Profile photo Esther van Kleef

Esther van Kleef

Assistant Professor

Biography

Dr Esther van Kleef is a senior researcher at the University of Oxford. She works jointly between the Nuffield Department of Primary Care Health Sciences, and the Nuffield Department of Medicine, and holds a position as visiting Assistant Professor at University Medical Centre Utrecht. Before, she worked as a technical consultant to the World Health Organization (WHO), where she spearheaded the analyses for the Global Surveillance of Antimicrobial Resistance (AMR) Report 2025.

Esther has developed expertise in quantitative epidemiology, including mathematical modelling and the analysis of surveillance data, complemented by fieldwork in both high-income and low- and middle-income settings. She has led interdisciplinary research across Europe and Africa to enhance infectious disease surveillance and response.

Her current research focuses on using modelling approaches to understand and quantify the role of key AMR drivers, the transmission of AMR bacteria between community and healthcare settings, and the effectiveness of mitigation strategies. She has a particular interest in the use of sequencing data for infectious disease surveillance and infection prevention and control, as well as in understanding the role of the environment in the emergence and spread of AMR, including the effective implementation of water, sanitation, and hygiene (WASH) interventions, see e.g. EU-funded ALARUM and CABU-EICO.

Esther earned a PhD in Infectious Disease Epidemiology from the London School of Hygiene & Tropical Medicine. Before she was based at the Institute of Tropical Medicine Antwerp, and has held academic and public health roles at Mahidol Oxford Tropical Medicine Research Unit, Public Health England (UKHSA), and the Dutch National Institute of Public Health and the Environment. She has also been involved in WHO’s emergency outbreak response efforts, including leading epidemiological and data analysis teams during the 2019–2020 Ebola outbreak in the Democratic Republic of the Congo. 

Recent publications

Alarum Marianne A B van der Sande, Daniel Valia, Caroline Tigoi, Nicole Stoesser, Linda Stamm, Andrea Marten, Bram Riems, Robert Musyimi, Yougbare Sibidou, Anita C Schurch, Eric W Tiendrebeogo, Shalton Mwaringa, Malte Kohns Vasconcelos, Brecht Ingelbeen, Halidou Tinto, Julia A Bielicki, Ben S Cooper, James A Berkley, Esther van Kleef
BMJ Open, 2026, vol. 16
Antimicrobial resistance in bacterial meningitis caused by Streptococcus pneumoniae, Neisseria meningitidis, or Haemophilus influenzae (2010–24) Gilbert Lazarus, Benjamin Caddey, Anna Dean, Florentina Febrina, Vincent Kharisma Wangsaputra, Shafira Permata Radiani, Yindi Xiong, John M. Conly, Herman W. Barkema, Lorenzo Pezzoli, Esther van Kleef, Olga T. Auguet, Paul Turner, Kavita U. Kothari, Silvia Bertagnolio, Diego B. Nobrega, Raph L. Hamers, Adrian Prasetya, Alvaro J. Guzman, Alyssa Butters, Andres de Lima, Angelica Dias, Anna Dean, Benjamin Caddey, Benson Weyant, Chanda Liaqat, Claire Kamaliddin, Diego B. Nobrega, Esther Adesanwo, Febriyan Satria, Florentina Febrina, Gilbert Lazarus, Grady Krisandi, Griffin Brünger, Hafeez Akinniyi, Herman W. Barkema, Indira L. Maharani, Jason Phowira, Jiajun Sun, Jingyue Yang, Jodi I. Rattner, John M. Conly, Julia Takahashi, Kavita U. Kothari, Kresanti D. Ngadimin, Laís Batalha, Lindsay Covington, Lorenzo Pezzoli, Luiza Radu,
The Lancet Microbe, 2026, vol. 7
Effect of a community-based behavioural intervention bundle to improve antibiotic use and patient management in Burkina Faso and DR Congo: a cluster randomized controlled trial B Ingelbeen, Daniel Valia, Bijou Mbangi, Esther van Kleef, Linda Campbell, Juste Stéphane Kouanda, César-Augustin Mambuku Khoso Muaka, Eric Wendpouiré Tiendrébeogo, Aminata Welgo, Veerle Bertels, Steven DeClercq, Bram Riems, Marie Meudec, Edwin Wouters, Ben S. Cooper, Delphin Mavinga Phanzu, Tinto Halidou, MAB van der Sande
2025
Targeting community-level drivers of antimicrobial resistance in sub-Saharan Africa: Raneem Aizouk, Yougbare Sibidou, Daniel Valia, B Ingelbeen, Linda Campbell, Stephane Juste Kouanda, Aminata Welgo, Papa Mamadou Diagne, Bram Riems, Liselotte Hardy, Marie Meudec, MAB van der Sande, Tinto Halidou, Ben Cooper, Esther van Kleef
2025
Knowledge, perceptions and practices of informal medicine vendors regarding over-the-counter distribution of antibiotics and antibiotic resistance in Nanoro District, Burkina Faso Juste Stéphane Kouanda, Linda Campbell, Marie Meudec, Aminata Welgo, Papa Mamadou Diagne, Brecht Ingelbeen, Esther Van Van Kleef, Daniel Valia, Marianne A.B. Van Der Sande, Halidou Tinto, Edwin Wouters
BMJ Open, 2025, vol. 15
Global antibiotic resistance surveillance report 2025 Olga Tosas Auguet, Esther van Kleef, Anna Dean, Silvia Bertagnolio
2025