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Joses Muthuri Kirigia

Joses Muthuri Kirigia
African Sustainable Development Research Consortium, Nairobi, Kenya

Phd

About

212
Publications
98,631
Reads
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4,598
Citations
Citations since 2016
64 Research Items
2590 Citations
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Introduction
Current research interests include COVID-19 issues (economic burden and governance); assessment of performance of national health research systems; and assessment of performance of health system decision-making units.
Additional affiliations
January 2017 - January 2018
Meru University College of Science and Technology (MUST)
Position
  • Managing Director
Description
  • I taught health economics; and directed and stimulated multi-disciplinary research production, publication at MUST to guide the achievement of Kenya's Vision 2030 development objectives and the Sustainable Development Goals (SDGS) in Africa.
November 2014 - April 2016
World Health Organization WHO, Régional Office for Africa
Position
  • Manager
Description
  • (1) Developing workplan, implementing, monitoring and évaluation; (2) Survey of national health research systems & Development African NHRS.barometer; (3) Publishing pertinent articles; (4) Development of research for health régional stratègy
January 2011 - May 2011
World Health Organization, Regional Office for Africa, Brazzaville, Congo
Position
  • Acting Director, Administration and Finance
Description
  • I was Acting Director, Administration and Finance (DAF), WHO/AFRO for 5 months. It entailed supervising support staff; and advising RD, Technical Clusters and WHO Country Offices on DAF related matters.
Education
September 1990 - April 1994
The University of York
Field of study
  • Economics

Publications

Publications (212)
Article
Full-text available
Background Coronavirus disease (COVID-19) continues to ravage both the health and economy of South Africa. This study estimated the total present value of human life (TPVHL) losses associated with COVID-19 in South Africa. Methods The human capital approach (HCA) was used to value the 101,146 human life losses associated with COVID-19 in South Afr...
Preprint
Full-text available
Background: The goal of universal health coverage (UHC) is that every individual has access to quality health services without running the consequences of financial hardship. The World health report 2013 "Research for universal health coverage" states a performant National Health Research Systems (NHRS) can contribute by providing solutions to chal...
Article
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In an era of considerable uncertainty about future prospects for development assistance to fund major health programmes in Sub-Saharan Africa, social health insurance is increasingly being considered as an alternative mechanism for increasing financing health. However, empirical support for social health insurance in sub-Saharan Africa remains spar...
Article
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The aim of the United Nations' Sustainable Development Goal (SDG)3 is to ensure healthy lives and promote well-being for all, at all ages; including reducing maternal and child mortality, combating communicable and non-communicable diseases, and achieving Universal Health Coverage (UHC). UHC aims to provide everyone with equal access to quality ess...
Article
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Background To date, no study has estimated the dollar value of DALYs lost from a wide range of diseases and conditions in South Africa. The specific objectives of this study were: (a) to estimate the dollar value of disability-adjusted life-years (DALYs) lost in South Africa in 2019, and (b) to forecast the reductions in the dollar value of DALY lo...
Article
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Background: The Republic of Mauritius had a total of 422,567 disability-adjusted life years (DALYs) from all causes in 2019. This study aimed to estimate the monetary value of DALYs lost in 2019 from all causes in Mauritius and those projected to be lost in 2030; and to estimate the monetary value of DALYs savings in 2030 if Mauritius were to attai...
Article
Full-text available
Objective: According to the WHO coronavirus disease (COVID-19) situation report 35, as of 24th February 2020, there was a total of 77,262 confirmed COVID-19 cases in China. That included 2595 deaths. The specific objective of this study was to estimate the fiscal value of human lives lost due to COVID-19 in China as of 24th February 2020. Results...
Article
Background: The Coronavirus Disease (COVID-19) pandemic continues to cause morbidity and premature mortality, and to ravage the socio-economic sectors in Canada. Objective: The objective of the study was to appraise the total dollar value of human life losses (TDVHL) associated with COVID-19 in Canada. Methods: The net output approach was applied...
