Dr Mark Monahan B.Comm, MSc, FHEA, PhD

Mr Mark Monahan

Department of Applied Health Sciences
Lecturer in Health Economics

Contact details

Address
Health Economics Unit
Building Y16
Department of Applied Health Sciences
College of Medicine and Health
Birmingham
B15 2TT

Mark Monahan is a Lecturer in the Health Economics Unit. He primarily works on trial-based and model-based economic evaluations in different clinical areas. His research interests relate to decision modelling, health state valuation, and capacity constraints.

Qualifications

  • PGCHE, University of Birmingham, 2025
  • PhD in Health Economics , University of Birmingham, 2024
  • MSc in Health Economics, University of Galway, 2013
  • BComm International Experience, University of Galway, 2012

Biography

After completing an MSc in Health Economics at the University of Galway, he joined the Health Economics Unit at the University of Birmingham in November 2013 on a six month Research Associate post. Mark has been part of the department ever since and has also worked as a Research Fellow before being appointed Lecturer in Health Economics in 2022.

Mark is the Health Economics Advisor at the NIHR Research Support Service (RSS) Hub delivered by the University of Birmingham and Partners. In this role, he provides advice on the design of health economic components of research projects submitted for funding to national competitions.

Mark is a module co-lead for the Undergraduate Health Economics module delivered in partnership with Birmingham Business School. He has previously co-led the Modelling in Health Economics MSc module, and the MPH Health Economics module. Mark has supervised 31 MSc dissertations and been a Personal Academic tutor to 27 MSc students so far. Mark is the Academic Integrity Officer for the MSc Health Economics and Health Policy and the MSc Health Economics and Econometrics programmes, and an academic appeals university committee member. He was awarded a Postgraduate Certificate in Higher Education (distinction) in 2025.

Mark was previously affiliated with the National Institute of Health Research (NIHR) Global Health Research Unit on Global Surgery where he provided health economic input to the global surgery programme. Mark undertook a PhD alongside his job which examined the economic rationale of investing in interventions to reduce wound infection after surgery using primary and secondary research sources within an iterative economic modelling framework. His PhD supervisors were Professor Tracy Roberts, Professor Sue Jowett and Professor Tom Pinkney.

Teaching

Postgraduate

  • Modelling for Health Economics (module code 22346);
  • Introduction to Health Economics (module code 02957);
  • Economic Evaluation in health care (module code 07860);
  • Research methods in health economics (module code 39677);
  • Health Economics (module code 08157);
  • Economic Models and Human Genomics (module code 27603);

Undergraduate

  • Health Economics (module code 33158);
  • MBChB Year 2 Health Services

Postgraduate supervision

Current Doctoral supervision

  • Ayesha Iqbal: Health economics of maternal and infant health interventions: methodologies and economic evaluations. Lead supervisor with Professor Tracy Roberts (co-supervisor). Started May 2025 (Part-time)

Past supervision

  • Nadiath Chowdery.NIHR pre-doctoral fellowship: 10/2024-10/2025. Co-supervisor with Professor Sue Jowett (lead).

Mark is interested in supervising doctoral research related to the following topics:

  • Model-based economic evaluations
  • Aspects of economic evaluation in surgical diseases
  • Health State Valuation for use in economic evaluations
  • The economics of Task-shifting

Research

Mark’s main research interests include economic evaluation in high blood pressure, women’s health, surgery, and task-shifting, respectively. In terms of methodology, Mark is interested in decision models with capacity constraints and workforce modelling.

Mark is supervising Research Fellows delivering the health economic components for the APT-SEPSIS (MR/V005782/1), LOCI (NIHR 17/116/01), Epi-Safe (NIHR204156), LORIS (NIHR 11/36/16), Hidden costs of hospital discharge (NIHR School for Social Care Research) studies. He is also plus providing oversight on the health economics work packages for the ROSSINI-Platform (NIHR163832), STARFISH (NIHR131528), COBALT (NIHR160696), PANORAMA (NIHR165210), and the UNITY (NIHR135258) studies. Mark is advising on the Health Economics components for a Birmingham 125th Anniversary Fellow’s NIHR advanced Fellowship (Dr Sarah Hillman).

Through Mark’s work on economic evaluations applied in different clinical areas, the cost-effectiveness findings have informed national and international guidelines and clinical societies. Mark’s first publication, assessing the costs and benefits of iodine supplementation tablets for UK pregnant women, garnered national and internal press coverage (e.g. The Times, New Scientist, BBC news). He was invited to speak on the research findings to an All-Party Parliamentary Group, a cross-party group of MPs, in the Palace of Westminster in 2018.

