Marjolein Dieleman

Biographic Data

ID6330801
NAMEMarjolein Dieleman
GIVEN NAMESMarjolein
FAMILY NAMEDieleman
SIGNATUREDIELEMAN M
AFFILIATIONSRoyal Tropical Institute
ORCID0000-0001-8399-7114
VERIFIEDYes
TOTAL WORKS26
TOTAL CITATIONS1
AUTHOR COUNT26
EDITOR COUNT0
FIRST PUBLICATION YEAR2007
LATEST PUBLICATION YEAR2026
H-INDEX1

  • Health workforce resilience in the age of polycrisis

    Open AccessOlivier Onvlee, Eelco Jacobs et al.ARTICLEHealth Policy2026

    BACKGROUND: Many countries face prolonged health workforce crises, marked by shortages, maldistribution, skills mix imbalances and attrition. When workforces are overstretched, they become more vulnerable to external shocks and chronic strains, including infectious disease outbreaks, climate-related effects and political instability. This is particularly concerning as an emerging global "polycrisis" means such external pressures increasingly inte…

  • Assessing the health workforce in Afghanistan

    Open AccessNarges Neyazi, Nima Yaghmaei et al.ARTICLEConflict and Health2025

    Afghanistan faces critical health workforce challenges, including shortages, gender imbalances and unequal geographic distribution. These findings provide essential insights for policymakers to guide human resources policies aimed at achieving UHC

  • From Perform to Perform2Scale

    Open AccessJudith Raven, Wesam Mansour et al.ARTICLEHealth Policy and Planning2024

    Strengthening management and leadership competencies among district and local health managers has emerged as a common approach for health systems strengthening and to achieve Universal Health Coverage (UHC). While the literature is rich with localized examples of initiatives that aim to strengthen the capacity of district or local health managers, particularly in sub-Saharan Africa, considerably less attention is paid to the science of ‘how’ to s…

  • Scalability of digital psychological innovations for refugees

    Open AccessAniek Woodward, Sebastian Burchert et al.ARTICLESSM - Mental Health2023

    E-mental health interventions may offer innovative means to increase access to psychological support and improve the mental health of refugees. However, there is limited knowledge about how these innovations can be scaled up and integrated sustainably into routine services. This study examined the scalability of a digital psychological intervention called Step-by-Step (SbS) for refugees in Egypt, Germany, and Sweden. We conducted semi-structured …

  • Scaling up task-sharing psychological interventions for refugees in Jordan

    Open AccessAniek Woodward, Egbert Sondorp et al.ARTICLEHealth Policy and Planning2023

    Training nonspecialists in providing evidence-based psychological interventions (i.e. task-sharing) can effectively increase community access to psychological support. However, task-sharing interventions for this purpose are rarely used at scale. The aim of this study was to examine the factors influencing the potential for scaling up (i.e. scalability) of a task-sharing psychological intervention called Problem Management Plus (PM+) for Syrian r…

  • Scalability of a task-sharing psychological intervention for refugees

    Open AccessAniek Woodward, Anne M de Graaff et al.ARTICLESSM - Mental Health2022

    Mental health systems across the world struggle to meet the needs of present and future populations. People affected by war and forced displacement, such as refugees, have especially high unmet psychological needs. Shifting tasks from mental health specialists to less specialised providers is increasingly opted as an innovative solution to overcome the mental health care gap. Yet little is known about how task-sharing interventions for refugees c…

  • Adoption of harmonisation policy for the midwives’ training programme in Mali

    Open AccessCheick S Sidibé, Valentine Becquet et al.ARTICLEPLOS Global Public Health2022

    West Africa is engaged in a process of harmonising health workers’ training programmes as a means to regulate regional training standards and thus improve their quality. There is currently a lack of documented information regarding the adoption of these revised training programmes. In 2012 a harmonised programme, the WAHO competency-based curriculum, was introduced in Mali for training midwives. The present study explores the barriers and facilit…