Article
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Results: In Africa, an average of 46.46% (STDEV=26.10) of the population was in multidimensional poverty. The average OGI for Africa was 49.85 (STDEV=13.67). The average CPI for Africa was 32.4 (standard deviation=12.4). The study found a statistically significant association between COVID-19 cases and MPI, PLP, OGI, safety and the rule of law, sus...
Article
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All diseases and injuries exert a heavy epidemiological and socioeconomic burden on Kenya. The specific objectives of this study were (a) to estimate the monetary value of disability-adjusted life years (DALYs) from all causes in 2017 with the ongoing implementation of United Nations sustainable development goal (SDG) 3 and (b) to estimate the redu...
Article
Introduction: Approximately 43906 human lives were lost to COVID-19 by July 2, 2020, in the United Kingdom (UK). This study estimated the total present value of human lives lost due to COVID-19 in the UK as of July 2, 2020. Background: The ongoing global COVID-19 pandemic has disrupted external trade and negatively impacted on all the socioeconomic...
Article
Background: The coronavirus disease (COVID-19) has had an adverse effect on both health and socioeconomic development of India. The specific study objective was to estimate the total present value of human life losses (TPV) associated with COVID-19 in India as of 3 October 2020. Materials and Methods: The standard human capital approach model (HCA...
Article
Background: The specific aim of this study was to estimate the total discounted value of human life losses associated with COVID-19 in Germany as of 8 November 2020 𝑇𝑉𝐻𝐿𝐺𝐸𝑅𝑀𝐴𝑁𝑌. Materials and Methods: The human capital approach (HKA) model was applied in calculating the total value of the 11,435 human lives losses associated with COVID-19 in Germa...
Article
Background: As of 29 October 2020, Japan had a total of 98,116 Coronavirus Disease (COVID-19) cases that included 1,730 (1.8%) deaths, 90,807 (92.6%) recovered cases, and 5,579 (5.7%) active cases. The ongoing pandemic continues to disrupt external trade and supply chains, and all other economic and social sectors in the country. The aim of this st...
Article
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Background: Mauritius along with other 12 countries in the African Region was identified at the early start of the COVID-19 pandemic as being at high risk due to high volume of international travel, high prevalence of non-communicable diseases and co-morbidities, high population density and significant share of population over 60 years (16%). The o...
Article
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Background: This study estimates the total discounted value of human lives lost (TDVHL) due to COVID-19 in France as of 14 September 2020. Methods: The human capital approach (HCA) model was used to estimate the TDVHL of the 30,916 human lives lost due to COVID-19 in France; i.e., assuming a discount rate of 3% and the national average life expecta...
Article
Full-text available
The coronavirus disease (COVID-19) continues to ravage human lives, social systems, and economies around the world. The objective of this study was to estimate the total present value (TPVAFC) of human life losses associated with COVID-19 in Africa continent as of 1 August 2020. A human capital approach model was used to estimate the TPVAFC of the...
Article
Full-text available
Background: As of 28 August 2020, there was a total of 369,911 Coronavirus Disease (COVID-19) cases reported in the Islamic Republic of Iran that consisted of 21,249 deaths, 318,270 recovered cases, and 30,392 active cases. This study aimed to estimate the total present value of human lives lost due to COVID-19 in Iran as of 28 August 2020 (TPVHLL)...
Article
Full-text available
Background: The objective of this study was to estimate the total discounted financial worth of the human lives lost in Italy from Coronavirus Disease (COVID-19). Materials and Methods: This study used the net output approach (or human capital approach) to estimate the total discounted financial worth of the 35,412 human lives lost in Italy from C...
Article
Background: Coronavirus Disease (COVID-19) pandemic is causing havoc to human life and economy in Brazil. This study estimated the discounted pecuniary value of human life (TPVHL) losses associated with COVID-19 in Brazil. Materials and Methods: The human capital approach appraised the TPVHL of the 36,044 human lives lost to COVID-19 in Brazil by...
