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Alison Wringe

BSc BA MSc PhD

Associate Professor

Room
Room 144

LSHTM
Keppel Street
London
WC1E 7HT
United Kingdom

Tel.
+44 (0)20 7927 2588

I graduated from the University of New South Wales in Australia in 1999 with a BSc in Mathematics and a BA in French, and then worked for three years with a medical NGO in both Africa and Asia, coordinating TB, HIV and malaria projects.

I came to LSHTM in 2002 for the MSc in Public Health in Developing Countries, and subsequently stayed at the School to work on the development of polio vaccination policies through a collaborative project with the World Health Organisation. Following this, I undertook my PhD to investigate access to HIV care and antiretroviral therapy among HIV-positive adults in rural Tanzania. This research used quantitative and qualitative methods and took place within the context of a long-term population-level HIV cohort study that has been monitoring the dynamics of HIV infection since 1994. 

Since completing my PhD in 2007, I have been workng with the ALPHA network (http://alpha.lshtm.ac.uk/), and held a Medical Research Council fellowship in Population Health Science between 2010-2017. 

Affiliations

Department of Population Health
Faculty of Epidemiology and Population Health

Centres

Maternal, Adolescent, Reproductive & Child Health (MARCH)
Health in Humanitarian Crises Centre

Teaching

I am currently a tutor for the distance-learning MSc in Epidemiology and I co-organise the module on Demographic Methods  as well as teaching on Epidemiology and Control of Communicable Diseases (EPM301) and Statistics for Epidemiology and Population Health (EPM102). I am also a tutor for students from the MSc in Reproductive and Sexual Health Research.

I am currently csupervising three PhD students who are working on the social factors influencing uptake of "test and treat" strategies in Swaziland, on the reproductive and sexual health needs of HIV-infected adolescent girls in Zambia, and on retention in HIV care among pregnant and breastfeeding women in rural South Africa.

 

Research

My research has focused on exploring the role of individual, social and community factors in access to HIV and reproductive and sexual health services, using quantitative and qualitative research methods. I have also worked on studies investigating the impact of using HIV testing and treatment services on sexual behaviour, fertility intentions, HIV incidence and mortality. . 

I am currently involved in several different research projects with ALPHA investigating the delivery, uptake and impact of HIV and reproductive and sexual health services in sub-Saharan Africa. I recently led a multi-country qualitative study across 7 African Demographic Surveillance System sites to investigate “bottlenecks” in effective pathways to HIV care for people living with HIV/AIDS. I am also coordinating analyses exploring HIV policy implementation in several African countries and its influence on HIV-related mortality.

I am currently Principal Investigator for a Health Systems Research Initiative grant to investigate health systems impacts of Option B+ and universal test and treat for HIV.

I am also currently PI for two studies investigating i) antiretroviral therapy (ART) adherence and treatment outcomes among adolescents and ii) patients on second- and third-line ART in Malawi and Kenya. 

More recently, I have become involved in a mixed methods study investigating access to reproductive and sexual health services by Syrian refugees in Turkey and Europe. Other research interests include evaluations of maternal, and sexual and reproductive health interventions including those for pre-exposure prophylaxis for HIV, self-testing for HIV and differentiated service delivery for HIV in African settings. 

Research Area
Health inequalities
Health outcomes
Health policy
Health services research
Health systems
Maternal health
Sexual health
Social and structural determinants of health
Adolescent health
Health workers
Behaviour change
Disease control
Evaluation
Fertility
Health services
Mixed methods
Qualitative methods
Reproductive health
Discipline
Demography
Epidemiology
Operational research
Policy analysis
Social Sciences
Disease and Health Conditions
HIV/AIDS
Sexually transmitted infection
Country
Greece
Kenya
Mozambique
Malawi
Syrian Arab Republic
Tanzania
Uganda
South Africa
Zimbabwe
Region
Arab World
Euro area
Sub-Saharan Africa (developing only)

Selected Publications

Antiretroviral therapy uptake and coverage in four HIV community cohort studies in sub-Saharan Africa.
Wringe, A. ; Floyd, S. ; Kazooba, P. ; Mushati, P. ; Baisley, K. ; Urassa, M. ; Molesworth, A. ; Schumacher, C. ; Todd, J. ; Zaba, B. ;
2012
Trop Med Int Health
Comparative assessment of the quality of age-at-event reporting in three HIV cohort studies in sub-Saharan Africa.
Wringe, A.; Cremin, I.; Todd, J.; McGrath, N.; Kasamba, I.; Herbst, K.; Mushore, P.; Zaba, B.; Slaymaker, E.;
2009
Sex Transm Infect
From HIV diagnosis to treatment: evaluation of a referral system to promote and monitor access to antiretroviral therapy in rural Tanzania.
Nsigaye, R.; Wringe, A.; Roura, M.; Kalluvya, S.; Urassa, M.; Busza, J.; Zaba, B.;
2009
J Int AIDS Soc
Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment.
Wringe, A.; Isingo, R.; Urassa, M.; Maiseli, G.; Manyalla, R.; Changalucha, J.; Mngara, J.; Kalluvya, S.; Zaba, B.;
2008
Trop Med Int Health
Estimating the extent of vaccine-derived poliovirus infection.
Wringe, A.; Fine, P.E.; Sutter, R.W.; Kew, O.M.;
2008
PLoS One
Use of data from HIV counselling and testing services for HIV surveillance in Africa
Mwaluko, G.; Wringe, A.; Todd, J.; Glynn, J.R.; Crampin, A.C.; Jaffar, S.; Kalluvya, S.; Zaba, B.
2007
Lancet
See all Alison Wringe's Publications