Robert Hecht, PhD

Professor of Public Health Practice (Microbial Diseases)

Public Health Interests

Global Health; Health Care Financing; Health Policy; HIV/AIDS; Vaccines

Research Organizations

Yale University: Yale School of Medicine: School of Public Health: Epidemiology of Microbial Diseases; Yale Institute for Global Health

Research Summary

Dr. Hecht’s research focuses on global health policy and financing.  In recent years, his research has concentrated on the costs, financing, and cost-effectiveness of actual and prospective investments in Hepatitis B and C, AIDS, malaria, vaccine-preventable diseases, and nutrition interventions.  The challenges and policy responses to declining donor financing of health, and the corresponding need to mobilize increased domestic funding, has also been a recurring theme in his research.  Projects have covered more than 20 countries in Africa, Asia, and Latin America.  Clients have included the Bill and Melinda Gates Foundation; the Global Fund to Fight AIDS, TB, and Malaria; the Gavi Vaccine Alliance; UNAIDS; Unitaid; the Tata Education Trusts; Nutrition International; and others.  Previously, Dr. Hecht’s research in global health also covered policies and financing to stimulate expanded investment in research and development for new drugs, vaccines, diagnostics, and other products to meet the priority needs of low and middle income countries; innovative financing mechanisms for global health; and reform of national health insurance mechanisms on the road to Universal Health Coverage.  Dr. Hecht has published his research results in a wide range of journals including the Lancet, Lancet Global Health, Health Policy and Planning, Health Affairs, PLoS, and the Journal of Global Health.

Selected Publications

  • The investment case for hepatitis B and C in South Africa: adaptation and innovation in policy analysis for disease program scale-up.

    Hecht R, Hiebert L, Spearman WC, Sonderup MW, Guthrie T, Hallett TB, Nayagam S, Razavi H, Soe-Lin S, Vilakazi-Nhlapo K, Pillay Y, Resch S. The investment case for hepatitis B and C in South Africa: adaptation and innovation in policy analysis for disease program scale-up. Health Policy And Planning 2018, 33:528-538. 2018

  • Transitioning financial responsibility for health programs from external donors to developing countries: Key issues and recommendations for policy and research.

    Resch S, Hecht R. Transitioning financial responsibility for health programs from external donors to developing countries: Key issues and recommendations for policy and research. Journal Of Global Health 2018, 8:010301. 2018

  • PrEP for key populations in combination HIV prevention in Nairobi: a mathematical modelling study.

    Cremin I, McKinnon L, Kimani J, Cherutich P, Gakii G, Muriuki F, Kripke K, Hecht R, Kiragu M, Smith J, Hinsley W, Gelmon L, Hallett TB. PrEP for key populations in combination HIV prevention in Nairobi: a mathematical modelling study. The Lancet. HIV 2017, 4:e214-e222. 2017

  • Countries transitioning from health aid: we need a common research agenda and mechanisms for joint action

    Robert Hecht and Sara Bennett, “Countries transitioning from health aid: we need a common research agenda and mechanisms for joint action”, Health Affairs, November 4, 2016. 2016

  • Reorienting health aid to meet post-2015 global health challenges: a case study of Sweden as a donor

    Gavin Yamey, Jesper Sundewall, Helen Saxenian, Robert Hecht, Keely Jordan, Marco Schäferhoff, Christina Schrade, Cécile Deleye, Milan Thomas, Nathan Blanchet, Lawrence Summers, and Dean Jamison, “Reorienting health aid to meet post-2015 global health challenges: a case study of Sweden as a donor”, Oxford Review of Economic Policy 2016, 32(1): 122-146. 2016

  • Defeating AIDS—Advancing Global Health

    Piot, Peter, Salim S Abdool Karim, Robert Hecht, et al, “Defeating AIDS—Advancing Global Health”, Lancet AIDS Commission report, The Lancet, June 2015:5-52. 2015

  • Funding AIDS Programs in the Era of Shared Responsibility: An Analysis of Domestic Spending in 12 Low and Middle-Income Countries

    Resch, Stephen, Theresa Ryckman, and Robert Hecht, “Funding AIDS Programs in the Era of Shared Responsibility: An Analysis of Domestic Spending in 12 Low and Middle-Income Countries”, Lancet Global Health 2015, 3:52-61. 2015

  • Overcoming challenges to sustainable immunization financing: early experiences from GAVI graduating countries.

    Saxenian H, Hecht R, Kaddar M, Schmitt S, Ryckman T, Cornejo S. Overcoming challenges to sustainable immunization financing: early experiences from GAVI graduating countries. Health Policy And Planning 2015, 30:197-205. 2015

  • Financing vaccinations - the South African experience.

    Blecher MS, Meheus F, Kollipara A, Hecht R, Cameron NA, Pillay Y, Hanna L. Financing vaccinations - the South African experience. Vaccine 2012, 30 Suppl 3:C79-86. 2012

  • Economic returns to investment in AIDS treatment in low and middle income countries.

    Resch S, Korenromp E, Stover J, Blakley M, Krubiner C, Thorien K, Hecht R, Atun R. Economic returns to investment in AIDS treatment in low and middle income countries. PloS One 2011, 6:e25310. 2011

  • Financing of HIV/AIDS programme scale-up in low-income and middle-income countries, 2009-31.

    Hecht R, Stover J, Bollinger L, Muhib F, Case K, de Ferranti D. Financing of HIV/AIDS programme scale-up in low-income and middle-income countries, 2009-31. Lancet 2010, 376:1254-60. 2010

  • Critical choices in financing the response to the global HIV/AIDS pandemic.

