Browsing Bergen Open Research Archive by Author "Fylkesnes, Knut"
Now showing items 1-20 of 38
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Accountable priority setting for trust in health systems - the need for research into a new approach for strengthening sustainable health action in developing countries
Byskov, Jens; Bloch, Paul; Blystad, Astrid; Hurtig, Anna-Karin; Fylkesnes, Knut; Kamuzora, Peter; Kombe, Yeri; Kvåle, Gunnar; Marchal, Bruno; Martin, Douglas K.; Michelo, Charles Cheembo; Ndawi, Benedict; Ngulube, Thabale J.; Nyamongo, Isaac; Olsen, Øystein Evjen; Onyango-Ouma, Washington; Sandøy, Ingvild Fossgard; Shayo, Elizabeth H.; Silwamba, Gavin; Songstad, Nils Gunnar; Tuba, Mary (Peer reviewed; Journal article, 2009-10-24)Abstract Despite multiple efforts to strengthen health systems in low and middle income countries, intended sustainable improvements in health outcomes have not been shown. To date most priority setting initiatives in ... -
Accuracy in HIV rapid testing among laboratory and non-laboratory personnel in Zambia: Observations from the national HIV proficiency testing system
Mwangala, Sheila Monde; Musonda, Kunda G.; Monze, Mwaka; Musukwa, Katoba K.; Fylkesnes, Knut (Peer reviewed; Journal article, 2016-01-08)Background: Despite rapid task-shifting and scale-up of HIV testing services in high HIV prevalence countries, studies evaluating accuracy remain limited. This study aimed to assess overall accuracy level and factors ... -
Associations between sexual behaviour change in young people and decline in HIV prevalence in Zambia
Sandøy, Ingvild Fossgard; Michelo, Charles Cheembo; Siziya, Seter; Fylkesnes, Knut (Peer reviewed; Journal article, 2007-04-23)Background: Evidence suggests that HIV prevalence amongst young Zambians has declined recently, especially in higher-education groups. We studied trends in key sexual behaviour indicators among 15–24 year-olds from 1995 ... -
"Born before arrival": user and provider perspectives on health facility childbirths in Kapiri Mposhi district, Zambia
Phiri, Selia Ng’anjo; Fylkesnes, Knut; Ruano, Ana Lorena; Moland, Karen Marie (Peer reviewed; Journal article, 2014-09-16)Background: Maternal mortality remains high in sub-Saharan Africa. Health facility intra-partum strategies with skilled birth attendance have been shown to be most effective to address maternal mortality. In Zambia, the ... -
‘Born before arrival’: user and provider perspectives on health facility childbirths in Kapiri Mposhi district, Zambia
Nganjo Phiri, Selia; Fylkesnes, Knut; Ruano, Ana Lorena; Moland, Karen Marie (Peer reviewed; Journal article, 2014-09-16)Background: Maternal mortality remains high in sub-Saharan Africa. Health facility intra-partum strategies with skilled birth attendance have been shown to be most effective to address maternal mortality. In Zambia, the ... -
The burden of knowing: balancing benefits and barriers in HIV testing decisions. a qualitative study from Zambia
Jürgensen, Marte; Tuba, Mary; Fylkesnes, Knut; Blystad, Astrid (Peer reviewed; Journal article, 2012-01-05)Background Client-initiated HIV counselling and testing has been scaled up in many African countries, in the form of voluntary counselling and testing (VCT). Test rates have remained low, with HIV-related stigma being an ... -
Comparative Validity of Screening Instruments for Mental Distress in Zambia
Chipimo, Peter Jay; Fylkesnes, Knut (Peer reviewed; Journal article, 2010)Background: The recognition of mental health as a major contributor to the global burden of disease has led to an increase in the demand for the inclusion of mental health services in primary health care as well as in ... -
Conceptual models for Mental Distress among HIV-infected and uninfected individuals: A contribution to clinical practice and research in primary-health-care centers in Zambia
Chipimo, Peter Jay; Tuba, Mary; Fylkesnes, Knut (Peer reviewed; Journal article, 2011-01-10)Background: Mental distress is common in primary care and overrepresented among Human Immunodeficiency virus (HIV)-infected individuals, but access to effective treatment is limited, particularly in developing countries. ... -
The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction
Thanh, Duong Cong; Moland, Karen Marie; Fylkesnes, Knut (Peer reviewed; Journal article, 2009-04-06)Background: Injection drug users represent the largest proportion of all HIV reported cases in Viet Nam. This study aimed to explore the perceptions of risk and risk behaviours among HIV-positive injection drug users, and ... -
Contrasting HIV prevalence trends among young women and men in Zambia in the past 12 years: data from demographic and health surveys 2002–2014
Nakazwe, Chola; Michelo, Charles Cheembo; Sandøy, Ingvild Fossgard; Fylkesnes, Knut (Peer reviewed; Journal article, 2019)Background: The HIV epidemic remains a concern on the global health agenda, despite progress made in reducing incidence. Investigation of trends among young people is important for monitoring HIV incidence and informing ... -
