BU Research Blog

12 March 2021

Graduation: End of an Era

international, PG research, student research Edwin van Teijlingen

Four PhD students, whom I had the pleasure of supervising, graduated yesterday with a Ph.D. I never had so many Ph.D. students graduating at the same time. Not all of these four students started at the same time. Moreover, two I was invited as a supervisor after the student had started, and for most I was not the lead/first supervisor . All four students have an internationally focused thesis:

Alice Ladur with her Ph.D. focusing on: Male involvement in facilitating the uptake of maternal health services by women in Uganda.

Peter Wolfensberger with his Ph.D.: Creating meaning- Understanding the experiences of people living with mental illness in Switzerland- A Qualitative Study.

Shaqaieq AShrafi Dost with her thesis: Factors that affect the management capacity, leadership and employee performance in the Ministry of Public Health (MoPH), Afghanistan: A single embedded single-case study.

Orlanda Harvey with her Ph.D. study under the title: Male anabolic androgenic steroid-users: A mixed-methods study -The voice of the AAS-user.

Orlanda is a good ambassador for Bournemouth University’s PhD Integrated Thesis. The newly introduced Integrated Thesis allows Ph.D. candidates to incorporate papers in their thesis (e.g. instead of a chapter). Papers can be included that have been published or submitted for publication to an academic peer-reviewed journal. As the first BU student to submit an Integrated Thesis Orlanda paved the way with BU library staff to sort out the finer details around, for example, copyright issues and thesis formatting (https://blogs.bournemouth.ac.uk/research/2020/08/27/supporting-integrated-theses-at-bu/ ).

In this COVID-19 year the graduation was on ZOOM, something I didn’t think would work as well as it did. I love the British-style graduation with the big audience, the ceremony, the gowns, the band, etc. In previous years I had always looked forward to ceremony in the BIC, the Bournemouth International Centre. This year because it was on ZOOM the event was smaller, shorter and more personal. This offered the opportunity to talk to students and colleagues which is otherwise nearly impossible in the hustle and bustle of thousands of people in the BIC.

Being a graduation it is also the end of an era for the student and the supervisor, and the beginning of a new one.

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

8 March 2021

NIHR RDS Researcher Roadshow – health and social care datasets

Louise Ward

NIHR Research Design Service are pleased to offer the opportunity to attend the next in its series of ‘Researcher Road Shows’ – Using health and social care datasets in research: Practical advice to support your research journey.

This event is taking place via Zoom and is aimed at all those seeking practical guidance on how to find, access and gain approvals to use health datasets, including early career researchers:

Monday 15 March, 10am to 2.30pm: ‘Lifting the Lid on Data – Meet the Data Custodians’

HQIP Datasets & top tips for accessing (Yvonne Silove)
NHS Digital Datasets & top tips for accessing (Garry Coleman)
Morning event close and details of this afternoon (Martin Williams)
GP Data (Kathryn Salt)
COVID-19 Data (Richard Irvine)

Wednesday 17 March, 10am to 2.30pm: ‘Navigating the system’

Research Approvals for Data-Driven Research (Alex Bailey)
Introducing the Innovation Gateway – the journey so far (Paola Quattroni & Peggy Barthes-Streit)
Recent Changes in Health Data Governance (Alex Bailey)
Innovation Gateway working session: from data discovery to access (Susheel Varma)

Find out more.

Your local branch of the NIHR RDS (Research Design Service) is based within the BU Clinical Research Unit (BUCRU)

We can help with your application. We advise on all aspects of developing an application and can review application drafts as well as put them to a mock funding panel (run by RDS South West) known as Project Review Committee, which is a fantastic opportunity for researchers to obtain a critical review of a proposed grant application before this is sent to a funding body.

Contact us as early as possible to benefit fully from the advice

Feel free to call us on 01202 961939 or send us an email.

3 March 2021

Two new COVID-19 papers in FHSS

international, Publishing, writing Edwin van Teijlingen

Today FHSS Prof. Jonathan Parker published an article (online first) on structural discrimination and abuse associated with COVID-19 in care homes in The Journal of Adult Protection [1]. Whilst Dr. Preeti Mahato, Prof. Edwin van Teijlingen and FHSS Visiting Professor Padam Simkhada had a COVID-19 paper published in the Journal of Midwifery Association of Nepal (JMAN) in late-January 2021 [2], although an electronic copy only reached their email inbox today.

