Category / writing
Appreciative Inquiry Resource
Today we received a copy of the book Appreciating Health and Care in the post. This book has a sub-title ‘A practical appreciative inquiry resource for the health and social care sector’ and refers to the work led by Bournemouth University’s Dr. Rachel Arnold. Appreciative Inquiry values people’s expertise and vision and can motivate people to see the world differently and instigate positive change. Rachel been the lead author on several publications around Appreciative Inquiry [1-3].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
References:
- Arnold, R. (2024) Learning to use Appreciative Inquiry, i2Insights, 16th January.
- Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2024) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth 37: 128-136.
- Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.
New BU migrants’ health paper
Drs. Pramod Regmi and Nirmal Aryal in the Department of Nursing Sciences published a new paper with colleagues from Malaysia, Thailand, and the Philippines in PLoS ONE under the title ‘Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia’. [1] Globally, 390 million dengue virus infections occur per year. In Malaysia, migrant workers are particularly vulnerable to Dengue Fever (DF) due to mosquito breeding sites exposure and poor health literacy. This study reports on assessing the current Dengue Fever knowledge, attitudes and practices (KAP). The paper identifies strategies to promote awareness around Dengue Fever among migrant workers in Malaysia. Most respondents were male, working in the services industry, had completed high school, aged between 30–39 years and with less than ten years work experience in Malaysia. Overall, respondents’ knowledge was positively correlated with attitude but negatively with practices. Older respondents, who had completed higher education, obtained higher knowledge scores. Similarly, those with working experience of >20 years in Malaysia obtained higher attitude scores. Respondents with a previous history of Dengue Fever strongly considered the removal of mosquito breeding sites as their own responsibility, hence tended to frequently apply preventive measures. Respondents’ knowledge was also positively correlated to their understanding of Dengue Fever information sourced from social media platforms.
Congratulations!
Prof. Edwin van Teijlingen
Reference:
- Chaudhary MN, Lim V-C, Faller EM, Regmi P, Aryal N, Mohd Zain SN, Azman AS, Sahimin B. (2024) Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE 19(2): e0297527. https://doi.org/10.1371/journal.pone.0297527
Congratulations to Prof. Sara Ashencaen Crabtree
This book employs both ethnographic and secondary, archival data, drawing on a rich, fascinating trove of original material from the pre-1940s to the present day. It offers a unique historiographic study of twentieth century Methodist missionary work and women’s active expression of faith, practised at the critical confluence of historical and global changes. The study focuses on two English Methodist missionary nursing Sisters and siblings, Audrey and Muriel Chalkely, whose words and experiences are captured in detail, foregrounding tumultuous socio-political changes of the end of Empire and post-Independence in twentieth century Kenya and South India.
This work presents a timely revision to prevailing postcolonial critiques in placing the fundamental importance of human relationships centre stage. Offering a detailed (auto)biographical and reflective narrative, this ‘herstory’ pivots on three main thematic strands relating to people, place and passion, where socio-cultural details are vividly explored.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’ Health (CMWH)
Writing some blurb
Publisher Routledge announced the forthcoming edited volume Menstruation in Nepal: Dignity Without Danger, which is edited by Sara Parker, Madhusudan Subedi and Kay Standing. This book examines the complexities of menstrual beliefs and practices in Nepal. Taking an interdisciplinary and intersectional approach, it explores and promotes the rights of women, girls and people who menstruate, to a dignified and healthy menstruation. I had the honour of being asked to write some of the blurb for this exciting book. Partly, because of our wide-range of health services and health promotion research in the country and partly because of our previous paper on reusable sanitary towels in the aftermath of the 2015 earthquake in Nepal [1].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Reference:
- Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.
Collaborative midwifery paper cited 40 times
The same team wrote a separate paper the following year on ‘Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models’ [2]. Interestingly, ResearchGate tells us this paper has been read fewer times and cited ‘only’ 21 times to date.
Reference:
- Symon, A., Pringle, J, Cheyne, H, Downe, S., Hundley, V, Lee, E, Lynn, F., McFadden, A, McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H, Alderdice, F. (2016) Midwifery-led antenatal care models: Mapping a systematic review to evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16:168 http://rdcu.be/uifu
- Symon, A., Pringle, J., Downe, S, Hundley, V., Lee, E., Lynn, F, McFadden, A, McNeill, J, Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H., Alderdice, F. (2017) Antenatal care trial interventions: a systematic scoping review & taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
Interdisciplinary Research Teams/ Interdisciplinarist
The Interdisciplinary Research Team not the Interdisciplinarist
Worldwide there is a growing interest in multidisciplinary and interdisciplinary research. This overview paper addresses some of the pitfalls and barriers to being an interdisciplinary researcher. Being involved in interdisciplinary research is not an easy option for an individual discipline expert. It requires individual skills, ability to see beyond one’s discipline and perhaps personality characteristics such as a great team player. Interdisciplinary research may involve a mixed-methods approach underpinned by conflicting, and according to some incommensurable, research philosophies. The paper uses some examples from our own experiences of working in interdisciplinary teams to illustrate its potential.
