I am a Professor of Implementation Science and Perinatal Epidemiology also hold a senior lectureship at Karolinska Institutet, Stockholm, Sweden where I work 80-90% of my time. I am a medical doctor with a specialisation in gynaecology and obstetrics, and higher degrees in epidemiology (LSHTM) and in international health (Charité, Germany TropEd)
My main interest lies in health systems research and implementation science. I have been leading large-scale evaluations such as cluster-randomised trials and data collection based on household surveys and facility-based records. I lead and co-lead at present 10 larger research projects in Africa (Tanzania, Uganda, Malawi, Benin, Burkina Faso) and Asia (India, Laos, Vietnam, and Thailand). The projects focus on evaluating quality improvement approaches and other health system strengthening strategy. The overall aim of my research is to advance knowledge how to develop, implement, and evaluate strategies to improve access to quality of care. I also work on improving routine health data collection for maternal and newborn health care, including measurement issues, health planning and care organisation.
My main interest lies in health systems research and implementation science. I have been leading large-scale evaluations such as cluster-randomised trials and data collection based on household surveys and facility-based records. I lead and co-lead at present 10 larger research projects in Africa (Tanzania, Uganda, Malawi, Benin, Burkina Faso) and Asia (India, Laos, Vietnam, and Thailand). The projects focus on evaluating quality improvement approaches and other health system strengthening strategy. The overall aim of my research is to advance knowledge how to develop, implement, and evaluate strategies to improve access to quality of care. I also work on improving routine health data collection for maternal and newborn health care, including measurement issues, health planning and care organisation.
Affiliations
Department of Disease Control
Faculty of Infectious and Tropical Diseases
Centres
Malaria Centre
Antimicrobial Resistance Centre
Global Health Economics Centre
Teaching
I teach approximately 20% of my full-time employment.
At Karolinska Institute I manage at present a 2-week course on “Research management” and PhD courses on "Concepts in Global Health and Global Burden of Disease" and "quality assurance in research".
I have previously managed for several years the MSc module “Epidemiology and Control of Infectious Diseases” (2019-2023).
I have several PhD students from Tanzania, Uganda, Argentina, Lebanon and Somalia.
At Karolinska Institute I manage at present a 2-week course on “Research management” and PhD courses on "Concepts in Global Health and Global Burden of Disease" and "quality assurance in research".
I have previously managed for several years the MSc module “Epidemiology and Control of Infectious Diseases” (2019-2023).
I have several PhD students from Tanzania, Uganda, Argentina, Lebanon and Somalia.
Research
Under the overall theme of health system research and implementation science my interests are:
• Evaluating public health interventions to improve quality of care
• Implementation science to understand what works for whom and under what conditions
• Metrics and measurement with a focus on facility data including improving the quality of facility data
Key subjects are
• Causes and determinants of maternal and newborn health
• Intrapartum care, stillbirth and newborn health
• Reproductive health
• Health care organization, urban health
• Evaluating public health interventions to improve quality of care
• Implementation science to understand what works for whom and under what conditions
• Metrics and measurement with a focus on facility data including improving the quality of facility data
Key subjects are
• Causes and determinants of maternal and newborn health
• Intrapartum care, stillbirth and newborn health
• Reproductive health
• Health care organization, urban health
Research Area
Adolescent health
Electronic health records
Evaluation
Global Health
Health care policy
Health inequalities
Health services research
Health status measurement
Health systems
Maternal health
Neonatal health
Perinatal health
Quality improvement
Reproductive health
Epidemiology
Operational research
Implementation science
Capacity development
Randomised controlled trials
GIS/Spatial analysis
Disease and Health Conditions
HIV/AIDS
Country
Argentina
Benin
Burkina Faso
Germany
India
Lao PDR
Malawi
Mozambique
Sweden
Tanzania
Thailand
Uganda
Vietnam
Region
East Asia & Pacific (developing only)
Latin America & Caribbean (all income levels)
Sub-Saharan Africa (developing only)
Selected Publications
Redesigning maternal health services: is centralisation the answer in low-resource settings?
2019
BMJ Global Health
Trends in caesarean section rates between 2007 and 2013 in obstetric risk groups inspired by the Robson classification: results from population-based surveys in a low-resource setting.
2018
BJOG : an international journal of obstetrics and gynaecology
Stillbirth mortality by Robson ten-group classification system: A cross-sectional registry of 80 663 births from 16 hospital in sub-Saharan Africa.
2024
BJOG : an international journal of obstetrics and gynaecology
Global health systems strengthening: FIGO's strategic view on reducing maternal and newborn mortality worldwide.
2024
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Exploring women's experiences of care during hospital childbirth in rural Tanzania: a qualitative study.
2024
BMC pregnancy and childbirth
A systematic review of measures of healthcare workers' vaccine confidence.
2024
Human vaccines & immunotherapeutics