Parker, J. (2021) Structural discrimination and abuse: COVID-19 and people in care homes in England and Wales, The Journal of Adult Protection, Online ahead-of-print. https://doi.org/10.1108/JAP-12-2020-0050
Tamang, P., Mahato, P., Simkhada P., Bissell, P., van Teijlingen, E. (2021) Pregnancy, Childbirth, Breastfeeding and Coronavirus Disease: What is known so far? Journal of Midwifery Association of Nepal (JMAN) 2(1): 96-101.

22 February 2021

Chapter published today: ‘Birth systems across the world’

international, open access, Publishing, writing Edwin van Teijlingen

Today our chapter: Birth Systems across the World: Variations in maternity policy and services across countries was published in the renowned series of books: FIGO Continuous Textbook of Women’s Medicine [1]. This chapter was co-authored by Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with Prof. Sirpa Wrede and Doctoral Researcher Johanna Sarlio-Nieminen both from the University of Helsinki (Finland) and Dr. Anastasia Novkunskaya from the European University at St. Petersburg (Russia). The chapter includes a set of recommendations for future practice.

Volume 1 is edited by Prof. Jane Sandall from King’s College London. Earlier this year Prof. Sandall was appointed as the first-ever head of midwifery research for England and one of her key focuses will be around ending racial health inequalities in maternity care.

Everything published on The Global Library of Women’s Medicine is available to everyone everywhere for free and there is no requirement to register in order to view it.

Reference:

Wrede S, Novkunskaya A, Sarlio-Nieminen, J, van Teijlingen, E. (2021) Birth Systems across the World: Variations in maternity policy and services across countries, Glob. Libr. Women’s Med., ISSN: 1756-2228; DOI 10.3843/GLOWM.415183

10 February 2021

New BU reproductive health paper

international, open access, PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations to Dr. Pramod Regmi (Lecturer in International Health) in the Department of Nursing Sciences on today’s publication of ‘The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature’ [1]. The paper in the international peer-reviewed journal Reproductive Health is co-produced with BU MSc Public Health graduate Jumaine Gahungu and Dr. Mariam Vahdaninia who left the Faculty of Health & Social Sciences in mid-2020.

Well done.

Prof. Edwin van Teijlingen

CMMPH

Reference:

Gahungu, J., Vahdaninia, M. & Regmi, P. (2021) The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature. Reprod Health 18, 35 https://doi.org/10.1186/s12978-021-01089-9

26 January 2021

NIHR Grant Applications Seminar ONLINE- 23rd March 2021

NHS Louise Ward

Dear colleagues

– Do you have a great idea for research in health, social care or public health?
– Are you planning to submit a grant application to NIHR?

Our popular seminar continues online and will take place on Tuesday 23rd March 2021 from 10.00am – 12.30pm.

The seminar provides an overview of NIHR funding opportunities and research programme remits, requirements and application processes. We will give you top tips for your application and answer specific questions with experienced RDS South West advisers.

We also have a limited number of 20-minute 1-to-1 appointments available after the seminar should you wish to discuss your proposed study with an RDS adviser.

Find out more and book a place.

Your local branch of the NIHR RDS (Research Design Service) is based within the BU Clinical Research Unit (BUCRU)

We can help with your application. We advise on all aspects of developing an application and can review application drafts as well as put them to a mock funding panel (run by RDS South West) known as Project Review Committee, which is a fantastic opportunity for researchers to obtain a critical review of a proposed grant application before this is sent to a funding body.

Contact us as early as possible to benefit fully from the advice

Feel free to call us on 01202 961939 or send us an email.

13 January 2021

2021: More COVID-19 publications

open access, Publishing, writing Edwin van Teijlingen

The year 2021 started in many ways in the same way as it had ended with a country gripped in COVID-19 and a national lock down to limit the spread of the disease. It is appropriate timely that the first publication from our international collaboration, studying the health system in Nepal, focuses on COVID-19 [1]. This academic paper forms part of our on-going study of the decentralisation of the Nepal health system. The study is run by the University of Sheffield, the University of Huddersfield and Bournemouth University in the UK and PHASE Nepal and Manmohan Memorial Institute of Health Sciences in Nepal. The study is funded by the UK Health Systems Research Initiative.

This paper was unplanned as nobody (neither in the UK or in Nepal) had heard of COVID-19 when we submitted the grant application in mid-2019. It was only when we started our project officially in April 2020 that COVID-19 had become the pandemic it is today. We took the opportunity to assess some of the early evidence on the effectiveness of the actions taken to deal with COVID-19 by the national government as well as provincial and local governments and the levels of cooperation and coordination between them.

Authors on this include BU PhD graduate Dr. Pratik Adhikary and FHSS Visiting Professor Padam Simkhada, as well as our collaborator on other funded projects, Dr. Sujan Marahatta from Manmohan Memorial Institute of Health Sciences (Nepal).

