Neil Spicer

ORCID: 0000-0003-3451-8003
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Child Nutrition and Water Access
  • HIV/AIDS Research and Interventions
  • HIV/AIDS Impact and Responses
  • Healthcare Systems and Reforms
  • HIV, Drug Use, Sexual Risk
  • Global Public Health Policies and Epidemiology
  • Global Health and Surgery
  • Primary Care and Health Outcomes
  • Poverty, Education, and Child Welfare
  • Homelessness and Social Issues
  • Child and Adolescent Health
  • Health Policy Implementation Science
  • Migration, Health and Trauma
  • Healthcare Policy and Management
  • Healthcare Systems and Technology
  • Migration, Refugees, and Integration
  • Global Health Care Issues
  • Health Literacy and Information Accessibility
  • Children's Rights and Participation
  • Mental Health and Patient Involvement
  • COVID-19 epidemiological studies
  • Interprofessional Education and Collaboration
  • ICT in Developing Communities
  • Sex work and related issues

London School of Hygiene & Tropical Medicine
2012-2023

University of London
2010-2021

Faculty of Public Health
2013-2020

Universidad de Londres
2008

University of Birmingham
2005-2006

This paper explores asylum-seekers’ and refugees’ experiences of place, social exclusion networks, based on a qualitative sociological study. It examines interviewees’ constructions neighbourhoods as excluding or including places compares contrasts parents’ children's accounts. Interviewees perceived inclusion number place-specific factors, security, access to inclusive local resources services, migrants’ ability form supportive networks. Particular emphasis was placed networks with people...

10.1080/13691830701880350 article EN Journal of Ethnic and Migration Studies 2008-02-08

Research demonstrates the important role of refugees and asylum seekers' social networks in providing both practical emotional support necessary to mitigate exclusion promote integration within receiving societies. Based on research conducted by National Evaluation Children's Fund, we highlight barriers network building for refugee seeking children families, ways which Fund strategies practices are tackling these. Using ‘Indicators Integration Framework’ developed Ager Strang (2004),...

10.1017/s1474746406003484 article EN Social Policy and Society 2007-03-12

Donors and other development partners commonly introduce innovative practices technologies to improve health in low middle income countries. Yet many innovations that are effective improving survival slow be translated into policy implemented at scale. Understanding the factors influencing scale-up is important. We conducted a qualitative study involving 150 semi-structured interviews with government, partners, civil society organisations externally funded implementers, professional...

10.1016/j.socscimed.2014.09.046 article EN cc-by-nc-nd Social Science & Medicine 2014-09-28

Although Differentiated Service Delivery (DSD) for anti-retroviral therapy (ART) has been rolled-out nationally in several countries since World Health Organization (WHO)'s landmark 2016 guidelines, there is little research evaluating post-implementation outcomes. The objective of this study was to explore patients' and HIV service managers' perspectives on barriers implementation ART delivery Uganda.We employed a qualitative descriptive design involving 124 participants. Between April June...

10.1186/s12913-020-5069-y article EN cc-by BMC Health Services Research 2020-03-17

A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have potential both facilitate and exacerbate coordination at national subnational level. Evidence effects GHIs on is beginning emerge but has hitherto been limited single-country studies broad-brush reviews. To date, no study provided a focused synthesis systems across multiple countries. address this deficit, we review primary data from seven country three...

10.1186/1744-8603-6-3 article EN cc-by Globalization and Health 2010-01-01

Abstract Background The notion of health-system resilience has received little empirical attention in the current literature on Covid-19 response. We set out to explore at sub-national level Uganda with regard strategies for dispensing antiretrovirals during lockdown. Methods conducted a qualitative case-study eight districts purposively selected from Eastern and Western Uganda. Between June September 2020, we interviews district health team leaders ( n = 9), ART clinic managers 36),...

10.1186/s12913-021-06607-w article EN cc-by BMC Health Services Research 2021-07-13

The world's poorest pay for professional services and thus are in a "market," whether the provided public or private sectors. associated problems of unequal information particularly acute undergoverned countries, where state regulation is weak. We systematically review evidence on solutions to these variety professions. Payments by clients more likely have positive effect quality if they made through locally-managed organizations rather than directly individual practitioners, those an...

10.1016/j.worlddev.2013.04.003 article EN cc-by-nc-nd World Development 2013-05-16

Achievement of Millennium Development Goal (MDG) 4 for child survival requires acceleration gains in newborn survival, and current trends improving maternal health will also fall short reaching MDG 5 without more strategic actions. We present a Maternal Newborn Child Health (MNCH) strategy accelerating progress on MDGs 5, sustaining the beyond 2015, further bringing down mortality by two thirds 2030.The takes into account coverage cause-specific mortality, builds lessons learned about what...

