HEU
Health Economic Unit

Staff

Dr Susan Cleary

Associate Professor Sue Cleary – Director

A/Prof Sue Cleary is the Director of the Health Economics Unit. She holds a Bachelor of Arts degree in Economics and English, a Masters in Economics and a PhD in Health Economics from the University of Cape Town entitled “Equity and efficiency in health and health care for HIV-positive adults in South Africa”. She has been working at the Health Economics Unit since 2001 and was promoted to Associate Professor at the end of 2010.

Research interests: Equitable access to HIV and TB treatment; resource allocation and the use of cost-effectiveness analysis in decision-making

Current research projects: REACH – Researching Equity in Access to Health Care; RESYST – Resilient and Responsive Health Systems

Current teaching: Sue convenes the Postgraduate Diploma in Health Economics and coordinates and teaches on a number of modules on the Masters in Public Health specialising in Health Economics.

Publications

Journal articles

2011

OKOLI, C. I. & CLEARY, S. (2011) Socioeconomic status and barriers to the use of free antiretroviral treatment  or HIV/AIDS in Enugu State, south-eastern Nigeria. African Journal of AIDS Research, 10, 149-155.

CLEARY, S., SILAL, S., BIRCH, S., CARRARAC, H., PILLAY-VAN WYK, V., REHLEC, T. & SCHNEIDER, H. (2011) Equity in the use of antiretroviral treatment in the public healthcare system in urban South Africa. Health Policy.99:261-266.

2010

CLEARY, S. (2010) Equity and efficiency in scaling up access to HIV-related interventions in resource-limited settings. Current Opinion in HIV and AIDS, 5, 210-214.

CLEARY, S. (2010) Trade-offs in scaling up HIV treatment in South Africa (commentary). Health Policy and Planning. 25(2).

CLEARY, S. & MCINTYRE, D. (2010) Financing equitable access to antiretroviral treatment in South Africa. BMC Health Services Research 10(Suppl 1).

CLEARY, S., MOONEY, G. & MCINTYRE, D. (2010) Claims on health care: a decision-making framework for equity, with application to treatment for HIV/AIDS in South Africa. Health Policy and Planning. doi:10.1093/heapol/czq081

CLEARY, S., MOONEY, G. & MCINTYRE, D. (2010) Equity and efficiency in HIV-treatment in South Africa: the contribution of mathematical programming to priority setting. Health Economics. 19: 1166-1180

HANSON, K., CLEARY, S., SCHNEIDER, H., TANTIVESS, S. & GILSON, L. (2010) Scaling up health policies and services in low- and middle-income settings. BMC Health Services Research 10(Suppl 1).

LEISEGANG, R., MAARTENS, G., HISLOP, M., REGENSBERG, L. & CLEARY, S. (2010) Improving the evidence base of Markov models used to estimate the costs of scaling up antiretroviral programmes in resource-limited settings. BMC Health Services Research 10(Suppl 1).

NACHEGA, J. B., LEISEGANG, R., BISHAI, D., NGUYEN, H., HISLOP, M., CLEARY, S., REGENSBERG, L. & MAARTENS, G. (2010) Association of Antiretroviral Therapy Adherence and Health Care Costs. Annals of Internal Medicine, 152, 18-25.

2009

CLEARY, S. M. & MCINTYRE, D. (2009) Affordability – the forgotten criterion in health care priority setting. Health Economics 18, 373-375.

KEVANY, S., MEINTJES, G., REBE, K., MAARTENS, G. & CLEARY, S. (2009) Clinical and financial burdens of secondary level care in a public sector antiretroviral roll-out setting (G. F. Jooste Hospital). South African Medical Journal, 99, 320-5.

LEISEGANG, R., CLEARY, S., HISLOP, M., DAVIDSE, A., REGENSBERG, L., LITTLE, F. & MAARTENS, G. (2009) Early and late direct costs in a Southern African antiretroviral treatment programme: A retrospective cohort analysis. PLOS Medicine, 6(12).

