This week saw the pre-publication of ‘Core principles to reduce current variations that exist in grading of midwifery practice in the United Kingdom’ in Nurse Education in Practice. This paper is co-authored by Dr. Susan Way in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The authors argue that these core principles could contribute to curriculum development in midwifery and other professions internationally.
Prof. Edwin van Teijlingen
- Fisher, M., Way, S., Chenery-Morris, S., Jackson, J., Bower, H. (2017) Core principles to reduce current variations that exist in grading of midwifery practice in the United Kingdom, Nurse Education in Practice (forthcoming) see: http://www.nurseeducationinpractice.com/article/S1471-5953(17)30092-6/abstract
Today we offered preliminary feedback to key stakeholders in Kathmandu as part of our research into CPD (Continuous Professional Development) for nurses in Nepal. Today’s presentation is party funded by LJMU (Liverpool John Moores University) and partly funded by BU’s Centre for Excellence in Learning (CEL). Late 2016 CEL funded the qualitative part of our research project. In this CPD project we work with representatives of the Ministry of Health , the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and providers of Nursing Education (both Government-run universities and private colleges).
Today key presenter was BU Visiting Faculty Dr. Bibha Simkhada (based at LJMU). The event was opened by Associate Professor Chandra Kala Sharma, who is also the president of the Nepal Nursing Association (lighting the traditional lamp in photo right).
Our BU contributors, Dr. Catherine Angell and Prof. Edwin van Teijlingen, are both based in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH). We are grateful to our collaborators in Nepal, especially Dr. Sujan Marahatta at Manmohan Memorial Institute of Health Sciences, for organising this event in our absence. The CPD research project is truly a FUSION project in the field of nursing & midwifery since it links Research in the field of Education to help improve Practice in Nepal. Further information can be found on a previous blog post, click here!
Prof. Edwin van Teijlingen
Focus groups in open air in rural Nepal, (c) Sheetal Sharma
Congratulations to Sheetal Sharma, postgraduate student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) whose latest paper on the process of the research in her PhD fieldwork was accepted today by the Journal of Asian Midwives . Sheetal used an innovative mixed-methods evaluation which was applied to a long-running maternity intervention in rural Nepal. The intervention has been supported for nearly seven years by Green Tara Trust, a Buddhist charity based in London. Sheetal’s supervisors are supervisors are Prof. Vanora Hundley, Prof. Edwin van Teijlingen, Dr. Catherine Angell (all in CMMPH) and Prof. Padam Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences and based at Liverpool John Moores University.
This paper is part of a larger body of health research work conducted by CMMPH in Nepal.
Sharma, S., Simkhada, P., van Teijlingen, E., Stephens J, Hundley, V., Angell, C. (2017) Evaluation of Maternity Care Intervention in Rural Nepal: Lessons learnt, Journal of Asian Midwives (accepted Jan. 2017).
Yesterday the Scottish Government has published its national maternity review ‘The Best Start – A Five Year Forward Plan for Maternity and Neonatal Care in Scotland’. The report has been widely welcomed and gained, among others, the full support from the Royal College of Midwives (RCM). Mary Ross-Davie, RCM Director for Scotland noted: “This is a defining moment for maternity services in Scotland and will be a seismic shift for our maternity services. The plan has the potential to revolutionise maternity care, to deliver safer and better services for women, babies and their families, and to improve the health of our population.”
The Best Start recognises that maternity and neonatal services matter to the health and wellbeing of Scotland’s people. The report’s underpinning is more of a social model of childbirth as it observes that “The health, development, social, and economic consequences of childbirth and the early weeks of life are profound, and the impact, both positive and negative, is felt by individual families and communities as well as across the whole of society.”
Having lived for 25 years in Scotland I am happy to have made a small contribution to this import report.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
The second day of THET training showed again that gender is a critical issue in Nawalparasi, southern Nepal. We asked the ANMs about things they had changed in their own practice. Several ANMs said that they had changed the way they worked. Now they see that having a baby girl can be a significant mental health issue as it causes the women a lot of stress. Interestingly, it also caused them as health workers considerable stress The ANMs said that they had started to counsel families of girl children. They say they emphasise that it is okay to have girls.
