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Karen Marie Moland's picture

Karen Marie Moland

Professor, Centre for International Health
  • E-mailKaren.Moland@uib.no
  • Phone+47 55 58 99 62+47 926 28 226
  • Visitor Address
    Overlege Danielsens hus, Årstadveien 21
  • Postal Address
    Postboks 7804
    5020 Bergen

Global health policy in local contexts 

Health services utilisation and provision 

Gender, culture and maternal health

Adolescent reproductive health and rights

HIV, risk and motherhood

Health systems

Culture and health

Qualitative research methods

Academic article
  • 2020. “The cord is the child”: meanings and practices related to umbilical cord care in Central Uganda. BMC Pediatrics. 1-9.
  • 2020. ‘I wanted to go, but they said wait’: Mothers’ bargaining power and strategies in careseeking for ill newborns in Ethiopia. PLOS ONE. 1-15.
  • 2020. Vanilla bisquits and lobola bridewealth: Parallel discourses on early pregnancy and schooling in rural Zambia. BMC Public Health.
  • 2020. Silent politics and unknown numbers: Rural health bureaucrats and Zambian abortion policy. Social Science and Medicine.
  • 2020. Beyond the law: Misoprostol and medical abortion in Dar es Salaam, Tanzania. Social Science and Medicine. 9 pages.
  • 2019. ‘An uneasy compromise’: strategies and dilemmas in realizing a permissive abortion law in Ethiopia. International Journal for Equity in Health.
  • 2019. Why teach sexuality education in school? Teacher discretion in implementing comprehensive sexuality education in rural Zambia. International Journal for Equity in Health. 1-10.
  • 2019. The challenge of community engagement and informed consent in rural Zambia: an example from a pilot study. BMC Medical Ethics. 45.
  • 2019. The access paradox: abortion law, policy and practice in Ethiopia, Tanzania and Zambia. International Journal for Equity in Health.
  • 2019. Shaping the abortion policy – competing discourses on the Zambian termination of pregnancy act. International Journal for Equity in Health. 1-11.
  • 2019. Health, life and rights: a discourse analysis of a hybrid abortion regime in Tanzania. International Journal for Equity in Health.
  • 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.
  • 2018. Selling my sheep to pay for medicines - Household priorities and coping strategies in a setting without universal health coverage. BMC Health Services Research. 1-12.
  • 2018. Policy, paperwork and 'postographs': Global indicators and maternity care documentation in rural Burkina Faso. Social Science and Medicine. 28-35.
  • 2018. How do health professionals acknowledge web-based knowledge in pregnancy consultations? Health Care for Women International. 955-967.
  • 2018. "We shall count it as a part of kyogero": acceptability and considerations for scale up of single dose chlorhexidine for umbilical cord care in Central Uganda. BMC Pregnancy and Childbirth.
  • 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. What if the baby doesn't survive? Health-care decision making for ill newborns in Ethiopia. Social Science and Medicine. 123-130.
  • 2017. Strengthening validity in studies of pelvic floor disorders through qualitative research: an example from Ethiopia. International Urogynecology Journal. 1-6.
  • 2017. Echoes of old HIV paradigms: Reassessing the problem of engaging men in HIV testing and treatment through women's perspectives. Reproductive Health.
  • 2016. Web-based discussion forums on pregnancy complaints and maternal health literacy in Norway: A qualitative study. Journal of Medical Internet Research.
  • 2016. The inescapable question of fairness in Pay-for-performance bonus distribution: A qualitative study of health workers' experiences in Tanzania. Globalization and Health. 1-12.
  • 2016. Rural-urban inequity in unmet obstetric needs and functionality of emergency obstetric care services in a Zambian district. PLOS ONE.
  • 2016. Reflections on the unintended consequences of the promotion of institutional pregnancy and birth care in Burkina Faso. PLOS ONE.
  • 2016. Reflections on the Unintended Consequencesof the Promotion of Institutional Pregnancyand Birth Care in Burkina Faso. PLOS ONE.