Article
Many of the 54 countries in the African Continent had gaps in the International Health Regulations (IHR) core capacities of 50% and above. The numbers of countries with gaps of such magnitude included 29 (53.7%) in IHR legislation; 22 (40.7%) in coordination and national IHR focal point functions; 7 in surveillance; 23 (42.6%) in preparedness; 11 (...
Article
Full-text available
Purpose To estimate the discounted money value of human lives lost (DMVHL) due to COVID-19 in Spain. Design/methodology/approach The study employs the human capital approach to estimate the DMVHL (assuming Spain's life expectancy of 83 years and a 3% discount rate) of the 20,453 human lives lost in Spain from COVID-19 as of 19 April 2020. Sensitiv...
Article
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Background: This study aimed to appraise the monetary value of human life losses associated with COVID-19 in Turkey. To our knowledge, it is the first study in Turkey to value human life losses associated with COVID-19. Methods: A human capital approach (HCA) model was applied to estimate the total monetary value of the 4,807 human lives lost in Tu...
Article
In the context of the ongoing Coronavirus Disease (COVID-19) pandemic, the availability of safe water and sanitation in Africa is essential for the implementation of safe hand hygiene, which is a crucial intervention for preventing transmission of COVID-19. Fifty per cent and above of the total population in 37 (71.2%) countries, 7 (13.5%) countrie...
Article
The objective of the analysis reported in this paper was to calculate the universal health coverage gaps in 54 African continent countries as a proxy indicator of vibrancy of underlying national health systems. The data analysed was extracted from the WHO Global Health Observatory. The UHC index gap varied widely from 22% in Algeria to 75% in Somal...
Article
Objective: To estimate the total discounted monetary value of human lives lost (TDMVHL) due to Coronavirus disease (COVID-19) in the USA as of 3 May 2020. Methods: The study estimates the present value of the 67,535 lives lost from COVID-19 in the USA, using the national average life expectancy of 78.6 years and a 3% discount rate. The robustness o...
Preprint
Full-text available
Objective As of 11 April 2020, there were 68,192 confirmed cases, including 4,232 deaths. This study aimed to estimate the net present value of human lives lost due to COVID-19 in Iran as of 11 April 2020. Results The 4,232 human lives lost had a total net present value of Int$ 436,275,007. The average net present value per human life was Int$103,0...
Article
Full-text available
Background: Suicide is an important public health problem in the African continent whose economic burden remains largely unknown. This study estimated the monetary value of human lives lost due to suicide in the African continent in 2017. Methods: The human capital approach was applied to monetarily value the years of life lost due to premature mor...
Article
Full-text available
Background: The objectives of the study reported in this paper were: (a) to score the coverage of core NCD population-based interventions and individual services in Mauritius; (b) to analyse and score the presence of 15 common health system challenges that impede delivery of core NCD interventions and services in Mauritius; and (c) to provide poli...
Preprint
Full-text available
Objective: According to the WHO coronavirus disease (COVID-19) situation report 35, as of 24 th February 2020, there was a total of 77,262 confirmed COVID-19 cases in China. That included 2,595 deaths. The specific objective of this study was to estimate the fiscal value of human lives lost due to COVID-19 in China as of 24 th February 2020. Result...
Preprint
Full-text available
Objective: According to the WHO novel coronavirus (2019-nCoV) situation report 16, as at 5 th February 2020, there was a total of 24363 confirmed 2019-nCoV cases in China. That consisted of the world 491. The specific objective of this study was to estimate, using human capital approach, the fiscal value of human lives lost due to 2019-nCoV in Chin...
