Mr Hugo Legge

Research Fellow

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

Email
Hugo

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

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

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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Mr Hugo Legge

Research Fellow

Affiliations

Teaching

Research

Selected Publications

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