Maria Ekstrand, PhD

+1 415 476-6268

Dr. Ekstrand is professor of Medicine in the Prevention Science Division at the UCSF School of Medicine and Adjunct Professor at UC Berkeley School of Public Health and the St John’s Research Institute of the St. John’s National Academy of Health Sciences in Bangalore, India. Her primary research interests include measuring and improving treatment adherence and the role of stigma in global health, with a focus on HIV, mental health, cancer and pain control. She is currently PI or MPI of five NIH R01 awards in India and is in the process of starting an India research program in palliative medicine, in collaboration with researchers from St John’s Medical College in Bangalore and the Cicely Saunders Institute of Palliative Care at Kings College, London.


Collaborative Care for Mental Health in Low- and Middle-Income Countries: A WHO Health Systems Framework Assessment of Three Programs.

Psychiatric services (Washington, D.C.)

Acharya B, Ekstrand M, Rimal P, Ali MK, Swar S, Srinivasan K, Mohan V, Unützer J, Chwastiak LA

Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal.

Global mental health (Cambridge, England)

Acharya B, Tenpa J, Basnet M, Hirachan S, Rimal P, Choudhury N, Thapa P, Citrin D, Halliday S, Swar SB, van Dyke C, Gauchan B, Sharma B, Hung E, Ekstrand M

Development of a Novel Tablet-based Approach to Reduce HIV Stigma among Healthcare Staff in India.

Perspectives in health information management

Radhakrishna K, Dass D, Raj T, Rakesh D, Kishore R, Srinivasan K, Nyblade L, Ekstrand-Abueg M, Ekstrand ML

Quality of Life Among Women Living With HIV in Rural India.

The Journal of the Association of Nurses in AIDS Care : JANAC

Nyamathi AM, Ekstrand M, Yadav K, Ramakrishna P, Heylen E, Carpenter C, Wall S, Oleskowicz T, Arab L, Sinha S

Violent Crime in the Lives of Homeless Female Ex-Offenders.

Issues in mental health nursing

Nyamathi AM, Salem BE, Hall E, Oleskowicz T, Ekstrand M, Yadav K, Toyama J, Turner S, Faucette M

Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal.

Globalization and health

Acharya B, Maru D, Schwarz R, Citrin D, Tenpa J, Hirachan S, Basnet M, Thapa P, Swar S, Halliday S, Kohrt B, Luitel NP, Hung E, Gauchan B, Pokharel R, Ekstrand M

Sexual identity and behavior in an online sample of Indian men who have sex with men.

AIDS care

Ekstrand ML, Rawat S, Patankar P, Heylen E, Banu A, Rosser BRS, Wilkerson JM

Relationships Among Adherence and Physical and Mental Health Among Women Living with HIV in Rural India.

AIDS and behavior

Nyamathi A, Ekstrand M, Heylen E, Ramakrishna P, Yadav K, Sinha S, Hudson A, Carpenter CL, Arab L

Perspectives on disclosure among children living with HIV in India.

Children and youth services review

Mehta K, Ekstrand ML, Heylen E, Sanjeeva GN, Shet A

Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context.

Health and quality of life outcomes

Garrido-Hernansaiz H, Heylen E, Bharat S, Ramakrishna J, Ekstrand ML

Sexual Preferences and Presentation on Geosocial Networking Apps by Indian Men Who Have Sex With Men in Maharashtra.

JMIR mHealth and uHealth

Rhoton J, Wilkerson JM, Mengle S, Patankar P, Rosser BR, Ekstrand ML

Recommendations from primary care providers for integrating mental health in a primary care system in rural Nepal.

BMC health services research

Acharya B, Tenpa J, Thapa P, Gauchan B, Citrin D, Ekstrand M

Recruitment Strategies of Indian Men Who Have Sex with Men in the State of Maharashtra Into an Online Survey.

International journal of sexual health : official journal of the World Association for Sexual Health

Wilkerson JM, Patankar P, Rawat SM, Simon Rosser BR, Shukla KM, Rhoton J, Ekstrand ML

Adherence to Antiretroviral Therapy Among Children Living with HIV in South India.

