Clare Chandler

Biographic Data

ID147626
NAMEClare Chandler
GIVEN NAMESClare
FAMILY NAMEChandler
SIGNATURECHANDLER C
AFFILIATIONSLondon School of Hygiene & Tropical Medicine
ORCID0000-0001-6499-7522
VERIFIEDYes
TOTAL WORKS48
TOTAL CITATIONS115
AUTHOR COUNT48
EDITOR COUNT0
FIRST PUBLICATION YEAR2008
LATEST PUBLICATION YEAR2025
H-INDEX6

  • Multimorbidity and health system priorities in Zimbabwe

    Open AccessJustin Dixon, Efison Dhodho et al.ARTICLEPLOS Global Public Health2025

    Multimorbidity, increasingly recognised as a global health challenge, has recently emerged on the health agendas of many countries experiencing rapid epidemiological change, including in Africa. Yet with its conceptual origins in the global North, its meaning and possible utility in African contexts remains abstract. This study drew together policymakers, public health practitioners, academics, health informaticians, health professionals, and peo…

  • Water, sanitation and hygiene (Wash)

    Open AccessSaskia De Wit, Euphrasia Luseka et al.ARTICLEBMJ Global Health2024

    Despite some progress, universal access to safe water, sanitation and hygiene (WASH) by 2030—a remit of Sustainable Development Goal 6—remains a distant prospect in many countries. Policy-makers and implementers of the WASH sector are challenged to track a new path. This research aimed to identify core orienting themes of the sector, as legacies of past processes, which can provide insights for its future. We reviewed global policy, science and p…

  • Microbes and marginalisation

    Open AccessPhakha Whanpuch, Anna Perris et al.ARTICLESSM - Qualitative Research in…2024

    Reducing human-microbial encounters through improved infection prevention and control (IPC) is widely acknowledged to be critical for reducing the emergence, transmission and burden of antimicrobial resistance (AMR). However, despite its centrality in the Global Action Plan (GAP) on AMR and adoption as a goal in National Action Plans around the world, there has been limited progress on reducing the incidence of antimicrobial resistant infections …

  • Interdisciplinary perspectives on multimorbidity in Africa

    Open AccessJustin Dixon, Ben Morton et al.ARTICLEPLOS Global Public Health2024

    Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African co…

  • “Arming half-baked people with weapons!” Information enclaving among professionals and the need for a care-centred model for antibiotic use information in Uganda, Tanzania and Malawi

    Open AccessSusan Nayiga, Eleanor E Macpherson et al.ARTICLEGlobal Health Action2024

    BACKGROUND: The overuse of antimicrobial medicines is a global health concern, including as a major driver of antimicrobial resistance. In many low- and middle-income countries, a substantial proportion of antibiotics are purchased over-the-counter without a prescription. But while antibiotics are widely available, information on when and how to use them is not. OBJECTIVE: We aimed to understand the acceptability among experts and professionals o…

  • The social lives of point-of-care tests in low- and middle-income countries

    Open AccessJanet Perkins, Clare Chandler et al.ARTICLEHealth Policy and Planning2024

    Point-of-care tests (POCTs) have become technological solutions for many global health challenges. This meta-ethnography examines what has been learned about the ‘social lives’ of POCTs from in-depth qualitative research, highlighting key social considerations for policymakers, funders, developers and users in the design, development and deployment of POCTs. We screened qualitative research examining POCTs in low- and middle-income countries and …

  • A pandemic of metrics

    Open AccessVincanne Adams, Clare Chandler et al.ARTICLEMedical Anthropology Quarterly2024Cited by: 1References: 54

    The COVID-19 pandemic prompted critical attention to the performative power of metrics. We suggest that the existential capacities of metrics as a means of pandemic living warrant further consideration. We describe how the COVID-19 pandemic that came into existence as a public health and political event could only have occurred because of the anticipatory metrical practices that were used to transform SARS-COV-2 into a matter of global health con…

  • One Health Wash

    Open AccessChris E Pinto Jimenez, Sarai Keestra et al.ARTICLEBMJ Global Health2023

    While the One Health framework is now widely accepted as a strength in understanding antimicrobial resistance (AMR), its application in intervention design to prevent and control drug-resistant infections across humans, animals, and the environment remains weak. The potential for infection prevention and control measures to contribute to the AMR agenda is recognised in rhetoric, but evidence to guide action is patchy and uncoordinated. While wate…

