diff --git a/__tests__/components/LoadingOverlay.test.tsx b/__tests__/components/LoadingOverlay.test.tsx
new file mode 100644
index 0000000..8e54502
--- /dev/null
+++ b/__tests__/components/LoadingOverlay.test.tsx
@@ -0,0 +1,57 @@
+import React from 'react';
+import { render } from '@testing-library/react-native';
+import {
+  LoadingOverlay,
+  InlineLoadingOverlay,
+  LoadingCardOverlay,
+} from '@/components/ui/LoadingOverlay';
+
+describe('LoadingOverlay', () => {
+  it('renders nothing when visible is false', () => {
+    const { toJSON } = render(<LoadingOverlay visible={false} />);
+    expect(toJSON()).toBeNull();
+  });
+
+  it('renders modal when visible is true', () => {
+    const { getByText } = render(<LoadingOverlay visible={true} />);
+    expect(getByText('Loading...')).toBeTruthy();
+  });
+
+  it('renders custom message', () => {
+    const { getByText } = render(
+      <LoadingOverlay visible={true} message="Saving..." />
+    );
+    expect(getByText('Saving...')).toBeTruthy();
+  });
+});
+
+describe('InlineLoadingOverlay', () => {
+  it('renders nothing when visible is false', () => {
+    const { toJSON } = render(<InlineLoadingOverlay visible={false} />);
+    expect(toJSON()).toBeNull();
+  });
+
+  it('renders overlay when visible is true', () => {
+    const { toJSON } = render(<InlineLoadingOverlay visible={true} />);
+    expect(toJSON()).toBeTruthy();
+  });
+
+  it('renders with message', () => {
+    const { getByText } = render(
+      <InlineLoadingOverlay visible={true} message="Loading data..." />
+    );
+    expect(getByText('Loading data...')).toBeTruthy();
+  });
+});
+
+describe('LoadingCardOverlay', () => {
+  it('renders nothing when visible is false', () => {
+    const { toJSON } = render(<LoadingCardOverlay visible={false} />);
+    expect(toJSON()).toBeNull();
+  });
+
+  it('renders overlay when visible is true', () => {
+    const { toJSON } = render(<LoadingCardOverlay visible={true} />);
+    expect(toJSON()).toBeTruthy();
+  });
+});
diff --git a/__tests__/components/ScreenLoading.test.tsx b/__tests__/components/ScreenLoading.test.tsx
new file mode 100644
index 0000000..fc05994
--- /dev/null
+++ b/__tests__/components/ScreenLoading.test.tsx
@@ -0,0 +1,168 @@
+import React from 'react';
+import { Text, View } from 'react-native';
+import { render, fireEvent } from '@testing-library/react-native';
+import {
+  ScreenLoading,
+  RefreshableScreen,
+  EmptyState,
+  LoadingButtonState,
+} from '@/components/ui/ScreenLoading';
+
+describe('ScreenLoading', () => {
+  it('renders children when not loading and no error', () => {
+    const { getByText } = render(
+      <ScreenLoading isLoading={false} error={null}>
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(getByText('Content')).toBeTruthy();
+  });
+
+  it('renders loading state when isLoading is true', () => {
+    const { getByText } = render(
+      <ScreenLoading isLoading={true} error={null}>
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(getByText('Loading...')).toBeTruthy();
+  });
+
+  it('renders custom loading message', () => {
+    const { getByText } = render(
+      <ScreenLoading
+        isLoading={true}
+        error={null}
+        loadingMessage="Fetching data..."
+      >
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(getByText('Fetching data...')).toBeTruthy();
+  });
+
+  it('renders error state when error is provided', () => {
+    const { getByText } = render(
+      <ScreenLoading isLoading={false} error="Network error">
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(getByText('Something went wrong')).toBeTruthy();
+    expect(getByText('Network error')).toBeTruthy();
+  });
+
+  it('renders retry button when onRetry is provided', () => {
+    const onRetry = jest.fn();
+    const { getByText } = render(
+      <ScreenLoading isLoading={false} error="Error" onRetry={onRetry}>
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(getByText('Try Again')).toBeTruthy();
+  });
+
+  it('calls onRetry when retry button is pressed', () => {
+    const onRetry = jest.fn();
+    const { getByText } = render(
+      <ScreenLoading isLoading={false} error="Error" onRetry={onRetry}>
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    fireEvent.press(getByText('Try Again'));
+    expect(onRetry).toHaveBeenCalledTimes(1);
+  });
+
+  it('does not render retry button when onRetry is not provided', () => {
+    const { queryByText } = render(
+      <ScreenLoading isLoading={false} error="Error">
+        <Text>Content</Text>
+      </ScreenLoading>
+    );
+    expect(queryByText('Try Again')).toBeNull();
+  });
+});
+
+describe('RefreshableScreen', () => {
+  it('renders children', () => {
+    const onRefresh = jest.fn();
+    const { getByText } = render(
+      <RefreshableScreen isRefreshing={false} onRefresh={onRefresh}>
+        <Text>Content</Text>
+      </RefreshableScreen>
+    );
+    expect(getByText('Content')).toBeTruthy();
+  });
+});
+
+describe('EmptyState', () => {
