Amnesty E. LeFevre, PhD
- Assistant Scientist
- Division: Global Disease Epidemiology and Control
Center & Institute Affiliations
- Center for Global Health
- International Center for Maternal & Newborn Health
- Johns Hopkins University Global mHealth Initiative (JHU-GmI)
615 N. Wolfe Street
Baltimore, Maryland 21205
PhD, Johns Hopkins Bloomberg School of Public Health, 2010
MHA, Johns Hopkins Bloomberg School of Public Health, 2002
My research interests remain focused on the conduct of evaluations of maternal, newborn and child health (MNCH) interventions in low and middle-income countries. Much of my work to date has focused on the design, implementation, and evaluation of new technologies and community-based packages of integrated MNCH services, including conducting health impact and outcome assessments; economic analyses (cost-effectiveness/ utility, equity); assessments of MNCH service availability and accessibility; quality of care; health information systems; and ensuring the sufficiency and optimal use of human resources. In recent years, I have additionally worked on numerous large-scale evaluations aimed quantifying burden of disease (e.g maternal and child mortality in Afghanistan); exploring optimal service integration (e.g. Family planning into a platform of MNCH services in Bangladesh); and/or improving services delivery (e.g. midwifery services in Afghanistan; effectiveness of community health workers and community to facility linkages in Tanzania and Bangladesh, etc.).
Beyond my broader interests in MNCH and evaluation research, I am presently the M&E Technical Lead for the Johns Hopkins University Global mHealth Initiative. In collaboration with Drs. Alain Labrique, Smisha Agarwal, and Garrett Mehl of WHO we are working with colleagues to establish standards for evaluating the effectiveness of mHealth solutions in a number of settings globally as well as grading the current state of evidence.
- International Health
- maternal, newborn, and child health
- evaluation of community based interventions
- costing and cost-effectiveness
- financial barriers to care
5 select publications representing a broad spectrum of work on MNCH program evaluation, mHealth solutions, and economic evaluation are listed below.
LeFevre AE, et al. Economic Evaluation of a Community-based Newborn Care Intervention Implemented Through Two Service Delivery Strategies in Sylhet District, Bangladesh: A Cluster Randomized Controlled Trial. Bull World Health Organ. 2013 Oct 1;91(10):736-45
Agarwal S, LeFevre AE et al Guidelines for Reporting mHealth Evidence: the mHealth Evidence Reporting and Assessment (mERA) tool. British Medical Journal 2016, In Press
LeFevre AE, Mpembeni R, et al Profile, knowledge and work patterns of a cadre of maternal, newborn and child health CHWs focusing on preventive and promotive services in Morogoro Region, Tanzania. Human Resources for Health 2015, 13:98 doi:10.1186/s12960-015-0086-3
Bishai D, Lefevre A, Theuss M, Boxshall M, Hetherington JD, Zaw M, Montagu D. The cost of service quality improvements: tracking the flow of funds in social franchise networks in Myanmar. Cost Eff Resour Alloc. 2013 Jul 4;11(1):14.
Shillcutt SD, LeFevre AE, Fischer Walker CL, Black RE, and Mazumder S. Protocol for the economic evaluation of a program to enhance the management of acute diarrhea with zinc and ORS delivery at scale through private and public providers in Gujarat and Uttar Pradesh, India. Implementation Science 2014, 9:164. doi:10.1186/s13012-014-0164-2
- Supplement to Aetiology of Neonatal Infection in South Asia: Development and evaluation of a community-based presumptive clinical diagnosis algorithm and treatment regimen for maternal puerperal sepsis