AIDS and behavior

Mehta K, Ekstrand ML, Heylen E, Sanjeeva GN, Shet A

Female Ex-Offender Perspectives on Drug Initiation, Relapse, and Desire to Remain Drug Free.

Journal of forensic nursing

Nyamathi AM, Srivastava N, Salem BE, Wall S, Kwon J, Ekstrand M, Hall E, Turner SF, Faucette M

Breaking Bad News: Patient Preferences and the Role of Family Members when Delivering a Cancer Diagnosis.

Asian Pacific journal of cancer prevention : APJCP

Rao A, Ekstrand M, Heylen E, Raju G, Shet A

Evidence-Based Programming of HIV Care and Support: Is the Psychosocial "Optional"?

Journal of acquired immune deficiency syndromes (1999)

Harding R, Downing J, Ekstrand M, Gwyther L, Sherr L

Is pregnancy planning associated with background characteristics and pregnancy-planning behavior?

Acta obstetricia et gynecologica Scandinavica

Stern J, Salih Joelsson L, Tydén T, Berglund A, Ekstrand M, Hegaard H, Aarts C, Rosenblad A, Larsson M, Kristiansson P

Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV.

AIDS and behavior

Heylen E, Panicker ST, Chandy S, Steward WT, Ekstrand ML

ASHA-Life Intervention Perspectives Voiced by Rural Indian Women Living With AIDS.

Health care for women international

Nyamathi A, Ekstrand M, Srivastava N, Carpenter CL, Salem BE, Al-Harrasi S, Ramakrishnan P, Sinha S

Real-time feedback for improving compliance to hand sanitization among healthcare workers in an open layout ICU using radiofrequency identification.

Journal of medical systems

Radhakrishna K, Waghmare A, Ekstrand M, Raj T, Selvam S, Sreerama SM, Sampath S

Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

Shawe J, Delbaere I, Ekstrand M, Hegaard HK, Larsson M, Mastroiacovo P, Stern J, Steegers E, Stephenson J, Tydén T

Mobile phones and sex work in South India: the emerging role of mobile phones in condom use by female sex workers in two Indian states.

Culture, health & sexuality

Navani-Vazirani S, Solomon D, Heylen E, Srikrishnan AK, Vasudevan CK, Ekstrand ML

Novel tetra-peptide insertion in Gag-p6 ALIX-binding motif in HIV-1 subtype C associated with protease inhibitor failure in Indian patients.

AIDS (London, England)

Neogi U, Rao SD, Bontell I, Verheyen J, Rao VR, Gore SC, Soni N, Shet A, Schülter E, Ekstrand ML, Wondwossen A, Kaiser R, Madhusudhan MS, Prasad VR, Sonnerborg A

Reducing HIV stigma among nursing students: a brief intervention.

Western journal of nursing research

Shah SM, Heylen E, Srinivasan K, Perumpil S, Ekstrand ML

Quality of life and psychosocial well-being among children living with HIV at a care home in Southern India.

Vulnerable children and youth studies

Lang T, Heylen E, Perumpil S, Shet A, Perumpil M, Steward W, Shamban E, Ekstrand ML

Pregnancy planning and lifestyle prior to conception and during early pregnancy among Danish women.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

Backhausen MG, Ekstrand M, Tydén T, Magnussen BK, Shawe J, Stern J, Hegaard HK

Prevalence and drivers of HIV stigma among health providers in urban India: implications for interventions.

Journal of the International AIDS Society

Ekstrand ML, Ramakrishna J, Bharat S, Heylen E

Impact of Asha intervention on stigma among rural Indian women with AIDS.

Western journal of nursing research

Nyamathi A, Ekstrand M, Salem BE, Sinha S, Ganguly KK, Leake B

Human APOBEC3G-mediated hypermutation is associated with antiretroviral therapy failure in HIV-1 subtype C-infected individuals.

