Public health epidemiologist: Adolescent health, sexual and reproductive health, social equity, behaviour change, morbidity and mortality surveillance, non-communicable diseases, malaria, COVID-19.
Menstrual, Sexual and Reproductive Health: Research on the effect of unmet menstrual needs on girls’ and women’s sexual and reproductive health, mental health and wellbeing,social equity, education and life-chances; quantifying the impact of interventions on improving girls’ and women’s equity in terms of their improved health, schooling and employment. PPH is involved with global advocacy and support of policy and implementation and provides support to research and programmes internationally.
Capacity development: Working in partnership with colleagues and organizations in low middle-income countries to improve sexual and reproductive health, with a focus on menstrual, sexual and reproductive health and hygiene, including local HIV/STI notifiable disease surveillance and evaluating young peoples’ sexual risk behaviours associated with alcohol use and wellbeing.
Professor Phillips-Howard joined LSTM in 2012 as a public health epidemiologist with 30 years’ experience; and has over 160 publications, with 40 focusing on Menstrual Health. She started her career as a Bachelor of Science Degree nurse, at Westminster Hospital London, linked with South Bank University. After qualifying she specialized in Tropical Diseases at the Hospital for Tropical Diseases, London. She gained experience with Save the Children, providing care for Vietnamese refugees settling in Britain, followed by midwifery training at the John Radcliffe Hospital, Oxford.
Whilst living in the Amazon in Bolivia, she retained her interest in tropical medicine and returned to the UK, where she conducted research on imported malaria at the London School of Hygiene and Tropical Medicine, where she attained her PhD. She briefly worked as a British Airways Research Fellow on travel medicine at the Hospital for Tropical Diseases, London but then gained employment with World Health Organization, Geneva, as a technical officer in the Malaria Control Programme.
In 1995 Professor Phillips-Howard and her family relocated to western Kenya where she coordinated a multi-disciplinary trial investigating the impact of insecticide treated bednets (ITN) on malaria morbidity and mortality, which informed global policy for provision of ITNs free of charge for under 5’s and pregnant women. She collaborated widely with other researchers involved with infectious disease and public health studies.
After six years in Kenya, Professor Phillips-Howard took a career break to look after her family resettling in UK. When returning to academia, she took a post at Liverpool John Moores University, where she developed an interest in research on young adolescent health, including local HIV/STI notifiable disease surveillance and evaluating young peoples’ sexual risk behaviours associated with alcohol use and wellbeing. Her focus returned to Kenya, examining the public health challenges of changing mortality patterns in rural populations. She started and continues to this day, collaborating with KEMRI/CDC Research and Public Health Collaboration.
Her collaborative team initiated menstrual and sexual and reproductive health research through a Joint Global Health Trial (JGHT)-supported pilot study exploring the acceptability, use and impact of menstrual cups and sanitary pads on girls’ sexual and reproductive health and schooling, followed by a menstrual health study funded through UNICEF-India exploring the needs of adolescent girls in Indian government schools contributing to national policy and guidelines.
She is the PI on an evaluation of the menstrual, sexual and reproductive health, and mental health of out-of-school girls in Kenya, and recently completed a JGHT-supported trial evaluating menstrual cups or cash transfer to reduce girls’ sexual and reproductive health harms and education equity, conducted in ~4000 girls in 96 schools in western Kenya and completion of a nested NIH study led by the University of Illinois at Chicago which evaluated the role of menstrual cups in protecting the vaginal microbiome, and implications for STI/HIV and maternal health. Longitudinal follow-up of girls in the nested study and overall trial is planned through to 2024, examining the effect of school-based interventions as girls transition into adulthood. She also led LSTM’s support of a LSHTM-led research evaluation on the impact of the DREAMS package among Kenyan girls and young women, and on a GCRF multi-country hub on intractable challenges (urban equity).
Professor Phillips-Howard’s interest in menstrual health has expanded to period poverty including in impoverished in high income countries, to menstrual needs of women in the workplace, and to other types of bleeding that remain hidden due to shame across societies.
She has led a study to determine what are the forthcoming research priorities for menstrual health through a Global Menstrual Collective grant and has provided technical advice to Grand Challenges Canada Innovators, and to a BMGF-funded study on key menstrual health indicators.
Current / Recent Grants
Co-investigator: Increased risk of STI and HIV among adolescent girls and young women due to COVID-19 and pandemic mitigation: Biological, behavioral, and psychosocial mediators. National Institute of Health, NICHD (PI Mehta, S: University of Illinois at Chicago).
Principal investigator: Menstrual and health solutions for out-of-school adolescent girls Medical Research Council.
Principal investigator: Menstrual Health and Hygiene Research Priorities, Water Supply and Sanitation Collaborative Council.
Co-Investigator: Advancing National and Global Level Measurement and Monitoring of Menstrual Health & Hygiene, Bill and Melinda Gates Foundation (PI, Sommer M, Columbia University).
Co-Investigator: Malaria as a risk factor for COVID-19 in western Kenya and Burkina Faso, Bill and Melinda Gates Foundation (PI, FO ter Kuile).
