eRapport

Professorat Global Helse

Prosjekt
Prosjektnummer
46055623
Ansvarlig person
Elisabeth Darj
Institusjon
NTNU, ISM
Prosjektkategori
Forskningsinfrastruktur
Helsekategori
Reproductive Health and Childbirth, Other (ukjent, se veiledning)
Forskningsaktivitet
8. Health Services
Rapporter
2017
Som professor ved NTNU i Global Helse og overleger ved Kvinneklinikken har jag mange oppgaver, innen undervisning og forskning for master, PhD og medisinstudenter og forskningsformidling. Jag er hovedansvarlig for ett flertall prosjekt og med i ett flertall organisasjonskomiteer og arbeidsgrupper.Jag er ordførende i kvinneklinikkens FoU-styre og OVERLEGE ved klinikken (20% bistilling). Ved KVINNEKLINIKKEN hadde vi 10 protokollførda styremøten og bedømte 30 prosjektforslag som sents in til FoU. Vi bruker en agenda som omfatter følgende punkter : 1. Gjennomgang av det tidligere protokoll 2. Nye innkomne søknader for forskning ved klinikken 3. Gjennomgang av aktuelle oppgaver, prioriteringer, ansvarlige Prioriteringsordning av arbeidet 4. Økonomi 5. Øvrige spørsmål Vi arrangerede 4 forskningsforum, da eksterne forelesere kommer og taler for klinikkens leger om aktuelle emner. Jag foreleser under MEDISINSTUDIET om globale aspekter på forskjellig helseproblem. Ved NTNU er jag hovedveileder for 3 PhD STIPENDIATER; Kunta Devi Pun, jordmor fra Nepal, som er klar og skal disputer 24 April. (Vold mot gravide kvinner). Jag har besøkt Nepal en gang under året. Maria Lisa Odland, lege, har gjort all sin datainnsamling og bodd ett år i Malawi og skrever nå 3 artikler. (Bruk av manuell vaccum ved aborter, en intervensjon). Anders Aune, barnelege, som er PhD med innovasjonsmidler. Han har gjort en studie på nyfødte norske barn på St Olavs for å detekter gulsott med mobilkamera, men mye gode resultat. Han forbereder å utvide studien til andre etnisiteter, og hudfarger, i Nepal og Tanzania. Jag har varit tredje opponent og administrator ved to disputaser (Sunila Shakya og Ajay Risal) ved NTNU. Under året har jag veilett 3 medisinstudenter, som gjort sine HOVEDOPPGAVER i Tanzania og Malawi. De har gjort data innsamling, analyser og skrevet sine avhandlingar og levert til NTNU. Jag er programleder for MASTER PROGRAM I GLOBAL HEALTH, 500 søkere varje år og i Augusti begynte den tredje kullet med 20 studenter fra 13 forskjellige land. 7 kurser og master thesis ingår i den to år internasjonale programmet. Jag foreleser fremfor alt om maternal health og er ansvarlig for deras thesis writing. Jag har veilett 3 MASTER STUDENTER, en har publisert en artikkel, ytterligere en er submitted og to skal sendes tidlig 2018. Videre er jag direktør for den NATIONAL RESERACH SCHOOL IN GLOBAL HEALTH, som NTNU er vert for og som startet i april 2016, i samarbeid med UiO, UiB, UiT og Folkehelse instituttet. Forskerskolen har 119 medlemmer. Styret har regelbundne møter. Finansiert via Norges forskningsråd. NTNU arrangerte den store biannual GLOBVAC konferensen, der jag var vertinne og vi arrangerte en PhD konferens for 63 deltaker i Stiklestad direkt etter GLOBVAC konferansen. Jag var med i organisasjonskomiteene for begge konferanser. Vi arrangerer ved NTNU varje år en GLOBAL HEALTH DAY, på FN dagen 24 Oktober, med 300-350 deltakere og høy nivå på de inviterte internasjonale forelesere. Varje måned arrangeres GLOBAL HEALTH SEMINAR for St Olavs personell og NTNU studenter og ansatte. Under året utlystes et til Professorat i global helse, 16 søkere og jag var med i bedømmelse komitéen. En ny professor er ansatt fra 1 mars 2018. Videre utlystes 2 nye PhD stipendiat fra Fakultet for Medisin og Helsevitenskap og jag inngår i bedømmelse komitéen. Jag er medlem i rektors arbeidsgruppe om globalisering ved NTNU. Jag blev innvalgt i Det Kongelige Norske Vitenskapelige Selskap. Jag er biveileder to to PhD STIPENDIATER i Sverige og er gjesteprofessor ved Uppsala Universitet. Under året 2017 er 5 artikler publisert i anerkjente tidsskrifter. Ytterligere 2 er akseptert, 9 er submitted og 3 i manuskriptform.
2016
Master-utbildning i Global Helse, PhD-stipendiater, medisin-studentutbildning, forelesninger, veiledere, seminar, kongresser, samarbeid i forskjellige lavinntektsland.NTNU has the vision; Knowledge for a better world with a pronounced goal, 40% of the students at the university shall participate during some part of their studies in a foreign setting and academic environment. The Faculty of Medicine and Health Sciences has the vision; Health for a better world and one goal is that global health shall be taught in all educational programs. Furthermore, knowledge about people’s health, considering their country of origin must be present in all health services. In September 2013 the first professor in global health was employed at NTNU, Elisabeth Darj, affiliated to the Department of Public Health and Nursing at NTNU and to the Department of Obstetrics and Gynecology at St. Olavs Hospital. Global Health Day Every year a ‘Global Health Day’ is held in October, for students, teachers and health personnel at the hospital. International and national scholars are invited two topics are in focus each year. Antibiotic resistance and Migration Health were the chosen themes 2016. This event has received considerable media attention and reaches now between 300-400 delegates, from Norway and neighboring countries. Medical students arrange an evening event before Global Health Day, in order to promote the importance of global health issues for healthcare students. Global health seminars Every month since 2014, we arrange global health seminars, where