I obtained my primary medical degree from the University of Newcastle-upon-Tyne and completed my postgraduate training in internal medicine and clinical specialist training in HIV Medicine and Sexual Health in London. I undertook a Distance-Based Learning Masters in Epidemiology at LSHTM while working as a clinical lecturer at the University of Zimbabwe Medical School. Following completion of clinical specialist and doctoral research training, I have worked at LSHTM- my research based mainly in Southern Africa and Pakistan.
I am an epidemiologist and my research interests include adolescent health, HIV and sexual and reproductive health (SRH), and multimorbidity. I develop and evaluate public health interventions including individual and cluster randomised trials.
I have been based in Harare, Zimbabwe for 20 years, where I established and direct an interdisciplinary research programme (The Health Research Unit Zimbabwe (THRU ZIM:https://www.thruzim.org/)), embedded within the Biomedical Research and Training Institute (BRTI)- my host institution.
I am an epidemiologist and my research interests include adolescent health, HIV and sexual and reproductive health (SRH), and multimorbidity. I develop and evaluate public health interventions including individual and cluster randomised trials.
I have been based in Harare, Zimbabwe for 20 years, where I established and direct an interdisciplinary research programme (The Health Research Unit Zimbabwe (THRU ZIM:https://www.thruzim.org/)), embedded within the Biomedical Research and Training Institute (BRTI)- my host institution.
Affiliations
Department of Clinical Research
Faculty of Infectious and Tropical Diseases
Centres
Centre for Maternal Adolescent Reproductive & Child Health
Teaching
I enjoy teaching and contribute to various MSc modules at LSHTM including HIV and Epidemiology in Practice. I also teach on the Diploma of Tropical Medicine and Hygiene (DTM&H) and am the Lead for the DTM&H course section on Decolonising Global Health. I supervise several MSc projects every year and particularly welcome hosting MSc students who want to embed their projects within ongoing research studies at THRU ZIM and want to visit Zimbabwe. I currently supervise 3 PhD students and 1 DrPH student as a primary supervisor and am an associate supervisor/advisor for a further 6 students. We host interns, undergraduate, post-graduate and post-doctoral students from Zimbabwean and international academic institutions at THRU ZIM.
I am the Director of a PhD programme for Health Professionals called CREATE (https://www.create-phd.org/), which is training 50 doctoral students from the UK and from Africa in global health.
I contribute to undergraduate and postgraduate teaching in public health and clinical medicine at the University of Zimbabwe, and teach on research methods courses at the Biomedical Research and Training Institute in Harare. I also mentor colleagues at the Aga Khan University in Pakistan, where I hold a visiting professorship.
I am the Director of a PhD programme for Health Professionals called CREATE (https://www.create-phd.org/), which is training 50 doctoral students from the UK and from Africa in global health.
I contribute to undergraduate and postgraduate teaching in public health and clinical medicine at the University of Zimbabwe, and teach on research methods courses at the Biomedical Research and Training Institute in Harare. I also mentor colleagues at the Aga Khan University in Pakistan, where I hold a visiting professorship.
Research
My PhD, funded through a Wellcome Trust clinical tropical training fellowship, investigated the clinical epidemiology of adolescents with perinatally-acquired HIV. This was followed by two further Wellcome Trust Fellowships through which I investigated interventions to improve outcomes across the HIV care cascade (from HIV testing to linkage to care and achieving viral suppression) among children and young people, and on integration of HIV and sexual and reproductive and other health services. I currently lead a study that aims to develop and evaluate a multi-faceted biomedical pychosocial, nutritional care package for pregnant adolescents. I am also working on approaches to promote a shift away from syndromic to aetiological approaches for management of sexually transmittted infections (STIs) including STI screening in HIV and antenatal care services and in community-based settings.
My other area of research is multimorbidity across the life-course. I conduct clinical and pathogenesis studies on chronic comorbidities associated with HIV infection among children and adolescents, particularly respiratory, cardiac, musculoskeletal and neurocognitive disease. I lead an EDCTP-funded consortium (VITALITY: https://www.vitality-trial.co.uk) that is investigating high-dose vitamin D and calcium supplementation for improving musculoskeletal health of children with HIV.
I work on evaluation of multimorbidity prevention, screening and care packages for different population groups; I am the Zimbabwe lead for the FRACTURES E3 consortium (https://www.fractures-e3.com/) that is investigating the epidemiology, economic impact and ethnography of fragility fractures in Sub-Saharan Africa. I am a co-investigator on studies i) developing and evaluating "check-up" visits in adolescence to identify and manage common health problems combined with health promotion; and ii) a study developing and evaluating an intervention package to promote healthy ageing.
My other area of research is multimorbidity across the life-course. I conduct clinical and pathogenesis studies on chronic comorbidities associated with HIV infection among children and adolescents, particularly respiratory, cardiac, musculoskeletal and neurocognitive disease. I lead an EDCTP-funded consortium (VITALITY: https://www.vitality-trial.co.uk) that is investigating high-dose vitamin D and calcium supplementation for improving musculoskeletal health of children with HIV.
I work on evaluation of multimorbidity prevention, screening and care packages for different population groups; I am the Zimbabwe lead for the FRACTURES E3 consortium (https://www.fractures-e3.com/) that is investigating the epidemiology, economic impact and ethnography of fragility fractures in Sub-Saharan Africa. I am a co-investigator on studies i) developing and evaluating "check-up" visits in adolescence to identify and manage common health problems combined with health promotion; and ii) a study developing and evaluating an intervention package to promote healthy ageing.
Research Area
Adolescent health
Clinical trials
Complex interventions
Global Health
Health outcomes
Mobile technologies
Public health
Sexual health
T-cell immunology
Epidemiology
Medicine
Operational research
Implementation science
Randomised controlled trials
Disease and Health Conditions
HIV/AIDS
Sepsis
Tuberculosis
Cardiovascular diseases
Respiratory diseases
Sexually transmitted infections
Country
Malawi
Pakistan
Zambia
Zimbabwe
Region
South Asia
Sub-Saharan Africa (all income levels)
Selected Publications
Risk factors for curable sexually transmitted infections among youth: findings from the STICH population survey in Zimbabwe.
2024
Sexually transmitted infections
Changes in peripheral quantitative computed tomography measured bone density, size and strength in Zimbabwean children with and without HIV over one year: a cohort study.
2024
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
Factors Associated With the Use of Digital Technology Among Youth in Zimbabwe: Findings From a Cross-Sectional Population-Based Survey.
2024
Journal of medical Internet research
Association Between Vitamin D Insufficiency and Impaired Bone Density Among Adolescents With Perinatally Acquired HIV Infection.
2024
Open forum infectious diseases