I am a Professor of Implementation Science and Perinatal Epidemiology also hold a senior lectureship at Karolinska Institutet, Stockholm, Sweden where I work 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, implementation science as well as understanding the etiology of perinatal morbidity and mortality. I have led large-scale evaluations such as cluster-randomised trials and data collection based on household surveys and facility-based records. I lead and co-lead 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 strategies. My overall aim is to advance knowledge on how to develop, implement, and evaluate strategies to improve access to quality of care and reduce perinatal morbidity and mortality. I also work on improving routine health data collection for maternal and newborn health care, including measurement issues, health planning and care organisation.
Affiliations
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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, Malawi, 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
- Understanding the etiology and dynamic conditions and factors
- Develop targeted intervention using co-design
- 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, stillbirth and newborn health
- Intrapartum care, stillbirth and newborn health
- Reproductive health
- Health care organization, urban health
Selected Publications
