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Natalia Ivashikina

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Natalia Ivashikina (MSc, PhD, FHEA)

Senior Lecturer in Global Health Economics
T: +44 (0)1273 872788
Location: Room 3.08 Medical School Teaching Building, Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, BN1 9PX

Area of expertise: economic evaluation, statistical analysis, economic modelling, systematic literature review, research methodology 

Research areas: neglected tropical diseases, public health interventions, primary care interventions, psychosocial interventions, pharmaceuticals, prescribing 

Other relevant positions: Module lead



Natalia joined the Department of Global Health and Infection as a Senior Lecturer in Global Health Economics in 2017. Following completion of her PhD at Moscow State University in 1996, she received a Royal Society Fellowship to work in the UK (1997-1998) and subsequently undertook research at Würzburg University, Germany (1999-2005). In 2011 she completed an MSc in Health and Social Care Research at Sheffield University. Natalia gained her experience as a health economist by working on a range of clinical trials at the Centre for Health Economics and Medicines Evaluation, Bangor University (2008-2013), where she was also involved in pharmacoeconomic appraisals of new medicines for the All Wales Medicines Strategy Group. In 2013 she moved to the Centre for Primary Care and Public Health at Queen Mary University of London. As well as working on numerous trials within the Pragmatic Clinical Trials Unit she also provided methodological advice for Research Design Service London. In 2015 Natalia joined the Asthma UK Centre for Applied Research at Queen Mary University of London as a Lecturer in Health Economics and undertook methodological research on developing core outcome sets for economic evaluation in asthma trials. While working at Queen Mary University of London she was involved in developing the Introduction to Health Economics Course within the Global Public Health undergraduate programme and delivering the problem-based learning module to the MBBS students.


Natalia has a particular interest in research methodology and economic evaluation in health care. Her current studies focus on healthcare interventions for neglected tropical diseases (podoconiosis, mycetoma and scabies), HIV, non-medical prescribing and neonatal care. These studies include collaborations with universities in the UK, Ethiopia, Sudan, Spain, Netherlands, Canada, Turkey, Romania and Zambia. Previously Natalia was involved in a number of UK projects on the management of diabetes, musculoskeletal pain, faecal incontinence, smoking cessation, exercise referral scheme and e-learning health promotion. Natalia’s expertise covers all aspects of executing economic evaluations - from systematic literature review to statistical analysis and economic modelling.

Current research projects:

  1. NIHR Brighton and Sussex Centre for Global Health Research, NIHR Global Health Research Programme (2021-2026).
  2. Improving collaborative inter-agency systems and practice in self-neglect: identifying barriers and co-producing solutions NIHR Health Services & Delivery Research Programme (2022-2024).
  3. Alliance for Family Integrated Care (FICare) Implementation in Neonatal Intensive Care Units. European Commission, Horizon 2020 - Research and Innovation Framework Programme (2021-2024).
  4. Optimised electronic patient records to improve clinical monitoring of HIV-positive patients. Royal Academy of Engineering (2020-2023).
  5. Innovation in the Allied Health Professions: Evaluation of supplementary prescribing by dieticians and independent prescribing by therapeutic radiographers. NIHR Policy Research Programme (2019-2023). 


Natalia is a leader of the postgraduate module on Economic Evaluation in Health Care (MDM190). She delivers teaching sessions for the Public Health MSc course (MDM50) and supervises Individual Research Projects (MDM404). Natalia also co-supervises a PhD project on podoconiosis in Rwanda.

Selected publications

Babashahi S, Carey N, Jani Y, Hart K, Hounsome N. Costs, consequences and value for money in non-medical prescribing: a scoping review. BMJ Open. 2023; 13(5):e067907

Hounsome N, Hassan R, Bakhiet SM, Deribe K, Bremner S, Fahal AH, Newport MJ. Role of socioeconomic factors in developing mycetoma: Results from a household survey in Sennar State, Sudan. PLOS Neglected Tropical Diseases. 2022; 16(10):e0010817.

Papoutsi C, Hargreaves D, Hagell A, Hounsome N, Skirrow H, Muralidhara K, Colligan G, Vijayaraghavan S, Greenhalgh T, Finer S. Group clinics for young adults living with diabetes in an ethnically diverse, socioeconomically deprived population: a mixed-methods evaluation. Southampton (UK): NIHR Journals Library. Health and Social Care Delivery Research 2022; 10:25.

Leake Date HA, Alford K, Hounsome N, Moore D, Ing K, Vera JH. Structured medicines reviews in HIV outpatients: a feasibility study (The MOR Study). HIV Med. 2022; 23(1):39-47.

Roukas C, Quayyum Z, Patel A, Fitzsimmons D, Phillips C, Hounsome N. Developing core economic parameter sets for asthma studies: A realist review and an analytical framework. BMJ Open 2020. 10(10):e037889

Hounsome N, Kassahun MM, Ngari M, Berkley JA, Kivaya E, Njuguna P, Fegan G, Tamiru A, Kelemework A, Amberbir T. Clarke A, Lang T, Newport MJ, McKay A, Enquoselassie F, Davey G. Cost-effectiveness and social outcomes of a community-based treatment for podoconiosis lymphoedema in the East Gojjam zone, Ethiopia. PLoS Negl Trop Dis. 2019; 13(10): e0007780.

Hounsome N, Roukas C. Cost-effectiveness of sacral nerve stimulation and percutaneous tibial nerve stimulation for faecal incontinence. Therap Adv Gastroenterol. 2018; 11:1756284818802562.

Ashaye T, Hounsome N, Carnes D, Taylor SJC, Homer K, Eldridge S, Spencer A, Rahman A, Foell J, Underwood M. Opioid prescribing for chronic musculoskeletal pain in UK primary care: results from a cohort analysis of the COPERS trial. BMJ Open. 2018; 8:e019491.

Hounsome N, Fitzsimmons D, Phillips C, Patel. A. Developing core economic outcome sets for asthma studies: a protocol for a systematic review. BMJ Open 2017; 7:e017054.

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