13 October 2015

Management of male obesity: The qualitative evidence (BMJ Open)

open access, Publishing Edwin van Teijlingen

Yesterday BMJ Open published our latest article on the weight management in obese men, under the title A qualitative evidence synthesis on the management of male obesity.[1] To the best of our knowledge, this is the first synthesis of qualitative studies investigating men’s perceptions and experiences of weight management services. The interdisciplinary study was conducted between the three research centres at the University of Aberdeen, namely the Health Services Research Unit (HSRU), the Health Economics Research Unit (HERU) and the Rowett Institute of Health & Nutrition, the University of Stirling’s NMAHP Research Unit, the University of Edinburgh’s Scottish Collaboration for Public Health Research & Policy (SCPHRP) and Bournemouth University.

Studies published between 1990 and 2012 reporting qualitative research with obese men, or obese men in contrast to obese women and lifestyle or drug weight management were included. The studies included men aged 16 years or over, with no upper age limit, with a mean or median body mass index of 30 kg/m2 in all settings. In total 22 studies were identified.

Health concerns and the perception that certain programmes had ‘worked’ for other men were the key factors that motivated men to engage with weight management programmes. Barriers to engagement and adherence with programmes included: men not problematizing their weight until labelled ‘obese’; a lack of support for new food choices by friends and family, and reluctance to undertake extreme dieting. Retaining some autonomy over what is eaten; flexibility about treats and alcohol, and a focus on physical activity were attractive features of programmes. Group interventions, humour and social support facilitated attendance and adherence. Men were motivated to attend programmes in settings that were convenient, non-threatening and congruent with their masculine identities, but men were seldom involved in programme design.

The paper concluded that men’s perspectives and preferences within the wider context of family, work and pleasure should be sought when designing weight management services. Qualitative research is needed with men to inform all aspects of intervention design, including the setting, optimal recruitment processes and strategies to minimise attrition. This paper grew out of the larger ROMEO study which was published in our full HTA (Health Technology Assessment) report, which is also freely available on line, click here! [2]

Prof. Edwin van Teijlingen

CMMPH

Reference:

Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on the management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
Robertson, C., Archibald, D., Avenell, A., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Stewart, F., Boachie, C., Fioratou, E., Wilkins, D., Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on the quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf

13 October 2015

BU professor invited to give key note at 2016 Dutch Midwifery Conference

Knowledge Exchange, Public engagement Edwin van Teijlingen

Professor Edwin van Teijlingen (CMMPH) has been invited to present a key note speech at the Kennispoort Verloskunde conference in Utrecht, the Netherlands in January 2016. He will be speaking about ‘Dealing with risk in maternity care: the social versus medical model’. The presentation is based on a number of publications around the sociological topic of the medical/social model of childbirth. [1-3]

One of the ways sociologists analyse health and health care is in terms of a ‘medical’ versus a ‘social’ model, or in this field, a midwifery model. As pregnancy and birth are biological and physiological events which are very much embedded in a social and cultural setting, these are good examples to highlight the use and misuse of the medical and social model. Modern Western society has a slightly paradoxical view of pregnancy. On the one hand, the average woman in childbirth is not ill because pregnancy is not an illness. On the other hand, pregnant women are deemed to need a lot of health care throughout pregnancy and childbirth. Making the distinction between a medical and a social model of a social phenomenon is not exclusive to midwifery. Over the past decades researchers have pointed to the existence of a medical and social model in alcohol misuse, obesity, sex, eating disorders, infertility treatment, to name but a few phenomena.

References:

van Teijlingen, E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociological Research Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html.
MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
van Teijlingen, E. (2015) Sociology of Midwifery. In: Sociology for Midwives Deery, R., Denny, E. & Letherby, G. (eds.) Cambridge: Polity Press, 22-37.