This ties in with feedback comments from yesterday in a different group of trainees. In Sunday’s training, one ANM answered when asked about stress at work, that she finds it stressful that a room falls silent when a baby girl is born. She commented that this happens when the family is obviously hoping for a boy. She added that at the very moment a baby girl is born, the family immediately falls silent. She said that this is a great source of stress to her as a health worker.
Coincidently next door to the training venue in Nawalparasi a Hindu wedding has been taking place today. This colourful spectacle represents different roles and expectations of men and women, the bride and the groom, but also the other guests here in Nepal. Weddings everywhere are ceremonies that reflect society. Seeing the wedding from close by and listening to the ANMs over these last two days, we reflected at the end of today that these ANMs are acting bravely in raising such a culturally sensitive issue in their practice, in this largely patriarchal rural society.
Flora Douglas & Edwin van Teijlingen
Today we had our first training session of the final THET mental health in maternity care project. UK volunteer Dr. Flora Douglas spoke about key aspects of health promotion and focused particularly on notions of community-based approaches. Flora is based at the University of Aberdeen and she is also a Visiting Fellow in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). This was her first visit to Nepal. She was inspired to volunteer as she had been a MSc supervisor some years ago on a project that related to the Green Tara Nepal health promotion intervention. Bournemouth University has been working with Green Tara Trust, a Buddhist charity based in London for many years.
Yesterday Flora had visited one of the 20 birthing centres in Nawalparasi, the district where the THET training takes place. Flora was very humbled by the experiences of the community-based maternity care workers in the light of many constrains. She said: “I have seen pictures of such birthing centres and read about them in the literature, but it is not until you see them first hand that you realise how staff have to work with such limited resources.
The attendees, who are nearly ANMs (auxiliary nurse midwives) were highly enthusiastic and very keen to discuss and learn. They shared some very personal and touching stories about their practice. Flora added: “I am very struck by their understanding of the importance of the social and cultural determinants of both psychical and mental health.” Many found they had learnt something in previous THET sessions in 2016 about communication with women and counselling family members about mental health, and perhaps most importantly, listening more to women. Last, but not least, Flora commented on the dedication of the participants: “At least two of the participants told me they travelled ten hours to get here for our one-day workshop. This really shocked me, particularly having seen the quality of the roads and public transport!”
Prof. Edwin van Teijlingen
Yesterday we come down from Kathmandu, the capital of Nepal, to our THET training area in Nawalparasi. Today we are starting our sixth and last training session on the Mental health training for community-based maternity care providers. Interesting we are starting training on a Sunday as Nepal is largely a Hindu country and most workers have only a one-day weekend (which is the Saturday). This BU-led project 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.
The landscape in the photo gives an idea of how rural this part of Nepal is. Nawalparasi is situated in the south of Nepal the India border. It is also largely very flat, not like the Nepal most people envisage namely that of the Himalayans and of Mount Everest. The flatness makes a Dutchman feel at home though.
The project depends on volunteers who work in the health sector in the UK to come out and spend their time and energy preparing and delivering the training. Our project also could not work without the logistical support from Green Tara Nepal and our academic colleagues at Tribhuvan University. The last photo shows one of the UK volunteers Dr. Flora Douglas with the translator Shiwani Manandhar on the way to the training venue.
Prof. Edwin van Teijlingen (from Nepal)
Two BU papers and a poster at the International Conference on Transforming Lives & Healthcare through Technology
On 9th January 2017, I presented a paper entitled ‘Qualitative research in health technology assessment’ in a scientific session at the International Conference on Transforming Lives and Health Care through Technology (TLHTicon 2017), Wardha, India. This paper was prepared jointly with by Prof Edwin van Teijlingen and BU’s Visiting Prof Padam Simkhada (Liverpool John Moores University). At the same conference Mrs. Preeti Mahato’s poster on ‘Factors affecting health facility delivery in rural Nawalparasi, Nepal’ was also displayed. Preeti is a PhD student in FHSS. In another scientific session, BU visiting faculty Prof Padam Simkhada presented a paper around global public health and health technology assessment. Prof Edwin van Teijlingen and Dr Pramod Regmi co-authored this presentation.
