Ms Tiffany E Gooden BSc, MPH

Ms Tiffany Gooden

Institute of Applied Health Research
Research Fellow in Global Health

Contact details

University of Birmingham
B15 2TT

Tiffany is a research fellow in global health with experience in epidemiology, global health and health systems and applied health research using both quantitative and qualitative methods. Tiffany is currently working on various projects through the NIHR Global Group in Atrial Fibrillation management in Brazil, China and Sri Lanka and Critical Care Asia and Africa (CCAA) -  a network of healthcare professionals and researchers across 17 low- and middle-income countries.

She is also in the process of completing her PhD titled ‘Epidemiology and Integrated Care of HIV and Associated Comorbidities’, supervised by Profs G Neil Thomas, Krishnarajah Nirantharakumar, Sheila Greenfield and Dr Semira Manaseki-Holland. Upon completion of her PhD, Tiffany aims to pursue her interests in improving the prevention and management of comorbidities among people living with HIV in low- and middle-income countries through community- and health system-based research.

Tiffany has an active role at the institute which includes teaching small group undergraduates on the public health and epidemiology modules, co-supervising medical students intercalating in the Health Research Methods Programme, leading research tasters for 1st year medical students, being a member of the Institute’s People and Culture Working Group and being the PhD student representative for the Early Career Researcher Academic Group.


  • PhD in Applied Health Research 2023 (expected). Thesis title: Epidemiology of and health services for people living with HIV and comorbidities of non-communicable diseases, including mental health conditions
  • MPH International 2016. Dissertation title: Efficacy and safety of tuberculosis vaccine candidates in late phase clinical trials
  • BSc in Psychology 2013. Dissertation title: Understanding the role of positive and negative schizophrenic symptoms in spiteful behaviour


Tiffany completed her Bachelor of Science in Psychology from the University of Minnesota in 2013. During this time, she worked as a part-time research assistant in the TRiCAM Laboratory in the Department of Psychology (i.e. Translational Research in Cognitive and Affective Mechanisms) on projects aiming to understand the decision-making processes of people diagnosed with schizophrenia and bipolar disorder. After graduating, Tiffany travelled solo through various African and Southeast Asian countries, visiting both rural and urban areas, and immersing herself in the local cultures. From her travels, she decided to pursue a career in global health with a focus on mental health and infectious diseases.

In 2016, Tiffany completed her Master’s in International Public Health from the University of Birmingham. She then worked as a senior research associate for Picker, a non-profit focused on person-centred care. There she led national studies aimed to identify gaps and areas of concern for mental health, emergency, inpatient, maternal and cancer care in the UK. She worked closely with the NHS, CQC and expert advisory groups to ensure the research was sound and impactful.

Alongside her job at Picker, Tiffany began working for the University of Birmingham on a casual contract in 2018; she worked with Dr Semira Manaseki-Holland on various maternal and child health research projects in LMICs. Tiffany joined the University in 2020 as a full-time research fellow, working with the Brazilian and Sri Lankan partners on the NIHR Global AF Group with Prof G Neil Thomas (Co-PI) among many others at the University. This work includes various epidemiology and health systems projects.  Tiffany is also working on various projects within the Critical Care Asia and Africa (CCAA) network which involves the coordination and supervision of new and existing Masters and PhD students from LMICs to help with the development and planning of their research projects, and is currently leading a research prioritisation exercise for critical care in LMICs in partnership with the James Lind Alliance.


Tiffany is the NIHR training lead for the group; thus, she ensures the country teams have the training and resources they need for building local research capacity and takes part in regular NIHR training sessions and is a member of various NIHR training working groups. Tiffany is also working on the qualitative component of the OPTIMAL project with Prof Krishnarajah Nirantharakumar (Co-PI) and Prof Sheila Greenfield. Additionally, she holds a researcher role within the Critical Care Asia and Africa (CCAA) network which involves the coordination of new and existing PhD students from LMICs to help with the development and planning of their research projects.

