The Centre for Health and Social Change

ECOHOST – The Centre for Health and Social Change at the London School of Hygiene and Tropical Medicine (LSHTM) has a well established international reputation for providing high quality evidence on the impacts of social change on health in the UK, Europe and globally through research, policy engagement and teaching. ECOHOST works across LSHTM and closely with other LSHTM Centres such as the Centre for Global NCDs and Centre for Global Mental Health.

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Global Health Lab, 18 Oct 2016: Migration and health – where’s the global leadership?

There are unprecedented numbers of refugees and other migrants around the world. While the responses by some agencies and governments in meeting the health needs of migrants has been impressive, overall the responses appear woefully inadequate. Underpinning much of this failure is the lack of national and global leadership. Early indications on the outcomes from the first . . .

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European Observatory on Health Systems and Policies

ECOHOST is also a WHO Collaborating Centre and hosts the European Observatory on Health Systems and Policies.

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ECOHOST research has been funded from the Wellcome Trust, the Economic and Social Research Council (ESRC), the National Institute for Health Research (NIHR), the UK Department for International Development (DFID), the European Commission and Helmsley Trust.

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Featured research project

Measuring the impact of cardiovascular disease on equity and impoverishment

Adrianna was recently awarded a Wellcome Trust Research Fellowship to conduct research on the economic burden of non-communicable diseases in low- and middle-income countries (LMICs). The aim of her project is to improve existing tools for measuring the burden of health care costs for cardiovascular disease (CVD) on patient households, including both direct costs (e.g. medicines, doctor fees) and indirect costs (lost day's wages). Adrianna is currently piloting a household expenditure diary in three LMICs - South Africa, Tanzania and Zimbabwe which will allow her to collect daily expenditure data from households over an extended period of time, thus capturing chronic daily health expenditure and avoiding recall bias. The estimates of economic burden obtained from the diaries will be combined with qualitative household interviews which will explore the experience of households in using this tool, as well as the impact that health care costs have on their longer-term health care-seeking behaviour.

Left: The data collection team in Mt Frere, South Africa

Research project

Martin McKee speaks about safeguarding solidarity in Europe

Martin McKee speaks about safeguarding solidarity in Europe at the Forte Talks in Stockholm in March 2016