Category / Sociology & Social Policy

Two papers rejected the day after submission in same week

This week we had this enviable record of two academic papers on health topics being rejected the day after submission.  The first paper was submitted on Monday to Issues in Mental Health Nursing.  Our paper reported the Content Analysis of a review of the nursing curricula on mental health and maternity care issues in Nepal. The journal editor emailed us the next day to inform us that the topic was interesting, but not relevant enough to the journal’s readers.

The second paper submitted by a different configuration of staff was submitted last Friday to the Journal of Youth & Adolescence.  The second paper reported a qualitative study on students views on abortion in the south of England.  This journal’s rapid reply came the next day (yesterday) stating that:

Unfortunately, the editors have completed an internal review of your study and have deemed your manuscript inappropriate for our journal. Although your manuscript has important strengths, the journal has moved away from supporting qualitative work (unless it would be part of a journal special issue). Please rest assured that our decision has nothing to do with the quality of your study or findings.

On both occasion we had discussed potential journals and we thought we had targeted appropriate journals for the respective manuscripts.  Moreover, in both manuscripts we managed to cite at least one paper published in the journal to which we had submitted it.  The general message to my colleagues is that it does not matter how many papers you have written and submitted, you will: (1) occasionally opt for the wrong journal; (2) continue to face regular rejection by journal editors; and (3) have an opportunity to submit to another journal.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Highly topical BU article on BREXIT

Congratulations to Dr. Rosie Read and Prof. Lee-Ann Fenge in the Faculty of Health & Social Sciences who just published in the academic journal Health and Social Care in the Community.  Their paper is called What does Brexit mean for the UK social care workforce? Perspectives from the recruitment and retention frontline’ [1].  You can’t have a more topical academic paper and it is freely available on the web through Open Access!  

The paper is based on research on research they undertook last year on the impact of Brexit on the social care workforce.  A key finding is that, irrespective of whether they employ EU/EEA workers or not, research participants have deep concerns about Brexit’s potential impact on the social care labour market. These include apprehensions about future restrictions on hiring EU/EEA nurses, as well as fears about increased competition for care staff and their organisation’s future financial viability. This article amplifies the voices of managers as an under‐researched group, bringing their perspectives on Brexit to bear on wider debates on social care workforce sustainability.

Congratulations!

Prof. Edwin van Teijlingen

 

Reference:

  1. Read R, Fenge L‐A. (2018) What does Brexit mean for the UK social care workforce? Perspectives from the recruitment and retention frontline.
    Health Soc Care Community [online first] :1–7.    https://doi.org/10.1111/hsc.12684

 

 

Journal of Asian Midwives

As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal.   The journal is fully Open Access and does not charge a submission or processing fees!  All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository.  The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles.  Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.

What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations.  Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B.  The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers.  Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

References:

  1. 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.
  2. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30.
  3. Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
  4. Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.
  5. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.

Final Safeguarding Adults ESRC seminar: Fusion in practice

The final seminar in our ESRC seminar series  concerning the development of legal literacy and adult safeguarding was held at the Friends’ Meeting House in London on the 11thOctober bringing together three years exploration of meanings, interpretation and learning from the implementation of the Care Act 2014. The series brought together expertise in adult safeguarding from the universities of Bournemouth, Bedford, East Anglia, Chester and led by Keele University, alongside practitioner expertise from 39 Essex Chambers and PASA-UK (Practitioner Alliance for Safeguarding Adults).

The morning session was chaired by Prof Jonathan Parker, who introduced the retired high court judge Sir Mark Hedley to begin the day by examining professional power and responsibility and the complexities of decision-specific capacity and the need for care, brought to life through a range of often heart-wrenching cases. Prof Paul Kingston (Chester) and Luke Joannou of the Royal British Legion then considered the topical area of safeguarding in the charitable sector that highlighted contemporary demands for good governance brought to the fore by recent cases involving Oxfam and Save the Children. The final session of the morning was presented by Kenny Gibson, the recently appointed head of safeguarding for NHS England. Kenny, only 120 days in post, articulated some of the changes NHS England was making to roll out understanding and improve practice in safeguarding across the workforce.

Prof Michael Preston-Shoot (Bedford) chaired the afternoon session. The Rt Hon Norman Lamb MP, the former minister who ushered through the Care Act 2014 began the afternoon, reflecting on transformative approaches to care and Winterbourne View. He was followed by Prof Jill Manthorpe (King’s College, London) who presented aspects of her research group’s work on whether or not powers of entry would be beneficial for practitioners working in adult safeguarding; a fraught and contested area of practice that raises the importance of debate in this area. Bridget Penhale (UEA) then took us back into the history of identifying elder abuse – a very recent history – showing the political twists and turns, and the ways this has added to calls for a UN Convention of the Human Rights of Older People. The afternoon was completed by Alex Ruck Keane (39 Essex Chambers) who took us back to the beginnings of the seminar programme and the elusive processes in developing adequate definitions to negotiate this complex practice milieu.

