Thorkild Tylleskär
Datos Biográficos
| ID | 2328647 |
|---|---|
| NOMBRE | Thorkild Tylleskär |
| NOMBRES | Thorkild |
| APELLIDO | Tylleskär |
| FIRMA | TYLLESKÄR T |
| AFILIACIONES | University of Bergen |
| ORCID | 0000-0003-4801-4324 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 51 |
| TOTAL DE CITAS | 11 |
| TOTAL COMO AUTOR | 51 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1998 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Acceptability of alcohol-based hand rub during neonatal care in rural Ugandan households
BACKGROUND: Poor access to water, sanitation and hygiene exacerbates the spread of infections among newborns. The BabyGel cluster randomised trial assessed the effectiveness of a community-level alcohol-based hand rub with a training component in reducing infection or death rates among newborns in Uganda. OBJECTIVE: Nested in the BabyGel trial, this study investigated the acceptability of the BabyGel intervention among mothers and household membe…
Overweight, obesity and physical inactivity among women of reproductive age in Eastern Nepal
Overweight, obesity, and physical inactivity have become more common in Nepal. The prevalence of overweight/obesity is higher among women than men, while the prevalence of physical activity is not well studied. This study aimed to understand the prevalence of overweight/obesity and physical inactivity among women of reproductive age in Eastern Nepal. We conducted a community-based cross-sectional study among women of reproductive age (18-49 years…
Term stillbirths in Eastern Uganda
BACKGROUND: Every year, 1.9 million stillbirths occur worldwide, of whom 1.5 million occur in sub-Saharan Africa (SSA) and Southeast Asia. OBJECTIVES: This study aims to determine the incidence and risk factors and to describe underlying causes for term stillbirths in Eastern Uganda. METHODS: This was a cohort study of pregnant women enrolled at 34 weeks of gestation or more and followed to birth between January 2021 and January 2024. Enrolment a…
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
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…
HIV Disclosure to Infected Children Involving Peers
Appropriately informing HIV-infected children of their diagnosis is a real challenge in sub-Saharan Africa. Until now, there is no consensus on who ought to disclose and how to disclose. This paper describes the model for HIV status disclosure in which HIV-positive children/adolescents are informed about their diagnosis in a process conducted by young peers under healthcare worker (HCW) supervision in a hospital in Kinshasa, the Democratic Republ…
Questioning the ethics of international research on formula milk supplementation in low-income African countries
Questioning the ethics of international research on formula milk supplementation in low-income African countries: response
Questioning the ethics of international research on formula milk supplementation in low-income African countries
Over the past three decades, the increase \nin funding for priority public health issues \nlargely affecting low/middle-income countries (LMICs) has led to the growth in international research involving researchers \nor research sponsors from a high-income \ncountry (HIC) conducting research in \nLMICs. The ethical considerations in such \ninternational research were raised in the \n1990s and several ethical guidelines specifically addressing int…
Lessons Learned from the Impact of HIV Status Disclosure to Children after First-Line Antiretroviral Treatment Failure in Kinshasa, DR Congo
HIV status disclosure to children remains a challenge in sub-Saharan Africa. For sociocultural reasons, parents often delay disclosure with subsequent risks to treatment compliance and the child’s psychological well-being. This article assesses the effects of HIV disclosure on second-line ART compliance after first-line failure. We conducted a retrospective study of 52 HIV-positive children at Kalembelembe Pediatric Hospital in Kinshasa who were …
The Peer Educator Is the Game-Changer of My Life”
Several approaches to the disclosure of HIV status to children and adolescents have been described. Each of these places particular emphasis on the role of parents and health care workers (HCWs) to mitigate the impact of disclosure on the adolescent without exploring the possible roles that other individuals might play in the process of disclosure. This article assesses the perceptions of adolescents living with HIV (ALHIV) about disclosure done …
Incidence and Risk Factors for Low Birthweight and Preterm Birth in Post-Conflict Northern Uganda
Background: Annually, an estimated 20 million (13%) low-birthweight (LBW) and 15 million (11.1%) preterm infants are born worldwide. A paucity of data and reliance on hospital-based studies from low-income countries make it difficult to quantify the true burden of LBW and PB, the leading cause of neonatal and under-five mortality. We aimed to determine the incidence and risk factors for LBW and preterm birth in Lira district of Northern Uganda. M…
Where Are the Newly Diagnosed HIV Positives in Kenya? Time to Consider Geo-Spatially Guided Targeting at a Finer Scale to Reach the “First 90”
