Mary Shefi Dsilva

Mary Shefi Dsilva
Research Program:

What are your research interests?

  • Application of health economic models to facilitate translation of research questions with clinical validity and utility  to successful models of care
  • Integration of healthcare services for continuity of care
  • Budget impact analysis
  • Social determinants of health

Why did you get into research?

I got introduced to research during the initial years of my medical education. However, I took the plunge into research career after working alongside researchers of high calibre in pain and palliative care department. During my tenure as a clinician in the department, the researchers there implemented a community based palliative care services, which is now being referred as the pioneer of palliative care movement in South East Asia. That was first time I realised the impact of research on human lives so profoundly and decided to pursue my career in research.

What would be the ultimate goal for you research?

My goal is to facilitate translation of research for the benefit of the community by applying health economic principles. There is a currently a gap in health system services in incorporating economic evaluations and evidence synthesis as part of the study design which in turn can lead many missed opportunities in terms of transitioning to successful models of care.


Shefi completed a Master of Health Economics (2015) and a Bachelor of Dental Surgery (2011). After completion as a clinician, she worked in general dentistry, palliative care, and worked as part of a medical team providing emergency care in Road Traffic Accidents.

As a researcher, she worked as a Health Outcomes Researcher with the National Health Mission of India on a United Nations project to address the issue of child malnutrition in Indigenous communities. In that role, she analysed the determinants of child malnutrition, evaluated the cost-effectiveness of community-based interventions for malnutrition, and developed a risk based predictive tool termed as ‘Vulnerability index’ for prioritised interventions among high risk groups. Her other projects examined the cost of illness of diabetes in low income households, evaluated the vertical integration of neglected diseases services into the general health system and decision analytic modelling to evaluate the cost effectiveness of contraceptives.

In Australia, Shefi worked as a consultant and contributed to technology appraisal submissions to the Australian Medical Benefits Advisory Committee. At HMRI, she works on economic evaluations assessing the models of care.

Specialised/Technical Skills

  • Applied health economics
  • Cost modelling
  • Cost-effectiveness analysis
  • Systematic Literature review