Dr Clare Chandler BA MSc PhD

Associate Professor in Medical Anthropology

Background

Clare is a medical anthropologist interested in the ways in which health care is conceived and delivered in low resource settings. Her research lies at the intersection of policies and practices relating to medicine use, diagnostic testing, management of febrile illnesses and health care improvement interventions. She currently researches policies relating to the management of antimicrobial resistance and how these (re)shape clinical care and illness classifications, as well as wider social trends such as medicalisation. She is also involved in the ethnography of a mass antimalarial drug administration trial in Uganda; multi-site analyses of interventions to introduce malaria rapid diagnostic tests in Africa and Asia; and the work of the Ebola Response Anthropology Platform in West Africa.

Since October 2013 Clare has held a fellowship funded by the Institutional Strategic Support Fund, an initiative supported by the Wellcome Trust and the London School of Hygiene & Tropical Medicine. For five years prior to this, Clare was the lead social scientist for the ACT Consortium, a group of 25 projects funded by the Bill and Melinda Gates Foundation that aimed to improve the delivery of antimalarial drugs in Africa and Asia. She led project teams in 8 countries to undertake formative research, design of complex interventions embedded in the social relations of health care, and evaluation of these interventions alongside cluster randomised trials taking place in public health facilities, private drug retailers and community health workers.

Her fieldwork has primarily been undertaken in East Africa, where she has worked on health care delivery since 2004. Her PhD was an ethnography of clinical decision making of health workers at district hospitals in northeast Tanzania, with a focus on malaria diagnosis. Her work is situated in multi-discipliniary teams, and she has a long standing interest in the products of epistemological tensions between disciplines engaged in health care research and practice in low resource settings.

Affiliation

Centres

Teaching

Clare Chandler organises and lectures on the Medical Anthropology module as well as lecturing and teaching on the Malaria Module, Qualitative Methods module and the Applying Public Health Principles in Developing Countries module. She is a tutor on the Public Health in Developing Countries MSc and the One Health MSc.

Research

Clare Chandler's interests lie in the application of anthropological methods and critiques to health care and public health policies and programmes. She is interested in the implementation of technologies as 'tools' in global public health, for example by studying the social lives of RDTs as they meet, shift and expose patient, health care provider, health system and donor agendas. She is interested in the development of methods to design interventions which aim to improve health care and methods to understand and interpret how such interventions are enacted, absorbed, resisted and appropriated in the everyday lives of implementers and recipients. Her primary sites of research are among health care providers and care seekers (in public, private and community settings) in Tanzania and Uganda.

Clare currently holds a Seed Award from the Wellcome Trust to research how anthropological theory can be productive in conceptualising antimicrobial resistance and efforts to address this issue.

Research areas

  • Behaviour change
  • Clinical guidelines
  • Complex interventions
  • Diagnostics
  • Drug resistance
  • Ethnography
  • Evaluation
  • Global Health
  • Health services research
  • Health workers
  • Implementation research
  • Mixed methods
  • Primary care
  • Qualitative methods
  • Quality improvement

Disciplines

  • Anthropology
  • Operational research

Disease and Health Conditions

  • Infectious disease
  • Malaria

Regions

  • Sub-Saharan Africa (developing only)

Countries

  • Cameroon
  • Nigeria
  • Tanzania
  • Uganda

Other interests

  • Access To Medicines
  • Interdisciplinary research
  • Malaria Centre
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