Category / Communities, Cultures and Conflicts

Impact of federalisation on Nepal’s health system

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to study the consequences for the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015.  This joint project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS and PHASE Nepal. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
  5. Wasti, S.P., van Teijlingen, E.Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117https://doi.org/10.1186/s12961-023-01033-2
  6. Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
  7. Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences (3): 1-11.
  8. Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

Dr. Catalin Brylla Leads Diversity and Inclusion Programme for Visible Evidence

Dr. Catalin Brylla, Principal Lecturer in Film and TV (FMC) has been appointed Chair of the Visible Evidence Diversity, Equity and Inclusion Advisory Committee. The committee’s programme was launched at the 2025 Visible Evidence Conference at Monash University in Melbourne.

Visible Evidence (VE) is the largest and oldest documentary studies community, having produced a wealth of research by renowned scholars, such as Bill Nichols, Michael Renov, Brian Winston, Patricia Zimmerman and Kate Nash. It has a long history of interdisciplinary and transdisciplinary research, fostering links between the academy and the media industry, and fusing documentary research, practice and education.

The VE DEI Advisory Committee has been established by the VE Governing Council to diversify its members and expand its outreach. The committee consists of Catalin Brylla as chair, Slava Greenberg, Tory Jeffay, Patrick Kelly and Geoffrey Lokke. Brylla has drawn up a plan to reach early-career researchers, Global South scholars/practitioners and other underrepresented academic and non-academic communities. He draws on his experience as Chair of the Society for Cognitive Studies of the Moving Image DEI Committee, founding member of the Journal of Media Practice’s Diversifying and Decentralizing Research Working Group, and Deputy Director of BU’s Centre for the Study of Conflict, Emotion and Social Justice.

 

The committee’s programme was launched at the 30th Visible Evidence Conference at Monash University, Melbourne, in December 2025. It featured a roundtable with scholars and media practitioners Dr. Shweta Kishore, Dr. Zoe Meng Jiang, Prof. Kate Nash and Prof. Pratāp Rughani, who provided their perspective of diversity and inclusion. The conference also featured the committee’s new mentorship initiative, which pairs up early-career members—including graduate students, junior faculty members and emerging filmmakers—with mid-career and senior scholars or media professionals.

Image above: Prof. Kate Nash presents data on institutional affiliations of first authors submitting to the journal Studies in Documentary Film; there is a distinct lack of submission from Global South scholars.

 

Some of the committee’s action plans include:

  • Organising a DEI-related roundtable and workshop at every VE conference, featuring scholars from the Global South
  • Organise career development ‘clinics’ for early-career researchers
  • Create a VE YouTube channel that features recorded conference presentations for people who cannot attend the conference
  • Liaise with journal editors to commission special issues from Global South scholars
  • Monitoring VE membership and conference participation regarding institutional affiliations and countries

The VE DEI Committee’s programme was launched at Monash University Melbourne, on the unceded lands of the Bunurong Boon Wurrung and Wurundjeri Woi Wurrung peoples of the Eastern Kulin Nation. We pay our deepest respect to the traditional owners of this land and acknowledge their ongoing relationship with the lands and waterways. We pay our respect to all Indigenous people, and their elders past and present.

Migration research at BU: New migrant workers’ paper published

Two days ago saw the publication of the latest paper on migration research here at Bournemouth University. The journal Health Prospect published ‘Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi’ [1]. This new paper is based on the PhD research project conducted by Dr. Pratik Adhikary. Health Prospect is a peer-reviewed Open Access journal, part of Nepal Journals Online (NepJOL) which offers free access to research on and/or from Nepal. The paper is co-authored by former FHSS staff Dr. Zoe Sheppard and Dr. Steve Keen as well as Prof. Edwin van Teijlingen of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

Previous academic papers by BU scholars included, amongst others, work on migrant workers from Nepal [2-6], relatives of migrant workers [7], migrant health workers [8-9], migration and tourism [10-11], migrant workers from Eastern Europe [11-13], migration and the media [14] as well as migration in the past [15]. The various strands of work link very well to BU’s application for Leverhulme Doctoral Scholarships.

