This week saw the pre-publication of ‘Qualitative evaluation of mental health training of auxiliary nurse midwives in rural Nepal’ in the international journal Nurse Education Today (published by Elsevier). The paper is a report of an evaluation of a THET-funded projectwhich run from 2015 to 2017. Bournemouth University led a team comprising Liverpool John Moores University and Tribhuvan University (the oldest university in Nepal). These three universities worked together on a training project of Auxiliary Nurse Midwives in Nawalparasi focusing on key aspects of mental health and mental health promotion. The project was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
Mental illness is increasingly recognized as a global health problem. However, in many countries, including Nepal, it is difficult to talk about mental health problems due to the stigma associated with it. Hence a training programme was developed to train auxiliary nurse midwives, who otherwise are not trained in mental health as part of their pre-registration training in rural Nepal, on issues related to maternal mental health. After the training programme a selection of auxiliary nurse midwives were interviewed to establish their views on the training, its usefulness and ways to improve it.
Preeti Mahato is a PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) who undertook an in-depth evaluation of our project as part of her PhD research. This qualitative study has three themes emerging: (1) issues related to training; (2) societal attitudes; and (3) support for women. The ‘training’ theme describes the benefits and limitations of training sessions. ‘Societal attitudes’ describes society’s attitude towards mental health which is largely negative. ‘Support’ describes the positive behaviour and attitude towards pregnant women and new mothers.
The paper concludes that there is a need for continued training for auxiliary nurse midwives who are based in the community. This gives them the opportunity to reach the whole community group and potentially have influence over reduction of stigma; offer support and diagnosis of mental ill-health. There is still stigma around giving birth to a female child which can lead to mental health problems. It is imperative to increase awareness and educate the general public regarding mental health illnesses especially involving family members of those who are affected.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
Dr. Pramod Regmi, FHSS Lecturer in International Health has been appointed as an Editorial Board Member for the Journal of Global Health Reports. This journal is affiliated with the Journal of Global Health (www.jogh.org). The Journal of Global Health Reports focuses on “Promoting local research to improve global health” It is open to all local, small-scale, context-specific studies in global health, both qualitative and quantitative, as long as they are conducted in a rigorous and replicable way and report their results properly.
Prof. Edwin van Teijlingen
Next week the Dorset Global Health Network will have its inaugural meeting on April 25th. The meeting will focus on Nepal starting at 18.30 with a Nepalese buffet.
There will be three short presentations followed by the film ‘Hospital’.
- Voluntourism in Nepal : A lesson in the grey areas of global health (Dr Emer Forde, Bournemouth University)
- The challenge of perinatal mental health in Nepal (Prof. Edwin van Teijlingen, Bournemouth University)
- Supporting Training and innovative solutions to the provision of rural health care in Nepal (Dr Ollie Ross, Consultant Anaesthetist, Southampton General Hospital)
The Film “Hospital” provides a portrait of a state-run hospital in one of the most remote and poor districts of Nepal and how individuals can make a difference to people’s lives. It will be introduced by Dr Ollie Ross, who is a consultant to the Nick Simons Institute working in Nepal.
This will be followed by a discussion about the development of Dorset Global Health Network.
All are welcome. Book your place at www.focusnepal.eventbrite.co.uk
As part of the new plan BU2025, “we want to continue to develop our global partnerships and links with other institutions and organisations”. This is an admirable aim, and it is, of course, the best way forward for a truly global Higher Education Institution like Bournemouth University (BU). But to translate this general aim into a particular global partnership we need to consider the underlying processes of initiating and developing such partnerships. We published a paper  on the issues one needs to consider in developing a partnership, based on the example of BU’s partnership with Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal.
In late February this year MMIHS signed a Memorandum of Agreement (MoA) with BU at a ceremony in the Nepalese capital Kathmandu, where Prof. Stephen Tee represented BU. This MOA is an agreement between us that provides a basis on which the parties will consider potential future collaboration. The UoA formalises a long-standing collaboration between the two institutions, and indicates a desire to collaborate further in the future. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together and it is exactly this personal link between people that allows this, and many other, global partnerships to flourish.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
- van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies J Manmohan Memorial Inst Health Sci, 3(1): 94-100.
Congratulations to two Faculty of Health & Social Sciences PhD students, Preeti Mahato and Elizabeth Waikhaka, who co-authored a paper published in the WHO South-East Asia Journal of Public Health. Their paper is called ‘Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries’. Co-authors include Dr. Puspa Pant from the Centre for Child and Adolescent Health, University of the West of England (Bristol) and Dr. Animesh Biswas based at the Reproductive & Child Health Department, Centre for Injury Prevention & Research, Bangladesh (CIPRB) in the capital of Bangladesh, Dhaka.
The authors argue that verbal autopsy is used to attribute a clinical cause to a maternal death. The aim of social autopsy is to determine the non-clinical contributing factors. A social autopsy of a maternal death is a group interaction with the family of the deceased woman and her wider local community, where facilitators explore the social causes of the death and identify improvements needed. Although still relatively new, the process has proved useful to capture data for policy-makers on the social determinants of maternal deaths. This article highlights the potential role of social autopsy in health promotion.
- Mahato, P.K, Waithaka, E., van Teijlingen, E., Pant, P.R., Biswas, A. (2018) Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries. WHO South-East Asia Journal of Public Health 7(1): 24–28.
Today BMC Pregnancy & Childbirth published the latest paper by a PhD student at Bournemouth University. Our congratulations go to Alice Ladur in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), who published `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom . This paper is based on her PhD research and co-authored with her supervisors.
The paper addresses issues around men’s involvement in programmes or interventions aimed at the improvement of maternal health. One such innovative intervention is an educational board game which offers a unique approach to present health information where learning is reinforced through group discussions supporting peer-to-peer interactions. The authors would like to thank Gill Phillips for permission to use the Whose Shoes? board game and all participants for their participation in the PhD study.
Alice PhD is focused on Uganda and this particular paper reports a qualitative study with men from Uganda who live in the UK on their views of an educational board game. This pilot study explored perceptions on whether a board game was relevant as a health promotional tool in maternal health prior to implementation in Uganda.
- Ladur, A.N., van Teijlingen, E., Hundley, V. (2018) `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom, BMC Pregnancy & Childbirth 18:81. http://rdcu.be/JXs0
Congratulations to Daisy Wiggins in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol’. The paper is published in the Open Access journal Journal of Innovation in Health Informatics and can be accessed by clicking here! The paper is co-authored by CMMPH’s Prof. Vanora Hundley, Dr. Carol Wilkins, as well asProf. Carol Bond (University of Wolverhampton) and the Chief Executive of the Royal College of Midwives (RCM) Gill Walton.
Congratulations to all!
Prof. Edwin van Teijlingen
Wiggins D, Hundley VA, Wilkins C, Bond C, Walton G. The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol. J Innov Health Inform.2018;25(1):001–006.
Congratulations to Mrs. Preeti Mahato on the acceptance of her paper ‘Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal’ by Nurse Education Today, an academic journal published by Elsevier. Preeti is currently registered as PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The paper is co-authored by CMMPH’s Catherine Angell and Edwin van Teijlingen as well as BU Visiting Faculty Padam Simkhada and Jillian Ireland. The paper is a result of the evaluation part of the ‘Mental Health Training for Community-based Maternity Providers in Nepal’ project and written on behalf of this THET team.
Our THET project in Nepal is a collaboration between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Tribhuvan University (Nepal’s oldest university) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a charity Green Tara Nepal.
Edwin van Teijlingen, Padam Simkhada, Shyam K Maharjan Preeti Mahato, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Shyam K Maharjan, Ram K Maharjan, Catherine Angell, Flora Douglas.
Last week Sacha Gardener reported on this BU Research Blog on the publication of our most recent article ‘Why suicide rates among pregnant women in Nepal are rising’ in The Conversation. Since then we have been informed that this piece was reproduced in two Indian independent online newspapers, last week in The Wire and today in Scroll.in (India’s leading independent source of news, analysis and culture). Scroll.in used the heading ‘A project is training midwives in Nepal to stem rising suicides of pregnant women’, whist The Wire used the title ‘Why Suicide Rates Among Pregnant Women in Nepal Are on the Rise’. Suicide in pregnant women and soon after birth is an important issue in both Nepal and India. Just for completeness the original article, written by BU’s Visiting Faculty Dr. Bibha Simkhada and Prof. Edwin van Teijlingen based in BU’s Centre for Midwifery, Maternal and Perinatal health (CMMPH), can be found here!
Association for Psychosocial Studies Biennial Conference
Bournemouth University, 5th-7th April 2018
‘Psychosocial Reflections on a Half Century of Cultural Revolution’
A half century after the hippie counterculture of 1967 (‘the summer of love’) and the political turbulence of 1968 (‘May 68’), one aim of this conference is to stage a psychosocial examination of the ways in which today’s world is shaped by the forces symbolised by those two moments. It will explore the continuing influence of the deep social, cultural and political changes in the West, which crystallised in the events of these two years. The cultural forces and the political movements of that time aimed to change the world, and did so, though not in the ways that many of their participants expected. Their complex, multivalent legacy of ‘liberation’ is still developing and profoundly shapes the globalising world today, in the contests between what is called neo-liberalism, resurgent fundamentalisms, environmentalism, individualism, nationalisms, and the proliferation of identity politics.
