Hannah Leslie, PhD, MPH
Assistant Professor
Medicine
School of Medicine

• Understanding user preferences for primary care services. Studies include discrete choice experiments on hypertension services in Karnataka, India and on reproductive health needs in Mississippi, USA.
• Characterizing and improving program implementation within primary care systems. Studies include development and testing of measures of organizational readiness to provide HIV prevention and treatment programs in rural South Africa and a time-motion assessment within clinics in Lima, Peru.
• Quantifying patient-reported experience, outcomes, and priorities for health services. Studies include assessments of self-reported measures of mistreatment during childbirth, cross-national surveys on population priorities for health service delivery in multiple countries in Latin America, and a pilot study of electronic patient-reported outcome (PRO) reporting for women receiving breast cancer treatment in Mexico City.

I also draw on my experience in study design, quantitative analyses, and complex measurement challenges to collaborate on projects both domestically and internationally. I have worked with the World Bank and the World Health Organization on health system quality and effective coverage measurement. I am interested in extending my research to include implementation trials of health service innovations.

• Design and evaluation of a digital health intervention with proactive follow-up by nurses to improve healthcare and outcomes for patients with breast cancer in Mexico: protocol for a randomised clinical trial.
  BMJ open 2023 Contreras Sánchez SE, Doubova SV, Grajales Álvarez R, Dip Borunda AK, Martínez Pineda WJ, Nuñez Cerrillo JG, Silva Bravo F, Zalapa Velázquez R, Gutiérrez De la Barrera M, Leslie HH
• Measuring people's views on health system performance: Design and development of the People's Voice Survey.
  PLoS medicine 2023 Lewis TP, Kapoor NR, Aryal A, Bazua-Lobato R, Carai S, Clarke-Deelder E, Croke K, Dayalu R, Espinoza-Pajuelo L, Fink G, Garcia PJ, Garcia-Elorrio E, Getachew T, Jarhyan P, Kassa M, Kim SA, Mazzoni A, …
• A small area model to assess temporal trends and sub-national disparities in healthcare quality.
  Nature communications 2023 Allorant A, Fullman N, Leslie HH, Sarr M, Gueye D, Eliakimu E, Wakefield J, Dieleman JL, Pigott D, Puttkammer N, Reiner RC
• Comparing observed occurrence of mistreatment during childbirth with women's self-report: a validation study in Ghana, Guinea and Nigeria.
  BMJ global health 2023 Mehrtash H, Bohren MA, Adu-Bonsaffoh K, Irinyenikan TA, Berger BO, Maya E, Balde MD, Maung TM, Aderoba AK, Tuncalp Ö, Leslie HH
• Estimating the Prevalence of over- and Under-Reporting in HIV Testing, Status and Treatment in Rural Northeast South Africa: A Comparison of a Survey and Clinic Records.
  AIDS and behavior 2023 Leslie HH, Kabudula CW, West RL, Kang Dufour MS, Julien A, Masilela NG, Tollman SM, Pettifor A, Kahn K, Lippman SA
• Population Preferences for Primary Care Models for Hypertension in Karnataka, India.
  JAMA network open 2023 Leslie HH, Babu GR, Dolcy Saldanha N, Turcotte-Tremblay AM, Ravi D, Kapoor NR, Shapeti SS, Prabhakaran D, Kruk ME
• Prevalence, motivation, and outcomes of clinic transfer in a clinical cohort of people living with HIV in North West Province, South Africa.
  BMC health services research 2022 Leslie HH, Mooney AC, Gilmore HJ, Agnew E, Grignon JS, deKadt J, Shade SB, Ratlhagana MJ, Sumitani J, Barnhart S, Steward WT, Lippman SA
• Understanding the factors that impact effective uptake and maintenance of HIV care programs in South African primary health care clinics.
  Archives of public health = Archives belges de sante publique 2022 van Heerden A, Ntinga X, Lippman SA, Leslie HH, Steward WT
• The road to recovery: an interrupted time series analysis of policy intervention to restore essential health services in Mexico during the COVID-19 pandemic.
  Journal of global health 2022 Doubova SV, Arsenault C, Contreras-Sánchez SE, Borrayo-Sánchez G, Leslie HH
• The association between institutional delivery and neonatal mortality based on the quality of maternal and newborn health system in India.
  Scientific reports 2022 Lee HY, Leslie HH, Oh J, Kim R, Kumar A, Subramanian SV, Kruk ME
• Overcoming disruptions in essential health services during the COVID-19 pandemic in Mexico.
