Dr Rashida Ferrand MB BS MRCP MSc PhD

Reader International Health

Background

I am a Clinical Epidemiologist and a specialist physician in HIV Medicine and Sexual Health. I joined LSHTM in 2001 as a Wellcome Trust Entry Level Fellow and started my research career investigating immune responses to tuberculosis. In 2003, I moved to Zimbabwe and worked as a lecturer at the University of Zimbabwe Medical School, and completed a Distance-Based Learning MSc in Epidemiology. Between 2007-2010, I held a Wellcome Trust Clinical Training Fellowship and was based in Harare for my doctoral research. After a short break from research to complete my clinical specialist training in London, I returned to Harare in 2012. I am a Wellcome Trust Intermediate Fellow and work on clinical and epidemiological studies on HIV infection in older children and adolescents. In Harare, I am hosted by the Biomedical Research and Training Institute. I am an Honorary Consultant Physician in HIV Medicine at Barts Health NHS Trust, London.

Affiliation

Centres

Teaching

I co-organise the AIDS MSc module and am also a tutor on the AIDS module for the Distance-based Learning MSc. I teach on Research Methods courses at the Biomedical Research and Training Institute. I contribute to the clinical teaching program at the University of Zimbabwe and teach on courses at the Biomedical research and Training Institute.  I also support academic activities at the Dept of HIV Medicine at Barts Health NHS Trust.

Research

My main research interest is HIV infection in older children and adolescents. We have shown that a third of HIV-infected infants have slow-progressing HIV disease and can survive to adolescence even without HIV treatment.  Prior to this, assumptions were that survival of infants with untreated HIV infection beyond 5 years of age was exceptional. Partly due to the lack of recognition of the substantial numbers of HIV-infected children surviving to older childhood, HIV testing and care services for older children have not been prioritised.  Therefore, diagnosis of HIV infection is frequently delayed until presentation with advanced disease in adolescence, resulting in a high risk of development of chronic complications such as pubertal delay, stunting and organ damage.

My current research focuses on investigating strategies to improve HIV testing, access to and retention in HIV care for older children and adolescents. We are evaluating opt-out HIV testing, decentralised HIV care at primary care level and use of community lay workers to support families of HIV-infected children. We also conduct clinical cohort studies to investigate chronic HIV-associated complications, particularly HIV-associated lung disease, cardiac disease and growth failure. We are currently conducting a clinical trial of azithromycin for treatment of chronic lung disease. I collaborate with Professor Sarah-Rowland Jones at the University of Oxford on studies to investigate the immunogenetic correlates of slow progression of HIV infection in children and the pathogenesis of chronic lung disease. 

 

Research areas

  • Adolescent health
  • Child health
  • Clinical care
  • Evaluation
  • Primary care
  • Public health

Disciplines

  • Epidemiology
  • Medicine
  • Operational research

Disease and Health Conditions

  • HIV/AIDS
  • Infectious disease
  • Respiratory disease

Regions

  • Sub-Saharan Africa (all income levels)

Countries

  • Malawi
  • Zimbabwe

Other interests

  • Adolescence
  • Adolescent HIV
  • Africa
  • Antiretroviral Therapy
  • Child Disability
  • Community Health Workers
  • Growth
  • HIV Testing
  • HIV Treatment
  • Opportunistic Infectious Diseases
Back to top