London School of Hygiene & Tropical Medicine. This website presents some of the health systems research being undertaken in the Faculty of Public Health and Policy as well as listing relevant teaching programmes, resources and events.

The following departments and groups are carrying out research on Health Systems:

Research is conducted in high-, middle- and low-income countries, in partnership with country level research institutions and international agencies.

The map below shows countries in which we have health systems projects (current or recently completed)

View Health Systems Map in a larger map

Global projects can be viewed separately here

Effective health systems are essential for improving health, ensuring access to services, and promoting economic and social development. Strengthened health systems play a central role in the global public health agenda.

As health systems are complex, we need innovative research approaches to understand them, looking at how individual interventions and policies work and how they interact with the other elements of the health system and beyond, paying attention to both intended and unintended consequences.

Some of the key research themes being addressed at the School include:

  • Systematic descriptions of health systems and in-depth analyses of key issues facing them (within the framework of the European Observatory on Health Systems and Policies)
  • Integration of disease-specific programmes and interventions within health systems (e.g. TB/HIV, measles immunisation etc.)
  • ‘Whole system’ studies – comparative and historical analyses of health systems, understanding how health systems change and what constrains them (such as path dependency)
  • How health systems fit into the new global architecture
  • ‘Top down’ and ‘bottom up’ approaches to reform: the use of tracer conditions (such as diabetes) to understand how health systems impact on ordinary people as they either seek or try to provide effective care
  • How health systems innovate
  • The development of new methodologies to understand the increasing complexity of health systems



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