Posts By / Edwin van Teijlingen

Building Strong Primary Health Care in Nepal

New  BU co-authored article ‘Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal’ will be published soon [1].  This paper has been accepted by the international journal Global Health Action (published by Taylor & Francis).  The international authorship comprises Nepal, Denmark and the UK.

Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends in the former. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. The paper argues that while the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, its potential is not fully tapped in Nepal. In line with the Alma-Ata and Astana declarations, the authors propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burden of NCDs.  These six key areas are: (1) Life-course approach to addressing NCDs; (2) Task shifting for NCD risk factor management; (3) Strengthening informal care givers; (4) Strengthening quality of PHC and health systems;  (5) Establish strategic information management system; and (6) Healthcare financing.

Publication Cover

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gyawali, B., Khanal, P., Mishra, S.R., van Teijlingen, E., Meyrowitsch, D.W. (2020) Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal, Global Health Action (accepted) https://doi.org/10.1080/16549716.2020.1788262

 

BU Dementia paper published today

Today the international sociology journal Sociological Research Online (SAGE) published the paper  ‘Dementia as Zeitgeist: Social Problem Construction and the Role of a Contemporary Distraction’  [1].  Using notions of social problem construction and sociologies of legitimacy, this article explores dementia as Zeitgeist that has captured imaginations but as such is contingent and therefore precarious building an edifice that may be limited and may occlude dangers for people living with dementia.  This paper is written by two BU academics: Prof. Jonathan Parker (Department of Social Sciences & Social Work) and Dr. Vanessa Heaslip (Department of Nursing Science) and former one BU staff  member Dr. Clare Cutler .  Clare is now at the Wessex Institute for Health Research & Development.

 

Congratulations

Prof. Edwin van Teijlingen

CMMPH

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

Widespread media coverage in Nepal for BU researcher

This week Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) appeared in several newspapers and new website in Nepal. The media reported both in Nepali [1-4] and in English, the latter in South Asia Time [5] on her recently published paper on birthing centres in Nepal.  This latest paper from her PhD was published in the scientific journal  PLoS ONE [6].  The paper is co-authored by CMMPH’s Dr.Catherene Angell, Prof.Edwin van Teijlingen and Prof. Vanora Hundley as well as BU Visiting Professor Padam Simkhada (Associate Dean International at the School of Human and Health Sciences, University of Huddersfield.

We are very grateful to BU’s Dr. Nirmal Aryal for engaging with all his media contacts in Nepal to achieve this great coverage.

 

References:

  1. https://ekantipur.com/diaspora/2020/06/02/159107091260531499.html
  2.  https://www.nepalilink.com/2020/06/02/5326.html
  3. http://www.nepalbritain.com/?p=79336
  4. https://globalnepalese.com/post/2020-06-942777589?fbclid=IwAR3RJlHpeG4p3PdryUWzhvCDG0yiYjNrdnQZNJo4uzznyuFA8cF6DKLbKU8 
  5. https://www.southasiatime.com/2020/06/04/birthing-centers-are-savings-lives-in-rural-nepal/
  6. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Hundley, V. (2020), Evaluation of a health promotion intervention associated with birthing centres in rural Nepal PLoS One 15(5): e0233607. https://doi.org/10.1371/journal.pone.0233607

BU PhD student presenting at European Sigma Nursing Conference

Bournemouth University Ph.D. student Peter Wolfensberger presented today at the 5th Sigma European Conference in Coimbra, Portugal.  This is probably the first major global online conference in nursing!  The title of Peter’s presentation was Creating Meaning – People Living with Mental Illness in Switzerland. In true COVID-19 style he gave his presentation life online.  Consequently, this workshop session was well attended by nurses from across Europe, and it had the added benefit that all his Ph.D. supervisors could attend online too.  The World Health Organisations (WHO) has designated the year 2020 as the “Year of the Nurse and Midwife”, in honour of the 200th birth anniversary of Florence Nightingale.  This  Sigma European  Conference focused very much on importance of nurses and nursing in health care provision.

Peter has successfully defended his thesis and is currently writing up a few minor corrections.  He has been supervised by Dr. Sarah Thomas, Prof. Sabine Hahn and Prof. Edwin van Teijlingen.

Publication success BU postgraduate researchers

Congratulations to Bournemouth University researchers Adam Spacey, Orlanda Harvey and Chloe Casey on the acceptance of their research paper ‘Postgraduate researchers’ experiences of accessing participants via gatekeepers: ‘Wading through treacle!’’ [1]  The study is partly based on their experiences as postgraduate researchers interacting with gatekeepers which they used to design an online questionnaire for postgraduate researchers. The results of the survey highlighted that postgraduate researchers face a range of challenges when using gatekeepers to access participants for studies, and that there is a negative emotional impact arising when challenges are faced. Thematic analysis revealed six themes  (1) Access to participants; (2) Relationships; (3) Perceptions of research; (4) Context for gatekeepers; (5) Emotional impact; and (6) Mechanisms to address challenges.  This paper is forthcoming in the Journal of Further and Higher Education (published by Taylor & Francis).