On Valentine’s Day we received a message from ResearchGate that our paper ‘The Interdisciplinary Research Team not the Interdisciplinarist’ has received 2,000 reads.
Prof. Edwin van Teijlingen
Reference:
Shanker S, Wasti SP, Ireland J, Regmi PR, Simkhada PP, van Teijlingen E. (2021) The Interdisciplinary Research Team not the Interdisciplinarist. Europasian J Med Sci.;3(2):111-5. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/317
New BU Public Health publication
Yesterday we received the proofs of the recently accepted paper ‘Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal’ [1]. Luckily these are only the proof pages as my family name is misspelt, and the paper still lists the old name of our Centre for Midwifery and Women’s Health, which was, of course, the correct name at the time of submission.
The last time I published a paper on hygiene was also with colleagues in Nepal seven years ago, this time it was on menstrual hygiene [2].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
References:
- Sharma, M., Adhikari, R., van Teijlingen, E., Devkota, B., Khanal, S. (2024) Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal, International Journal of Health Promotion & Education (accepted). https://doi.org/10.1080/14635240.2024.2314459.
- Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.
Paper by BU MSc student accepted for publication
Congratulations to Mr. Musa Lewis Nhlabatsi whose paper ‘Clinicians’ barriers to screening and diagnosing diabetes distress in patients with type 1 and 2 Diabetes Mellitus: a systematic review’ has just been accepted by the African Journal of Health Sciences [1].This systematic review’s initial search identified 1,579 studies, but only four primary studies from three countries met the inclusion criteria. The studies reported five barriers: (1) lack of knowledge, (2) lack of time, (3) lack of accessibility to mental health services, (4) lack of motivation and (5) patients’ denial of their diabetes distress. The two most reported barriers were lack of knowledge and time. In conclusion this review identifies critical barriers to the underdiagnosis of diabetes distress by clinicians and highlights the need for policymakers and organisations to conduct pragmatic research to understand clinicians’ experiences in assessing diabetes distress in various healthcare settings to improve diabetes management.
The paper developed from his work on the Systematic Review Module for Masters student. Earlier Musa won The Department of Medical Science and Public Health Award in July 2023 and he graduated in November 2023.
Congratulations!
Profs. Vanora Hundley and Edwin van Teijlingen
Reference:
- Nhlabatsi, M.L., van Teijlingen, E., Hundley, V. (2024) Clinicians’ barriers to screening and diagnosing diabetes distress in patients with type 1 and 2 Diabetes Mellitus: a systematic review’, African Journal of Health Sciences (forthcoming)
New Nepalese migrant health paper published
New paper on migrant workers from Nepal was published this week in KMC Journal. The paper ‘Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India’ has Shanti Khanal as lead author [1]. The journal is Open Access, hence freely available online across the globe. The paper examines the association between risk perception and protective behaviour regarding COVID-19 in returnee migrant workers. A total of 384 returnee migrants, based in a quarantine centre on return from India, participated in the study. Using the health belief model (HBM) as a theoretical framework, a structured interview questionnaire was designed and administered. A further three health workers were interviewed face-to-face.
The study showed that the perceived risk of COVID-19 among participants was medium to low. Participants perceived few barriers and had low self-efficacy levels compared to other constructs. This study further showed that participants were more likely to follow a range of protective health behaviours, but not found all. The study revealed a significant association between all risk perception constructs and protective behaviours (p=< 0.05). This study accordingly highlighted a significant relationship between the respondents’ risk perception level and protective health behaviours. The study envisaged that public awareness of risk to the people who returned from India is essential to increase risk perception during the outbreak.
The study works towards fulfilling SDGs (Sustainable Development Goals), especially ‘Good health and well-being’ (SDG 3) and Decent work and economic growth (SDG 8).