Journal of the International AIDS Society

Neogi U, Shet A, Sahoo PN, Bontell I, Ekstrand ML, Banerjea AC, Sonnerborg A

Long-term efficacy of first line antiretroviral therapy in Indian HIV-1 infected patients: a longitudinal cohort study.

PloS one

Neogi U, Heylen E, Shet A, Chandy S, Shamsunder R, Sönnerborg A, Ekstrand ML

Correlates of stigma among rural Indian women living with HIV/AIDS.

AIDS and behavior

Nyamathi A, Ekstrand M, Zolt-Gilburne J, Ganguly K, Sinha S, Ramakrishnan P, Suresh P, Marfisee M, Leake B

Alcohol consumption patterns and sexual risk behavior among female sex workers in two South Indian communities.

The International journal on drug policy

Heravian A, Solomon R, Krishnan G, Vasudevan CK, Krishnan AK, Osmand T, Ekstrand ML

Stigma is associated with delays in seeking care among HIV-infected people in India.

Journal of the International Association of Providers of AIDS Care

Steward WT, Bharat S, Ramakrishna J, Heylen E, Ekstrand ML

Challenges experienced by rural women in India living with AIDS and implications for the delivery of HIV/AIDS care.

Health care for women international

Nyamathi AM, Sinha S, Ganguly KK, William RR, Heravian A, Ramakrishnan P, Greengold B, Ekstrand M, Rao PV

Sex education in Swedish schools as described by young women.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

Ekstrand M, Engblom C, Larsson M, Tydén T

Suboptimal adherence associated with virological failure and resistance mutations to first-line highly active antiretroviral therapy (HAART) in Bangalore, India.

International health

Ekstrand ML, Shet A, Chandy S, Singh G, Shamsundar R, Madhavan V, Saravanan S, Heylen E, Kumarasamy N

Stigma and HIV risk among Metis in Nepal.

Culture, health & sexuality

Wilson E, Pant SB, Comfort M, Ekstrand M

Exposing oneself and one's partner to sexual risk-taking as perceived by young Swedish men who requested a Chlamydia test.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

Ekstrand M, Tydén T, Larsson M

Women's existential experiences within Swedish abortion care.

Journal of psychosomatic obstetrics and gynaecology

Stålhandske ML, Ekstrand M, Tydén T

Depression is not an inevitable outcome of disclosure avoidance: HIV stigma and mental health in a cohort of HIV-infected individuals from Southern India.

Psychology, health & medicine

Steward WT, Chandy S, Singh G, Panicker ST, Osmand TA, Heylen E, Ekstrand ML

Perceptions of Women Living with AIDS in Rural India Related to the Engagement of HIV-Trained Accredited Social Health Activists for Care and Support.

Journal of HIV/AIDS & social services

Nyamathi AM, William RR, Ganguly KK, Sinha S, Heravian A, Albarrán CR, Thomas A, Greengold B, Ekstrand M, Ramakrishna P, Rao PR

Two sides of the same story: alcohol use and HIV risk taking in South India.

AIDS and behavior

Rodríguez DC, Krishnan AK, Kumarasamy N, Krishnan G, Solomon D, Johnson S, Vasudevan CK, Solomon R, Ekstrand ML

Developing useful highly active antiretroviral therapy adherence measures for India: the Prerana study.

Journal of acquired immune deficiency syndromes (1999)

Ekstrand ML, Chandy S, Heylen E, Steward W, Singh G

HIV-related stigma: adapting a theoretical framework for use in India.

Social science & medicine (1982)

Steward WT, Herek GM, Ramakrishna J, Bharat S, Chandy S, Wrubel J, Ekstrand ML

Men who have sex with men and transgenders in Mumbai, India: an emerging risk group for STIs and HIV.

Indian journal of dermatology, venereology and leprology

Setia MS, Lindan C, Jerajani HR, Kumta S, Ekstrand M, Mathur M, Gogate A, Kavi AR, Anand V, Klausner JD

Sexual behavior among men who have sex with women, men, and Hijras in Mumbai, India--multiple sexual risks.

