International Maternal and Reproductive Health and Migration
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Birgitta Essén leads the IMHm research group and is a Professor in International Maternal and Reproductive Health at the Department of Women’s and Children’s Health. She is a Senior Consultant in Obstetrics and Gynaecology at the University Hospital of Uppsala where she is running a clinic especially for immigrant women. Her research and collaborations with several institutions in Sweden, have translated the theoretical knowledge of social & cultural aspects of the reproductive phenomena and then made it applicable in health promotions or in maternity care.
Her resarch group IMHm includes an interdisciplinary research team of gynecologists, anthropologists, sociologists and mathematicians. The research group specifically targets migration and reproductive health data with a focus on reproductive rights policy and social values. The research group IMHm specifically targets migration and reproductive health data with a focus on reproductive rights policy and social values.
Reproductive health is about how to best treat and prevent illness related to reproduction, childlessness, abortion, family planning, pregnancy, and motherhood. However, due to its influx of fundamental social values of humanity in a globalized society, it has become one of the most politicalized topics within medicine and has many claims-makers. The very nature of academic scholarship is the critical investigation and the critical dialogue. The greatest threat to scholarship is therefore when such dialogues are closed, censored, or compromised.
The group has received a strategically large national research grant, as part of the government's national research program in migration and integration, to improve knowledge of how to handle conflicts about values and cultural changes in healthcare. The biggest challenge that we investigate is how care providers can incorporate an equality perspective and at the same time a culturally sensitive care of weight. Both aspects are indicated in health care policies and guidelines, where some of these aspects may be contradictory and are thus an unexplored dilemma in a multicultural care environment. One of the main goals of the project is to explore similarities and differences in cultural values of Swedish caregivers and migrants. Sensitive topics such as reproduction, gender based violence, abortion, contraceptive advice or sexuality issues, during clinical consultations, can lead to tensions and misunderstandings between healthcare providers and migrant patients and ultimately suboptimal care. Research on how health care systems deal with these challenges is sparse.
Global projects
Maternal health and Newborn Sexual Reproductive Health
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Migration projects
MigraMed - Equity in Reproductive health care Genitals, gender and ethnicity Maternal health and Newborn

Group members
Publications
Part of Critical Public Health, 2026
- DOI for Is reproductive agency associated with subjective well-being?: A population-based cross-sectional study among men and women in four sub-Saharan African countries using the World Values Survey
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Determinants of human milk lactoferrin concentrations in rural Bangladesh
Part of PLOS Global Public Health, 2026
- DOI for Determinants of human milk lactoferrin concentrations in rural Bangladesh
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The reliability of replications: a study in computational reproductions
Part of Royal Society Open Science, 2025
- DOI for The reliability of replications: a study in computational reproductions
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Global directions of change in moral norms: a test of the moral argument theory
Part of Royal Society Open Science, 2025
- DOI for Global directions of change in moral norms: a test of the moral argument theory
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Part of BMC Pregnancy and Childbirth, 2025
- DOI for Overreliance on cultural doulas: the paradox of entrusting the communication and care of high-risk migrant women to cultural doulas
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Part of BMJ Paediatrics Open, 2025
- DOI for Smartphone-based screening of neonatal jaundice in three populations in low and middle-income countries: a cross-sectional study
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Part of Humanities and Social Sciences Communications, 2025
- DOI for Genital examinations in cases of suspected 'female genital mutilation' in Sweden 1982-2022: lawful decisions resulting in structural injustice
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The Intersection Between Migration and Global Health: Gaps in Research and Data
Part of International Migration, 2025
- DOI for The Intersection Between Migration and Global Health: Gaps in Research and Data
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Part of Frontiers in Communication, 2025
Part of BMC Health Services Research, 2025
- DOI for Voluntary termination of pregnancy in the context of decriminalized safe abortion: a longitudinal study on the availability, coverage, and utilization of services during 2016-2021 in Nampula province, northern Mozambique
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Part of Reproductive Health, 2025
- DOI for Healthcare providers' perceptions of immigrant patients' values about sexual and reproductive rights: a cross-sectional comparison with immigrants' self-reported values
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Part of BMC Pediatrics, 2025
- DOI for Association of biological, socioeconomic, and environmental factors with child development at two years of age in Bangladesh, Pakistan, and Tanzania: results from the AMANHI-ACT study
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Part of Sexual & Reproductive HealthCare, 2025
Part of Scandinavian Journal of Public Health, 2025
- DOI for Unfulfilled expectations of equal, respectful, or different treatment: Complaints of perceived ethnic, religious and gender discrimination in Swedish healthcare
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Everyday norms have become more permissive over time and vary across cultures
Part of COMMUNICATIONS PSYCHOLOGY, 2025
- DOI for Everyday norms have become more permissive over time and vary across cultures
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Harms of the current global anti-FGM campaign
Part of Journal of Medical Ethics, 2025
- DOI for Harms of the current global anti-FGM campaign
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Genital Modifications in Prepubescent Minors: When May Clinicians Ethically Proceed?