6 October 2015

CMMPH editorial in today’s Nepal Journal of Epidemiology

Awarded & submitted bids, Fusion, open access, Post-award, Publishing Edwin van Teijlingen

The current issue of the Nepal Journal of Epidemiology published today carries an editorial by a BU-led team of researchers and development workers. The editorial Mental health issues in pregnant women in Nepal highlights the intervention funded by THET which aims to improve the knowledge and attitude of maternity care workers in a rural district in the south of Nepal. The BU authors include Visiting Faculty: Padam Simkhada, Samridhi Pradham, Jillian Ireland and Bibha Simkhada, the other co-authors are affiliated with the charity we work with in Nepal (Ram Chandra Silwal), the Buddhist charity based in London Green Tara Trust (Padmadharini Fanning), and our Tribhuvan University based colleagues (Lokendra Sherchan, Shyam K Maharjan, and Ram K Maharjan.

This THET-funded project will involve over 15 UK short-term volunteers. It is important to bring UK volunteers, who as health professionals will bring their experience of, and training in, the provision of mental health and maternity/midwifery services including the area of mental ill health prevention and health promotion. These experienced health workers (such as midwives, family doctors, mental health nurses, health visitors, psychiatrists) from the UK are invited to volunteer for two to three weeks at a time to design and deliver training. The mixture of training staff abroad (= Education) by UK professionals (=Practice) through an intervention which is properly evaluated (=Research) is a perfect example of BU’s FUSION in action.

This project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID) and runs from this year May 1st until the autumn of 2016. The paper is freely available on line, click here!

Prof. Edwin van Teijlingen

CMMPH

Refererence:

van Teijlingen E, Simkhada P, Devkota B, Fanning P, Ireland J, Simkhada B, Sherchan L, Silwal CR, Pradhan S, Maharjan KS, Maharjan KS. Mental health issues in pregnant women in Nepal. Nepal J Epidemiol. 2015;5(3); 499-501.

1 October 2015

Bournemouth University listed in top 800 global universities

REF Subjects, Research assessment Edwin van Teijlingen

Bournemouth University ranked just over the half way line in the top 800 universities in the world. Bournemouth University is in good company in the bracket (401-500) with other well-known universities such as the University of Cagliari (Italy), Charles University in Prague (Czech Republic), Curtin University (Australia), University of Waikato (New Zealand), Louisiana State University (USA) or the University of Tampere (Finland) to name but a few.

The full list of 800 universities is available here!

Prof. Edwin van Teijlingen

CMMPH

30 September 2015

Manuscript accepted from Dr. Regmi (FHSS)

Publishing Edwin van Teijlingen

Congratulations to BU’s Dr. Pramod Regmi on the acceptance of the manuscript: “Importance of health and social care research into gender and sexual minority populations in Nepal” by the Asia-Pacific Journal of Public Health.

Dr. Pramod Regmi is originally from Nepal and currently a post-doc researcher in the Faculty of Health & Social Sciences.

Prof. Edwin van Teijlingen

CMMPH

28 September 2015

Congratulations to Jib Acharya on his latest Ph.D. paper

PG research, Publishing Edwin van Teijlingen

Congratulations to FHSS Ph.D. student Jib Acharya on the publication of his latest paper on childhood nutrition in Nepal.[1] Mr. Acharya’s study included a cross-sectional, community-based survey of 524 mothers in one district of Nepal. These were mothers of young children aged 36-60 months who are no longer breastfed at the time. The questionnaire survey included: socio-demographic measurements, knowledge, beliefs and attitudes about nutritious food, as well as child feeding patterns, food recommendation, major barriers, food insecurity and health-seeking behaviours. Jib’s mixed-methods Ph.D. work is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

The study found that both urban and rural mothers lacked knowledge of what food is nutritious. Moreover, their attitudes and views appeared often ill informed. This study suggests that a different approach was needed because the public health problems are associated with behaviour. Thus, more attention should be paid to appropriate intervention of under-nutrition in poor communities like this one studied in Nepal.

Prof. Edwin van Teijlingen

CMMPH

Reference:

Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Assessment of knowledge, beliefs and attitudes towards healthy diet among mothers in Kaski, Nepal, Participation 17 (16): 61-72.

26 September 2015

FOOD HARVESTING FOR HEALTH AND WELLBEING

Awarded & submitted bids Edwin van Teijlingen

Researchers from the Faculty of Health and Social Sciences, Fotini Tsofliou, Angela Turner-Wilson, Anne Mills and Juliet Wiseman, working in collaboration with Sarah Watson (Sustainable Food City Partnership) received a Grants Academy Pilot Scheme Award from BU. This funding has enabled us to undertake some exciting new work in the field of Community Food Programmes (CFP). These are widely used services that support people to access food. However at present there is little information from the users on the role of CFPs in building the capacity of the community towards healthy eating.

