Projects per year
Personal profile
Research expertise
Bruno Marchal is associate professor and head of the Health Systems unit. He is currently working on strategic management of health care organisations and stewardship, urban health, research methodologies for complex issues in health and ecohealth. Since 2013, Bruno is a visiting researcher at the School of Public Health, University of the Western Cape, Cape Town (South Africa).
After graduating as a medical doctor and obtaining a degree in Tropical Medicine at the ITM, Bruno worked for 6 years in Nyamira District (Kenya) as a medical doctor and hospital director. He joined the Department of Public Health, ITM in 2000 after obtaining a Master in Public Health. He held the position of tutor and coordinator of the ITM’s Master in Public Health course. Between 2002 and 2005, he was a researcher in the IMMPACT project, focusing on capacity strengthening for research and evidence-based policy in Burkina Faso, Ghana and Indonesia. From 2005 to 2011, he led the work packages on Management and on Human Resource Management of REACT, an FP6-INCO programme in Kenya, Tanzania and Zambia. He carried out his doctoral research on the influence of (health workforce) management practices on performance of hospitals in Ghana and Tanzania, using realist evaluation as the main methodology. In 2011, he successfully presented his PhD dissertation on this subject, titled: "Why do some hospitals perform better than others? A realist evaluation." Between 2011 and 2013, Bruno was a post-doctoral researcher at the Health Services Organisation unit, focusing on research on health worker motivation and non-financial incentives, for instance for the International Federation of the Red Cross (IFRC), and on effects of policy implementation (e.g. FemHealth project).
His current research includes:
Innovative stewardship and governance arrangements at the level of local health systems
The recently finished PhD research of Zakaria Belrhiti (Morocco) focused on complex leadership and public service motivation. In Benin, Jean-Paul Dossou works on policy formulation and implementation gaps. Marsha Orgill carries out her PhD research on strengthening district management as a key lever in health system strengthening in two district health systems in South Africa. With Guillermo Hegel, exploratory research on urban health systems is carried out in Villa Nueva, Guatemala. Scoping revies on urban health systems, urban governance, UrbanHEART and neglected diseases in urban settings are being finalised.
Complexity and the challenges for research, policymaking and management
This theme includes methodological development of theory driven inquiry in health policy and systems research, with a specific focus on realist evaluation. Projects include the Results4TB in Georgia (MRC/ESRC/DfID/Wellcome Trust) and the EU-funded ALERT project in Benin, Tanzania, Uganda and Malawi. Bruno supported/s a large number of research projects with a realist or theory-driven component. He applies the methods also in the field of urban health and eco-health.
Teaching expertise
Bruno Marchal is the Course director of ITM's Master in Science Public Health. His teaching assignments include:
- Teaching the topics of Strategic management, Health care organisation performance and Health workforce management, Health System Strengthening and Health Policy and Systems Research in the MSc – Public Health of ITM
- Teaching in the Postgraduate Certificate Course in Tropical Medicine and International Health, ITM.
- Coaching of master and post-graduate students at ITM.
- Supervision of PhD candidates at ITM and UWC.
- Teaching Health systems in the International MPH of the Ecole de Hautes Etudes de Santé Publique (Rennes) à Paris.
Education/Academic qualification
PhD
Master
MD
External positions
Adjunct Faculty, Institute of Public Health, 250, 2C Main, 2C Cross, Girinagar 1st Phase, Bengaluru 560085, Karnataka, India, upendra@iphindia.org.
May-2017 → …Fingerprint
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Network
Projects
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Le renforcement des capacités des équipes cadres des districts sanitaires à l’ère de la réforme de l’administration sanitaire provinciale en République Démocratique du Congo : une évaluation réaliste
Bosongo, S. I., Marchal, B., Criel, B., Coppieters, Y. & Chenge, F.
1/01/21 → 30/06/22
Project: PhD-project
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Advancing the implementation of quality improvement strategies to reduce maternal mortality using realist evaluation: the case of Maternal Death Reviews in Benin
Boyi, M. C., Marchal, B., Delvaux, T., Benova, L., Zweekhorst, M., Ouendo, E. & Dossou, J.
1/01/21 → 30/06/22
Project: PhD-project
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Relationships building between researchers and national-level decision makers: using network analysis to compare three maternal and child health policy formulation processes in Cameroon
Nchagnouot Mouliom Epse Nkain, F., Marchal, B., Van Belle, S., Van Damme, W., Ongolo-Zogo, P. & Kwedi Nolna, S.
17/11/18 → …
Project: PhD-project
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Addressing gaps in hypertension care and control in Medellin, Colombia: formative research, multi component quasi-experimental intervention
Londono, E. A., Marchal, B., Battaglioli, T. C. E., Van der Stuyft, P. & Dario Gomez, R.
1/01/18 → …
Project: PhD-project
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Implementation of the fee exemption for caesarean section policy (FECSP) in non-state health facilities in Benin: Does it work (or not)? Why (not)? How to improve it?
Dossou, J. P., Marchal, B., Van Damme, W. & Adisso, S.
1/06/15 → …
Project: PhD-project
Research output
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Action research and health system strengthening: the case of the health sector support programme in Mauritania, West Africa
Accoe, K., Marchal, B., Gnokane, Y., Abdellahi, D., Bossyns, P. & Criel, B., 2020, In : Health Research Policy and Systems. 18, 1, p. 25Research output: Contribution to journal › A1: Web of Science-article
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COVID-19 and informal settlements: an urgent call to rethink urban governance
Van Belle, S., Affun-Adegbulu, C., Soors, W., Srinivas, P. N., Hegel, G., Van Damme, W., Saluja, D., Abejirinde, I., Wouters, E., Masquillier, C., Tabana, H., Chenge, F., Polman, K. & Marchal, B., 2020, In : International Journal for Equity in Health. 19, 1, p. 81Research output: Contribution to journal › A1: Web of Science-article
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Opening the 'implementation black-box' of the user fee exemption policy for caesarean section in Benin: a realist evaluation
Dossou, J-P., De Brouwere, V., Van Belle, S. & Marchal, B., 2020, In : Health Policy and Planning. 35, 2, p. 153-166 14 p.Research output: Contribution to journal › A1: Web of Science-article
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Systems and implementation science should be part of the COVID-19 response in low resource settings
English, M., Moshabela, M., Nzinga, J., Barasa, E., Tsofa, B., Marchal, B. & Kruk, M. E., 2020, In : BMC Medicine. 18, 1, p. 219Research output: Contribution to journal › A1: Web of Science-article
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The effect of leadership on public service motivation: a multiple embedded case study in Morocco
Belrhiti, Z., Van Damme, W., Belalia, A. & Marchal, B., 2020, In : BMJ Open. 10, 1, p. e033010Research output: Contribution to journal › A1: Web of Science-article
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