Dr Sham Lal


Assistant Professor


Keppel Street
United Kingdom

I joined The London School of Hygiene and Tropical Medicine in 2010 and was based overseas with the Ministry of Health in Uganda. Prior to this, I completed a Master's degree at the School in the Control of Infectious Diseases in 2007 and subsequently held research posts at the University of Manchester and the UK Department of Health. I have lived and worked in Kenya and Uganda.


Department of Clinical Research
Department of Disease Control
Faculty of Infectious and Tropical Diseases


Centre for Evaluation
Malaria Centre
Maternal, Adolescent, Reproductive & Child Health (MARCH)
Mathematical Modelling of Infectious Diseases
Statistical Methodology


I am actively involved with the teaching programmes at the School. I have supervised Master’s students and currently teach on two Master’s modules, Designing Disease Control Programmes in Developing Countries and Epidemiology and Control of Malaria.


The focus of my current research aims to increase access and targeting of Artemisinin Combination Therapies (ACTs) to high risk populations. I have undertaken the design and evaluation of two long term cluster randomised trials in the Central and Western regions of Uganda with the ACT Consortium. These community based strategies aimed to bring safe, affordable and highly efficacious malaria treatments closer to those lying beyond on the reach of formal health systems through two different health delivery methods. The first trained 200 community health workers to diagnose and treat malaria whilst the second trained community based private medicine retailers (drug shop vendors) to diagnose and treat malaria.

My doctoral studies will use a multidisciplinary approach, combining epidemiology, economics and geographic information systems (GIS), to assess the economic, clinical and epidemiological impacts of community based programmes on public health systems in Uganda through a two arm cluster randomised trial. This will develop a robust evidence base for national control programmes, international aid agencies and health policy makers implementing programmes.

Research Area
Child health
Clinical trials
Complex interventions
Health systems
Disease control
Geographic Information Systems (GIS)
Impact evaluation
Randomised controlled trials
Vector control
GIS/Spatial analysis
Disease and Health Conditions
Neglected Tropical Diseases (NTDs)
Tropical diseases
Vector borne disease
Zoonotic disease
Sub-Saharan Africa (developing only)

Selected Publications

'It puts life in us and we feel big': shifts in the local health care system during the introduction of rapid diagnostic tests for malaria into drug shops in Uganda.
Hutchinson, E. ; Chandler, C. ; Clarke, S. ; Lal, S. ; Magnussen, P. ; Kayendeke, M. ; Nabirye, C. ; Kizito, J. ; Mbonye, A. ;
Crit Public Health
Introducing rapid diagnostic tests for malaria into drug shops in Uganda: design and implementation of a cluster randomized trial.
Mbonye, A.K. ; Magnussen, P. ; Chandler, C.I. ; Hansen, K.S. ; Lal, S. ; Cundill, B. ; Lynch, C.A. ; Clarke, S.E. ;
Treatment of fevers prior to introducing rapid diagnostic tests for malaria in registered drug shops in Uganda
Mbonye, A. K.; Lal, S.; Cundill, B.; Hansen, K. S.; Clarke, S.; Magnussen, P.
Malaria Journal
Disease activity and disability in children with juvenile idiopathic arthritis one year following presentation to paediatric rheumatology. Results from the Childhood Arthritis Prospective Study.
Hyrich, K.L.; Lal, S.D.; Foster, H.E.; Thornton, J.; Adib, N.; Baildam, E.; Gardner-Medwin, J.; Wedderburn, L.R.; Chieng, A.; Davidson, J.; Thomson, W.;
Rheumatology (Oxford)
Agreement between Proxy and Adolescent Assessment of Disability, Pain, and Well-Being in Juvenile Idiopathic Arthritis.
Lal, S.D.; McDonagh, J.; Baildam, E.; Wedderburn, L.R.; Gardner-Medwin, J.; Foster, H.E.; Chieng, A.; Davidson, J.; Adib, N.; Thomson, W.; Hyrich, K.L.;
J Pediatr
See all Dr Sham Lal's Publications