Miriam Taegtmeyer is a Professor of Global Health at the Liverpool School of Tropical Medicine, where she heads the Community Health Systems Research Group. The group consists of staff and doctoral students with a research portfolio of over £8 million (2018), spanning 11 countries across Africa and Asia. Our vision is to create a world where your health is not dictated by who you are, where you are born or where you live. We conduct robust and innovative global health implementation research on community health systems. We engage and partner with communities, practitioners and policy makers and our research is used to strengthen and sustain high quality community health systems for underserved communities
As a public health researcher, practicing NHS consultant physician and qualified teacher Miriam focuses on implementation research that bridges disciplines. Her research in the complementary areas of HIV testing and counselling, community health systems and quality improvement has directly impacted public health and informed global and national policies and guidelines. She is particularly interested in progress to universal health coverage and improved health equity in resource poor settings. Using mixed methods research she has designed and tested approaches to the scale-up of community health programmes that are both cost effective and of high quality, leading to over 90 peer reviewed publications in JAMA, AIDS, JAIDS and the WHO Bulletin among others. Through her unique approach to combining research with implementation her work is responsive to local needs, solution-based and builds on local capacity and priorities thus ensuring policy uptake and creating resilience in health systems. In 2015 Miriam was included in the Graduate Institute list of 300 Women Leaders in Global Health.
The REACHOUT network, for which she is PI, is respected internationally as an example of excellence in community health systems research. REACHOUT hosts the Thematic Working Group on Close-to-Community Providers under Health Systems Global – a community of practice bringing together over 250 key players in health systems. The work of REACHOUT has been quoted in UK parliament and its approaches to quality improvement of community health programmes have influenced national and regional policy in Kenya, Malawi, Mozambique and Ethiopia. Findings from Miriam’s research in HIV have been taken up in national policy through her involvement in the Kenya VCT committee (2001 – 2004); the Kenyan national ARVs task force (2002-2004), the Namibian national HTC guidelines (2010) and operational plan for HIV (2011) and the Tanzanian quality improvement framework for HTC. She was a member of the WHO HTC guidelines development group (2007-2015) and member of the WHO consolidated ART guidelines (2010 – 2014).
Miriam was the founder of LVCT Health, an indigenous Kenyan NGO which was established out of an operational research project on HIV testing and counselling in 2000. This work was cited as an example of best practice in the 2004 National Audit Office Report due to its cost-effective health impact. LVCT Health has now grown into a successful, internationally-recognised, indigenous organisation that provides HIV tests and services to millions of Kenyans, trained over 3000 health care workers and provided technical assistance to Ministries of Health in Ethiopia, Ivory Coast, Botswana and Tanzania, creating a large platform for implementation research. It is a great privilege for Miriam to continue to have joint research projects with LVCT Health. Miriam has also provided technical assistance in HIV counselling and testing in Nigeria, DRC, Kenya, Tanzania, Mozambique and Namibia.
Teaching
Prof Taegtmeyer is a qualified teacher and teaches both undergraduate and post graduate medicine. She has written curricula and training manuals for HIV counselling and testing in numerous settings. She developed the highly praised Masters module in HIV (Trop 974), bringing together global experts in clinical and public health aspects of HIV management in resource poor countries. Currently she teaches on the Diploma in Tropical Nursing, Masters in International Public Health, Masters in Tropical and Infectious Disease, Masters in Tropical Paediatrics and Diploma in Reproductive Health.
Current PhD students
Lynne Elliot |
Primary supervisor |
Year 3 |
Functionality and sustainability of quality improvement teams for community health systems in Kenya |
Meghan Bruce |
Primary supervisor |
Year 3 |
Costs, finances and decision-making for community health programmes |
Charlotte Hemingway |
Primary supervisor |
Year 2 |
Digital gaming and HIV knowledge, testing and linkage among adolescent MSM in the Philippines |
Stephen Mulupi |
Primary Supervisor |
Year 2 |
Decision-making and priority setting for lung health in a devolved Kenyan community health system |
Beate Ringwald |
Secondary Supervisor |
Year 2 |
Exploring opportunities for addressing intimate partner violence in the context of community-based HIV services in Kenya and steps toward testing interventions at community-level |
Dr Helen Barsosio |
Secondary Supervisor |
Year 1 |
Investigating promising malaria chemoprevention strategies for HIV-infected women in Sub-Saharan Africa |
Current Research Grants
Principle Investigator
Funder |
Dates |
Value |
Title and aims |
Role |
MRC PHIND |
2019-2020
|
£150,000
|
4byFour Pilot
|
PI
|
USAID |
2016-2019 |
$1.8m |
SQALE Integration of quality improvement in community health in Kenya |
PI – coordinated development of research idea, wrote proposal, leading grant from LSTM |
MRC Newton Foundation |
2015-2018 |
£560,000 |
HIV GET pilot study that links gaming to HIV rapid testing in the Philippines |
PI and HTC technical lead. |
EC FP7 |
2013-2018 |
€5.8m |
REACHOUT a 6 country mixed method health systems research study on the equity effectiveness and efficiency of close to community providers |
PI - coordinated development of research ideas, led proposal writing, leading whole grant |
Co-Investigator
Funder |
Dates |
Value |
Title and aims |
Role |
NIHR |
2017-2020 |
£7m |
IMPALA unit for research in TB and lung disease |
Health systems discipline lead |
UNITAID |
2017-2019 |
$73m |
STAR Initiative – scale up of HIV self-testing in 6 countries in Africa |
Deputy research director, lead regulatory pathway development; qualitative research network and policy influence |
UNITAID |
2016-2020 |
$5.5m |
DOLPHIN2: RCT evaluating Dolutegravir (antiretroviral drug) in pregnancy |
Co-applicant and Qualitative Research Lead
|
UNITAID |
2015-2017 |
$33m |
STAR Clinical Trial on impact of HIV self-testing |
Co-PI, deputy research director, leads regulatory pathway development; qualitative research network |
Gates Foundation |
2013 |
$1m |
HIV self-testing prototype evaluation for HIV in Malawi, Kenya and South Africa developing video methods |
LSTM PI coordinating inter country analysis |
CDC |
2010-2015 |
$1.8m |
HIV and Malaria Cooperative Agreement |
Co-Applicant supporting national and international policy in HIV testing and counselling |
Involvement in WHO HIV working groups
- Consolidated ARV Guidelines. Core writing group (2007-2015)
- Guide for choosing approaches to national HTC delivery (2012): Service Delivery Approaches to HIV testing and counselling (HTC): A strategic HTC programme framework.
- Home-based HIV testing and counselling (2012): Planning, implementing and monitoring home-based HIV testing and counselling. A practical handbook for sub-Saharan Africa.
- Guide for monitoring and evaluating national programmes for HIV testing and counselling (2011). National indicators for monitoring and evaluating HIV testing and counselling programmes.
- Policy on the window period in HIV testing (2010): Delivering HIV test results and messages for re-testing and counselling in adults.
- WHO Handbook for improving HIV testing and counselling services Nov 2010. http://www.who.int/hiv/pub/vct/9789241500463/en/index.html
- Primary Health Care Centre Manual (2008): Operations manual for delivery of HIV prevention, care and treatment at primary health centres in high-prevalence, resource-constrained settings.