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Health System & Research Ethics
Prof. Sassy Moluneux
Principal Investigator
Project Research
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Biography
Sassy is a Professor in Global Health at the University of Oxford, and a senior researcher at the KEMRI-Wellcome Trust Research Programme in Kenya. She is a multidisciplinary researcher with a background in human geography and behavioural studies. Her current main research areas span health policy and systems research (system governance, financing, and responsiveness to patients and publics) and empirical ethics, including the everyday ethics of frontline health provision and of conducting studies in low income settings. Sassy sits in leadership positions in several international networks, including the Resilience Network, the Ethics Thematic Working Group in Health Systems Global, and – until recently – RINGS, a partnership to foster gender and ethics analysis in health systems research and practice. Sassy lived in Kenya for 28 years, returning to the UK in 2020.
Current Work
Cross-cutting areas of interest include a) producing new thinking, evidence and recommendations around vulnerability and agency among research participants and communities, and researchers responsibilities in these contexts; and b) initiatives aimed at strengthening accountability processes in biomedical research and health delivery in sub-Saharan Africa. She also supports strategic planning around ethical issues that emerge during research across the KEMRI-Wellcome Trust programme in Kenya, and contributes to social science, health systems research and research ethics training at the centre and internationally. Sassy has collaborators all over the world, including those that are part of the following networks she play a central role in: • the GLOBAL HEALTH BIOETHICS NETWORK (GHBN) (community engagement/ethics research in UK, Kenya, Vietnam, Thailand, Malawi and South Africa) • the EVERYDAY HEALTH SYSTEMS RESILIENCE NETWORK (EHSR) (research in Kenya and South Africa) • the ETHICS AND JUSTICE thematic working group of Health Systems Global. • REBUILD for RESILIENCE (R4R; health systems research in Sierra Leone, Myanmar, Nepal, and Lebanon); • Recovery International with COVID-19 treatment trials recruiting in Vietnam, Indonesia, Nepal, Ghana, South Africa and India • African Population Cohorts Consortium (APCC), bringing together scientists from 51 African countries Sassy also serves in the following committee roles • Co-chair – WHO/TDR Research for Implementation Scientific Working Group • Co-chair - Independent Advisory Group - Hospital management in Malawi (NIHR health systems management) • Co-chair - Ethics thematic working group for Health Systems Global • Member – Interview committee for early career research awards, Wellcome Trust. • Member – WHO/TDR Intervention and Implementation Research Scientific & Technical Advisory Committee • Member - SARETI (South African Research Ethics Training Institute) International Advisory Board • Member – Consortium Advisory Group - ReBUILD for Resilience (DfID funded health systems consortium) • Member – Independent Advisory Committee – Rebuild for Resilience (R4R; FCDO funded health systems research consortium) • Member – Steering committee - REDRESS: Reducing the Burden of Severe Stigmatising Skin Diseases (NIHR)Collaborations
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Project Research
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Publications
Layered vulnerability and researchers' responsibilities: learning from research involving Kenyan adolescents living with perinatal HIV infection.
Kimani, M., Molyneux, S., Charo, A., Zakayo, S. M., Sanga, G., Njeru, R., Davies, A., Kelley, M., Abubakar, A., Marsh, V.
BMC Med Ethics, (2024). 25:21
Budget monitoring, accountability practices and their influence on the efficiency of county health systems in Kenya.
Musiega, A., Nyawira, L., Tsofa, B., Njuguna, R. G., Munywoki, J., Hanson, K., Mulwa, A., Molyneux, S., Maina, I., Normand, C., Jemutai, J., Barasa, E.
PLOS Glob Public Health, (2023). 3:e0001908
The influence of internship training experience on Kenyan and Ugandan doctors' career intentions and decisions: a qualitative study.
Zhao, Y., Mbuthia, D., Ankomisyani, D. S., Blacklock, C., Gathara, D., Molyneux, S., Nicodemo, C., Okello, T. R., Rutebemberwa, E., Tweheyo, R., English, M.
Glob Health Action, (2023). 16:2272390
Not just surveys and indicators: narratives capture what really matters for health system strengthening.
Oluoch, D., Molyneux, S., Boga, M., Maluni, J., Murila, F., Jones, C., Ziebland, S., English, M., Hinton, L.
Lancet Glob Health, (2023). 11:e1459-e1463
The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19.
Nzinga, J., Oliwa, J., Oluoch, D., Jepkosgei, J., Mbuthia, D., Boga, M., Musitia, P., Ogola, M., Muinga, N., Muraya, K., Hinga, A., Kamuya, D., Kelley, M., Molyneux, S.
PLOS Glob Public Health, (2023). 3:e0002116
Medical device regulation and oversight in African countries: a scoping review of literature and development of a conceptual framework.
Nasir, N., Molyneux, S., Were, F., Aderoba, A., Fuller, S. S.
BMJ Glob Health, (2023). 8:
A network of empirical ethics teams embedded in research programmes across multiple sites: opportunities and challenges in contributing to COVID-19 research and responses.
Ngwenya, N., Ilo Van Nuil, J., Nyirenda, D., Chambers, M., Cheah, P. Y., Seeley, J., Chi, P., Mafuleka, L., Nkosi, B., Kamuya, D., Davies, A., Schneiders, M. L., Mumba, N., Dlamini, S., Desmond, N., Marsh, V., Rippon, D., Parker, M., Molyneux, S.
Wellcome Open Res, (2022). 7:48
Examining the influence of health sector coordination on the efficiency of county health systems in Kenya.
Nyawira, L., Njuguna, R. G., Tsofa, B., Musiega, A., Munywoki, J., Hanson, K., Mulwa, A., Molyneux, S., Maina, I., Normand, C., Jemutai, J., Barasa, E.
BMC Health Serv Res, (2023). 23:355
Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya.
Wanyama, C., Blacklock, C., Jepkosgei, J., English, M., Hinton, L., McKnight, J., Molyneux, S., Boga, M., Musitia, P. M., Wong, G.
BMJ Open, (2023). 13:e066150
Respecting relational agency in the context of vulnerability: What can research ethics learn from the social sciences?.
Roest, J., Nkosi, B., Seeley, J., Molyneux, S., Kelley, M.
Bioethics, (2023). 37:379-388