 

References:

  1. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  2. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
  3. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  4. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  5. Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
  6. Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
  7. Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  8. Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
  9. Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
  10. Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
  11. Filimonau, V., Mika, M. (2017) Return labour migration: an exploratory study of Polish migrant workers from the UK hospitality industry. Current Issues in Tourism, 1-22.
  12. Janta, H., Ladkin, A., Brown, L., Lugosi, P., 2011. Employment experiences of Polish migrant workers in the UK hospitality sector. Tourism Management, 32 (5): 1006-1019.
  13. Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
  14. Marino, S., Dawes, S., 2016. Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
  15. Parker Pearson, M., Richards, C., Allen, M., Payne, A. & Welham, K. (2004) The Stonehenge Riverside project Research design and initial results Journal of Nordic Archaeological Science 14: 45–60

Fake conferences are not fake news: beware predatory conferences

Introduction

Academic have been warned for a decade about predatory Open Access publishers (van Teijlingen 2014). These are commercial organisations charging academics a publication fee on submission of their manuscripts with a promise to publish their work quickly online. The problem is twofold: first, these commercial organisations don’t offer proper peer-review and editorial quality assurance; and secondly, academic are being tricked into believing the journal is a legitimate scientific publication.  The second author receives on average six to eight invitations a week to publish in this kind of predatory journals – see below for examples. The first author, who despite having not worked in an academic institution for over three years, still receives such invitations to publish in ‘Journal X’.

Predatory conferences

A similar phenomenon to predatory journals is the predatory conference (Moital 2014; Nobes 2017; Grove 2017). These are pretend academic conferences of questionable value, established first and foremost to make money, not for the greater good of the academic discipline.

Both authors have received bogus and legitimate invitations to attend conferences. A predicament with such an invitation, which 99% of time arrives by email, is that it is not easy to distinguish between fake and real offers. For example, the first author recently received an offer (at short notice), to attend a conference in Miami in November 2017 (see below). This was on the back of an editorial he had published couple of months earlier. For a career researcher going from contract to contract, the appeal of being invited to present a keynote at a conference can be flattering, far less an honour and a boost for one’s career. Therefore, while the idea that if it seems too good to be true, is a prudent one to hold; there is also a temptation to follow through.

The author replied to the request quizzing the reason for the invite out of the blue. The answer was less than convincing, and a swift email by the author saying “Don’t tell me… You are offering me a keynote with travel and accommodation… Lol!!” called their bluff and ended correspondence.

But digging a little deeper he found there was a webpage dedicated to taking payments to attend the conference. In the digital world, a fool can be easily and quickly separated from his or her money.

Of course, it may have been a real conference at a real venue, and they really wanted him to speak. But discerning this is not easy at first…

Some of the warning signs/What to look out for

  • The conference email invitation looks very convincing (if not don’t even read it!).
  • The venue is good location as Nobes (2017) highlighted, “the organizers are more interested in marketing the tourist destination rather than the academic value of the conference”.
  • The conference covers too many different aspects or topics, as if the advert is designed to catch the eye of many people as possible who are vaguely connected to the discipline.
  • Mentions on associated predatory journals and ‘important’ organisations in the discipline.
  • Email and bank accounts that don’t look professional/ official.
  • Little mention of attendance fees, but after acceptance emails demanding a high conference fee and other charges.
  • Conference organisers are not academics, or unknown names.
  • Conference does not peer-review submission/ not provide proper editorial control over presentations
  • Signs of copying of names of existing academic conferences or scientific organisation and even copying of their webpages
  • Even more advertising than normal at a scientific conference.

Furthermore, Andy Nobes (2017) offered some helpful advice on quality of the conference websites in the list below. Andy is based at AuthorAID, a global network providing support, mentoring, resources and training for researchers in developing countries.

Who is at risk of falling for predatory conferences?

Academics need to be aware of money-making conferences and meetings without a true commitment to science. But some academics might be more at risk than others. Young researchers, PhD students and fledgling academics, living from contract to contract may feel any conference attendance is a potential career boost. Thus, such an invitation might seem flattering and an opportunity to good to miss. A way to show that he or she is a capable and independent academic.

Final thoughts

Most academics go to conferences for a combination of presenting their work to get critical feedback, making new contacts, sharing ideas and to be inspired. With such broad combination of motivating factors, the exact purpose of conferences is difficult to ascertain because there is no a priori agreed role and value of conferences (Nicolson, 2017a). However, there is evidence that academic conferences function to facilitate commodity transactions, be that knowledge, tools, skills, reputations, or connections, which reflects the neoliberal ethos in the modern academy (Nicolson 2017b). The predatory conference can be viewed in this light, where academia is more and more focused on generating revenue. It is at best scurrilous, and worst, criminal, for organisations to make money using such a confidence trick.  Always check which conferences are organised and advertised by recognised scholarly organisations in your own discipline. If uncertain ask a more experienced academic, a senior colleague or mentor.

