Lars-Åke Persson
Professor at Department of Women's and Children's Health; International Child Health and Nutrition
- Mobile phone:
- +46 70 287 03 57
- E-mail:
- lars-ake.persson@uu.se
- Visiting address:
- MTC-huset, Dag Hammarskjölds väg 14B, 1 tr
752 37 Uppsala - Postal address:
- Akademiska sjukhuset
751 85 UPPSALA
More information is available to staff who log in.
Short presentation
Lars Åke Persson MD, PhD, paediatrician and epidemiologist with a focus on global health. Earlier Director, Public Health Sciences Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) 1999-2003, and Professor in International Child Health and head, International Maternal and Child Health (IMCH) at Uppsala University 2003-2014. Currently professor in Public Health Evaluation at London School of Hygiene & Tropical Medicine, posted in Addis Ababa, Ethiopia.
Keywords
- child health
- community intervention
- global health
- nutrition
Biography
Research and professional experience
Lars Åke Persson is paediatrician and epidemiologist with work experience from Sweden as well as from countries in Africa, Asia, and Latin America. The research has had three main themes: (1) Improved prenatal or early life nutrition and short- and long-term effects on the child. An example is the MINIMat trial in Bangladesh, where prenatal nutrition interventions had effects on child survival, growth and later metabolic markers; (2) Community-based interventions for improved child survival. An example is the NeoKIP trial in Vietnam, where local stakeholder groups worked in problem-solving cycles and reduced neonatal mortality by half in a province; and (3) Social conditions in family and society and effects on child health. Studies on gender-based violence and effects on family and child health illustrate this theme.
Research
We have had the ambition to do research that could contribute to the improvement of global child health. When we perform community-based nutrition trials, we are interested in short- as well as long-term effects.In the MINIMat trial (Maternal and Infant Nutrition Interventions in Matlab) in Bangladesh, pregnant women were randomised to different food- and micronutrient alternatives. We have documented effects on infant survival, child growth and metabolic markers at five years. The cohort is being followed up, currently around puberty. This cohort has generated around 100 scientific publications and approximately 15 PhD theses. In the NeoKIP trial in Quang Ninh province in Vietnam local stakeholder groups were engaged in problem-solving cycles that halved neonatal mortality in the intervention areas. Studies of social differentials in child health in Nicaragua, Vietnam, and Rwanda have demonstrated unfair gaps in health and survival but also shown that wise health politics and interventions might close these gaps. Studies of gender-based violence against women contributed to improved laws to protect women in Nicaragua and Bangladesh. We have also shown that gender-based violence against women also markedly increases the risk of childhood diseases, impaired growth, and mortality in childhood. Currently, Lars-Åke Persson is involved in research and research capability strengthening within a large intervention project for improved health and health care utilisation in childhood in Ethiopia.
Publications
Recent publications
- Maternal exposure to polycyclic aromatic hydrocarbons during pregnancy and timing of pubertal onset in a longitudinal mother-child cohort in rural Bangladesh (2024)
- Early Life Environmental Exposure to Cadmium, Lead, and Arsenic and Age at Menarche (2023)
- Routine health management information system data in Ethiopia (2021)
- Trends and factors related to adolescent pregnancies (2021)
- A cohort study of the association between prenatal arsenic exposure and age at menarche in a rural area, Bangladesh (2021)
All publications
Articles
- Maternal exposure to polycyclic aromatic hydrocarbons during pregnancy and timing of pubertal onset in a longitudinal mother-child cohort in rural Bangladesh (2024)
- Early Life Environmental Exposure to Cadmium, Lead, and Arsenic and Age at Menarche (2023)
- Routine health management information system data in Ethiopia (2021)
- Trends and factors related to adolescent pregnancies (2021)
- A cohort study of the association between prenatal arsenic exposure and age at menarche in a rural area, Bangladesh (2021)
- Assessing the Multiple Dimensions of Poverty (2020)
- Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh (2020)
- Predicting poverty (2019)
- Relative importance of prenatal and postnatal determinants of stunting (2019)
- Cohort Profile (2018)
- Secular trend, seasonality and effects of a community-based intervention on neonatal mortality (2018)
- Food insecurity and self-rated health in rural Nicaraguan women of reproductive age (2018)
- Cost-effectiveness of prenatal food and micronutrient interventions on under-five mortality and stunting (2018)
- Promoting short-term and long-term health (2018)
- Rebuilding research capacity in fragile states (2017)
- “With An Open Heart We Receive the Children” (2017)
