NIHR Academic Clinical Lecturer in Infection and LIV-TB Collaboration Lead, University of Liverpool

I am a physician and NIHR Academic Clinical Lecturer in Infectious Diseases. I completed medical training in Liverpool and have since worked as an infection physician and researcher in the UK, sub-saharan Africa, Latin America, and muddy fields at Glastonbury and Reading Festivals.

From February 2012-2015, I undertook a PhD entitled Preventing tuberculosis in high risk people with the Innovation For Health And Development team led by Dr Carlton Evans of Imperial College London, which works with 32 impoverished shantytown communities in north Lima, Peru, to improve TB prevention and control. During my time in Peru, I evaluated the economic effects of accessing "free" TB care, was part of the WHO task force on catastrophic costs of TB treatment, and led a Household Randomized-controlled Evaluation of a Socioeconomic Intervention to Prevent TB (HRESIPT). This research showed that socioeconomic support including conditional cash transfers improved rates of TB preventive therapy uptake and increased TB treatment success. We have recently completed the long-term follow-up and acceptability assessment from HRESIPT (manuscripts in press) and are continuing to evaluate the impact of the conditional cash transfers on TB control in the Community Randomised Evaluation of a Socioeconomic Intervention to Prevent Tuberculosis (CRESIPT) study.

In addition to ongoing work in Peru, I am expanding my research further as a post-doctoral investigator to evaluate the best methods of delivering socioeconomic support to TB-affected households in diverse low-resource settings through the following Wellcome Trust, Academy of Medical Sciences, and Swedish Health Research Council funded projects:

1. Developing a locally-appropriate socioeconomic support package for TB-affected households in Nepal: a Wellcome Trust Seed Research project to inform the BEYOND-TB trial (PI)

2. CHEST: Coordinating HEalth and Social care for TB patients in Mozambique (Co-investigator)

The projects above involve collaboration with multiple partners including: Karolinska Institutet, Liverpool School of Tropical Medicine (IMPACT TB, a Horizon 2020 EU funded study), University of Tampere Finland, the Birat Nepal Medical Trust, and national TB programs in Nepal and Mozambique.

I continue to be an active member of the Social Protection Action Research and Knowledge Sharing (SPARKS) network - a collaboration with Karolinska Institute, the World Health Organisation, and London School of Hygiene and Tropical Medicine), the WHO Task Force on Catastrophic Costs of TB, and run the (LIV-TB research collaborationhttps://www.lstmed.ac.uk/research/collaborations/liv-tb).

I have received funding from the Wellcome Trust, Academy of Medical Sciences, NIHR, Liverpool Glasgow Wellcome Centre for Global Health Research, University of Liverpool, Innovation For Health And Development, British Infection Association, International Union Against TB and Lung Disease, and American Society of Tropical Medicine and Hygiene.

I hope to apply for a Wellcome Trust Research Career Development Fellowship in 2019 to undertake the multi-centre "BEYOND TB" trial of socioeconomic support for TB-affected households in diverse settings.

Experience

  • 2016–present
    LIV-TB Coordinator, Liverpool School of Tropical Medicine
  • 2016–present
    Post-doctoral Researcher, Karolinska Institutet
  • 2009–2019
    Specialist Registrar in Infectious Diseases, NHS Northwest
  • 2016–2019
    NIHR Academic Clinical Lecturer in Infection, University of Liverpool
  • 2012–2016
    Innovation For Health And Development (IFHAD) Research Fellow, Imperial College London