  • 2016. Lessons learned from the PMTCT program in Swaziland: challenges with accepting lifelong ART for pregnant and lactating women - a qualitative study. BMC Public Health. 1-11.
  • 2016. HIV-positive pregnant and postpartum women's perspectives about Option B+ in Malawi: A qualitative study. Journal of the International AIDS Society.
  • 2016. 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. Trials. 15 pages.
  • 2016. Boundaries of confidentiality in nursing care for mother and child in HIV programmes. Nursing Ethics. 576-586.
  • 2016. 'We saw she was in danger, but couldn't do anything': Missed opportunities and health worker disempowerment during birth care in rural Burkina Faso. BMC Pregnancy and Childbirth. 1-11.
  • 2015. The social context of severe child malnutrition: A qualitative household case study from a rural area of the Democratic Republic of Congo. International Journal for Equity in Health.
  • 2015. Task-shifting and quality of HIV testing services: Experiences from a national reference hospital in Zambia. PLOS ONE. 1-15.
  • 2015. Introducing payment for performance in the health sector of Tanzania- the policy process. Globalization and Health.
  • 2014. ‘Born before arrival’: user and provider perspectives on health facility childbirths in Kapiri Mposhi district, Zambia. BMC Pregnancy and Childbirth.
  • 2014. Reflections on informed choice in resource-poor settings: The case of infant feeding counselling in PMTCT programmes in Tanzania. Social Science and Medicine. 22-29.
  • 2014. Mothering in Limpopo, South Africa: Perspectives of adolescents . Psychology & Society.
  • 2014. Mothering in Limpopo, South Africa: Perspectives of adolescents . Psychology & Society.
  • 2014. Mothering in Limpopo, South Africa: Perspectives of adolescents. Psychology & Society.
  • 2014. Challenges of disseminating clinical practice guidelines in a weak health system: the case of HIV and infant feeding recommendations in Tanzania. International Breastfeeding Journal. 13 pages.
  • 2014. Born before arrival’: user and provider perspectives on health facility childbirths in Kapiri Mposhi district, Zambia. BMC Pregnancy and Childbirth.
  • 2014. "They ask whether this is real or fake": a qualitative Norwegian study of pregnancy complaints and access to social benefits. Health Care for Women International. 266-284.
  • 2013. Why give birth in health facility? Users' and providers' accounts of poor quality of birth care in Tanzania. BMC Health Services Research. 174-186.
  • 2013. Rethinking nursing care: An ethnographic approach to nurse-patient interaction in the context of a HIV preventive programme in rural Tanzania. International Journal of Nursing Studies. 1045-1053.
  • 2012. “Hoping for a Normal Life Again”: Reintegration After Fistula Repair in Rural Tanzania. Journal of Obstetrics and Gynaecology Canada. 927-938.
  • 2012. Why do health workers in rural Tanzania prefer public sector employment? BMC Health Services Research. 12 pages.
  • 2012. Unfulfilled expectations to services offered at primary health care facilities: Experiences of caretakers of underfive children in rural Tanzania. BMC Health Services Research. 5 pages.
  • 2012. Persisting stigma reduces the utilisation of HIV-related care and support services in Viet Nam. BMC Health Services Research.
  • 2012. Comparing HIV prevalence estimates from prevention of mother-to-child HIV transmission programme and the antenatal HIV surveillance in Addis Ababa. BMC Public Health. 7 pages.
  • 2011. Why caretakers bypass primary health care facilities for child care - a case from rural Tanzania. BMC Health Services Research.
  • 2011. Waiting for attention and care: birthing accounts of women in rural Tanzania who developed obstetric fistula as an outcome of labour. BMC Pregnancy and Childbirth.
  • 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. 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. Journal of the International AIDS Society. 10 pages.
  • 2011. Being man enough: Fatherhood experiences and expectations among teenage boys in South Africa. Fathering: A Journal of Theory, Research, and Practice about Men as Fathers. 3-21.