students, researchers and PhD candidates present their research, methodology and results. These seminars have developed into a forum for discussions of global health projects also for St Olavs health providers. International Master Program in global health In August 2015 a two-year international Master’s program started in Public Health with specialization in Global Health 500 applied for the program the first year, and 25 students were admitted. Theoretical courses are held in the first year. The following year is allocated for the master thesis. http://www.ntnu.edu/web/master-of-science-in-public-health-msph- Norwegian Research School of Global Health The Faculty of Medicine and Health Science applied together with the universities in Oslo, Bergen, Tromsø and Institute of Public Health and received funds for establishing a national research school in global health. This school started in April 2016. Currently 80 PhD candidates are members of the school. http://www.ntnu.edu/nrsgh/ Global health education Global health is a recurring subject during the medical education, connecting clinical practice to the situation in other countries. Students participate in practice or perform their theses of medicine (hovedoppgave) in a low income setting. A summer school for medical students is established in Nepal. Likewise is global health a mandatory course at the Nursing school. NTNU has lately been hosting national events; Vision2030, visits at various occasions by Crown princess Mette-Marit, Tore Godal and Sir Michael Marmot, who became Honorary Doctor at NTNU this year, all met professor Darj. Strategically collaboration countries The Faculty of Medicine and Health Sciences has strategically chosen five low income countries for collaboration; Nepal, Malawi, Tanzania, Sierra Leone and South Africa. This has facilitated networking and capacity building in these universities, apart from ongoing individual research contacts in other countries. Students at different levels, such as PhD-, Master-, medical- , nursing-, and students in physiotherapy and other disciplines as well as health care employees are all benefiting from these formal collaborations.
2015
I was employed as the first professor in Global Health at NTNU 1 September 2013. My main three obligations were to start a Master Program in Global Health, to strengthen research in Global Health and to integrate NTNU and St Olav's Hospital in the work within Global Health.A two-year International Master Program within Public Health with specialization in Global Health started in August 2015. 500 students from all continents applied and 25 were admitted. The program is divided in seven different courses, with focus on specific thematic courses 30 ECTS, research methods 30 ECTS and Master thesis 60 ECTS. The running courses are Global Health (15 credits), Qualitative Research Methods (7,5 credits), Epidemiology (7,5 credits), Statistics (7,5 credits), Experts in Team working (7,5 credits), Health Managements (7,5 credits), Innovation in Global Health (7,5 credits). The program has been well received. Strengthening the research has been through employing PhD students into Global health. The Faculty of Medicine has now several PhD students coming from foreign countries to NTNU and Norwegian students studying and collecting data in foreign countries. I am the main supervisor of two two PhD students studying Violence against pregnant women in Nepal and Post abortion care in an intervention training program in Malawi. More PhD students are applying for funding under my supervision. Further I am responsible for all Master students thesis and I supervisor three students, going to Tanzania, Nepal and Canada for their data collection. We provide a Global Health Seminar every months, where we discuss ongoing projects and progresses. An annual Global Health Day is held in October, supported by Samarbeidsorganet HMN-NTNU, the Research Council of Norway, St Olavs Hospital and NTNU. The interest for this event has increased largely and last year we had 350 participants in the audience, and skilled international lecturers. Networks and new projects have been developed during these days. The Faculty of Medicine has signed Memorandum of Understanding with five prioritized countries and I have been facilitating collaboration primarily between NTNU, Tanzania and Nepal, where I have existing networks. I use both quantitative and qualitative research methods, and teach this in Master class, for medical students doing their thesis and for individual PhD students. During 2013 - 2015 I have published 14 papers (7 from Uppsala University in 2013 before the start at NTNU, 7 from NTNU, 2 publications in 2016, 6 manuscripts are submitted for publication and 3 are in manuscripts). Furthermore I am part of several committees at institutional, university and national level in Global Health. There has been a huge interest in Global Health from media and for public lectures on women's health, global health, research in low income countries etcetera. I have also participated and contributed in national and international congresses and conferences. Quite a lot of time has been spent of applications for funding for new research projects. The integration between NTNU and St Olavs Hospital has resulted in that I am the Head of Research in the Department of Obstetrics and Gynecology, I review all project applications to the clinic, together with an advisory board, I arrange research seminars and I give lectures at the clinic.
Vitenskapelige artikler
Oppong-Darko P, Amponsa-Achiano K, Darj E

