Tagged / South Asia

Using participatory asset mapping and PhotoVoice in Nepalese alcohol study

This week we received an email from the editorial office of  Perspectives in Public Health with congratulations on the acceptance of your paper ‘Participatory asset mapping and photovoice interviews to scope cultural and community resources to reduce alcohol harm in Chitwan, Nepal’ [1]The lead researcher on this public health alcohol research project in Nepal is Dr. Ranjita Dhital, Lecturer in Interdisciplinary Health Studies in the Arts and Sciences Department at UCL (University College London).

The World Health Organization (WHO) suggests that in low and middle-income countries (LMICs) like Nepal, morbidity and mortality risks are greater per litre of pure alcohol consumed than in higher-income countries. This is largely due to poverty, poor nutrition, adverse living conditions, and poor access to care. These inequities are made worse by the dearth of understanding of the most appropriate and cost-effective approaches to reduce alcohol-related harm in LMICs.  Our study aims to stimulate new thinking on how cultural and community assets could be integrated to co-designed alcohol interventions for future evaluation in LMICs, through scoping the breadth of cultural and community assets in relation to alcohol use and to exploring attitudes towards alcohol and people experiences with it.

The journal Perspectives in Public Health is published by SAGE and the paper will be Open Access when it appears online.  My previous alcohol studies have focused on students [2], Nepalese migrants living in the UK [3], and Public Health measures to reduced alcohol misuse in Scotland [4].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

Reference:

 

  1. Dhital, R., Yoeli, H., Adhikari, A., Luitel, N.P., Nadkarni, A., van Teijlingen, E., Sin, J. (2023) Participatory asset mapping and photovoice interviews to scope cultural and community resources to reduce alcohol harm in Chitwan, Nepal, Perspectives in Public Health (accepted).  DOI: 10.1177/17579139231180744).
  2. Engs, R.C, van Teijlingen E (1997) Correlates of alcohol, tobacco & marijuana use among Scottish post-secondary helping profession students, Journal of Alcohol Studies, 58:435-44.
  3. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  4. Ludbrook A, Godfrey C, Wyness L, Parrott S, Haw S, Napper M, van Teijlingen E. (2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, ISBN: 0755932803 www.alcoholinformation.isdscotland.org/alcohol_misuse/files/MeasureReduce_Full.pdf

 

FHSS PhD student’s poster at prestigious GLOW conference

Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference].  This year for the first time, this international conference is held completely online.  Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van  Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal.  Sulochana has already published two papers from her on-going thesis research [1-2].

References

  1. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
  2. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives, 6(2):4–22.

New COVID-19 publication by FHSS academics

Congratulations to Dr. Preeti Mahato, Dr. Nirmal Aryal and Dr. Pramod Regmi  in the Faculty of Health & Social Sciences on their latest COVID-19 publication.  Yesterday the Europasian Journal of Medical Sciences informed us of its acceptance of the article ‘Effects of COVID-19 during lockdown in Nepal’ [1].  The Europasian Journal of Medical Sciences is a peer-reviewed Open-Accessed journal which is published biannually online as well as in print version. It is an official publication of the Nirvana Psychosocial Care Center & Research Institute.

This is the fifth COVID-19 publication by our team since lock down began (in both the UK and Nepal).  Previous publications with colleagues based in the UK and elsewhere across the globe focused on maternity care, public health, Nepal and the apparent effect of COVID-19 on people from ethnic minorities int he UK [2-5].

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

References:

  1. Mahato, P., Tamang, P., Shahi, P., Aryal, N., Regmi, P., van Teijlingen, E., Simkhada, P. (2020) Effects of COVID-19 during lockdown in Nepal, Europasian Journal of Medical Sciences (accepted).
  2. Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, S.,Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11https://www.nepjol.info/index.php/JAIM/article/view/29159
  3. Tamang, P., Mahato, P., van Teijlingen E, Simkhada, P. (2020) Pregnancy and COVID-19: Lessons so far, Healthy Newborn Network [14 April] healthynewbornnetwork.org/blog/pregnancy-and-covid-19-lessons-so-far/
  4. Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269
  5. Alloh, F.T., Regmi, P., van Teijlingen, E. (2020) Is ethnicity linked to incidence or outcomes of Covid-19? (Rapid Response) BMJ (14 May) 369:m1548

COVID-19 Pandemic: Public Health Implications in Nepal

Our editorial today in the Nepal Journal of Epidemiology highlights some of the key issues related to COVID-19 related to a low-income country such as Nepal [1].  There are various Public Health challenges to preventing the spread of COVID-19 in South Asia including Nepal. Learning from the  COVID-19 outbreak in China, there will be slowdown of economic activity with damaged supply chains which impact upon the public health systems in Nepal. Moreover, there is limited coordination among different stakeholders in healthcare management with few policies in place for infection prevention and control, shortage of testing kits and medical supplies (shortages of masks, gloves), and poor reporting are major challenges to be tackled in case of the COVID-19.

All South Asian countries are vulnerable to a mass outbreak with high population density in cities which is challenging to create social distancing, made worse by generally poor hygiene and often low (health) literacy. Additionally, some COVID-19 cases remain asymptomatic; so it is difficult to predict the epidemic outbreak that may introduces further difficulty in diagnosis of newer cases. Finally, healthcare workers across the globe were infected at high rates during the MERS and SARS outbreaks, so Nepal has to initiate health workers’ training including simulation exercises to provide health staff with a clearer picture of the complexities and challenges associated with COVID-19 and containing potential outbreaks.

This editorial has a very different time span between submission and publication than the one highlighted last week on the BU Research Blog (see details here!).  This  COVID-19 editorial took exactly one month between submission and publication, the one mentioned last week took  three-and-a-half years between submission and publication.

 

Prof. Edwin van Teijlingen

CMMPH

Reference:

  1. Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269

Nepal reproductive health paper published yesterday

Congratulations on the latest paper published yesterday by Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Reproductive Health (CMMPH) and colleagues.   This paper ‘Factors associated with contraceptive use in rural Nepal: Gender and decision-making’ [1], is freely available for the next 49 days through our personalized link: click here

 

This research paper in the journal Sexual and Reproductive Healthcare reports on a secondary analysis of pas a quantitative cross-sectional study in four villages of a hilly district in Nepal.  This authors found that gender was associated with current/ever use of contraceptives but decision-making was not found associated with current/eve use of contraceptives.  And, as perhaps was to be expected, socio-economic factors such as husband’s and wife’s education; and indicators showing sharing of childcare responsibilities were found to be associated with contraceptive use.   the paper concludes that educational, health promotional and family planning programmes involving husbands are needed to promote use of contraceptives.


Preeti’s co-authors are based at Dorset County Hospital in Dorchester, at CMMPH and at Singapore Clinical Research Institute/Duke-NUS Graduate Medical School, Singapore.

 

Reference:

  1. Mahato, P., van Teijlingen, E., De Souza, N., Sheppard, Z. (2020) Factors associated with contraceptive use in rural Nepal: gender and decision-making, Sexual & Reproductive Healthcare 24: 100507 https://doi.org/10.1016/j.srhc.2020.100507