Part of American Journal of Bioethics, p. 53-102, 2025
- DOI for Genital Modifications in Prepubescent Minors: When May Clinicians Ethically Proceed?
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Part of BMJ Public Health, 2025
- DOI for Association between gestational weight gain and adverse pregnancy outcomes: cohort analysis from South Asia and Sub-Saharan Africa
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Part of Journal of Immigrant and Minority Health, p. 133-139, 2024
Comparing and modeling the use of online recommender systems
Part of Computers in Human Behavior Reports, 2024
- DOI for Comparing and modeling the use of online recommender systems
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American Muslim Engagement With Advance Care Planning: Insights From a Community Survey
Part of The American Journal of Hospice and Palliative Medicine, p. 405-413, 2024
A cultural evolution theory for contemporary polarization trends in moral opinions
Part of Humanities and Social Sciences Communications, 2024
- DOI for A cultural evolution theory for contemporary polarization trends in moral opinions
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Part of Conflict and Health, 2024
- DOI for Vaccination strategies to identify and reach zero-dose and under-immunized children in crisis-affected states in Sudan: a qualitative study
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Part of Sexual & Reproductive HealthCare, 2024
- DOI for Integrating sexual and reproductive health in higher education and healthcare services in Ukraine: A sustainable initiative for empowering war-affected youth
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Women's experience of preterm birth in an East African context: a qualitative study
Part of African Health Sciences, p. 151-162, 2024
- DOI for Women's experience of preterm birth in an East African context: a qualitative study
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Part of BioSocieties, 2024
- DOI for What is the cure for absolute infertility?: Biomedicalisation and routinisation of surrogacy and uterus transplantation in Nordic medical journals
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Awareness of postpartum depression among midwives and pregnant women in Arkhangelsk, Arctic Russia
Part of Global Health Action, 2024
- DOI for Awareness of postpartum depression among midwives and pregnant women in Arkhangelsk, Arctic Russia
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Part of Pan African Medical Journal, 2024
- DOI for Burst abdomen: a preventable risk of severe maternal morbidity in a developing country (a case-control study at a university teaching hospital in Tanzania)
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Part of Scientific Reports, 2024
- DOI for Anger and disgust shape judgments of social sanctions across cultures, especially in high individual autonomy societies
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2101-2111, 2024
- DOI for Women's use of Swedish health care during the postpartum period in relation to maternal country of birth-A population-based study
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Part of Global Health Action, 2024
- DOI for Association between maternal haemoglobin status during pregnancy and children's mental and psychomotor development at 18 months of age: Evidence from rural Bangladesh
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Folate deficiency in pregnancy and the risk of preterm birth: A nested case-control study
Part of Journal of Global Health, 2024
- DOI for Folate deficiency in pregnancy and the risk of preterm birth: A nested case-control study
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Part of Global Health Action, 2024
- DOI for Challenges and possible improvements for healthcare teams at outreach clinics in Nepal: a qualitative study