+  it('renders title and description', () => {
+    const { getByText } = render(
+      <EmptyState
+        title="No items"
+        description="Add some items to get started"
+      />
+    );
+    expect(getByText('No items')).toBeTruthy();
+    expect(getByText('Add some items to get started')).toBeTruthy();
+  });
+
+  it('renders action button when provided', () => {
+    const onAction = jest.fn();
+    const { getByText } = render(
+      <EmptyState
+        title="No items"
+        actionLabel="Add Item"
+        onAction={onAction}
+      />
+    );
+    expect(getByText('Add Item')).toBeTruthy();
+  });
+
+  it('calls onAction when action button is pressed', () => {
+    const onAction = jest.fn();
+    const { getByText } = render(
+      <EmptyState
+        title="No items"
+        actionLabel="Add Item"
+        onAction={onAction}
+      />
+    );
+    fireEvent.press(getByText('Add Item'));
+    expect(onAction).toHaveBeenCalledTimes(1);
+  });
+
+  it('does not render action button when onAction is not provided', () => {
+    const { queryByText } = render(
+      <EmptyState title="No items" actionLabel="Add Item" />
+    );
+    expect(queryByText('Add Item')).toBeNull();
+  });
+});
+
+describe('LoadingButtonState', () => {
+  it('renders children when not loading', () => {
+    const { getByText } = render(
+      <LoadingButtonState isLoading={false}>
+        <Text>Submit</Text>
+      </LoadingButtonState>
+    );
+    expect(getByText('Submit')).toBeTruthy();
+  });
+
+  it('renders loading state when isLoading is true', () => {
+    const { getByText } = render(
+      <LoadingButtonState isLoading={true}>
+        <Text>Submit</Text>
+      </LoadingButtonState>
+    );
+    expect(getByText('Loading...')).toBeTruthy();
+  });
+
+  it('renders custom loading text', () => {
+    const { getByText } = render(
+      <LoadingButtonState isLoading={true} loadingText="Saving...">
+        <Text>Submit</Text>
+      </LoadingButtonState>
+    );
+    expect(getByText('Saving...')).toBeTruthy();
+  });
+});
diff --git a/__tests__/components/Skeleton.test.tsx b/__tests__/components/Skeleton.test.tsx
new file mode 100644
index 0000000..bf136d5
--- /dev/null
+++ b/__tests__/components/Skeleton.test.tsx
@@ -0,0 +1,127 @@
+import React from 'react';
+import { render } from '@testing-library/react-native';
+import {
+  Skeleton,
+  SkeletonText,
+  SkeletonAvatar,
+  SkeletonCard,
+  SkeletonListItem,
+  SkeletonBeneficiaryCard,
+  SkeletonSensorCard,
+} from '@/components/ui/Skeleton';
+
+describe('Skeleton', () => {
+  it('renders with default props', () => {
+    const { toJSON } = render(<Skeleton />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom width and height', () => {
+    const { toJSON } = render(<Skeleton width={100} height={50} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom border radius', () => {
+    const { toJSON } = render(<Skeleton borderRadius={20} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with percentage width', () => {
+    const { toJSON } = render(<Skeleton width="80%" />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonText', () => {
+  it('renders single line by default', () => {
+    const { toJSON } = render(<SkeletonText />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders multiple lines', () => {
+    const { toJSON } = render(<SkeletonText lines={3} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom line height', () => {
+    const { toJSON } = render(<SkeletonText lineHeight={20} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom last line width', () => {
+    const { toJSON } = render(<SkeletonText lines={2} lastLineWidth="50%" />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonAvatar', () => {
+  it('renders with default size', () => {
+    const { toJSON } = render(<SkeletonAvatar />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom size', () => {
+    const { toJSON } = render(<SkeletonAvatar size={64} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonCard', () => {
+  it('renders with default height', () => {
+    const { toJSON } = render(<SkeletonCard />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom height', () => {
+    const { toJSON } = render(<SkeletonCard height={200} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonListItem', () => {
+  it('renders with default props', () => {
+    const { toJSON } = render(<SkeletonListItem />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom avatar size', () => {
+    const { toJSON } = render(<SkeletonListItem avatarSize={64} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+
+  it('renders with custom number of lines', () => {
+    const { toJSON } = render(<SkeletonListItem lines={3} />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonBeneficiaryCard', () => {
+  it('renders beneficiary card skeleton', () => {
+    const { toJSON } = render(<SkeletonBeneficiaryCard />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
+
+describe('SkeletonSensorCard', () => {