 

 

Donald J. Nicolson

(Health Services Researcher, NHS Fife, and Independent Scholar; twitter @_mopster )

Edwin R. van Teijlingen

(Centre Midwifery, Maternal & Perinatal Health)

 

References:

Moital, M. (2014) Ten Signs of a Bogus/Fake Conference.

Grove, J. (2017) Predatory conferences ‘now outnumber official scholarly events’  (26th Oct.)

Nicolson, D.J. (2017a) Do conference presentations impact beyond the conference venue? Journal of Research in Nursing. 22(5), pp.422-425.

Nicolson, D.J. (2017b) Academic Conferences as Neoliberal Commodities, Palgrave Macmillan

Nobes, A. (2017) What are ‘predatory’ conferences and how can I avoid them?

van Teijlingen, E. (2014) Beware of rogue journals.

 

New paper by BU’s Lecturer in International Health

Congratulations to Dr. Pramod Regmi on the publication of his latest article ‘Local elections and community health care in Nepal’.[1]  Pramod is our newly appointed Lecturer in International Health, who started this post exactly a month ago.  The editorial, co-authored with BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University), Nirmal Aryal (based at the University of Otago, New Zealand) and CMMPH’s Prof. Edwin van Teijlingen, highlights the important link between local democracy and health in Nepal.

The paper argues that elected local governments are critical for public accountability on the operationalization of the SDGs (Sustainable Development Goals) at local level.  Furthermore, having elected leaders in communities after such a long gap will certainly give Nepalese people rights and hopefully improve provision and access to health care services they are entitled to. Thus the role of civil society, community-based non-governmental organisation, development partners and the mass-media is critical in both advocacy for, and the effective monitoring and implementation of, local activities.

The paper appeared today in Health Prospect an Open Access journal published in English in Nepal as part of the Nepal Journals Online (NepJOL) service .

 

Reference

  1. Regmi, P., van Teijlingen, E., Simkhada, P., Aryal, N. (2017) Local elections and community health care in Nepal, Health Prospect: Journal of Public Health, 16(2):1-2.

The slow process from public health research to law

We know that public health works and thinks long-term. We’ll typically see the population benefits of reducing health risks such as tobacco use, obesity and high alcohol intake in ten or twenty years’ time.  But we often forget that preceding public health research into the determinants of ill health and the possible public health solutions is also slow working.  Evidence-based public health solutions can be unpopular with voters, politicians or commercial companies (or all).  Hence these take time to get accepted by the various stakeholders and make their way into policies.

I was, therefore, glad to see that Scotland won the Supreme Court case today in favour of a minimum price for a unit of alcohol. As we know from the media, the court case took five years.  Before that the preparation and drafting of the legislation took years, and some of the original research took place long before that.  Together with colleagues at the Health Economic Research Unit at the University of Aberdeen, the University of York and Health Education Board for Scotland, we conducted a literature review on Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland as early as 2001 [1].  Some of the initial research was so long ago it was conducted for the Scottish Executive, before it was even renamed the Scottish Government.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Research started years ago! Ludbrook et al.(2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, HERU, Univ. of Aberdeen. [ISBN: 0755932803] http://www.gov.scot/Resource/Doc/1124/0052548.pdf

Congratulations to James Palfreman-Kay

Congratulations to BU’s Equality and Diversity Adviser James Palfreman-Kay whose application to HEFCE’s ‘Catalyst Fund: Tackling hate crime and online harassment on campus‘ has been successful.  He is one of 40 academic recipients of funding at universities and colleges throughout England.  Applications have been  assessed by a panel of HEFCE staff and external experts from across relevant areas of knowledge particular to student safeguarding.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

 

BU Sociology article in The Conversation

Congratulations to Dr. Hyun-Joo Lim Senior Lecturer in Sociology at BU who has just written an interesting piece on human rights issues faced by North Korean female defectors in China in The Conversation. You can access this article by clicking here!

 

Well done!

Prof. Edwin van Teijlingen

CMMPH