Prof. Edwin van Teijlingen

CMMPH

Reference:

Adhikary P, Balen J, Gautam S, Ghimire S, Karki JK, Lee AC, Marahatta SB, Pandey S, Pohl G, Ruston S, Sapkota S, Simkhada PP, Subedi M, van Teijlingen ER, on behalf of the NFHS Team. 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. 2020; 3(3)

10 January 2021

COVID-19 in Qatar

international, open access, Publishing, writing Edwin van Teijlingen

Peer reviewing is the backbone of academic publishing. It is this peer review process to ensure that papers/publications have been vetted scientifically prior to publication by experts in the field, i.e. one’s peers. However, the process is not without its problems. One such problems is the delay in academic publishing. For example, a few days ago we published a substantive editorial on COVID-19 in Qater [1]. When we submitted this in July 2020 the information in our editorial was very up to date, and it still was when the Qatar Medical Journal accepted it on 26th July 2020. Unfortunately, with all the incredibly rapid developments in vaccine development, approval and roll out some of the paper now reads like ‘historial data’.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

Reference:

van Teijlingen, E.R., Sathian, B., Simkhada, P., Banerjee, I. (2021) COVID-19 in Qatar: Ways forward in public health & treatment, Qatar Medical Journal 2020(38): 1-8 https://doi.org/10.5339/qmj.2020.38

4 January 2021

First BU paper accepted for 2021

NHS, open access, Publishing, writing Edwin van Teijlingen

Congratulations to Prof. Vanora Hundley whose article ‘Escalation triggers and expected responses in obstetric early warning systems used in UK consultant-led maternity units’ is now available Open Access online. The paper has been accepted in Resuscitation Plus. Co-authors include FHSS Visiting Faculty Prof. Gary Smith and Dr. Richard Isaacs.

The paper reports on a review of OEWS [Obstetric Early Warning Systems] charts and escalation policies across consultant-led maternity units in the UK (n = 147). OEWS charts were analysed for variation in the values of physiological parameters triggering different levels of clinical escalation. The observed variations in the trigger thresholds used in OEWS charts and the quality of information included within the accompanying escalation protocols is likely to lead to suboptimal detection and response to clinical deterioration during pregnancy and the post-partum period. The paper concludes the development of a national OEWS and escalation protocol would help to standardise care across obstetric units.

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

28 December 2020

Midwifery and the Media

international, NHS, Publishing, writing Edwin van Teijlingen

Today we received an end-of-year good-news message from ResearchGate telling us that 700 people had ‘read’ our book Midwifery, Childbirth and the Media [1]. Lee Wright, Senior Lecturer in the School of Nursing and Midwifery at Birmingham City University wrote in his review of our edited volume: “…our media image and digital foot print are rapidly becoming the most important window into our profession. In a rapidly changing environment this book provides an up to date and informative insight into how our profession is affected by the media and how our profession can inform and influence the image of midwifery. This area is going to become even more important in the future universities and trusts increasingly use broadcast and social media to manage information and inform our clients of the services we provide. This book will be the important first text in a new growth area. It brings together an internationally recognised group of authors who are experts in this field. I wholeheartedly recommend it to you.”

This edited collection was published by Palgrave Macmillan in 2017 and it is part of a larger body of Bournemouth University research on the topic [2-6].

Professor Edwin van Teijlingen, Professor Vanora Hundley and Associate Professor Ann Luce

References:

Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x
Angell, C. (2017) An Everyday Trauma: How the Media Portrays Infant Feeding, In: Luce, A. et al. (Eds.) Midwifery, Childbirth and the Media, London: Palgrave Macmillan pp: 45-59.
Hundley, V., Luce, A., van Teijlingen, E., Edlund, S. (2019) Changing the narrative around childbirth: whose responsibility is it? Evidence-based Midwifery 17(2): 47-52.
Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.

10 December 2020

New interdisciplinary COVID-19 paper

international, open access, Publishing, writing Edwin van Teijlingen

An evidence-based, multidisciplinary approach on risk zoning, personal and transmission risk assessment in near real-time, and risk communication would support the optimized decisions to minimize the impact of coronavirus on our lives. This interdisciplinary paper [1], pubished today in Scientific Reports, offers a framework to assess the individual and regional risk of COVID-19 along with risk communication tools and mechanisms. Relative risk scores on a scale of 100 represent the integrated risk of influential factors. The personal risk model incorporates age, exposure history, symptoms, local risk and existing health condition, whereas regional risk is computed through the actual cases of COVID-19, public health risk factors, socioeconomic condition of the region, and immigration statistics. A web application tool (http://www.covira.info) has been developed, where anyone can assess their risk and find the guided information links primarily for Nepal. This study provides regional risk for Nepal, but the framework is scalable across the world.

