GHES U.S. Fellow 2014-2015
Fellowship Site: Shinyanga Regional Hospital, Tanzania
U.S. Institution: UC Berkeley
Project Title: Comparing Food and Cash Assistance for HIV-Positive Men and Women on Antiretroviral Therapy in Tanzania
Dr. Sandra McCoy is currently an Associate Professor in Residence, Epidemiology at the School of Public Health, UC Berkeley.
Although early initiation of antiretroviral therapy (ART) among PLHIV has significant clinical benefits and can virtually eliminate onward HIV transmission, these benefits hinge on retention in care and high levels of ART adherence. However, in sub-Saharan Africa, food insecurity, poor nutrition, and poverty are pervasive threats to ART’s potential effectiveness. Food insecurity in particular is increasingly recognized as a barrier to ART initiation, retention in care, and adherence, thus fostering interest in the potential for food and nutrition interventions to improve the health of PLHIV. Nevertheless, there is a paucity of rigorous evidence to guide initiatives in this area, including which assistance modalities are best to improve both food security and nutrition, as well as clinical and economic outcomes.
She is a GHES mentor at her Tanzania partner institution. She is mentor to GHES 2017-2018 fellow Omobola Mudasiru.
Selected publications associated with this fellowship are listed.