Focus groups provided fascinating insights into people’s views around food growing in the community. For example, participants said:

“it’s (community gardens) really good for your mental health, your physical health, growing things and for the children as well ‘cos a lot of children think peas come from a pan or from the freezer.”

“they (children ) enjoyed harvesting.”

“yes and they’ve (children ) learnt they can and they’ve eaten them”

“if it brings people together kids take ownership of it”

Work continues with gaining understandings of the role of cooking classes and lunch clubs in relation to community’s health and wellbeing.

25 September 2015

Sustainable Development Goals summit today in New York

Edwin van Teijlingen

The Sustainable Development Goals (SDGs) summit is being held today in New York. As part of this summit the pope will address the United Nations in NY as will Bill and Melinda Gates who run the largest private philantropic organisation in the world. The key underlying principles of the SDGs are: (a) reducing (or eradicating) poverty eradication; (b) changing unsustainable and promoting sustainable patterns of consumption and production; and (c) protecting and managing the natural resource base of economic and social development. The seventeen SDGs are outlined in Table 1.

Table 1 Sustainable Development Goals

Goal 1	End poverty in all its forms everywhere
Goal 2	End hunger, achieve food security and improved nutrition and promote sustainable agriculture
Goal 3	Ensure healthy lives and promote well-being for all at all ages
Goal 4	Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
Goal 5	Achieve gender equality and empower all women and girls
Goal 6	Ensure availability and sustainable management of water and sanitation for all
Goal 7	Ensure access to affordable, reliable, sustainable and modern energy for all
Goal 8	Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all
Goal 9	Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation
Goal 10	Reduce inequality within and among countries
Goal 11	Make cities and human settlements inclusive, safe, resilient and sustainable
Goal 12	Ensure sustainable consumption and production patterns
Goal 13	Take urgent action to combat climate change and its impacts*
Goal 14	Conserve and sustainably use the oceans, seas and marine resources for sustainable development
Goal 15	Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss
Goal 16	Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels
Goal 17	Strengthen the means of implementation and revitalize the global partnership for sustainable development

The SDGs replace the Millennium Development Goals (MDGs) formally from today onwards. Key questions to be asked by researchers (and policy makers) include: (a) how are these SDGs different from the MDGs in their effect on international development?; (b) How successful will the SDGs be?, including the question: What do we define as success?; and (c) How useful were the MDGs, in which countries and for whom? These are ‘big’ system level questions, for those of use working in the field of maternity care more specific questions to address would be around priority settting. As reducing maternal mortality was one of the eight MDGs, i.e. recognised as an individual goal or target, but in the SDGs maternal health will fall under the overarching heading of Goals 3 ‘Ensure healthy lives and promote well-being for all at all ages’. As health is only one of 17 SDGs and maternal health fits in with all other aspects of the lifespan does this mean maternal health has become less of a priority? Of course only time and plenty of good research will tell.

Prof. Edwin van Teijlingen

CMMPH

17 September 2015

Joint project with Tribhuvan University

Awarded & submitted bids, Public engagement Edwin van Teijlingen

Today I attended a contract-signing meeting at the Department of Health, Physical and Population Education at Nepal’s oldest university, Tribhuvan University (TU).

BU, TU and Liverpool John Moores University (LJMU) have been awarded a Tropical Health & Education Trust (THET) grant for health partnerships to carry out training and capacity-building projects in low-income countries, such as Nepal.

The new BU-led THET project will bring highly experienced UK volunteers to train some 100 maternity care providers, such as Auxiliary Health Workers (AHWs) and Auxiliary Nurse Midwives (ANMs) about the key mental health issues in pregnancy and in the months after birth. A local charity Green Tara Nepal (GTN) will support the work through some of the curriculum design, sensitising UK volunteers to live in rural Nepal, assisting in translating, as well as helping to recruit the local health workers. The two UK universities have a long history of working with GTN as well as its sister organisation Green Tara Trust (GTT), a Buddhist charity based in London. The new project will be based in Nawalparasi in the sub-tropical part of the country bordering India. The target population consists of grassroot health care practitioners since there are no doctors in these rural villages.