  BMJ global health 2022 Doubova SV, Robledo-Aburto ZA, Duque-Molina C, Borrayo-Sánchez G, González-León M, Avilés-Hernández R, Contreras-Sánchez SE, Leslie HH, Kruk M, Pérez-Cuevas R, Arsenault C
• Evaluating patient-reported outcome measures in Peru: a cross-sectional study of satisfaction and net promoter score using the 2016 EnSuSalud survey.
  BMJ quality & safety 2022 Leslie HH, Lee HY, Blouin B, Kruk ME, García PJ
• Stability of healthcare quality measures for maternal and child services: Analysis of the continuous service provision assessment of health facilities in Senegal, 2012-2018.
  Tropical medicine & international health : TM & IH 2021 Leslie HH, Hategeka C, Ndour PI, Nimako K, Dieng M, Diallo A, Ndiaye Y
• Erratum: Variance estimation for effective coverage measures: A simulation study.
  Journal of global health 2021 Leslie H
• Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data.
  BMJ global health 2021 Doubova SV, Leslie HH, Kruk ME, Pérez-Cuevas R, Arsenault C
• Methodological considerations for linking household and healthcare provider data for estimating effective coverage: a systematic review.
  BMJ open 2021 Carter ED, Leslie HH, Marchant T, Amouzou A, Munos MK
• Development of measures for assessing mistreatment of women during facility-based childbirth based on labour observations.
  BMJ global health 2021 Berger BO, Strobino DM, Mehrtash H, Bohren MA, Adu-Bonsaffoh K, Leslie HH, Irinyenikan TA, Maung TM, Balde MD, Tunçalp Ö
• Women's report of mistreatment during facility-based childbirth: validity and reliability of community survey measures.
  BMJ global health 2021 Leslie HH, Sharma J, Mehrtash H, Berger BO, Irinyenikan TA, Balde MD, Mon NO, Maya E, Soumah AM, Adu-Bonsaffoh K, Maung TM, Bohren MA, Tunçalp Ö
• Providers' definitions of quality and barriers to providing quality care: a qualitative study in rural Mpumalanga Province, South Africa.
  Journal of global health science 2021 West RL, Lippman SA, Twine R, Maritze M, Kahn K, Leslie HH
• Health Care Providers' Challenges to High-Quality HIV Care and Antiretroviral Treatment Retention in Rural South Africa.
  Qualitative health research 2021 Julien A, Anthierens S, Van Rie A, West R, Maritze M, Twine R, Kahn K, Lippman SA, Pettifor A, Leslie HH
• Health care provider time in public primary care facilities in Lima, Peru: a cross-sectional time motion study.
  BMC health services research 2021 Leslie HH, Laos D, Cárcamo C, Pérez-Cuevas R, García PJ
• Effective coverage of nutrition interventions across the continuum of care in Bangladesh: insights from nationwide cross-sectional household and health facility surveys.
  BMJ open 2021 Nguyen PH, Khuong LQ, Pramanik P, Billah SM, Menon P, Piwoz E, Leslie HH
• Measuring Organizational Readiness for Implementing Change in Primary Care Facilities in Rural Bushbuckridge, South Africa.
  International journal of health policy and management 2020 Leslie HH, West R, Twine R, Masilela N, Steward WT, Kahn K, Lippman SA
• Quality of clinical management of children diagnosed with malaria: A cross-sectional assessment in 9 sub-Saharan African countries between 2007-2018.
  PLoS medicine 2020 Cohen JL, Leslie HH, Saran I, Fink G
• Assessment of Bypass of the Nearest Primary Health Care Facility Among Women in Ghana.
  JAMA network open 2020 Bell G, Macarayan EK, Ratcliffe H, Kim JH, Otupiri E, Lipsitz S, Hirschhorn L, Awoonor-Williams JK, Nimako BA, Ofosu A, Leslie H, Bitton A, Schwarz D
• Quality of clinical assessment and child mortality: a three-country cross-sectional study.
  Health policy and planning 2020 Perales NA, Wei D, Khadka A, Leslie HH, Hamadou S, Yama GC, Robyn PJ, Shapira G, Kruk ME, Fink G
• Examining coverage, content, and impact of maternal nutrition interventions: the case for quality-adjusted coverage measurement.
  Journal of global health 2020 Joseph NT, Piwoz E, Lee D, Malata A, Leslie HH, Countdown Coverage Technical Working Group
• Variance estimation for effective coverage measures: A simulation study.
  Journal of global health 2020 Sauer SM, Pullum T, Wang W, Mallick L, Leslie HH
• Treatment as Prevention-Provider Knowledge and Counseling Lag Behind Global Campaigns.
