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Ingunn Marie S. Engebretsen's picture

Ingunn Marie S. Engebretsen

Professor, Centre for International Health
  • E-mailIngunn.Engebretsen@uib.no
  • Phone+47 55 58 85 53+47 977 65 015
  • Visitor Address
    Overlege Danielsens hus, Årstadveien 21
    Room 
    534
  • Postal Address
    Postboks 7804
    5020 Bergen
  • ORCID: N-5692-2017
  • Researher ID: 0000-0001-5852-3611
  • Global mental health, leader of the research group: "Global Mental Health research group"  
  • Global nutrition, focusing on infant feeding and breastfeeding, member of "Center for Nutrition"
  • Child nutrition, focusing on infant feeding and breastfeeding
  • HIV, focusing on prevention of mother-to-child transmission (PMTCT)
  • Child health

https://www.facebook.com/ProfessorIngunn/

https://twitter.com/ingunnengebret1

https://www.researchgate.net/profile/Ingunn_Engebretsen 

I am a Professor at the Centre for International Health (CIH), Dept of Global Public Health and Primary Care (IGS), University of Bergen. I am a Norwegian medical doctor (MD) holding a PhD from Faculty of Medicine and Odontology, University of Bergen (UiB), 2009. My Cand. Mag. (eqvivalent BchH of Arts) from 1997 from University of Oslo (UiO) gave me a primary introduction to work in Africa and made me determined to devote my career to child survival and thriving. I have been active in global health research with a particular focus on child health: more specifically nutrition, growth, HIV, implementation research and child mental health and development. 

My main methodological focus has been quantitative research involving trials, surveys and cohorts, but also qualitative research including interviews, observations and focus-group discussions, and in addition mixed methods. I have been affiliated to Centre for International Health (CIH), University of Bergen as a PhD candidate, a post-doc and recently as a Research council of Norway (Globvac-programme) externally funded researcher. I have worked in Helse Bergen as a clinician and had parts of my post-doc period in Cape Town and was affiliated to University of Western Cape.

I participate extensively in teaching and I have supervised and co-supervised numerous Master and PhD-candidates and have broad research project experience.

I am responsible for the Global mental health research group at CIH and also in the working group for  Centre for Nutrition.

I have worked on larger trials as a member of the PROMISE consortium that undertook two multi-centre phase III trials: One on promotion of peer support for Exclusive breastfeeding where I had a sentinel role in implementation, analysis and writing (DOI: http://dx.doi.org/10.1016/S0140-6736(11)60738-1); and, one on infant HIV prophylaxis during breastfeeding where I was particularly involved in instrument development (DOI: http://dx.doi.org/10.1016/S0140-6736(15)00984-8).

Both these two trials have had recent 5-8 year follow up on child development assessment where I have been in the steering committees. I have been involved in other experimental designs after this, primarily within nutrition (pan Africa clinical trial registry PACTR201705002283263) and child development. I have fulfilled three years in Child and Adolescent-psychiatry and been on numerous stays abroad particularly in Africa. I am/have been involved in projects in Ethiopia, Tanzania, Zambia, Burkina Faso, Uganda, Zambia, South Africa and in the Philippines.

 

Most of the teaching is centered around nutrition, anthropometry, research methodology and mental health.
I teach all levels from bachelor to PhD with a particular focus on nutrition students (bachelor and master), medical students and master of Global health students. I contribute to teaching, seminars and supervision and have more responsibility and tasks for the given courses:

  • Global nutrition, 5sp, course coordinator INTH360
  • Research methods bachelor level, 10sp, nutrition, corse coordinator NUTR230
  • Research methods master level, 9sp, nutrition, course teacher NUTR333
  • Research methods, global health, 5sp, course teacher master level INTH321A and PhD-level INTH921A
  • Elective course on Migration and health, 3sp, master level/medical students INTH344
Academic article
  • 2020. Caries experience and oral health related quality of life in a cohort of Ugandan HIV-1 exposed uninfected children compared with a matched cohort of HIV unexposed uninfected children. BMC Public Health. 1-12.
  • 2020. Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa. Maternal & Child Nutrition. 1-10.
  • 2020. Association of maternal HIV‐1 severity with dental caries: an observational study of uninfected 5‐ to 7‐yr‐old children of HIV‐1‐infected mothers without severe immune suppression. European Journal of Oral Sciences. 46-54.
  • 2020. Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: Findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa. BMC Public Health. 1-12.
  • 2019. The Efficacy of processed amaranth on anemia prevalence and hemoglobin level in preschool children in South Ethiopia: A randomised controlled trial Poster380 ECTMIH 2019. Transactions of the Royal Society of Tropical Medicine and Hygiene.
  • 2019. Lopinavir-Ritonavir Impairs Adrenal Function in Infants. Clinical Infectious Diseases. 1-10.
  • 2019. Growth in HIV-1-exposed but uninfected infants treated with lopinavir?ritonavir versus lamivudine: a secondary analysis of the ANRS 12174 trial. The Lancet HIV. e307-e314.
  • 2019. Effects of complementary feeding on attained height among lower primary school-aged children in Eastern Uganda: A nested prospective cohort study. PLOS ONE. 1-17.
  • 2019. Child mental illness and the help-seeking process: a qualitative study among parents in a Ugandan community. Child and Adolescent Psychiatry and Mental Health (CAPMH). 1-13.
  • 2019. Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa. Maternal & Child Nutrition. 1-10.
  • 2019. An educational intervention to update health workers about HIV and infant feeding. Maternal & Child Nutrition. 1-10.
  • 2018. Improved rates of exclusive breastfeeding at 14 weeks of age in KwaZulu Natal, South Africa: What are the challenges now? BMC Public Health. 11 pages.
  • 2018. HIV-1 disease progression in immune-competent HIV-1-infected and breastfeeding mothers participating in the ANRS 12174 clinical trial in Burkina Faso, South Africa, Uganda and Zambia: a cohort study. BMJ Open. e019239.
  • 2018. Exclusive breastfeeding promotion and neuropsychological outcomes in 5-8 year old children from Uganda and Burkina Faso: Results from the PROMISE EBF cluster randomized trial. PLOS ONE. 1-17.
  • 2018. Effects of schooling on aspects of attention in rural Burkina Faso, West Africa. PLOS ONE.
  • 2018. Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda. Global Mental Health (GMH). e29.
  • 2018. Association between stunting and neuro-psychological outcomes among children in Burkina Faso, West Africa. Child and Adolescent Psychiatry and Mental Health (CAPMH).
  • 2018. "We are like co-wives": Traditional healers' views on collaborating with the formal Child and Adolescent Mental Health System in Uganda. BMC Health Services Research. 1-9.
  • 2017. Nutrition – A global challenge for health. Tidsskrift for Den norske legeforening.
  • 2017. Maternal alcohol consumption during pregnancy and child's cognitive performance at 6-8 years of age in rural Burkina Faso: An observational study. PeerJ.
  • 2017. In Utero ART Exposure and Birth and Early Growth Outcomes Among HIV-Exposed Uninfected Infants Attending Immunization Services: Results From National PMTCT Surveillance, South Africa. Open Forum Infectious Diseases. 10 pages.