"I Am Ready and Willing to Provide the Service … Though My Religion Frowns on Abortion"-Ghanaian Midwives' Mixed Attitudes to Abortion Services: A Qualitative Study.

Int J Environ Res Public Health 2017 Dec 04;14(12). Epub 2017 des 4

PMID: 29207521

Wallstrom T, Jarnbert-Pettersson H, Stenson D, Akerud H, Darj E, Gemzell-Danielsson K, Wiberg-Itzel E

Labor Induction with Orally Administrated Misoprostol: A Retrospective Cohort Study.

Biomed Res Int 2017;2017():6840592. Epub 2017 sep 18

PMID: 29124067

Pembe AB, Mbekenga CK, Olsson P, Darj E

Why do women not adhere to advice on maternal referral in rural Tanzania? Narratives of women and their family members.

Glob Health Action 2017;10(1):1364888.

PMID: 28856975

Darj E, Wijewardena K, Lindmark G, Axemo P

'Even though a man takes the major role, he has no right to abuse': future male leaders' views on gender-based violence in Sri Lanka.

Glob Health Action 2017;10(1):1348692.

PMID: 28753081

Kitching GT, J Haavik H, Tandstad BJ, Zaman M, Darj E

Exploring the Role of Ad Hoc Grassroots Organizations Providing Humanitarian Aid on Lesvos, Greece.

PLoS Curr 2016 Nov 17;8(). Epub 2016 nov 17

PMID: 28018747

Pun KD, Infanti JJ, Koju R, Schei B, Darj E,

Community perceptions on domestic violence against pregnant women in Nepal: a qualitative study.

Glob Health Action 2016;9():31964. Epub 2016 nov 22

PMID: 27882865

Wiberg-Itzel E, Pembe AB, Järnbert-Pettersson H, Norman M, Wihlbäck AC, Hoesli I, Todesco Bernasconi M, Azria E, Åkerud H, Darj E

Lactate in Amniotic Fluid: Predictor of Labor Outcome in Oxytocin-Augmented Primiparas' Deliveries.

