Dr Andy Guise BSc MSc PhD

Research Fellow


My research focuses on exploring the experiences and needs of marginalized and excluded groups, such as people who use drugs, in accessing health care. Working with a range of research teams, the emphasis of my work is on understanding how health care delivery works in practice, the social and structural contexts and determinants for the challenges people face, and how this knowledge can be used to shape policy and programmes. A specific interest I have is exploring how community level action can support access to HIV care and HIV prevention.

I currently work at LSHTM and the University of California San Diego. I have worked in the UK, South Africa, Kenya, Senegal and the USA. I previously worked for non-governmental organisations and the British Government on global health policy issues.

I have degrees in Geography (BSc) from the University of Sheffield and Development studies (MSc) from the School of Oriental and African Studies (SOAS) at the University of London. My PhD at LSHTM studied the impact of HIV treatment and care in South Africa on nursing and primary health care.




I teach on issues of health policy, globalization, international development and qualitative methodologies.


I am currently implementing research that will inform the development of HIV and harm reduction services in Kenya and Senegal. This work is in partnership with the International HIV/AIDS Alliance, the Kenya AIDS NGOs Consortium, the University of Nairobi and the Alliance Nationale Contre le SIDA. These projects are exploring experiences of integrating methadone with HIV care in Kenya and supporting the development and evaluation of peer led community outreach in Senegal.

With the University of California San Diego I am working on a study in the USA, Canada, Mexico and France exploring the social and structural contexts for initiating injecting drug use.

Research areas

  • Ethnography
  • Evaluation
  • Global Health
  • Health services research
  • Implementation research
  • Mixed methods
  • Primary care
  • Qualitative methods
  • Social and structural determinants of health
  • Substance use
  • Systematic reviews


  • Social Sciences

Disease and Health Conditions

  • Addiction
  • Infectious disease


  • North America
  • Sub-Saharan Africa (developing only)


  • Kenya
  • South Africa
  • United Kingdom
  • United States

Other interests

  • Access To Care
  • Nursing Care
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