The pictures accompanying this post illustrate the inequalities and the mix of modern and traditional in Kathmandu today. The city crowded with motorbikes and then occasionnally one sees a couple cows been driven through these busy streets. The green house is in the street in front of where I am staying and the shanty town building are the backdoor neighbours. The picture with text is the price-list ourside the main infectious diseases hospital informing patients about the costs of certain treatments, tests and drugs. A reminder that health care might be free in name for the poorest people, there are still many costs involved in gettiong treated in hospital!

This project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID). The following people make up the international project team: Edwin van Teijlingen, Padam Simkhada, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Samridhi Pradhan, Shyam K. Maharjan, Ram K. Maharjan

9 September 2015

Your most popular paper this week was ….

BRIAN, Publishing, Research themes, Training Edwin van Teijlingen

Every week I receive an email telling me what my most accessed paper is on Academia.edu. As a research-active academic I would like this ‘top paper’ to be one of my research papers based on primary research or perhaps a systematic review. My second preference is that I would like it to be one of my few more theoretical papers and, if not that, then at least one of many methods papers I have published with colleagues over the past decade. But no, every single week a fairly basic ‘how-to-do’ paper is my most accessed paper. This week’s message is typical: “Your most popular paper for the week was Writing an academic paper for publication, which had 142 views.”

This how-to-write-an-academic editorial has been my most read paper for months now. It is a paper Prof. Vanora Hundley, Prof. Padam Simkhada (Liverpool John Moores University & BU Visiting Faculty) and I wrote in an attempt to help budding academics and postgraduate students in a low-income country to think about the process of drafting and writing a scientific paper.

Perhaps this paper is popular because there is a global need for it (Academia.edu also gives break down from where in the world the paper has been accessed). It is also possible that it is on course reading list or perhaps it is recommended on webpage somewhere. The paper is,of course, Open-Access which helps in terms of providing more people across the globe easy and free access!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Simkhada, P., van Teijlingen, E., Hundley, V. (2013) Writing an academic paper for publication, Health Renaissance 11(1): 1-5. healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf

23 August 2015

BU PhD student publishes in Huffington Post

PG research, student research Edwin van Teijlingen

From Aspirations to Reality: How to Effectively Measure the Sustainable Development Goals

PhD student Ms. Sheetal Sharma in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) published an article in online newspaper The Huffington Post this week. In the article argues in order that the new Sustainable Development Goals (SDGs) are achieved in 2030 we set out clear he measurable guidelines and targets as well as mechanisms to facilitate that measurement. The measuring progress in itself is important as transparent measurement stimulates a culture of accountability.

With co-authors Prof. Zoë Matthews and Dr. Sylvia Szabo both from the University of Southampton, Sheetal argues that we need a Call to Action. Now is not the time for weakness, neither in the implementation nor in tracking technical progress. They state: “We cannot be conservative in our measurement of progress in the post-2015 agenda. The measurement framework must empower the implementation of the SDGs and improve equity, welfare and environment for all for greatest and most inclusive developmental impact.”

The proposed two-track SDG indicator framework for 2030:
• Track 1 could monitor political goals (about 30 impact indicators) to assess overall progress regionally and globally.
• Track 2 could include a larger number of technical indicators to measure the means of implementation or processes towards each goal (300 indicators, or more).

Sheetal Sharma is currently writing up her PhD thesis on issues around evaluation of a maternity care intervention in Nepal. She has submitted several papers based on her PhD work for publications. Her PhD supervisory team comprises professors Vanora Hundley, Padam Simkhada (BU Visiting Faculty) & Edwin van Teijlingen and doctors Catherine Angell & Elisa Sicuri (BU Visiting Faculty).

Well done!