PLoS One 2016;11(10):e0161546. Epub 2016 okt 26

PMID: 27783611

Abeid M, Muganyizi P, Mpembeni R, Darj E, Axemo P

Evaluation of a training program for health care workers to improve the quality of care for rape survivors: a quasi-experimental design study in Morogoro, Tanzania.

Glob Health Action 2016;9():31735. Epub 2016 jul 14

PMID: 27435570

August F, Pembe AB, Mpembeni R, Axemo P, Darj E

Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania.

BMC Pregnancy Childbirth 2016 Jun 02;16(1):129. Epub 2016 jun 2

PMID: 27251052

Brolin Ribacke KJ, van Duinen AJ, Nordenstedt H, Höijer J, Molnes R, Froseth TW, Koroma AP, Darj E, Bolkan HA, Ekström A

The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone.

PLoS One 2016;11(2):e0150080. Epub 2016 feb 24

PMID: 26910462

August F, Pembe AB, Mpembeni R, Axemo P, Darj E

Community health workers can improve male involvement in maternal health: evidence from rural Tanzania.

Glob Health Action 2016;9():30064. Epub 2016 jan 18

PMID: 26790461

Johansson MM, Lundin E, Qian X, Mirzazadeh M, Halvardson J, Darj E, Feuk L, Nilsson M, Jazin E

Spatial sexual dimorphism of X and Y homolog gene expression in the human central nervous system during early male development.

Biol Sex Differ 2016;7():5. Epub 2016 jan 12

PMID: 26759715

Colombini M, Mayhew SH, Hawkins B, Bista M, Joshi SK, Schei B, Watts C,

Agenda setting and framing of gender-based violence in Nepal: how it became a health issue.

Health Policy Plan 2016 May;31(4):493-503. Epub 2015 sep 26

PMID: 26412857

Abeid M, Muganyizi P, Massawe S, Mpembeni R, Darj E, Axemo P

Knowledge and attitude towards rape and child sexual abuse--a community-based cross-sectional study in rural Tanzania.

BMC Public Health 2015;15():428. Epub 2015 apr 28

PMID: 25927715

August F, Pembe AB, Mpembeni R, Axemo P, Darj E

Men's Knowledge of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Rural Tanzania.

PLoS One 2015;10(5):e0125978. Epub 2015 mai 7

PMID: 25950814

August F, Pembe AB, Kayombo E, Mbekenga C, Axemo P, Darj E

Birth preparedness and complication readiness - a qualitative study among community members in rural Tanzania.

Glob Health Action 2015;8():26922. Epub 2015 jun 12

PMID: 26077145

Abeid M, Muganyizi P, Mpembeni R, Darj E, Axemo P

A community-based intervention for improving health-seeking behavior among sexual violence survivors: a controlled before and after design study in rural Tanzania.

Glob Health Action 2015;8():28608. Epub 2015 sep 25

PMID: 26411546

Rishal P, Devi Pun K, Darj E, Kumar Joshi S, Bjørngaard JH. Swahnberg K, Schei B, Lukasse M

Prevalence and associated factors of domestic violence among pregnant women attending routine antenatal care in Nepal

Scandinavian Journal of public Health 2017, doi10.1177/1403494817723195

Abeid M, Muganyizi P, Olsson P, Darj E, Axemo P.

Community perceptions of rape and child sexual abuse: a qualitative study in rural Tanzania.

BMC Int Health Hum Rights. 2014 Aug 18;14:23. doi: 10.1186/1472-698X-14-23.

Darj E

Global helse og onkologi

Onkonytt 2014;1

Darj E, Infanti J, Maina Ahlberg B, Okumu J

“The fairer the better.” Use of potentially toxic skin bleaching products.

Afr Health Sci. 2015;15(4):1074-80. http://dx.doi.org/10.4314/ahs.v15i4.4

Deltagere
  • Barbro Elisabeth Darj Prosjektleder
  • Elin Yli Dvergsdal Prosjektdeltaker

eRapport er utarbeidet av Sølvi Lerfald og Reidar Thorstensen, Regionalt kompetansesenter for klinisk forskning, Helse Vest RHF, og videreutvikles av de fire RHF-ene i fellesskap, med støtte fra Helse Vest IKT

Alle henvendelser rettes til Helse Midt-Norge RHF - Samarbeidsorganet og FFU