- Prenatal early food and multiple micronutrient supplementation trial reduced infant mortality in Bangladesh, but did not influence morbidity (2017)
- Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh (2017)
- Case review of perinatal deaths at hospitals in Kigali, Rwanda (2017)
- Effects of early prenatal food supplementation and multiple micronutrients on under-five survival, linear growth, metabolic markers and blood pressure up to 10 years of age (2017)
- Child survival revolutions revisited (2017)
- Early life arsenic exposure, infant and child growth, and morbidity (2017)
- Modifiers of the effect of maternal multiple micronutrient supplementation on stillbirth, birth outcomes, and infant mortality (2017)
- Modifiers of the Effect of Maternal Multiple Micronutrient Supplementation (2017)
- Prenatal food and micronutrient interventions in rural Bangladesh remain cost-effective when assessing both favorable and unfavorable outcomes (2017)
- Breaking the cycles of poverty (2017)
- Consumption of highly processed snacks, sugar-sweetened beverages and child feeding practices in a rural area of Nicaragua (2016)
- Effects of prenatal micronutrient and early food supplementation on metabolic status of the offspring at 4.5 years of age. The MINIMat randomized trial in rural Bangladesh. (2016)
- Process evaluation of a knowledge translation intervention using facilitation of local stakeholder groups to impove neonatal survival in Quang Ninh province, Vietnam (2016)
- Using health and demographic surveillance for the early detection of cholera outbreaks (2016)
- Stunted at 10 Years. Linear Growth Trajectories and Stunting from Birth to Pre-Adolescence in a Rural Bangladeshi Cohort. (2016)
- Health system context and implementation of evidence-based practices-development and validation of the Context Assessment for Community Health (COACH) tool for low- and middle-income settings (2015)
- Socio-economic resources, young child feeding practices, consumption of highly processed snacks and sugar-sweetened beverages (2015)
- Early prenatal food supplementation ameliorates the negative association of maternal stress with birth size in a randomised trial (2015)
- Effect of an integrated community-based package for maternal and newborn care on feeding patterns during the first 12 weeks of life (2015)
- Healing the health system after civil unrest (2015)
- Early invitation to food and/or multiple micronutrient supplementation in pregnancy does not affect body composition in offspring at 54 months (2015)
- Trends and social differentials in child mortality inRwanda 1990–2010 (2015)
- Social equity in perinatal survival (2015)
- Effect of Facilitation of Local Stakeholder Groups on Equity in Neonatal Survival (2015)
- Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh (2015)
- Numbering the uncounted, focusing the unseen (2015)
- Implementing Kangaroo mother care in a resource-limited setting in rural Bangladesh (2015)
- Cost-effectiveness of invitation to food supplementation early in pregnancy combined with multiple micronutrients on infant survival (2015)
- Selenium status in pregnancy influences children's cognitive function at 1.5 years of age (2015)
- Women´s autonomy and social support and their associations with infant and young child feeding and nutritional status (2015)
- Ascaris lumbricoids Infection as a Risk Factor for Asthma and Atopy in Rural Bangladeshi Children. (2014)
- Nutritional status and childhood wheezing in rural Bangladesh (2014)
- Social circumstances that drive early introduction of formula milk (2014)
- Thymus development and infant and child mortality in rural Bangladesh (2014)
- Comparing progress toward the child mortality Millennium Development Goal in León and Cuatro Santos, Nicaragua, 1990–2008 (2014)
- Urinary iodine concentrations of pregnant women in rural Bangladesh (2014)
- Equity in adherence to and effect of prenatal food and micronutrient supplementation on child mortality (2014)
- Goodstart (2014)
- Dödligheten minskar, men fortfarande dör 7 miljoner barn varje år (2013)
- Dödligheten minskar, men fortfarande dör 7 miljoner barn varje år (2013)
- Glucose tolerance and beta-cell function in islet autoantibody-positive children recruited to a secondary prevention study (2013)
- The context assessment for community health tool (2013)
- Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries (2013)
- Snacking And Infant Young Child Feeding Practices In A Rural Area Of Nicaragua (2013)
- Infant And Young Child Feeding Practices And Nutritional Status In Nicaragua (2013)
- Efficacy of micronutrient supplement intake in increasing hemoglobin in pregnancy (2013)
- Disproportionate early fetal growth predicts postnatal thymic size in humans (2013)
- Combined Food and Micronutrient Supplements during Pregnancy Have Limited Impact on Child Blood Pressure and Kidney Function in Rural Bangladesh (2013)
- Early exposure to toxic metals has a limited effect on blood pressure or kidney function in later childhood, rural Bangladesh (2013)
- Free formula milk in the prevention of mother-to-child transmission programme (2013)
- Effects of exclusive breastfeeding intervention on child growth and body composition (2013)
- Evaluating helping babies breathe (2013)