The authors comprised researchers from the University of Bristol, Science Hub (Nepal), University of the West of England, Public Health Perspective Nepal, Nepal Open University, Center for Molecular Dynamics Nepal, Mid Yorkshire Hospitals NHS Trust, the University of Huddersfield and Bournemouth University.

Reference:

Parajuli, R.R., Mishra, B., Banstola, A. Multidisciplinary approach to COVID-19 risk communication: a framework and tool for individual and regional risk assessment. 21650 (2020). https://doi.org/10.1038/s41598-020-78779-0

3 December 2020

BU Book up for National Award

NHS vheaslip

Professor Tim Darvill, Kerry Barrass, Yvette Staelens from the Department of Archaeology and Anthropology (BU) together with Dr Vanessa Heaslip from the Department of Nursing Science (BU) worked with Laura Drysdale of the Restoration Trust to edit a book exploring how historic landscapes could support mental health well-being.

Our book titled ‘Historic Landscapes and Mental Health Well-being’ has been nominated as a contender in the 2021 Current Archaeology Book of the Year competition. This is fantastic news and really shows the benefits of cross disciplinary research and working.

Voting is open now at www.archaeology.co.uk/vote so do please cast your votes for the book, and encourage anyone else you can think of to do the same. Please also feel free to share this excellent news in your social media sites as it would be really excellent to win this award. The results will be announced at the Archaeology in Britain conference in February.

Please keep your fingers crossed for us and thank you for your votes

25 November 2020

Women Entrepreneurs and Covid-19- Celebrating BU Global Entrepreneurship Week 2020

BU Challenges, Business Engagement, Centre for Excellence in Learning, conferences, Delicious links, Festival of Learning, Funding opportunities, Fusion, Fusion Investment Fund, Fusion themes, international, Knowledge Exchange, Public engagement, staff profile pages, Student Engagement, Women's Academic Network Sukanya Ayatakshi

Women’s representation in entrepreneurship, the barriers women face in entrepreneurship is all well documented and well researched with robust evidence from around the world. From seeking access to external finance, to engaging in those critical business networks, managing the work-family interface- We have all heard and read about the many challenges women entrepreneurs have to navigate .

Women’s entrepreneurship in developing countries is particularly at risk, as women’s anticipated vulnerability is likely to be exacerbated due to the pandemic. Not only are women-led businesses amongst the hardest hit but more than 93% of women report having struggled with finding ways to support their businesses whilst managing their work and family commitments. Even before the pandemic women were already vulnerable spending five times more in childcare and over three times more in household chores than their male counterparts, experiencing an unemployment rate twice that of men (SME Finance Forum, 2020). There is a fear that this pandemic will turn back the clocks on women’s entrepreneurship because women bear the burden of unpaid caregiving including childcare, household responsibilities and elderly care .

With a staggering number of small businesses shutting down, there are disproportionate impacts on women business owners with a 25% drop in small business activity between February to Mid-April 2020 and a 16% drop in number of business ownership for active male and women business owners (Fairlie, 2020). And there is global attention to this as well which is very encouraging.

Hosted by BU Social Entrepreneurs Forum and supported by BU Women’s Academic Network on the 17th of November we led an international event with women entrepreneurs from Brazil, The UK, Oman and Iraq to share their experiences of leading and running a business in the midst of a global pandemic.

We heard from women entrepreneurs and their struggles and pathways to resolution in the face of having to manage the work and family commitments; we discussed issues around how external support in the form of women-centric funding bodies, incubation hubs, accelerators programmes can support more representation and increased success of women in entrepreneurship. What came out, very strongly, from the conversations, was the immense collective force of empowered women who are not just trailblazers but change makers and who, relentlessly, try to empower other women to take charge of their business interests and decisions!

With three parallel discussions in the event on women entrepreneurs and the care-giving role, we heard from the founder of The Mumpreneur Collective, Erin Thomas Wong, who discussed how motherhood was a springboard for her entrepreneurial actions and ambitions and in recognition of the multiple challenges and expectations that motherhood bestows on women she set up this organisation to provide support, mentoring opportunities and peer learning for mothers wanting to fulfil their entrepreneurial ambitions.Other women entrepreneurs, namely, Sarah Ali Choudhury, Forbes’s Curry Queen ; Aira Nascimento, Founder of Josephinas Colab, a social business of female entrepreneurs from the periphery and cultural space that rescues Afro-Brazilian and Indigenous culture in Campo Grande, Brazil; Maryam Al Amri, Founder of Youth Vision, Oman and Gabriela Anastacia, CEO of Gamarc Communications and Founder of (after motherhood) the social impact movement, Papo de Empreendedora [Female Entrepreneur Chat] discussed democratising access to entrepreneurship education for women and the support needed by mother entrepreneurs in the context of the pandemic.