Prof. Edwin van Teijlingen

CMMPH

Twitter: @EvanTeijlingen

Follow Sheetal Sharma on Twitter: www.twitter.com/sheetale

11 August 2015

New publication by BU PhD student Jib Acharya

Publishing, student research Edwin van Teijlingen

Congratulations to FHSS Ph.D. student Mr. Jib Acharya, whose paper ‘Study of nutritional problems in preschool aged children in Kaski District in Nepal’ has just been published in the Journal of Multidisciplinary Research in Healthcare [1]. The academic paper, based on his Ph.D. thesis, reports on his mixed-methods Public Health study addressing attitudes and knowledge of mothers of young children (pre-school aged) in one particular district in Nepal. The research comprises a quantitative survey and qualitative focus groups. Jib Acharya, who is originally from Nepal, compares and contrasts the attitudes, knowledge and behaviour of poor rural and poor urban women (=mothers) in that district. The research is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

Prof. Edwin van Teijlingen

CMMPH

Reference:

Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District in Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118.

11 August 2015

Consider the editor!

Publishing, Research Integritiy Edwin van Teijlingen

The most recent edition of the international journal Women & Birth includes a discussion paper highlighting the role of the academic journal editor, an often misunderstood ‘job’ in academic scholarship [1]. The Bournemouth University authors of this paper are all three active as journal editors and sit on several editorial boards of scientific journals. The role of the journal editor may not be well known by budding authors. The purpose of this article is to explain the editor’s role in order to encourage future participation in reviewing and publication.

This latest paper is part of a series of articles written by staff in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on academic writing [2-4]. These ‘how-to-do’ papers offer advice to junior researchers and postgraduate students. Several of the papers in this series are co-authored with Bournemouth University’s Visiting Faculty, including Dr. Brijesh Sathian (based in Nepal), Prof. Padam Simkhada (Liverpool John Moores University), Ms. Jillian Ireland (Poole Hospital NHS Foundation Trust), Prof. Debra Bick ( King’s College, London), Dr. Bibha Simkhada (Inter, Nepal) and Dr. Emma Pitchforth (RAND Europe, Cambridge). The range of publications includes papers on advice for article titles [5], tricky issues such as authorship and author order [6-7], selecting the most appropriate journal for your paper [8] and writing up qualitative research [9]. Whilst a further paper offers advice on writing an abstract for a scientific conference [10].

Edwin van Teijlingen, Vanora Hundley & Jenny Hall

CMMPH

Twitter: @EvTeijlingen @VanoraHundley @hallmum5

References:

Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
Simkhada, P., van Teijlingen, E., Hundley, V. (2013) Writing an academic paper for publication, Health Renaissance 11(1): 1-5.
van Teijlingen, E., P.P., Simkhada, B., Ireland, J. (2012) The long & winding road to publication, Nepal Journal Epidemiology 2(4): 213-215.
van Teijlingen, E., P.P., Rizyal, A. (2012) Submitting a paper to an academic peer-reviewed journal, where to start? Health Renaissance 10 (1): 1-4.
van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal Journal of Epidemiology 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.
Hundley, V., van Teijlingen, E., Simkhada, P. (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2): 98-101.
van Teijlingen, E., Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, Journal of Advanced Nursing 37(6): 506-511.
Pitchforth, E., Porter, M., van Teijlingen, E.R., Forrest Keenan, K. (2005) Writing up and presenting qualitative research in family planning and reproductive health care, Journal of Family Planning & Reproductive Health Care 31 (2): 132-135.
Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, B.D. (2013) Writing an Abstract for a Scientific Conference, Kathmandu University Medical Journal 11(3): 262-265.

24 July 2015

New BU Research Methods paper

Knowledge Transfer, Publishing Edwin van Teijlingen

Yesterday the journal Health Prospect published another of our research methods papers. This latest paper on cross-national comparative research has been written by five sociologists from Northern Europe and North America: Ray De Vries (University of Michigan USA & Hogeschool Zuyd, Maastricht University, the Netherlands), Cecilia Benoit (University of Victoria, Canada), Jane Sandall (King’s College London), Ivy Bourgeault (University of Ottawa, Canada), Sirpa Wrede (University of Helsinki, Finland) and Edwin van Teijlingen (Bournemouth University). We have been working together on cross-cultural and cross-national issues in maternity care and midwifery since the mid-1990s. Our collaborative research led to the edited volume Birth by Design: Pregnancy, Midwifery Care and Midwifery in North America and Europe (Routledge, 2001). The book was short-listed for the British Sociological Association’s (BSA) Medical Sociology Book Prize in 2004.