- Effect of Facilitation of Local Maternal-and-Newborn Stakeholder Groups on Neonatal Mortality (2013)
- Elevated manganese concentrations in drinking water may be beneficial for fetal survival (2013)
- Early invitation to prenatal food combined with multiple micronutrients is cost-effective compared to iron-folic acid supplementations (2013)
- Early Participation in a Prenatal Food Supplementation Program Ameliorates the Negative Association of Food Insecurity with Quality of Maternal-Infant Interaction (2012)
- “The training was an eye-opener…” (2012)
- Body composition of Bangladeshi children: comparison and development of leg-to-leg bioelectrical impedance equation (2012)
- Environmental exposure to arsenic and cadmium during pregnancy and fetal size (2012)
- Associations between oxidative parameters in pregnancy and birth anthropometry in a cohort of women and children in rural Bangladesh (2012)
- Associations between oxidative parameters in pregnancy and metabolic, oxidative and inflammatory markers in offspring in early childhood (2012)
- Early infections are associated with increased risk for celiac disease (2012)
- Early vaccinations are not risk factors for celiac disease (2012)
- Effects of psychosocial stimulation on improving home environment and child-rearing practices (2012)
- Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh (2012)
- Causes of neonatal death (2012)
- Progress towards millennium development goal 1 in northern rural Nicaragua (2012)
- Prenatal Micronutrient and Early Pregnancy Food Supplementation in Bangladesh Reply (2012)
- Effects of Prenatal Micronutrient and Early Food Supplementation on Maternal Hemoglobin, Birth Weight, and Infant Mortality Among Children in Bangladesh (2012)
- Intimate partner violence and early child growth (2012)
- Temporal and seasonal variability of arsenic in drinking water wells in Matlab, southeastern Bangladesh (2011)
- Infant anaemia is associated with infection, low birthweight and iron deficiency in rural Bangladesh (2011)
- Newborn care and knowledge translation - perceptions among primary health care staff in northern Vietnam (2011)
- Effects of prenatal food and micronutrient supplementation on child growth from birth to 54 months of age (2011)
- Ethnic inequity in neonatal survival (2011)
- Tracking progress towards equitable child survival in a Nicaraguan community (2011)
- Arsenic Exposure in Pregnancy Increases the Risk of Lower Respiratory Tract Infection and Diarrhea During Infancy in Bangladesh (2011)
- An effectiveness study of an integrated, community-based package for maternal, newborn, child and HIV care in South Africa (2011)
- Implementing knowledge into practice for improved neonatal survival (2011)
- Survival of infants in the context of prevention of mother to child HIV transmission in South Africa (2010)
- Maternal multiple micronutrient supplementation has limited impact on micronutrient status of Bangladeshi infants compared with standard iron and folic acid supplementation (2010)
- Impact of smoking and chewing tobacco on arsenic-induced skin lesions (2010)
- Distance decay in delivery care utilisation associated with neonatal mortality (2010)
- Dowry and Spousal Physical Violence Against Women in Bangladesh (2010)
- Perinatal services and outcomes in Quang Ninh province, Vietnam (2010)
- Arsenic Exposure and Risk of Spontaneous Abortion, Stillbirth, and Infant Mortality (2010)
- Household food security is associated with early childhood language development (2010)
- Spatial modelling of individual arsenic exposure via well water (2010)
- Spatial patterns of fetal loss and infant death in an arsenic-affected area in Bangladesh (2010)
- Arsenic exposure from drinking water and mortality in Bangladesh (2010)
- Duration of exclusive breast-feeding and infant iron and zinc status in rural Bangladesh (2009)
- Evidence-based practice in neonatal health (2009)
- Early-life nutritional and environmental determinants of thymic size in infants born in rural Bangladesh (2009)
- Arsenic exposure during pregnancy and size at birth (2009)
- Effects of in utero arsenic exposure on child immunity and morbidity in rural Bangladesh (2009)
- Use of the new World Health Organization child growth standards to describe longitudinal growth of breastfed rural Bangladeshi infants and young children (2009)
- Household food security is associated with growth of infants and young children in rural Bangladesh (2009)
- Arsenic in Drinking Water and Adult Mortality (2009)
- Neuroendocrine response to violence durin pregnancy - impact on duration of pregnancy and fetal growth (2009)
- Violence against women increases the risk of foetal and early childhood growth impairment (2009)
- Violence against women and the risk of fetal and early childhood growth impairment (2009)
- Violence against women and increases in the risk of diarrheal disease and respiratory tract infections in infancy (2009)
- Effects of mode of oral iron administration on serum ferritin and haemoglobin in infants (2008)
- Mental health of Bosnian refugee children (2008)
- Persistent neonatal mortality despite improved under-five survival (2008)