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
Reference:
- Khanal, S.P., van Teijlingen, E., Sharma, M., Acharya, J., Sharma, C., Kharel, S., Gaulee, U., Bhattarai, K., Pasa, R.B., Bohora, P. (2024) Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India. KMC Journal, 6(1): 313–330. https://doi.org/10.3126/kmcj.v6i1.62364
Health Promotion article is being read
Our article ‘Understanding health education, health promotion & public health’ [1] is getting read according to ResearchGate. This conceptual/ theoretical paper was published open access in late 2021 in the Journal of Health Promotion and it reached 4,500 reads yesterday. Whilst the web side of the journal suggests today that the PDF of the paper has been downloaded 8,511 times.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
Reference:
- van Teijlingen, K. R., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. R. (2021). Understanding health education, health promotion and public health. Journal of Health Promotion, 9(1): 1–7. https://doi.org/10.3126/jhp.v9i01.40957
Latest paper from Federalisation & Health System in Nepal
The sixth paper from our interdisciplinary research team focuses on the effective way we applied participatory policy analysis in a study on the effects on the health system in Nepal. In the research we used a methodological approach using the River of Life which we describe in this paper ‘Participatory policy analysis in health policy and systems research: reflections from a study in Nepal’ [1]. The Lead author is Dr. Sujata Sapkota from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.
This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we 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 is 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. We have managed to publish five papers from this project prior to today’s one reflecting on the methodology [2-6].
Prof. Edwin van Teijlingen
CMWH (Centre for Midwifery & Women’s Health)
References:
- Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti, S.P., Karki, J.K., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, S.B. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
- 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(117) https://doi.org/10.1186/s12961-023-01033-2
- 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.
- 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.
- 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 (3): 1-11.
- 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 Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146
Forum on Post-Federalisation Health System Strengthening
Today and tomorrow our research team is engaged in discussions with those responsible for running the health system at different levels of the new federal system in Nepal. The aim today and tomorrow of this participatory research project is bring together stakeholders from all levels of government (local, provincial and federal), to develop solutions, practical actions and recommendations for different levels of the political system to address some of the five areas our research identified as possible priorities. Nepal changed from a centralised political system of government to a federal system in 2015. It is easy to see how such change in the political system might affect the organisation, funding, governance, human resources, etc. of all sub-systems in society, such as the education system, the police, and in the area of our particular interest, the health system.
This interdisciplinary study started just before COVID-19 in 2020 and is now coming to a conclusion. The multi-national research team includes researchers from Nepal: MMIHS (Manmohan Memorial Institute of Sciences) in Kathmandu, and PHASE Nepal (Bhaktapur), the University of Sheffield, Bournemouth University, and the University of Huddersfield (the original UK applicants), and researchers currently based at three further UK universities: the University of Greenwich, the University of Essex and Canterbury Christ Church University. This exciting research is funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office (FCDO), and the Welcome Trust.
New migration paper related to Nepal
On the last day of 2023 the Journal of Health Promotion published the paper ‘Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men’ [1]. This paper, in an Open Access journal, addresses one of the consequences of male labour migrants leaving their family members behind in Nepal. While non-migrating spouses often receive financial support in the form of remittances, their husbands’ migration also creates numerous social and personal problems. This qualitative study explored non-migrating spouses’ experience of sexual harassment/abuse and its impact on their mental health. Fourteen in-depth interviews were conducted and women reported experiencing harassment by men they knew, including their teachers and colleagues, who knew their husbands were abroad. But none of the women reported taking any action against their perpetrators, indicating a lack of power in this study population in still predominantly patriarchal society.
The lead author of the paper is Assistant Prof. Kalpana Gyawali from Tribhuvan University, Nepal’s largest and oldest university paper. Her co-authors are: Padam Simkhada, Visiting Professor in BU’s Faculty of Health & Social Sciences as well as Professor in Global Health at the University of Huddersfield, Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery & Women’s Health, Ms. Shraddha Manandhar, PhD. student at the University of Huddersfield, and Mr. Ram Chandra Silwal the Country Director of Green Tara Nepal, the charity we have been working with for nearly twenty years.
