Professor John Walley

Profile

John is Professor of International Public Health, Co-Research Director of the Communicable Diseases Health Service Delivery (COMDIS-HSD) research programme and teaches on the Master of Public HealthProfessor of International Public Health, Co-Research Director COMDIS/ Health Service Delivery (HSD) Research ProgrammeQualifications

Accreditation, European Specialist in Public Health Medicine, JCHMT – London

MFPHM – Faculty of Public Health Medicine, of the Royal College of Physicians, London

MComH, Masters in Community Health for Developing Countries – School of Tropical Medicine, Liverpool

DTM&H – School of Tropical Medicine, Liverpool\n MRCGP – London

MRCP, Part 1 – London

DRGOC, Diploma of the Royal College of Obstetricians and Gynaecologists – London\n MBBS – University Medical School, Newcastle

Current and previous roles

1993–present: Professor in International Public Health, Nuffield Centre for International Health and Development, University of Leeds; Honorary Consultant (Specialist) in Public Health Medicine, Leeds Health Authority, UK

2006–present: Co-Director of the Communicable Disease Research Programme

1995–2006: Co-Director of Tuberculosis Research Programme, Nuffield Institute, Leeds and London School of Hygiene and Tropical Medicine

2001–2003: WHO HQ Consultant on the integrated management of adult/adolescent illness (country office, Kampala, Uganda), Principal Investigator HIV/AIDS/TB care project

1991–1993: Health Training Advisor to Ministry of Health, Hanoi; Training System Support Project of Vietnam–Sweden Health Cooperation Programme

1990–1991: Consultant to WHO, Global Programme on AIDS/Strengthening Health Services, Geneva and Malawi

1988–1990: Doctor/Manager SCF (UK) Child Health Programme, Wollo region, Ethiopia, Advisor to the Regional Health Department in MCH/FP & TB service development

1984–1986: Medical Officer of Health (MCH), Mashonaland Central Province, Zimbabwe

1983–1984: Locum. Paediatric, General Medicine and Obstetrics and Gynaecology Locum Resident posts, Chester, UK\n\n 1980–1982: General Practice Specialist Training Rotation; including Pediatric Obstetrics and Gynecology and General Medical Hospital posts, Chester, UK

1978–1979: Medical Officer, Te Kuiti Hospital, New Zealand

1977–1978: General Medicine and Surgery House Officer (Intern) Chester, UK

Current research interests

John's interests are in achieving coverage with quality services, especially in primary care, for the common diseases where we have effective health interventions. This includes operational research which is "embedded" within low- to middle-income country ministry of health services, in order to develop, pilot, evaluate and trial interventions. That is, to find out how to effectively deliver essential health services. Methods include randomised controlled trial or cohort studies, generally conducted within national programme site implementation. In addition, in the early stages using qualitative studies to help define the intervention, and in the later stages studies to understand "why" the results are as found. These studies help the ministry of health and NGO partners to revise the design and implementation guidelines and tools prior to scale-up.

Research and service development areas include:

Communicable disease service delivery and programme development issues, in particular for multi-drug resistant tuberculosis care, HIV anti-retroviral treatment and sexually transmitted diseases.

Reproductive and Child Health Services, especially family planning service delivery strategies which help fill the unmet need for family planning, such as social franchising.\n\n Strengthening health programmes, such as for the above disease groups, within integrated district health systems.

A particular current interest is to develop case management guides, training modules and other tools for cardio-vascular diseases for use within primary care. These include for early detection and treatment of diabetes, hypertension and high CVD risk. These are to be adapted to the country contexts and evaluated in various African and Asian countries with our HSD partners.

Current and recent research

2011–2017

Co-Research Director of the Health Service Delivery (HSD) Research Programme Consortium (COMDIS-HSD). This is a £7 million Department for International Development-funded, eight country research programme, including TB, HIV care, malaria, non-communicable diseases and family planning. John will also be a co-investigator on various projects.

TB – China

Studies of the effectiveness of decentralising TB care to township hospitals.\n \n Case management guidelines and training materials project; developing materials used to train 3,500 TB doctors.\n \n Evaluation of the national policy on microscopy centres (not effective).

HIV – Uganda and Swaziland

Evaluation/validation of the new WHO smear-negative TB in the context of HIV guideline, and a trial and studies on strategies to improve adherence to HIV/ART. Swaziland: TB/ HIV project and a trial which showed as good (and in some outcomes better) results for HIV-anti-retroviral follow up treatment through health centres as compared to the hospital ART service.

2006–2011

Communicable Disease Research Programme Consortium (COMDIS), TB, HIV care, malaria, £5million DFID funding. John's role was as Co-Director and also Co-Investigator on the following Pakistan projects:

External Quality Assurance (EQA) TB and malaria projects

Monitoring and supervision project (TB, malaria) in collaboration with WHO

Malaria clinical and programme management guidelines project \n Hospital DOTS linkages project (in collaboration with WHO)

Public-private mix TB project with private practitioners

Child TB guidelines development and evaluation project \n Sexually transmitted diseases guideline development and evaluation project.

Teaching responsibilities

John is a UK Public Health specialist trainee trainer, with a Specialist Trainee at our PMETB-approved research and development site in Swaziland and an academic placement trainee based in the Nuffield Centre for International Health and Development, Leeds Institute of Health Sciences, Leeds. John teaches on the Public Health interventions, AIDS, child health and family planning sessions and coordinates the communicable disease and non-communicable disease modules on the LIHS Master of Public Health course. He teaches public health interventions, communicable disease, child health and family planning to medical students on the intercalated BSc courses in International Health and Primary Care. The second edition of the popular book Public Health (Oxford University Press) has been published and used by our students. It has been translated and published by Beijing University Press and is being translated by the Hanoi School of Public Health, Vietnam.

Current PhD students

Gloria Ansa: TB and HIV/AIDS programme integration in Ghana.

Guanyong Zou: The integrated "designated" hospital approach for TB care in China.

Esmie Kainja: The social and health care needs of AIDS orphans in Malawi.

Professional activities\nWith the NTP and ASD Pakistan, John has drafted a multi-drug resistant TB doctor's guide, which will be evaluated via a Comdis HSD project.

We have developed CVD/ hypertension/diabetes primary prevention intervention guide and tools, for Tanzania, and China, initially funded through a World Universities Network grant.

Responsibilities

• Research Director COMDIS-HSD

Research interests

• Tuberculosis/ HIV Control and Programme Development
• Health Service Delivery, strengthening integrated health services/ programmes
• Operational research and trials, linked to service development and scale-up especially eg for TB.
• Cardio-vascular Disease-diabetes/ Noncommunicable disease,
• Primary care delivery
• Antibiotic drug resistance (rational use, reduction)

COMDIS-HSD Co-Research Director: lead and technically advice our research and health development with NGO and national programme colleagues in China, Pakistan, Nepal, Bangladesh and Swaziland.  Developed the http://comdis-hsd.leeds.ac.uk/resources/the-comdis-hsd-embedded-approach/.

Qualifications

• MBBS
• MRCGP
• DTM&H
• MCommH
• FFPH

Student education

I teach on the:

Masters of public health (international) course, including principles of PH, child health, communicable disease control, HIV, TB and malaria, intervention option appraisal

Masters of International Health, including the above topics.

B Sc in International Health (intercalated medical students), including the above topics.

Research groups and institutes

• Leeds Institute of Health Sciences