A critical assessment of the WHO responsiveness tool: lessons from voluntary HIV testing and counselling services in Kenya
Njeru, Mercy Karimi; Blystad, Astrid; Nyamongo, Isaac K.; Fylkesnes, Knut (Peer reviewed; Journal article, 2009-12-22)Background: Health, fair financing and responsiveness to the user's needs and expectations are seen as the essential objectives of health systems. Efforts have been made to conceptualise and measure responsiveness as a ... -
Decline in HIV Prevalence among Young Women in Zambia: National-Level Estimates of Trends Mask Geographical and Socio-Demographic Differences
Kayeyi, Nkomba; Fylkesnes, Knut; Michelo, Charles Cheembo; Makasa, Mpundu; Sandøy, Ingvild Fossgard (Peer reviewed; Journal article, 2012-04-04)Background: A decline in HIV incidence has been reported in Zambia and a number of other sub-Saharan countries. The trend of HIV prevalence among young people is a good marker of HIV incidence. In this study, different ... -
Effectiveness of a girls’ empowerment programme on early childbearing, marriage and school dropout among adolescent girls in rural Zambia: study protocol for a cluster randomized trial
Sandøy, Ingvild Fossgard; Mudenda, Mweetwa; Zulu, Joseph; Munsaka, Ecloss; Blystad, Astrid; Makasa, Mpundu; Mæstad, Ottar; Tungodden, Bertil; Jakobs, Choolwe; Kampata, Linda Milimo; Fylkesnes, Knut; Svanemyr, Joar; Moland, Karen Marie; Banda, Richard; Musonda, Patrick (Peer reviewed; Journal article, 2016-12-09)Background: Adolescent pregnancies pose a risk to the young mothers and their babies. In Zambia, 35% of young girls in rural areas have given birth by the age of 18 years. Pregnancy rates are particularly high among ... -
Effects of neighbourhood-level educational attainment on HIV prevalence among young women in Zambia
Kayeyi, Nkomba; Sandøy, Ingvild Fossgard; Fylkesnes, Knut (Peer reviewed; Journal article, 2009-08-25)Background: Investigations of the association between socio-economic position indicators and HIV in East, Central and Southern Africa have chiefly focused on factors that pertain to individuallevel characteristics. This ... -
Examining the association between HIV prevalence and socioeconomic factors among young people in Zambia: Do neighbourhood contextual effects play a role?
Nakazwe, Chola; Fylkesnes, Knut; Michelo, Charles Cheembo; Sandøy, Ingvild Fossgard (Journal article; Peer reviewed, 2022-06-08)Background: The study examined the association between HIV infection and individual and neighbourhood-level socioeconomic factors in Zambia. Methods: We used multilevel mixed effects logistic regression to examine the ... -
Factors affecting voluntary HIV counselling and testing among men in Ethiopia: a cross-sectional survey
Leta, Tesfaye Hordofa; Sandøy, Ingvild Fossgard; Fylkesnes, Knut (Peer reviewed; Journal article, 2012-06-15)Background: Voluntary HIV counselling and testing (VCT) is one of the key strategies in the HIV/AIDS prevention and control programmes in Ethiopia. However, utilization of this service among adults is very low. The aim of ... -
Factors associated with health facility childbirth in districts of Kenya, Tanzania and Zambia: a population based survey
Phiri, Selia Ng’anjo; Kiserud, Torvid; Kvåle, Gunnar; Byskov, Jens; Evjen-Olsen, Bjørg; Michelo, Charles Cheembo; Echoka, Elizabeth; Fylkesnes, Knut (Peer reviewed; Journal article, 2014-07-04)Background: Maternal mortality continues to be a heavy burden in low and middle income countries where half of all deliveries take place in homes without skilled attendance. The study aimed to investigate the underlying ... -
Five Myths about the HIV Epidemic in Asia
Godwin, Peter; O'Farrell, Nigel; Fylkesnes, Knut; Misra, Sujaya (Peer reviewed; Journal article, 2006-10-03)It is widely recognised that the huge population sizes of many Asian countries mean that although national HIV prevalence levels are still very low, very large absolute numbers of people are being infected each year with ... -
Health status and socio-economic factors associated with health facility utilization in rural and urban areas in Zambia
Zyaambo, Cosmas; Siziya, Seter; Fylkesnes, Knut (Peer reviewed; Journal article, 2012-11-13)Background: With regards to equity, the objective for health care systems is “equal access for equal needs”. We examined associations of predisposing, enabling and need factors with health facility utilization in areas ... -
High potential of escalating HIV transmission in a low prevalence setting in rural Tanzania
Yahya-Malima, Khadija I.; Matee, Mecky I.; Evjen-Olsen, Bjørg; Fylkesnes, Knut (Journal article, 2007-06-09)Background: Previous surveillance among antenatal clinic (ANC) attendees within the remote rural Manyara and Singida regions in Tanzania identified an imminent but still, relatively low HIV epidemic. We conducted a ...