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Mr Hugo Legge

Research Fellow

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

Jump to: Affiliations Teaching Research Publications
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 and following this, 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 diseases burden 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
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
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
Improved household flooring is associated with lower odds of enteric and parasitic infections in low- and middle-income countries: A systematic review and meta-analysis.
LEGGE, H; PULLAN, RL; Sartorius, B;
2023
PLOS global public health
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
Urban Water Access and Use in the Kivus: Evaluating Behavioural Outcomes Following an Integrated WASH Intervention in Goma and Bukavu, Democratic Republic of Congo.
LEGGE, H; Fedele, S; Preusser, F; Stys, P; Muzuri, P; Schuberth, M; DREIBELBIS, R;
2022
International Journal of Environmental Research and Public Health
Epidemiology of soil-transmitted helminths following sustained implementation of routine preventive chemotherapy: Demographics and baseline results of a cluster randomised trial in southern Malawi.
WITEK-MCMANUS, SS; Simwanza, J; Chisambi, AB; Kepha, S; Kamwendo, Z; Mbwinja, A; Samikwa, L; OSWALD, WE; KENNEDY, DS; TIMOTHY, J; LEGGE, H; Galagan, SR; Emmanuel-Fabula, M; Schaer, F; Ásbjörnsdóttir, K; HALLIDAY, K; Walson, JL; Juziwelo, L; BAILEY, R; Kalua, K; PULLAN, R;
2021
PLoS neglected tropical diseases
Patterns and Drivers of Household Sanitation Access and Sustainability in Kwale County, Kenya.
LEGGE, H; HALLIDAY, KE; Kepha, S; Mcharo, C; WITEK-MCMANUS, SS; El-Busaidy, H; Muendo, R; Safari, T; Mwandawiro, CS; Matendechero, SH; PULLAN, RL; OSWALD, WE;
2021
Environmental science & technology
Baseline patterns of infection in regions of Benin, Malawi and India seeking to interrupt transmission of soil transmitted helminths (STH) in the DeWorm3 trial.
DeWorm3 Trials Team,;
2020
PLOS Neglected Tropical Diseases
Epidemiology of soil-transmitted helminths following sustained implementation of routine preventive chemotherapy: demographics and baseline results of a cluster randomised trial in southern Malawi
WITEK-MCMANUS, S; Simwanza, J; Chisambi, A; Kepha, S; Kamwendo, Z; Mbwinja, A; Samikwa, L; OSWALD, W; KENNEDY, D; Timothy, JW S; LEGGE, H; Galagan, S; Emmanuel-Fabula, M; Schaer, F; Ásbjörnsdóttir, K; HALLIDAY, K; Walson, J; Juziwelo, L; BAILEY, R; Kalua, K; PULLAN, R;
2020
Development and application of an electronic treatment register: a system for enumerating populations and monitoring treatment during mass drug administration.
OSWALD, WE; KENNEDY, DS; Farzana, J; Kaliappan, SP; Atindegla, E; Houngbégnon, P; Chisambi, A; WITEK-MCMANUS, S; Galagan, SR; Emmanuel-Fabula, M; Gwayi-Chore, M-C; LEGGE, H; Yard, E; Kalua, K; Ibikounlé, M; Ajjampur, SS R; Means, AR; Ásbjörnsdóttir, KH; HALLIDAY, KE; Walson, JL;
2020
Global Health Action
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Hugo Legge

Contact

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