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Prof Katherine Fielding

Professor

United Kingdom

I joined the School in January 2000 and previously worked at the Centers for Disease Control and Prevention in Atlanta, US and University of Nottingham and University of Edinburgh. Currently I chair the TB Centre steering committee and deputy chair of the DL MSc Epidemiology exam board.

Affiliations

Department of Infectious Disease Epidemiology and International Health
Faculty of Epidemiology and Population Health

Centres

Centre for Data and Statistical Science for Health
Centre for Evaluation
TB Centre
Antimicrobial Resistance Centre

Teaching

I give lectures and run practicals on the 2nd term module Statistical Methods in Epidemiology and 3rd term module Advanced Statistical Methods in Epidemiology, and the distance learning module EPM304. I also contribute one lecture on the module Evaluation of Public Health Interventions in term 2.

Research

My research focuses on the design of intervention studies and evaluation of interventions to reduce the burden of tuberculosis (TB), particularly in settings of high HIV prevalence. Previously I have collaborated with researchers in The Gambia, Guinee and Guinea-Bissau on work investigating the role of genetic and environmental factors in susceptibility to TB. I have been senior statistician and co-investigator on various cluster randomized trials (CRTs) in South Africa and an individually randomized non-inferiority trial in conducted West and Southern Africa. The CRTs include an evaluation of Xpert MTB/RIF in South Africa embedded within their national rollout of the new TB diagnostic. I sit on Data Safety Monitoring Boards and Scientific Advisory Committees for phase II/III TB treatment trials and CRTs.

Over the last decade, I have also contributed to extensive research on adherence to TB medications. I have recently completed a collaboration with the Chinese Center for Disease Control and National TB Control program and Gates Foundation to design and evaluate interventions, including medication monitors, to improve adherence to TB treatment, using a pragmatic CRT design. I co-lead the Adherence Support Coalition to End TB research programme, funded through Unitaid, to evaluate digital adherence technologies in five countries. Over the last two years, I have also collaborated with researchers at Tufts University in the US and McGill University in Canada to conduct multiple systematic and scoping reviews to understand the effectiveness, cost-effectiveness, and implementation outcomes of TB digital adherence technologies.

Selected Publications

Effect of implementing digital adherence technologies on the use of health care providers’ time and the human resource cost of tuberculosis treatment adherence support in Ethiopia
Belachew, M; Sahile, M; Gadissa, D; Abdurhman, T; Bedru, A; McQuaid, CF; Van Rest, J; Van Kalmthout, K; Jerene, D; FIELDING, KL; Tadesse, AW; FOSTER, N;
2024
Cold Spring Harbor Laboratory
Health survey form for human resources and digital adherence technologies
FOSTER, N; Belachew, M; Sahile, M; Gadissa, D; Abdurhman, T; Bedru, A; Van Rest, J; Van Kalmthout, K; Jerene, D; FIELDING, K; TADESSE, AW;
2024
London School of Hygiene & Tropical Medicine
Feasibility and acceptability of the smart pillbox and medication label with differentiated care to support person-centered tuberculosis care among ASCENT trial participants - A multicountry study.
TADESSE, AW; Mganga, A; Dube, TN; Alacapa, J; Van Kalmthout, K; Letta, T; Mleoh, L; Garfin, AM C; Maraba, N; Charalambous, S; FOSTER, N; Jerene, D; FIELDING, KL;
2024
Frontiers in public health
The Impact of Digital Adherence Technologies on Health Outcomes in Tuberculosis: A Systematic Review and Meta-Analysis
Mohamed, M; Zary, M; Kafie, C; Chilala, C; Bahukudumbi, S; Foster, N; Gore, G; FIELDING, K; Subbaraman, R; Schwartzman, K;
2024
medRxiv
Community-level variation in TB testing history in Blantyre, Malawi.
NIGHTINGALE, ES; Feasey, HR A; Khundi, M; Soko, RN; BURKE, RM; Nliwasa, M; Twabi, H; Mpunga, JA; FIELDING, K; MacPherson, P; CORBETT, EL;
2024
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
Prevalence of chronic conditions and multimorbidity among healthcare workers in Zimbabwe: Results from a screening intervention.
CALDERWOOD, CJ; Marambire, E; NZVERE, FP; Larsson, LS; Chingono, RM S; Kavenga, F; Redzo, N; Bandason, T; Rusakaniko, S; Mujuru, HA; SIMMS, V; KHAN, P; Gregson, CL; Ndhlovu, CE; FERRAND, RA; FIELDING, K; KRANZER, K;
2024
PLOS global public health
Factors Related to the Utilization of Digital Adherence Technologies in Tuberculosis Care: A Qualitative Study Among Adults in DS-TB Treatment, Health Care Providers and Other Key Stakeholders in Tanzania
Gonçalves Tasca, B; Mganga, A; Leung, CL; Shilugu, L; Pell, C; Onjare, B; Luvanda, N; De Groot, L; Van Kalmthout, K; FIELDING, K; Jerene, D;
2023
medRxiv
Digital adherence technologies and differentiated care for tuberculosis treatment in the Philippines: Patient and Healthcare provider acceptability (Preprint)
Leung, CL; Alacapa, J; Gonçalves Tasca, B; Villanueva, AD; Masulit, S; Pell, C; Van Kalmthout, K; Powers, R; FIELDING, K; Jerene, D;
2023
JMIR Publications Inc.
Effectiveness of a community-based approach for the investigation and management of children with household tuberculosis contact in Cameroon and Uganda: a cluster-randomised trial.
Bonnet, M; Vasiliu, A; Tchounga, BK; Cuer, B; FIELDING, K; Ssekyanzi, B; Tchakounte Youngui, B; Cohn, J; Dodd, PJ; Tiendrebeogo, G; Tchendjou, P; Simo, L; Okello, RF; Kuate Kuate, A; Turyahabwe, S; Atwine, D; Graham, SM; Casenghi, M; CONTACT study group,;
2023
The Lancet Global health
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