Tiffany is in her 3rd year of her PhD which is focused on epidemiology and health services for people living with HIV and comorbidities of non-communicable diseases, including depression and anxiety. Successful completion of the first two chapters have resulted in publications in the Journal of Infectious Diseases, The Lancet HIV and HIV Medicine along with two conference presentations (2021 International AIDS Society conference and The 24th International AIDS Conference in 2022). She recently finished data collection in Tanzania which will contribute to her final two chapters.


  • Public Health and Epidemiology small group undergraduate teaching MBChB


Research interests

Infectious disease and mental health care in low- and middle-income countries

Current projects

Critical Care Asia and Africa

  • Leading a research prioritisation exercise with the James Lind Alliance to identify the top unanswered research questions in critical care in LMICs  
  • Coordinating and supervising research conducted by early career researchers within the CCAA from LMICs, including Masters and PhD students.

HIV-associated Comorbidities (PhD-related research)

  • Conducting various epidemiology projects to better understand the prevalence and risk of comorbidities in people living with HIV. Also conducting a large qualitative project to determine the current pathway of care and opportunities for improvement in care for people living with HIV and hypertension, diabetes or mental health conditions in Tanzania.

Global AF Reach

  • Working with researchers and clinicians in Brazil and Sri Lanka on various epidemiological and health systems projects related to atrial fibrillation care and management.



Other activities

  • Member of the Royal Society of Tropical Medicine and Hygiene
  • Member of the International AIDS Society


Recent publications


Gooden, TE, Mkhoi, ML, Mdoe, M, Mwalukunga, LJ, Senkoro, E, Kibusi, SM, Thomas, GN, Nirantharakumar, K, Manaseki-Holland, S & Greenfield, S 2023, 'Barriers and facilitators of people living with HIV receiving optimal care for hypertension and diabetes in Tanzania: a qualitative study with healthcare professionals and people living with HIV', BMC Public Health, vol. 23, no. 1, 2235.

Gooden, T, Wang, J, Goulart, AC, Varella, AC, Tai, M, Sheron, VA, Wang, H, Zhang, H, Zhong, J, Kumarendran, B, Nirantharakumar, K, Surenthirakumaran, R, Benseñor, IM, Guo, Y, Lip, G, Thomas, GN & Manaseki-Holland, S 2023, 'Generalisability of and lessons learned from a mixed-methods study conducted in three low- and middle-income countries to identify care pathways for atrial fibrillation', Global Health Action, vol. 16, no. 1, 2231763.

Goulart, AC, Varella, AC, Gooden, TE, Lip, GYH, Jolly, K, Thomas, GN, Lotufo, PA, Greenfield, S, Olmos, RD, Bensenor, IM, Manaseki-Holland, S & NIHR Global Health Research Group on Atrial Fibrillation Management 2023, 'Identifying and understanding the care pathway of patients with atrial fibrillation in Brazil and the impact of the COVID-19 pandemic: A mixed-methods study', PLOS One, vol. 18, no. 10, e0292463.

Rashan, A, Beane, A, Ghose, A, Dondorp, AM, Kwizera, A, Vijayaraghavan, BKT, Biccard, B, Righy, C, Thwaites, CL, Pell, C, Sendagire, C, Thomson, D, Done, DG, Aryal, D, Wagstaff, D, Nadia, F, Putoto, G, Panaru, H, Udayanga, I, Amuasi, J, Salluh, J, Gokhale, K, Nirantharakumar, K, Pisani, L, Hashmi, M, Schultz, M, Ghalib, MS, Mukaka, M, Mat-Nor, MB, Siaw-frimpong, M, Surenthirakumaran, R, Haniffa, R, Kaddu, RP, Pereira, SP, Murthy, S, Harris, S, Moonesinghe, SR, Vengadasalam, S, Tripathy, S, Tolppa, T, Pari, V, Waweru-Siika, W, Minh, YL & The Collaboration for Research, Implementation and Training in Critical Care in Asia and Africa (CCAA) 2023, 'Mixed methods study protocol for combining stakeholder-led rapid evaluation with near real-time continuous registry data to facilitate evaluations of quality of care in intensive care units', Wellcome Open Research, vol. 8, 29.

