Gunnar Bjune
Datos Biográficos
| ID | 2473541 |
|---|---|
| NOMBRE | Gunnar Bjune |
| NOMBRES | Gunnar |
| APELLIDO | Bjune |
| FIRMA | BJUNE G |
| AFILIACIONES | University of Oslo |
| ORCID | 0000-0002-1231-6817 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAS | 7 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1992 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2019 |
| ÍNDICE H | 2 |
Traditional healers’ role in the detection of active tuberculosis cases in a pastoralist community in Ethiopia
Results of the present study indicate that THs can contribute to the detection of undiagnosed active TB cases in a pastoralist community, provided they are given appropriate training and support
Prevalence of tuberculosis, HIV, and TB-HIV co-infection among pulmonary tuberculosis suspects in a predominantly pastoralist area, northeast Ethiopia
BACKGROUND: TB-HIV co-infection is one of the biggest public health challenges in sub-Saharan Africa. Although there is a wealth of information on TB-HIV co-infection among settled populations in Africa and elsewhere, to our knowledge, there are no published reports on TB-HIV co-infection from pastoral communities. In this study, we report the prevalence of TB, HIV and TB-HIV co-infection among pulmonary TB suspects in the Afar Regional State of …
Hopelessness as a basis for tuberculosis diagnostic delay in the Arkhangelsk region
The main contributing factor to unsuccessful health-seeking behaviour for patients with tuberculosis was identified as "being overpowered by hopelessness." This should be taken into consideration when creating any preventive programs and diagnostic algorithms aimed at increasing knowledge about TB, improving the health system, decreasing alcohol consumption and reducing the poverty of the people in Arkhangelsk
Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia
There is a long delay in the diagnosis and initiation of treatment and this was mainly attributable to the health system. Health system strengthening towards improved diagnosis of TB could reduce the long health system's delay in the management of TB in the study area
Knowledge of cervical tuberculosis lymphadenitis and its treatment in pastoral communities of the Afar region, Ethiopia
The pastoral community members in the study areas had little biomedical knowledge of the cause, the source of infection and the transmission route of cervical TBL. Furthermore, most community members believed that herbal medicines are the most effective treatment for TBL. Therefore, TB control programs in the Afar Region require the incorporation of public health education introducing current biomedical knowledge of the disease. In addition, furt…
Armed conflicts have an impact on the spread of tuberculosis
Patients from conflict zones have a longer delay in receiving a diagnosis of TB and have higher levels of self treatment utilization. This suggests that access to TB care should be improved by the expansion of user friendly directly observed therapy short-course (DOTS) in the conflict zones of the region
Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, Ethiopia
Afar pastoralists live in the northeast of Ethiopia, confined to the most arid part of the country, where there is least access to educational, health and other social services. Tuberculosis (TB) is one of the major public health problems in Afar region. Lack of knowledge about TB could affect the health-seeking behaviour of patients and sustain the transmission of the disease within the community. In this study, we assessed the knowledge and per…
Barriers and facilitators of adherence to TB treatment in patients on concomitant TB and HIV treatment
Health professionals and policy makers should be aware of factors influencing TB treatment in TB/HIV co-infected patients on concomitant treatment for TB and HIV. Our results suggest that provision of food and minimal financial support might facilitate adherence. Counseling might also facilitate adherence, in particular for those who start ART in the early phases of TB treatment, and beliefs related to side-effects and pill burden should be addre…
A new approach to global health institutions? A case study of new vaccine introduction and the formation of the Gavi Alliance
Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia
The majority of TB suspects and PTB cases had already taken health care actions for their symptoms at the time of the survey. The availability of a simple and rapid diagnostic TB test for use at the lowest level of health care and the involvement of all health providers in case finding activities are imperative for early TB case detection
Pastoralism and delay in diagnosis of TB in Ethiopia
Patient delay observed among pastoralist TB patients in SRS is one of the highest reported so far from developing countries, exceeding two years in some patients. This long patient delay appears to be associated with patient's inadequate knowledge of the disease and distance to health care facility with nomadic pastoralists being the most affected. Regional TB control programmes need to consider the exceptional circumstances of pastoralists, to m…
Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique
Efforts to increase vaccination coverage should take into account factors that contribute to the incomplete vaccination status of children. Missed opportunities for vaccination and incorrect vaccination need to be avoided in order to increase the vaccine coverage for those clients that reach the health facility, specially in those countries where health services do not have 100% of coverage
Assessment of measles immunity among infants in Maputo City, Mozambique
These data indicate a need to re-evaluate the effectiveness of the measles immunization policy in the current epidemiological scenario
Barriers and enablers in the management of tuberculosis treatment in Addis Ababa, Ethiopia