Ranya Bakr, Iraq; Ludmila Hastenreiter, Founder and CEO of Empoderamente Contabil, Brazil and Bia Santos, Founder of Barkus Educational, Brazil led the discussions on access to finance and impediment that creates for women entrepreneurs particularly now in the context of the pandemic and prior to it. Emphasising the importance of financial education to create a fair and just society Bia Santos also highlighted the racial inequality that affects businesses like hers in the context of Brazil.

The issues around incubation hub and accelerator support focused on the needs of women entrepreneurs were discussed in the light of the pandemic with expert entrepreneurs including Adrienne Saunders, Founder of Yes You Can Training, UK; Shaima Murtadha Al- Lawati, Oman; Beatriz Carvalho, Founder of Mulheres de Frentes (Women in Front) and Dayse Valencia, an ASHOKA Social Entrepreneur Fellow and coordinator of projects at Rio based NGO, ASPLANDE, Brazil.

It was a particularly proud moment to celebrate two BUBS students, Ranya Bakr from Iraq, a Chevening Scholar, UNDP project lead, Founder of Storey an architectural firm and her work in Iraq developing incubation hubs for women. We also had the pleasure of listening to Maryam Al Amri from Oman, another BUBS student and Founder of Youth Vision supporting youth employment issues in the Arab world through her exemplary work.

This event was co-hosted with Jiselle Steele who supports women and micro entrepreneurs through her work in enterprise development across Brazil, UK and Sri Lanka and is a Senior Project Lead at _SocialStarters, a social enterprise started by Andrea Gamson, a BU Alumna and Top 100 Women in Social Enterprise who supports enterprise development and business consultation across many countries including the UK, Brazil, Kenya and Sri Lanka.

Ranya Bakr, BU Alumna from Iraq and Founder of Storey, an architectural firm.

Bia Santos, Founder of Barkus Education, Brazil

Maryam Al Amri, BU Student and Founder of Youth Vision, Oman

Erin Thomas Wong, Founder of Mumpreneur Collective, UK

So what is the value of showcase events? Academia affords us the opportunity to create impact through education, research and external engagement. Events such as these raise the profile of the organisation, bring together international audience ( this event welcomed guests from Singapore to Latin America), become part of a global resolution of a huge challenges, support UN SDGs, further BU2025 ambitions and most definitely, lead to research outputs and enhance the student experience. So showcase events may be hard work to put together but absolutely worth every second!

It is a proud moment for us at BUSEF to be celebrating our second BU GEW 2020. Watch the space for more things to come.

25 November 2020

University lockdown: An internationalisation opportunity?

conferences, innovation, international, Publishing Edwin van Teijlingen

The general effects of lockdown on healthy individuals range from a general annoyance to a major limiting factor in life, especially in lockdown affects someone livelihood and/or mental health. These effects have been well documented in the media. At a societal level these effects are more mixed, first and foremost, there is positive outcome in terms of a reduced spread of the infectious disease COVID-19. Further positive effects include a reduction in air pollution, water pollution levels (in Venice), traffic jams, but also fewer break-ins (as more people are at home for more of the time). Whilst negative effects include not only economic decline, but also a lack of opportunity to travel for work or leisure, children missing education and people avoiding health care professionals for screening and treatment of diseases other then COVID-19. We have also learnt that lockdown affects different groups in society differently, some quite unexpectedly. For example, AbilityNet highlighted that “For students living with physical impairments and long-term health conditions, the benefits of studying from home and avoiding the exhausting experience of accessing face-to-face learning has left them with more energy to apply to their studies” [1]. Even before the first lockdown universities in the UK had been pro-active in their response to the pandemic [2]. One of the practical responses was to move to webinars, online teaching, marking and meetings. Before March most university academics don’t much about Zoom, Teams, Jitsi Meet or Google Meet, and today most academics will have used most of these platforms (and several others) for research meetings, webinars and conferences.