  Journal of acquired immune deficiency syndromes (1999) 2020 Lippman SA, West R, Gómez-Olivé FX, Leslie HH, Twine R, Gottert A, Kahn K, Pettifor A
• Factors associated with positive user experience with primary healthcare providers in Mexico: a multilevel modelling approach using national cross-sectional data.
  BMJ open 2020 Holt K, Doubova SV, Lee D, Perez-Cuevas R, Leslie HH
• Antibiotic exposure among children younger than 5 years in low-income and middle-income countries: a cross-sectional study of nationally representative facility-based and household-based surveys.
  The Lancet. Infectious diseases 2019 Fink G, D'Acremont V, Leslie HH, Cohen J
• Assessing health system performance: effective coverage at the Mexican Institute of Social Security.
  Health policy and planning 2019 Leslie HH, Doubova SV, Pérez-Cuevas R
• High quality health systems in the SDG era: Country-specific priorities for improving quality of care.
  PLoS medicine 2019 Thapa G, Jhalani M, García-Saisó S, Malata A, Roder-DeWan S, Leslie HH
• Effect of continuum-of-care intervention package on improving contacts and quality of maternal and newborn healthcare in Ghana: a cluster randomised controlled trial.
  BMJ open 2019 Okawa S, Gyapong M, Leslie H, Shibanuma A, Kikuchi K, Yeji F, Tawiah C, Addei S, Nanishi K, Oduro AR, Owusu-Agyei S, Ansah E, Asare GQ, Yasuoka J, Hodgson A, Jimba M, Ghana EMBRACE Implementation …
• Exploring the association between sick child healthcare utilisation and health facility quality in Malawi: a cross-sectional study.
  BMJ open 2019 Liu L, Leslie HH, Joshua M, Kruk ME
• Predicted effect of regionalised delivery care on neonatal mortality, utilisation, financial risk, and patient utility in Malawi: an agent-based modelling analysis.
  The Lancet. Global health 2019 Shrime MG, Iverson KR, Yorlets R, Roder-DeWan S, Gage AD, Leslie H, Malata A
• Advances in the measurement of coverage for RMNCH and nutrition: from contact to effective coverage.
  BMJ global health 2019 Amouzou A, Leslie HH, Ram M, Fox M, Jiwani SS, Requejo J, Marchant T, Munos MK, Vaz LME, Weiss W, Hayashi C, Boerma T
• Understanding the role of resilience resources, antiretroviral therapy initiation, and HIV-1 RNA suppression among people living with HIV in South Africa: a prospective cohort study.
  AIDS (London, England) 2019 Katz IT, Bogart LM, Dietrich JJ, Leslie HH, Iyer HS, Leone D, Magidson JF, Earnshaw VA, Courtney I, Tshabalala G, Fitzmaurice GM, Orrell C, Gray G, Bangsberg DR
• Latent class analysis of the social determinants of health-seeking behaviour for delivery among pregnant women in Malawi.
  BMJ global health 2019 Yorlets RR, Iverson KR, Leslie HH, Gage AD, Roder-DeWan S, Nsona H, Shrime MG
• Quality gap in maternal and newborn healthcare: a cross-sectional study in Myanmar.
  BMJ global health 2019 Okawa S, Win HH, Leslie HH, Nanishi K, Shibanuma A, Aye PP, Jimba M
• Measuring quality of care for all women and newborns: how do we know if we are doing it right? A review of facility assessment tools.
  The Lancet. Global health 2019 Brizuela V, Leslie HH, Sharma J, Langer A, Tunçalp Ö
• Reasons for low utilisation of public facilities among households with hypertension: analysis of a population-based survey in India.
  BMJ global health 2018 Kujawski SA, Leslie HH, Prabhakaran D, Singh K, Kruk ME
• Barriers and opportunities to improve the foundations for high-quality healthcare in the Mexican Health System.
  Health policy and planning 2018 Doubova SV, García-Saisó S, Pérez-Cuevas R, Sarabia-González O, Pacheco-Estrello P, Leslie HH, Santamaría C, Torres-Arreola LDP, Infante-Castañeda C
• Health systems thinking: A new generation of research to improve healthcare quality.
  PLoS medicine 2018 Leslie HH, Hirschhorn LR, Marchant T, Doubova SV, Gureje O, Kruk ME
• Patient-centered primary care and self-rated health in 6 Latin American and Caribbean countries: Analysis of a public opinion cross-sectional survey.
  PLoS medicine 2018 Guanais F, Doubova SV, Leslie HH, Perez-Cuevas R, García-Elorrio E, Kruk ME
• Health system measurement: Harnessing machine learning to advance global health.
