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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

Fax.
+44 (0)20 7927 2701

Clare is a medical anthropologist and the co-Director of the LSHTM Antimicrobial Resistance Centre (http://amr.lshtm.ac.uk/), which intends 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 on antimicrobial resistance.

Clare leads the Anthropology of Antimicrobial Resistiance research group (https://www.lshtm.ac.uk/anthropology-antimicrobial-resistance), a dynamic group of anthropologists addressing this issue through a number of research projects.

She is Principal Investigator for the Anti-Microbials In Society (AMIS) Hub, which aims to bring fresh perspectives to social studies of antimicrobial resistance, with empirical studies in Thailand and Uganda. http://gtr.rcuk.ac.uk/projects?ref=ES%2FP008100%2F1.

She also runs the social science research for the DfID funded FIEBRE study (http://amr.lshtm.ac.uk/2017/04/19/febrile-illness-etiologies-broad-rang…), looking at antibiotic use amongst a range of actors in Zimbabwe, Malawi and Myanmar.

She holds a small grant from the WHO to investigate the roles of antibiotics and perceptions of antimicrobials in a range of other low and middle-income country settings. 

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.

Research Area
Clinical guidelines
Complex interventions
Diagnostics
Drug resistance
Health services research
Primary care
Health workers
Evaluation
Global Health
Ethnography
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

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. ;
Soc Sci Med
Bringing the state into the clinic? Incorporating the rapid diagnostic test for malaria into routine practice in Tanzanian primary healthcare facilities.
Hutchinson, E.; Reyburn, H.; Hamlyn, E.; Long, K.; Meta, J.; Mbakilwa, H.; Chandler, C.;
Glob Public Health
Behind the scenes of the PRIME intervention: designing a complex intervention to improve malaria care at public health centres in Uganda.
DiLiberto, D.D. ; Staedke, S.G. ; Nankya, F. ; Maiteki-Sebuguzi, C. ; Taaka, L. ; Nayiga, S. ; Kamya, M.R. ; Haaland, A. ; Chandler, C.I. ;
Glob Health Action
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. ;
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. ;
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.;
Soc Sci Med
See all Dr Clare Chandler's Publications