References:
- Gyawali, K., Simkhada, P., van Teijlingen, E.R., Manandhar, S., Silwal, R.C. (2023). Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men. Journal of Health Promotion, 11(1): 22–31. https://www.nepjol.info/index.php/jhp/article/view/61198
The last BU blog of 2023
One of the first message I received this morning was that our editorial ‘Addressing the inequalities in global genetic studies for the advancement of Genetic Epidemiology’ [1] had been published yesterday. If I had know this in time it would have been the proper last Bournemouth University Research Blog of 2023 published yesterday. Interestingly, we only submitted the draft editorial on Christmas Day, got it back for revisions on Boxing Day and resubmitted it and had it accepted on December 28th. It dis, of course, help that both editors-in-chief of the Nepal Journal of Epidemiology are co-authors on this editorial!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
Reference:
- Sathian, B., van Teijlingen, E., Roy., B., Kabir, R., Banerjee, I., Simkhada, P., Al Hamad, H. (2023) Addressing the
inequalities in global genetic studies for the advancement of Genetic Epidemiology. Nepal Journal of Epidemiology, 13(4):1292-1293.
DOI: 10.3126/nje.v13i4.61271
Well-being of Nepal’s migrant workers no longer on global agenda
A few days ago were alerted by ResearchGate that our article ‘Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup‘ has reached 300 reads [1]. We (Padam Simkhada, Pramod Regmi and I) wrote this article a year ago to raise publicity about the conditions of Nepalese migrant workers in the Middle East. The hazards faced by migrant workers engaged in building the football stadiums in Qatar have been well documented before and during the FIFA Men’s Football World Cup. Their working conditions are often very dangerous and their living conditions are often very poor.
This time last year Dr. Pramod Regmi, Dr. Nirmal Aryal, Prof. Edwin van Teijlingen, and BU’s Visiting Professor Padam Simkhada also published ‘Excessive Mortalities among Migrant Workers: the Case of the 2022 FIFA World Cup’ [2]. At the time we wrote “The men’s FIFA Football World Cup 2022 is in full flow in Qatar” which finished with a very exciting final between Argentina and France. Around the same time BU’s PhD student Yagya Adhikari also wrote a paper on ‘Forgotten health and social care needs of left-behind families of Nepali migrant workers’ [3]. This paper was co-authored by Dr.Pramod Regmi in the Department of Nursing Sciences, Prof. Edwin van Teijlingen, and BU Visiting Faculty Prof. Bhimsen Devkota.
Unfortunately, since the World Cup finished, the world, the media and our politicians have moved on and the health and well-being of migrant workers are no longer headline news. The reminder this week of 300 reads for our editorial gives us another opportunity to remind everyone of the need to keep the plight of migrant workers in the Middle East (and elsewhere) on the world’s agenda.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
References:
- Simkhada, P., van Teijlingen, E., Regmi, P. R. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022 . Health Prospect, 21(3). https://doi.org/10.3126/hprospect.v21i3.49835
- Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4.
- Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4. https://doi.org/10.3126/jhp.v10i1.50976
Migration and mental health meeting in Kathmandu
Yesterday (29th December) Prof. Edwin van Teijlingen attended a workshop on ‘Current situation of migration and its impact on Mental health’ in a hotel in Kathmandu, Nepal. This workshop was organised by the Transcultural Psychosocial Organization Nepal (TPO Nepal) and funded by a Finnish aid organisation. Two of BU’s current collaborators were members of the workshop panel. One of the panel members was FHSS Visiting Faculty Prof. Padam Simkhada, who is Professor of Global Health at the University of Huddersfield. He spoke about the limited amount of research into mental health in general in Nepal and in migrant workers in particular. The chair was Mrs. Manju Gurung from the organisation POURAKHI Nepal, who collaborates with BU in the recently started project on health and migration funded by the USA State Department. Unsurprisingly, several speakers at the workshop referred to studies conducted in the field of migrant workers’ health by BU academics, particularly the work published by Dr. Pramod Regmi and Dr. Nirmal Aryal.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Paper published on ‘living evidence’
The Nepal Journal of Epidemiology published today carries an article on so-called ‘living evidence’ as an on-going synthesis approach that provides up-to-date rigorous research evidence [1]. This short research methods paper argues that living evidence is particularly useful in rapidly expanding research domains, uncertain existing evidence, and incorporating new research evidence that may impact policy or practice, ensuring that health worker, managers and health-policy makers have access to the best, i.e. the most recent evidence.
The Nepal Journal of Epidemiology is an Open Access journal, and hence freely available to researchers across the globe. The paper has been co-authored by researchers from the Denmark, Qatar, Mauritius and the UK.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
Reference:
- Sathian B., van Teijlingen E., do Nascimento I.J.B., Khatib M.N., Banerjee I., Simkhada P., Kabir R., Al Hamad H. (2023) Need for evidence synthesis for quality control of healthcare decision-making. Nepal Journal of Epidemiology 13(3):1288-1291. DOI: 10.3126/nje.v13i3.61004