+  it('renders sensor card skeleton', () => {
+    const { toJSON } = render(<SkeletonSensorCard />);
+    const tree = toJSON();
+    expect(tree).toBeTruthy();
+  });
+});
diff --git a/components/ui/LoadingOverlay.tsx b/components/ui/LoadingOverlay.tsx
new file mode 100644
index 0000000..08a57f7
--- /dev/null
+++ b/components/ui/LoadingOverlay.tsx
@@ -0,0 +1,130 @@
+import React from 'react';
+import {
+  View,
+  Text,
+  StyleSheet,
+  ActivityIndicator,
+  Modal,
+  ViewStyle,
+} from 'react-native';
+import { AppColors, BorderRadius, FontSizes, Spacing, Shadows } from '@/constants/theme';
+
+interface LoadingOverlayProps {
+  visible: boolean;
+  message?: string;
+  transparent?: boolean;
+}
+
+/**
+ * Full-screen modal loading overlay
+ * Use for operations that block the entire UI
+ */
+export function LoadingOverlay({
+  visible,
+  message = 'Loading...',
+  transparent = true,
+}: LoadingOverlayProps) {
+  if (!visible) return null;
+
+  return (
+    <Modal
+      visible={visible}
+      transparent={transparent}
+      animationType="fade"
+      statusBarTranslucent
+    >
+      <View style={styles.overlay}>
+        <View style={styles.container}>
+          <ActivityIndicator size="large" color={AppColors.primary} />
+          {message && <Text style={styles.message}>{message}</Text>}
+        </View>
+      </View>
+    </Modal>
+  );
+}
+
+interface InlineLoadingOverlayProps {
+  visible: boolean;
+  message?: string;
+  style?: ViewStyle;
+}
+
+/**
+ * Inline loading overlay that covers its parent container
+ * Use for loading states within a specific section
+ */
+export function InlineLoadingOverlay({
+  visible,
+  message,
+  style,
+}: InlineLoadingOverlayProps) {
+  if (!visible) return null;
+
+  return (
+    <View style={[styles.inlineOverlay, style]}>
+      <ActivityIndicator size="large" color={AppColors.primary} />
+      {message && <Text style={styles.inlineMessage}>{message}</Text>}
+    </View>
+  );
+}
+
+interface LoadingCardOverlayProps {
+  visible: boolean;
+}
+
+/**
+ * Card-style loading overlay
+ * Use for overlay on cards or smaller components
+ */
+export function LoadingCardOverlay({ visible }: LoadingCardOverlayProps) {
+  if (!visible) return null;
+
+  return (
+    <View style={styles.cardOverlay}>
+      <ActivityIndicator size="small" color={AppColors.primary} />
+    </View>
+  );
+}
+
+const styles = StyleSheet.create({
+  overlay: {
+    flex: 1,
+    backgroundColor: AppColors.overlay,
+    justifyContent: 'center',
+    alignItems: 'center',
+  },
+  container: {
+    backgroundColor: AppColors.surface,
+    borderRadius: BorderRadius.xl,
+    padding: Spacing.xl,
+    alignItems: 'center',
+    minWidth: 150,
+    ...Shadows.lg,
+  },
+  message: {
+    marginTop: Spacing.md,
+    fontSize: FontSizes.base,
+    color: AppColors.textSecondary,
+    textAlign: 'center',
+  },
+  inlineOverlay: {
+    ...StyleSheet.absoluteFillObject,
+    backgroundColor: 'rgba(255, 255, 255, 0.9)',
+    justifyContent: 'center',
+    alignItems: 'center',
+    borderRadius: BorderRadius.lg,
+  },
+  inlineMessage: {
+    marginTop: Spacing.sm,
+    fontSize: FontSizes.sm,
+    color: AppColors.textSecondary,
+    textAlign: 'center',
+  },
+  cardOverlay: {
+    ...StyleSheet.absoluteFillObject,
+    backgroundColor: 'rgba(255, 255, 255, 0.8)',
+    justifyContent: 'center',
+    alignItems: 'center',
+    borderRadius: BorderRadius.lg,
+  },
+});
diff --git a/components/ui/ScreenLoading.tsx b/components/ui/ScreenLoading.tsx
new file mode 100644
index 0000000..72b0efa
--- /dev/null
+++ b/components/ui/ScreenLoading.tsx
@@ -0,0 +1,272 @@
+import React from 'react';
+import {
+  View,
+  Text,
+  StyleSheet,
+  ActivityIndicator,
+  TouchableOpacity,
+  ScrollView,
+  RefreshControl,
+} from 'react-native';
+import { Ionicons } from '@expo/vector-icons';
+import { SafeAreaView } from 'react-native-safe-area-context';
+import {
+  AppColors,
+  BorderRadius,
+  FontSizes,
+  Spacing,
+  FontWeights,
+  Shadows,
+} from '@/constants/theme';
+
+interface ScreenLoadingProps {
+  isLoading: boolean;
+  error?: string | null;
+  children: React.ReactNode;
+  onRetry?: () => void;
+  loadingMessage?: string;
+  fullScreen?: boolean;
+}
+
+/**
+ * Wrapper component for screens with loading/error/content states
+ * Provides consistent loading and error UI across the app
+ */
+export function ScreenLoading({
+  isLoading,
+  error,
+  children,
+  onRetry,
+  loadingMessage = 'Loading...',
+  fullScreen = true,
+}: ScreenLoadingProps) {
+  if (isLoading) {
+    return (
+      <View style={[styles.container, fullScreen && styles.fullScreen]}>
+        <ActivityIndicator size="large" color={AppColors.primary} />
+        <Text style={styles.loadingMessage}>{loadingMessage}</Text>
+      </View>
+    );
+  }
+
+  if (error) {
+    return (
+      <View style={[styles.container, fullScreen && styles.fullScreen]}>
+        <View style={styles.errorIcon}>
+          <Ionicons name="alert-circle" size={48} color={AppColors.error} />