  • 2017. Does child and adolescent mental health in-service training result in equivalent knowledge gain among cadres of non-specialist health workers in Uganda? A pre-test post-test study. International Journal of Mental Health Systems. 1-9.
  • 2017. Changes in body mass index and hemoglobin concentration in breastfeeding women living with HIV with a CD4 count over 350: Results from 4 African countries (The ANRS 12174 trial). PLOS ONE.
  • 2017. Breastfeeding patterns and its determinants among mothers living with Human Immuno-deficiency Virus -1 in four African countries participating in the ANRS 12174 trial. International Breastfeeding Journal.
  • 2016. Impact of a peer-counseling intervention on breastfeeding practices in different socioeconomic strata: results from the equity analysis of the PROMISE-EBF trial in Uganda. Global health action.
  • 2016. Extended pre-exposure prophylaxis with lopinavir-ritonavir versus lamivudine to prevent HIV-1 transmission through breastfeeding up to 50 weeks in infants in Africa (ANRS 12174): a randomised controlled trial. The Lancet. 566-573.
  • 2016. Effects of an exclusive breastfeeding intervention for six months on growth patterns of 4-5 year old children in Uganda: The cluster-randomised PROMISE EBF trial. BMC Public Health. 9 pages.
  • 2016. An ISBD perspective on the sociocultural challenges of managing bipolar disorder: A content analysis. Australian and New Zealand journal of psychiatry (Print). 1096-1103.
  • 2015. Health managers' views on the status of national and decentralized health systems for child and adolescent mental health in Uganda: A qualitative study. Child and Adolescent Psychiatry and Mental Health (CAPMH).
  • 2015. Effects of early feeding on growth velocity and overweight/obesity in a cohort of HIV unexposed South African infants and children. International Breastfeeding Journal.
  • 2015. Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda. PLOS ONE. 18 pages.
  • 2014. Urban settings do not ensure access to services: findings from the immunisation programme in Kampala Uganda. BMC Health Services Research. 12 pages.
  • 2014. Severe events in the first 6 months of life in a cohort of HIV-unexposed infants from South Africa: effects of low birthweight and breastfeeding status. Tropical medicine & international health.
  • 2014. Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial. BMC Public Health. 12 pages.
  • 2014. Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors. International Breastfeeding Journal. 19.
  • 2013. Infant feeding survival and Markov transition probabilities among children under age 6 months in Uganda. American Journal of Epidemiology. 453-462.
  • 2012. Timeliness of childhood vaccinations in Kampala Uganda: a community-based cross-sectional study. PLOS ONE. 6 pages.
  • 2012. Early cessation of breastfeeding amongst women in South Africa: an area needing urgent attention to improve child health. BMC Pediatrics. 10 pages.
  • 2011. Vaccination coverage and timeliness in three South African areas: a prospective study. BMC Public Health. 11 pages.
  • 2011. 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. BMC Public Health. 12 pages.
  • 2011. More support for mothers: a qualitative study on factors affecting immunisation behaviour in Kampala, Uganda. BMC Public Health. 11 pages.
  • 2011. Malaria Parasitaemia among Infants and Its Association with Breastfeeding Peer Counselling and Vitamin A Supplementation: A Secondary Analysis of a Cluster Randomized Trial. PLOS ONE. 8 pages.
  • 2011. Is vaccination coverage a good indicator of age-appropriate vaccination? A prospective study from Uganda. Vaccine. 3564-3570.
  • 2011. Exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa (PROMISE-EBF): a cluster-randomised trial. The Lancet. 420-427.
  • 2011. "It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania. Journal of the International AIDS Society. 12 pages.
  • 2010. Mothers’ knowledge and utilization of prevention of mother to child transmission services in northern Tanzania. Journal of the International AIDS Society. 15 pages.