  • Pharmaceuticalised livelihoods

    Open AccessMiriam Kayendeke, Laurie Denyer-Willis et al.ARTICLEJournal of Biosocial Science2023

    The ‘livestock revolution’ has seen the lives and livelihoods of peri-urban peoples increasingly intertwine with pigs and poultry across Africa in response to a rising demand for meat protein. This ‘revolution’ heralds the potential to address both poverty and nutritional needs. However, the intensification of farming has sparked concern, including for antibiotic misuse and its consequences for antimicrobial resistance (AMR). These changes reflec…

  • The use of mediation analysis in evaluation of complex health interventions

    Open AccessDeborah DiLiberto, Chris Opondo et al.ARTICLEEvaluation2023Cited by: 1References: 8

    This article presents an application of the causal inference approach to mediation analysis using the example of a complex intervention that aimed to improve the quality of care at health centres in Uganda. Mediation analysis is a statistical method that aims to isolate the causal mechanisms that make an intervention work in a given context. We combined data from a cluster randomized control trial and a mixed-methods process evaluation. We develo…

  • The politics of irrationality

    Open AccessLaurie Denyer Willis, Miriam Kayendeke et al.ARTICLEMedical Anthropology Quarterly2023Cited by: 3References: 36

    In siloed discussions of antimicrobial resistance, antibiotic use on farms in the Global South has emerged as a key site for intervention. The antibiotic consumption targeted is not all consumption, but "irrational" consumption. This concept of irrationality is neither new, nor true, but rather is a long-standing form of maintenance work within global health systems. Via an attention to chickens and the antibiotics farmers use to raise them in th…

  • Understanding antimicrobial use in subsistence farmers in Chikwawa District Malawi, implications for public awareness campaigns

    Open AccessEleanor E Macpherson, J Reynolds et al.ARTICLEPLOS Global Public Health2022

    Drug resistant infections are increasing across the world and urgent action is required to preserve current classes of antibiotics. Antibiotic use practices in low-and-middle-income countries have gained international attention, especially as antibiotics are often accessed beyond the formal health system. Public awareness campaigns have gained popularity, often conceptualising antimicrobial resistance (AMR) as a problem of excess, precipitated by…

  • Mystifying medicines and maximising profit

    Open AccessPanoopat Poompruek, Anna Perris et al.ARTICLEGlobal Public Health2022

    Thailand's antimicrobial stewardship strategy has focussed on promoting 'rational drug use' in the public sector, to reduce the threat of drug resistance and control healthcare expenditure. The strategy's next ambition is to attend to the private sector, where antibiotics are widely available over the counter without prescription. Using ethnographic and survey data, this paper follows antibiotics through community pharmacies, to explore drug dist…

  • Reconciling imperatives

    Open AccessSusan Nayiga, Laurie Denyer Willis et al.ARTICLEGlobal Public Health2022

    Faced with the threat of antimicrobial resistance, health workers are urged to reduce unnecessary prescription of antimicrobials. Clinical guidelines are expected to form the basis of prescribing decisions in practice. Emerging through evaluations of best practice - bundling clinical, technological and economic dimensions - guidelines also create benchmarks through which practice can be assessed with metrics. To understand the relationships betwe…

  • Antibiotics and the Biopolitics of Sex Work in Zimbabwe

    Open AccessSalome Manyau, Justin Dixon et al.ARTICLEMedical Anthropology2022References: 22

    The advent of antibiotics transformed the global public health landscape, dramatically improving health outcomes. Drawing on historical and ethnographic research on sex work in Zimbabwe, we examine the role of antibiotics in the management of sexually transmitted infections among sex workers, from punitive colonial approaches to "empowerment"-based discourses. We illustrate how programs for sex workers, while valued by these women, are narrow, ex…

  • Taking Opportunities, Taking Medicines

    Open AccessSusan Nayiga, Laurie Denyer Willis et al.ARTICLEMedical Anthropology2022Cited by: 1References: 30

    The ways in which dimensions of health and healthcare intersect with economics and politics in particular contexts requires close attention. In this article we connect concerns about antibiotic overuse in Uganda to the social milieu created through policies that follow President Museveni's vision for a population who kulembeka , "tap wealth." Ethnographic fieldwork in rural Eastern Uganda illustrates how taking medicines in rural households refle…

