Anni-Maria Pulkki-Brännström
Biographic Data
| ID | 6161942 |
|---|---|
| NAME | Anni-Maria Pulkki-Brännström |
| GIVEN NAMES | Anni-Maria |
| FAMILY NAME | Pulkki-Brännström |
| SIGNATURE | PULKKI-BRÄNNSTRÖM A |
| AFFILIATIONS | Umeå University |
| ORCID | 0000-0001-8723-8131 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Attitudes and practices of Sudan’s health sector partners towards strengthening and utilising the national health system components (2015–2022)
While the emphasis on strengthening and utilising a unified national system has gained momentum in discussions among health partners throughout the world, there are evident discrepancies between commitments and practice. Sudan presents an interesting case where the last decade has witnessed major political changes that have influenced health sector partnerships. This study investigates the shifts in attitudes and practices of Sudan’s health secto…
Humanitarian–development nexus approach to health systems strengthening in Sudan—a policy analysis
Background: With increasing conflict, fragility, and emergencies in many countries, health systems are being frequently weakened and require support and strengthening. To ensure the provision of lifesaving interventions while improving national health systems, the humanitarian-development nexus presents a policy solution to bridge the divide between humanitarian and development actors. Sudan represents an interesting case of the nexus of adoption…
Unequal distributional change in body mass index among pre-pregnant women and their male partners in northern Sweden
The study revealed weight gain inequalities, with higher BMI segments experiencing a disproportionately higher rise compared to others. Identifying high-risk groups in vulnerable settings will better equip decision-makers to design and implement targeted intervention strategies to reduce overweight and obesity
Effect of a multicomponent school-based intervention with parental involvement on socioeconomic inequalities in smoking initiation
BACKGROUND: As prevalence of tobacco use falls, socioeconomic inequalities in tobacco use are increasing in many high-income countries. Evidence is lacking on the effect of preventive interventions on socioeconomic inequalities in smoking initiation among adolescents. We evaluated whether a multicomponent school-based prevention programme with parental involvement has differential effects on smoking initiation across socioeconomic groups and affe…
Sudan's health sector partnership
Social inequalities in social-emotional problems among preschool children
BACKGROUND: Social-emotional ability is important for overall health and wellbeing in early childhood. Recognizing preschool children in need of extra support, especially those living in unfavourable conditions, can have immediate positive effects on their health and benefit their wellbeing in the long-term. OBJECTIVES: The aim of this study is to investigate whether there are social inequalities in preschool children's social-emotional problems,…
Multifaceted determinants of social-emotional problems in preschool children in Sweden
Social-emotional problems occurring early in life can place children at future risk of adverse health, social and economic outcomes. Determinants of social-emotional problems are multi-layered and originate from different contexts surrounding children, though few studies consider them simultaneously. We adopted a holistic approach by using Bronfenbrenner's process-person-context-time model as a structuring device. We aimed to assess what characte…
Social inequalities in healthcare utilization during Ecuadorian healthcare reform (2007–2017)
Our results showed remarkable and significant decreases in inequalities in all examined socioeconomic groups in absolute and relative terms in this period. Although a new model of healthcare was established to achieve universal health coverage, its performance must be continuously evaluated and monitored with specific indicators. Further studies are also needed to identify the main barriers that contribute to UHCN among socially disadvantaged gro…
Participatory learning and action cycles with women's groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women's groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Participatory learning and action cycles with women’s groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women’s groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Socioeconomic inequalities in women’s access to health care
While most socioeconomic inequalities in skilled birth attendance decreased during the reform period, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further studies are needed to address the social determinants of these health inequalities
The equity impact of a universal child health promotion programme
Background Real-world evaluations of complex interventions are scarce. We evaluated the effect of the Salut Programme, a universal child health promotion intervention in northern Sweden, on income-related inequalities in positive birth outcomes and healthcare utilisation up to 2 years after delivery. Methods Using the mother’s place of residence at delivery, the child and the mother were classified as belonging to either the control area (receive…
Experiences in running a complex electronic data capture system using mobile phones in a large-scale population trial in southern Nepal
