About

Stephanie is a Senior Lecturer in Global Health and Development in the College of Public Health, Medical and Veterinary Sciences. Her current work focuses on the application of systems-thinking and a primary health care approach to researching and designing health system strengthening interventions. 

Steph lived and worked abroad between 2007 - 2015 based in Zambia but also working in South Africa, Swaziland, Malawi, India and Papua New Guinea.  She is the Health Systems Technical Adviser and co-Primary Investigator for an EU funded health system strengthening grant in Zambian prisons, and co-investigator on several large studies examining both supply and demand-side challenges to HIV service delivery in the Zambian health system.

Steph is the Associate Editor for Health Systems with BMJ Global Health and current co-chair of the Health Systems Global thematic working group on Social Science approaches for health systems research.  She was previously a Visiting Assistant Professor in the Health Care Organization and Policy unit, School of Public Health, University of Alabama in Birmingham (UAB), and is an Honorary Research Fellow at the Nossal Institute for Global Health, University of Melbourne.  She has a PhD in Global Health from the University of Melbourne, Masters in Development Studies from Oxford University and a Masters in International Public Health from the University of Sydney.

Steph welcomes enquiries regarding PhD supervision in the field of health systems and policy research and global health.

Teaching
  • TM5501: Tropical Medicine (Level 5; TSV)
  • TM5502: Tropical Public Health (Level 5; TSV)
  • TM5552: Global Health and Development (Level 5; TSV)
Interests
Professional
  • Using systems-thinking to develop new approaches to health systems strengthening
Research
  • Health systems and policy research
  • Primary-level service delivery
  • Health workforce in low- and middle-income settings
  • Prisoner health
Teaching
  • Global public health
  • Health policy analysis
  • Sociology of health care
  • Qualitative research methods
  • Systems-thinking for health systems strengthening
Socio-Economic Objectives
Honours
Awards
  • 2004 to 2006 - NSW Rhodes Scholar
Fellowships
  • 2013 - Emerging Voices for Global Health, Institute for Tropical Medicine (ITM), Antwerp.
  • 2011 to 2012 - Doctoral Fellowship, Population Council Zambia
  • 2007 to 2008 - HIVCorps Fellow, Centre for Infectious Disease Research in Zambia
Memberships
  • 2016 - Scientific Committee, 4th Global Symposium on Health Systems Research
  • 2012 to 2015 - Health Systems Global
  • 2008 to 2015 - International AIDS Society
Other
  • 2014 to 2015 - Associate Research Fellow, Nossal Institute for Global Health, University of Melbourne
Publications

These are the most recent publications associated with this author. To see a detailed profile of all publications stored at JCU, visit ResearchOnline@JCU. Hover over Altmetrics badges to see social impact.

Journal Articles
More

ResearchOnline@JCU stores 28+ research outputs authored by Dr Stephanie Topp from 2010 onwards.

Current Funding

Current and recent Research Funding to JCU is shown by funding source and project.

Cancer Council NSW - Strategic Research Partnership Grant

Identifying the Out of Pocket costs of cancer care and the impact on healthcare access and patient outcomes

Indicative Funding
$121,160 (administered by Menzies School of Health Research)
Summary
AIM 1: Quantify the out-of-pocket healthcare expenditure of individuals who are diagnosed with cancer and compare it with their clinical outcomes. This will be done by building Australia?s first model of the out-of-pocket healthcare expenditure of cancer patients using administrative data. AIM 2: Identify the impact of out-of-pocket costs on decisions about health care utilisation. This qualitative research component will be undertaken, which aims to explore and explain how out-of-pocket costs (both anticipated and unanticipated) affect the health seeking decisions and behaviours of cancer patients and their families.
Investigators
Sabe Sabesan, Emily Callander, Sarah Larkins and Stephanie Topp (College of Medicine & Dentistry, Australian Institute of Tropical Health & Medicine, College of Public Health and Medical & Vet Sciences)
Keywords
Health Economics; Patient costs; Cancer; Indigenous; Rural Health; Access