  • 2011. Applying the theory of Planned Behaviour to explain HIV testing in antenatal settings in Addis Ababa- A cohort study. BMC Health Services Research.
  • 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.
  • 2011. "I am nothing": experiences of loss among women suffering from severe birth injuries in Tanzania. BMC Women's Health.
  • 2010. Ways ahead: protecting, promoting and supporting breastfeeding in the context of HIV. International Breastfeeding Journal.
  • 2010. Reflections on global policy documents and the WHO's infant feeding guidelines: lessons learnt. International Breastfeeding Journal.
  • 2010. Poisonous milk and sinful mothers: the changing meaning of breastfeeding in the wake of the HIV epidemic in Addis Ababa, Ethiopia. International Breastfeeding Journal.
  • 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.
  • 2010. Breastfeeding and HIV: experiences from a decade of prevention of postnatal HIV transmission in sub-Saharan Africa. International Breastfeeding Journal.
  • 2010. ?HIV and infant feeding: Lessons learnt and the ways ahead? Thematic series. International Breastfeeding Journal 2010:5. International Breastfeeding Journal.
  • 2010. "A defeat not to be ultra-fit" : expectations and experiences related to pregnancy and employment in contemporary Norway. NORA - Nordic Journal of Feminist and Gender Research. 167-184.
  • 2009. The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction. BMC Public Health. 9.
  • 2009. The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction. BMC Public Health.
  • 2009. Technologies of hope? Motherhood, HIV and infant feeding in eastern Africa. Anthropology & Medicine. 105-118.
  • 2009. Technologies of hope? Motherhood, HIV and infant feeding in eastern Africa. Anthropology & Medicine. 105-118.
  • 2008. '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. International Breastfeeding Journal. 362.
  • 2008. '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. International Breastfeeding Journal. 12.
  • 2008. "Listen to your body" A qualitative text analysis of internet discussions related to pregnancy health and pelvic girdle pain in pregnancy. Patient Education and Counseling. 294-299.
  • 2007. HIV and infant feeding counselling: challenges faced by nurse-counsellors in northern Tanzania. Human Resources for Health. 18-29.
  • 2007. HIV and infant feeding counselling: challenges faced by nurse-counsellors in northern Tanzania. Human Resources for Health.
  • 2007. Experiences of orphan care in Amach, Uganda: assessing policy implications. SAHARA-J: Journal of Social Aspects of HIV/AIDS. 532-543.
  • 2007. Experiences of orphan care in Amach, Uganda: assessing policy implications. SAHARA-J: Journal of Social Aspects of HIV/AIDS. 532-543.
  • 2007. Difficult choices: Infant feeding experiences of HIV-positive mothers in northern Tanzania. SAHARA-J: Journal of Social Aspects of HIV/AIDS. 544-555.
  • 2007. Difficult choices: Infant feeding experiences of HIV-positive mothers in northern Tanzania. SAHARA-J: Journal of Social Aspects of HIV/AIDS. 544-555.
  • 2007. Continuity and change in reproductive attitudes of teenage women, their mothers, and maternal grandmothers in South africa. South African Journal of Psychology. 856-877.
  • 2007. Continuity and change in reproductive attitudes of teenage women, their mothers, and maternal grandmothers in South Africa. South African Journal of Psychology. 856-877.
  • 2006. Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in the Kilimanjaro Region, Tanzania. Implementation Science. 14 pages.
  • 2006. The varying vulnerability of African orphans - The case of the Langi, northern Uganda. Childhood. 267-284.
  • 2006. The varying vulnerability of African orphans - The case of the Langi, northern Uganda. Childhood.
  • 2004. Mother's milk - an ambiguous blessing in the era of AIDS?The case of the Chagga in Kilimanjaro. African Sociological Review. 83-99.
Report
  • 2007. The DOLSA/SCNE Project on FGM and Other Harmful Traditional Practices North Gondar Zone. .
  • 2006. Praksis i Sør - pedagogiske og institusjonelle utfordringer. 1. 1. .
  • 2000. The idea of community and the ideology of community participation. A discussion of community, solidarity and self. 58. 58. .