AIDS and behavior

Hernandez AL, Lindan CP, Mathur M, Ekstrand M, Madhivanan P, Stein ES, Gregorich S, Kundu S, Gogate A, Jerajani HR

Uncovering implicit theories of HIV prevention providers: it takes a community.

AIDS education and prevention : official publication of the International Society for AIDS Education

Freedman B, Binson D, Ekstrand M, Galvez S, Woods WJ, Grinstead O

Alcohol use by men is a risk factor for the acquisition of sexually transmitted infections and human immunodeficiency virus from female sex workers in Mumbai, India.

Sexually transmitted diseases

Madhivanan P, Hernandez A, Gogate A, Stein E, Gregorich S, Setia M, Kumta S, Ekstrand M, Mathur M, Jerajani H, Lindan CP

Late-onset corticohippocampal neurodepletion attributable to catastrophic failure of oxidative phosphorylation in MILON mice.

The Journal of neuroscience : the official journal of the Society for Neuroscience

Sörensen L, Ekstrand M, Silva JP, Lindqvist E, Xu B, Rustin P, Olson L, Larsson NG

The Gay '90s: a review of research in the 1990s on sexual behavior and HIV risk among men who have sex with men.

AIDS (London, England)

Stall RD, Hays RB, Waldo CR, Ekstrand M, McFarland W

Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status.

AIDS (London, England)

Ekstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ

Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases.

AIDS (London, England)

Merati TP, Ekstrand ML, Hudes ES, Suarmiartha E, Mandel JS

Looking for men in all the wrong places...: HIV prevention small-group programs do not reach high risk gay men.

AIDS (London, England)

Hoff CC, Kegeles SM, Acree M, Stall R, Paul J, Ekstrand M, Coates TJ

Differences in sexual behavior among HIV discordant and concordant gay men in primary relationships.

Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association

Hoff CC, Stall R, Paul J, Acree M, Daigle D, Phillips K, Kegeles S, Jinich S, Ekstrand M, Coates TJ

Differences between gay men in primary relationships and single men: implications for prevention.

AIDS education and prevention : official publication of the International Society for AIDS Education

Hoff CC, Coates TJ, Barrett DC, Collette L, Ekstrand M

Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: implications for secondary prevention efforts.

Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association

Stall R, Hoff C, Coates TJ, Paul J, Phillips KA, Ekstrand M, Kegeles S, Catania J, Daigle D, Diaz R

Depression and CD4 decline.


Barrett DC, Chesney MA, Burack JH, Stall RD, Ekstrand ML, Coates TJ

Are bisexually identified men in San Francisco a common vector for spreading HIV infection to women?

American journal of public health

Ekstrand ML, Coates TJ, Guydish JR, Hauck WW, Collette L, Hulley SB

Depressive symptoms and CD4 lymphocyte decline among HIV-infected men.


Burack JH, Barrett DC, Stall RD, Chesney MA, Ekstrand ML, Coates TJ

Relationship between drug use and sexual behaviors and the occurrence of sexually transmitted diseases among high-risk male youth.

Sexually transmitted diseases

Shafer MA, Hilton JF, Ekstrand M, Keogh J, Gee L, DiGiorgio-Haag L, Shalwitz J, Schachter J

Safer sex among gay men: what is the ultimate goal?

AIDS (London, England)

Ekstrand M, Stall R, Kegeles S, Hays R, DeMayo M, Coates T

Handedness, dyslexia and twinning in homosexual men.

The International journal of neuroscience

Götestam KO, Coates TJ, Ekstrand M

Changes in sexual practices over 5 years of follow-up among heterosexual men in San Francisco.

Journal of acquired immune deficiency syndromes

Samuel MC, Guydish J, Ekstrand M, Coates TJ, Winkelstein W

Relapse from safer sex: the next challenge for AIDS prevention efforts.

Journal of acquired immune deficiency syndromes

Stall R, Ekstrand M, Pollack L, McKusick L, Coates TJ