SINANOVIC, E., MOODLEY, J., BARONE, M., MALL, S., CLEARY, S. M. & HARRIES, J. (2009) The potential cost-effectiveness of adding a human papillomavirus vaccine to the cervical cancer screening programme in South Africa. Vaccine, 27, 6196–6202.

SMITH DE CHERIF, T. K., SCHOEMAN, J. H., CLEARY, S., MEINTJES, G. A., REBE, K. & MAARTENS, G. (2009) Early severe morbidity and resource utilization in South African adults on antiretroviral therapy. BMC Infectious Diseases, 9.

2008

CLEARY, S., BOULLE, A., CASTILLO-RIQUELME, M. & MCINTYRE, D. (2008) The burden of HIV/AIDS in the public healthcare system. South African Journal of Economics, 76, S3-S14.

CLEARY, S. M., MCINTYRE, D. & BOULLE, A. M. (2008) Assessing efficiency and costs of scaling up HIV treatment. AIDS 22 (suppl 2), S35-S42.

LOUBIERE, S., MARHOUM EL FILAL, K., SODQI, M., LOUNDOU, A., LUCHINI, S., CLEARY, S., MOATTI, J. P. & HIMMICH, H. (2008) When to initiate highly active antiretroviral therapy in low-resource settings: the Moroccan experience. Antiviral Therapy, 13, 241-251.

2007

CHANEL, O., CLEARY, S. & LUCHINI, S. (2007) Individual responsiveness to information in CV surveys: commitment matters. Revue d’Economie Politique, 117, 761-779.

PEPPER, D. J., LEVITT, N. S., CLEARY, S. & BURCH, V. C. (2007) Hyperglycaemic emergency admissions to a secondary level hospital in South Africa – an unnecessary financial burden. South African Medical Journal, 97, 963-967.

2006

BADRI, M., CLEARY, S., MAARTENS, G., PITT, J., BEKKER, L. G., ORRELL, C. & WOOD, R. (2006) When to initiate HAART in Sub-Saharan Africa? A South African cost-effectiveness study. Antiviral Therapy, 11.

CHANEL, O., CLEARY, S. & LUCHINI, S. (2006) Does Public Opinion Influence Willingness-To-Pay? Lessons from the field. Applied Economics Letters, 13, 821-824.

CLEARY, S., MCINTYRE, D. & BOULLE, A. (2006) The cost-effectiveness of Antiretroviral Treatment in Khayelitsha, South Africa – a primary data analysis. Cost Effectiveness and Resource Allocation, 4.

2004

MCINTYRE, D., THOMAS, S. & CLEARY, S. (2004) Globalization and health policy in South Africa. Perspectives on Global Development and Technology, 3, 131-152.

2002

Cleary, S. and D. Ross (2002). “The 1998-2001 Legal Struggle between the South African Government and the International Pharmaceutical Industry: a Game-Theoretic Analysis.” Journal of Social, Political and Economic Studies 27: 445-494.

Books and chapters in books

2007

CLEARY, S. & CASTILLO, M. (2007) Economic Evaluation. IN JOUBERT, G. & EHRLICH, R. I. (Eds.) Epidemiology: A Research Manual for South Africa. Cape Town, Oxford University Press.

CLEARY, S., MCINTYRE, D., OKORAFOR, O. & THIEDE, M. (2007) Equity and the ethics of the South African health system. IN MACLEAN, N. (Ed.) St Andrews Studies in Philosophy and Public Affairs: Distributing Healthcare:Principles, Practices and Politics. Scotland, University of St Andrews

2005

CLEARY, S., OKORAFOR, O., CHITHA, W., BOULLE, A. & JIKWANA, S. (2005) Financing Antiretroviral Treatment and Primary Health Care Services. IN IJUMBA, P. & BARRON, P. (Eds.) South African Health Review. Durban, Health Systems Trust.

2004

MCINTYRE, D., THOMAS, S. & CLEARY, S. (2004) Globalisation and health policy in South Africa. IN HARRIS, R. & SEID, M. (Eds.) Globalization and health. Leiden and Boston, Brill Academic Publishers.