Co-Principal Investigator: Impact Evaluation of PEPFAR’s DREAMS Initiative, Siaya County, western Kenya. London School of Hygiene and Tropical Medicine (co-PI Dr Daniel Kwaro, KEMRI).
Principal investigator: Menstrual cups or cash transfer to reduce sexual and reproductive harm and school dropout in adolescent schoolgirls in western Kenya MRC/DfID/Wellcome Trust, Dept of Health and Social Care, Global Health Trials.
Co-investigator: Menstrual cup maturation of the adolescent vaginal microbiome and STI/HIV risk. National Institute of Health (PI Mehta, S: University of Illinois at Chicago).
Co-investigator: Strengthening East and Southern African capacity for menstrual hygiene management (MHM) research Academy of Medical Sciences Global Challenges Research Fund Networking Grant Scheme (PI Ferrand R, Biomedical Training Institute, Zimbabwe, LSHTM).
Principal investigator: Mentor MHM innovators transition to scale of menstrual product and education innovations Grand Challenges Canada
Co-Principal Investigator: Technical Advisor on the Theory of Change, and Monitoring and Evaluation of Menstrual Hygiene Management for GCC Innovators. Grand Challenges Canada (co-PI, Prof Marni Sommers, Columbia University).
Principal Investigator: The effectiveness of Mooncups to reduce school absenteeism and sexual and reproductive harms in Kenyan schoolgirls. MRC/DfID/Wellcome Trust Global Health Trials
Principal Investigator: Review of Menstrual Hygiene Management in Schools in India. UNICEF India.
Current Students - PhD
Garazi Zulaika Beate Ringwald
Committees and Technical Panels
LSTM Research Committee - Chair
MEGAMBO trial - Chair Trial Steering Committee, Gambia (PI-Belen Torondel, LSHTM)
MENISCUS 3 trial - Chair Data Monitoring and Ethics Committee, Uganda (PI – Helen Weiss, LSHTM)
MHM in TEN - Expert Panel
Adviser WHO Expert Panel on MHM
Menstrual Cup Coalition
Athena Swan – Contribute and present at events
UKRI grants - Reviewer
East African Menstrual Health Management
Grand Coalition on Menstrual Health Management
UNFPA African Coalition for Menstrual Health Management
Collaborating partners nationally and internationally
Centers for Disease Control and Prevention (CDC), Kenya, India, Atlanta; 2011 - current; collaborate on research studies on MHM among schoolgirls, and sexual and reproductive health in Kenya and India.
Emory University, Atlanta, USA; 2014 - current; collaborate on global advocacy and guideline papers around MHM.
Golden Girls, Kisumu, Kenya; 2017 – current; collaborate on NGO research studies on MHM (schoolgirls, boarding schools).
Kenya Medical Research Institute (KEMRI), Kenya; 2011 - current; collaborate on research studies on MHM among schoolgirls, and sexual and reproductive health in Kenya.
London School of Hygiene and Tropical Medicine (LSHTM), UK; 2016 - current; collaborate on global advocacy and guideline papers around MHM; member of their steering committee to guide MHM research in Uganda; collaborate on common research issues for MHM, development of east African MHM research network; co-investigator on London School grant for DREAMS initiative.
North-Western University, Chicago, USA; 2016 - current; collaborate on the development of new research studies on fidelity (high quality) MHM implementation among schoolgirls in Kenya.
Safe Water and AIDS Project (SWAP), Kisumu, Kenya; 2011 - current; collaborate on research studies on MHM among schoolgirls, and sexual and reproductive health in Kenya
Tata Institute of Social Sciences, Mumbai, India; 2014 - current; collaborate on research studies on MHM among schoolgirls, and development of new grants in India; potential collaboration on developing research on menstrual cup use for girls and women in India.
UNICEF, India and New York; 2014 - current; collaborate on research studies on MHM among schoolgirls in India, and inferences for policies and guidelines; member of UNICEF and Columbia lead MHM in Ten advisory panel.
University of Bangor, UK; 2011 - current; collaborate on the completion of research study on MHM among schoolgirls in Kenya.
University of Columbia, New York, USA; 2014 - current; collaborate on global advocacy and guideline papers around MHM; development of collaborative studies; co-PI on Grand Challenges Canada technical advisor grant on theory of change and monitoring and evaluation; member of Columbia University / UNICEF New York led MHM in Ten panel.
University of Illinois at Chicago, USA; 2017 - current; collaborate on the development of new research studies on sexual and reproductive health associated with menstrual cups among girls and women in Kenya.
University of Liverpool, UK; 2017 - current; collaborate on formative studies and development of research studies on MHM in Indian slums.
University of Oxford, UK; 2017 - collaborate on ethical ramifications of research studies among girls and communities on sensitive topics (i.e. sexual, MHM, reproductive).
University of Sheffield, UK; 2017 – current; collaborate on common research issues for MHM, development of east African MHM research network.
WaterAid, London, UK; 2014 - current; collaborate on global advocacy and guideline papers around MHM.