The paper in Health Prospect is the latest in a series of papers addressing issues around the method of doing cross-national research. We highlight some of the specific contributions the discipline of sociology can make to cross-national comparative research in the public health field. Sociologists call attention to often unnoticed social and cultural factors that influence the way national reproductive health care systems are created and operated. The paper is published in an Open Access journal so it is easily and freely available to anybody across the globe.

Prof. Edwin van Teijlingen

CMMPH

van Teijlingen, E., Benoit, C., Bourgeault, I., DeVries, R., Sandall, J., Wrede, S. (2015) Learning from health care in other countries: the prospect of comparative research, Health Prospect 14(1): 8-12. info/index.php/HPROSPECT/article/view/13036/10525

23 July 2015

UK Nepali community research dissemination event

Public engagement, Publishing Edwin van Teijlingen

BU and UKNFS jointly presented some of the key findings of their study into the UK’s Nepali community. The meeting (22 July) in the EBC was attended by local representatives of the NHS, the CCG and Healthwatch Dorset. BU Prof. Vanora Hundley, Deputy Dean for Research (FHSS), who herself has published several academic paper on Nepal or English-language academic journals in Nepal, welcomed the audience. She highlighted how the research fitted into the wider health and soial care research portfolio of the Faculty.

BU Prof. Edwin van Teijlingen’s presentation highlighted the issues of access the health and social services in growing Nepali community in the UK. The reports highlights health and lifestyle issues, help-seeking behaviour and the influence of culture on health-related decision making. He mentioned barriers such as language and knowledge about services (or lack thereof). The findings of this study relate to previous studies in the field of ethnic minority communities int he UK. Mr. Alan Mercel-Sanca, Chairperson of the UK Nepal Friendship Society thanked the key researchers Dr. Bibha Simkhada (BU VIsiting Faculty) and Dr. Rajeeb Kumar Sah for conducting this mixed-methods research to such a high standard. He also thanked the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their interest in final report and advice on the research.

The Report offers a unique opportunity for local health crae providers and commissioners to improve their understanding of this particular ethnic minority group. In the long run the report may lead to more effectively service delivery, especially in terms of health and social services that are sensitive to the needs of the Nepali community. Moreover, the report’s findings have direct relevance to other South Asian and broader Black & Minority Ethnic (BME) communities in the UK.

Finally, the audience heard how the report has been widely reported among the Nepali-language media to the Nepali community in the UK as well as in Nepal. This include coverage by the BBC World Service in Nepali, who interviewed Dr. Bibha Simkhada about the study.

The report is available online here!

Prof. Edwin van Teijlingen

CMMPH

22 July 2015

The Midwifery quilt online- URA scheme funded project

Fusion, Women's Academic Network jhall

As part of my EdD thesis on ‘The essence of the art of a midwife..’ http://eprints.uwe.ac.uk/16560/ I created a reflexive textile quilt, with each of the squares representing an entry in my research diary. Whenever I have been to conferences with my quilt the question has always been asked ‘what do the squares mean’? Though I anticipate that anyone looking at it will gather their own interpretation of the squares my stories behind them are now accessible online. In the spring of this year I applied, and was pleased to receive, funding from the BU Undergraduate research assistantship scheme in order to create a web site for the quilt. For the past six weeks George Upson undergraduate student from the BA (Hons) Media Production course has been active in designing and creating the web site with me and learning about the world of academia in a small way. I am indebted to him for his creative abilities and to Garratt Lynch and Richard Wallis for their early support in the process, and also for the URA scheme!

The Midwifery quilt maybe accessed here http://www.midwiferyquilt.co.uk/

Dr Jenny Hall

21 July 2015

Improving Nepali’s health & social care in the UK: Presentation of key findings 22 July at BU

Public engagement, Publishing Edwin van Teijlingen

Bournemouth University presents some of the key findings of the first study of its kind of the Nepali community in the UK. The report also shows the way forward for improved UK Nepali community NHS and social care provision. The research is a joint initiative between the UK Nepal Friendship Society, Bournemouth University in collaboration with the South East London Nepali community and funded by the Big Lottery Fund.