    Hecht R, Bollinger L, Stover J, McGreevey W, Muhib F, Madavo CE, de Ferranti D. Critical choices in financing the response to the global HIV/AIDS pandemic. Health Affairs (Project Hope) 2009, 28:1591-605. 2009

  • Improving health r&d financing for developing countries: a menu of innovative policy options.

    Hecht R, Wilson P, Palriwala A. Improving health r&d financing for developing countries: a menu of innovative policy options. Health Affairs (Project Hope) 2009, 28:974-85. 2009

  • Demand forecasting for preventive AIDS vaccines: economic and policy dimensions.

    Hecht R, Gandhi G. Demand forecasting for preventive AIDS vaccines: economic and policy dimensions. PharmacoEconomics 2008, 26:679-97. 2008

  • Financing Vaccine R&D – Gaps and Opportunities for Innovation

    Wilson, Paul, and Hecht, Robert. “Financing Vaccine R&D – Gaps and Opportunities for Innovation”. Global Forum Update on Research for Health 4. Global Forum for Health Research. Geneva. October 2007. 2007

  • The impact of an AIDS vaccine in developing countries: a new model and initial results.

    Stover J, Bollinger L, Hecht R, Williams C, Roca E. The impact of an AIDS vaccine in developing countries: a new model and initial results. Health Affairs (Project Hope) 2007, 26:1147-58. 2007

  • Putting it together: AIDS and the millennium development goals.

    Hecht R, Alban A, Taylor K, Post S, Andersen NB, Schwarz R. Putting it together: AIDS and the millennium development goals. PLoS Medicine 2006, 3:e455. 2006

  • Estimating the demand for a preventive HIV vaccine: why we need to do better. Reliable estimates would help in achieving several policy and advocacy objectives.

    Hecht R, Suraratdecha C. Estimating the demand for a preventive HIV vaccine: why we need to do better. Reliable estimates would help in achieving several policy and advocacy objectives. PLoS Medicine 2006, 3:e398. 2006

  • Recent Trends and Innovations in Development Assistance for Health

    Hecht R, Shah R, Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P. Recent Trends and Innovations in Development Assistance for Health 2006. 2006

  • Millennium Development Goals for Health: What Will It Take to Accelerate Progress?

    Wagstaff A, Claeson M, Hecht RM, Gottret P, Fang Q, Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P. Millennium Development Goals for Health: What Will It Take to Accelerate Progress? 2006. 2006

  • AIDS Vaccine Research Today: A Deeper Partnership between Countries

    Hecht, Robert, Julie Becker, and Eva Roca. “AIDS Vaccine Research Today: A Deeper Partnership between Countries”, HealthLinks 138, April-May 2006. 2006

  • Making Health Care Accountable

    Hecht, Robert, Amie Batson, and Logan Brenzel. “Making Health Care Accountable”, Finance and Development 41:1, March 2004. 2004

  • Making AIDS Part of the Global Development Agenda

    Hecht, Robert, Olusoji Adeyi, and Iris Semini. “Making AIDS Part of the Global Development Agenda”, Finance and Development 39:1, March 2002. 2002

  • Poverty, Debt, and AIDS: a Toolkit

    Adeyi, Olusoji, Robert Hecht, and Agnes Soucat. “Poverty, Debt, and AIDS: a Toolkit”. Geneva: UNAIDS Best Practice series, 2001. 2001

  • Swimming Against the Tide: Strategies for Improving Equity in Health

    Birdsall, Nancy and Hecht, Robert. “Swimming Against the Tide: Strategies for Improving Equity in Health”, HRO Working Paper, May 1995. The World Bank 1995

  • Urban Health: An Emerging Priority for the World Bank

    Hecht, Robert. “Urban Health: An Emerging Priority for the World Bank”, in Trudy Harpham and Marcel Tanner, Urban Health in Developing Countries. London: Earthscan Publications, 1995. 1995

  • Improving the implementation of cost recovery for health: lessons from Zimbabwe.

    Hecht R, Overholt C, Holmberg H. Improving the implementation of cost recovery for health: lessons from Zimbabwe. Health Policy (Amsterdam, Netherlands) 1993, 25:213-42. 1993

  • Rethinking the Government’s Role in Health

    Hecht, Robert, and Musgrove, Philip. “Rethinking the Government’s Role in Health”, Finance and Development 30:3, September 1993. 1993

  • Investing in Health – The World Development Report 1993

    Jamison, Dean, Robert Hecht, and others. “Investing in Health – The World Development Report 1993”. The World Bank. June 1993. 1993

  • Accelerating progress toward the health, nutrition, and population-related Millennium Development Goals

    Wagstaff, Adam, Mariam Claeson, Robert Hecht, and others. Accelerating progress toward the health, nutrition, and population-related Millennium Development Goals, World Bank, April 2003 2003

  • Achieving the MDGs: A Case Study of AIDS and Communicable Diseases

    Hecht, Robert, Susan Stout, and others. Achieving the MDGs: A Case Study of AIDS and Communicable Diseases, World Bank, September 2002. 2002

  • Argentina: Facing the Challenge of Health Insurance Reform

    Hecht, Robert, and others. Argentina: Facing the Challenge of Health Insurance Reform, The World Bank, 1997. 1997

  • Zimbabwe: Financing Health Services

    Hecht, Robert, and others. Zimbabwe: Financing Health Services. The World Bank. A Country Study, 1992. 1992

  • Lessons Learned through a Decade of Integrated Rural Development in Sri Lanka

    Hecht, Robert. Lessons Learned through a Decade of Integrated Rural Development in Sri Lanka, World Bank Sector Study, 1986. 1986

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Contact Info

Robert Hecht, PhD
Mailing Address
School of Public Health60 College Street
New Haven, CT 06510