Non-adherence to tuberculosis (TB) treatment is an important barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse, and death. The aim of the present study is to explore enablers and barriers in the management of TB treatment during the first five months of treatment in Addis Ababa, Ethiopia. Qualitative study which included 50 in-depth interviews and two focus groups with TB…
Perception and Management of Tuberculosis Symptoms in Addis Ababa, Ethiopia
Management of early tuberculosis (TB) symptoms and adherence to medical treatment are main challenges in controlling TB. The aim of this study is to explore how symptoms of TB are perceived and managed, from the onset of symptoms and during the course of treatment, in Addis Ababa, Ethiopia. We conducted a qualitative interview study, including 50 in-depth interviews and 2 focus groups, with TB patients, their relatives, and health personnel. We f…
Assessing immunization data quality from routine reports in Mozambique
In this paper we have argued that the quality of data, and consequently of the information system, must be seen in a broader perspective not focusing only on technicalities (data collection tools and the reporting system) but also on support mechanisms. Implications of a poor data quality system will be reflected in the efficiency of health services facing increased demands, with stagnant or decreasing resources
Treatment outcome of new culture positive pulmonary tuberculosis in Norway
Although the TB treatment success rate in Norway has increased compared to previous studies and although it has reached a reasonable target for treatment outcome in low-incidence countries, the total success rate for 1996-2002 was still slightly below the WHO target of success rate of 85%. Early diagnosis of TB in elderly patients to reduce the death rate, abstaining from expulsion of patients on treatment and further measures to prevent default …
Some Problems Related to Risk-Benefit Assessments in Clinical Testing of New Vaccines
Problems Related to Informed Consent from Young Teenagers Participating in Efficacy Testing of a New Vaccine
student and at least one legal guardian were required to sign. Nearly 75 percent (172,000) of all secondary school students in the country volunteered for the study and schools were randomly allocated to receive vaccine or placebo. A register was established containing all students in secondary school, including nonvolunteering students, with name, identification number, address, dates of both injections (with code number for the preparation give…
A new approach to global health institutions? A case study of new vaccine introduction and the formation of the Gavi Alliance
Barriers and enablers in the management of tuberculosis treatment in Addis Ababa, Ethiopia
Non-adherence to tuberculosis (TB) treatment is an important barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse, and death. The aim of the present study is to explore enablers and barriers in the management of TB treatment during the first five months of treatment in Addis Ababa, Ethiopia. Qualitative study which included 50 in-depth interviews and two focus groups with TB…
Perception and Management of Tuberculosis Symptoms in Addis Ababa, Ethiopia
Management of early tuberculosis (TB) symptoms and adherence to medical treatment are main challenges in controlling TB. The aim of this study is to explore how symptoms of TB are perceived and managed, from the onset of symptoms and during the course of treatment, in Addis Ababa, Ethiopia. We conducted a qualitative interview study, including 50 in-depth interviews and 2 focus groups, with TB patients, their relatives, and health personnel. We f…
Problems Related to Informed Consent from Young Teenagers Participating in Efficacy Testing of a New Vaccine
student and at least one legal guardian were required to sign. Nearly 75 percent (172,000) of all secondary school students in the country volunteered for the study and schools were randomly allocated to receive vaccine or placebo. A register was established containing all students in secondary school, including nonvolunteering students, with name, identification number, address, dates of both injections (with code number for the preparation give…
Some Problems Related to Risk-Benefit Assessments in Clinical Testing of New Vaccines
Assessing immunization data quality from routine reports in Mozambique
In this paper we have argued that the quality of data, and consequently of the information system, must be seen in a broader perspective not focusing only on technicalities (data collection tools and the reporting system) but also on support mechanisms. Implications of a poor data quality system will be reflected in the efficiency of health services facing increased demands, with stagnant or decreasing resources
Treatment outcome of new culture positive pulmonary tuberculosis in Norway
Although the TB treatment success rate in Norway has increased compared to previous studies and although it has reached a reasonable target for treatment outcome in low-incidence countries, the total success rate for 1996-2002 was still slightly below the WHO target of success rate of 85%. Early diagnosis of TB in elderly patients to reduce the death rate, abstaining from expulsion of patients on treatment and further measures to prevent default …
Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique
Efforts to increase vaccination coverage should take into account factors that contribute to the incomplete vaccination status of children. Missed opportunities for vaccination and incorrect vaccination need to be avoided in order to increase the vaccine coverage for those clients that reach the health facility, specially in those countries where health services do not have 100% of coverage
Assessment of measles immunity among infants in Maputo City, Mozambique
These data indicate a need to re-evaluate the effectiveness of the measles immunization policy in the current epidemiological scenario
Barriers and enablers in the management of tuberculosis treatment in Addis Ababa, Ethiopia
