Social and economic determinants of health
NTD elimination through action on the Social Determinants of Health: the case of podoconiosis in Guatemala (Principal Investigator: Mei Trueba)
Following from a previous research project financed by the University of Sussex this project aims to understand the socio-economic factors and processes that have led to the elimination of podoconiosis in Guatemala in order to support podoconiosis efforts in other parts of the world. This project is being undertaken in collaboration with the Centre for Health Studies (CES, University del Valle, Guatemala).
The political economy of occupational health injuries: addressing the elephant in the room (PI: Mei Trueba)
Occupational Health and Safety (OHS) is increasingly being recognised as a growing, yet neglected, global health problem. Globally, over 2.3 million people are estimated to die annually for reasons attributed to work, and the International Labour Organization and the World Health Organization have recently called for urgent action and new solutions to tackle the persistence of work-related accidents and diseases. This project focuses on understanding the macro-economic drivers of occupational injuries in the Bolivian small-scale mining sector in order to advance OHS research knowledge and inform evidence-based interventions in Bolivia and beyond. This project is being undertaken in collaboration with the Bolivian network of women and Mining (RNMM).
Vivir Bien/ Buen Vivir and post-neoliberal development paths in Latin America: Scope, strategies and the realities of implementation
Dr Mei Trueba is currently co-editing, with Dr Kepa Artaraz (University of Brighton) and Dr Melania Calestani (Kingston University), a special issue on the multifaceted meanings of ‘Living Well' and their policy translations in the Latin American Context.
Exploration of the social and cultural dimensions of Mycetoma and development of a community prevention programme in Sudan (PI: Shahaduz Zaman)
Mycetoma is a slow-growing, destructive infection of the skin and underlying tissues. It is painful, disabling and reduce mobility which has a severe negative impact on productivity at household, community and national levels. It is associated with high levels of stigma which creates social isolation, reduces opportunities for education and increases the risk of poor mental health. Knowledge of mycetoma within health care systems is often inadequate. Diagnosis and treatment options are limited and the cost of accessing health care to ease symptoms can be prohibitively expensive. As part of a larger NIHR grant exploration of the social construction of mycetoma including social production of health disparities and belief in healing practices using critical medical anthropological perspectives is underway through a PhD project. A community intervention programme will be developed based on the initial exploration.
Economic Evaluation of Health Care Interventions (PI: Natalia Ivashikina)
To help patients, doctors and other health care professionals make decisions about treatment and management of health issues, we need evidence about what works best. Health economics focuses on getting good value out of our limited health care resources.
- We investigate how healthcare resources are used to help people with health problems;
- We design and conduct economic evaluations of new treatments, diagnostic tools and healthcare programmes;
- We forecast and model outcomes of new treatments and healthcare programmes;
- We provide policy makers with advice concerning the allocation of resources in health care.
Our current research topics cover following areas:
Economic Evaluation of community-based holistic care package for people with lymphoedema in Ethiopia (NIHR GHRU project);
Estimating economic cost of mycetoma in Sudan (NIHR GHRU project);
Evaluating costs and outcomes of public health strategies to contain scabies outbreaks in Ethiopia using a dynamic transmission model (NIHR GHRU project);
Estimating economic cost of stigmatised skin conditions (podoconiosis, mycetoma and scabies) for individuals and societies in Ethiopia, Rwanda and Sudan (5S Foundation project);
Evaluating innovative prescribing services (supplementary prescribing by dieticians and independent prescribing by therapeutic radiographers) and their effect on patients, staff and services in the UK, using a decision analytical model (TraDiP project, https://www.surrey.ac.uk/evaluation-independent-prescribing-therapeutic-radiographers-and-supplementary-prescribing)