Sigrid Collier, MS, MD, MPH
Nominated From: University of Washington
Research Site: Moi University
Research Area: HIV-associated malignancies, Kaposi’s sarcoma
Primary Mentor: Kara Wools-Kaloustian
Research Project
Evaluating Linkage To Care In Kaposi’s sarcoma Among People Living with HIV In Kenya
Kaposi’s sarcoma is one of the most common HIV-associated malignancies in sub-Saharan Africa. Most Kaposi’s sarcoma patients are diagnosed at advanced stage of disease, when chemotherapy is warranted in addition to ART. However, only 50% of Kaposi’s sarcoma patients who qualify for chemotherapy receive it and adherence is sub-optimal. This project evaluates how both the geographic distribution of KS care and the structure of the healthcare system contribute to failed linkage to cancer care for patients with Kaposi’s sarcoma. The proposed research will leverage spatial analysis and implementation science to better understand how to improve linkage to care in Kaposi’s sarcoma.
Research Significance
Kaposi’s sarcoma is a common HIV-associated malignancy in sub-Saharan Africa, and is also associated with significant mortality. Approximately 45% of patients with Kaposi’s sarcoma will die within 2-years of diagnosis. Failed linkage to care is an important contributor to poor outcomes in Kaposi’s sarcoma, and there is an urgent need to develop novel approaches to improving linkage to care in Kaposi’s sarcoma.
Advice for Potential Candidates
My experience as a Fogarty Fellow this year is only possible because of the longstanding relationships of my mentors with collaborating institutions in Kenya. It is incredibly valuable to learn from and work with mentors who have been successful at fostering and maintaining collaborations.