  • 1999. Community based health promotion: The potential of tradtional and modern institutions. Proceedings from a workshop. .
  • 1999. Community based health promotion: The potential of tradtional and modern institutions. Proceedings from a workshop. .
Lecture
  • 2015. North South Partnerships in Higher Education.
Popular scientific lecture
  • 2007. Evaluation report: The DOLSA/SCNE project on FGM and other harmful practices in North Gondar Zone, Ethiopia.
  • 2004. Morsmelk-til skade eller velsignelse? HIV positive mødres dilemma.
Academic lecture
  • 2018. The Access Paradox in Safe Abortion Care. The cases of Ethiopia, Tanzania and Zambia .
  • 2013. Handling PMTCT guidelines in non-choice contexts: The case of infant feeding counselling and decision making in PMTCT programmes, Tanzania.
  • 2007. The politics of mother to child transmission of HIV: global discourse and local lives.
  • 2007. The illusion of informed choie in prevention of mother to child transmission of HIV: Global politics in local worlds.
  • 2007. Hope, faith and holy water: Resistance in PMTCT programs in Addis Ababa.
  • 2007. Counting on mother's love: The global politics of mother to child transmission in eastern Africa.
  • 2007. A note on applied locally grounded research and the challenging dynamics between health related research and policy making.
  • 2004. Samarbeid og utveksling med institusjoner i sør.
  • 2004. Motherhood, risk and responsible subjects: Discourses and practices in Kilimanjaro Region, Tanzania.
  • 2004. Mother's milk: An ambiguous blessing in the era of AIDS: The case of the Chagga in Kilimanjaro.
  • 2004. Hygiene, salvation and development: The constitution of nursing as a legitimate profession in Tanzania.
  • 2002. The orphan issue in Tanzania.
  • 2002. HIV prevention and AIDS care in Moshi/Arusha.
Editorial
  • 2010. Breastfeeding and HIV: experiences from a decade of prevention of postnatal HIV transmission in sub-Saharan Africa. International Breastfeeding Journal.
Reader opinion piece
  • 2020. Reproductive health and the politics of abortion. International Journal for Equity in Health. 1-4.
  • 2010. Ways ahead: protecting, promoting and supporting breastfeeding in the context of HIV. International Breastfeeding Journal.
Non-fiction book
  • 2005. Gender, generation and communication in times of AIDS: The potential of 'modern' and 'traditional' institutions. Proceedings from a workshop held in Bagamoyo, Tanzania, 23-25 November 2004. Centre for International Health.
Thesis at a second degree level
  • 1992. The changing role of local midwives in Addis Ababa: Community participation in Primary Health Care.
Masters thesis
  • 2013. Increasing demand for health facility birth. A qualitative study exploring barriers and facilitators for skilled care utilization in the Amhara Region, Ethiopia.
  • 2012. Rebuilding life: A journey through the lives of women who have endured and been treated for obstetric fistula in Tanzania.
  • 2011. Knowledge about puberty related issues among school children in Sigowet, Kenya.
  • 2008. Utilization of PMTCT services in Awassa town, Ethiopia.
  • 2008. How could I take my pills when I can't even afford food?
  • 2007. The Role of Men in the Maintenance and Change of Female Genital Cutting in Eritrea.
  • 2006. Mothers’ knowledge on exclusive breastfeeding in Kilimanjaro region, Tanzania.
Popular scientific article
  • 2011. A cohort study on obstetric care for HIV positive women in Addis Ababa: Intrapartum transfers and associated delays. Journal of Public Health and Epidemiology.
Feature article
  • 2017. The paradox of access - abortion law, policy and misoprostol. Tidsskrift for Den norske legeforening. 1-6.
  • 2017. Kan Trump stoppe kvinners abortrett? Bergens Tidende.
Doctoral dissertation
  • 2018. Priority to the newborn? Real-life priority setting and intra-household resource allocation for newborn health in Ethiopia .
  • 2018. Access to Child and Adolescent Mental Health services in Uganda: Investigating the role of Primary Health Care and Traditional Healers.
  • 2017. Experiences of the Prevention of Mother to Child Transmission of HIV program in Southern Africa: A three country qualitative study .
