Institute of Tropical Medicine Antwerp
First name
Last name
Unit of Health Services Organisation
Short professional biography

Bruno Marchal is a post-doctoral research fellow in the Unit of Health Services Management, currently working mainly on strategic management of health care organisations, stewardship and evaluation of complex issues in health. Since 2013, Bruno is a visiting researcher at School of Public Health, University of the Western Cape, Cape Town (South Africa).

After graduating as a medical doctor and obtaining a degree in Tropical Medicine at the ITM, Bruno worked for 6 years in Nyamira District (Kenya) as a medical doctor and hospital director.

He joined the Department of Public Health at the ITM in 2000 after obtaining a Master in Public Health. He held the position of tutor and later of coordinator of the ITM’s Master in Public Health course. Between 2002 and 2005, he was a researcher in the IMMPACT project, focusing on capacity strengthening for research and evidence-based policy in Burkina Faso, Ghana and Indonesia. From 2005 to 2011, he was leading the work packages on Management and on Human Resource Management of REACT, an FP6-INCO programme in Kenya, Tanzania and Zambia.

He carried out his doctoral research on the influence of (health workforce) management practices on performance of hospitals in Ghana and Tanzania, using realist evaluation as the main methodology. In 2011, he successfully presented a PhD dissertation on this subject, titled: "Why do some hospitals perform better than others? A realist evaluation."

His current research includes:

Research lines
  1. Strategic management of local health systems
    • Decision making processes at district level: application of the accountability for reasonableness framework (FP6 EU Inco Project REACT)
    • The multipolar performance framework
  2. Research methodologies for complexity in health care
    • Complexity
    • Realist evaluation and theory-driven evaluation
  3. Health systems strengthening
    • The interface between (local) health systems and policies, programmes and global health initiatives
    • The dynamic health system model
  • Teaching the topics of Strategic management, Health care organisation performance and Health workforce management in the MSc – Public Health of ITM and in the International MPH of the Ecole de Hautes Etudes en Santé Publique, Rennes-Paris.
  • Teaching Health workforce management in the Postgraduate Course in Tropical Medicine, ITM.
  • Coaching of master and post-graduate students at the ITM.
  • Teaching Health systems in the MPH of the Ecole de Hautes Etudes de Santé Publique (Rennes) à Paris.
ITM Publications
  • Mounier-Jack S, Griffiths UK, Closser S, Burchett H, Marchal B. Measuring the health systems impact of disease control programmes: a critical reflection on the WHO building blocks framework. BMC Public Health 2014; 14 (278): .
  • Marchal B, Van der Veken K, Essolbi A, Dossou JP, Richard F, Van Belle S. Methodological reflections on using realist evaluation in a study of fee exemption policies in West Africa and Morocco. [s.l.]: FEMHealth; 2013.
  • Prashanth NS, Marchal B, Criel B. Evaluating healthcare interventions: answering the 'How' question. Indian Anthropologist 2013; 43 (1): 35-50.
  • Marchal B, Van Belle S, De Brouwere V, Witter S. Studying complex interventions: reflections from the FEMHealth project on evaluating fee exemption policies in West Africa and Morocco. BMC Health Serv Res 2013; 13 (469): 1-9.
  • Nabyonga Orem J, Marchal B, Mafigiri D, Ssengooba F, Macq J, Campos da Silveira V, Criel B. Perspectives on the role of stakeholders in knowledge translation in health policy development in Uganda. BMC Health Serv Res 2013; 13 (324): 1-13.

Complete list of ITM publications