With lockdown this all has changed, like my BU colleagues I teach every week using Zoom, meet colleagues online through a range of platforms, meet students for individual tutorials through Skype or Teams. Although having the occasional limitation, there is a great opportunity as it removed the need for staff and students to be in the same room. One example of a BU education innovation was last week’s International Student Midwives’ Networking Day held on November 18^th. With the restrictions of lockdown on midwifery students the BU Midwifery Team led by Dr. Laura Iannuzzi and Dr. Juliet Wood used the opportunities provided by Zoom to bring together midwifery students from across the globe. Using their long-established research links [3-16], BU academics manage to bring together student midwives from Italy, Nepal and the Netherlands to discuss midwifery and maternity issues with fellow midwifery students at BU. The day was nicely broken into two with a lunchtime event called ‘Zoom the midwife’, which as the third of its kind. In this ‘Zoom the midwife’ webinar BU’s Dr Rachel Arnold and BU Visiting Faculty Margaret Walsh shared their experience of working in different cultures for projects in Afghanistan and Nepal respectively.

Our second example is a project to support midwifery education in Nepal. The Centre for Midwifery, Maternal & Perinatal Health (CMMPH) in collaboration with Dalarna University in Sweden and University Hospitals Dorset NHS Foundation Trust produced a draft Bridging Course for nursing lecturers in Nepal who are currently teaching midwifery and maternity care. This project is funded by GIZ (Gesellschaft für Internationale Zusammenarbeit). As part of this project BU offers academics at NAMS (National Academy of Medical Sciences) in Kathmandu support in their professional and pedagogic development.

Following the lockdown and seeing the success of online teaching of BU’s students earlier in 2020 we decided to try out online teaching with midwifery lecturers at NAMS. Since many people in Nepal only have a one-day weekend (Saturday) Sunday is usually a working day and due to time difference early Sunday morning are ideal times for webinars. To date online sessions in Kathmandu have been delivered by Juliet Wood, Michelle Irving, Edwin van Teijlingen and CMMPH Visiting Faculty Jillian Ireland (Professional Midwifery Advocate in Poole). The sessions proved very popular with 30 to 40 people regularly attending online from Nepal.

With challenges to delivering face-to-face lectures and tutorials at universities, online teaching and webinars have opened a whole set of new opportunities to internationalise our education.

Prof. Edwin van Teijlingen

CMMPH

References

Universities UK (2020) Universities rise to Covid-19 challenges, online news item 7 April https://www.universitiesuk.ac.uk/news/Pages/Universities-rise-to-Covid-19-challenges-.aspx
Low, A. (2020) Covid-19 silver linings: how the pandemic has increased opportunities for disabled university students. https://www.universitiesuk.ac.uk/blog/Pages/covid-19-disabled-students-increased-opportunities.aspx
Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S., 2020. Midwife-to-newborn ratio and neonatal outcome in healthy term infants. Acta Paediatrica, International Journal of Paediatrics, 109 (9), 1787-1790.
Daly, D., Iannuzzi, L. et al., 2020. How much synthetic oxytocin is infused during labour? A review and analysis of regimens used in 12 countries. PLoS ONE, 15 (7 July).
Setola, N., Naldi, E., Cocina, G.G., Eide, L.B., Iannuzzi, L. and Daly, D., 2019. The Impact of the Physical Environment on Intrapartum Maternity Care: Identification of Eight Crucial Building Spaces. Health Environments Research and Design Journal, 12 (4), 67-98.
Skoko, E., Iannuzzi, L. et al., 2018. Findings from the Italian babies born better survey. Minerva Ginecologica, 70 (6), 663-675.
Nieuwenhuijze, M., van Teijlingen, E., Mackenzie-Bryers, H. (2019) In risiko’s denken is niet zonder risiko (In Dutch: Thinking in terms of risk, it not with its risk). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 43 (4): 6-9.
Bogren M, van Teijlingen E., Berg M. (2013) Where midwives are not yet recognized: A feasibility study of professional midwives in Nepal, Midwifery 29(10): 1103-09.
Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E., Wigert, H. (2016) Shaping the midwifery profession in Nepal – Uncovering actors’ connections using a Complex Adaptive Systems framework, Sexual & Reproductive Healthcare 10: 48-55.
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.
Bogren, M.U., Bajracharya, K., Berg, M., Erlandsson, K., Ireland, J., Simkhada, P., van Teijlingen, E. (2013) Nepal needs midwifery, Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 1(2): 41-44. www.nepjol.info/index.php/JMMIHS/article/view/9907/8082.
Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P. (2018) Gender inequalities and childbearing: Qualitative study two maternity units in Nepal, Journal of Asian Midwives 5 (1):13-30.
Ekström, A., Tamang, L., Pedersen, C., Byrskog, U., van Teijlingen, E., Erlandsson, K. (2020) Health care provider’s perspectives on the content and structure of a culturally tailored antenatal care programme to expectant parents and family in Nepal. Journal of Asian Midwives 7(1):23–44.
Wrede, S., Benoit, C., Bourgeault, I., van Teijlingen E., Sandall, J., De Vries, R. (2006) Decentered Comparative Research: Context Sensitive Analysis of Health Care, Social Science & Medicine, 63: 2986-97.
De Vries, R., Wiegers, T., Smulders, B, van Teijlingen E (2009) The Dutch Obstetrical System: Vanguard of Future in Maternity Care. In: Davis-Floyd, R., Barclay, L., Tritten, L, Daviss B.-A. (eds.) Birth Models that Work. Berkeley: University of California Press, 31-54.
van Teijlingen E, Sandall, J., Wrede, S., Benoit, C., DeVries, R., Bourgeault, I. (2003) Comparative studies in maternity care RCM Midwives Journal 6: 338-40.