  PloS one 2018 Leslie HH, Zhou X, Spiegelman D, Kruk ME
• High-quality health systems in the Sustainable Development Goals era: time for a revolution.
  The Lancet. Global health 2018 Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, Adeyi O, Barker P, Daelmans B, Doubova SV, English M, García-Elorrio E, Guanais F, Gureje O, Hirschhorn LR, Jiang L, Kelley E, …
• Quality governance in a pluralistic health system: Mexican experience and challenges.
  The Lancet. Global health 2018 Doubova SV, García-Saiso S, Pérez-Cuevas R, Sarabia-González O, Pacheco-Estrello P, Infante-Castañeda C, Santamaría C, Del Pilar Torres-Arreola L, Leslie HH
• Does quality influence utilization of primary health care? Evidence from Haiti.
  Globalization and health 2018 Gage AD, Leslie HH, Bitton A, Jerome JG, Joseph JP, Thermidor R, Kruk ME
• Can India's primary care facilities deliver? A cross-sectional assessment of the Indian public health system's capacity for basic delivery and newborn services.
  BMJ open 2018 Sharma J, Leslie HH, Regan M, Nambiar D, Kruk ME
• Distribution and determinants of pneumonia diagnosis using Integrated Management of Childhood Illness guidelines: a nationally representative study in Malawi.
  BMJ global health 2018 Uwemedimo OT, Lewis TP, Essien EA, Chan GJ, Nsona H, Kruk ME, Leslie HH
• Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries.
  Health services research 2018 Kruk ME, Gage AD, Mbaruku GM, Leslie HH
• Context matters: Community social cohesion and health behaviors in two South African areas.
  Health & place 2018 Lippman SA, Leslie HH, Neilands TB, Twine R, Grignon JS, MacPhail C, Morris J, Rebombo D, Sesane M, El Ayadi AM, Pettifor A, Kahn K
• Association between infrastructure and observed quality of care in 4 healthcare services: A cross-sectional study of 4,300 facilities in 8 countries.
  PLoS medicine 2017 Leslie HH, Sun Z, Kruk ME
• Service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania.
  Bulletin of the World Health Organization 2017 Leslie HH, Spiegelman D, Zhou X, Kruk ME
• Effective coverage of primary care services in eight high-mortality countries.
  BMJ global health 2017 Leslie HH, Malata A, Ndiaye Y, Kruk ME
• The determinants and outcomes of good provider communication: a cross-sectional study in seven African countries.
  BMJ open 2017 Larson E, Leslie HH, Kruk ME
• The Lancet Global Health Commission on High Quality Health Systems-where's the complexity? - Authors' reply.
  The Lancet. Global health 2017 Kruk ME, Marchant T, Doubova S, Leslie HH, Pate M
• Variation in quality of primary-care services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania.
  Bulletin of the World Health Organization 2017 Kruk ME, Chukwuma A, Mbaruku G, Leslie HH
• Quality of basic maternal care functions in low-income countries - Authors' reply.
  The Lancet. Global health 2017 Kruk ME, Leslie HH
• Assessing the quality of primary care in Haiti.
  Bulletin of the World Health Organization 2017 Gage AD, Leslie HH, Bitton A, Jerome JG, Thermidor R, Joseph JP, Kruk ME
• Poor Quality for Poor Women? Inequities in the Quality of Antenatal and Delivery Care in Kenya.
  PloS one 2017 Sharma J, Leslie HH, Kundu F, Kruk ME
• Financial hardship on the path to Universal Health Coverage in the Gulf States.
  Health policy (Amsterdam, Netherlands) 2017 Alshamsan R, Leslie H, Majeed A, Kruk M
• Community Mobilization for HIV Testing Uptake: Results From a Community Randomized Trial of a Theory-Based Intervention in Rural South Africa.
  Journal of acquired immune deficiency syndromes (1999) 2017 Lippman SA, Neilands TB, MacPhail C, Peacock D, Maman S, Rebombo D, Twine R, Selin A, Leslie HH, Kahn K, Pettifor A
• Scaling-up health information systems to improve HIV treatment: An assessment of initial patient monitoring systems in Mozambique.
  International journal of medical informatics 2016 Hochgesang M, Zamudio-Haas S, Moran L, Nhampossa L, Packel L, Leslie H, Richards J, Shade SB
• Obstetric Facility Quality and Newborn Mortality in Malawi: A Cross-Sectional Study.
  PLoS medicine 2016 Leslie HH, Fink G, Nsona H, Kruk ME
• Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys.
