Professor Hannah Kuper


of Epidemiology


Keppel Street
United Kingdom

+44 (0)20 7958 8333

I am the Director of the International Centre for Evidence in Disability, a research group at LSHTM that works to expand the research and teaching activities of LSHTM in the field of global disability.

I am the co-research director of the FCDO-funded PENDA grant, which will undertake 10 impact evaluation of disability inclusive development programmes in resource poor settings. 

My main research interest is disability in low and middle income countries, with a particular focus on access to healthcare for people with disabilities and measuring the effectiveness of development interventions. 

I co-founded the Missing Billion Initiative, which focuses  on improving access to healthcare for people with disabilities globally, by working with governments, donors, healthcare systems and people with disabilities. 

I have an undergraduate degree from Oxford University in Human Sciences and a doctorate from Harvard University in epidemiology. I have worked at LSHTM since 2002. I joined as a member of the International Centre for Eye Health, undertaking research into the prevalence, impact and control of blindness. I also focussed on other types of impairments, and on quantitative research about disability. I was the co-director of the International Centre for Evidence in Disability 2010-2017, and the director since 2017.


Department of Clinical Research
Faculty of Infectious and Tropical Diseases


I organise the MSc Study Unit on "Global Disability and Health" and am course leader for our MOOC on the same topic. I also lecture on Disability on various MSc courses and the Diploma of Tropical Nursing.

In addition, I contribute to the Public Health in Eye Care and Epidemiology MSc course through supervising students, giving lectures, and taking part in the examination and MSc board meetings. I am also one of the organisers for the Basic Epidemiology study unit.

I currently the lead supervisor for three PhD students. Goli Hashemi is conducting research on access to health services among people with disabilities. Jane Wilbur is investigating the feasibility and acceptability of a menstrual hygiene management programme for women with intellectual disabilities in Nepal. Danae Rodrigues is investigating access to healthcare for people with disabilities in Chile.

I am also the lead supervisor for two DrPH students. Anthony Duttine is investigating the development of parent training programmes for the parents of children with Congenital Zika Syndrome in Brazil. Satish Mishra is assessing how to strengthen rehabilitation policies and capacity. 


I am the Director of the International Centre for Evidence on Disability

My main research interest is in the epidemiological study of disability in low and middle income countries, particularly through the conduct of intervention studies. I am the lead investigator on a large DFID funded project to evaluate the impact of disability inclusive development programmes in low and middle income countries, working together with Professor Tom Shakespeare and other colleagues.

 There are three main strands to my research:

1. Assessment of the prevalence of disability and impairments, including in children, and development of new methods in undertaking these surveys (e.g. use of mobile technologies).

2. Investigation of the health and rehabilitation needs of people with disabilities, and how these can be met in low resources settings.

3. Research on the relationship between poverty and disability, and the potential role of social protection in breaking this cycle.

I am also working on a range of projects investigating the social and economic impact of Congenital Zika Syndrome in Brazil, and how the impact can be mitigated through the development of parent support programmes.

I support partners in LSHTM and externally to integrate consideration of disability into their research.

I am committed to conducting research which will help improve the practice of government and NGO agencies in providing effective services for people with disabilities and their families.

Research Area
Systematic reviews
Older people's health
Operational research
Disease and Health Conditions
Cardiovascular disease
Chronic disease
Eye diseases
South Asia
Sub-Saharan Africa (all income levels)

Selected Publications

The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.
Burton MJ; Ramke J; Marques AP; Bourne RRA; Congdon N; Jones I; Ah Tong BAM; Arunga S; Bachani D; Bascaran C
The Lancet Global Health
Juntos: A Support Program for Families Impacted by Congenital Zika Syndrome in Brazil.
Duttine A; Smythe T; Calheiros de Sa MR; Ferrite S; Moreira ME; Kuper H
The promise and pitfalls of social science research in an emergency: lessons from studying the Zika epidemic in Brazil, 2015-2016.
Passos MJ; Matta G; Lyra TM; Moreira MEL; Kuper H; Penn-Kekana L; Mendonça M
BMJ global health
Neglected tropical diseases and disability-what is the link?
Kuper H
Transactions of the Royal Society of Tropical Medicine and Hygiene
The association of depression, anxiety, and stress with caring for a child with Congenital Zika Syndrome in Brazil; Results of a cross-sectional study.
Kuper H; Lopes Moreira ME; Barreto de Araújo TV; Valongueiro S; Fernandes S; Pinto M; Lyra TM
PLoS neglected tropical diseases
A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi.
Biran A; Danquah L; Chunga J; Schmidt W-P; Holm R; Itimu-Phiri A; Singini W; Jones H; Kuper H; White S
The American journal of tropical medicine and hygiene
Debate: can we achieve universal health coverage without a focus on disability?
Kuper H; Hanefeld J
BMC health services research
Social protection for people with disabilities in Tanzania: a mixed methods study
Kuper H; Walsham M; Myamba F; Mesaki S; Mactaggart I; Banks M; Blanchet K
Oxford Development Studies
Prevalence of age-related macular degeneration in Nakuru, Kenya: a cross-sectional population-based study.
Mathenge W; Bastawrous A; Peto T; Leung I; Foster A; Kuper H
PLoS medicine
Evaluating the causal relevance of diverse risk markers: horizontal systematic review.
Kuper H; Nicholson A; Kivimaki M; Aitsi-Selmi A; Cavalleri G; Deanfield JE; Heuschmann P; Jouven X; Malyutina S; Mayosi BM
See more Publications