Grant Activity

  • Co-investigator: Hidden Costs of Hospital Discharge: Understanding the costs and outcomes associated with Hospital Discharge from the perspective of people, carers and local authorities. NIHR School for Social Care Research (2025-2027). £248,478
  • Co-investigator: Developing a prototype toolkit for the practical and effective evaluation of the integrated care delivered by neighbourhood multi-disciplinary teams for children and young people. NIHR research for patient benefit; (2025-2027).  NIHR209258. £112,320
  • Co-investigator: ROSSINI-Platform - a 'Basket Factorial MAMS' Platform Trial in Surgical Site Infection; (2025-2029). NIHR163832. NIHR Health Technology Assessment Programme. £10,248,705
  • Co-investigator: oPtimising post-dischArge care pathways after acute paNcreatitis: evaluatiOn of health seRvice utilisAtion, outcoMes (PANORAMA). NIHR HSDR Programme. NIHR165210 (2025-2028) £967,840
  • Co-investigator: Comparing the clinical and cost-effectiveness of COlesevelam for Bile Acid diarrhoea with colestyramine or Loperamide, including long Term follow-up (COBALT). NIHR160696. (2025-2029) NIHR Health Technology Assessment Programme. £1,847,925.
  • Co-investigator: ROSSINI-Platform - Reduction Of Surgical Site Infection with a platform trial utilising a 'Basket-MAMS' design; NIHR156728; (2022). NIHR Application Accelerator Award. £163,268.
  • Principal Investigator: Remote Health State Valuations to help inform resource allocation decisions (2021), Preliminary Data Award, Research Development Fund, University of Birmingham. £1,450
  • Co-investigator: Reinforcement of Closure of Stoma Site- 5 to 8 year extended follow-up; NIHR202011; (2020-2021). NIHR Research for Patient Benefit. £149,871.

Other activities

Mark helped form the NIHR Health Economics Network for Global Health. The motivation for the Network is to share learning, discuss and explore common challenges with regard to methods required and strategies to address the challenges of conducting applied health economics evaluation in Global Health. Health Economists from thirteen NIHR global health groups and units are represented in the network. Mark was an organiser of the inaugural face to face meeting in Birmingham early 2020 and he coordinated a successful organisation of the second meeting (virtual) with academics in LSTHM in March 2021.

Publications

Recent publications

Article

Perry, SJ, Griffin, D, Williams, EV, Roberts, TE, Kwong, FL, Williams, S, Deeks, J, Scandrett, K, Agarwal, R, Sundar, SS & Monahan, M 2025, 'A cost consequence analysis of seven diagnostic strategies for ovarian cancer: A model-based economic evaluation', BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.70074

Lissauer, D, Gadama, L, Waitt, C, Whyte, S, Burnside, G, Anilkumar, A, Makuluni, R, Okwaro, P, Yang, L, Waitt, P, Musopole, O, Bilesi, R, Maseko, B, Lwasa, J, Mugahi, R, Olaro, C, Lamorde, M, Makuta, M, Kachiwaya, C, Mkandawire, T, Malunga, A, Chitsulo, N, Abitimo, P, Ayabo, T, Weeks, A, Martin, J, Hemming, K, Gallos, I, Monk, EJM, Riches, J, Chapuma, C, Nanyondo S., J, Lorencatto, F, Monahan, M, Allegranzi, B, Dunlop, C, Atkins, L, Rosala-Hallas, A, Roberts, T, Gamble, C, Malata, A, Desmond, N, Kommwa, E, Merriel, A, Parry-Smith, W, Smith, R, Ndumu, I, Williams, E, Faque, B, Banda, G, Nyondo-Mipando, AL, Twimukye, A, Chater, T, Diplas, A, Brizuela, V, Souza, JP, Rylance, J, Cheshire, J, Hawker, L, Coomarasamy, A & Bonet, M 2025, 'A Multicomponent Intervention to Improve Maternal Infection Outcomes', The New England Journal of Medicine. https://doi.org/10.1056/NEJMoa2512698

Melyda, M, Monahan, M, Bird, C, Roberts, T, Harper, L & Litchfield, I 2025, 'Integrating health care and early years support for children and young people living in deprivation: A cost effectiveness analysis of the Sparkbrook Children’s Zone integrated clinic versus usual primary care in Birmingham, UK', BMJ Paediatrics Open, vol. 9, no. 1, e003249. https://doi.org/10.1136/bmjpo-2024-003249

Cooper, KG, Bhattacharya, S, Daniels, JP, Horne, AW, Clark, TJ, Saridogan, E, Cheed, V, Pirie, D, Melyda, M, Monahan, M, Roberts, TE, Cox, E, Stubbs, C, Middleton, LJ & PRE-EMPT Collaborative Group 2024, 'Long acting progestogens versus combined oral contraceptive pill for preventing recurrence of endometriosis related pain: the PRE-EMPT pragmatic, parallel group, open label, randomised controlled trial', BMJ open, vol. 385, e079006. https://doi.org/10.1136/bmj-2023-079006