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2024
Part of Frontiers in Human Dynamics, 2024
- DOI for Rethinking (local) integration: domains of integration and their durability in Kismayo and Garowe, Somalia
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Part of Vaccines, 2024
- DOI for Assessing Vaccination Delivery Strategies for Zero-Dose and Under-Immunized Children in the Fragile Context of Somalia
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Part of Frontiers in Sociology, 2024
- DOI for Assessing knowledge of migrant sexual reproductive health and rights: a national cross-sectional survey among health professionals in Sweden
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Part of Frontiers in Health Services, 2024
- DOI for Unlocking the mechanisms of change in the MAMAACT intervention to reduce ethnic disparity in stillbirth and newborns' health: integration of evaluation findings
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Part of PLOS Global Public Health, 2024
- DOI for Determinants and prevalence of zero-dose children in Somalia: Analysis of the 2020 Health Demographic Survey data
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Part of Midwifery, 2024
- DOI for The dynamics of intercultural clinical encounters in times of pandemic crisis. Swedish healthcare providers' reflections on social norms in relation to sexual and reproductive healthcare
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Perceived Religious Discrimination in Healthcare: A Qualitative Study of Formal Complaints
Part of Culture, Spirituality and Religious Literacy in Healthcare, p. 90-107, Routledge, 2024
Part of SEXUAL AND REPRODUCTIVE HEALTH MATTERS, 2024
- DOI for Attitudes toward sexual and reproductive health and rights and their associations with reproductive agency: a population-based cross-sectional study in Ethiopia, Kenya, and Zimbabwe
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Part of Sexual & Reproductive HealthCare, 2024
- DOI for ‘Better taking the risk than a lifetime punishment of early forced marriage’: Young people’s perceptions and experiences towards voluntary termination of pregnancy in northern Mozambique
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Appropriateness ratings of everyday behaviors in the United States now and 50 years ago
Part of Frontiers in Psychology, 2023
- DOI for Appropriateness ratings of everyday behaviors in the United States now and 50 years ago
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Part of Frontiers in Human Dynamics, 2023
- DOI for Origin-country gender norms, individual work experience, and employment among immigrant women in Sweden
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The Economic Return to Labour Market Experience of Immigrants in Sweden
Part of Social Indicators Research, p. 5-23, 2023
- DOI for The Economic Return to Labour Market Experience of Immigrants in Sweden
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Part of Sociology, p. 957-974, 2023
- DOI for ‘You are Still a Guest in This Country!’: Understanding Racism through the Concepts of Hospitality and Hostility in Healthcare Encounters in Sweden
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Part of Frontiers in Sociology, 2023
- DOI for The relationship between dominant Western discourse and personal narratives of female genital cutting: exploring storytelling among Swedish-Somali girls and women
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Part of BMJ Open, 2023
- DOI for Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project
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Part of International journal of impotence research, p. 228-230, 2023
- DOI for Comment on: "Health outcomes and female genital mutilation/cutting: how much is due to the cutting itself?"