As the series drew to a close we have turned attention to sustainability, dissemination and taking forwards the learning. One of the central elements of the three years has been to raise awareness and knowledge amongst the next generation – public, professional and academic – of adult safeguarding and to identify and challenge blurred lines within society. One way of doing so has been to ensure spaces are available for students, at all levels of study. As an example of our BU fusion approach, promoting the interface of research, education and practice, final year Sociology & Criminology student, Andreas Bubier-Johnstone joined the seminar, his interests developing through the degree programme. His reflections are useful:

As a third year Sociology & Criminology student wanting to pursue a future career in Adult Safeguarding I found the seminar overall a tremendous help. On arrival I was greeted by many fantastic minds, and felt instantly welcome. All of the speakers provided me with new and, more importantly, useful information, whether it was from textbook legalities and standard protocols, to their own personal experiences; it was both fascinating, and stimulating. I found the overall diversity of the speakers, something of great interest. Being able to gauge information from different people, and perspectives was a great touch in showing different fields and how they function.

What I took away from the day simply was clarity. I knew after the seminar was over, that I really did want to pursue a career in adult safeguarding. It gave me a new founded drive, speaking to people who are developed in the field really has given me a boost, and hunger to achieve my future career goals. The people who attended the seminar were all very helpful, and provided me with information on how to further achieve my goals for the future.

Jonathan Parker and Andreas Bubier-Johnstone

Congratulations to Dr. Alison Taylor

Congratulations to Dr. Alison Taylor whose PhD paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers‘ has just appeared online [1].  This paper, in Women and Birth (published by Elsevier), was co-authored with her PhD supervisors Prof. Emerita Jo Alexander, Prof. Kath Ryan (University of Reading) and Prof. Edwin van Teijlingen.

The paper highlights that despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly.  Alison’s study explored in a novel way the everyday experiences of first-time breastfeeding mothers in the early weeks following birth.  Five UK mothers were given a camcorder to capture their real-time experiences in a video diary, until they perceived their infant feeding was established. This meant that data were collected at different hours of the day by new mothers without a researcher being present.  Using a multidimensional approach to analysis, we examined how five mothers interacted with the camcorder as they shared their emotions, feelings, thoughts and actions in real-time. In total mothers recorded 294 video clips, total recording time exceeded 43 hours.

This paper focuses on one theme, the therapeutic role of the camcorder in qualitative research. Four subthemes are discussed highlighting the therapeutic impact of talking to the camcorder: personifying the camcorder; using the camcorder as a confidante; a sounding board; and a mirror and motivator. The paper concludes that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic and that more research is needed into how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.

Alison is Senior Lecturer in Midwifery and a member of the Centre for Midwifery, Maternatal & Perinal Health.

 

 

Reference:

  1. Taylor, A.M., van Teijlingen, E., Alexander, J. & Ryan, K. The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women Birth (2018), (online first)  https://doi.org/10.1016/j.wombi.2018.08.160

International Conference on Migration Health (Rome)

Two days ago Bournemouth University Visiting Professor Padam Simkhada presented our paper ‘Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ at the International Conference on Migration Health in Rome, Italy [1].  The study reports on the health and other problems experienced by Nepali women migrants at their work place during foreign employment in Gulf Countries.  The paper is building on earlier research with the charity Pourakhi in Kathmandu which helps women who return from working abroad in trouble.  The first paper was publish earlier this year in the journal BMC International Health & Human Rights [2].  

The conference presentation was co-authored with BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen, Ms. Manju Gurung from Pourakhi, Ms. Samjhana Bhujel from Green Tara Nepal, and Padam Simkhada, who is professor in the Public Health Institute at Liverpool John Moores University.

 

References:

  1. Simkhada, P., van Teijlingen, E., Bhujel, S, Gurung, M., Regmi, P. Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ [Abstract: 238] presented at Internat. Conf. Migration Health, Rome, 1-3 Oct. 2018, http://istmsite.membershipsoftware.org/files/Documents/Activities/Meetings/Migration/FOR%20WEBSITE%20-%20ORAL%20accepted%20abstracts%20-%20session-bookmark.pdf
  2. 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 and Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro

Ouch! Missing reference

One of the first rules of drafting a scientific paper is that one cites the key literature in the respective field.  So as someone who teaches people how to write and publish in this week’s experience of getting a paper rejected was not great, if not disheartening!   Earlier this week we submitted a research paper to the Journal of Travel Medicine on a study of the health and well-being of female migrant workers in Nepal.  This is high quality journal in which we have published before, including one paper on migrants’ health [1-3]. 