The conference, which attracted more than 180 oral scientific papers and 97 posters, was organized jointly by Datta Meghe Institute of Medical Sciences, DU, Datta Meghe Institute of Engineering, Technology & Research and Yeshwantrao Chavan College of Engineering in association with the Global Consortium for Public Health Research. The Global Consortium for Public Health Research was recently formed . Prof Edwin van Teijlingen, Dr Pramod Regmi, both from HSS, BU are part of it among the 14 academics/researchers from UK, India, Bangladesh, Nepal and few other Low and Middle-Income Countries. Some of them are BU visiting faculty too. Unfortunately, Prof Edwin van Teijlingen could not get a visa in time for India, so he recorded a good-luck message. This pre-recorded message was played to the conference goers.
I found the scientific sessions were a nice blend of scientific talks, plenary sessions, symposia and scientific track sessions. Overall, this conference provided a much-needed platform for academicians, researchers, practitioners and professionals from medical, engineering and industry to disseminate their innovations in interdisciplinary field of health sciences through technology. The conference show-cased innovations in health-care through technology, which shall be useful in transforming lives of people in Low and Middle Income Countries. In these two days; I have been able to all refreshed with thought-provoking & informative talks rendered by experienced researchers around technology in health care.
Dr Pramod Regmi, Post Doc Research Fellow, HSS
- Simkhada, P., van Teijlingen, E., Regmi, P.R. et al., 2016. Need and scope of global partnership on public health research. Journal of Datta Meghe Institute of Medical Sciences University, 11 (2), 202-204.
Bournemouth University has been working on a small research project with Pourakhi, a voluntary organisation which helps female migrant workers returning to Nepal, for over a year. Pourakhi advocates for the rights of women migrant workers. Last week they invited me to present a workshop session on Academic Writing & Publishing, this morning I run such workshop. The content of the workshop is based on years of experience of running similar workshops at Bournemouth University, many Higher Education colleges across Nepal and a COST-funded workshop in Malta a few years ago. The eight people (staff and volunteers) who attended the workshop were generally inquisitive and keen to get their work into print. Most of the paper we have written about aspects of academic writing and the publishing process have been published in Open Access journals. [1-8] Therefore, we can easily give workshop attendees copies and/or give them the links to the online version on the web.
Prof Edwin van Teijlingen
- Hundley V, van Teijlingen E, Simkhada P (2013) Academic authorship: who, why and in what order? Health Renaissance 11 (2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
- Pitchforth E, Porter M, Teijlingen van E, et al. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
- Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11 (1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
- van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 4(1): 344-347.
- van Teijlingen, E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
- van Teijlingen, E, Simkhada PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10 (1): 1-4.
- van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
- Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
Following our health promotion dissemination meeting in Kathmandu last week, we had considerable national media coverage in Nepal. Since I wrote about of this media coverage on the BU Research Blog we have been informed about some further press coverage.
Apparently we appeared on Mountain Television, but I haven’t see the programme myself yet. On January 4th we had a very short piece in The Himalayan Times , a piece which incidentally also failed to mentioned Bournemouth University. Over the weekend we had a little write up in a magazine called New Spotlight (see photo).I have also included the original colour photo as the magazine’s copy looks unclear.
Prof. Edwin van Teijlingen
Yesterday we meet in Kathmandu with colleagues working for Pourakhi. Pourakhi is a charity, a non-governmental organisation (NGO), that helps to advocate for the rights of women who returned to Nepal after migrating for employment. The name Pourakhi, which means self-reliant in Nepali, represents the idea that the organisation is largely run and supported by Nepali women who had migrated abroad for employment.
Globalization and trade liberation have opened up opportunities in the international labour market for women in Nepal. Lack of job opportunity in Nepal and poverty have put a growing demand on women to economically support their family. This means many Nepali women are leaving the country to work abroad. In doing so they contribute to the economic prosperity of their families and also in the poverty alleviation of their country through remittances. However, working abroad comes at a cost, as it is not always easy, especially for women.
