Close

Dr Clare Chandler

BA MSc PhD

Associate Professor
in Medical Anthropology

Room
313

LSHTM
15-17 Tavistock Place
London
WC1H 9SH
United Kingdom

Tel.
+44 (0) 20 7299 4709

Clare is a medical anthropologist and the co-Director of the LSHTM Antimicrobial Resistance Centre, which works to inspire innovation through interdisciplinary engagements.

Her research interests lie in the application of anthropological methods and theory to policies and practices relating to medicine use, diagnostic testing, management of febrile illnesses and health care improvement interventions. Her current research focus is antimicrobial resistance.

Clare leads the Anthropology of Antimicrobial Resistance research group, a dynamic group of anthropologists addressing this issue through a number of research projects.

She is Principal Investigator for the ESRC funded Anti-Microbials In Society (AMIS) Programme, which aims to bring fresh perspectives to social studies of antimicrobial resistance. The Programme includes empirical studies in Thailand and Uganda as well as the AMIS Hub web platform, which profiles high quality social research on AMR through a library of essential readings, people and projects listings, thematic summaries and commentaries.

Clare leads the social science research for the DfID funded FIEBRE programme, looking at antibiotic use and concepts of fever amongst a range of actors in Zimbabwe, Malawi and Myanmar.

Clare holds a small grant from the WHO to investigate awareness of AMR amongst healthcare professionals in low and middle-income country settings, which builds on qualitative research in nine LMICs to develop a standardised tool to assess AMR awareness across human and animal practitioners. 

She is also involved in studying antimicrobial resistance from a One Health perspective, with funded projects looking at antibiotic use in companion animals in the UK as well as the measurement of antibiotic use in agricultural and human systems in low and middle-income countries.

Affiliations

Department of Clinical Research
Department of Global Health and Development

Centres

Centre for Evaluation
Malaria Centre
Antimicrobial Resistance Centre

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's fieldwork has primarily been undertaken in East Africa, where she has worked on the topic of health care 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 has been 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.

From 2008-2013 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. A focus of many of these projects was the introduction of rapid diagnostic test technologies into a range of health care settings, and Clare has contributed to a body of quailtative research in this topic.

From 2013-2016 Clare 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. She focused on 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. She also focused on the role of anthropology in malaria research, bringing together social scientists to 're-imagine' malaria, resulting in special issues in both the Malaria Journal and Medical Anthropology.

Since 2016 Clare's primary focus has been on antimicrobial resistance. In 2016 she worked with colleagues to produce an account, ‘Addressing Antimicrobial Resistance Through Social Theory: An Anthropologically Oriented Report’ through funding from a Wellcome Trust Seed Award. She successfully applied for a collaborative award through the UKRI’s Cross Council Initiative on AMR in Theme 4 and subsequently received a number of additional awards relating to this topic, as well as being a co-investigator and social research lead on the DfID funded FIEBRE programme.

Research Area
Clinical guidelines
Complex interventions
Diagnostics
Drug resistance
Health services research
Primary care
Health workers
Evaluation
Global Health
Ethnography
Medicines
Mixed methods
Implementation research
Qualitative methods
Discipline
Anthropology
Operational research
Disease and Health Conditions
Infectious disease
Malaria
Country
Myanmar
Malawi
Thailand
Tanzania
Uganda
Zimbabwe
Region
South Asia
Sub-Saharan Africa (developing only)

Selected Publications

The impact of an intervention to introduce malaria rapid diagnostic tests on fever case management in a high transmission setting in Uganda: A mixed-methods cluster-randomized trial (PRIME).
Chandler, C.I. ; Webb, E.L. ; Maiteki-Sebuguzi, C. ; Nayiga, S. ; Nabirye, C. ; DiLiberto, D.D. ; Ssemmondo, E. ; Dorsey, G. ; Kamya, M.R. ; Staedke, S.G. ;
2017
PLoS One
The Anthropology of Malaria: Locating the Social.
Chandler, C.I.R. ; Beisel, U. ;
2017
Med Anthropol
Challenging logics of complex intervention trials: Community perspectives of a health care improvement intervention in rural Uganda.
Okwaro, F.M. ; Chandler, C.I. ; Hutchinson, E. ; Nabirye, C. ; Taaka, L. ; Kayendeke, M. ; Nayiga, S. ; Staedke, S.G. ;
2015
Soc Sci Med
The practice of 'doing' evaluation: lessons learned from nine complex intervention trials in action.
Reynolds, J. ; DiLiberto, D. ; Mangham-Jefferies, L. ; Ansah, E.K. ; Lal, S. ; Mbakilwa, H. ; Bruxvoort, K. ; Webster, J. ; Vestergaard, L.S. ; Yeung, S. ; Leslie, T. ; Hutchinson, E. ; Reyburn, H. ; Lalloo, D.G. ; Schellenberg, D. ; Cundill, B. ; Staedke, S.G. ; Wiseman, V. ; Goodman, C. ; Chandler, C.I. ;
2014
Implement Sci
Aspirations for quality health care in Uganda: How do we get there?
Chandler, C.I. ; Kizito, J. ; Taaka, L. ; Nabirye, C. ; Kayendeke, M. ; Diliberto, D. ; Staedke, S.G. ;
2013
Hum Resour Health
Introducing malaria rapid diagnostic tests at registered drug shops in Uganda: Limitations of diagnostic testing in the reality of diagnosis.
Chandler, C.I.; Hall-Clifford, R.; Asaph, T.; Pascal, M.; Clarke, S.; Mbonye, A.K.;
2011
Soc Sci Med
See all Dr Clare Chandler's Publications