12 November 2020

Midwifery education publication published today

Centre for Excellence in Learning, Fusion, NHS, Publishing, writing Edwin van Teijlingen

Congratulations to Prof. Sue Way, Dr. Luisa Cescutti-Butler and Dr. Michelle Irving on the publication today of their latest article ‘A study to evaluate the introduction of the Newborn Infant Physical Examination knowledge and skills into an undergraduate pre-registration midwifery education programme’ [1]. This paper published in Nurse Education Today uses the principles of FUSION, bring together Education (undergraduate midwifery education), Practice (examination of the newborn) and Research (evaluation study). This paper adds to the growing list of publication on aspects of midwifery education by academics in the Centre for Midwifery, Maternal & Perintal Health (CMMPH).

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Way, S., Cescutti-Butler, L., Irving, M. (2020) A study to evaluate the introduction of the Newborn Infant Physical Examination knowledge and skills into an undergraduate pre-registration midwifery education programme, Nurse Education Today, https://doi.org/10.1016/j.nedt.2020.104656.

7 November 2020

Community Hospitals: An international perspective

conferences, international, NHS, Publishing, writing Edwin van Teijlingen

BU Visiting Faculty Dr. Emma Pitchforth (Senior Lecturer in Primary Care, University of Exeter) spoke this week at International insights: What can the development of community hospitals in international contexts tell us about their role in healthcare futures?, the first of three UK Community Hospital online seminars. Emma presented our NIHR study on Community Hospitals [1-3].

Community hospitals are a crucial but often neglected part of the health care systems in the UK. Community Hospitals are often very popular with local communities but they often face political challenges. COVID-19 has prompted us to make dramatic changes to way we think about and organise health care. Community hospitals have made a significant contribution to the health and wellbeing during the pandemic. The flexibility, resilience and strong community engagement typical of many community hospitals is being brought to the fore. At this critical time, questions are being asked about the future role of community hospitals and what lessons we can learn from other countries.

The notion of a Community Hospital in the UK is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.

There will be two further webinars at lunch time on the 12th and 19th November. You can register using the following link: https://bham-ac-uk.zoom.us/webinar/register/WN_dX8LwdHxQX2-Mf8nlt8nwg .

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

References:

Pitchforth, E., van Teijlingen, E., Nolte, E. (2017) Community hospitals: a traditional solution to help today’s NHS? Health Services Journal (11 July) https://www.hsj.co.uk/community-services/community-hospitals-a-traditional-solution-to-help-todays-nhs/7020019.article#/scientific-summary
Pitchforth, E., Nolte, E., Corbett, J., Miani., C, Winpenny., E, van Teijlingen, E., Elmore, N,, King, S,, Ball, S,, Miler, J,, Ling, T. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
Wimpenny, E.M., Corbett, J., Miami, C., King, S., Pitchforth, E., Ling, T., van Teijlingen, E. Nolte, E. (2016) Community hospitals in selected high income countries: a scoping review of approaches and models. International Journal of Integrated Care 16(4): 13 http://dx.doi.org/10.5334/ijic.2463

5 November 2020

innovation, international, Knowledge Transfer, Publishing, Research Integritiy, writing Edwin van Teijlingen

Today saw the publication of a new paper ‘Importance of involving patients and public in Health Technology Assessment (HTA) and health research in South Asia’ co-authored by the BU Public Involvement in Education and Research (PIER) Partnership [1]. This paper is co-written with Dr. Bibha Simkhada, until recently Lecturer in Nursing in N4LTH Centre (Nursing for Long-Term Health) and now Senior Lecturer in Nursing at the University of Huddersfield, Dr. Aliya Naheed at icddr,b in Bangladesh, Angela Warren based at PIER, Dr. Sue Green (Principal Academic) and Prof. Edwin van Teilingen. The paper appears in the International Journal of Technology Assessment in Health Care, which is published by Cambridge University Press.