Background: The UNAIDS 90-90-90 Fast-Track targets provide a framework for assessing coverage of HIV testing services (HTS) and awareness of HIV status – the “first 90.” In Kenya, the bulk of HIV testing targets are aligned to the five highest HIV-burden counties. However, we do not know if most of the new HIV diagnoses are in these five highest-burden counties or elsewhere. Methods: We analyzed facility-level HTS data in Kenya from 1 October 201…
Perinatal death in Northern Uganda
The incidence of perinatal death in this region was higher than had previously been reported in Uganda. Risk factors for perinatal mortality were nulliparity and maternal age >30 years. Pregnant women in this region need improved access to care during pregnancy and childbirth
Longitudinal Follow-Up of Blood Telomere Length in HIV-Exposed Uninfected Children Having Received One Year of Lopinavir/Ritonavir or Lamivudine as Prophylaxis
Telomere shortening can be enhanced upon human immunodeficiency virus (HIV) infection and by antiretroviral (ARV) exposures. The aim of this study was to evaluate the acute and long-term effect on telomere shortening of two ARV prophylaxes, lopinavir/ritonavir (LPV/r) and lamivudine (3TC), administered to children who are HIV-exposed uninfected (CHEU) to prevent HIV acquisition through breastfeeding during the first year of life, and to investiga…
I am not only beneficial to the community but to the entire country, I am trained as a researcher now’
Partnerships between Higher Education Institutions in the global South and North have potential for building capacity in public health research in low-resource countries. We present experiences of partners involved in a North-South-South partnership between universities in Norway, the Democratic Republic of Congo (DRC) and South Africa. The partnership aimed to establish a postgraduate programme in nutritional epidemiology at the University of Ki…
Health care provided to recent asylum-seeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study
Hospital visits by asylum-seeking children represented a small proportion of all visits. The emergency department had the highest number of visits in all patients but was less frequently used by asylum-seeking children. Frequent care suggests that asylum-seeking patients also present with more complex diseases. Further studies are needed, focusing on asylum-seeking children with medical complexity
Adding video-debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda
BACKGROUND: Skilled birth attendants must be competent to provide prompt resuscitation to save newborn lives at birth. Both knowledge and skills (competence) decline with time after training but the optimal duration for refresher training among frontline-skilled birth attendants in low-resource settings is unknown. OBJECTIVES: We assessed the effect of an innovative Helping-Babies-Breathe simulation-based teaching method using video-debriefing co…
Exclusive breastfeeding among HIV exposed infants from birth to 14 weeks of life in Lira, Northern Uganda
BACKGROUND: Breastfeeding is important for growth, development and survival of HIV exposed infants. Exclusive breastfeeding reduces the risk of morbidity, mortality and increases HIV free survival of infants. Evidence on risk factors for inappropriate breastfeeding in Northern Uganda is limited. OBJECTIVE: This study determined the risk factors for non-exclusivity of breastfeeding in the first 14 weeks of life. METHODS: This prospective cohort st…
Preventable admissions and emergency-department-visits in pediatric asylum-seeking and non-asylum-seeking patients
Admissions due to ambulatory-care-sensitive conditions are comparable in asylum-seeking and non-asylum-seeking children, suggesting few delayed presentations to ambulatory care facilities. Strategies to prevent non-urgent visits at pediatric emergency department facilities are needed
A systematic literature review of reported challenges in health care delivery to migrants and refugees in high-income countries - the 3C model
Breastfeeding advice for reality
Breastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health …
An educational intervention to update health workers about HIV and infant feeding
Clinical guidelines are used to translate research findings into evidence-based clinical practice but are frequently not comprehensively adopted by health workers (HWs). HIV and infant feeding guidelines were revised by the World Health Organization to align feeding advice for HIV-exposed and unexposed infants, and these were adopted in South Africa in 2017. We describe an innovative, team-based, mentoring programme developed to update HWs on the…
The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan
Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modifie…
Key Decision Makers and Actors in Selected Newborn Care Practices
Knowledge of key decision makers and actors in newborn care is necessary to ensure that health interventions are targeted at the right people. This was a cross-sectional study carried out in Lira district, Northern Uganda. Multivariable logistic regression was used to determine factors associated with mothers being the key decision maker regarding where to give birth from and when to initiate breastfeeding. Fathers were the key decision makers on…
