Tobias Alfvén

Biographic Data

ID7003759
NAMETobias Alfvén
GIVEN NAMESTobias
FAMILY NAMEAlfvén
SIGNATUREALFVÉN T
AFFILIATIONSKarolinska Institutet
ORCID0000-0002-2328-3512
VERIFIEDYes
TOTAL WORKS36
TOTAL CITATIONS0
AUTHOR COUNT36
EDITOR COUNT0
FIRST PUBLICATION YEAR2011
LATEST PUBLICATION YEAR2026
H-INDEX0

  • Community experiences of the impacts of climate-induced extreme weather events in Uganda

    Open AccessRawlance Ndejjo, Susan Karuhanga et al.ARTICLEPLOS Global Public Health2026

    Climate change is impacting health, social systems and livelihoods of populations across the world with sub-Saharan Africa being particularly hard-hit. Lived experiences of the impacts of climate change are paramount to understanding how at-risk communities are uniquely impacted and collectively devise response mechanisms. However, there is limited evidence of the community’s lived experiences of these impacts. This study explored the community e…

  • Maternal anaemia and risk of neonatal and infant mortality in low- and middle-income countries

    Open AccessEleni Tsamantioti, Tobias Alfvén et al.ARTICLEBMJ Global Health2025

    BACKGROUND: Anaemia in pregnancy has been recognised worldwide as a growing public health concern and an important cause of adverse neonatal outcomes. However, only a limited number of studies have been done in low-income settings, which have the highest prevalence of anaemia. We aimed to investigate the association between maternal anaemia and neonatal and infant mortality in low- and middle-income countries. METHODS: Secondary analysis of poole…

  • Accelerating progress towards better public health and sustainable development in fragile settings

    Open AccessRawlance Ndejjo, Daniel Helldén et al.ARTICLEBMJ Global Health2025

    box Despite notable progress in some health-related targets, the majority of health-related Sustainable Development Goal (SDG) targets are off track in fragile and conflict-affected countries, which are simultaneously facing geopolitical insecurity and declining funding sources

  • Maintenance of service delivery during medical countermeasures deployment

    Open AccessSteven Ndugwa Kabwama, Neda Razaz et al.ARTICLEPLOS Global Public Health2025

    COVID-19 vaccines significantly reduced COVID-19 related morbidity and mortality. Although purposeful response measures like movement restrictions affected delivery of other health services, few studies have investigated the association between COVID-19 vaccination as a response strategy and continuity of other immunization services. We aimed to assess the association between the COVID-19 vaccine rollout and continuity of routine immunization ser…

  • Navigating global health diplomacy

    Open AccessPaul R Rosenbaum, Paul Rosenbaum et al.ARTICLEGlobalization and Health2025

    Addressing global health challenges requires complex coordination and collaboration between actors, often through the process of Global Health Diplomacy (GHD). Although considerable scholarship argues the importance of improving this process to build better health policies and systems, few studies have investigated the ‘health diplomats’ directly leading this work. In this study, we seek to better understand GHD from a practitioners’ view by expl…

  • Exploring different health care providers ́ perceptions on the management of diarrhoea in cholera hotspots in the Democratic Republic of Congo

    Open AccessMattias Schedwin, Aurélie Bisumba Furaha et al.ARTICLEPLOS Global Public Health2024

    Global cholera guidelines support wider healthcare system strengthening interventions, alongside vertical outbreak responses, to end cholera. Well-trained healthcare providers are essential for a resilient health system and can create synergies with childhood diarrhoea, which has higher mortality. We explored how the main provider groups for diarrhoea in cholera hotspots interact, decide on treatment, and reflect on possible limiting factors and …

  • Schools of public health as a cornerstone for pandemic preparedness and response

    Open AccessRawlance Ndejjo, Honore Kabwebwe Mitonga et al.ARTICLEGlobalization and Health2024

  • How interventions to maintain services during the Covid-19 pandemic strengthened systems for delivery of maternal and child health services

    Open AccessSteven Ndugwa Kabwama, Rhoda K Wanyenze et al.ARTICLEGlobal Health Action2024

    BACKGROUND: Health systems are resilient if they absorb, adapt, and transform in response to shocks. Although absorptive and adaptive capacities have been demonstrated during the COVID-19 response, little has been documented about their transformability and strengthened service delivery systems. We aimed to describe improvements in maternal and child health service delivery as a result of investments during the COVID-19 response. METHODS: This wa…