Reports, policy documents and working papers

2011

CLEARY, S. (2011) Providing HIV health care to all in need: Are ART services equitable in urban South Africa? HEU Policy Brief. Cape Town, Health Economics Unit, University of Cape Town.

2010

CLEARY, S. & MCINTYRE, D. (2010) Overcoming apartheid health care to achieve equitable access to ART: Exploring resource requirements in South Africa. CREHS Policy Brief. London, Consortium for Research on Equitable Health Systems, London School of Hygiene and Tropical Medicine

LEISEGANG, R., CLEARY, S., HISLOP, M., DAVIDSE, A., REGENSBERG, L., LITTLE, F. & MAARTENS, G. (2010) Direct costs of HIV health care: What drives costs during the early and late phases of ART in South Africa? HEU Policy Brief. Health Economics Unit, University of Cape Town.

SINANOVIC, E., MOODLEY, J., BARONE, M., MALL, S., CLEARY, S. & HARRIES, J. (2010) Preventing cervical cancer in South Africa Would adding the HPV vaccine to the screening programme be cost-effective? HEU Policy Brief. Cape Town, Health Economics Unit, University of Cape Town.

2007

CLEARY, S., BLECHER, M., BOULLE, A., DORRINGTON, R., DARKOH, E. & BOGOPANE-ZULU, H. (2007) The costs of the National Strategic Plan on HIV and AIDS & STIs 2007-2011. University of Cape Town, National Treasury, Broadreach Health Care and South African Parliament.

CLEARY, S., TSHELO, R., JOUQUET, G., COHEN, R. & MAKAKOLE, L. (2007) Ensuring Access to Free HIV/AIDS Care and Treatment in Lesotho: A Cost Analysis of the Decentralised HIV/AIDS Programme in Scott Hospital Health Service Area. University of Cape Town, Lesotho Ministry of Health and Social Welfare, Medecins sans Frontieres and Scott Hospital.

2006

BOLLINGER, L., STOVER, J., BOULLE, A. & CLEARY, S. (2006) Resource needs for HIV/AIDS: Model for Estimating Resource Needs for Prevention, Care, and Mitigation. Futures Institute and University of Cape Town.

PIENAAR, D., MYER, L., CLEARY, S., COETZEE, D., MICHAELS, D., CLOETE, K., SCHNEIDER, H. & BOULLE, A. (2006) Models of Care for Antiretroviral Service Delivery. Cape Town, University of Cape Town.

2005

CLEARY, S., CHITHA, W., CASTILLO, M., BOULLE, A. & MCINTYRE, D. (2005) The health system burden of HIV/AIDS in the Western Cape. Pretoria, Joint Economics, Aids and Poverty Programme.

2004

BOULLE, A., JOHNSON, L., CLEARY, S. & ABDULLAH, F. (2004) The Cape Town (CT) Antiretroviral Costing Model Version 1. Cape Town, University of Cape Town.

CHANEL, O., CLEARY, S. & LUCHINI, S. (2004) Does Public Opinion Influence Willingness-To-Pay? Lessons from the field. GREQAM Working Paper no. 2004-08.

CHANEL, O., CLEARY, S. & LUCHINI, S. (2004) Individual responsiveness to information in CV surveys: commitment matters. GREQAM Working Paper No 2004-50.

CLEARY, S., BOULLE, A., MCINTYRE, D. & COETZEE, D. (2004) The cost-effectiveness of adult antiretroviral treatment in a South African township. Durban, Health Systems Trust.

CLEARY, S., JIKWANA, S. & BOULLE, A. (2004) Resource requirements for the Antiretroviral Treatment Rollout from March 2004 to March 2009. Health Economics Unit, University of Cape Town and Health Economics and Financing Division, National Department of Health.

2003

CLEARY, S. & BOULLE, A. (2003) Real costs and efficiency of a public-sector antiretroviral project – preliminary findings. AIDS Analysis Africa.

2002

CLEARY, S. & THOMAS, S. (2002) Mapping Trade in Health Services in South Africa. TIPS Working Paper. Johannesburg, Trade & Industrial Policy Strategies.

Contact

Email: Susan.Cleary@uct.ac.za, Tel: 27 21 406 6558

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