Browsing Bergen Open Research Archive by Author "Moland, Karen Marie"
Now showing items 1-20 of 52
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The access paradox: abortion law, policy and practice in Ethiopia, Tanzania and Zambia
Blystad, Astrid; Haukanes, Haldis; Tadele, Getnet; Haaland, Marte Emilie Sandvik; Sambaiga, Richard; Zulu, Joseph M.; Moland, Karen Marie (Peer reviewed; Journal article, 2019-09-27)Introduction: Unsafe abortion is a major contributor to the continued high global maternal mortality and morbidity rates. Legal abortion frameworks and access to sexuality education and contraception have been pointed out ... -
Applying the theory of planned behaviour to explain HIV testing in antenatal settings in Addis Ababa - a cohort study
Mirkuzie, Alemnesh Hailemariam; Sisay, Mitike Molla; Moland, Karen Marie; Åstrøm, Anne Nordrehaug (Peer reviewed; Journal article, 2011-08-18)Background: To facilitate access to the prevention of mother-to-child HIV transmission (PMTCT) services, HIV counselling and testing are offered routinely in antenatal care settings. Focusing a cohort of pregnant women ... -
Assessing performance enhancing tools: experiences with the open performance review and appraisal system (OPRAS) and expectations towards payment for performance (P4P) in the public health sector in Tanzania
Songstad, Nils Gunnar; Lindkvist, Ida; Moland, Karen Marie; Chimhutu, Victor; Blystad, Astrid (Peer reviewed; Journal article, 2012-09-10)Background Health workers’ motivation is a key determinant of the quality of health services, and poor motivation has been found to be an obstacle to service delivery in many low-income countries. In order to increase the ... -
Beyond the law: Misoprostol and medical abortion in Dar es Salaam, Tanzania
Solheim, Ingrid Holm; Kahabuka, Catherine; Pembe, Andrea; Moland, Karen Marie; Blystad, Astrid (Peer reviewed; Journal article, 2020-01)Misoprostol has during the past few years become an important obstetric drug used for different purposes both within and outside hospitals in Tanzania. In this paper, we analyze how misoprostol is perceived, accessed and ... -
"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 ... -
Breastfeeding and HIV: experiences from a decade of prevention of postnatal HIV transmission in sub-Saharan Africa
Moland, Karen Marie; De Paoli, Marina M.; Sellen, Daniel W.; Esterik, Penny van; Leshabari, Sebalda Charles; Blystad, Astrid (Peer reviewed; Journal article, 2010-10-26)Infant feeding by HIV-infected mothers has been a major global public health dilemma and a highly controversial matter. The controversy is reflected in the different sets of WHO infant feeding guidelines that have been ... -
The challenge of community engagement and informed consent in rural Zambia: an example from a pilot study
Zulu, Joseph; Sandøy, Ingvild Fossgard; Moland, Karen Marie; Musonda, Patrick; Munsaka, Ecloss; Blystad, Astrid (Peer reviewed; Journal article, 2019-07-04)Background: There is a need for empirically based research on social and ethical challenges related to informed consent processes, particularly in studies focusing on adolescent sexual and reproductive health. In a pilot ... -
Challenges of disseminating clinical practice guidelines in a weak health system: the case of HIV and infant feeding recommendations in Tanzania
Shayo, Elizabeth H.; Våga, Bodil Bø; Moland, Karen Marie; Kamuzora, Peter; Blystad, Astrid (Peer reviewed; Journal article, 2014-12-23)Background: Clinical guidelines aim to improve patient outcomes by providing recommendations on appropriate healthcare for specific clinical conditions. Scientific evidence produced over time leads to change in clinical ... -
Child mental illness and the help-seeking process: a qualitative study among parents in a Ugandan community
Skylstad, Vilde; Akol, Angela; Ndeezi, Grace; Nalugya, Joyce; Moland, Karen Marie; Tumwine, James; Engebretsen, Ingunn Marie S. (Peer reviewed; Journal article, 2019-01-11)Abstract Background: Child mental illness contributes signifcantly to the burden of disease worldwide, and many are left untreated due to factors on both the provider and user side. Recognising this, the Ugandan Ministry ... -