Non-adherence to tuberculosis (TB) treatment is an important barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse, and death. The aim of the present study is to explore enablers and barriers in the management of TB treatment during the first five months of treatment in Addis Ababa, Ethiopia. Qualitative study which included 50 in-depth interviews and two focus groups with TB…
Perception and Management of Tuberculosis Symptoms in Addis Ababa, Ethiopia
Management of early tuberculosis (TB) symptoms and adherence to medical treatment are main challenges in controlling TB. The aim of this study is to explore how symptoms of TB are perceived and managed, from the onset of symptoms and during the course of treatment, in Addis Ababa, Ethiopia. We conducted a qualitative interview study, including 50 in-depth interviews and 2 focus groups, with TB patients, their relatives, and health personnel. We f…
Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia
The majority of TB suspects and PTB cases had already taken health care actions for their symptoms at the time of the survey. The availability of a simple and rapid diagnostic TB test for use at the lowest level of health care and the involvement of all health providers in case finding activities are imperative for early TB case detection
Pastoralism and delay in diagnosis of TB in Ethiopia
Patient delay observed among pastoralist TB patients in SRS is one of the highest reported so far from developing countries, exceeding two years in some patients. This long patient delay appears to be associated with patient's inadequate knowledge of the disease and distance to health care facility with nomadic pastoralists being the most affected. Regional TB control programmes need to consider the exceptional circumstances of pastoralists, to m…
Armed conflicts have an impact on the spread of tuberculosis
Patients from conflict zones have a longer delay in receiving a diagnosis of TB and have higher levels of self treatment utilization. This suggests that access to TB care should be improved by the expansion of user friendly directly observed therapy short-course (DOTS) in the conflict zones of the region
Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, Ethiopia
Afar pastoralists live in the northeast of Ethiopia, confined to the most arid part of the country, where there is least access to educational, health and other social services. Tuberculosis (TB) is one of the major public health problems in Afar region. Lack of knowledge about TB could affect the health-seeking behaviour of patients and sustain the transmission of the disease within the community. In this study, we assessed the knowledge and per…
Barriers and facilitators of adherence to TB treatment in patients on concomitant TB and HIV treatment
Health professionals and policy makers should be aware of factors influencing TB treatment in TB/HIV co-infected patients on concomitant treatment for TB and HIV. Our results suggest that provision of food and minimal financial support might facilitate adherence. Counseling might also facilitate adherence, in particular for those who start ART in the early phases of TB treatment, and beliefs related to side-effects and pill burden should be addre…
A new approach to global health institutions? A case study of new vaccine introduction and the formation of the Gavi Alliance
Knowledge of cervical tuberculosis lymphadenitis and its treatment in pastoral communities of the Afar region, Ethiopia
The pastoral community members in the study areas had little biomedical knowledge of the cause, the source of infection and the transmission route of cervical TBL. Furthermore, most community members believed that herbal medicines are the most effective treatment for TBL. Therefore, TB control programs in the Afar Region require the incorporation of public health education introducing current biomedical knowledge of the disease. In addition, furt…
Diagnostic and treatment delay among Tuberculosis patients in Afar Region, Ethiopia
There is a long delay in the diagnosis and initiation of treatment and this was mainly attributable to the health system. Health system strengthening towards improved diagnosis of TB could reduce the long health system's delay in the management of TB in the study area
Hopelessness as a basis for tuberculosis diagnostic delay in the Arkhangelsk region
The main contributing factor to unsuccessful health-seeking behaviour for patients with tuberculosis was identified as "being overpowered by hopelessness." This should be taken into consideration when creating any preventive programs and diagnostic algorithms aimed at increasing knowledge about TB, improving the health system, decreasing alcohol consumption and reducing the poverty of the people in Arkhangelsk
Prevalence of tuberculosis, HIV, and TB-HIV co-infection among pulmonary tuberculosis suspects in a predominantly pastoralist area, northeast Ethiopia
BACKGROUND: TB-HIV co-infection is one of the biggest public health challenges in sub-Saharan Africa. Although there is a wealth of information on TB-HIV co-infection among settled populations in Africa and elsewhere, to our knowledge, there are no published reports on TB-HIV co-infection from pastoral communities. In this study, we report the prevalence of TB, HIV and TB-HIV co-infection among pulmonary TB suspects in the Afar Regional State of …
Traditional healers’ role in the detection of active tuberculosis cases in a pastoralist community in Ethiopia
Results of the present study indicate that THs can contribute to the detection of undiagnosed active TB cases in a pastoralist community, provided they are given appropriate training and support
Medicine (18 obras) · Biostatistics (12 obras) · Public health (12 obras) · Tuberculosis (12 obras) · Tuberculosis Research and Epidemiology (12 obras) · Environmental health (11 obras) · Epidemiology (8 obras) · Family medicine (8 obras) · Internal Medicine (7 obras) · Nursing (7 obras)