Contact Details

Lucia Fiestas Navarrete

Lucia Fiestas Navarrete

Project Details

Strengthening health systems with a vision of universal coverage as the end stage ensures that the least well-off are included ab initio in the drive for the best attainable population health gains. This is of particular importance in low- and middle-income countries (LMICs), where lower per capita health spending on the poor is concomitant to the underperformance of service delivery. Moreover, considering that an estimated 400 million people lack access to essential health services - the brunt of which borne by LMICs - the scale of the problem is non-negligible. Lucia’s research interests lie (i) in understanding the high-order technical and political constraints that developing countries face when ‘going universal’ and (ii) examining the implementation potential of health economic policies that bridge financing and provision gaps. Reflecting upon these avenues of research, Lucia is developing a doctoral dissertation on the relative priorities and trade-offs of expanding universal health coverage (UHC) under different LMIC contexts. Her research focus is on supply-side implementation variations seeking to expand the health services financed by UHC programs in countries with comparable epidemiological burdens and health financing indicators. Using Kenya, South Africa and Nigeria as case studies, Lucia expects to: (i) offer a granular comparative policy analysis of UHC designs at country level, (ii) explore areas of policy convergence, and (iii) construct health economic decision models projecting the impact of alternative coverage expansion strategies on future public budgets and population health indicators.

Project Supervisor(s)

Dr. Ross MacMillan (Bocconi)

Education Profile

PhD in Public Policy and Health Economics, Bocconi University. Master of Public Policy (MPP), University of York and Erasmus University Rotterdam. Master of Public Health (MPH), École des Hautes Etudes en Santé Publique. Honours BA in Health Policy Studies, University of Toronto.

Other Activities

Le Moine, J.G., Fiestas Navarrete, L., Katumba, K. and R. Launois. (2015). Psychometric validation of the 14-items chronic venous insufficiency quality of life questionnaire (CIVIQ-14): Confirmatory factor analysis. European Journal of Vascular and Endovascular Surgery (epub ahead of print). DOI: Access at: Launois, R., Fiestas Navarrete, L., Ethgen, O., Le Moine, J.G. and R. Gatsinga. (2014). Health economic value of an innovation: Delimiting the scope and framework of risk sharing agreements. Journal of Market Access and Health Policy, 2(1). DOI: Launois, R., Le Moine, J.G., Uzzan, B., Fiestas Navarrete, L. and R. Benamouzig. (2014). Systematic review and bivariate/HSROC random-effect meta-analysis of immunochemical and guaiac-based faecal occult blood tests for colorectal cancer screening. European Journal of Gastroenterology & Hepatology, (26)9. DOI: 10.1097/MEG.0000000000000160. Launois, R., Ghabri, S., Fiestas Navarrete, L., Le Moine, J-G. and O. Ethgen. (2014). Paiement à la performance et fixation conditionnelle du prix du medicament. (Pay-for-performance and conditional price setting for pharmaceuticals). Revue Française des Affaires Sociales (French Journal of Social Affairs), 4(4). Access at: