Marlene Makenzius


  • Professional title: Lecturer
  • Academic title: Associate Professor
  • Area of responsibility: Programansvar för magisterutbildningen i Folkhälsovetenskap
  • Department: Department of Health Sciences (HOV)
  • Telephone: +46 (0)10-1428866
  • Email:
  • Visitor address: Kunskapens väg 8
  • Room number: K450
  • Employee in the subject: Public Health Science


Community Nurse (Dsk), MIUN
Master in Public Health, MIUN
Master in Quality and Leadership, MIUN
PhD Reproductive Medici and gynaecology, Dept. Women's and Children's Health, Uppsala university
Post doctor, Dept. Global Public Health, Karolinska institutet

Area of interest

- Sexual and Reproductive Health and Rights (SRHR)
- Abortion, Unsafe abortion, Male involvement, Social stigma
- Global Health
- Public Health Policy
- RCT, Intervention studies, pre- and post test design, Interviews and Focus Group Discussions


1. Miranda Håkansson, Rahel Abebe Mamo, Haroon Bayani Parwani, Beatrice Otieno & Marlene Makenzius (2023) Unmet Needs for Comprehensive Sexuality Education: A Qualitative Study Among Secondary School Students in Western Kenya, American Journal of Sexuality Education, DOI: 10.1080/15546128.2023.2189194

3. A stigma-reduction intervention targeting abortion and contraceptive use among adolescents in
Kenya—a quasi-experimental study Makenzius M, Rehnstrom Loi U, Otieno, B, Oguttu M. SEXUAL AND REPRODUCTIVE HEALTH MATTERS 2022, IN PRESS.

4. Multiple induced abortions - implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden
Obern C, Ekstrand Ragnar M, Tydén T, Larsson M, Niemeyer Hultstrand J, Gemzell-Danielsson K, Sundström-Poromaa I, and *Makenzius M.
Eur J Contracept Reprod Health Care. 2023 . IN PRESS

5. PMID: 36459054
Women's decision-making related to induced abortion - a cross sectional study during a period of Covid-19 pandemic, in Sweden.
Makenzius M, Obern C, Tydén T, Larsson M, Gemzell-Danielsson K, Sundström-Poromaa I, Ekstrand Ragnar M.
Eur J Contracept Reprod Health Care. 2023 Feb;28(1):44-50. doi: 10.1080/13625187.2022.2150047. Epub 2022 Dec 2.
PMID: 36459054

6. PMID: 35332034
Induced abortion and access to contraception in Sweden during the COVID-19 pandemic.
Niemeyer Hultstrand J, Törnroos E, Gemzell-Danielsson K, Larsson MI, Makenzius M, Sundström-Poromaa I, Tydén T, Ekstrand Ragnar M.
BMJ Sex Reprod Health. 2022 Oct;48(4):311-312. doi: 10.1136/bmjsrh-2022-201464. Epub 2022 Mar 24.
PMID: 35332034 No abstract available.

7. PMID: 33665607
Stigma surrounding contraceptive use and abortion among secondary school teachers: A cross-sectional study in Western Kenya.
Meurice ME, Otieno B, Chang JJ, Makenzius M.
Contracept X. 2021 Feb 7;3:100062. doi: 10.1016/j.conx.2021.100062. eCollection 2021.
PMID: 33665607 Free PMC article.

8. PMID: 32295574
Social judgments on abortion and contraceptive use: a mixed methods study among secondary school teachers and student peer-counsellors in western Kenya.
Håkansson M, Super S, Oguttu M, Makenzius M.
BMC Public Health. 2020 Apr 15;20(1):493. doi: 10.1186/s12889-020-08578-9.
PMID: 32295574 Free PMC article. Clinical Trial.

9. PMID: 31951913
Contraceptive uptake among post-abortion care-seeking women with unplanned or planned pregnancy in western Kenya.
Rehnström Loi U, Klingberg-Allvin M, Gemzell-Danielsson K, Faxelid E, Oguttu M, Makenzius M.
Sex Reprod Healthc. 2020 Mar;23:100486. doi: 10.1016/j.srhc._319519132020.100486. Epub 2020 Jan 8.

10. PMID: 31533554
Abortion and contraceptive use stigma: a cross-sectional study of attitudes and beliefs in secondary school students in western Kenya.
Rehnström Loi U, Otieno B, Oguttu M, Gemzell-Danielsson K, Klingberg-Allvin M, Faxelid E, Makenzius M.
Sex Reprod Health Matters. 2019 Nov;27(3):1652028. doi: 10.1080/26410397.2019.1652028.
PMID: 31533554 Free PMC article.

11. PMID: 31492147
Stigma related to contraceptive use and abortion in Kenya: scale development and validation.
Makenzius M, McKinney G, Oguttu M, Romild U.
Reprod Health. 2019 Sep 6;16(1):136. doi: 10.1186/s12978-019-0799-1.
PMID: 31492147 Free PMC article. Clinical Trial.

12. PMID: 31326762
Health disparities based on neighbourhood and social conditions: Open Comparisons-an indicator-based comparative study in Sweden.
Makenzius M, Skoog-Garås E, Lindqvist N, Forslund M, Tegnell A.
Public Health. 2019 Sep;174:97-101. doi: 10.1016/j.puhe.2019.06.003. Epub 2019 Jul 18.
PMID: 31326762

13. PMID: 30096148
Contraceptive uptake in post abortion care-Secondary outcomes from a randomised controlled trial, Kisumu, Kenya.
Makenzius M, Faxelid E, Gemzell-Danielsson K, Odero TMA, Klingberg-Allvin M, Oguttu M.
PLoS One. 2018 Aug 10;13(8):e0201214. doi: 10.1371/journal.pone.0201214. eCollection 2018.
PMID: 30096148 Free PMC article. Clinical Trial.

14. PMID: 29972099
Co-creation to scale up provision of simplified high-quality comprehensive abortion care in East Central and Southern Africa.
Klingberg-Allvin M, Atuhairwe S, Cleeve A, Byamugisha JK, Larsson EC, Makenzius M, Oguttu M, Gemzell-Danielsson K.
Glob Health Action. 2018;11(1):1490106. doi: 10.1080/16549716.2018.1490106.
PMID: 29972099 Free PMC article.

15. PMID: 29527357
Human rights versus societal norms: a mixed methods study among healthcare providers on social stigma related to adolescent abortion and contraceptive use in Kisumu, Kenya.
Håkansson M, Oguttu M, Gemzell-Danielsson K, Makenzius M.
BMJ Glob Health. 2018 Mar 5;3(2):e000608. doi: 10.1136/bmjgh-2017-000608. eCollection 2018.
PMID: 29527357 Free PMC article.

16. PMID: 29018067
Post-abortion care with misoprostol - equally effective, safe and accepted when administered by midwives compared to physicians: a randomised controlled equivalence trial in a low-resource setting in Kenya.
Makenzius M, Oguttu M, Klingberg-Allvin M, Gemzell-Danielsson K, Odero TMA, Faxelid E.
BMJ Open. 2017 Oct 10;7(10):e016157. doi: 10.1136/bmjopen-2017-016157.
PMID: 29018067 Free PMC article. Clinical Trial.

17. PMID: 27539801
Time to act-comprehensive abortion care in east Africa.
Cleeve A, Oguttu M, Ganatra B, Atuhairwe S, Larsson EC, Makenzius M, Klingberg-Allvin M, Paul M, Kakaire O, Faxelid E, Byamugisha J, Gemzell-Danielsson K.
Lancet Glob Health. 2016 Sep;4(9):e601-2. doi: 10.1016/S2214-109X(16)30136-X.
PMID: 27539801 Free article. No abstract available.

18. PMID: 25789926
Swedish public health policy: Impact on regional and local public health practice and priorities.
Makenzius M, Wamala S.
J Public Health Policy. 2015 Aug;36(3):335-49. doi: 10.1057/jphp.2015.3. Epub 2015 Mar 19.
PMID: 25789926

19. PMID: 24199440
[Sweden has the highest abortion rate among the Nordic countries. Unwanted pregnancies should be seen in a holistic perspective--individuals, health care, community].
Makenzius M, Tydén T, Darj E, Larsson M.
Lakartidningen. 2013 Sep 18-24;110(38):1658-61.
PMID: 24199440 Review. Swedish. No abstract available.

20. PMID: 22913927
Autonomy and dependence--experiences of home abortion, contraception and prevention.
Makenzius M, Tydén T, Darj E, Larsson M.
Scand J Caring Sci. 2013 Sep;27(3):569-79. doi: 10.1111/j.1471-6712.2012.01068.x. Epub 2012 Aug 22.
PMID: 22913927

21. PMID: 22758772
Women and men's satisfaction with care related to induced abortion.
Makenzius M, Tydén T, Darj E, Larsson M.
Eur J Contracept Reprod Health Care. 2012 Aug;17(4):260-9. doi: 10.3109/13625187.2012.688149. Epub 2012 Jul 3.
PMID: 22758772

22. PMID: 22554137
Existential experiences and needs related to induced abortion in a group of Swedish women: a quantitative investigation.
Stålhandske ML, Makenzius M, Tydén T, Larsson M.
J Psychosom Obstet Gynaecol. 2012 Jun;33(2):53-61. doi: 10.3109/0167482X.2012.677877.
PMID: 22554137

23. PMID: 22462801
Early onset of sexual intercourse is an indicator for hazardous lifestyle and problematic life situation.
Makenzius M, Larsson M.
Scand J Caring Sci. 2013 Mar;27(1):20-6. doi: 10.1111/j.1471-6712.2012.00989.x. Epub 2012 Mar 28.
PMID: 22462801

24. PMID: 22307996
Risk factors among men who have repeated experience of being the partner of a woman who requests an induced abortion.
Makenzius M, Tydén T, Darj E, Larsson M.
Scand J Public Health. 2012 Mar;40(2):211-6. doi: 10.1177/1403494811435496. Epub 2012 Feb 3.
PMID: 22307996

25. Mixed-methods approach to address abortion stigma: A necessity in resourcelimited settings where safe abortion is restricted. Makenzius, M. First author
(2020). SAGE Research Methods Cases.

26. Post Abortion Women’s Perception on Contraceptive Counselling Provided By
Service Providers: A Qualitative Study In Kisumu County, Kenya. Odera T, Justus
O, Ephantus K, Oguttu M, Faxelid E, Makenzius, M. Last author Afr. J. Health
Sci. 2019; 32(2): 49 – 63.

27. Task Shifting and Sharing on Contraceptive Counselling Services between
Midwives and Physicians A Randomized Control Trial in Kisumu County, Kenya.
Odera T, Justus O, Ephantus K, Faxelid E, Makenzius M, Oguttu M. Afr. J. Health
Sci. 2020; 32(5): 28 – 37.

Teaching and tutoring

Programansvarig för Magisterutbildningen i Folkhälsovetenskap, och har kursansvar för Strategiskt folkhälsoarbete (AV), Projektledning (Gr), Ämnesfördjupning (AV), och Vetenskapligt arbete (AV).


Articles in journals

Obern, C. , Ekstrand Ragnar, M. , Tydén, T. , Larsson, M. , Niemeyer Hultstrand, J. , Gemzell-Danielsson, K. , Sundström-Poromaa, I. & Makenzius, M. (2023). Multiple induced abortions–implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden. European journal of contraception & reproductive health care, vol. 28: 2, pp. 119-124.  

Håkansson, M. , Mamo, R. A. , Parwani, H. B. , Otieno, B. & Makenzius, M. (2023). Unmet Needs for Comprehensive Sexuality Education : A Qualitative Study Among Secondary School Students in Western Kenya. American Journal of Sexuality Education,  

Makenzius, M. , Obern, C. , Tydén, T. , Larsson, M. , Gemzell-Danielsson, K. , Sundström-Poromaa, I. & Ekstrand Ragnar, M. (2023). Women’s decision-making related to induced abortion–a cross sectional study during a period of Covid-19 pandemic, in Sweden. European journal of contraception & reproductive health care, vol. 28: 1, pp. 44-50.  

The page was updated 4/5/2023