The Faculty of Health & Social Sciences at Bournemouth University (Prof. Edwin van Teijlingen) and Liverpool John Moores University (Prof. Padam Simkhada, who is also Visiting Faculty at FHSS) have been working with Pourakhi over the past years and half. The main aim of this collaboration is to set up a proper database of women who return to Nepal, based on paper records collected by Pourakhi and use this data to publish academic papers and reports on the issue. The first academic paper based on data collected up to 2014 has already been submitted.
Prof. Edwin van Teijlingen
Yesterday saw the publication of the paper ‘Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models’, which is the first paper this year for the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) . The paper is based on a cross-UK collaboration led by Dr. Andrew Symon from the University of Dundee which is published in the Open Access journal BMC Pregnancy & Childbirth. This is the second paper from this collaboration, the first one ‘Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components & characteristics of care ‘ was published last year .
The latest BMC Pregnancy & Childbirth paper is a first step in establishing a taxonomy of antenatal care models. The article concludes that interventions can be defined and described in many ways. The intended antenatal care population group proved the simplest and most clinically relevant way of distinguishing trials which might otherwise be categorised together. Since our review excluded non-trial interventions, the taxonomy does not represent antenatal care provision worldwide. It offers a stable and reproducible approach to describing the purpose and content of models of antenatal care which have been tested in a trial. perhaps key is that the paper highlights a lack of reported detail of trial interventions and usual care processes.
Our paper provides a baseline for future work to examine and test the salient characteristics of the most effective models, and could also help decision-makers and service planners in planning implementation.
Moreover we look forward to conducting more research as part of this exciting collaboration in midwifery and maternity care.
Prof. Edwin van Teijlingen & Prof. Vanora Hundley
- 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 and taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
- 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 an evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16: 168 http://www.biomedcentral.com/1471-2393/16/168
Yesterday’s health promotion dissemination meeting in Kathmandu has been widely reported in the national media in Nepal. Some of the national media focused largely (but not solely) on the words of the Minister of Health Mr Thapa, whilst the television news reports included the organisers and presenters at the event. The Green Tara Nepal Health Promotion Dissemination conference in Kathmandu was supported by the Centre for Midwifery, Maternal & Perinatal Health at BU and Liverpool John Moores University (LJMU) and Green Tara Trust UK (a Buddhist charity based in London). BU has been working with Green Tara Nepal for the past eight years on a number of maternal health promotion projects in rural Nepal. Overall the media in Nepal had difficulty understanding the notion of ‘health promotion’, therefore many journalists focused on health services as this was mentioned by the Minister of Health.
The event was also attended by BU Visiting Faculty Prof. Padam Simkhada (based at LJMU), CMMPH PhD student Preeti Mahato and FHSS Post-Doc. Dr. Pramod Regmi.
Prof. Edwin van Teijlingen
Today the charity Green Tara Nepal (GTN) in collaboration with two UK universities, BU and Liverpool John Moores University (LJMU) presented the findings of its long-term maternal project plus a review of health promotion in (a) government policies and strategies and (b) the curricula of university-based health courses in Nepal. The event in Hotel Yellow Pagoda was attended by the Nepal’s Minister of Health Mr. Gagan Kumar Thapa. We presented some of the key research findings of the GTN maternity project which have shown that interventions based on health promotion principles using women’s groups can be effective in the community.
Bournemouth University was represented by Dr. Pramod Regmi (FHSS), Mrs. Preeti Mahato, PhD student in the Centre for Midwifery, Maternal and Perinatal Health (CMMPH) and Prof. Edwin van Teijlingen. One of the strengths of Green Tara’s approach is its collaboration with UK universities for its research. Several excellent MSc and PhD students have been, and some, such as CMMPH’s PhD students Sheetal Sharma and Preeti Mataho, still are, contributing to the health promotion evidence base.
The workshop was attended by a range of directors of NGOs (Non-Governmental Organisations), INGOs (International Non-Governmental Organisations), academics, the Government of Nepal, and many other stakeholders including the media. The GTN Chair Krishna Lamsal commented: “This dissemination workshop follows on from the First National Health Promotion Conference in Nepal in which Bournemouth University was also a joint organiser. The 2003 conference brought together nearly 300 people for the first time to discuss key issues in health promotion.”