A counter-cultural and identity-based ethos now dominates much of consumer culture, and is reflected in the recent development of some populist and protest politics. A libertarian critique of politics, once at the far margins, now informs popular attitudes towards many aspects of democratic governance; revolutionary critiques have become mainstream clichés. Hedonic themes suffuse everyday life, while self-reflection and emotional literacy have also become prominent values, linked to more positive orientations towards human diversity and the international community.
The programme is now available on the conference website:
There are five keynotes and eighty papers, with presenters from all continents, as well as a number of experiential workshops. As well as examining the main theme of societal change, there is an open stream of papers on a wide range of topics. Methods of psychosocial inquiry are applicable to most topics. As an academic community, the psychosocial is a broad church defined only by a commitment to exploring and linking the internal and external worlds – the deeply personal and the equally deeply societal as sources of experience and action.
BU colleagues can attend the whole conference at the hugely discounted rate of £40, or £25 per day.
This weekend Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal signed a Memorandum of Agreement (MoA) with Bournemouth University (BU). The ceremonial signing took place on the final day (24th Feb.) of the International Conference on Quality Education in Federal Nepal. Prof. Stephen Tee, who also spoke at the conference, represented our university.
The UoA formalises a long-standing collaboration between the two institutions. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together. Several BU staff [1-3] and students  in the Faculty of Health & Social Sciences have published in the Journal of Manmohan Memorial Institute of Health Sciences, an Open Access journal. Moreover, Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal and Perinatal Health has been a Visiting Professor at MMIHS for nearly a decade and has given several guest lectures over the years to staff and students at MMIHS.
- van Teijlingen, E., Simkhada, P., Luce, A., Hundley, V. (2016) Media, Health & Health Promotion in Nepal, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 70-75. http://www.nepjol.info/index.php/JMMIHS/article/view/15799/12744
- Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences 3(1): 1-5.
- van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
- Vickery, M. van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.
The British Ambassador to Nepal Richard Morris hosted the launch of a report of a market study of Nepal’s education sector today (28th February) in his Kathmandu Residence. The report was commissioned to help support UK service providers who are looking for education opportunities in Nepal. The Ambassador invited Bournemouth University’s Prof. Edwin van Teijlingen to highlight the UK’s expertise in research, as well as to share his own experience in UK-Nepal partnerships/ collaborations in education.
Prof. Edwin van Teijlingen is Visiting Professor at colleges in Nepal: (1) Nobel College, affiliated with Pokhara University; and (2) Manmohan Memorial Institute of Health Sciences, affiliated with Tribhuvan University.
Yesterday (Monday 26th February) we disseminated the preliminary findings of our study on ‘Health vulnerabilities of cross border migrants from Nepal.’ The study was funded by IOM (International Organisation for Migration) in Kathmandu. The main findings were outlined one of the researchers from Green Tara Nepal.
The study was conducted in Nepal by Nepali researchers Drs. Pratik Adhikary, Nirmal Aryal and Raja Ram Dhungana, with methodological support from Prof. Padam Simkhada (Liverpool John Moores University) and BU’s Prof. Edwin van Teijlingen. The mixed-methods study included a cross-sectional study of 752 Nepali migrant workers who had returned from working in India as well as focus groups and interviews with a sub-sample of returnees and interviews with two key informants. The research team also highlighted some key issues raised in two recent migration and health papers co-authored by some of the contributors to the dissemination event [1-2].
The project has strong link with Bournemouth University, Prof. Simkhada is Visiting Professor in BU’s Faculty of Health & Social Sciences (FHSS), Dr. Pratik Adhikary is a BU Ph.D. graduate and Dr. Nirmal Aryal has just been appointed in FHSS as a Post-Doctoral Researcher in preparation for REF 2021.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East and Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
Last April representing the research team from Bournemouth University, Sarah Hodge presented cross-discipline PhD research in a competitive symposium in Las Vegas organised by Nick Bowman. The research team included Jacqui Taylor and John McAlaney from the department of Psychology, Davide Melacca and Christos Gatzidis from the department of Creative technology and Eike Anderson for the National Centre for Computer Animation. Since then the research project was invited to contribute a chapter to a book related to the topics from the Symposium, which is due out this summer (see below for further details).
In the spirit of this collaboration, Nick came to BU this month to give a guest talk for the Psychology seminar series, which was open to all departments and faculties. The talk was related to the book from the symposium and was titled: Video Game Demand – Specifying and Measuring an Elusive Construct.
In this talk Nick proposes a model and scale of measuring the demands of video games on the user (see below for further details). It was wonderful to see those from other departments and faculties attending the talk, creating a diverse audience and an engaging atmosphere. The talk also supported the psychology undergraduates; particularly those that selected the Cyberpsychology final year unit, where they had been discussing Nick’s and colleagues research. It was a fantastic experience having Nick visiting Bournemouth from America, and we are looking forward to future collaborations with him.
Book: Bowman, N. D. (in press). Video games: A medium that demands our attention (Ed.). New York: Routledge
Chapter 7 contribution from BU: Hodge, S., McAlaney, J., Gatzidis, C., Anderson, E.F., Melacca, D. and Taylor., J. Applying Psychological Theory to in-game moral behaviors through the development of a purpose-made game.
Chapters related to Nick’s talk: Chapter 1 Bowman, N.D. The Demanding Nature of Video Game Play and Chapter 13 Bowman, N.D., Wasserman, J., and Banks., J. Development of the Video Game Demand Scale
If you would like more information about the research please contact: email@example.com
This morning we disseminated the findings of an evidence synthesis on ‘Effectiveness of community engagement and participation approaches in low and middle income countries’ in the Himalayan Hotel in Kathmandu. The study was designed to identify, analyse and summarise the findings of existing systematic reviews that have examined the effectiveness of community engagement/participation approaches in improving health, service delivery and sustainability outcomes. Therefore the overarching research question was: “How effective are community engagement/participation approaches for delivering better health outcomes, improving service delivery and sustaining benefits?”
Systematic Review of Reviews included 31 systematic reviews which examined community engagement/participation approaches in improving health (maternal and child health, infectious or communicable diseases, ‘other’ disease areas), service delivery and sustainability outcomes. There was wide variation in the aims and objectives, and methods of analysis across the included systematic reviews. In part this reflected a lack of a standard definition or terminology in how community engagement and participation approaches were described or characterised. The overall strength of the systematic review-level evidence has been categorised as of limited or moderate, however many systematic reviews reported consistent findings.
Community engagement and participation approaches continue to be viewed as important, particularly in LMICs. The general trend in the evidence identified suggests that community engagement and participation approaches have played a role in successful intervention delivery across health system domains and areas of health. However the extent to which community ownership and empowerment is achieved greatly impacts on the sustainability of these approaches and our evidence draws out some key factors for consideration in the delivery of successful community engagement and participation.
The study was led by Prof. Padam Simkhada from Liverpool John Moores University with support from staff based at the University of Liverpool, Bournemouth University and Green Tara Nepal. The study was commissioned and funded by the Research and Evidence Division in the Department for International Development. The forthcoming report has been funded by UK aid from the UK Government.
Prof. Edwin van Teijlingen
Both the Saturday and the Sunday edition of The Kathmandu Post carried articles on the International Conference on Education in a Federal Nepal. The coverage of this two-day conference (which ran on Friday and yesterday) included Prof. Stephen Tee’s keynote speech and Prof. Edwin van Teijlingen reporting on research findings of an education study amongst health educators in Nepal, as well as FHSS’s Visiting Faculty, Prof. Padam Simkhada (based at Liverpool John Moores University). The conference organised by HISSAN and supported by 16 education partners including Bournemouth University, Liverpool John Moores University and The University of Utah (USA) was attended by some 400 delegates.
As the key note speaker of the second day, Prof. Tee emphasised the need for technology-enhanced teaching/ learning processes. He added that a globalised world requires educational institutions to “recognise students as consumers.” He highlighted a number of common (and not so common) approaches to technology-enhanced teaching in the UK. His key note speech was very well received by colleagues academics and educationalists in Nepal. On the first day of the conference Prof. Tee was welcomed by the Prime Minister of Nepal K.P. Oli.
The two-day International Conference on Quality Education in Federal Nepal has just started in Kathmandu. Prof. Stephen Tee, executive dean of FMC and FMSS is one of the invited guests giving a short opening address. He spoke after the organisers had shown Prof. John Vinney’s recorded supporting message from Bournemouth University. Steve was part of the plenary session with the theme ‘Quality in Higher Education’.
This international conference has already attracted national media attention as the pre-conference press conference was reported in The Kathmandu Post today (click here to read news story).
Prof. Edwin van Teijlingen
Last week the Journal of Manmoham Memorial Institute of Health Sciences based in Nepal published as its editorial ‘What can we learn from the Nepal Health Facility Survey 2015.  The Nepal Health Facility Survey 2015 is a first of its kind. It is a much needed start to help analyse and improve the workings of the country’s health system. This is very important and timely as one of the targets of the Sustainable Development Goals (SDG) is to reduce premature mortality by one-third from non-communicable diseases. Success in this effort will depend on the concerted efforts on health facilities (for both health promotion, prevention and management) for an early and optimal care. The editorial also raises some of the ethical and methodological issues associated with the first ever Nepal Health Facility Survey 2015. The lead author of the editorial is Dr. Pramod Regmi and our co-authors include Prof. Padam Simkhada (Visiting Faculty in the Faculty of Health & Social Sciences). The Journal of Manmoham Memorial Institute of Health Sciences is an Open Access journal hence freely available to scholars and politicians and health managers across the globe, including those based in low-income countries such as Nepal.
- Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 1-5