- Nutritional status has marginal influence on the metabolism of inorganic arsenic in pregnant Bangladeshi women (2008)
- Iron supplementation of iron-replete Indonesian infants is associated with reduced weight-for-age (2008)
- Gender and age differences in the metabolism of inorganic arsenic in a highly exposed population in Bangladesh (2008)
- The risk of arsenic induced skin lesions in Bangladeshi men and women is affected by arsenic metabolism and the age at first exposure (2008)
- Unreported births and deaths, a severe obstacle for improved neonatal survival in low-income countries; a population based study (2008)
- Delivery care utilisation and care-seeking in the neonatal period: a population-based study in Vietnam (2008)
- Urinary arsenic concentration adjustment factors and malnutrition (2008)
- The Nicaraguan health and demographic surveillance site, HDSS-León (2008)
- Appropriate infant feeding practices result in better growth of infants and young children rural Bangladesh (2008)
- Household food security is associated with infant feeding practices in rural Bangladesh (2008)
- Factors associated with physical spousal abuse of women during pregnancy in Bangladesh (2008)
- Effects of prenatal food and micronutrient supplementation on infant development (2008)
- Violence against women and the risk of under-five mortality (2008)
- Effectiveness of Haemophilus influenzae type B conjugate vaccine on prevention of pneumonia and meningitis in Bangladeshi children (2007)
- Effectiveness of the WHO/UNICEF guidelines on infant feeding for HIV-positive women (2007)
- Detecting arsenic-related skin lesions (2007)
- Screening of arsenic in tubewell water with field test kits (2007)
- Burning "Centre Bolt": Experiences of sexually transmitted infections and health care seeking behaviour described by street boys in Urban Kenya (2007)
- Influence of iron and zinc status on cadmium accumulation in Bangladeshi women (2007)
- Use of stable-isotope techniques to validate infant feeding practices reported by Bangladeshi women receiving breastfeeding counseling (2007)
- Whom can I rely on? Mothers' approaches to support for feeding (2007)
- Association of Arsenic Exposure during Pregnancy with Fetal Loss and Infant Death (2007)
- A Longitudinal Qualitative Study of Infant-Feeding Decision Making and Practices among HIV-Positive Women in South Africa (2006)
- Physical violence by husbands (2006)
- Arsenic exposure and age- and sex-specific risk for skin lesions (2006)
- Prevalence of arsenic exposure and skin lesions. A population based survey in Matlab, Bangladesh. (2006)
- Effect of prenatal food supplementation on birth weight (2006)
- Arsenic exposure in pregnancy (2006)
- A modified routine analysis of arsenic content in drinking-water in Bangladesh by hydride generation-atomic absorption spectrophotometry. (2006)
- Factors associated with spousal physical violence against women in Bangladesh. (2005)
- The unfinished child survival revolution: the role of nutrition (2005)
- Violence against pregnant women (2005)
- Anaemia and iron deficiency during pregnancy in rural Bangladesh (2004)
- Dietary Iron Intake Is Positively Associated with Hemoglobin ConcentrationDuring Infancy but Not During the Second Year of Life. (2004)
- Effects of weaning cereals with different phytate content on growth, development and morbidity: a randomized intervention trial in infants from 6 to 12 months of age (2004)
- A community-based randomized controlled trial of iron and zinc supplementation in Indonesian infants (2004)
- Comparative analysis of patterns of survival by season of birth in rural Bangladeshi and Gambian populations. (2004)
- Barns rätt till överlevnad -sårbart läge trots framsteg (2004)
- The Rosén von Rosenstein Award 2004 (2004)
- Diet, Growth, and the Risk for Type 1 Diabetes in Childhood (2004)
- Violence against women increases the risk of infant and child mortality: acase-referent study in Nicaragua. (2003)
- Simultaneous weekly supplementation of iron and zinc is associated withlower morbidity due to diarrhea and acute lower respiratory infection inBangladeshi infants. (2003)
- Child war trauma: a comparison of clinician, parent and child assessments. (2003)
- Impact of daily and weekly iron supplementation to women in pregnancy and puerperium on haemoglobin and iron status six weeks postpartum: results from a community-based study in Bangladesh. (2003)
- Children born in the summer have increased risk for coeliac disease. (2003)
- The Swedish coeliac disease epidemic with a prevailing twofold higher riskin girls compared to boys may reflect gender specific risk factors. (2003)
- Health care providers´ perceptions on harmful traditional health practices in Ethiopia. (2003)
- Effects of weaning cereals with different phytate contents on hemoglobin,iron stores, and serum zinc: a randomized intervention in infants from 6to 12 mo of age. (2003)
- A community-based randomized controlled trial of iron and zincsupplementation in Indonesian infants: interactions between iron and zinc. (2003)
- Socio-economic resources and child under- and over-nutrition
- Effect of Facilitation of Local Maternal-and-Newborn Health Groups on Continuum of Perinatal Care