  • 2010. Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania. Journal of the International AIDS Society.
  • 2010. Infant feeding modalities addressed in two different ways in Eastern Uganda. International Breastfeeding Journal. 2.
  • 2010. Infant feeding counselling in Uganda in a changing environment with focus on the general population and HIV-positive mothers - a mixed method approach. BMC Health Services Research. 9 pages.
  • 2010. Gendered perceptions on infant feeding in Eastern Uganda: continued need for exclusive breastfeeding support. International Breastfeeding Journal. 13.
  • 2009. Socio-demographic factors related to periodontal status and tooth loss of pregnant women in Mbale district, Uganda. BMC Oral Health.
  • 2009. Periodontal status, tooth loss and self-reported periodontal problems efefcts on oral impacts on daily performances, OIDP, in pregnant women in Uganda: a cross-sectional study. Health and Quality of Life Outcomes.
  • 2009. Need to optimise infant feeding counselling: A cross-sectional survey among HIV-positive mothers in Eastern Uganda. BMC Pediatrics.
  • 2009. Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda. BMC Public Health. 14 pages.
  • 2009. Factors associated with caregivers' perception of children's health and oral health status: a study of 6-to 36-month-olds in Uganda. International Journal of Paediatric Dentistry. 251-262.
  • 2008. Determinants of infant growth in Eastern Uganda: a community-based cross-sectional study. BMC Public Health.
  • 2007. Low adherence to exclusive breastfeeding in Eastern Uganda: A community-based cross-sectional study comparing dietary recall since birth with 24-hour recall. BMC Pediatrics. 10.
Lecture
  • 2019. «Deprived childhood? TREAT Child Alcohol Use Disorder (C-AUD) in Eastern Uganda».
  • 2019. TREAT Child Alcohol Use Disorder (C-AUD) in Eastern Uganda: Screening, diagnostics, risk factors and handling of children drinking alcohol.
  • 2019. Project 3: TREAT; Child alcoholism in Eastern Uganda: Screening, diagnostics, risk factors and handling of children drinking alcohol in Uganda.
  • 2019. Experience from long-term follow-up of RCT participants: Growth in PROMISE babies.
  • 2018. Hvorfor og hvordan skal vi forske i feltet 'global mental helse,' eksempler fra 'Global Mental Health Research Group' i Bergen.
  • 2017. Global ernæring.
  • 2017. "The decade of nutrition and global focus areas".
  • 2016. How to do sustainable nutrition interventions in sub-Saharan Africa?
  • 2016. Global mental health research and services in Norway: Status for children Opportunities for collaboration.
  • 2016. Cultural and lifestyle challenges during internal migration.
  • 2015. Testing of neuro-development in Africa, experiences from Burkina Faso and Uganda.
Popular scientific lecture
  • 2015. How, what and why do field research in low-income countries.
Academic lecture
  • 2018. Understanding the role of nutrition in child development.
  • 2018. Prioritising research to attain SDG Goal 3.4: Health: Non-communicable diseases: By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being .
  • 2017. Studies of child mental health in Mbale, Eastern Uganda: Research and programmatic perspectives.
  • 2016. Food for though.
  • 2011. TImeliness ofChild Vacdnations inKampala Uganda.
  • 2010. Exclusive breastfeeding promotion by peer-counsellors in Sub-Saharan Africa: Results from the multi-centre cluster-randomised behaviour intervention trial PROMISE EBF.
  • 2009. Preliminary results from the multi-centre cluster-randomised behaviour intervention trial PROMISE EBF: breastfeeding promotion in Sub-Saharan Africa.
  • 2009. Clinical and self reported periodontal problems of pregnant women in Uganda.
  • 2007. The WHO Child Growth Standards compared to the old NCHS/WHO reference in a Ugandan infant population.
  • 2007. Infant feeding practices in Eastern Uganda in the light of current WHO recommendations and prevention of mother-to-child transmission of HIV-1.