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Part of BMC Pregnancy and Childbirth, 2023
- DOI for Is there a relation between stillbirth and low levels of vitamin D in the population?: A bi-national follow-up study of vitamin D fortification
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Part of The Lancet Regional Health, 2023
- DOI for Integration of migrant and refugee data in health information systems in Europe: advancing evidence, policy and practice
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Part of PLOS ONE, 2023
- DOI for Fathers' experiences of childcare and feeding: A photo-elicitation study in a low resource setting in urban Addis Ababa, Ethiopia
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2023
Acculturation of hygiene norms among immigrants to Sweden
Part of Frontiers in Psychology, 2023
- DOI for Acculturation of hygiene norms among immigrants to Sweden
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Part of African Health Sciences, p. 193-201, 2023
- DOI for Challenges and recommendations for addressing under-five pneumonia morbidity and mortality in Nigeria
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A Systematic Review of Vaccination Guidance for Humanitarian Responses
Part of Vaccines, 2023
- DOI for A Systematic Review of Vaccination Guidance for Humanitarian Responses
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Part of Midwifery, 2023
- DOI for Paradoxes in the cultural doula concept for migrant women: Implications for gender-inclusive care versus migrant-friendly maternity care
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Part of BMJ Open, 2023
- DOI for COVID-19 pandemic hits differently: examining its consequences for women's livelihoods and healthcare access - a cross-sectional study in Kinshasa DRC
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The Governance of Childhood Vaccination Services in Crisis Settings: A Scoping Review
Part of Vaccines, 2023
- DOI for The Governance of Childhood Vaccination Services in Crisis Settings: A Scoping Review
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Part of International Journal of Qualitative Methods, 2023
- DOI for Photo Elicitation Interviewing Enriches Public Health Research on Fathers' Role in Child Care and Feeding in Addis Ababa, Ethiopia
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Framework for Refugee and Migrant Health Research in the WHO European Region
Part of Tropical medicine & international health, p. 90-97, 2023
- DOI for Framework for Refugee and Migrant Health Research in the WHO European Region
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Liberal and anti-establishment: An exploration of the political ideologies of American tech workers
Part of Sociological Review, p. 1467-1497, 2023
Part of Contemporary South Asia, p. 390-405, 2023
- DOI for ‘I don’t know how we can stop ragging’: a qualitative study on the perceptions of staff and work-affiliated individuals at a Sri Lankan university, on the phenomena of ragging
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WHO Regional Office for Europe, 2022
Part of European journal of contraception & reproductive health care, p. 221-229, 2022
- DOI for Intervening factors in health care professionals’ attitudes and behaviours towards comprehensive abortion care in the workplace: a comparative case study of Tanzania and Ethiopia
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Beyond tingles: An exploratory qualitative study of the Autonomous Sensory Meridian Response (ASMR)
Part of PLOS ONE, 2022
- DOI for Beyond tingles: An exploratory qualitative study of the Autonomous Sensory Meridian Response (ASMR)
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Part of PLOS ONE, 2022
- DOI for Ragging as an expression of power in a deeply divided society: a qualitative study on students perceptions on the phenomenon of ragging at a Sri Lankan university
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Part of BMC Health Services Research, 2022
- DOI for Developing contraceptive services for immigrant women postpartum - a case study of a quality improvement collaborative in Sweden
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The social values of newly arrived immigrants in Sweden
Part of PLOS ONE, 2022
- DOI for The social values of newly arrived immigrants in Sweden
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Part of International Journal of Public Health, p. 1-9, 2022
- DOI for The Liberal Social Values of Swedish Healthcare Providers in Women’s Healthcare: Implications for Clinical Encounters in a Diversified Sexual and Reproductive Healthcare
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Part of PLOS ONE, 2022
- DOI for Prevalence and barriers to male involvement in antenatal care in Dar es Salaam, Tanzania: A facility-based mixed-methods study
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Part of Global Public Health, p. 3142-3159, 2022
- DOI for Pathways to change: Three decades of feminist research and activism to end violence against women in Nicaragua
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Part of Disability and Rehabilitation, p. 3834-3842, 2022
- DOI for Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management: experiences of elderly myocardial infarction patients.
