Dr Fortunate Machingura

Biography

I am a Lecturer at the Liverpool School of Tropical Medicine (UK) and Director of the Climate, Environment and Health Department at CeSHHAR Zimbabwe. My work spans over a decade of implementation science and climate–health research across Southern Africa, with more than 15 applied studies focused on vulnerable populations and frontline health systems. I am steering foundational processes to embed climate resilience into Zimbabwe’s health governance architecture, laying the groundwork for the country’s first National Climate and Health Strategy and a coordinated Heat–Health Action Plan. I chaired CHAC2024, Africa’s first international climate–health conference, and contributed to the WHO-AFRO Clim-Health Framework. I chair the Evidence-to-Policy Working Group of the Wellcome-funded HeatNexus Consortium, serve as TEC (Training, Engagement, and Coordination) Lead for the NIH HE²AT Centre, and am a member of the Horizon Europe Climate–Health Cluster, working to align research with global policy agendas and scalable integrated adaptation-mitigation interventions.

Selected research publications

Coping with extreme heat in primary maternity care: An ethnography of frontline health workers in rural Zimbabwe – Journal: SSM – Qualitative Research in Health – Published: 17th February 2026

“We carried her in a wheelbarrow to the clinic”: process evaluation of the AMETHIST intervention combining microplanning with self-help groups to improve HIV prevention and treatment among female sex workers in Zimbabwe – Journal: BMC Health Services Research – Published: 7th February 2026

Impact and cost-effectiveness of the community-led AMETHIST intervention among female sex workers in Zimbabwe – Journal: Nature Communications – Published: 13th December 2025

Decline in HIV prevalence among female sex workers in Zimbabwe between 2013 and 2023 – Journal: Nature Communications – Published: 5th December 2025

Comparing the test performance of dried-blood-spot and plasma HIV recent infection testing samples in a nationally scaled sex worker programme in Zimbabwe – Journal: PLOS Global Public Health – Published: 5th November 2025

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