Browsing Bergen Open Research Archive by Author "Moland, Karen Marie"
Now showing items 21-40 of 52
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The inescapable question of fairness in Pay-for-performance bonus distribution: A qualitative study of health workers' experiences in Tanzania
Chimhutu, Victor; Songstad, Nils Gunnar; Tjomsland, Marit; Mrisho, Mwifadhi; Moland, Karen Marie (Peer reviewed; Journal article, 2016-11-25)Background: During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted ... -
Infant feeding counselling in Uganda in a changing environment with focus on the general population and HIV-positive mothers - a mixed method approach
Fadnes, Lars Thore; Engebretsen, Ingunn Marie S.; Moland, Karen Marie; Nankunda, Jolly; Tumwine, James K.; Tylleskär, Thorkild (Peer reviewed; Journal article, 2010-09-06)Background Health workers' counselling practices are essential to improve infant feeding practices. This paper will assess how infant feeding counselling was done and experienced by counsellors and mothers in Eastern Uganda ... -
Introducing payment for performance in the health sector of Tanzania- the policy process
Chimhutu, Victor; Tjomsland, Marit; Songstad, Nils Gunnar; Mrisho, Mwifadhi; Moland, Karen Marie (Peer reviewed; Journal article, 2015-09-02)Background: Prompted by the need to achieve progress in health outcomes, payment for performance (P4P) schemes are becoming popular policy options in the health systems in many low income countries. This paper describes ... -
"It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania
Falnes, Eli Fjeld; Moland, Karen Marie; Tylleskär, Thorkild; De Paoli, Marina M.; Msuya, Sia E.; Engebretsen, Ingunn Marie S. (Peer reviewed; Journal article, 2011-04-26)Background: Partner involvement has been deemed fundamental in prevention of mother to child transmission (PMTCT) programmes, but is difficult to achieve. This study aimed to explore acceptability of the PMTCT programme ... -
Kvinners erfaringer med abortnemnder
Haaland, Marte E. S.; Kjelsvik, Marianne; Cetin, Kaya; Gjengedal, Eva; Moland, Karen Marie; Daltveit, Anne Kjersti; Bruvik, Frøydis (Research report, 2023)Denne rapporten presenterer resultatene fra en amfunnsvitenskapelig studie om kvinners erfaringer med abortnemnder. Rapporten bygger på 13 dybdeintervju med kvinner som hadde erfaring med å søke om og gjennomleve ... -
Lessons learned from the PMTCT program in Swaziland: challenges with accepting lifelong ART for pregnant and lactating women - a qualitative study
Katirayi, Leila Georgena; Chouraya, Caspian; Kudiabor, Kwashie; Mahdi, Mohammed Ali; Kieffer, Mary Pat; Moland, Karen Marie; Tylleskär, Thorkild (Peer reviewed; Journal article, 2016-10-24)Background: Swaziland has one of the highest HIV prevalence rates in sub-Saharan Africa, 26 % of the adult population is infected with HIV. The prevalence is highest among pregnant women, at 41.1 %. According to Swaziland’s ... -
'Maternal deaths should simply be 0': Politicization of maternal death reporting and review processes in Ethiopia
Melberg, Andrea; Mirkuzie, Alemnesh Hailemariam; Sisay, Tesfamichael Awoke; Sisay, Mitike Molla; Moland, Karen Marie (Peer reviewed; Journal article, 2019-07-31)The Maternal Death Surveillance and Response system (MDSR) was implemented in Ethiopia in 2013 to record and review maternal deaths. The overall aim of the system is to identify and address gaps in order to prevent future ... -
'No sister, the breast alone is not enough for my baby'. A qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia
Fjeld, Eli; Siziya, Seter; Katepa-Bwalya, Mary; Kankasa, Chipepo; Moland, Karen Marie; Tylleskär, Thorkild; the PROMISE-EBF Study Group (Peer reviewed; Journal article, 2008-11-05)Background: Appropriate feeding practices are of fundamental importance for the survival, growth, development and health of infants and young children. The aim of the present study was to collect baseline information on ... -
Persisting stigma reduces the utilisation of HIV-related care and support services in Viet Nam
Thanh, Duong Cong; Moland, Karen Marie; Fylkesnes, Knut (Peer reviewed; Journal article, 2012-11-25)Background: Seeking and utilisation of HIV prevention, treatment, care, and support services for people living with HIV is often hampered by HIV-related stigma. The study aimed to explore the perceptions and experiences ... -
Poisonous milk and sinful mothers: the changing meaning of breastfeeding in the wake of the HIV epidemic in Addis Ababa, Ethiopia