Key findings from the report suggest in particular that the elderly Nepali population struggle to access cultural appropriate health and social care. This results in people accessing health services too late. Further research is needed on mental health, especially on loneliness and social isolation in the elderly, but also on minorities within the broader community as well as those with limited English language skills. Its recommendations have potential transformational value for the relationship between this ethnic minority, most well-known for its Gurkha community, and the NHS and social care providers.

Many Nepali people evidenced that they struggle with accessing and navigating NHS services, and that there are significant confidence-building requirements that need to be addressed concerning a revealed need for experiencing more equitable NHS customer service provision. The lead author Dr. Bibha Simkhada is Visiting Faculty at BU.

Ruth Passman of NHS England, Head of Equality & Health Inequalities commented:

“This report and its findings indicate the scale of the need for the NHS to have a better understanding of the needs of the Nepali community accessing in an effective and equitable way, and through its profile of health and wellbeing seeking behaviour of the community for the NHS to have the opportunity to better address in partnership with the Nepali community, its particular needs.”
Prof. Gail Thomas the Dean of the Faculty of Health & Social Sciences added: “Bournemouth University has a long-standing history of health and health promotion research in Nepal. This study amongst the Nepali community in South London reminds us of the importance of addressing health and well-being issues in ethnic minority communities in the UK.”

Mr. Tej Bahadur Chhetri, the Acting Ambassador and Charge D’Affaires at the Embassy of Nepal sent the following message:

This report is a most helpful contribution, to promote much needed change in healthcare provision for the Nepali community, especially with the fast approaching 200 years of special friendship and diplomatic relations between Nepal and the UK. The link between the two countries started with the Gurkha regiments becoming part of the British Army, and having been so to this day. The UK Nepali community will clearly benefit from the report and its recommendations’

Alan Mercel-Sanca, the Chairperson of the UK Nepal friendship Society added: “We particularly appreciate Dr Bibha Simkhada and Dr Rajeeb Kumar Sah’s dedication and high quality research in the Nepali community. We would also like to thank the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their great interest in the value of the research. The Report offers a unique opportunity for our evolving NHS and the Ministry of Health to better understand and more effectively meet the needs and hear the Voice of the Nepali community – it clearly has direct relevance to other South Asian and broader Black & Minority Ethnic communities using and seeking to access an NHS that is equitable and effective.”

The presentation will take place tomorrow Wednesday 22nd July at 15.00 in the Executive Business Centre on Holdenhurst Rd. The meeting will be introduced and opened by Prof. Vanora Hundley, Deputy Dean for Research & Professional Practice in the Faculty of Health & Social Sciences. Prof. Hundley herself has published several academic paper on Nepal or English-language academic journals in Nepal.

Prof. Edwin van Teijlingen

CMMPH

@EvanTeijlingen

17 July 2015

FoL event: What’s your story? Childbirth over the last 60 years.

Festival of Learning, Fusion, Public engagement jhall

Midwifery educators and researchers from CMMPH Dr Jen Leamon and Dr Jenny Hall, with help from Shelly Anne Stringer RDO, spent the day in an empty space engaging creatively with shoppers in the Sovereign Shopping centre in Boscombe. As part of BU Festival of Learning this is an ongoing project to consider the social history and contexts around people’s stories of birth. The childbirth process has in the last 60 years moved from being a private event shared by woman, their partner and the midwife to become a public one shared via many formats

of multimedia.

The day was spent encouraging members of the local community to contribute to a visual timeline of personal experiences of receiving or providing midwifery care, over the last sixty years.
The aim had been to engage local people in order to interrogate the local history of birth in the area. However on the day we gathered a wealth of stories from mothers, partners, grandparents and children with tales from the 1960’s to the present day but with a very international flavour!

We are very grateful to all those who sat and took the time to share their personal stories and were willing to add to the timeline. The stories were both moving and unexpected- that’s how research goes sometimes! More will develop on this project over time. We are also grateful to the team at the Sovereign centre who were so accommodating.

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FoL event: What’s your story? Childbirth over the last 60 years.

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