+        </View>
+        <Text style={styles.errorTitle}>Something went wrong</Text>
+        <Text style={styles.errorMessage}>{error}</Text>
+        {onRetry && (
+          <TouchableOpacity style={styles.retryButton} onPress={onRetry}>
+            <Ionicons name="refresh" size={18} color={AppColors.white} />
+            <Text style={styles.retryText}>Try Again</Text>
+          </TouchableOpacity>
+        )}
+      </View>
+    );
+  }
+
+  return <>{children}</>;
+}
+
+interface RefreshableScreenProps {
+  isRefreshing: boolean;
+  onRefresh: () => void;
+  children: React.ReactNode;
+  contentContainerStyle?: object;
+  showsVerticalScrollIndicator?: boolean;
+}
+
+/**
+ * ScrollView with built-in pull-to-refresh
+ * Provides consistent refresh behavior across the app
+ */
+export function RefreshableScreen({
+  isRefreshing,
+  onRefresh,
+  children,
+  contentContainerStyle,
+  showsVerticalScrollIndicator = false,
+}: RefreshableScreenProps) {
+  return (
+    <ScrollView
+      style={styles.scrollView}
+      contentContainerStyle={contentContainerStyle}
+      showsVerticalScrollIndicator={showsVerticalScrollIndicator}
+      refreshControl={
+        <RefreshControl
+          refreshing={isRefreshing}
+          onRefresh={onRefresh}
+          tintColor={AppColors.primary}
+          colors={[AppColors.primary]}
+        />
+      }
+    >
+      {children}
+    </ScrollView>
+  );
+}
+
+interface EmptyStateProps {
+  icon?: keyof typeof Ionicons.glyphMap;
+  title: string;
+  description?: string;
+  actionLabel?: string;
+  onAction?: () => void;
+}
+
+/**
+ * Empty state component for when there's no content to display
+ */
+export function EmptyState({
+  icon = 'folder-open-outline',
+  title,
+  description,
+  actionLabel,
+  onAction,
+}: EmptyStateProps) {
+  return (
+    <View style={styles.emptyContainer}>
+      <View style={styles.emptyIcon}>
+        <Ionicons name={icon} size={48} color={AppColors.textMuted} />
+      </View>
+      <Text style={styles.emptyTitle}>{title}</Text>
+      {description && <Text style={styles.emptyDescription}>{description}</Text>}
+      {actionLabel && onAction && (
+        <TouchableOpacity style={styles.emptyAction} onPress={onAction}>
+          <Text style={styles.emptyActionText}>{actionLabel}</Text>
+        </TouchableOpacity>
+      )}
+    </View>
+  );
+}
+
+interface LoadingButtonStateProps {
+  isLoading: boolean;
+  loadingText?: string;
+  children: React.ReactNode;
+}
+
+/**
+ * Wrapper for button content that shows loading state
+ */
+export function LoadingButtonState({
+  isLoading,
+  loadingText = 'Loading...',
+  children,
+}: LoadingButtonStateProps) {
+  if (isLoading) {
+    return (
+      <View style={styles.buttonLoading}>
+        <ActivityIndicator size="small" color={AppColors.white} />
+        {loadingText && <Text style={styles.buttonLoadingText}>{loadingText}</Text>}
+      </View>
+    );
+  }
+
+  return <>{children}</>;
+}
+
+const styles = StyleSheet.create({
+  container: {
+    justifyContent: 'center',
+    alignItems: 'center',
+    padding: Spacing.xl,
+  },
+  fullScreen: {
+    flex: 1,
+    backgroundColor: AppColors.background,
+  },
+  loadingMessage: {
+    marginTop: Spacing.md,
+    fontSize: FontSizes.base,
+    color: AppColors.textSecondary,
+    textAlign: 'center',
+  },
+  errorIcon: {
+    marginBottom: Spacing.md,
+  },
+  errorTitle: {
+    fontSize: FontSizes.lg,
+    fontWeight: FontWeights.semibold,
+    color: AppColors.textPrimary,
+    marginBottom: Spacing.sm,
+    textAlign: 'center',
+  },
+  errorMessage: {
+    fontSize: FontSizes.base,
+    color: AppColors.textSecondary,
+    textAlign: 'center',
+    marginBottom: Spacing.lg,
+    paddingHorizontal: Spacing.lg,
+  },
+  retryButton: {
+    flexDirection: 'row',
+    alignItems: 'center',
+    backgroundColor: AppColors.primary,
+    paddingHorizontal: Spacing.lg,
+    paddingVertical: Spacing.md,
+    borderRadius: BorderRadius.lg,
+    gap: Spacing.sm,
+    ...Shadows.primary,
+  },
+  retryText: {
+    fontSize: FontSizes.base,
+    fontWeight: FontWeights.semibold,
+    color: AppColors.white,
+  },
+  scrollView: {
+    flex: 1,
+  },
+  emptyContainer: {
+    flex: 1,
+    justifyContent: 'center',
+    alignItems: 'center',
+    padding: Spacing.xl,
+  },
+  emptyIcon: {
+    width: 80,
+    height: 80,
+    borderRadius: 40,
+    backgroundColor: AppColors.surfaceSecondary,
+    justifyContent: 'center',
+    alignItems: 'center',
+    marginBottom: Spacing.lg,
+  },
+  emptyTitle: {
+    fontSize: FontSizes.lg,
+    fontWeight: FontWeights.semibold,
+    color: AppColors.textPrimary,
+    textAlign: 'center',
+    marginBottom: Spacing.sm,
+  },
+  emptyDescription: {
+    fontSize: FontSizes.base,
+    color: AppColors.textSecondary,
+    textAlign: 'center',
+    marginBottom: Spacing.lg,
+    paddingHorizontal: Spacing.lg,
+  },
+  emptyAction: {
+    backgroundColor: AppColors.primary,