  • 2005. Piloting a software for handheld computers for improved quality in nutrition research and programs in low-income countries.
Reader opinion piece
  • 2015. Brenner for global helseforskning "Derfor er jeg lege". Tidsskrift for Den norske legeforening. 719.
Short communication
  • 2017. Correction to: Effects of early feeding on growth velocity and overweight/obesity in a cohort of HIV unexposed South African infants and children. International Breastfeeding Journal. 1 pages.
Non-fiction book
  • 2013. Nutrition of Infants and HIV in Nutrition in Infancy. Springer.
Masters thesis
  • 2011. Knowledge, Attitudes and Practices addressing young child diarrhoea in Moramanga, Madagascar: The MOSAIQUE cross cultural qualitative study.
Feature article
  • 2020. Klimatiltak vil gjøre oss sunnere. Bergens Tidende.
Doctoral dissertation
  • 2019. Breastfeeding patterns and mothers’health in an HIV context in Sub Saharan Africa.
  • 2018. Access to Child and Adolescent Mental Health services in Uganda: Investigating the role of Primary Health Care and Traditional Healers.
  • 2017. Growth of HIV-exposed and HIV–unexposed children in South Africa. Anthropometric nutritional status and growth rates.
  • 2009. Feeding and growth of infants in Eastern Uganda. Methodological challenges and associated factors.
Interview
  • 2015. Nedprioritert forskning. Bærekraft: Forskning og høyere utdanning er en klok måte å investere i den globale framtiden på.
  • 2014. Selvmord tar flest liv blant jenter.
Academic chapter/article/Conference paper
  • 2013. Interpretation of Findings. 35 pages.
Abstract
  • 2013. EARLY INFANT FEEDING PRACTICES IN THE PROMISE-EBF TRIAL: PROMOTION OF EXCLUSIVE BREASTFEEDING BY PEER COUNSELLORS IN THREE COUNTRIES IN AFRICA. Annals of Nutrition and Metabolism. 709-709.
  • 2011. Timeliness of child vaccinations in Kampala, Uganda. Tropical medicine & international health. 308-308.
  • 2011. Prevalence of malaria parasitaemia among infants in Uganda and its association with breastfeeding, peer counselling and vitamin a supplementation. Tropical medicine & international health. 97-97.
  • 2009. Preliminary results from the multi-centre cluster-randomised behaviour intervention trial PROMISE EBF: breastfeeding promotion in Sub-Saharan Africa. Annals of Nutrition and Metabolism. 99-99.
  • 2009. Fathers’ and mothers’ perceptions about infant feeding practices in Eastern Uganda. Annals of Nutrition and Metabolism. 233-233.
  • 2009. FATHERS' AND MOTHERS' PERCEPTIONS ABOUT INFANT FEEDING PRACTICES IN EASTERN UGANDA. Annals of Nutrition and Metabolism. 625-626.
  • 2009. ADVISING GLOBAL INFANT FEEDING RECOMMENDATIONS WITH LOCAL INSIGHT: HEALTH WORKERS KNOWLEDGE OF INFANT FEEDING PRACTICES IN EASTERN UGANDA. Annals of Nutrition and Metabolism. 233-233.
  • 2009. 'No new born feeds on breast milk only:' Infant feeding perceptions among men and women in Eastern Uganda. European Journal of Clinical Nutrition. 18-18.
Poster
  • 2019. THE EFFICACY OF PROCESSED AMARANTH ON ANEMIA PREVALENCE AND HEMOGLOBIN LEVEL IN PRESCHOOL CHILDREN IN SOUTH ETHIOPIA: A RANDOMISED CONTROLLED TRIAL.
  • 2019. Predicting parents’ adherence to malaria prophylaxis: a multivariable prediction model for caregivers’ adherence to post-discharge malaria chemoprophylaxis for children in Malawi .
  • 2019. Oral Health in Ugandan HIV exposed and unexposed uninfected children.
  • 2016. Socio- Cultural Challenges in the Management of Bipolar Disorder: A Trans- Cultural qualitative Study by the International Society of Bipolar Disorders (ISBD).
  • 2016. Repeated reports on persistent problems: An available literature synthesis on undernutrition in the semi-arid Karamoja Region of North Eastern Uganda.
  • 2016. Differential learning outcomes among health cadres from Child and Adolescent Mental Health training in Uganda.
  • 2015. Too many drinking too much too early? Alcohol use in middle childhood among Ugandan children.