The increasing availability and capabilities of mobile phones make them a feasible means of data collection. Electronic Data Capture (EDC) systems have been used widely for public health monitoring and surveillance activities, but documentation of their use in complicated research studies requiring multiple systems is limited. This paper shares our experiences of designing and implementing a complex multi-component EDC system for a community-base…
Socio-economic inequity in HIV testing in Malawi
BACKGROUND: Human immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi. OBJECTIVE: To assess horizontal inequity (HI) in HIV testing in Malawi. DESIGN: Data from the Demographic and Health Surveys (DHSs) 2004 and 2010 in Malawi are used for the a…
Inequity in costs of seeking sexual and reproductive health services in India and Kenya
Highly regressive spending on SRH services highlights the heavier burden borne by the poorest when seeking care in resource-constrained settings such as India and Kenya. The large proportion of service users, particularly in India, relying on money received from family members to finance care seeking suggests that access would be more difficult for those with weak social ties, small social networks or weak bargaining positions within the family -…
Highlighting the evidence gap
There is growing evidence of the effectiveness of early childhood interventions to improve the growth and development of children. Although, historically, nutrition and stimulation interventions may have been delivered separately, they are increasingly being tested as a package of early childhood interventions that synergistically improve outcomes over the life course. However, implementation at scale is seldom possible without first considering …
Collecting and analysing cost data for complex public health trials
BACKGROUND: Current guidelines for the conduct of cost-effectiveness analysis (CEA) are mainly applicable to facility-based interventions in high-income settings. Differences in the unit of analysis and the high cost of data collection can make these guidelines challenging to follow within public health trials in low- and middle- income settings. OBJECTIVE: This paper reflects on the challenges experienced within our own work and proposes solutio…
Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings
Maternal and neonatal health expenditure in mumbai slums (India)
High expenditure as a proportion of household resources should alert policymakers to the burden of maternal spending in this context. Differences in informal payments, significantly regressive indirect spending and the use of savings versus wages to finance spending, all highlight the heavier burden borne by the most poor. If a policy objective is to increase institutional deliveries without forcing households deeper into poverty, these inequitie…
No prominent works on this page.
Maternal and neonatal health expenditure in mumbai slums (India)
High expenditure as a proportion of household resources should alert policymakers to the burden of maternal spending in this context. Differences in informal payments, significantly regressive indirect spending and the use of savings versus wages to finance spending, all highlight the heavier burden borne by the most poor. If a policy objective is to increase institutional deliveries without forcing households deeper into poverty, these inequitie…
Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings
Collecting and analysing cost data for complex public health trials
BACKGROUND: Current guidelines for the conduct of cost-effectiveness analysis (CEA) are mainly applicable to facility-based interventions in high-income settings. Differences in the unit of analysis and the high cost of data collection can make these guidelines challenging to follow within public health trials in low- and middle- income settings. OBJECTIVE: This paper reflects on the challenges experienced within our own work and proposes solutio…
Inequity in costs of seeking sexual and reproductive health services in India and Kenya
Highly regressive spending on SRH services highlights the heavier burden borne by the poorest when seeking care in resource-constrained settings such as India and Kenya. The large proportion of service users, particularly in India, relying on money received from family members to finance care seeking suggests that access would be more difficult for those with weak social ties, small social networks or weak bargaining positions within the family -…
Highlighting the evidence gap
There is growing evidence of the effectiveness of early childhood interventions to improve the growth and development of children. Although, historically, nutrition and stimulation interventions may have been delivered separately, they are increasingly being tested as a package of early childhood interventions that synergistically improve outcomes over the life course. However, implementation at scale is seldom possible without first considering …
Socio-economic inequity in HIV testing in Malawi
BACKGROUND: Human immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi. OBJECTIVE: To assess horizontal inequity (HI) in HIV testing in Malawi. DESIGN: Data from the Demographic and Health Surveys (DHSs) 2004 and 2010 in Malawi are used for the a…
Experiences in running a complex electronic data capture system using mobile phones in a large-scale population trial in southern Nepal