+    paddingHorizontal: Spacing.lg,
+    paddingVertical: Spacing.md,
+    borderRadius: BorderRadius.lg,
+  },
+  emptyActionText: {
+    fontSize: FontSizes.base,
+    fontWeight: FontWeights.semibold,
+    color: AppColors.white,
+  },
+  buttonLoading: {
+    flexDirection: 'row',
+    alignItems: 'center',
+    gap: Spacing.sm,
+  },
+  buttonLoadingText: {
+    fontSize: FontSizes.base,
+    color: AppColors.white,
+    fontWeight: FontWeights.medium,
+  },
+});
diff --git a/components/ui/Skeleton.tsx b/components/ui/Skeleton.tsx
new file mode 100644
index 0000000..3269621
--- /dev/null
+++ b/components/ui/Skeleton.tsx
@@ -0,0 +1,251 @@
+import React, { useEffect, useRef } from 'react';
+import {
+  View,
+  StyleSheet,
+  Animated,
+  ViewStyle,
+  Easing,
+  DimensionValue,
+} from 'react-native';
+import { AppColors, BorderRadius, Spacing } from '@/constants/theme';
+
+interface SkeletonProps {
+  width?: DimensionValue;
+  height?: DimensionValue;
+  borderRadius?: number;
+  style?: ViewStyle;
+}
+
+/**
+ * Animated skeleton loader for placeholder content
+ * Uses a shimmer effect to indicate loading state
+ */
+export function Skeleton({
+  width = '100%',
+  height = 20,
+  borderRadius = BorderRadius.sm,
+  style,
+}: SkeletonProps) {
+  const shimmerAnim = useRef(new Animated.Value(0)).current;
+
+  useEffect(() => {
+    const animation = Animated.loop(
+      Animated.sequence([
+        Animated.timing(shimmerAnim, {
+          toValue: 1,
+          duration: 1000,
+          easing: Easing.ease,
+          useNativeDriver: true,
+        }),
+        Animated.timing(shimmerAnim, {
+          toValue: 0,
+          duration: 1000,
+          easing: Easing.ease,
+          useNativeDriver: true,
+        }),
+      ])
+    );
+
+    animation.start();
+
+    return () => animation.stop();
+  }, [shimmerAnim]);
+
+  const animatedOpacity = shimmerAnim.interpolate({
+    inputRange: [0, 1],
+    outputRange: [0.3, 0.7],
+  });
+
+  return (
+    <Animated.View
+      style={[
+        styles.skeleton,
+        {
+          width,
+          height,
+          borderRadius,
+          opacity: animatedOpacity,
+        },
+        style,
+      ]}
+    />
+  );
+}
+
+/**
+ * Skeleton for text lines - common use case
+ */
+export function SkeletonText({
+  lines = 1,
+  lineHeight = 16,
+  spacing = Spacing.sm,
+  lastLineWidth = '60%',
+  style,
+}: {
+  lines?: number;
+  lineHeight?: number;
+  spacing?: number;
+  lastLineWidth?: DimensionValue;
+  style?: ViewStyle;
+}) {
+  return (
+    <View style={style}>
+      {Array.from({ length: lines }).map((_, index) => (
+        <Skeleton
+          key={index}
+          height={lineHeight}
+          width={index === lines - 1 && lines > 1 ? lastLineWidth : '100%'}
+          style={index < lines - 1 ? { marginBottom: spacing } : undefined}
+        />
+      ))}
+    </View>
+  );
+}
+
+/**
+ * Skeleton for avatar/circular elements
+ */
+export function SkeletonAvatar({
+  size = 48,
+  style,
+}: {
+  size?: number;
+  style?: ViewStyle;
+}) {
+  return (
+    <Skeleton
+      width={size}
+      height={size}
+      borderRadius={size / 2}
+      style={style}
+    />
+  );
+}
+
+/**
+ * Skeleton for a card-like element
+ */
+export function SkeletonCard({
+  height = 100,
+  style,
+}: {
+  height?: DimensionValue;
+  style?: ViewStyle;
+}) {
+  return (
+    <View style={[styles.card, style]}>
+      <Skeleton height={height} borderRadius={BorderRadius.lg} />
+    </View>
+  );
+}
+
+/**
+ * Skeleton for list items with avatar and text
+ */
+export function SkeletonListItem({
+  avatarSize = 48,
+  lines = 2,
+  style,
+}: {
+  avatarSize?: number;
+  lines?: number;
+  style?: ViewStyle;
+}) {
+  return (
+    <View style={[styles.listItem, style]}>
+      <SkeletonAvatar size={avatarSize} />
+      <View style={styles.listItemContent}>
+        <SkeletonText lines={lines} lastLineWidth="70%" />
+      </View>
+    </View>
+  );
+}
+
+/**
+ * Skeleton for beneficiary cards
+ */
+export function SkeletonBeneficiaryCard({ style }: { style?: ViewStyle }) {
+  return (
+    <View style={[styles.beneficiaryCard, style]}>
+      <View style={styles.beneficiaryHeader}>
+        <SkeletonAvatar size={56} />
+        <View style={styles.beneficiaryInfo}>
+          <Skeleton height={20} width="70%" style={{ marginBottom: Spacing.xs }} />
+          <Skeleton height={14} width="50%" />
+        </View>
+      </View>
+      <View style={styles.beneficiaryActions}>
+        <Skeleton height={36} width={80} borderRadius={BorderRadius.md} />
+        <Skeleton height={36} width={80} borderRadius={BorderRadius.md} />
+      </View>
+    </View>
+  );
+}
+
+/**
+ * Skeleton for sensor health cards
+ */
+export function SkeletonSensorCard({ style }: { style?: ViewStyle }) {
+  return (
+    <View style={[styles.sensorCard, style]}>
+      <View style={styles.sensorHeader}>
+        <Skeleton height={24} width={24} borderRadius={BorderRadius.sm} />
+        <Skeleton height={18} width="60%" />
