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Anthropology of Antimicrobial Resistance Research Group

A group of anthropology staff and students who research antimicrobial resistance in science, policy and practice.

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About us

We carry out social research on topics related to microbes, resistance and antimicrobial medicines, from an anthropological perspective. Our research is informed by critical global health scholarship, science and technology studies and multi-species perspectives.

Who we are

We are a group of social science researchers working on the issue of antimicrobial resistance. Learn more about the skills and experience of our research group team.

Resources

A list of our recent publications can be found here. For more resources and essential readings please visit our Antimicrobials in Society website. 

About
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The Anthropology of AMR structure at LSHTM is a collaborative endeavour to stimulate, support and promote high quality social research on the topic of antimicrobial resistance (AMR). Comprising researchers from LSHTM and collaborating organisations who are undertaking a range of social studies to address the growing challenge of AMR, the team provides opportunities for connecting ideas, learning and skillsets between members at all stages of their careers.

Our research focuses on topics related to microbes, resistance and antimicrobial medicines. We share a commitment to an ethnographic approach to our studies, informed by critical global health scholarship, science and technology studies and multi-species perspectives. Members of the group produced a research agenda setting report, 'Addressing AMR through Social Theory' which forms the backdrop to much of our empirical research.

Our projects are supported by a range of funders and are taking place in a variety of settings across Africa and South East Asia.

Anthro AMR Reserach Map

Members carry out ethnographic fieldwork in: domestic spaces in rural, urban and peri urban areas; small to large scale farms with pigs, poultry and citrus fruits; formal and informal animal and human healthcare settings and markets; medical and veterinary professional fora; and science/policy interfaces. Our research integrates observational work with documentary and discourse analyses that draw on historical archives through to current day social media sources. Across our research, we apply methodological approaches from anthropology that can follow the problems of AMR and antimicrobial use as they are defined and enacted. We share a commitment to communicating insights to a range of stakeholders, and apply our research to the development of policy and programme changes.

Our team of over 35 researchers engaged in social studies of AMR meet together fortnightly online, when members present research findings for feedback and where we run a series of technical sessions that zoom in on specific aspects of research activity from publishing to dialogical processes with participants. The team provides a supportive space for social scientists from across the world at every stage of their research career, where we share ideas with others, seek advice and collaborate with other social scientists sharing similar interests.

For more information, meet our team, read some of our outputs, and read about our projects.

Who we are
Profiles
Staff
Medical Anthropology, LSHTM

Clare has researched the use of antimicrobial medicines and diagnostics in global health since 2004 with a particular focus on East Africa. She is the co-Director of the LSHTM Antimicrobial Resistance Centre, PI on the ESRC AMIS Hub grant, co-I on the FIEBRE grant and PI on the WHO AMR awareness grant. Her current research seeks to expand our understanding of the roles antimicrobials in societies around the globe.

Coll Hutchison

Coll Hutchison

Research Fellow
Co-investigator on the ESRC AMIS Hub

Coll's current research explores the roles of moralising metaphors, modern myths and scientific knowledge in the production of different antibiotic and AMR politics.

Justin Dixon

Justin
Dixon

Research Fellow
FIEBRE

Justin is a medical anthropologist in the LSHTM Antimicrobial Resistance (AMR) Centre and is currently working on the social science component of the FIEBRE study in Sub-Saharan Africa and South-East Asia.

Eleanor MacPherson

Eleanor MacPherson

Medical Anthropologist
Research Fellow (FIEBRE)

Ellie is a medical anthropologist with expertise in gender theory and has carried out extensive fieldwork in Malawi and South Africa. Her most recent work had been in West Africa where she has lead social science research in Ghana and Cameroon.

Dr Nicolas Fortane

Honorary Assistant Professor

Nicolas is a sociologist at INRA (French Institute for Agricultural Research), in Paris-Dauphine University. His research focuses on the construction of the AMR public problem in agriculture, veterinary drug regulation and the transformations of farm animal veterinary medicine. Nicolas currently works as honorary assistant professor at The London School of Hygiene & Tropical Medicine with the Anthropology of AMR research group.

Chris
Pinto

Research Fellow

Chris Pinto is a veterinarian from Peru. Currently, she works at the Global Health and Development department of the Public Health and Policy Faculty conducting a systematic review to identify intervention at the systems and structures levels that have the potential to reduce reliance on antibiotics in the everyday lives of people living with animals in LMIC urbanised and rural landscapes.

Jenny
Westad

Project Coordinator

Jenny has a background in public health and anthropology and is currently working as a Project Coordinator with the Anthropology of AMR research team. Jenny works across multiple projects for the team managing all financial aspects and non-academic outputs of the research grants.

Marco
Liverani

Assistant Professor

Marco is a social scientist with postgraduate training in social anthropology (MSc, University College London) and a doctorate in sociology (University of Exeter). 