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. Spacey, A., Harvey, O., Casey, C. (2020) Postgraduate researchers’ experiences of accessing participants via gatekeepers: ‘Wading through treacle!’, Journal of Further and Higher Education (accepted)

New BU publication on birth centres in Nepal

Congratulations to Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perintal Helath (CMMPH) on the acceptance of the  paper ‘ Evaluation of a health promotion intervention associated with birthing centres in rural Nepal’.   This paper is part of Dr. Mahato’s PhD work and will appear soon in the international journal PLOS ONE.   The journal is Open Access so anyone across the world may copy, distribute, or reuse these articles, as long as the author and original source are properly cited.

The research in this thesis used a longitudinal study design where pre-intervention survey was conducted by Green Tara Nepal a local non-governmental organisation (NGO) in year 2012.  The health promotion intervention was conducted by the same NGO in the period 2014 to 2016 and the post-intervention survey was conducted by Dr Mahato in the year 2017.

The intervention was financially supported by a London-based Buddhist charity called Green Tara Trust.   The results of the pre- and post-intervention surveys were compared to identify statistically significant changes that might have occurred due to the intervention and also to determine the factors affecting place of birth.   This study is co-authored by Professors Edwin van Teijlingen and Vanora Hundley and Dr Catherine Angell from CMMPH and FHSS Visiting Professor Padam Simkhada (based at the University of Huddersfield).

 

 

New BU breastfeeding research paper

Congratulations to Dr. Alison Taylor  in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) the publication two days ago of her paper ‘Commercialisation and commodification of breastfeeding: video diaries by first-time mothers’ in the International Breastfeeding Journal [1].   Alison is Deputy Head of Department Midwifery and Health Sciences as well as Infant Feeding Lead.   This paper is the third paper from her excellent PhD study It’s a relief to talk…”: Mothers’ experiences of breastfeeding recorded in video diaries.  The first and second paper we published in 2019 also with Alison supervisors Professors Jo Alexander, Kath Ryan and Edwin van Teijlingen [2-3].  This third paper focuses on how many of aspects of our lives became increasingly commercialised. Although breastfeeding is perhaps a late comer to this process in recent years, it too has seen significant commercialisation facilitated by social media and our obsession with celebrity culture. This paper explores how the commercialisation and commodification of breastfeeding impacts mothers’ experiences of breastfeeding.

This qualitative research is based on five new mothers in the United Kingdom recorded their real-time breastfeeding experiences in video diaries. The purposive sample of five participants recorded 294 video entries lasting 43 h and 51 min, thus providing abundance of rich data. using a multi-modal method of analysis, incorporating both visual and audio data, a thematic approach was applied.  The study found that women preparing for breastfeeding are exposed to increasing commercialisation. When things do not go to plan, women are even more exposed to commercial solutions. Under the influence of online marketing strategies the need for paraphernalia grew.  Women’s dependence on such items became important aspects of their parenting and breastfeeding experiences.  Alison and her co-authors conclude that the audio-visual data demonstrated the extent to which “essential” paraphernalia was used.  The paper offers new insights into how advertising influenced mothers’ need for specialist equipment and services. Observing mothers in their video diaries, provided valuable insights into their parenting styles and how this affected their breastfeeding experience.

References:

  1. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K. (2020) Commercialisation and commodification of breastfeeding: video diaries by first-time mothers, International Breastfeeding Journal 15:33   https://doi.org/10.1186/s13006-020-00264-1
  2. Taylor A, van Teijlingen, E.,Ryan K, Alexander J (2019) ‘Scrutinised, judged & sabotaged’: A qualitative video diary study of first-time breastfeeding mothers, Midwifery 75: 16-23.
  3. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K. (2019) The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women & Birth 32(3):276-83. https://www.sciencedirect.com/science/article/pii/S1871519218300064

BU academics at Virtual International Day of the Midwife

Five FHSS academics have presentations and/or posters at this year’s Virtual International Day of the Midwife (IVDM) conference.  Dr. Luisa Cescutti-Butler  (Senior Midwifery Lecturer in  the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Dr. Humaira  Hussain have an online presentation ‘on the topic of Making discoveries through research: midwifery student’s perceptions of their role when caring for pregnant women who misuse substances: neonatal simulators as creative pedagogy’.

BU Midwifery Lecturer Denyse King also in CMMPH has been interviewed by the VIDM her poster on her PhD research around Virtual Reality Learning Environments (VRLE), which can be offered as a computer-generated virtual simulation of a clinical workspace.

Whilst Dr. Luisa Cescutti-Butler,  Dr. Jacqui Hewitt-Taylor and Prof. Ann Hemingway have a poster  ‘Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies’ based on Luisa’s PhD research.  Last, but not least, FHSS Visiting Faculty and holder of a BU Honorary  Doctorate Sheena Byrom is key note speaker at the week’s IVDM conference!

