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Tendai Kwaramba

Assistant Professor of Medicine
Medicine, Medical Oncology
Office hours 8AM-5PM  

Research Interests


Global Oncology and Cancer Health Equity

My research is focused on advancing equitable access to cancer prevention, diagnosis, treatment, and survivorship care in low- and middle-income countries. I am particularly interested in understanding how health system structures, implementation strategies, and contextual factors influence cancer outcomes in resource-limited settings.

Implementation Science and De-escalation Strategies

I lead an ASCO–Conquer Cancer Young Investigator Award–funded study evaluating evidence-based treatment de-escalation in early breast cancer management in South Africa. This project aims to identify opportunities to reduce overtreatment while maintaining high-quality care, improving both patient outcomes and health system efficiency in resource-constrained environments. I am interested in continuing work around context-specific factors influencing the adoption of guideline-directed management in resource-limited settings.

Cancer Data Infrastructure and Precision Medicine

Building on this work, I am working towards developing a cancer registry and precision oncology framework in East Africa in collaboration. This initiative seeks to establish sustainable cancer data systems and molecular profiling capacity to enable data-driven, personalized cancer care across the region.

Survivorship and Disparities Research

My broader research portfolio includes studies examining second primary malignancies, survivorship risk prediction, disparities in palliative and supportive care delivery, and community engagement in cancer prevention and management. I am committed to integrating these efforts into a global cancer equity framework that connects population-level data with individualized, precision-based care.

Fellowships, Gifts, and Supported Research


Impact assessment of implementing evidence-based de-escalation strategies in early breast cancer management in South Africa · January 2025 - December 2025 PI · Awarded by: American Society for Clinical Oncology · $50,000.00
University of North Carolina School of Medicine, Medical Alumni Loyalty Global Enrichment Fellowship · 2016 Awarded by: University of North Carolina School of Medicine
University of North Carolina School of Medicine, Office of International Affairs Global Health Travel Grant · 2016 Investigator · Awarded by: University of North Carolina School of Medicine