  • 2016. Results-Based Financing (RBF) in the health sector of a low-income country; from agenda setting to implementation: The case of Tanzania.
  • 2015. Determinants of child malnutrition. Studies from a rural area in the Democratic Republic of Congo.
  • 2002. Giving birth in Kilimanjaro: The politics of knowledge in moral contexts.
  • 2002. Giving birth in Kilimanjaro. The politics of knowledge in moral contexts. X, 280 s. -.
Academic chapter/article/Conference paper
  • 2009. Counting on Mother's Love: The Global Politics of Prevention of Mother-to-Child Transmission of HIV in Eastern Africa. 33 pages.
Abstract
  • 2013. Born before arrival: user and provider perspectives on home deliveries and barriers to health facility childbirth in Kapiri Mposhi, Zambia. Tropical medicine & international health. 186-186.
  • 2012. Obstetric care in primary health centres in rural Burkina Faso from a health worker perspective. Acta Obstetricia et Gynecologica Scandinavica. 113-113.
  • 2011. Financial incentives for health worker motivation: the case of health services in Tanzania. Tropical medicine & international health. 341-341.
  • 2011. 'What counts': health workers' preferences for public health facilities or church-run health facilities in Tanzania. Tropical medicine & international health. 340-340.
  • 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.
  • 2008. Breast cancer. Women's coping and social support awaiting primary surgery. International Journal of Qualitative Studies on Health and Well-being. 36.
Poster
  • 2017. We shall count it as a part of kyogero?. Acceptability of single dose 7.1% chlorhexidine di-gluconate solution for umbilical cord care among women in Kampala and Mukono district, central Uganda: A qualitative study.
  • 2017. High participation in cluster randomized controlled trial on the effectiveness of a girls’ empowerment programme in rural Zambia .
  • 2015. Are mental health problems in children being neglected? Preliminary results from SeeTheChild – Mental Child Health in Uganda.
  • 2013. Accountability and health worker performance in primary care maternities in rural Burkina Faso.
  • 2013. 'There is no choice in this area'. Nurse counselling in prevention of mother-to-child transmission of HIV programmes in Tanzania.
  • 2013. 'There is no choice in this area'. Nurse counselling in prevention of mother-to-child transmission of HIV programmes in Tanzania.
  • 2012. Referral as relief: Health workers' experience of obstetric referrals from primary health care facilities in rural Burkina Faso.
  • 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. Breast cancer: Women's coping and social support awaiting primary surgery.
  • 2008. Breast cancer Women¿s coping and social support awaiting primary surgery.
  • 2007. Continuity and change i reproductive attitudes of teenage women, their mothers and maternal grandmothers in South Africa.
  • 2007. Choice and adherence to choice of infant feeding method among HIV positive mothers in northern Tanzania.
  • 2006. Continuity and change in reproductive attitudes of teenage women, their mothers and maternal grandmothers in South Africa.
  • 2006. Continuity and change in reproductive atitudes of teenage women, their mothers and maternal grandmothers in South Africa.
Academic literature review
  • 2019. 'Maternal deaths should simply be 0': Politicization of maternal death reporting and review processes in Ethiopia. 492-498.
  • 2018. Development and challenges to breastfeeding in sub-Saharan Africa. 937-944.
  • 2012. 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. 13 pages.
Article in business/trade/industry journal
  • 2006. Fra Bergen til Tanzania, Fagartikkel; Komplekse problem og sterke inntrykk: Pedagogiske og personlige utfordringer knyttet til praksis i Sør. Tidsskriftet sykepleien.

More information in national current research information system (CRIStin)

Registered Nurse

Dr polit political science

  • Competing discourses impacting girls' and women's rights: Fertility control and safe abortion in Ethiopia, Zambia and Tanzania (SAFEZT) NORGLOBAL 2016-2019. PI Astrid Blystad
  • Research Initiative to support the empowerment of girls (RISE) (2015-2020). PI Ingvild Sandøy

Research groups