  The Lancet. Global health 2016 Kruk ME, Leslie HH, Verguet S, Mbaruku GM, Adanu RMK, Langer A
• Training And Supervision Did Not Meaningfully Improve Quality Of Care For Pregnant Women Or Sick Children In Sub-Saharan Africa.
  Health affairs (Project Hope) 2016 Leslie HH, Gage A, Nsona H, Hirschhorn LR, Kruk ME
• Development, validation, and performance of a scale to measure community mobilization.
  Social science & medicine (1982) 2016 Lippman SA, Neilands TB, Leslie HH, Maman S, MacPhail C, Twine R, Peacock D, Kahn K, Pettifor A
• Collective efficacy, alcohol outlet density, and young men's alcohol use in rural South Africa.
  Health & place 2015 Leslie HH, Ahern J, Pettifor AE, Twine R, Kahn K, Gómez-Olivé FX, Lippman SA
• Outcomes Up to 12 Months After Treatment With Loop Electrosurgical Excision Procedure for Cervical Intraepithelial Neoplasia Among HIV-Infected Women.
  Journal of acquired immune deficiency syndromes (1999) 2015 Huchko MJ, Leslie H, Maloba M, Zakaras J, Bukusi E, Cohen CR
• Novel handwashes are superior to soap and water in removal of Clostridium difficile spores from the hands.
  American journal of infection control 2015 Isaacson D, Haller B, Leslie H, Roemer M, Winston L
• Cervical cancer precursors and hormonal contraceptive use in HIV-positive women: application of a causal model and semi-parametric estimation methods.
  PloS one 2014 Leslie HH, Karasek DA, Harris LF, Chang E, Abdulrahim N, Maloba M, Huchko MJ
• Factors associated with recurrence of cervical intraepithelial neoplasia 2+ after treatment among HIV-infected women in Western Kenya.
  Journal of acquired immune deficiency syndromes (1999) 2014 Huchko MJ, Leslie H, Maloba M, Bukusi EA, Cohen CR
• Descriptive characteristics and health outcomes of the food by prescription nutrition supplementation program for adults living with HIV in Nyanza Province, Kenya.
  PloS one 2014 Nagata JM, Cohen CR, Young SL, Wamuyu C, Armes MN, Otieno BO, Leslie HH, Dandu M, Stewart CC, Bukusi EA, Weiser SD
• Authors' reply: Impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on HIV-1 genital shedding: a prospective cohort study: population and statistical queries.
  BJOG : an international journal of obstetrics and gynaecology 2014 Huchko MJ, Leslie HH, Smith-McCune K
• A comparison of two visual inspection methods for cervical cancer screening among HIV-infected women in Kenya.
  Bulletin of the World Health Organization 2014 Huchko MJ, Sneden J, Leslie HH, Abdulrahim N, Maloba M, Bukusi E, Cohen CR
• Impact of expanded antiretroviral use on incidence and prevalence of tuberculosis in children with HIV in Kenya.
  The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease 2013 Abuogi LL, Mwachari C, Leslie HH, Shade SB, Otieno J, Yienya N, Sanguli L, Amukoye E, Cohen CR
• Risk factors for cervical precancer detection among previously unscreened HIV-infected women in Western Kenya.
  International journal of cancer 2013 Huchko MJ, Leslie H, Sneden J, Maloba M, Abdulrahim N, Bukusi EA, Cohen CR
• Impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on HIV-1 genital shedding: a prospective cohort study.
  BJOG : an international journal of obstetrics and gynaecology 2013 Huchko MJ, Woo VG, Liegler T, Leslie H, Smith-McCune K, Sawaya GF, Bukusi EA, Cohen CR
• Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya.
  AIDS research and treatment 2013 Odeny TA, Penner J, Lewis-Kulzer J, Leslie HH, Shade SB, Adero W, Kioko J, Cohen CR, Bukusi EA
• Social participation and drug use in a cohort of Brazilian sex workers.
  Journal of epidemiology and community health 2013 Leslie HH, Ahern J, Chinaglia M, Kerrigan D, Lippman SA
• Predictors of linkage to care following community-based HIV counseling and testing in rural Kenya.
  AIDS and behavior 2012 Hatcher AM, Turan JM, Leslie HH, Kanya LW, Kwena Z, Johnson MO, Shade SB, Bukusi EA, Doyen A, Cohen CR
• Ten-year clinical follow-up of a cohort of 51 patients with macroprolactinemia establishes it as a benign variant.
  The Journal of clinical endocrinology and metabolism 2010 Wallace IR, Satti N, Courtney CH, Leslie H, Bell PM, Hunter SJ, McCance DR, Sheridan B, Atkinson AB