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Group antenatal care (gANC) for Somali-speaking women in Sweden - a process evaluation
Part of BMC Pregnancy and Childbirth, 2022
- DOI for Group antenatal care (gANC) for Somali-speaking women in Sweden - a process evaluation
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Part of Sexual & Reproductive HealthCare, 2022
- DOI for Healthcare providers' experiences of comprehensive emergency obstetric care in Somaliland: An explorative study with focus on cesarean deliveries
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Part of Journal of Cross-Cultural Gerontology, p. 45-67, 2022
- DOI for "I Know Hyena. Do you Know Hyena?" Challenges in Interpreter-Mediated Dementia Assessment, Focusing on the Role of the Interpreter
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Companions to unaccompanied asylum-seeking children in Sweden – experiences of Swedish families
Part of International Journal of Migration, Health and Social Care, p. 179-191, 2022
- DOI for Companions to unaccompanied asylum-seeking children in Sweden – experiences of Swedish families
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War in Ukraine: Challenges for women's and perinatal health
Part of Sexual & Reproductive HealthCare, 2022
Part of BMC Health Services Research, 2022
- DOI for Improving care for immigrant women before, during, and after childbirth - what can we learn from regional interventions within a national program in Sweden?
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Improving health in immigration detention and promoting alternatives to detention
Part of The Lancet, p. 1849-1850, 2022
Part of Sexual & Reproductive HealthCare, 2022
- DOI for Exploring sexual awareness and Decision-making among adolescent girls and boys in rural Nicaragua: A socio-ecological approach
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Pål Repstad (ed.): "Political Religion, Everyday Religion: Sociological Trends"
Part of Nordic Journal of Religion and Society, p. 61-63, 2021
- DOI for Pål Repstad (ed.): "Political Religion, Everyday Religion: Sociological Trends"
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Part of Ilmiö, 2021
Part of JOURNAL OF PRIMARY HEALTH CARE, p. 334-339, 2021
- DOI for 'Some women are proud of their experience and I have to respect that': an interview-study about midwives' experiences in caring for infibulated women during childbirth in Sweden
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Part of Health Policy, p. 1085-1091, 2021
- DOI for Migrant health and language barriers: Uncovering macro level influences on the implementation of trained interpreters in healthcare settings
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Part of BMC Women's Health, 2021
- DOI for Men's reproductive coercion of women: prevalence, experiences, and coping strategies-a mixed method study in urban health facilities in León, Nicaragua
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Part of Sexual Health, p. 203-211, 2021
Attitudes towards comparison of male and female genital cutting in a Swedish Somali population
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 604-613, 2021
- DOI for Attitudes towards comparison of male and female genital cutting in a Swedish Somali population
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 579-586, 2021
- DOI for How to ensure policies and interventions rely on strong supporting facts to improve women's health: The case of female genital cutting, using Rosling's Factfulness approach
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Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic
Part of Archives of Sexual Behavior, p. 1943-1948, 2021
- DOI for Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic
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Part of Journal of Global Health Reports, 2021
- DOI for Perceptions and experiences of community health workers on community-based child health interventions in the Maekel region, Eritrea
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World Health Organization. Regional Office for Europe, 2020
Part of Female Genital Cutting, p. 259-287, Centre for Sexology and Sexuality Studies, Malmö University, 2020
Improving Safety Among Pregnant Women Reporting Domestic Violence in Nepal-A Pilot Study.
Part of International Journal of Environmental Research and Public Health, 2020
- DOI for Improving Safety Among Pregnant Women Reporting Domestic Violence in Nepal-A Pilot Study.
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Part of Acta Paediatrica, p. 2532-2538, 2020
- DOI for Bilirubin estimates from smartphone images of newborn infants' skin correlated highly to serum bilirubin levels.
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Part of Nutrients, 2020
- DOI for Social Stratification, Diet Diversity and Malnutrition among Preschoolers: A Survey of Addis Ababa, Ethiopia
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Part of Midwifery, 2020
- DOI for Implementing the liberalized abortion law in Kigali, Rwanda: Ambiguities of rights and responsibilities among health care providers
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Part of Nutrients, 2020
- DOI for The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa: The EAT Addis Study in Ethiopia
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Symptoms of a broken system: the gender gaps in COVID-19 decision-making
Part of BMJ Global Health, 2020
- DOI for Symptoms of a broken system: the gender gaps in COVID-19 decision-making
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