
Managing Director
Lindsey Reynolds is the co-founder of Pivot Collective and Managing Director of Pivot Collective Consulting. She is a critically engaged researcher and learning partner who works across academic, institutional, and community settings to translate diverse forms of knowledge into more equitable and accountable health and development systems.
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Dr Lindsey Reynolds is a critically engaged public health and social science researcher with over twenty years of experience working in and on the South African health system and in global health research. Her work focuses on the social contexts, power dynamics, and ethical challenges shaping health and development initiatives, and on designing and facilitating multi-stakeholder processes that bring together diverse forms of expertise to translate evidence into strategy for policy and implementation.
Lindsey founded Pivot Collective in 2018 and has since led the development of both its non-profit and consulting arms. She currently serves as Managing Director of Pivot Collective Consulting and as a member of the Board of Directors of Pivot Collective NPC.
At Pivot, Lindsey leads strategic learning and systems change partnerships with funders, research institutions, and grassroots actors across the Global South and North. She designs and facilitates collaborative learning and strategy processes that connect community knowledge, research evidence, and institutional decision-making. She has served as team lead and principal advisor on multi-year initiatives with partners including the Wellcome Trust, Agence Française de Développement (AFD), and Population Services International, supporting organisations to synthesise diverse forms of evidence and translate learning into programme design, policy strategy, and institutional reform. Her work often involves facilitating dialogue between government actors, technical experts, funders, and community leaders to align evidence, strategy, and implementation priorities.
Prior to founding Pivot, Lindsey held academic appointments at Brown University, Stellenbosch University, and the University of Cape Town. She holds a joint PhD in Anthropology and Public Health from Johns Hopkins University, where her dissertation examined constructions of vulnerability among children in South Africa.
She has led qualitative and interdisciplinary research examining the social and ethical dimensions of global health research and practice, including work on community engagement, representation, and participation in large-scale health interventions. Her research explores how concepts such as "community," "vulnerability," and "population" shape scientific knowledge, institutional practice, and the lived realities of people participating in health programmes and clinical trials. She has also led collaborative research initiatives focused on the positionalities and experiences of emerging African scholars in global health, contributing to the emergence of critically engaged global health studies. She has published extensively on topics such as HIV treatment dynamics, stigma and exclusion in healthcare access, and the ethics of community engagement in global health.
Alongside this work, she has convened international workshops and expert consultations bringing together researchers, policymakers, and practitioners to synthesise evidence and inform research and policy agendas. She has mentored and supported early-career African researchers and postgraduate students, and co-designed postgraduate curricula focused on global health ethics, transdisciplinary research, and epistemic justice.
Across her work, Lindsey prioritises collaborative approaches that bridge research, practice, and policy in ways that centre community knowledge and ethical accountability.
Book
The Ethics and Politics of Community Engagement in Global Health Research
Reynolds, L. & Sariola, S. (2020). Routledge.
Selected Strategic & Commissioned Work
Positioning Health at the Heart of the Just Transition (2025)
Commissioned by Agence Française de Développement. A national scoping study examining how climate change is reshaping South Africa's health system and identifying strategic pathways to integrate health into just transition policy, financing, and cross-sector planning.
Centres for Exchange: Equity-Centred Learning & Knowledge Exchange Partnership (2023–2027)
Commissioned by Wellcome Trust. A multi-year strategic learning partnership supporting the design and implementation of Wellcome's Centres for Exchange initiative, developing participatory learning frameworks and strengthening institutional practices to embed equity, participation, and community leadership in global health research.
Yim'lo Implementation Learning Guide: Adaptive HIV Service Delivery for MSM in South Africa (2024)
Commissioned by Population Services International (PSI). A strategic learning initiative documenting adaptive implementation practices to expand equitable HIV service access for men who have sex with men in South Africa, integrating peer-led research and participatory co-learning into programme design, scale-up, and replication.
Selected Peer-Reviewed Publications
Reynolds, L., Moyer, E., Meta, J., Erio, T., and de Klerk, J. (2023). Mediating immediacy in the era of 'treat all': The (chrono) logics of HIV treatment initiation in Shinyanga, Tanzania. Social Science & Medicine, 338, 116317.
Myburgh, H., [...] and Reynolds, L (2023). Testing when I know my status: the social dynamics of household HIV testing in HPTN 071 (PopART) trial communities, South Africa. Social Science & Medicine – Qualitative Research in Health. 4: 100296.
De Villiers, B.L., Thomas, A., [...] and Reynolds, L. (2020). Stigma and HIV service access among transgender and gender diverse people in South Africa – a narrative analysis of longitudinal qualitative data from the HPTN 071 (PopART) trial. BMC Public Health.
Viljoen, L., Myburgh, H., and Reynolds, L. (2020) "It stays between us": Managing comorbidities and public/private dichotomies in HPTN071 (PopART) trial communities. Medical Anthropology. 40(3): 280-293.
Hoddinott, G., Myburgh, H. [...] and Reynolds, L (2018). Households, fluidity, and HIV service delivery in Zambia and South Africa – an exploratory analysis of longitudinal qualitative data from the HPTN 071 (PopART) trial. Journal of the International AIDS Society. 21(S4): 45-52.
Reynolds, L., Camlin, C., Ware, N. & Seeley, J. (2016). Exploring critical questions for the implementation of 'Universal Test and Treat' approaches to HIV prevention and care. AIDS Care. 28:sup3, 1-6.
Reynolds, L. (2014). "Low-Hanging Fruit": Counting and Accounting for Children in PEPFAR-funded HIV/AIDS Programmes in South Africa. Global Public Health. 9(1-2):124-143.
Reynolds, L., Cousins, T., Newell, M.-L., and Imrie, J (2013). Knowledge, Intimacy and Social Relations: The Gift of Blood in HIV research in KwaZulu-Natal, South Africa. Social Science and Medicine, 77: 118-125.
