Reinforcement of Closure of Stoma Site (ROCSS) Collaborative and West Midlands Research Collaborative & Benson, R 2024, 'Long-term cost-effectiveness of insertion of a biological mesh during stoma-site closure: 5–8-year follow-up of the ROCSS randomized controlled trial', British Journal of Surgery, vol. 111, no. 8, znae159. https://doi.org/10.1093/bjs/znae159

NIHR Global Health Research Unit on Global Surgery 2024, 'Mechanisms and causes of death after abdominal surgery in low-income and middle-income countries: a secondary analysis of the FALCON trial', The Lancet Global Health. https://doi.org/10.1016/S2214-109X(24)00318-8

NIHR Global Health Research Unit on Global Surgery 2024, 'Microbiology testing capacity and antimicrobial drug resistance in surgical-site infections: a post-hoc, prospective, secondary analysis of the FALCON randomised trial in seven low-income and middle-income countries', The Lancet Global Health, vol. 12, no. 11, pp. e1816-e1825. https://doi.org/10.1016/S2214-109X(24)00330-9

NIHR Global Health Research Unit on Global Surgery 2024, 'Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): A model-based cost-effectiveness analysis of a pragmatic, cluster-randomised trial in seven low-income and middle-income countries', Lancet Global Health, vol. 12, no. 2, pp. e235-e242. https://doi.org/10.1016/S2214-109X(23)00538-7

Kachapila, M, Monahan, M, Ademuyiwa, AO, Adinoyi, YM, Biccard, BM, George, C, Ghosh, DN, Glasbey, J, Morton, D, Osayomwanbo, O, Pearse, R, Roberts, T, Suroy, A, Yakubu, SY & Oppong, R 2023, 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low-and middle-income countries', BJA Open, vol. 7, 100207. https://doi.org/10.1016/j.bjao.2023.100207

Kachapila, M, Sindhu, S, Dhiman, J, Ghosh, D, John, S, Monahan, M, Morton, D, Roberts, T, Suroy, A & Oppong, R 2023, 'The cost of paediatric abdominal tuberculosis treatment in India: evidence from a teaching hospital', Experimental Results, vol. 4, e18. https://doi.org/10.1017/exp.2023.16

Abstract

Sundar, S, Salar, A, Do, V, Agarwal, R, Mead, P, Monahan, M, Griffin, D, Roberts, T, Takwoingi, Y, Duke, O, Crisp, H, Ratnavelu, N, Vernazza, J, Mohammed, P, Ofinran, O, Jhita, N, Simpson, S, Rati, N, Sai, V & Cummins, C 2025, 'Transforming ovarian cancer diagnostic pathways (SONATA): ROMA versus CA125 in community setting for diagnosis of ovarian cancer. A real-world prospective diagnostic test accuracy study – preliminary results', International Journal of Gynecological Cancer, vol. 35, no. 11, Supplement 1, 102734. https://doi.org/10.1016/j.ijgc.2025.102734

Comment/debate

NIHR Global Health Research Unit on Global Surgery Collaborators, Kachapila, M, Monahan, M, Ademuyiwa, AO, Adinoyi, YM, Biccard, BM, George, C, Ghosh, DN, Glasbey, J, Morton, DG, Osayomwanbo, O, Pearse, R, Roberts, TE, Suroy, A, Yakubu, SY & Oppong, R 2024, 'Erratum to 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries' [BJA Open 7 (2023) 100207]', BJA Open, vol. 10, 100267. https://doi.org/10.1016/j.bjao.2024.100267

Commissioned report

Litchfield, I, Lewis, R, Melyda, M, Monahan, M, Delanerolle, G, Roberts, T, Gallier, S & Harper, L 2025, Mixed method evaluation of the initial phase of BSOL-ICS virtual wards programme. Birmingham Health Partners. <https://www.birminghamhealthpartners.co.uk/wp-content/uploads/2025/06/BHP-VW-Report-v06.05.25-final.pdf>

Letter

Kachapila, M, Tabiri, S, Monahan, M, Abantanga, FA, Agbeko, AE, Agyei, F, Bhangu, A, Morton, DG, Roberts, TE, Ledda, V, Ohene-Yeboah, M & Oppong, R 2025, 'Task sharing in elective groin inguinal hernia repair for adult males in Ghana: a workforce model comparing surgeons and non-surgeon physicians', British Journal of Surgery, vol. 112, no. 9, znaf173. https://doi.org/10.1093/bjs/znaf173

Review article

Oko, CI, Ali, B, Monahan, M, Aborode, AT, Okon, J, Ayomoh, F, Ugwu, C, Ekwebene, O, Oza, S, Ibe, A, Ifeanyichi, M, Wei, CR & Akilimali, A 2025, 'Economics of Task‐Shifting in Surgery: A Systematic Review', Health Science Reports, vol. 8, no. 9, e71198. https://doi.org/10.1002/hsr2.71198

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