Kristi Sidney Annerstedt

Kristi Sidney Annerstedt

Senior Lecturer | Docent
Visiting address: Solnavägen 1E, 11365 Stockholm
Postal address: K9 Global folkhälsa, K9 GPH Schäfer Elinder Sidney Annerstedt, 171 77 Stockholm
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About me

  • Dr. Kristi Sidney Annerstedt, PhD, is an Associate Professor in global health with a focus on health promotion and health equity and a senior lecturer in implementation research at the Department of Global Public Health. Her research areas are interconnected and include:

    1. Complex Behavior Change Interventions: Developing, implementing and evaluating interventions aimed at promoting healthy behaviors and preventing diseases.
    2. Social Protection Programs: Designing and assessing programs that protect against financial hardships, particularly in low- and middle-income settings.
    3. Innovative Costing Methodologies: Using implementation science methodologies to innovate economic evaluations, including costing, cost-utility, and cost-effectiveness analysis.

    Dr. Annerstedt's expertise includes developing, implementing and evaluating complex interventions, economic evaluations and qualitative methodologies. She is an experienced mixed methods researcher with strong skills in epidemiological study design, process evaluations, and intervention acceptability. Her work is dedicated to promoting health and achieving health equity through innovative and evidence-based approaches.

Research

  • Current Research Projects:

    Childhood and Adolescent Obesity Prevention:

    • Changemaker (Promoting co-designed sustainable health interventions with young Changemakers for reduced risk of non-communicable diseases (NCDs) in urban Burkina Faso, Kenya, and Tanzania): Aims to implement a sustainable health intervention program targeting adolescent obesity and related NCDs
    • Scaling up The Healthy School Start Program (En Frisk Skolstart) in Sweden to prevent childhood obesity.
    • Co-fam (A novel partnership model (Co-fam) for health promotion and early prevention of obesity – co-design and evaluation of family support for school and primary health care)

    Maternal Health:

    • ALERT (Action Leveraging Evidence to Reduce perinatal morTality and morbidity in sub-Saharan Africa): Focuses on reducing perinatal mortality and morbidity through evidence-based interventions.
    • QUALI-DEC (Appropriate use of Caesarean section through QUALIty DECision-making by women and providers): Aims to improve decision-making around caesarean sections to ensure appropriate use.

    Tuberculosis (TB):

    • ASPECT (Assessing Social Protection in Vietnam to End catastrophic Costs in Tuberculosis): Aims to develop and test a tool (TB-PROTECT) that helps identify and support TB-affected families in need of financial assistance,
    • UPLIFT: Evaluate the effectiveness and implementation of a psycho-socioeconomic intervention for people with TB in Vietnam

    Previous projects:

    • SS – Vietnam:  Social support for people with TB in Vietnam: comparison of the acceptability of social health insurance and cash transfers
    • IMPACT-TB: Implementing community-based active TB case finding interventions in Nepal and Vietnam.
    • ExaCT TB: Designing social protection interventions to support TB diagnostic evaluation in Uganda.
    • SMART2D: Addressing gaps in the care and management of type 2 diabetes mellitus (T2DM) in Sweden, Uganda, and South Africa.
    • MATIND: Evaluate two innovative large-scale government programme to promote childbirth in hospitals in India

Teaching

  • Dr. Annerstedt enjoys teaching global health to doctoral students, MSc students and other departments at KI. She also teaches about social protection and social consequences of ill health. She is the course leader for the Intervention Development, Implementation and Evaluation course (4GB009 - 10 weeks) for masters students in the Global Health program and the course leader for Global Health Economics (3196 - 3 credits) for doctoral students. She also teaches implementation science different master's programs at GPH, LIME and Medicine departments.