The increasing availability and capabilities of mobile phones make them a feasible means of data collection. Electronic Data Capture (EDC) systems have been used widely for public health monitoring and surveillance activities, but documentation of their use in complicated research studies requiring multiple systems is limited. This paper shares our experiences of designing and implementing a complex multi-component EDC system for a community-base…
Socioeconomic inequalities in women’s access to health care
While most socioeconomic inequalities in skilled birth attendance decreased during the reform period, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further studies are needed to address the social determinants of these health inequalities
The equity impact of a universal child health promotion programme
Background Real-world evaluations of complex interventions are scarce. We evaluated the effect of the Salut Programme, a universal child health promotion intervention in northern Sweden, on income-related inequalities in positive birth outcomes and healthcare utilisation up to 2 years after delivery. Methods Using the mother’s place of residence at delivery, the child and the mother were classified as belonging to either the control area (receive…
Participatory learning and action cycles with women's groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women's groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Participatory learning and action cycles with women’s groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women’s groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Social inequalities in healthcare utilization during Ecuadorian healthcare reform (2007–2017)
Our results showed remarkable and significant decreases in inequalities in all examined socioeconomic groups in absolute and relative terms in this period. Although a new model of healthcare was established to achieve universal health coverage, its performance must be continuously evaluated and monitored with specific indicators. Further studies are also needed to identify the main barriers that contribute to UHCN among socially disadvantaged gro…
Social inequalities in social-emotional problems among preschool children
BACKGROUND: Social-emotional ability is important for overall health and wellbeing in early childhood. Recognizing preschool children in need of extra support, especially those living in unfavourable conditions, can have immediate positive effects on their health and benefit their wellbeing in the long-term. OBJECTIVES: The aim of this study is to investigate whether there are social inequalities in preschool children's social-emotional problems,…
Multifaceted determinants of social-emotional problems in preschool children in Sweden
Social-emotional problems occurring early in life can place children at future risk of adverse health, social and economic outcomes. Determinants of social-emotional problems are multi-layered and originate from different contexts surrounding children, though few studies consider them simultaneously. We adopted a holistic approach by using Bronfenbrenner's process-person-context-time model as a structuring device. We aimed to assess what characte…
Sudan's health sector partnership
Humanitarian–development nexus approach to health systems strengthening in Sudan—a policy analysis
Background: With increasing conflict, fragility, and emergencies in many countries, health systems are being frequently weakened and require support and strengthening. To ensure the provision of lifesaving interventions while improving national health systems, the humanitarian-development nexus presents a policy solution to bridge the divide between humanitarian and development actors. Sudan represents an interesting case of the nexus of adoption…
Unequal distributional change in body mass index among pre-pregnant women and their male partners in northern Sweden
The study revealed weight gain inequalities, with higher BMI segments experiencing a disproportionately higher rise compared to others. Identifying high-risk groups in vulnerable settings will better equip decision-makers to design and implement targeted intervention strategies to reduce overweight and obesity
Effect of a multicomponent school-based intervention with parental involvement on socioeconomic inequalities in smoking initiation
BACKGROUND: As prevalence of tobacco use falls, socioeconomic inequalities in tobacco use are increasing in many high-income countries. Evidence is lacking on the effect of preventive interventions on socioeconomic inequalities in smoking initiation among adolescents. We evaluated whether a multicomponent school-based prevention programme with parental involvement has differential effects on smoking initiation across socioeconomic groups and affe…
Attitudes and practices of Sudan’s health sector partners towards strengthening and utilising the national health system components (2015–2022)
While the emphasis on strengthening and utilising a unified national system has gained momentum in discussions among health partners throughout the world, there are evident discrepancies between commitments and practice. Sudan presents an interesting case where the last decade has witnessed major political changes that have influenced health sector partnerships. This study investigates the shifts in attitudes and practices of Sudan’s health secto…
Medicine (13 works) · Economics (10 works) · Environmental health (10 works) · Global Maternal and Child Health (10 works) · Population (9 works) · Economic growth (8 works) · Healthcare Systems and Reforms (8 works) · Nursing (8 works) · Demography (6 works) · Political science (6 works)