Two days later the journal editor emailed us to say: “”We feel that the scope of your paper would not justify a full original article in the Journal of Travel Medicine”, which is, in our opinion, a fair judgement.  My co-authors and I between us have over 300 papers published and most have been rejected or at least we have been asked for a resubmission, so nothing new here. What was more upsetting than the rejection itself was the additional comment.  The editor added:

The authors should ideally include the two following references:

……(first reference omitted)   …. +

Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature.

Simkhada PP, Regmi PR, van Teijlingen E, Aryal N. J Travel Med. 2017 Jul 1;24(4). doi: 10.1093/jtm/tax021. Review.

 

We agree with the editor that we should have included the two listed key papers. Crucially, it is more than a little mistake to have missed the second paper since we wrote it ourselves.  There are many lessons to be learnt from this: (a) check you have covered the key literature in your paper, either in the Background section and/or the Discussion; (b) don’t underestimate the importance of your own work; (c) you’re never too old to make mistakes (and to learn from them); (d) be thankful for good editors and reviewers; (e) do what you advise others to do; (f) etc. ………………

 

In shame,

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Hind, C., Bond, C.M., Lee, A., van Teijlingen E. (2008) Needs assessment study for community pharmacy travel medicine services, Journal of Travel Medicine 15(5): 328-334.
  2. Bhatta, P., Simkhada, P., van Teijlingen E., Maybin, S. (2009) A questionnaire study of VSO volunteers: Health risk & problems encountered. Journal of Travel Medicine 16(5): 332-337.
  3. 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.

Publishing systematic and scoping reviews to improve your research profile

With the forthcoming REF 2021 in mind we would like to encourage both staff and postgraduate students to consider writing up their literature reviews as journal articles. Systematic and scoping reviews are a great way of publishing quality publications. They are highly valued as REF submissions, especially, but not only, in the health field.

There is plenty of support at Bournemouth University: from academic colleagues, with vast experience in writing reviews, to the library team, who can advise on, for example, developing your systematic search strategy and which databases to search.

 

You can start with publishing your review question and research strategy on PROSPERO, international prospective register of systematic reviews. We would like to highlight just one BU example in the field of the social sciences.  FHSS PhD student Orlanda Harvey published her proposed review ‘Support for people who use anabolic androgenic steroids: an investigation into what they want and what they currently access’ late last year on PROSPERO [1].

You might like to have a look at reviews published by Bournemouth University staff, which can be found by searching BURO, our institutional repository of research outputs. Moreover, BU academics have published several methods papers on the doing and writing systematic reviews [2-4].

 

Information about searching the literature for systematic reviews is available on this guide by the library team.

 

Other pages with useful information include:

 

Hopefully we have encouraged you to think about publishing your literature reviews as separate articles, and to seek help early in that process!

 

José López Blanco & Edwin van Teijlingen

 

 

For further information, please contact:

José López Blanco, Faculty Librarian (Health and Social Sciences), Library & Learning Support, Academic Services at tel 67350 or email:  hsslibteam@bournemouth.ac.uk

 

References:

  1. Harvey, O., Parrish, M., van Teijlingen, E., Keen., S. (2017) Support for people who use anabolic androgenic steroids: an investigation into what they want and what they currently access. PROSPERO 2017 CRD42017075199 Available from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017075199
  2. van Teijlingen E., Napper, M., Bruce, J., Ireland. J. (2006) Systematic reviews in midwifery, RCM Midwives Journal 9(5): 186-188.
  3. van Teijlingen, ER, Simkhada, B., Ireland J., Simkhada P., Bruce J. (2012) Evidence-based health care in Nepal: The importance of systematic reviews, Nepal Journal of Epidemiology 1(4): 114-118.
  4. Stewart, F., Fraser, C., Robertson, C., Avenell, A., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase, Systematics Reviews 3,78.

Congratulations on timely editorial in Nepal

Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal.  The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’ [1] was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st.  Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor.  He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal.  Bournemouth University has a long-standing research collaboration with MMIHS.

The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal.  Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process.  Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in.  Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc.  The paper argues that Public Health can easily disappear of the radar.  The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general.  Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.

The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.  The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

Simkhada, P., Teijlingen van, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.

