Margaret Elizabeth Kruk
Primary Faculty

Margaret Elizabeth Kruk

Professor of Health Systems

Global Health and Population

Other Positions

QuEST Center Director

Global Health and Population

Harvard T.H. Chan School of Public Health


Dr. Margaret E. Kruk is Professor of Health Systems at the Harvard T.H. Chan School of Public Health. Dr. Kruk’s research generates evidence on how health systems can improve health for people living in low-income countries. Working with colleagues in Ethiopia, Kenya, Nepal, South Africa, and India, among other countries, she develops novel measures of health system quality and studies the links between quality and population demand for health care, health outcomes, and confidence in the system. Dr. Kruk and her team use implementation science and econometric methods to evaluate large-scale health system reforms.

Dr. Kruk is Director of the QuEST Centers and Network: a multi-country collaboration to produce a global evidence base for improving health systems. The QuEST Network responds to the findings of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era (HQSS Commission), a global initiative chaired by Dr. Kruk. QuEST will develop new instruments to assess health system quality, test structural and policy solutions to systemic quality deficits, and support expansion of high-impact health systems research in partner countries.

Prior to coming to Harvard, Dr. Kruk was Associate Professor of Health Policy and Management and Director of the Better Health Systems Initiative at Columbia University. Previously, she was Assistant Professor of Health Management and Policy at the University of Michigan. She has held posts at the United Nations Development Program and McKinsey and Company and practiced medicine in northern Ontario, Canada. She holds an MD degree from McMaster University and an MPH from Harvard University. She is on Twitter @mkruk.


Measuring people's views on health system performance: Design and development of the People's Voice Survey.

Lewis TP, Kapoor NR, Aryal A, Bazua-Lobato R, Carai S, Clarke-Deelder E, Croke K, Dayalu R, Espinoza-Pajuelo L, Fink G, Garcia PJ, Garcia-Elorrio E, Getachew T, Jarhyan P, Kassa M, Kim SA, Mazzoni A, Medina-Ranilla J, Mohan S, Molla G, Moshabela M, Naidoo I, Nzinga J, Oh J, Okiro EA, Prabhakaran D, Roberti J, SteelFisher G, Taddele T, Tadele A, Wang X, Xu R, Leslie HH, Kruk ME.

PLoS Med. 2023 Oct. 20(10):e1004294. PMID: 37801441


A call to optimize child health

A new Lancet series focuses on building a holistic global health agenda for improving child and adolescent health and development from before conception to adulthood, and to reduce inequities in access and quality of care.