Determinants of Health Facility Utilization at Birth in South Sudan
South Sudan has a high maternal mortality ratio estimated at 800 deaths per 100,000 live births. Birth in health facilities with skilled attendants can lower this mortality. In this cross-sectional study, we determined the level and determinants of health facility utilization and skilled birth attendance in Jubek State, South Sudan. Mothers of children aged less than two years were interviewed in their homes. Multivariable regression analysis was…
Prevalence and determinants of pre-lacteal feeding in South Sudan
BACKGROUND: Pre-lacteal feeding (PLF) is a barrier to optimal breastfeeding and increases the risk of diarrhoea and acute respiratory tract infections in infants.The prevalence and predictors of PLF are not well studied in South Sudan. Understanding the predictors of PLF is crucial in designing interventions to increase exclusive breastfeeding (EBF) rates. OBJECTIVE: To assess the prevalence and factors associated with PLF in Jubek State, South S…
Policy, paperwork and 'postographs
Targets and indicators set at the global level are powerful tools that govern health systems in low-income countries. Skilled birth attendance at a health facility is an important indicator for monitoring maternal mortality reduction worldwide. This paper examines how health workers negotiate policy implementation through the translation of clinical care into registries and reports. It does so by analysing the links between the global policy of i…
High cassava consumption without cyanide exposure in Kinshasa, in former Zaire
In Kinshasa, the capital of former Zaire, cassava is the dominant staple food and it is mainly supplied from Bandundu and Bas‐Zaire regions. In Bandundu, consumption of short‐soaked and insufficiently dried cassava roots has caused high cyanide exposure that was associated to acute poisonings and outbreaks of the paralytic disease konzo. As no such effects have been reported from the capital, we investigated if cassava consumption resulted in cya…
High cassava production and low dietary cyanide exposure in mid-west Nigeria
Objective: To investigate if high cassava production levels indicate high consumption and high dietary cyanide exposure in three villages situated within the area of Nigeria with higher cassava production than predicted by a geographic model for cassava production in Africa. Design: Exploratory assessment of: cassava production and processing by qualitative research methods and quantification of residual cyanogens in products; cassava consumption…
Mothers' education but not fathers' education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda
BACKGROUND: Health and nutrition inequality is a result of a complex web of factors that include socio-economic inequalities. Various socio-economic indicators exist however some do not accurately predict inequalities in children. Others are not intervention feasible. OBJECTIVE: To examine the association of four socio-economic indicators namely: mothers' education, fathers' education, household asset index, and land ownership with growth stuntin…
Antenatal HIV testing in rural eastern Uganda in 2003
BACKGROUND: Uganda began to implement the prevention of mother-to-child transmission (PMTCT) of HIV programme in 2000, and by the end of 2003 it had expanded to cover 38 of the 56 districts including Mbale District. However, reports from Mbale Hospital showed that less than 10% of pregnant women accepted antenatal HIV testing. We therefore conducted a study to determine the proportion of pregnant women who tested for HIV and the gaps and barriers…
Intimate partner violence against women in eastern Uganda
Intimate partner violence is common in eastern Uganda and is related to gender inequality, multiple partners, alcohol, and poverty. Accordingly, programmes for the prevention of intimate partner violence need to target these underlying factors. The suggested link between intimate partner violence and HIV risky behaviours or prevention strategies calls for further studies to clearly establish this relationship
Predictors of poor anthropometric status among children under 2 years of age in rural Uganda
Boys are more stunted than girls in Sub-Saharan Africa
Determinants of infant growth in Eastern Uganda
Sub-optimal infant feeding practices after birth, poor household wealth, age, gender and family size were associated with growth among Ugandan infants
Establishing individual peer counselling for exclusive breastfeeding in Uganda
Exclusive breastfeeding remains critical for child survival, potentially reducing childhood morbidity and mortality. In Uganda, 98% of children are ever breastfed, but exclusive breastfeeding levels remain low. Supporting mothers in breastfeeding exclusively can improve breastfeeding practices. This paper describes experiences of establishing individual peer counselling for exclusive breastfeeding in the Uganda site of the Promoting Infant Health…