New paper by recent BU Sociology graduate

Dr. Andrew Harding and his BU PhD supervisors just published a new paper from his Ph.D. research [1].   This interesting paper ‘Suppy-side review of the UK specialist housing market and why it is failing older people’ reviews the supply-side of policies and practices that impact on the shortage of supply in the contemporary specialist housing market for older people in the UK.  Andrew is currently based at Lancaster University.

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Harding, Andrew, Parker, Jonathan, Hean, Sarah & Hemingway, Ann (2018) Supply-side review of the UK specialist housing market and why it is failing older people. Housing, Care and Support

 

New BU publication on maternity care & culture in Afghanistan

Congratulations to Dr. Rachel Arnold on the acceptance by Social Science & Medicine (published by Elsevier) of the second paper based on her PhD on maternity care in Afghanistan [1].  This interesting ethnography explores the experiences, motivations and constraints of healthcare providers in a large public Afghan maternity hospital. Arnold and colleagues identify barriers and facilitators in the delivery of care. Under the surface of this maternity hospital, social norms were in conflict with the principles of biomedicine. Contested areas included the control of knowledge, equity and the primary goal of work. The institutional culture was further complicated by pressure from powerful elites. These unseen values and pressures explain much of the disconnection between policy and implementation, education and the everyday behaviours of healthcare providers.

Improving the quality of care and equity in Afghan public maternity hospitals will require political will from all stakeholders to acknowledge these issues and find culturally attuned ways to address them.  The authors argue that this notion of parallel and competing world-views on healthcare has relevance beyond Afghanistan.   The paper co-authored by (a) Prof. Kath Ryan, Professor of Social Pharmacy at the University of Reading and Visiting Professor in FHSS, and BU’s Professors Immy Holloway and Edwin van Teijlingen.

 

References:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: An ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40. doi: 10.1016/j.socscimed.2018.09.010.

 

Representing BU at the North South Irish Criminology Conference

I had the pleasure of presenting two papers at last week’s international criminology conference at my alma mater, University College Dublin (UCD), representing BU for the first time since joining last September. As with all international conferences, there was an eclectic mix of personalities, researchers, academics and practitioners, representing both sides of the border, as well as the UK, Canada and further afield. The field of criminology remains a niche area in the Republic (but growing slowly) and it was a pleasant surprise to see over 100 delegates at the two day conference presenting papers on prisons, probation, policing, offending, criminal law, victims and prisoners’ rights.

The conference opened with a keynote address by Prof Eamonn Carrabine from the University of Essex who gave an inspiring paper on what he (and others) terms the new criminology of war. Drawing on Mann, Klein and Ruggiero‘s work, he emphasised how war is an “image event”. Using war photography to support this thesis, he demonstrated the way in which war is an intense cultural production, in particular drawing our attention to the impact it has on the towns and villages that are bombarded, and the consequential (de)structural barriers to cultural evolution.

Jane Healy presents research findings at UCD’s criminology conference

 

The conference topic was “New Frontiers in Criminology” and there was certainly plenty of food for thought as to where criminological study might develop in the future, with other presentations that considered indigenous criminology, online crime and labour trafficking, for example.  These were complimented with more ‘traditional’ discussions around rape myths, desistance and youth justice. The majority of papers focussed on prisons, probations and police with only a limited number on victimology itself. My own paper highlighted the more unique forms of hate crime targeted against disabled people, including accusations of benefit fraud, the fluidity of both online and offline abuse, and the use or threat of sexual violence as a method of hate crime.

I jointly presented the only other hate crime paper at the conference with Dr James Palfreman-Kay from Equality & Diversity at BU.  Our hate crime project, which provides students with forum theatre scenarios to enable them to discuss hate crime in an interactive – and safe – way, was recognised by the panel audience as an innovative method of engaging in such a sensitive topic.

As new frontiers go, hate crime is an area ripe for research development in contemporary Ireland. Despite almost a quarter of a century of hate studies here in the UK, there is limited research in the Republic on this topic, with the exception of course of sectarian violence. There is currently no  hate legislation in the Republic, despite recent efforts and encouragement from the likes of Dr Jennifer Schweppe at the University of Limerick and a recent publication by Jennifer, Seamus Taylor, and others. Given the increasing hate crimes and incidents being reported in the UK, I really do hope to see the introduction of hate legislation in the Republic at the very least and would encourage potential PhD students to consider it as an avenue to contributory research.