Koricho, Absera Teshome; Moland, Karen Marie; Blystad, Astrid (Peer reviewed; Journal article, 2010-10-26)Background Breastfeeding remains normative and vital for child survival in the developing world. However, knowledge of the risk of Human Immunodeficiency Virus (HIV) transmission through breastfeeding has brought to attention ... -
Policy, paperwork and 'postographs': Global indicators and maternity care documentation in rural Burkina Faso
Melberg, Andrea; Diallo, Abdoulaye Hama; Storeng, Katerini Tagmatarchi; Tylleskär, Thorkild; Moland, Karen Marie (Peer reviewed; Journal article, 2018-10)Targets and indicators set at the global level are powerful tools that govern health systems in low-income countries. Skilled birth attendance at a health facility is an important indicator for monitoring maternal mortality ... -
The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
Falnes, Eli Fjeld; Moland, Karen Marie; Tylleskär, Thorkild; De Paoli, Marina M.; Leshabari, Sebalda Charles; Engebretsen, Ingunn Marie S. (Peer reviewed; Journal article, 2011-07-12)Background: In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in ... -
Reflections on global policy documents and the WHO's infant feeding guidelines: lessons learnt
Blystad, Astrid; Esterik, Penny van; De Paoli, Marina M.; Sellen, Daniel W.; Leshabari, Sebalda Charles; Moland, Karen Marie (Peer reviewed; Journal article, 2010-10-26)As the papers in this thematic series have illustrated, the postnatal prevention of mother to child transmission of HIV (PMTCT) strategy has struggled with lack of local relevance. In an attempt to increase our understanding ... -
Reflections on the unintended consequences of the promotion of institutional pregnancy and birth care in Burkina Faso
Melberg, Andrea; Diallo, Abdoulaye Hama; Ruano, Ana Lorena; Tylleskär, Thorkild; Moland, Karen Marie (Peer reviewed; Journal article, 2016-06-03)The policy of institutional delivery has been the cornerstone of actions aimed at monitoring and achieving MDG 5. Efforts to increase institutional births have been implemented worldwide within different cultural and health ... -
Rural-urban inequity in unmet obstetric needs and functionality of emergency obstetric care services in a Zambian district
Nganjo Phiri, Selia; Fylkesnes, Knut; Moland, Karen Marie; Byskov, Jens; Kiserud, Torvid (Peer reviewed; Journal article, 2016-01-29)Background: Zambia has a high maternal mortality ratio, 398/100,000 live births. Few pregnant women access emergency obstetric care services to handle complications at childbirth. We aimed to assess the deficit in life-saving ... -
Selling my sheep to pay for medicines – household priorities and coping strategies in a setting without universal health coverage
Onarheim, Kristine Husøy; Sisay, Mitike Molla; Gizaw, Muluken; Moland, Karen Marie; Norheim, Ole Frithjof; Miljeteig, Ingrid (Peer reviewed; Journal article, 2018-03-02)Background: The first month of life is the period with the highest risk of dying. Despite knowledge of effective interventions, newborn mortality is high and utilization of health care services remains low in Ethiopia. In ... -
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 ... -
Silent politics and unknown numbers: Rural health bureaucrats and Zambian abortion policy
Haaland, Marte Emilie Sandvik; Haukanes, Haldis; Zulu, Joseph; Moland, Karen Marie; Blystad, Astrid (Journal article; Peer reviewed, 2020)This article addresses the gaps between knowledge, policy and practice in reproductive health by exploring the processes involved in translating Zambian abortion policy from paperwork to practice in a predominantly rural ... -
The social context of severe child malnutrition: A qualitative household case study from a rural area of the Democratic Republic of Congo
Kismul, Hallgeir; Hatløy, Anne; Andersen, Peter; Mapatano, Mala; Van den Broeck, Jan; Moland, Karen Marie (Peer reviewed; Journal article, 2015-05-19)Introduction The magnitude of child malnutrition including severe child malnutrition is especially high in the rural areas of the Democratic Republic of Congo (the DRC). The aim of this qualitative study is to describe the ... -
Task-Shifting and Quality of HIV Testing Services: Experiences from a National Reference Hospital in Zambia
Mwangala, Sheila Monde; Moland, Karen Marie; Nkamba, Hope C; Musonda, Kunda G; Monze, Mwaka; Musukwa, Katoba K; Fylkesnes, Knut (Peer reviewed; Journal article, 2015-11-25)Background: With new testing technologies, task-shifting and rapid scale-up of HIV testing services in high HIV prevalence countries, assuring quality of HIV testing is paramount. This study aimed to explore various cadres ...