Susan
Nayiga

Research Degree Student

Susan is experienced in interdisciplinary research, following her training in both social science and epidemiology with a series of studies working with clinicians, economists, anthropologists and epidemiologists to develop and evaluate interventions to improve access to better quality health care, including cluster randomised trials. 

Paula
Palanco Lopez

Research Assistant

Paula is a medical anthropologist with Journalism background, Sciences interest and Development orientation. 

Sarai
Keestra

Research Assistant

Sarai Keestra is a medical anthropologist working as a research assistant at the LSHTM Antimicrobial Resistance (AMR) Centre in the Department of Global Health and Development.

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Students

  • Alice Tompson - Antibiotic Use in the Care of Pet Dogs: A Mixed-Methods Anthropologically Informed Study.
  • Esther Rottenburg - Rationality, antibiotics and interdisciplinary AMR science in Uganda.
  • Maddy Pearson - Beyond the bugs, beyond the binaries: Re-imagining human microbe relations through a ‘living with’ approach to hygiene and sanitation.
  • Manuel Campinas - An ethnography of human medicinal relations among the Qiang ethnic minority: Investigating the integration of ethnomedicine in Western Sichuan.
  • Salome Manyau - Managing everyday fever: an ethnographic study of antibiotic use in Harare, Zimbabwe.
  • Susan Nayiga - Understanding how and why antimicrobials are deployed in everyday life in Uganda: an ethnographic study of lives, livestock and livelihoods in Tororo.
  • Yuzana Khine Zaw - Care and beyond: An ethnographic study of the roles of antibiotics in women’s lives in Yangon, Myanmar.
  • Nicholas Dayie - Fleming Fellow (Laboratory Human Health), Ghana 
  • Jennifer Bonnah - Fleming Fellow, AMU Human Health, Ghana
  • Mary Nkansa - Fleming Fellow, AMU Animal Health, Ghana
Projects
Projects
Project List
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Amis Logo

The AMIS programme promotes and produces high-quality research on antimicrobials in society by building on the latest developments in social and interdisciplinary research for innovative and insightful solutions to antimicrobial resistance.

Visit our AMIS Hub website - www.antimicrobialsinsociety.org – an online resource connecting you with the latest research, people and projects relevant to AMR from a societal perspective.

Find out more


FIEBRE Logo

The objective of FIEBRE is to provide evidence:

- on the most common infectious causes of fever;
- on antibiotic susceptibility of bacterial causes;
- on how local perceptions of fever affect treatment practices including the use of - diagnostics and antimicrobial drugs;
- to inform clinical guidelines and algorithms on how to manage non-malarial fevers.

Find out more


Fleming Fund Logo

The Fleming Fund is a UK aid programme to help low and middle income countries to fight antimicrobial resistance (AMR). The aim of the Fleming Fund is to get data relevant to AMR in the hands of decision makers. The Fleming Fellows activities are a collaboration between LSHTM (as host institution), beneficiary institutions (based in LMIC countries) and Fleming Fund delivery agents Mott MacDonald. 

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THET Logo

 The CaSAMS (Capacity Sharing for AntiMicrobial Stewardship) project is a partnership between Ugandan and UK institutions to establish the antimicrobial stewardship committee at Jinja regional referral hospital, Uganda, and strengthen its capacity to optimise antimicrobial treatment, and clinical outcomes, and infection prevention and control at patient, health facility and health system levels. The aims of antimicrobial stewardship are to improve patient outcomes and safety, and reduce spread of resistance and healthcare costs.

The project is running for one year to April 2020, and involves a needs assessment, development and implementation of activities to support the Antimicrobial Stewardship Committee at Jinja Hospital, and evaluation of the progress and impacts of these activities.

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Resources and publications
Publications
The Constructing of Antimicrobial Resistance: A Workshop. 3rd August 2016, Latimer Place, Chesham, UK.
Addressing Antimicrobial Resistance Through Social Theory: An Anthropologically Oriented Report
Chandler, C; Hutchinson, E; Hutchison, C (2016)
Technical Report. London School of Hygiene & Tropical Medicine.
Antimicrobial Resistance and Anthropology: Research Brief.
Chandler, C.I.R., and Hutchinson, C. (2016)
ESRC AMR Research Champion/University of Bristol.
Antibiotic prescribing and resistance: Views from low- and middle-income prescribing and dispensing professionals
Doble A, Glogowski R, Ibezim S, Lazenby T, Heilie Redai A, Shaikh N, Treharne A, Yardakul S, Yemanaberhan R, Reynolds L, Chandler C
2018
Anthropology’s contribution to AMR control
Laurie Denyer-Willis and Clare Chandler
2018
The modern era must end: antibiotic resistance helps us rethink medicine and farming
Coll de Lima Hutchison, Gwen Knight, Richard Stabler, Clare Chandler
2018
BMJ