  • Facility capacity and provider knowledge for cholera surveillance and diarrhoea case management in cholera hotspots in the Democratic Republic of Congo – a mixed-methods study

    Open AccessMattias Schedwin, Aurélie Bisumba Furaha et al.ARTICLEGlobal Health Action2024

    BACKGROUND: Wider healthcare-strengthening interventions are recommended in cholera hotspots and could benefit other types of diarrhoeal diseases which contribute to greater mortality than cholera. OBJECTIVE: Describe facility capacity and provider knowledge for case management of diarrhoea and cholera surveillance in cholera hotspots in the Democratic Republic of Congo (DRC) among health facilities, drug shops, and traditional health practitione…

  • Perspectives on delivering sexual and reproductive health and rights information and services to young people

    Open AccessLandry Egbende, Viviane Mayala et al.ARTICLEGlobal Health Action2024

    BACKGROUND: Universal access to sexual and reproductive health and rights (SRHR) is fundamental to achieving the Sustainable Development Goals due to its impact on gender equality as well as women's health and survival. In the Democratic Republic of Congo, there are many civil society organizations (CSOs) that are involved in raising awareness of SRHR issues and providing SRHR services to young people. Objective: The aim of this study was to expl…

  • Assessment of Childhood Stunting Prevalence over Time and Risk Factors of Stunting in the Healthy Village Programme Areas in Bangladesh

    Open AccessMay Phyu Sin, BIRGER C FORSBERG et al.ARTICLEChildren2024

    Childhood stunting is a significant public health concern in Bangladesh. This study analysed the data from the Healthy Village programme, which aims to address childhood stunting in southern coastal Bangladesh. The aim was to assess childhood stunting prevalence over time and explore the risk factors in the programme areas. A cross-sectional, secondary data analysis was conducted for point-prevalence estimates of stunting from 2018 to 2021, inclu…

  • Linkages between the Sustainable Development Goals and health in Somalia

    Open AccessRage Adem, Hassan W Nor et al.ARTICLEBMC Public Health2024

    The findings revealed that in Somalia, the interactions between the SDGs are mostly synergistic and that SDG 16 (peace, justice, and strong institutions) has a strong influence on progress on other SDGs as well as progress on SDG 3 (good health and well-being). This study highlights the need for a multisectoral strategy to accelerate progress on the SDGs in Somalia in general, and particularly SDG 3 (good health and well-being)

  • Enablers and barriers to implementing cholera interventions in Nigeria

    Open AccessKelly Elimian, Karin Diaconu et al.ARTICLEHealth Policy and Planning2024

    Nigeria accounts for a substantial cholera burden globally, particularly in its northeast region, where insurgency is persistent and widespread. We used participatory group model building workshops to explore enablers and barriers to implementing known cholera interventions, including water, sanitation and hygiene, surveillance and laboratory, case management, community engagement, oral cholera vaccine, and leadership and coordination, as well as…

  • Influences of community engagement and health system strengthening for cholera control in cholera reporting countries

    Open AccessStephanie Ayres Baličević, Kelly Elimian et al.ARTICLEBMJ Global Health2023

    The 2030 Global Task Force on Cholera Control Roadmap hinges on strengthening the implementation of multistranded cholera interventions, including community engagement and health system strengthening. However, a composite picture of specific facilitators and barriers for these interventions and any overlapping factors existing between the two, is lacking. Therefore, this study aims to address this shortcoming, focusing on cholera-reporting countr…

  • Usability of pulse oximeters used by community health and primary care workers as screening tools for severe illness in children under five in low resource settings

    Open AccessTheresa Pfurtscheller, K Scott Baker et al.ARTICLEPLOS Global Public Health2023

    Timely recognition and referral of severely ill children is especially critical in low-resource health systems. Pulse-oximeters can improve health outcomes of children by detecting hypoxaemia, a severity indicator of the most common causes of death in children. Cost-effectiveness of pulse-oximeters has been proven in low-income settings. However, evidence on their usability in community health settings is scarce.This study explores the usability …

  • Integrating the United Nations sustainable development goals into higher education globally

    Open AccessÁngela Amorós Molina, Daniel Helldén et al.ARTICLEGlobal Health Action2023

    BACKGROUND: In 2015, the United Nations adopted the 2030 Agenda for Sustainable Development, including the 17 Sustainable Development Goals (SDGs). Higher education institutions have a role in raising awareness and building skills among future professionals for implementing the SDGs. This review describes how the SDGs have been integrated into higher education globally. OBJECTIVES: Determine how have the SDGs been integrated into higher education…

