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Mr Hugo Legge

Research Fellow

London School of Hygiene & Tropical Medicine
Keppel street, London
London
WC1E 7HT
United Kingdom

I am an environmental health researcher with an interest in neglected tropical diseases and water, sanitation and hygiene. I graduated from LSHTM with an MSc in Public Health (Environment and Health Stream) in 2016. Following this I worked as a Monitoring and Evaluation Specialist at SEED Madagascar from 2017-2018, where I designed and coordinated the evaluation of a rural water supply intervention. I joined LSHTM in 2018 as the Clinical Trials Operations Coordinator for the DeWorm3 Project, a multi-country cluster randomised trial testing the feasibility of interrupting transmission of soil-transmitted helminthiasis in selected sites in Benin, Malawi and India. In October 2020 I undertook a new role within LSHTM as the Trial Coordinator for the SABABU project, a cluster randomised trial investigating the contribution of household flooring to enteric and parasitic infections in two rural settings in Kenya.

Affiliations

Department of Disease Control
Faculty of Infectious and Tropical Diseases

Teaching

Module facilitator – Designing Disease Control Programmes (2018 – 2021)
Module facilitator – Analysis and Design of Research Studies (2018 – present)
Module facilitator – Spatial Epidemiology (2021 - present)
Lecturer – Introduction to Disease Agents and their Control (2022 – present)
MSc tutor – Control of Infectious Diseases (2019 – 2020)

Research

I have a broad range of research interests that cover programme evaluation, neglected tropical diseases, environmental health in low income settings and more specifically water, sanitation and hygiene (WASH). I am particularly interested in issues of sustainability of access to WASH and exploring the behavioral outcomes associated with environmental health interventions.
Research Area
Behaviour change
Child health
Clinical trials
Disease control
Environmental Health
Evaluation
Helminths
Hygiene
Impact evaluation
Sanitation
Water
Epidemiology
Operational research
Implementation science
Randomised controlled trials
GIS/Spatial analysis
Disease and Health Conditions
Diarrhoeal diseases
Neglected Tropical Diseases (NTDs)
Tropical diseases
Infectious diseases
Skin diseases
Country
Congo
India
Kenya
Madagascar
Malawi
West Bank and Gaza
Region
Arab World
Middle East & North Africa (all income levels)
Sub-Saharan Africa (developing only)

Selected Publications

Evaluating impacts of improved flooring on enteric and parasitic infections in rural households in Kenya: study protocol for a cluster-randomised controlled trial
HALLIDAY, KE; Kepha, S; LEGGE, H; ALLEN, E; DREIBELBIS, R; Elson, L; Kakoi, BK; Mcharo, C; Muli, S; Mwongeli, J; Njomo, D; Njoroge, MM; Ochwal, V; Oswald, WE; Rono, M; Safari, TK; Filinger, U; Kaluli, JW; Mwandawiro, CS; PULLAN, RL;
2025
BMJ open
School-based deworming programmes: Knowledge and perceptions regarding soil-transmitted helminth infections among schoolteachers in Tamil Nadu, India
Aruldas, K; Ramesh, RM; Prasad, S; Israel, GJ; LEGGE, H; Walson, JL; Means, AR; Ajjampur, SS R;
2025
PLOS Global Public Health
Better floors, better health: a theory of change for an improved household flooring intervention in rural communities in Kwale and Bungoma counties, Kenya.
Kepha, S; LEGGE, H; HALLIDAY, KE; Ochwal, V; Elson, L; Mwongeli, J; Oswald, WE; Kakoi, B; Wambua, J; Mwandawiro, C; Fillinger, U; PULLAN, R; Njomo, D;
2025
BMC public health
Coverage of community-wide mass drug administration platforms for soil-transmitted helminths in Benin, India, and Malawi: findings from the DeWorm3 project.
Means, AR; Ásbjörnsdóttir, KH; Sharrock, KC; Galagan, SR; Aruldas, K; Avokpaho, E; Chabi, F; HALLIDAY, KE; Houngbegnon, P; Israel, GJ; Kaliappan, SP; Kennedy, D; LEGGE, H; Oswald, WE; Palanisamy, G; Rogers, E; TIMOTHY, J; Pearman, E; Ramesh, RM; Simwanza, J; Sheik-Abdullah, JF; Sheikh, M; Togbevi, CI; Witek-McManus, S; PULLAN, RL; ... Walson, JL.
2024
Infectious diseases of poverty
Disability in childhood and the equity of health services: a cross-sectional comparison of mass drug administration strategies for soil-transmitted helminths in southern Malawi.
WITEK-MCMANUS, S; Simwanza, J; Msiska, R; Mangawah, H; Oswald, W; TIMOTHY, J; Galagan, S; Pearman, E; Shaikh, M; LEGGE, H; Walson, J; Juziwelo, L; Davey, C; PULLAN, R; BAILEY, RL; Kalua, K; KUPER, H;
2024
BMJ open
Identifying Potential Determinants of Faecal Contamination on Domestic Floors in Three Settings in Rural Kenya: A Mixed Methods Analysis.
LEGGE, H; Kazungo, K; Muli, S; Elson, L; Mwongeli, J; HALLIDAY, KE; Ochwal, V; Oswald, W; DREIBELBIS, R; Njomo, D; Mwandawiro, C; Fillinger, U; PULLAN, R; Kepha, S;
2024
Environmental health insights
“Our desire is to make this village intestinal worm free”: Identifying determinants of high coverage of community-wide mass drug administration for soil transmitted helminths in Benin, India, and Malawi
Saxena, M; Roll, A; Walson, JL; Pearman, E; LEGGE, H; Nindi, P; Chirambo, CM; Titus, A; Johnson, J; Bélou, EA; Togbevi, CI; Chabi, F; Avokpaho, E; Kalua, K; Ajjampur, SS R; Ibikounlé, M; Aruldas, K; Means, AR;
2024
PLOS Neglected Tropical Diseases
Representativeness of a mobile phone-based coverage evaluation survey following mass drug administration for soil-transmitted helminths: a comparison of participation between two cross-sectional surveys.
Ramesh, RM; Oswald, WE; Israel, GJ; Aruldas, K; Galagan, S; LEGGE, H; Puthupalayam Kaliappan, S; Walson, J; HALLIDAY, KE; Ajjampur, SS R;
2023
BMJ open
Low-cost domestic rainwater harvesting in rural southeast Madagascar: A process and outcome evaluation
Kelly, J; Tsilahatsy, M; Carnot, T; Fidelos, RW; Randriamanampy, G; Charlier, AZ; Kowalczewski, E; Hasoavana, L; Andriatsihosena, M; Chaplin, H; LEGGE, H;
2023
PLOS Water
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