Josephine Borghi profile picture

Josephine Borghi

Research Group Leader and Principal Research Scholar

Health, Ageing and Health Systems Research Group

Population and Just Societies Program

Biography

Josephine Borghi leads the Health, Ageing and Health Systems (H2A) Research Group in the IIASA Population and Just Societies Program.

Her research focuses on understanding the effect of health financing reforms on health systems, health outcomes, and equity. She has a particular interest in health systems and financing, as well as the impact of climate change and other global challenges, like COVID-19 on the ability of health systems to deliver effective and affordable services to the population. She is also interested in the design and effect of policy interventions targeted at making health systems more sustainable and resilient to future shocks.

Borghi’s background is in health economics, and she has experience leading research projects involving a range of methods including: economic evaluation of health care programs, mixed methods evaluation of complex interventions and theories of change, and most recently, system dynamics and agent based modeling.

Her research is primarily focused on vulnerable populations, such as mothers and children, refugees, and poor populations in low- and middle-income settings.

As part of her professional experience, Borghi had the opportunity to conduct research in a variety of countries all over the world, including Brazil, China, Lebanon, Malawi, Mexico, Mozambique, Sierra Leone, Tanzania, Uganda, West Africa, Zambia, and Zimbabwe.

Last update: 07 JAN 2026

Publications

Federspiel, F., Borghi, J. , Tarp Jensen, H., Mbaye, E.M., & Martinez Alvarez, M. (2026). Influence of public external debt on government health expenditure: A mixed-methods case study of Senegal. PLOS Global Public Health 6 (7) e0006698. 10.1371/journal.pgph.0006698.

Loha, E., Somville, V., Borghi, J. , Binyaruka, P., & Mæstad, O. (2026). Does dosage matter? Effects of Results-based Financing layered on top of less comprehensive direct facility financing in Tanzania. Health Policy and Planning 41 (6) 988-1003. 10.1093/heapol/czag058.

Chama-Chiliba, C.M., Sachingongu, N., Cassidy, R., Binyaruka, P., Chansa, C., Semwanga, A.R., & Borghi, J. (2025). Using causal loop diagrams to explore the maternal and child health system response to payment for performance in Zambia, and it’s generalisability across settings. SSM - Health Systems 5 e100082. 10.1016/j.ssmhs.2025.100082.