  • Navigating the political and technical challenges of developing a national HRH strategy

    Open AccessOlivier Onvlee, Daphne Kaitelidou et al.ARTICLEHealth Policy2021

  • Syndemic contexts

    Open AccessIrene Pirrone, Marjolein Dieleman et al.ARTICLEGlobal Health Action2021

    BACKGROUND: Syndemics are characterized by the clustering of two or more health conditions, their adverse interaction, and contextual factors that create the conditions for clustering and/or interaction that worsens health outcomes. Studying syndemics entails drawing on diverse disciplines, including epidemiology and anthropology. This often means collaboration between researchers with different scholarly backgrounds, who share and - ideally - in…

  • How district health decision-making is shaped within decentralised contexts

    Open AccessSusan Bulthuis, Maryse Kok et al.ARTICLEGlobal Public Health2020

    District Health Management Teams (DHMTs) are often entry points for the implementation of health interventions. Insight into decision-making and power relationships at district level could assist DHMTs to make better use of their decision space. This study explored how district-level health system decision-making is shaped by power dynamics in different decentralised contexts in Ghana, Malawi and Uganda. In-depth interviews took place with nation…

  • ‘You have a child who will call you “mama” ’

    Open AccessSumit Kane, Esther Miedema et al.ARTICLEGlobal Health Action2019

    BACKGROUND: Pregnancy amongst adolescent girls is common in many parts of the world. The dominant discourse in public health unquestioningly paints this as a problem; it does not pay sufficient attention to girls' views. OBJECTIVES: This paper presents a critical account of adolescent South Sudanese girls' reasons for and explanations of childbearing. It discusses their experiences and views on childbearing and attempts to explain their reproduct…

  • Making a Case for the Critical Examination of Assignments of Responsibilities in the Reproductive Realm

    Open AccessSumit Kane, Maryse Kok et al.ARTICLESAGE Open2018

    Drawing on interviews with purposefully selected informants ( n = 44) and on focus group discussions ( n = 5), this article critically examines and reflects upon the gendered assignments of responsibilities in the reproductive realm, in the context of South Sudan. Through this examination, it provides insight into the social practices of assigning and apportioning responsibilities in the reproductive realm; it exposes the nature of social relatio…

  • Gendered norms of responsibility

    Open AccessElsbet Lodenstein, Kyra Pedersen et al.ARTICLEInternational Journal for Equity…2018

    The study adds new evidence on the understudied phenomenon of by-laws. From a gender perspective, the by-laws are problematic as they individualise the responsibility for maternal health care and discriminate against women in the definition and application of sanctions. Through the by-laws, supported by national policies and international institutions, women bear the full responsibility for failures in maternal health care, suggesting a form of '…

  • Health provider responsiveness to social accountability initiatives in low- and middle-income countries

    Open AccessElsbet Lodenstein, Marjolein Dieleman et al.ARTICLEHealth Policy and Planning2017

    Social accountability in the health sector has been promoted as a strategy to improve the quality and performance of health providers in low- and middle-income countries. Whether improvements occur, however, depends on the willingness and ability of health providers to respond to societal pressure for better care. This article uses a realist approach to review cases of collective citizen action and advocacy with the aim to identify key mechanisms…

  • A qualitative study of the determinants of HIV guidelines implementation in two south-eastern districts of Tanzania

    Open AccessMary Mwangome, Mary N Mwangome et al.ARTICLEHealth Policy and Planning2017References: 16

    Current HIV policies in Tanzania have adopted the three long-term impact results of zero new infections, zero HIV deaths and zero stigma and discrimination. Strategies to reach these results include scaling-up HIV Testing and Counselling (HTC); Preventing Mother-To-Child Transmission (PMTCT); and strengthening Care and Treatment Clinic (CTC) services. Previous studies showed that HIV policy and guideline recommendations were not always implemente…