In the final week of 2016 the journal Health Prospect published our editorial on the importance of introducing nursing CPD in Nepal . This editorial is based on a collaborative study between BU, Liverpool John Moores University (LJUM), Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal, Nepal Nursing Council (NNC), and the Nursing Association of Nepal (NAN). The BU part of the study is led by Dr. Catherine Angell based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and funded by a small grant from BU’s Centre for the Excellence in Learning. Two of our co-authors from LJMU Dr. Bibha Simkhada and Prof. Padam Simkhada are also Visiting Faculty at BU. The project is a true FUSION project as the Research, will inform Education (in the form of CPD) which will in turn improve Practice (of the many thousands of nurses in Nepal).
Health Prospect is an Open Access journal and therefore freely available for any one to read online.
Prof. Edwin van Teijlingen
- Simkhada, B., Mackay, S., Khatri, R., Sharma, C.K., Pokhrel, T., Marahatta, S., Angell, C., van Teijlingen, E., Simkhada, P. (2016) Continual Professional Development (CPD): Improving Quality of Nursing Care in Nepal, Health Prospect 15 (3):1-3 http://www.nepjol.info/index.php/HPROSPECT/article/view/16326/13255
Yesterday Prof. Edwin van Teijlingen from BU’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) spoke at the 9th Conference and Seminar on Adolescent’s Health Promotion in Kathmandu. This event was organised by the Health Education Association of Nepal (HEAN). The first keynote speech ‘Adolescent’s Health Promotion: Global Perspectives‘ was presented by BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University) on behalf of his BU co-authors Dr. Pramod Regmi and Prof. Edwin van Teijlingen. The second keynote speech ‘Global Health Promotion Approach‘ was presented jointly by Prof. van Teijlingen and Green Tara Nepal country director Mr. Ram Chandra Silwal on behalf of their collaborators Prof. Simkhada and Green Tara Trust, UK (Dr. Jane Stephens and Ms. Colette Fanning).
Both presentations were well received and generated considerable discussion amongst an audience of health educationalists, public health teachers and health promotion experts. Several of the active members of HEAN and conference organisers are collaborators with BU on our THET project on training community-based maternity care providers in rural Nawalparasi, southern Nepal.
Prof. Edwin van Teijlingen
Today saw the publication of a new methods paper by Dr. Sarah Collard, post-doctoral researcher in the Faculty of Health & Social Sciences (FHSS) and Prof. Edwin van Teijlingen in the academic journal Health Prospect. This new paper addressed some of the key methodological issues associated with Internet-based Focus Groups (FGs) or the so-called Online Focus Group Discussions . Traditional face-to-face FG discussions are a popular qualitative research method used a wide-range of areas, such as political sciences, marketing, health service research and sociology to name but a few disciplines. More recently, internet-based FGs have grown in popularity due to the growth of: (a) the internet, both in terms of technical capacity and number of users; and (b) the improved quality of communication software (e.g. Skype). This paper highlights some of the strengths and weaknesses of conducting FGs online. Building on our experience of conducting traditional and internet-based FGs.
Dr. Sarah Collard is affiliated with BU’s Centre for Qualitative Research (CQR). Health Prospect is an Open Access journal therefore this article is freely available to any reader across the globe.
- Collard, S., van Teijlingen, E. (2016) Online focus group: New approaches to an ‘old’ research method, Health Prospect 15(3):4-7.
We had the honour to speak to Parliamentarians (MPs) in Kathmandu today (December 29th) as part of workshop to promote evidence-based policy-making. The workshop was organised by a consortium of three UK universities: Liverpool John Moores University (LJMU), Bournemouth University and the University of Sheffield. Fund the Fund supported this Advocacy Workshop with Parliamentarians and Policy Experts on HV and AIDS (Discussion series IV) in the Himalayan Hotel in Lalitpur in Kathmandu Valley. The workshop was attended by some 30 MPs from all major parties and three or four former ministers. The drive to increase evidence-based policy-making in Nepal is led by Dr. Gangalal Tuladhar MP.
Prof. Padam Simkhada from LJMU and BU Visiting Professor addressed ‘key challenges on evidence-based health care delivery in Nepal’ and Prof. Edwin van Teijlingen from the Faculty of Health & Social Sciences compared selected different health-care systems in high-income countries.