Wilson, L, Gracie, L, Kidy, F, Thomas, GN, Nirantharakumar, K, Greenfield, S, Manaseki-Holland, S, Ward, D & Gooden, T 2023, 'Safety and efficacy of tuberculosis vaccine candidates in low- and middle-income countries: a systematic review of randomised controlled clinical trials', BMC Infectious Diseases, vol. 23, 120.

Gooden, T, Wang, J, Zemedikun, D, Taylor, S, Greenfield, S, Manaseki-Holland, S, Nirantharakumar, K & Thomas, GN 2022, 'A matched cohort study investigating premature, accentuated and accelerated aging in people living with HIV', HIV Medicine.

NIHR Global Health Research Group on Atrial Fibrillation Management 2022, 'Cardiovascular health and atrial fibrillation or flutter: a cross-sectional study from ELSA-Brasil', ABC Cardiol.

NIHR Global Health Research Group on Atrial Fibrillation Management 2022, 'Cardiovascular medications and long-term mortality among stroke survivors in the Brazilian Study of Stroke Mortality and Morbidity (EMMA)', Geriatrics & gerontology international, vol. 22, no. 9, pp. 715-722.

Paschoal, E, Gooden, T, Olmos, RD, Lotufo, PA, Benseñor, IM, Manaseki-Holland, S, Lip, G, Thomas, GN, Jolly, K, Lancashire, E, Lane, D, Greenfield, S, Goulart, AC & NIHR Global Health Research Group on Atrial Fibrillation Management 2022, 'Health care professionals’ perceptions about atrial fibrillation care in the Brazilian public primary care system: a mixed-methods study', BMC Cardiovascular Disorders, vol. 22, 559.

NIHR Global Health Research Group on Atrial Fibrillation Management, Sheron, VA, Shanmugathas, S, Gooden, T, Guruparan, M, Kumarendran, B, Lip, G, Manaseki-Holland, S, Nirantharakumar, K, Shribavan, K, Subaschandren, K, Haniffa, R, Surenthirakumaran, R, Thomas, GN, Uruthirakumar, P, Greenfield, S, Lane, D & Beane, A 2022, 'Healthcare provider and patient perspectives on access to and management of atrial fibrillation in the Northern Province, Sri Lanka: a rapid evaluation of barriers and facilitators to care', BMC Health Services Research, vol. 22, no. 1, 1078 .

Gooden, TE, Gardner, M, Wang, J, Jolly, K, Lane, DA, Benjamin, LA, Mwandumba, HC, Kandoole, V, Lwanga, IB, Taylor, S, Manaseki-Holland, S, Lip, GYH, Nirantharakumar, K & Thomas, GN 2022, 'Incidence of cardiometabolic diseases in people living with and without HIV in the UK: a population-based matched cohort study', The Journal of Infectious Diseases, vol. 225, no. 8, jiab420, pp. 1348–1356.

NIHR Global Health Research Group on Atrial Fibrillation Management 2022, 'Prevalence of atrial fibrillation in Northern Sri Lanka: a study protocol for a cross-sectional household survey', BMJ open, vol. 12, no. 11, e056480.


Gooden, T, Nirantharakumar, K & Thomas, GN 2023, 'Author Reply: Letter to the editor on a matched cohort study investigating premature, accentuated, and accelerated aging in people living with HIV', HIV Medicine.

Gooden, TE, Chandan, JS, Taylor, S, Nirantharakumar, K & Thomas, GN 2022, 'Mental health needs of adolescents with HIV in Africa - authors' reply', The Lancet HIV, vol. 9, no. 6, pp. e376-e377.

Review article

NIHR Global Health Research Group on Atrial Fibrillation Management, Uruthirakumar, P, Surenthirakumaran, R, Gooden, TE, Lip, GYH, Thomas, GN, Moore, DJ, Nirantharakumar, K, Kumarendran, B, Subaschandran, K, Kaneshamoorthy, S, Sheron, VA & Guruparan, M 2023, 'The impact of rate and rhythm control strategies on quality of life for patients with atrial fibrillation: a protocol for a systematic review', Systematic Reviews, vol. 12, no. 1, 52.

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