The authors highlights that Patient and Public Involvement/Engagement (PPI/E) in public health research and Health Technology Assessment (HTA) in has significantly increased over past decade in countries such as the UK. PPI/E helps improve health research and hence benefits patients and service users. For example, organisations like BU’s PIER bring a unique patients and (potential) users’ perspective of these services, which enables FHSS to enhance the education the future workforce in health and social care as well as research in this area.

However, PPI/E is still very new concept in many LMICs (Low- and Middle-Income Countries). This paper considers the importance of PPI in public health research and HTA in the development and implementation of technology in the health sector in South Asia. Currently, in this region, health technology is frequently adopted from HICs without local research and HTA. It also discusses the importance of local co-creation of technology to reflect the needs of users within a culturally appropriate setting. It is important for LMIC-based researchers to understand the potential of PPI/E and how it can contribute to it to improve health care and research, especially perhaps in the era of COVID-19.

Reference:

Simkhada, B., van Teijlingen, E., Naheed, A., Warren A., Green, S. (2020) Importance of involving patients and public in Health Technology Assessment (HTA) and health research in South Asia. International Journal of Technology Assessment in Health Care [Online First 5 November, pp. 1-3].

29 October 2020

Steady stream of Nepal migration papers

international, open accecss, Publishing, writing Edwin van Teijlingen

Today we added to our growing pool of publications on aspects of labour migration in Nepal. The Open Access journal BMC Health Services Research published our paper ‘Accessing health services in India: experiences of seasonal migrants returning to Nepal’ [1]. The paper explores the experiences of returnee Nepali migrants with regard to accessing healthcare and the perspectives of stakeholders in the government, support organizations, and health providers working with migrant workers in India. The paper concludes that Nepali migrants experience difficulties in accessing healthcare in India. Hence the authors recommend partnerships between the Nepali and Indian governments, migrant support organizations and relevant stakeholders such as healthcare providers, government agencies and employers should be strengthened so that this vulnerable population can access the healthcare to which they are entitled.

Three of the authors are based at BU (Dr. Nirmal Aryal, Dr. Pramod Regmi & Prof. Edwin van Teijlingen), whilst Dr. Pratik Adhikary is a BU PhD graduate and Prof. Padam Simkhada, from the University of Huddersfield, is BU Visiting Faculty.This qualitative paper is part of a larger International Organization for Migration research project on ‘Health vulnerabilities of the cross-border migrants from Nepal’ [2].

The authors to acknowledge the continuous support from Green Tara Nepal (GTN) during the field work. This Open Access paper from this FHSS team of researchers on migration and health research related to Nepal is the 19th paper in total on the topic [3-19].

References:

Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P.R., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E., Simkhada, P. (2020) Accessing health services in India: experiences of seasonal migrants returning to Nepal. BMC Health Services Research 20, 992. https://doi.org/10.1186/s12913-020-05846-7
IOM [International Organization for Migration]. (2019) Health vulnerabilities of cross-border migrants from Nepal. Kathmandu: International Organization for Migration.
Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P., Simkhada, P. (2020) The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study, International Journal of Environmental Research & Public Health 17(4), 1292; https://doi.org/10.3390/ijerph1704129
Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health 22, 973–981.
Adhikary, P. van Teijlingen, E. (2020) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences, International Journal of Occupational Safety & Health (IJOSH), 9(2): 31-35.
Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M., Regmi, P. (2020) Health and Wellbeing of the Nepali population in the UK: Perceptions and experiences of health and social care utilisation, Journal of Immigrant & Minority Health (accepted).
Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks, Journal of Environmental Research & Public Health 16(19), 3655; doi:10.3390/ijerph16193655.
Dhungana, R.R., Aryal, N, Adhikary, P., KC, R., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., van Teijlingen, E., Simkhada, P. (2019) Psychological morbidity in Nepali cross-border migrants in India: A community-based cross-sectional, BMC Public Health 19:1534 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7881-z
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahato, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia Journal of Public Health 8(1): 38-41.
Aryal, N., Regmi, P.R., Faller, E.M,, van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) ‘Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia’ Nepal Journal of Epidemiology 9(3): 755-758. https://www.nepjol.info/index.php/NJE/article/view/25805
Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., 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.
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.
Adhikary P, Keen S and van Teijlingen E (2011). Health Issues among Nepalese migrant workers in the Middle East. Health Science Journal.5 (3):169-i75 DOI: 2-s2.0-79960420128.
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

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