+      </View>
+      <Skeleton height={40} width="100%" style={{ marginTop: Spacing.md }} />
+      <Skeleton height={12} width="80%" style={{ marginTop: Spacing.sm }} />
+    </View>
+  );
+}
+
+const styles = StyleSheet.create({
+  skeleton: {
+    backgroundColor: AppColors.surfaceSecondary,
+  },
+  card: {
+    marginBottom: Spacing.md,
+  },
+  listItem: {
+    flexDirection: 'row',
+    alignItems: 'center',
+    paddingVertical: Spacing.md,
+    paddingHorizontal: Spacing.md,
+    backgroundColor: AppColors.surface,
+    borderRadius: BorderRadius.lg,
+    marginBottom: Spacing.sm,
+  },
+  listItemContent: {
+    flex: 1,
+    marginLeft: Spacing.md,
+  },
+  beneficiaryCard: {
+    backgroundColor: AppColors.surface,
+    borderRadius: BorderRadius.xl,
+    padding: Spacing.lg,
+    marginBottom: Spacing.md,
+  },
+  beneficiaryHeader: {
+    flexDirection: 'row',
+    alignItems: 'center',
+    marginBottom: Spacing.md,
+  },
+  beneficiaryInfo: {
+    flex: 1,
+    marginLeft: Spacing.md,
+  },
+  beneficiaryActions: {
+    flexDirection: 'row',
+    gap: Spacing.sm,
+  },
+  sensorCard: {
+    backgroundColor: AppColors.surface,
+    borderRadius: BorderRadius.lg,
+    padding: Spacing.md,
+    marginBottom: Spacing.sm,
+  },
+  sensorHeader: {
+    flexDirection: 'row',
+    alignItems: 'center',
+    gap: Spacing.sm,
+  },
+});
diff --git a/hooks/__tests__/useLoadingState.test.ts b/hooks/__tests__/useLoadingState.test.ts
new file mode 100644
index 0000000..27cb26b
--- /dev/null
+++ b/hooks/__tests__/useLoadingState.test.ts
@@ -0,0 +1,284 @@
+import { renderHook, act, cleanup } from '@testing-library/react-native';
+import {
+  useLoadingState,
+  useSimpleLoading,
+  useMultipleLoadingStates,
+} from '@/hooks/useLoadingState';
+
+// Cleanup after each test to prevent unmounted renderer issues
+afterEach(() => {
+  cleanup();
+});
+
+describe('useLoadingState', () => {
+  it('initializes with default state', () => {
+    const { result } = renderHook(() => useLoadingState());
+
+    expect(result.current.data).toBeNull();
+    expect(result.current.isLoading).toBe(false);
+    expect(result.current.error).toBeNull();
+    expect(result.current.isRefreshing).toBe(false);
+  });
+
+  it('initializes with provided initial data', () => {
+    const { result } = renderHook(() =>
+      useLoadingState({ initialData: { id: 1, name: 'Test' } })
+    );
+
+    expect(result.current.data).toEqual({ id: 1, name: 'Test' });
+  });
+
+  it('setData updates data and clears error', () => {
+    const { result } = renderHook(() => useLoadingState<string>());
+
+    act(() => {
+      result.current.setError('Previous error');
+    });
+
+    act(() => {
+      result.current.setData('new data');
+    });
+
+    expect(result.current.data).toBe('new data');
+    expect(result.current.error).toBeNull();
+  });
+
+  it('setLoading updates loading state', () => {
+    const { result } = renderHook(() => useLoadingState());
+
+    act(() => {
+      result.current.setLoading(true);
+    });
+
+    expect(result.current.isLoading).toBe(true);
+
+    act(() => {
+      result.current.setLoading(false);
+    });
+
+    expect(result.current.isLoading).toBe(false);
+  });
+
+  it('setError updates error and clears loading states', () => {
+    const { result } = renderHook(() => useLoadingState());
+
+    act(() => {
+      result.current.setLoading(true);
+    });
+
+    act(() => {
+      result.current.setError('Something went wrong');
+    });
+
+    expect(result.current.error).toBe('Something went wrong');
+    expect(result.current.isLoading).toBe(false);
+    expect(result.current.isRefreshing).toBe(false);
+  });
+
+  it('setRefreshing updates refreshing state', () => {
+    const { result } = renderHook(() => useLoadingState());
+
+    act(() => {
+      result.current.setRefreshing(true);
+    });
+
+    expect(result.current.isRefreshing).toBe(true);
+  });
+
+  it('reset restores initial state', () => {
+    const { result } = renderHook(() =>
+      useLoadingState({ initialData: 'initial' })
+    );
+
+    act(() => {
+      result.current.setData('modified');
+      result.current.setLoading(true);
+      result.current.setError('error');
+    });
+
+    act(() => {
+      result.current.reset();
+    });
+
+    expect(result.current.data).toBe('initial');
+    expect(result.current.isLoading).toBe(false);
+    expect(result.current.error).toBeNull();
+    expect(result.current.isRefreshing).toBe(false);
+  });
+
+  it('execute handles successful async function', async () => {
+    const { result } = renderHook(() => useLoadingState<string>());
+
+    await act(async () => {
+      await result.current.execute(async () => {
+        return 'success';
+      });
+    });
+
+    expect(result.current.data).toBe('success');
+    expect(result.current.isLoading).toBe(false);
+    expect(result.current.error).toBeNull();
+  });
+
+  it('execute handles async function error', async () => {
+    const { result } = renderHook(() => useLoadingState<string>());