  • 2015. Status of child and adolescent mental health services in Mbale, Uganda. Preliminary results from SeeTheChild – mental child health in Uganda.
  • 2015. Infant feeding practices among HIV positive mothers in 4 African countries in the ANRS 12174 trial.
  • 2015. Health managers’ views on the status of national and decentralized health systems for Child and Adolescent Mental Health in Uganda: A qualitative study.
  • 2015. Are mental health problems in children being neglected? Preliminary results from SeeTheChild – Mental Child Health in Uganda.
  • 2013. Peer support for breastfeeding and child mental health in Uganda - the Promise Saving Brains (SB) trial.
  • 2013. Hospitalisation and death events in a cohort of infant from South Africa: Effects of low birth weight and breastfeeding status.
  • 2013. Barriers to immunisation service delivery in Kampala Uganda: A mixed methods study.
  • 2012. Promotion of exclusive breastfeeding by peer-counsellors in Sub-Saharan Africa: Anthropometric outcomes from the cluster randomised PROMISE EBF TRIAL.
  • 2012. Is promotion of exclusive breastfeeding safe in sub-Saharan Africa with respect to child growth? Results form the cluster-randomised PROMISE EBF-trial.
  • 2011. Timeliness of child vaccinations in Kampala, Uganda.
  • 2011. Timeliness of Childhood immunizations in Kampala Uganda.
  • 2009. ‘No new born feeds on breast milk only’: Infant feeding perceptions among men and women in Eastern Uganda.
  • 2009. Low acceptability for exclusive replacement feeding among Eastern Ugandan fathers.
  • 2009. Fathers’ and mothers’ perceptions about infant feeding practices in Eastern Uganda.
  • 2009. Advicing global infant feeding recommendations with local insight’: health workers knowledge of infant feeding practices in Eastern Uganda.
  • 2008. Factors associated with wasting and stunting among Ugandan Infants.
  • 2008. Comparing infant feeding practices among Ugandan infants with a prospective and retrospective study design: weekly one-week infant feeding recalls versus since-birth recalls at 12 weeks of age.
  • 2008. Caretaker's perception of infants' oral health in Uganda.
  • 2007. Ugandan infants grow better if exclusively breastfed early in life.
  • 2007. Socio-Economic Status predicts anthropometric status in a Ugandan infant population.
  • 2005. Exclusive breastfeeding rates are low in Eastern Uganda, irrespective of background characteristics.
  • 2005. Cultural obstacles to exclusive breastfeeding in Eastern Uganda: Experiences and Attitudes.
  • 2004. Rates of exclusive breastfeeding since birth in Uganda.
Errata
  • 2017. Erratum: Effects of early feeding on growth velocity and overweight/obesity in a cohort of HIV unexposed South African infants and children. [Int Breastfeed J., 10, (2015), (14)] DOI: 10.1186/s13006-015-0041-x. International Breastfeeding Journal. 1-1.
Academic literature review
  • 2018. Development and challenges to breastfeeding in sub-Saharan Africa. 937-944.
  • 2010. Hiv, amming og antiretrovirale medisiner. 520-522.
Website (informational material)
  • 2015. Global mental health research group.
  • 2009. Det vil være mat nok til alle.

More information in national current research information system (CRIStin)

 

PubMed

http://www.ncbi.nlm.nih.gov/pubmed?term=%22Engebretsen%20IM%22%5BAuthor%5D

  • 2016: Professor CIH, IGS, UiB
  • 2013-2015: Young scientist grant, Globvac, RCN: SeeTheChild, mental child health in Uganda
  • 2011-2013 Clinical training child and adolescent psychiatry
  • Post. doc. 2009-2011 University of Bergen, CIH, University of Western Cape, School of Public Health
  • PhD, Faculty of Medicine and Dentistry, UiB (2009):
    Title of thesis: 'Feeding and growth of infants in Eastern Uganda: Methodological challenges and associated factors'
    http://www.uib.no/cih/disputas/2009/09/ingunn-marie-s.-engebretsen
  • Registered medical practitioner (2007)
  • MD, UiB (2003)
  • BA (Hons) or Arts: University of Oslo (1997)