  • The missing middle of childhood

    Open AccessM L Voss, Maj-Lis Voss et al.ARTICLEGlobal Health Action2023

    Middle childhood, between six and twelve years, is a critical bridge between earlier childhood and adolescence with rapid physical and psychological transitions. Most of the world's 2.6 billion young people, of which the middle childhood age group is a significant portion, live in low- and middle-income countries. Many live in environments that place them at high and growing risk for mental ill-health, injuries, and adoption of risky behaviours t…

  • Sustainable preventive integrated child health care

    Open AccessOlivia Biermann, Alma Nordenstam et al.ARTICLEGlobal Health Action2023

    Worldwide, 85% of all children who die are under the age of five. A recent scoping review examining the literature from 2000 to 2021 shows the importance of sustainable integrated preventive child health care for improving child health, enhancing the uptake of preventive child health services, and decreasing health-care costs. In 2022, we organised a stakeholder workshop in Uganda to discuss and contextualise the findings of the scoping review. T…

  • Positioning Africa’s public health doctoral students to lead societal transformation and development

    Open AccessRawlance Ndejjo, Charles Ssemugabo et al.ARTICLEBMJ Global Health2022

    The public health context is becoming increasingly more complex requiring highly trained professionals equipped with knowledge, competencies and tools to address or transform current and future challenges. Doctoral degree training offers an opportunity to build the capacity to detect and respond to such dynamic health challenges. In this paper, we discuss how Africa’s public health doctoral students can be better positioned for the different care…

  • Covid-19 mortality rate and its associated factors during the first and second waves in Nigeria

    Open AccessKelly Elimian, Anwar Musah et al.ARTICLEPLOS Global Public Health2022

    COVID-19 mortality rate has not been formally assessed in Nigeria. Thus, we aimed to address this gap and identify associated mortality risk factors during the first and second waves in Nigeria. This was a retrospective analysis of national surveillance data from all 37 States in Nigeria between February 27, 2020, and April 3, 2021. The outcome variable was mortality amongst persons who tested positive for SARS-CoV-2 by Reverse-Transcriptase Poly…

  • Private sector engagement in the Covid-19 response

    Open AccessSteven Ndugwa Kabwama, Suzanne N Kiwanuka et al.ARTICLEGlobalization and Health2022

  • Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam

    Open AccessTina Dempsey, Huong Liên Nguyen et al.ARTICLEChildren2022

    Every year, 2.4 million neonates die during their first month of life and even more suffer permanent injury. The main causes are intrapartum-related events, prematurity, and infection, with sub-Saharan Africa and southern Asia being the worst affected regions. With a focus on intrapartum-related events, we aimed to assess the neonatal demographic characteristics, clinical management, and outcomes among neonates born at the largest obstetric hospi…

  • Climate change and child health

    Open AccessDaniel Helldén, Camilla Andersson et al.ARTICLEThe Lancet Planetary Health2021

    Climate change can have detrimental effects on child health and wellbeing. Despite the imperative for a fuller understanding of how climate change affects child health and wellbeing, a systematic approach and focus solely on children (aged <18 years) has been lacking. In this Scoping Review, we did a literature search on the impacts of climate change on child health from January, 2000, to June, 2019. The included studies explicitly linked an alte…

  • A qualitative study of the perspectives of health workers and policy makers on external support provided to low-level private health facilities in a Ugandan rural district, in management of childhood …

    Open AccessJuliet Mwanga‐Amumpaire, Joan N Kalyango et al.ARTICLEGlobal Health Action2021

    BACKGROUND: With the under-five child mortality rate of 46.4 deaths per 1000 live births, Uganda should accelerate measures to reduce child deaths to achieve the Sustainable Development Goal 3. While 60-70% of frontline health services are provided by the private sector, many low-level private health facilities (LLPHF) are unregistered, unregulated, and often miss innovative and quality improvement strategies rolled out by the Ministry of Health.…

  • A Qualitative Exploration of the Referral Process of Children with Common Infections from Private Low-Level Health Facilities in Western Uganda

    Open AccessJuliet Mwanga‐Amumpaire, Joan N Kalyango et al.ARTICLEChildren2021

    Over 50% of sick children are treated by private primary-level facilities, but data on patient referral processes from such facilities are limited. We explored the perspectives of healthcare providers and child caretakers on the referral process of children with common childhood infections from private low-level health facilities in Mbarara District. We carried out 43 in-depth interviews with health workers and caretakers of sick children, purpos…