+
+    await act(async () => {
+      await result.current.execute(async () => {
+        throw new Error('Network error');
+      });
+    });
+
+    expect(result.current.error).toBe('Network error');
+    expect(result.current.isLoading).toBe(false);
+  });
+
+  it('execute with refresh option returns data', async () => {
+    const { result } = renderHook(() => useLoadingState<string>());
+
+    await act(async () => {
+      await result.current.execute(
+        async () => {
+          return 'refreshed data';
+        },
+        { refresh: true }
+      );
+    });
+
+    expect(result.current.data).toBe('refreshed data');
+    expect(result.current.isRefreshing).toBe(false);
+  });
+
+  it('execute uses transform function', async () => {
+    const { result } = renderHook(() => useLoadingState<string>());
+
+    await act(async () => {
+      await result.current.execute(
+        async () => {
+          return { value: 'raw' };
+        },
+        { transform: (res) => res.value.toUpperCase() }
+      );
+    });
+
+    expect(result.current.data).toBe('RAW');
+  });
+});
+
+describe('useSimpleLoading', () => {
+  it('initializes with default state', () => {
+    const { result } = renderHook(() => useSimpleLoading());
+    expect(result.current.isLoading).toBe(false);
+  });
+
+  it('initializes with provided initial state', () => {
+    const { result } = renderHook(() => useSimpleLoading(true));
+    expect(result.current.isLoading).toBe(true);
+  });
+
+  it('startLoading sets isLoading to true', () => {
+    const { result } = renderHook(() => useSimpleLoading());
+
+    act(() => {
+      result.current.startLoading();
+    });
+
+    expect(result.current.isLoading).toBe(true);
+  });
+
+  it('stopLoading sets isLoading to false', () => {
+    const { result } = renderHook(() => useSimpleLoading(true));
+
+    act(() => {
+      result.current.stopLoading();
+    });
+
+    expect(result.current.isLoading).toBe(false);
+  });
+
+  it('toggleLoading toggles isLoading', () => {
+    const { result } = renderHook(() => useSimpleLoading(false));
+
+    act(() => {
+      result.current.toggleLoading();
+    });
+    expect(result.current.isLoading).toBe(true);
+
+    act(() => {
+      result.current.toggleLoading();
+    });
+    expect(result.current.isLoading).toBe(false);
+  });
+
+  it('withLoading wraps async function', async () => {
+    const { result } = renderHook(() => useSimpleLoading());
+
+    await act(async () => {
+      const returnValue = await result.current.withLoading(async () => {
+        return 'done';
+      });
+
+      expect(returnValue).toBe('done');
+    });
+
+    expect(result.current.isLoading).toBe(false);
+  });
+});
+
+describe('useMultipleLoadingStates', () => {
+  it('initializes with empty loading states', () => {
+    const { result } = renderHook(() => useMultipleLoadingStates());
+
+    expect(result.current.loadingStates).toEqual({});
+    expect(result.current.anyLoading).toBe(false);
+  });
+
+  it('setLoading updates individual loading state', () => {
+    const { result } = renderHook(() => useMultipleLoadingStates());
+
+    act(() => {
+      result.current.setLoading('item-1', true);
+    });
+
+    expect(result.current.isLoading('item-1')).toBe(true);
+    expect(result.current.isLoading('item-2')).toBe(false);
+    expect(result.current.anyLoading).toBe(true);
+  });
+
+  it('tracks multiple loading states', () => {
+    const { result } = renderHook(() => useMultipleLoadingStates());
+
+    act(() => {
+      result.current.setLoading('item-1', true);
+      result.current.setLoading('item-2', true);
+    });
+
+    expect(result.current.isLoading('item-1')).toBe(true);
+    expect(result.current.isLoading('item-2')).toBe(true);
+    expect(result.current.anyLoading).toBe(true);
+
+    act(() => {
+      result.current.setLoading('item-1', false);
+    });
+
+    expect(result.current.isLoading('item-1')).toBe(false);
+    expect(result.current.isLoading('item-2')).toBe(true);
+    expect(result.current.anyLoading).toBe(true);
+  });
+
+  it('clearAll clears all loading states', () => {
+    const { result } = renderHook(() => useMultipleLoadingStates());
+
+    act(() => {
+      result.current.setLoading('item-1', true);
+      result.current.setLoading('item-2', true);
+    });
+
+    act(() => {
+      result.current.clearAll();
+    });
+
+    expect(result.current.loadingStates).toEqual({});
+    expect(result.current.anyLoading).toBe(false);
+  });
+});
diff --git a/hooks/useLoadingState.ts b/hooks/useLoadingState.ts
new file mode 100644
index 0000000..1951930
--- /dev/null
+++ b/hooks/useLoadingState.ts
@@ -0,0 +1,197 @@
+import { useState, useCallback } from 'react';
+
+interface LoadingState<T> {
+  data: T | null;
+  isLoading: boolean;
+  error: string | null;
+  isRefreshing: boolean;
+}
+
+interface UseLoadingStateOptions<T> {
+  initialData?: T | null;
+}
+
+interface UseLoadingStateReturn<T> extends LoadingState<T> {
