Blar i Bergen Open Research Archive på forfatter "Michelo, Charles Cheembo"
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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 ... -
Application of community dialogue approach to prevent adolescent pregnancy, early marriage and school dropout in Zambia: a case study
Zulu, Ireen Zamanga; Zulu, Joseph Mumba; Svanemyr, Joar; Michelo, Charles Cheembo; Mutale, Wilbroad; Sandøy, Ingvild Fossgard (Journal article; Peer reviewed, 2022)Background Adolescent pregnancy carries both health and economic risks for the pregnant girl and resulting baby, and it is common in Zambia. Providing alternative methods of preventing early pregnancy than abstinence is ... -
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 ... -
Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia
Mulubwa, Chama; Hurtig, Anna-Karin; Zulu, Joseph Mumba; Michelo, Charles Cheembo; Sandøy, Ingvild Fossgard; Goicolea, Isabel (Journal article; Peer reviewed, 2020)Introduction Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their ... -
Combining photo-elicitation and discourse analysis to examine adolescents’ sexuality in rural Zambia
Mulubwa, Chama; Hurtig, Anna-Karin; Zulu, Joseph; Michelo, Charles Cheembo; Sandøy, Ingvild Fossgard; Goicolea, Isabel (Journal article; Peer reviewed, 2022)Introduction This article aimed to analyse constructions of adolescents’ sexualities and sexual health and the consequences of these discourses for adolescents’ exercise of their sexual reproductive health and rights ... -
Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia
Sandøy, Ingvild Fossgard; Blystad, Astrid; Shayo, Elizabeth H.; Makundi, Emmanuel; Michelo, Charles Cheembo; Zulu, Joseph; Byskov, Jens (Peer reviewed; Journal article, 2012-11-26)Background: A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has ... -
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 ... -
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 ... -
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 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 ... -
Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities
Mutale, Wilbroad; Michelo, Charles Cheembo; Jürgensen, Marte; Fylkesnes, Knut (Peer reviewed; Journal article, 2010-06-17)Background Low uptake of voluntary HIV counselling and testing (VCT) in sub-Saharan Africa is raising acceptability concerns which might be associated with ways by which it is offered. We investigated the acceptability of ... -
The seven Cs of the high acceptability of home-based VCT: Results from a mixed methods approach in Zambia
Jürgensen, Marte; Sandøy, Ingvild Fossgard; Michelo, Charles Cheembo; Fylkesnes, Knut Martin; Mwangala, Sheila; Blystad, Astrid (Peer reviewed; Journal article, 2013-11)HIV testing and counselling is a critical gateway to prevention and treatment. Yet, coverage remains insufficient, few couples are tested together and gender differences in access exist. We used an embedded mixed methods ... -
Shaping the abortion policy – competing discourses on the Zambian termination of pregnancy act
Haaland, Marte Emilie Sandvik; Haukanes, Haldis; Zulu, Joseph M.; Moland, Karen Marie; Michelo, Charles Cheembo; Munakampe, Margarate Nzala; Blystad, Astrid (Peer reviewed; Journal article, 2019-01-28)Introduction: The Zambian Termination of Pregnancy Act permits abortion on socio-economic grounds, but access to safe abortion services is limited and this constitutes a considerable problem for rights to sexual and ... -
Steep HIV prevalence declines among young people in selected Zambian communities : population-based observations (1995–2003)
Michelo, Charles Cheembo; Sandøy, Ingvild Fossgard; Dzekedzeke, Kumbutso; Siziya, Seter; Fylkesnes, Knut (Peer reviewed; Journal article, 2006-11-10)Background: Understanding the epidemiological HIV context is critical in building effective setting-specific preventive strategies. We examined HIV prevalence patterns in selected communities of men and women aged 15–59 ... -
Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity: A cluster randomised trial in Zambia
Fylkesnes, Knut; Sandøy, Ingvild Fossgard; Jürgensen, Marte; Chipimo, Peter Jay; Mwangala, Sheila; Michelo, Charles Cheembo (Peer reviewed; Journal article, 2013-06)Home-based voluntary HIV counselling and testing (HB-VCT) has been reported to have a high uptake, but it has not been rigorously evaluated. We designed a model for HB-VCT appropriate for wider scale-up, and investigated ... -
Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia
Sandøy, Ingvild Fossgard; Zyaambo, Cosmas; Michelo, Charles Cheembo; Fylkesnes, Knut (Peer reviewed; Journal article, 2012-01-05)Background: The PLACE-method presumes that targeting HIV preventive activities at high risk places is effective in settings with major epidemics. Livingstone, Zambia, has a major HIV epidemic despite many preventive efforts ... -
Trends and determinants of HIV prevalence in Zambia : evidence from surveys in selected communities
Michelo, Charles Cheembo (Doctoral thesis, 2007-02-02)HIV epidemics continue to represent a public health threat worldwide, leading in causing deaths in sub-Saharan Africa. UNAIDS has largely relied on the ANC based sentinel surveillance system to estimate the magnitude, ...