Preprint
Full-text available
Background: The objectives of the study reported in this paper were: (a) to score the coverage of core NCD population-based interventions and individual services in Mauritius; (b) to analyse and score the presence of 15 common health system challenges that impede delivery of core NCD interventions and services in Mauritius; and (c) to provide polic...
Preprint
Full-text available
Background The Republic of Mauritius lost a total of 402,565 disability-adjusted-life-years (DALY) from all causes in 2017. The objectives of this study were (a) to estimate the monetary value of DALY lost in 2017, and projected to be lost from all causes in Mauritius in 2030; and (b) to estimate the monetary value of DALY savings in year 2030, if...
Article
The specific objectives of this study were to estimate the money values of disability-adjusted-life-years (DALYs) lost in Zambia in 2017 and expected in 2030; and to calculate the potential money savings from DALY losses averted assuming United Nations Sustainable Development Goal 3 (SDG3) targets are attained. A variant of the net output approach...
Article
Full-text available
Background: Between 8 May 2018 and 27 May 2019, cumulatively there were 1286 deaths from Ebola Virus Disease (EVD) in the Democratic Republic of Congo (DRC). The objective of this study was to estimate the monetary value of human lives lost through EVD in DRC. Methods: Human capital approach was applied to monetarily value years of life lost due...
Preprint
Background This study provides an overview of NCD mortality, morbidity and risk factors; rates coverage of core population NCD interventions and individual NCD services in Mauritius; assesses health systems challenges and opportunities for better NCD outcomes; and recommends priority action areas to accelerate gains in NCD outcomes in Mauritius. Me...
Preprint
Full-text available
div>A variant of human capital (or net output) analytical framework was applied to monetarily value DALYs lost from 166 diseases and injuries. The monetary value of each of the 166 diseases (or injuries) was obtained through multiplication of the net 2019 GDP per capita for Kenya by the number of DALYs lost from each specific cause. Where net GDP p...
Preprint
div>A variant of human capital (or net output) analytical framework was applied to monetarily value DALYs lost from 166 diseases and injuries. The monetary value of each of the 166 diseases (or injuries) was obtained through multiplication of the net 2019 GDP per capita for Kenya by the number of DALYs lost from each specific cause. Where net GDP p...
Article
The Economic and Monetary Community of Central Africa (CEMAC) consists of Cameroon, Central African Republic, Chad, Republic of Congo, Equatorial Guinea and Gabon. In 2015, CEMAC lost a total of 38,356,492 disability-adjusted-life-years (DALY). This study estimated the fiscal value of DALYs lost in the CEMAC in 2015 without and with the UN Sustaina...
Article
Full-text available
Background: Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evidence to solve local challenges. However, weak research capacity and inadequate resources remain an impendiment to quality resea...
Chapter
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South Africa’s pursuit of universal health coverage requires contextualised scientific knowledge to guide the development of health system-strengthening strategies. Urgent concerted action is needed to strengthen the national health research system (NHRS), with a view to generating high-quality knowledge and promoting its utilisation in population...
Article
Background: The current study estimated (a) the indirect costs associated with non-fatal disability and premature mortality across a wide range of diseases and health conditions in Africa in 2015 and (b) the potential savings that could be accrued if countries were to meet the 3 health targets of the sustainable development goal (SDG) 3 compared to...
Article
Full-text available
Background: This article estimates non-health gross domestic product (GDP) losses associated with Disability-Adjusted Life Years (DALY) lost among 15-59 year olds (most productive age bracket) in Kenya in 2015. Methods: This study employs the lost output or human capital approach (HCA) to convert the DALYs lost from all causes into their monetary...
Article
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ABSTRACT This study bridges extant information gap on the pecuniary value of disability-adjusted-life-years (DALYs) lost in the Arab Maghreb Union (AMU). The DALYs lost in 2015 are converted into money using human capital (lost output) approach. The AMU total value of DALYs lost from all causes is the sum of each of the five country’s pecuniary val...