10.1186/1471-2393-13-216 article EN cc-by BMC Pregnancy and Childbirth 2013-11-22

Donors often fund projects that develop innovative practices in low and middle-income countries, hoping recipient governments will adopt scale them within existing systems programmes. Such innovations frequently end when project funding ends, limiting longer term potential countries with weak health pressing needs. This paper aims to identify critical actions for externally funded implementers enable scale-up of maternal newborn child originally by the Bill & Melinda Gates Foundation (‘the...

10.1186/s12992-018-0389-y article EN cc-by Globalization and Health 2018-07-27

Introduction There is growing interest in health system performance and recently WHO launched a report on systems strengthening emphasising the need for close monitoring using system-wide approaches. One recent method balanced scorecard system. limited application of this middle- low-income countries. This paper applies concept to describe baseline status three intervention districts Zambia. Methodology The Better Health Outcome through Mentoring Assessment (BHOMA) project randomised...

10.1371/journal.pone.0058650 article EN cc-by PLoS ONE 2013-03-21

Since the global economic crisis, a harsher climate and commitments to address problems of health poverty have led increased donor interest fund effective innovations that offer value for money. Simultaneously, further aid effectiveness is being sought through encouraging governments in low- middle-income countries (LMICs) strengthen their capacity be self-supporting, rather than reliant. In practice, this often means donors pilot three five years demonstrate then advocate national...

10.15171/ijhpm.2018.08 article EN cc-by International Journal of Health Policy and Management 2018-02-14

Peru has received around $70 million from Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund). Recent economic growth resulted in grant ineligibility, enabling greater government funding, yet doubts remain concerning programme continuity. This study examines the transition support increasing national HIV/AIDS funding (2004–2012) by analysing actor roles, motivations effects on policies, identifying recommendations inform decision-makers priority areas. A conceptual framework,...

10.1080/17441692.2013.878957 article EN Global Public Health 2014-02-05

The Paris Declaration on Aid Effectiveness, which provides an international agreement how to deliver aid, has recently been reviewed by the Organization for Economic Co-operation and Development (OECD). Health sector aid effectiveness is important, given volume of financial number mechanisms through health assistance provided. Recognizing this, community created International Partnership (IHP+), apply sector. This paper, presents findings from independent monitoring process (IHP+Results),...

10.1186/1744-8603-8-13 article EN cc-by Globalization and Health 2012-01-01

Donors commonly fund innovative interventions to improve health in the hope that governments of low and middle-income countries will scale-up those are shown be effective. Yet innovations can slow adopted by country implemented at scale. Our study explores this problem identifying key contextual factors influencing maternal newborn three low-income settings: Ethiopia, six states northeast Nigeria Uttar Pradesh state India. We conducted 150 semi-structured interviews 2012/13 with stakeholders...

10.1186/s12992-016-0218-0 article EN cc-by Globalization and Health 2016-11-25

Background Maternal and newborn deaths are unacceptably common in Ethiopia, North-Eastern Nigeria, the state of Uttar Pradesh India. Governments working to strengthen health systems improve maternal but need access accurate evidence on which base decisions. This panel session will include both policy-makers researchers examples how they can work together translate into policy practice. Three brief given below. The discussion draw from these others, building a framework our recent qualitative...

10.1186/1472-6963-14-s2-o7 article EN cc-by BMC Health Services Research 2014-07-01

Health information systems are an important planning and monitoring tool for public health services, but may lack from the private sector. In this fourth article in a series on district decision-making health, we assessed extent of maternal, newborn child (MNCH)-related data sharing between sectors two districts Uttar Pradesh, India; analysed barriers to sharing; identified key inputs required sharing. Between March 2013 August 2014, conducted 74 informant interviews at national, state...

10.1093/heapol/czv117 article EN cc-by Health Policy and Planning 2016-09-01

Although civil society advocacy for health issues such as HIV transmission through injecting drug use is higher on the global agenda than previously, its impact national policy reform has been limited. In this paper we seek to understand why case an examination of efforts HIV/AIDS and drugs-related policies their implementation in three former Soviet Union countries. In-depth semi-structured interviews were conducted Georgia, Kyrgyzstan Ukraine by researchers with representatives from a...

10.1093/heapol/czs060 article EN Health Policy and Planning 2012-07-04

This article explores the relationships between two key concepts that have defined recent social policy initiatives for children in UK: participation and prevention from exclusion. Drawing on Children's Fund initiative as an example, traces diverse sometimes contradictory discourses of childhood inclusion/exclusion stakeholders' differing rationales supporting children's prevention. The authors argue blurring has implications strategies practices agencies adopt raises questions about which...

10.1177/0907568207086835 article EN Childhood 2008-02-01

The extent of children's and young people's participation activities has increased considerably among statutory, voluntary community sector organisations across the UK in recent years. Children's Fund, a major government initiative launched 2000, represents systematic drive towards promoting children planning, implementing evaluating preventative services within all 149 local authority areas England. Based on research carried out by National Evaluation this paper explores experience Fund...

10.1017/s1474746405002861 article EN Social Policy and Society 2006-04-01
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