Given the dearth of victimological papers (and hate studies) presented at the conference, we hope that we achieved our goal of introducting new avenues and ‘frontiers’ for future criminological research with colleagues overseas. We welcome further enquiries from home and abroad who might want to adapt or explore our methods or areas of enquiries. Their absence however did not detract from an interesting and enthusiastic gathering that highlighted so many other fruitful areas of research for me in the future. As an ECR, I left wanting to know more about everything from the demise of prisoners’ rights movements to the question of whether the State’s criminal justice system can ever be constrained through proportionality.  I am grateful to have been given the opportunity to attend the conference and would encourage others to look out for the “NSICC” in future years. Highlights of the event can be found by following @UCDLaw or #NSICC on Twitter.

Dr Jane Healy is a Lecturer in Sociology and Crime & Deviance in the Faculty of Health and Social Sciences and recently completed her PhD in disablist hate crime

What North Korean defectors say about women’s lives under the Kim regime

Hyun-Joo Lim, Bournemouth University

Glimpses of hope are visible on the Korean Peninsula for the first time in years. North Korea and the US have held some of their most important denuclearisation talks to date, and the Pyongyang leadership has embarked on what looks like a serious peace process with Seoul. The sight of a smiling Kim Jong-un holding hands with the South Korean president, Moon Jae-in and Donald Trump showed a different side to the North Korean supreme leader, suggesting he does in fact want to see progress towards a happier, more open era.

But while the world’s media focuses on the bravado over denuclearisation, the dire human rights situation inside the regime is being overlooked. Even during the talks, both Moon and Trump avoided directly raising such issues with Kim, eager as they were to achieve their own key objectives. It was galling to hear so little about the lives of ordinary North Koreans – and in particular women.

Many of North Korea’s women suffer daily abuse and injustice, and behind the international politics, there’s no sign that the situation is improving. In my own interviews with both male and female defectors, I heard about the day-to-day inequality, and also the violations of basic rights that women inside North Korea face as a matter of routine.

Trouble at home

North Koreans live in a paradoxical, confused system of gender relations. While Marxist Communism has been the fundamental organising principle of life in the north, Confucian patriarchy has shaped society, too, forming the backbone of North Korean society. Much as happened in post-revolutionary China, the superficial promulgation of equality belies the marked gender segregation of everyday life.

Some interviewees talked about their ordeals in the face of domestic violence. One participant expressed the anger and frustration she felt, as well as her relief when her husband died after more than 20 years abusing her. According to her, there is no redress for North Korean women who are subject to ongoing violence within the household, which is often seen as legitimate treatment.

When the famine began in the early 1990s, it was the women who took responsibility for family survival, going out to sell products and exchange goods. Another participant described how North Korean women often call men in the household “guard dogs” – tough figureheads who stay at home making no particular contribution.

Feeding starving families is largely left to women outside the formal workforce, who are subjected to less government control. These women are left to slip through the official system and get involved in black market trade or informal markets known as “Jangmadang”. Worse, some husbands take the goods their wives buy to exchange them for alcohol, or demand that their exhausted wives bring them alcohol even if their family has nothing to eat. If they do not, they are punished with abuse.

Isolated and shamed

Sexual violence is also a common problem inside the army. Being able to join the Worker’s Party of Korea is an essential pathway to a secure, successful life in North Korea, and a major reason for women to join the army is to become a member of the party. Senior male officials frequently exploit this as a means to manipulate and harass young women, threatening to block their chances of joining the party if they refuse or attempt to report the abuse. Out of fear, most women suffer in silence.

Female hygiene also remains a serious issue. Female soldiers are not given the chance to wash or change during training outside; my interviewees talked about women in the army being given wound dressings to use instead of sanitary towels. Things are even worse for ordinary female citizens, who have to make do with any materials available, such as off-cuts from men’s used vests or socks.

If they get pregnant unintentionally, women get the blame. Thus, many pregnant women use a range of dangerous methods to abort: tightening their stomach with an army belt to hide their growing pregnancy, taking anthelmintic medicine (antiparasitic drugs designed to remove parasitic worms from the body), or jumping off and rolling down the high mountain hills. Unsurprisingly, it’s common to find foetuses in army facilities’ toilets.

The gender divide in North Korea is so deeply ingrained – this is a society that has no term for sexual harassment – that women often blame each other rather than men for not behaving appropriately in these situations.

These stories all paint a distressing picture. It seems North Korea’s women are still trapped not only in systemic poverty, but in a deep-seated structure of gender inequality. Hence, we should not forget about the suffering of ordinary women inside the DPRK, hidden behind the glaring headlines of sweet smiles and big hugs between leaders. Denuclearisation is a step forward, but progress on human rights is the leap that’s needed most.The Conversation

Hyun-Joo Lim, Senior Lecturer in Sociology, Bournemouth University

This article was originally published on The Conversation. Read the original article.