+  setData: (data: T | null) => void;
+  setLoading: (loading: boolean) => void;
+  setError: (error: string | null) => void;
+  setRefreshing: (refreshing: boolean) => void;
+  reset: () => void;
+  execute: <R = T>(
+    asyncFn: () => Promise<R>,
+    options?: { refresh?: boolean; transform?: (result: R) => T }
+  ) => Promise<R | undefined>;
+}
+
+/**
+ * Custom hook for managing loading states
+ * Provides consistent loading, error, and data state management
+ */
+export function useLoadingState<T>(
+  options: UseLoadingStateOptions<T> = {}
+): UseLoadingStateReturn<T> {
+  const { initialData = null } = options;
+
+  const [state, setState] = useState<LoadingState<T>>({
+    data: initialData,
+    isLoading: false,
+    error: null,
+    isRefreshing: false,
+  });
+
+  const setData = useCallback((data: T | null) => {
+    setState((prev) => ({ ...prev, data, error: null }));
+  }, []);
+
+  const setLoading = useCallback((isLoading: boolean) => {
+    setState((prev) => ({ ...prev, isLoading }));
+  }, []);
+
+  const setError = useCallback((error: string | null) => {
+    setState((prev) => ({ ...prev, error, isLoading: false, isRefreshing: false }));
+  }, []);
+
+  const setRefreshing = useCallback((isRefreshing: boolean) => {
+    setState((prev) => ({ ...prev, isRefreshing }));
+  }, []);
+
+  const reset = useCallback(() => {
+    setState({
+      data: initialData,
+      isLoading: false,
+      error: null,
+      isRefreshing: false,
+    });
+  }, [initialData]);
+
+  /**
+   * Execute an async function with automatic loading state management
+   * @param asyncFn - The async function to execute
+   * @param options.refresh - If true, sets isRefreshing instead of isLoading
+   * @param options.transform - Optional function to transform the result before setting data
+   */
+  const execute = useCallback(
+    async <R = T>(
+      asyncFn: () => Promise<R>,
+      execOptions?: { refresh?: boolean; transform?: (result: R) => T }
+    ): Promise<R | undefined> => {
+      const { refresh = false, transform } = execOptions || {};
+
+      try {
+        if (refresh) {
+          setState((prev) => ({ ...prev, isRefreshing: true, error: null }));
+        } else {
+          setState((prev) => ({ ...prev, isLoading: true, error: null }));
+        }
+
+        const result = await asyncFn();
+
+        // Transform and set data if transform function provided
+        if (transform) {
+          const transformedData = transform(result);
+          setState((prev) => ({
+            ...prev,
+            data: transformedData,
+            isLoading: false,
+            isRefreshing: false,
+          }));
+        } else {
+          // If no transform, try to set result as data (if types match)
+          setState((prev) => ({
+            ...prev,
+            data: result as unknown as T,
+            isLoading: false,
+            isRefreshing: false,
+          }));
+        }
+
+        return result;
+      } catch (err) {
+        const errorMessage =
+          err instanceof Error ? err.message : 'An error occurred';
+        setState((prev) => ({
+          ...prev,
+          error: errorMessage,
+          isLoading: false,
+          isRefreshing: false,
+        }));
+        return undefined;
+      }
+    },
+    []
+  );
+
+  return {
+    ...state,
+    setData,
+    setLoading,
+    setError,
+    setRefreshing,
+    reset,
+    execute,
+  };
+}
+
+/**
+ * Simple boolean loading state hook
+ * For cases where you just need a loading flag
+ */
+export function useSimpleLoading(initialState = false) {
+  const [isLoading, setIsLoading] = useState(initialState);
+
+  const startLoading = useCallback(() => setIsLoading(true), []);
+  const stopLoading = useCallback(() => setIsLoading(false), []);
+  const toggleLoading = useCallback(() => setIsLoading((prev) => !prev), []);
+
+  const withLoading = useCallback(
+    async <T>(asyncFn: () => Promise<T>): Promise<T> => {
+      setIsLoading(true);
+      try {
+        return await asyncFn();
+      } finally {
+        setIsLoading(false);
+      }
+    },
+    []
+  );
+
+  return {
+    isLoading,
+    setIsLoading,
+    startLoading,
+    stopLoading,
+    toggleLoading,
+    withLoading,
+  };
+}
+
+/**
+ * Hook for managing multiple loading states by key
+ * Useful for list items that can have individual loading states
+ */
+export function useMultipleLoadingStates() {
+  const [loadingStates, setLoadingStates] = useState<Record<string, boolean>>({});
+
+  const setLoading = useCallback((key: string, loading: boolean) => {
+    setLoadingStates((prev) => ({ ...prev, [key]: loading }));
+  }, []);
+
+  const isLoading = useCallback(
+    (key: string) => loadingStates[key] || false,
+    [loadingStates]
+  );
+
+  const anyLoading = Object.values(loadingStates).some(Boolean);
+
+  const clearAll = useCallback(() => {
+    setLoadingStates({});
+  }, []);
+
+  return {
+    loadingStates,
+    setLoading,
+    isLoading,
+    anyLoading,
+    clearAll,
+  };
+}