Articles

All other publications

Grants

  • European Commission
    1 January 2024 - 31 December 2027
    Changemaker objective: To implement & evaluate a sustainable health intervention program on health, nutrition, & environmental outcomes for the primary prevention of adolescent obesity & related non-communicable diseases (NCDs) together with adolescents in three rapidly urbanizing cities in Burkina Faso, Kenya, Tanzania. Background: There is an increasing epidemic of adolescent obesity that can contribute to adult obesity, morbidity & NCDs in a broader sense. Sustainable health interventions in urban low- and middle-income countries are critical in addressing lifestyle factors that contribute to obesity, diabetes & hypertension in later life, such as unhealthy dietary habits, inactivity & sedentary behaviors while shaping urban environments. Considering obesity is a complex issue that is influenced by wide range of interconnected factors, such as policy, environment, social, economic, cultural, behavioral, commercial, & biological determinants, a whole-systems approach that converges multiple sectors (i.e., health, education, environment, and agriculture) and stakeholders (i.e., adolescents, caregivers, staff, local government, communities, policymakers & implementers) are needed for obesity prevention in LMICs. Our strategy: Four evidence-based strategies, which will be adapted to context through a co-design process: 1) urban farming in schools with satellite farms and organic waste composting, 2) sustainable health modules for classrooms, 3) linking to healthcare workers through health talks using motivational interviewing techniques and 4) WHO Best Buys: Mass media campaign. Our evaluation: 3 cluster-RCTs in secondary schools, within the framework of urban Health & Demographic Surveillance Systems, implementation, process evaluation & cost-effective evaluation. Our expected results: Evidence of how to implement and scale a sustainable health intervention. Estimate a mean difference in BMI of 0.175 which could lead to reduction of 5% in the prevalence of obesity.
  • Changemaker: Promoting co-designed sustainable health interventions with young changemakers for reduced risk of non-communicable diseases (NCDs) in urban Burkina Faso, Kenya and Tanzania. 2024-2028.
    Swedish Research Council
    1 January 2024 - 31 December 2027
    The objective: To implement and evaluate a sustainable health intervention program on health, nutrition, and environmental outcomes for the primary prevention of adolescent obesity and other related non-communicable diseases (NCDs) together with adolescents in three rapidly urbanizing cities in Burkina Faso, Kenya, Tanzania. Background: There is an increasing epidemic of adolescent obesity that can contribute to adult obesity and morbidity and NCDs in a broader sense. Sustainable health interventions in urban low- and middle-income countries (LMICs) are critical in addressing lifestyle factors that contribute to obesity, diabetes, and hypertension in later life, such as unhealthy dietary habits, inactivity, and sedentary behaviors while shaping urban environments. Considering obesity is a complex issue that is influenced by a wide range of interconnected factors, such as policy, environment, social, economic, cultural, behavioral, commercial, and biological determinants, a whole-systems approach that converges multiple sectors (i.e., health, education, environment, and agriculture) and stakeholders (i.e., adolescents, guardians, school administration and staff, local government and communities, policymakers and implementers, civil service organizations) are needed for obesity prevention in LMICs. Our strategy: Four evidence-based strategies, which will be adapted to context through a co-design process: 1) urban farming in schools with satellite farms and organic waste composting, 2) sustainable health modules for classrooms, 3) linking to healthcare workers through health talks using motivational interviewing techniques and 4) World Health Organisation (WHO) Best Buys: Mass media campaign. Our evaluation: Three cluster-RCTs in secondary schools, within the framework of urban Health and Demographic Surveillance Systems, implementation and process evaluation and cost-effective evaluation. Our expected results: Evidence of how to implement and scale a complex sustainable health intervention. Estimate a mean difference in Body Mass Index (BMI) z-score of 0.175 which could lead to a reduction of 5% in the prevalence of obesity. Our team: Multisectoral interdisciplinary team with experience in health sciences, social sciences, behavioral psychology, implementation science, economics and epidemiological methodologies, food science and nutrition and planetary health agriculture sciences from leading African, European and North American institutions.

Employments

  • Senior Lecturer, Global Health Implementation Research, Department of Global Public Health, Karolinska Institutet, 2025-
  • Assistant Professor, Department of Global Public Health, Karolinska Institutet, 2020-2025

Degrees and Education

  • Docent, Karolinska Institutet, 2022
  • Degree Of Doctor Of Philosophy, Karolinska Institutet, 2017
  • Degree Of Doctor Of Philosophy, Department of Global Public Health, Karolinska Institutet, 2016
  • Degree Of Master Of Medical Science 60 Credits, Karolinska Institutet, 2011

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