Ms Sarai Keestra


Research Assistant

15-17 Tavistock Place
United Kingdom

Sarai Keestra is a medical anthropologist working as a research assistant at the LSHTM Antimicrobial Resistance (AMR) Centre ( in the Department of Global Health and Development. She is currently assisting on a systematic review that applies a One Health approach to identify WASH and biosecurity interventions in animal agriculture that have the potential to reduce the burden of infections and reliance on antibiotics in LMICs. 

Next to her interest in AMR and One Health her research focuses on the influence of early life conditions on the timing of sexual maturation, the evolutionary ecology of thyroid function, and the effect of sedentarisation on the health and nutrition of mobile populations living in Ethiopia and Congo Brazzaville. Originally from the Netherlands, she studied Human Sciences at University College London before receiving her MSc in Medical Anthropology from Durham University. Later she worked as a research assistant at the School of Anthropology & Museum Ethnography at the University of Oxford. She is now a graduate entry medicine student at the University of Amsterdam.

Sarai is also involved in several civil society organisations such as Universities Allied for Essential Medicines and People’s Health Movement, where she primarily focuses on access to medicines, clinical trial transparency, university technology transfer, and equitable research and development. 


Faculty of Public Health and Policy
Department of Global Health and Development


Antimicrobial Resistance Centre (AMR)


With Chris Pinto and Clare Chandler, Sarai is conducting a systematic review on how water, sanitation and hygiene (WASH) and biosecurity interventions could reduce infections, antimicrobial use and antimicrobial resistance (AMR) in people working in close contact with animals, such as farmers. Previous research has suggested that social, cultural, political, economic and environmental factors play an important role in the development of AMR, however, it is not well-understood how these effects can be mitigated. This systematic review, in collaboration with the LSHTM AMR Centre and the International Livestock Research Institute (ILRI), will summarise the evidence base for such structural AMR interventions, with the aim of shaping future research, policies and funding in this area, with a focus on low- and middle-income countries. 

Research Area
Child health
Drug discovery and development
Health policy
Public health
Systematic reviews
Adolescent health
Evidence use
Global Health