A cohort study on obstetric care for HIV positive women in Addis Ababa: Intrapartum transfers and associated delays
Mirkuzie, Alemnesh Hailemariam; Hinderaker, Sven Gudmund; Sisay, Mitike Molla; Moland, Karen Marie; Mørkve, Odd (Journal article, 2011-06)Despite the importance of safe obstetric practice in reducing mother-to-child HIV transmission and adverse perinatal outcomes, little is known about access to intrapartum obstetric care for HIV positive women. A cohort of ... -
Comparing HIV prevalence estimates from prevention of mother-to-child HIV transmission programme and the antenatal HIV surveillance in Addis Ababa
Mirkuzie, Alemnesh Hailemariam; Sisay, Mitike Molla; Hinderaker, Sven Gudmund; Moland, Karen Marie; Mørkve, Odd (Peer reviewed; Journal article, 2012-12-26)Background: In the absence of reliable data, antenatal HIV surveillance has been used to monitor the HIV epidemic since the late 1980s. Currently, routine data from Prevention of Mother-to-child HIV transmission (PMTCT) ... -
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 ... -
Current status of medication adherence and infant follow up in the prevention of mother to child HIV transmission programme in Addis Ababa: a cohort study
Mirkuzie, Alemnesh Hailemariam; Hinderaker, Sven Gudmund; Sisay, Mitike Molla; Moland, Karen Marie; Mørkve, Odd (Peer reviewed; Journal article, 2011-10-21)Background: Prevention of mother to child HIV transmission (PMTCT) programmes have great potential to achieve virtual elimination of perinatal HIV transmission provided that PMTCT recommendations are properly followed. ... -
Echoes of old HIV paradigms: Reassessing the problem of engaging men in HIV testing and treatment through women's perspectives
Katirayi, Leila Georgena; Chadambuka, Addmore; Muchedzi, Auxilia; Ahimbisibwe, Allan; Musarandega, Reuben; Woelk, Godfrey; Tylleskär, Thorkild; Moland, Karen Marie (Peer reviewed; Journal article, 2017-10-05)Background: With the introduction of 2016 World Health Organization guidelines recommending universal antiretroviral therapy (ART), there has been increased recognition of the lack of men engaging in HIV testing and ... -
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 ... -
Gendered perceptions on infant feeding in Eastern Uganda: continued need for exclusive breastfeeding support
Engebretsen, Ingunn Marie S.; Moland, Karen Marie; Nankunda, Jolly; Karamagi, Charles A. S.; Tylleskär, Thorkild; Tumwine, James K. (Peer reviewed; Journal article, 2010-10-26)Background: In resource-poor settings, HIV positive mothers are recommended to choose between ‘Exclusive breastfeeding’ (EBF) or ‘Exclusive replacement feeding’ (ERF). Acceptability, Feasibility, Affordability, Sustainability ... -
Health, life and rights: a discourse analysis of a hybrid abortion regime in Tanzania
Sambaiga, Richard; Haukanes, Haldis; Moland, Karen Marie; Blystad, Astrid (Peer reviewed; Journal article, 2019-09-27)Background: Unsafe abortion continues to be a major hazard for maternal health in Sub-Saharan Africa, where abortion remains highly controversial and access to safe abortion services is unequally distributed. Although ... -
HIV and infant feeding counselling: challenges faced by nurse-counsellors in northern Tanzania
Leshabari, Sebalda Charles; Blystad, Astrid; De Paoli, Marina M.; Moland, Karen Marie (Journal article, 2007-07-24)Background: Infant feeding is a subject of worry in prevention of mother to child transmission (pMTCT) programmes in settings where breastfeeding is normative. Nurse-counsellors, expected to counsel HIV-positive women on ... -
HIV-positive pregnant and postpartum women's perspectives about Option B+ in Malawi: A qualitative study
Katirayi, Leila; Namadingo, Hazel; Phiri, Mafayo; Bobrow, Emily A; Ahimbisibwe, Allan; Berhan, Aida Yemane; Buono, Nicole; Moland, Karen Marie; Tylleskär, Thorkild (Peer reviewed; Journal article, 2016-06-15)Introduction: The implementation of lifelong antiretroviral treatment (ART) for all pregnant women (Option B+) in Malawi has resulted in a significant increase in the number of HIV-positive pregnant women initiating ...