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Congratulation to BU nutritionists

This week Elsevier  Publishers sent the proofs for a book chapter written by two Bournemouth University nutrition researchers: Fotini Tsofliou and Iro Arvanitidou in collaboration with an academic colleague from Greece: Xenophon Theodoridis.  The chapter ‘Toward a Mediterranean-style diet outside the Mediterranean countries: Evidence of implementation and adherence’​ will appear in 2021 in the second edition of the book  The Mediterranean diet edited by Victor R. Preedy and Ronald R. Watson

Congratulations!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

BU midwifery paper cited in WHO report

Last week the Regional Office for South East Asia of the WHO (World Health Organization) published its strategy for strengthening midwifery [1].  The report highlights how Bangladesh, India and Nepal have recently introduced midwifery education. They joined DPR Korea, Myanmar, Sri Lanka and TimorLeste in establishing midwives as an independent cadre of the health workforce.

This report cited our 2015 paper on midwifery developments in Nepal which appeared in the Journal of Asian Midwives [2].  The lead author Jillian Ireland is a Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Professional Midwifery Advocate at Poole Hospital NHS Foundation Trust, my other co-author, Joy Kemp, is Global Professional Adviser at the Royal College of Midwives (RCM).  The paper reflects on the RCM Global Midwifery Twinning Project in Nepal.  The paper argues that the presence of a strong professional association of midwives in a country yields double benefits. On one side, the association provides inputs into framing policies and developing standards of care, and on the other, it ensures quality services by continuously updating its members with information and evidence for practice.

Bournemouth University’s work in Nepal is ongoing with a project run by CMMPH helping to develop midwifery education and training the trainers funded by the German aid organisation GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit).

 

References:

  1. World Health Organization. Regional Office for South-East Asia (2020) Regional Strategic Directions for strengthening Midwifery in the South-East Asia Region 2020–2024, Delhi: World Health Organization. Regional Office for South-East Asia.
  2. Ireland, J., van Teijlingen, E, Kemp J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33. http://ecommons.aku.edu/jam/vol2/iss1/5/

 

COVID-19 and the rise of Virtual Conferences

Yesterday we had a conference paper accepted by the EUPHA (European Public Health Association) International Conference.  When the paper was originally submitted to the EUPHA Health Workforce Research Section Mid-term Conference we had opted for an oral presentation in person at the conference in Romania this summer.  However, with the COVID-19 pandemic travelling to Romania to attend this conference is not an option for many (if not most) academics.  Therefore the organising committee took the initiative to re-arrange it as a virtual meeting.   Further good news for us is that participation will be free.

Of course, I am aware that some of the strengths of attending conferences include having unexpected discussions (often in the bar) with fellow academics and being away from the day job.  At the moment being forced to choose between postponing or cancelling a conference or changing to a virtual meeting conference organisers may want to reflect on  “… ask how conferences make a difference.”  This question was  originally raised in the book Academic Conferences as Neoliberal Commodities by Donald Nicholson [1].

We should have moved to more virtual meetings and  online conferences much sooner, but it is easy to say with hindsight!  The COVID-19 crisis has thought us that virtual classrooms, internet-based tutorials, Zoom meetings and online conferences can work, albeit with their limitations.  It is worth considering the return of investment of a conference [2] not just for the conference organisers (and funders) but also  individual academics as less travel will be saving time  and society as reducing  travel, especially international flights, will improve our carbon foot print.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

References

  1. Nicholson. D.J. (2017) Academic Conferences as Neoliberal CommoditiesPalgrave Macmillan.
  2. Nicholson. D.J. (2018) Guest post by Donald Nicolson: The problem of thinking about conferences and Return on Investment (ROI) 

 

Motor Neurone Disease

Last night I watched the film ‘The Theory of Everything’ on television. This Oscar-winning film about the live of the brilliant scientist Stephen Hawkins, who was diagnosed with Motor Neurone Disease (MND). MND is also known as Amyotrophic Lateral Sclerosis (ALS) or, as it is known in North America, Lou Gehrig’s disease, named after a famous American professional baseball player who died of MND in 1941.  MND is a group of diseases that affect the nerves (motor neurones) in the brain and spinal cord that tell your muscles what to do. Two decades ago we did some research on the impact on carers of people living with MND in Scotland [1].


Watching ‘The Theory of Everything’  reminded me of Professor Holger Schutkowski in the Department of Archaeology, Anthropology & Forensic Science at Bournemouth University who died two weeks ago.  He spent the last year of his life in a wheelchair and on his memorial website (click here for link) is a request from his family to donate to the MND Association.  Holger was a great colleague, intelligent, kind and passionate about his work and the world of academia.  Holger was someone whom you could have proper academic and political arguments.  I found this out in Kathmandu in 2013 as I didn’t really know Holger very well before I went to Nepal with him an BU trip.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference

  1. van Teijlingen E, Friend E, Kamal, AD (2001) Service use & needs of people with Motor Neurone Disease & carers in Scotland, Health & Social Care in the Community 9: 397-403.