  • Antibiotic Arrivals in Africa

    Open AccessPaula Palanco Lopez, Salome Manyau et al.ARTICLEMedicine Anthropology Theory2022

    The mass production of antibiotics in the 1940s enabled their travel beyond Europe and America, but to date the significance of the ways in which these medicines co-constituted colonial regimes at the time has not been systematically described. Through a case study of yaws and syphilis, this research article traces arrivals of antibiotics in three countries of Eastern Africa-Malawi, Zimbabwe, and Uganda. We draw attention to the emergent roles of…

  • The changing climates of global health

    Open AccessThomas Cousins, Michelle Pentecost et al.ARTICLEBMJ Global Health2021

    International audience

  • Antibiotic stories

    Open AccessJustin Dixon, Eleanor E Macpherson et al.ARTICLEBMJ Global Health2021

    BACKGROUND: As concerns about the prevalence of infections that are resistant to available antibiotics increase, attention has turned toward the use of these medicines both within and outside of formal healthcare settings. Much of what is known about use beyond formal settings is informed by survey-based research. Few studies to date have used comparative, mixed-methods approaches to render visible patterns of use within and between settings as w…

  • Understanding antimicrobial resistance through the lens of antibiotic vulnerabilities in primary health care in rural Malawi

    Open AccessEleanor E Macpherson, J Reynolds et al.ARTICLEGlobal Public Health2021

    The diminishing effectiveness of antimicrobials raises serious concerns for human health. While policy makers grapple to reduce the overuse of antimicrobial medicines to stem the rise of antimicrobial resistance, insufficient attention has been paid to how this applies to low-resource contexts. We provide an in-depth portrayal of antimicrobial prescribing at primary health care level in rural Chikwawa District, Malawi. Ethnographic fieldwork took…

  • Antibiotic ‘entanglements’

    Open AccessChristine Nabirye, Laurie Denyer Willis et al.ARTICLECritical Public Health2021

    Antibiotics are a routine part of everyday life in many contexts, contributing to the development of antimicrobial resistance (AMR). Our ethnographic research documents the ways that antibiotics have become a key part of everyday life for precariously employed urban day-wage workers living in a large informal settlement in Kampala, Uganda. We found that for many people, their daily work and ongoing health was entangled with antibiotic use; that i…

  • Does Anybody Have A Map?”

    Open AccessClare Chandler, Simeon Scheuber‐RushARTICLEThe Journal of Popular Culture2021References: 4

    Song form, structure, function and ideology are culturally and genre specific. Boiled down to its most basic elements, a pop song is about emotional connection and engagement, whereas its musical theatre cousin is concerned with narrative progression; ‘pop songs are to adjectives what musical theatre songs are to verbs.’ (Lambert, 2015) Lambert articulates a binary perspective on genres, which are actually overlapping in unprecedented ways, in te…

  • Antibiotics, rational drug use and the architecture of global health in Zimbabwe

    Open AccessJustin Dixon, Salome Manyau et al.ARTICLESocial Science & Medicine2021Cited by: 10References: 32

    Rising concerns around antimicrobial resistance (AMR) have led to a renewed push to rationalise antibiotic prescribing in low- and middle-income countries (LMICs). There is increasing unease in conceptualising antibiotic use as individuals behaving '(ir)rationally' and recognition that rising use is emergent of and contributing to wider economic and political challenges. But in between these individual and societal 'drivers' of antibiotic use is …

  • Setting the standard

    Open AccessClaas Kirchhelle, Paul Atkinson et al.ARTICLEBMJ Global Health2020

    There is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship have galvanised attention on the global stage. However, the AMR community increasingly laments a lack of action, often identified as an ‘implementation…

  • Quick fix for care, productivity, hygiene and inequality

    Open AccessLaurie Denyer Willis, Clare ChandlerARTICLEBMJ Global Health2019

    Antimicrobial resistance (AMR) is a major challenge of our time. A key global objective is to reduce antibiotic use (ABU), in order to reduce resistance caused by antimicrobial pressure. This is often set as a ‘behaviour change’ issue, locating intervention efforts in the knowledge and attitudes of individual prescribers and users of medicines. Such approaches have had limited impact and fall short of addressing wider drivers of antibiotic use. T…