  • Gender relations and women's reproductive health in South Sudan

    Open AccessSumit Kane, Matilda Rial et al.ARTICLEGlobal Health Action2016

    BACKGROUND: In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births. DESIGN: A qualitative study was conducted to analyze how gendered social relations among the Fertit people affect women's ability to exercise control over their reproductive lives and thereby their sexual and reproductive health. Transcript…

  • “I don’t have options but to persevere.” Experiences and practices of care for HIV and diabetes in rural Tanzania

    Open AccessMary Mwangome, Mary N Mwangome et al.ARTICLEInternational Journal for Equity…2016

    Diabetes and HIV have socio-cultural and economic implications for patients and their families. The HIV programme is successfully using decentralization of health services, task shifting and CHWs to address these implications. For diabetes and NCDs, decentralization and task shifting are also important and, strengthening of community involvement is warranted for continuity of care and patient centeredness in care. While considering differences be…

  • Optimising the benefits of community health workers’ unique position between communities and the health sector

    Open AccessMaryse Kok, Hermen Ormel et al.ARTICLEGlobal Public Health2016

    Community health workers (CHWs) have a unique position between communities and the health sector. The strength of CHWs' relationships with both sides influences their motivation and performance. This qualitative comparative study aimed at understanding similarities and differences in how relationships between CHWs, communities and the health sector were shaped in different Sub-Saharan African settings. The study demonstrates a complex interplay o…

  • Social norms and family planning decisions in South Sudan

    Open AccessSumit Kane, Maryse Kok et al.ARTICLEBMC Public Health2016

    The sexual and reproductive health programmes in WBeG should work with and leverage existing and emerging social norms on spacing in their health promotion activities. Campaigns should focus on promoting a family ideal in which children become the object of parental investment, rather than labour to till the land - instead of focusing directly or solely on reducing family size. The conditions are right in WBeG and in South Sudan for public health…

  • Perceptions on diabetes care provision among health providers in rural Tanzania

    Open AccessMary Mwangome, Eveline Geubbels et al.ARTICLEHealth Policy and Planning2016References: 30

    Diabetes prevalence in Tanzania was estimated at 9.1% in 2012 among adults aged 24-65 years - higher than the HIV prevalence in the general population at that time. Health systems in lower- and middle-income countries are not designed for chronic health care, yet the rising burden of non-communicable diseases such as diabetes demands chronic care services. To inform policies on diabetes care, we conducted a study on the health services in place t…

  • Costs and cost-effectiveness of community health workers

    Open AccessKelsey Vaughan, Maryse Kok et al.ARTICLEHuman Resources for Health2015

    OBJECTIVE: This study sought to synthesize and critically review evidence on costs and cost-effectiveness of community health worker (CHW) programmes in low- and middle-income countries (LMICs) to inform policy dialogue around their role in health systems. METHODS: From a larger systematic review on effectiveness and factors influencing performance of close-to-community providers, complemented by a supplementary search in PubMed, we did an explor…

  • How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

    Open AccessMaryse Kok, Maryse C Kok et al.ARTICLEHealth Research Policy and Systems2015

    BACKGROUND: Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing performance of CHWs. METHODS: We searched six databases for quantitative, qualitative, and…

  • Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review

    Open AccessMaryse Kok, Maryse C Kok et al.ARTICLEHealth Policy and Planning2015

  • Public policy, health system, and community actions against illness as platforms for response to NCDs in Tanzania

    Open AccessEmmy Metta, Beverly Msambichaka et al.ARTICLEGlobal Health Action2014

  • Staffing remote rural areas in middle- and low-income countries

    Open AccessUta Lehmann, Marjolein Dieleman et al.ARTICLEBMC Health Services Research2008

    BACKGROUND: Many countries in middle- and low-income countries today suffer from severe staff shortages and/or maldistribution of health personnel which has been aggravated more recently by the disintegration of health systems in low-income countries and by the global policy environment. One of the most damaging effects of severely weakened and under-resourced health systems is the difficulty they face in producing, recruiting, and retaining heal…