Article
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Background: Neglected tropical diseases (NTDs) are an important cause of death and disability in Africa. This study estimates the monetary value of human lives lost due to NTDs in the continent in 2015. Methods: The lost output or human capital approach was used to evaluate the years of life lost due to premature deaths from NTDs among 10 high/u...
Article
Background: The objectives of this article are to describe the process followed in development of the Swaziland’s national health research agenda (NHRA); and to provide an overview of the health research priorities that emerged from that process. Discussion: Swaziland followed a fourteen step process to develop it’s NHRA, namely: search and review...
Article
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Background: As Kenya accelerates the momentum to attain the Sustainable Development Goals (SDG) 3 on health and 13 on combatting impacts of climate change, it is critically important not to overlook their impacts on the elderly, i.e. people aged 60 years and above (elderly). The objective of this study was to estimate the indirect cost (productivit...
Article
Background: In 2012, a total of 9 398 809 deaths from all causes occurred in the WHO African Region; out of which 2 788 381 (29.67%) were due to non-communicable diseases (NCD). The objective of this study was to estimate future gross domestic product (GDP) losses associated with NCD deaths in the African Region for use to advocate for increased in...
Article
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Background In 2014, almost half of the global tuberculosis deaths occurred in the World Health Organization (WHO) African Region. Approximately 21.5 % of the 6 060 742 TB cases (new and relapse) reported to the WHO in 2014 were in the African Region. The specific objective of this study was to estimate future gross domestic product (GDP) losses ass...
Article
Full-text available
Background A functional national health research system (NHRS) is crucial in strengthening a country’s health system to promote, restore and maintain the health status of its population. Progress towards the goal of universal health coverage in the post-2015 sustainable development agenda will be difficult for African countries without strengthenin...
Article
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Background The Global Forum 2015 panel session dialogue entitled “From evidence to policy – thinking outside the box” was held on 26 August 2015 in the Philippines to debate why evidence was not fully translated into policy and practice and what could be done to increase its uptake. This paper reports the reasons and possible actions for increasing...
Article
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Background: Majority of the countries in the World Health Organization (WHO) African Region are not on track to achieve the health-related Millennium Development Goals, yet even more ambitious Sustainable Development Goals (SDGs), including SDG 3 on heath, have been adopted. This paper highlights the challenges - amplified by the recent Ebola viru...
Article
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Background This paper has three objectives: to review the health development landscape in the World Health Organization African Region, to discuss the role of health policy dialogue in improving harmonisation and alignment to national health policies and strategic plans, and to provide an analytical view of the critical factors in realising a good...
Article
Purpose – The purpose of this paper is to estimate discounted value of potential non-health gross domestic product (GDP) losses attributable to the 167,913 maternal deaths that occurred among 45 countries in the WHO African Region in 2013. Design/methodology/approach – A cost-of-illness method was used to estimate non-health GDP losses related to...
Article
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Background Out-of-pocket payments in health care have been shown to impose significant burden on households in Sub-Saharan Africa, leading to constrained access to health care and impoverishment. In an effort to reduce the financial burden imposed on households by user fees, some countries in Sub-Saharan Africa have abolished user fees in the healt...
Article
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Background: Strengthening health institutions increases the productivity of health spending. Institutions like hospitals which use a large proportion of the health budget are natural targets for productivity improvements, which need to be tracked over time to enable corrective action. This paper measure changes in technical and scale efficiency of...
Article
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Background: The increasing emphasis on research, development and innovation for health in providing solutions to the high burden of diseases in the African Region has warranted a proliferation of studies including clinical trials. This changing public health landscape requires that countries develop adequate ethics review capacities to protect and...
Article
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Background: Worldwide, a total of 6.282 million deaths occurred among children aged less than 5 years in 2013. About 47.4 % of those were borne by the 47 Member States of the World Health Organization (WHO) African Region. Sadly, even as we approach the end date for the 2015 Millennium Development Goals (MDGs), only eight African countries are on...