Centre for Infectious Disease Research in Zambia - Contract Research

Treatment as Prevention in Correctional Facilities in Southern Africa (TasP Prisons)

Indicative Funding
$64,205
Summary
Limited data from Southern Africa suggest that concentration of HIV-infected individuals and high-risk sexual behaviours in correctional facilities may be driving HIV transmission in incarcerated populations. Despite the implications of incarceration - related HIV transmission on individual and public health, little evidence exists to guide implementation of HIV prevention strategies in these settings. One such strategy, Treatment as Prevention (TasP), offers promise to: (1) prevent HIV transmission among incarcerated men having sex with men and people who use drugs; and (2) improve inmate health and tuberculosis control. In this project we will implement TasP in three correctional facilities - one in Zambia and two in South Africa - and evaluate TasP implementation as a strategy to coordinate the HIV care continuum and assure appropriate TB assessment among HIV-infected inmates.
Investigators
Stephanie Topp, Stewart Reid and Monde Myoyeta in collaboration with Michael Herce, Crispin Moyo, Chileshe Chisela, Sisa Hatwiinda, German Henostroza, Salome Charalambous and Katherine Fielding (College of Public Health, Medical & Vet Sciences, Centre for Infectious Disease Research in Zambia, Ministry of Health, GRZ, Zambia Prisons Service, University of Alabama - Birmingham, The Aurum Institute and London School of Hygiene and Tropical Medicine)
Keywords
HIV Care & Treatment; Prison Health Services; Service Delivery; Antiretroviral Therapy; Anti-Tuberculosis Therapy

Bill & Melinda Gates Foundation - Grant

Differentiated care for improved health systems efficiency and health outcomes in Zambia (Efficient Health)

Indicative Funding
$87,831 over 3 years (administered by Centre for Infectious Disease Research in Zambia)
Summary
Over the last decade, successful roll out of antiretroviral theraph (ART) for HIV infected individuals in Zambia has resulted in over 600,000 adults and children accessing treatment. However, continued scale-up of treatment services is severely straining already overburdened health centres and hospitals. Working with the Government of the Republic of Zambia, this project will conduct formative and operations research to build a body of evidence on the needs for preferences perceptions and feasibility of further decentralised, community-based ART services.
Investigators
Charles Holmes, Izukanji Sikazwe and Stephanie Topp in collaboration with Carolyn Bolton, Crispin Moyo, Bushimbwa Tambatamba, Mwanza wa Mwanza, Arianna Zanolini, Richard Mutemwa, Elvin Geng, Nancy Padian, Monika Roy, Henry Epino and Nancy Czaicki (Centre for Infectious Disease Research in Zambia, Ministry of Health, GRZ, University of California - San Francisco, Harvard University, College of Public Health and Medical & Vet Sciences)
Keywords
HIV care and treatment; Health Services; Service delivery; Antiretroviral therapy; Engagement in care
Supervision

Advisory Accreditation: I can be on your Advisory Panel as a Primary or Secondary Advisor.

These Higher Degree Research projects are either current or by students who have completed their studies within the past 5 years at JCU. Linked titles show theses available within ResearchOnline@JCU.

Current
  • The role of Academic Health Science Centres in driving translational research to improve the health of underserved populations worldwide (PhD , Primary Advisor)
  • Measuring performance in mental health care with a focus on vulnerable groups in Australia (PhD , Secondary Advisor)
Collaboration

The map shows research collaborations by institution from the past 7 years.
Note: Map points are indicative of the countries or states that institutions are associated with.

  • 5+ collaborations
  • 4 collaborations
  • 3 collaborations
  • 2 collaborations
  • 1 collaboration
  • Indicates the Tropics (Torrid Zone)

Connect with me
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Email
Phone
Location
  • 41.216, Public & Indigenous Health (Townsville campus)
Advisory Accreditation
Primary Advisor

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