Tanzania national survey on iodine deficiency
Our study demonstrates a marked improvement in iodine nutrition in Tanzania, twelve years after the initiation of salt iodation programme. The challenge in sustaining IDD elimination in Tanzania is now two-fold: to better reach the areas with low coverage of iodated salt, and to reduce iodine intake in areas where it is excessive. Particular attention is needed in improving quality control at production level and perhaps the national salt iodatio…
Infant feeding among HIV-positive mothers and the general population mothers
In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre-lacteal feeding were widespread. Breastfeeding duration was shorter among HIV-positive mothers. Higher educational level and being socio-economically better off were associated with more beneficial infant feeding p…
Improved salt iodation methods for small-scale salt producers in low-resource settings in Tanzania
Supervised, standardized salt iodation procedures adapted to local circumstances can yield homogeneous iodine levels within the required range, overcoming a major obstacle to universal salt iodation
Making it happen, level 2
Vaccination coverage and timeliness in three South African areas
ClinicalTrials.gov: NCT00397150
The potential role of mother-in-law in prevention of mother-to-child transmission of HIV
Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored
The high burden of infant deaths in rural Burkina Faso
We observed a very high IMR in a rural area of Burkina Faso, a country where 75% of the population lives in rural settings. Community-based health interventions targeting mothers and children at high risk are urgently needed to reduce the high burden of infant deaths in these areas
Physical activity patterns and socioeconomic position
In Germany adults with a lower level of education are more physically active, both at work and overall, compared to adults with a higher education level, although they are less physically active in their leisure time. Higher work-related activity levels among adults with lower education may explain why they are less active in their leisure time
Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa
ClinicalTrials.gov: NCT00397150
Child survival and BCG vaccination
The risk of early childhood death in Mbale, Uganda is unacceptably high. BCG vaccination was associated with an increased likelihood of child survival
Population-based survey of overweight and obesity and the associated factors in peri-urban and rural Eastern Uganda
Overweight/obesity was prevalent among adults. Overweight/obese was associated with being female, being aged 35 years and older, residing in a peri-urban area and having a higher SES. The time has come to develop interventions to prevent and control overweight/obesity
Dietary behaviour and parental socioeconomic position among adolescents
A high PSEP is associated with consumption of less energy-dense food, more fruits and vegetables and more favourable overall dietary behaviour. Preferably school-based interventions are needed to promote healthy dietary behaviour among German adolescents and a special effort is needed to reach adolescents from low-PSEP families
Effectiveness of Baby‐friendly community health services on exclusive breastfeeding and maternal satisfaction
The WHO/UNICEF Baby-friendly Hospital Initiative has been shown to increase breastfeeding rates, but uncertainty remains about effective methods to improve breastfeeding in community health services. The aim of this pragmatic cluster quasi-randomised controlled trial was to assess the effectiveness of implementing the Baby-friendly Initiative (BFI) in community health services. The primary outcome was exclusive breastfeeding until 6 months in hea…
Lessons learned from the PMTCT program in Swaziland
Women face a myriad of challenges initiating lifelong ART. Understanding women's concerns will aid in developing effective counseling messages, designing appropriate counseling structures, understanding where additional support is needed in the process of initiating ART, and knowing who to target for community level messages
Effects of an exclusive breastfeeding intervention for six months on growth patterns of 4–5 year old children in Uganda
ClinicalTrials.gov.no. NCT00397150 . Registered 7th of November 2006
Factors associated with delayed initiation of breastfeeding
BACKGROUND: Initiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality. OBJECTIVE: To determine the prevalence and factors associated with delayed initiation of breastfeeding. METHODS: We conducted a survey in 2016 of 930 children under the age of 2 years in Lira district, northern Uganda. Mothers of the children were interviewed and data was collected on mobile phones using Open Data K…
Medicine (48 obras) · Environmental health (30 obras) · Pediatrics (24 obras) · Nursing (23 obras) · Public health (22 obras) · Child Nutrition and Water Access (21 obras) · Demography (19 obras) · Family medicine (17 obras) · Global Maternal and Child Health (17 obras) · Breastfeeding Practices and Influences (16 obras)