

Latest research and knowledge exchange news at Bournemouth University
This week the editor of the International Journal of Social Sciences and Management emailed that the paper ‘Drowning Prevention should be a Public Health Issue in Nepal‘ [1] had been published. This is the first paper for our Ph.D. student Md. Shafkat Hossain. Shafkat co-authored this paper drowning prevention experts in Nepal, Dr. Bhagabati Sedain and Dr. Puspa Rai Pant and Prof. Aminur Rahman based at CIPRB (the Centre for Injury Prevention and Research, Bangladesh).
Shafkat’s thesis is part of the interdisciplinary Sonamoni project on drowning prevention in toddlers under the age of two in Bangladesh. This newly published paper takes lessons learnt from Bangladesh and offers them as ideas to be considered in Nepal. Nepal is prone to a range of natural disasters; earthquakes being the most widely recognised one. However, many people are at risk of drowning as the serious flooding in the autumn of 2024 showed, but this is not recognised as a serious public health risk in Nepal. Drowning relates to people’s everyday activities such as crossing rivers, bathing and swimming and should be treated as a social and public health problem.
The Sonamoni project is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), CIPRB in Bangladesh and Design Without Borders in Uganda. It funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
As we are reaching the end of Open Access Week is worth highlighting that this paper is fully Open Access, and hence freely available in both Nepal and Bangladesh!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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Yesterday ResearchGate informed us that our paper ‘The impact of decentralisation on health systems: a systematic review of reviews‘ [1] had reached 400 reads. This paper, published in BMJ Global Health, is one of six papers published from our interdisciplinary research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’, the other five include a methods paper and a public health paper [2-6].
This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we study the consequences for the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015. This joint project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.
Appropriately on Open Access Week, all six papers are Open Access, i.e. freely available to everyone with internet access in Nepal (and elsewhere in the world).
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Congratulations to Dr. Shanti Farrington, Principal Academic in Psychology, on the publication of her latest paper ‘The impact of cultural practice and policy on dementia care in Nepal‘ [1]. This paper in the international journal BMC Geriatrics reminds us that our wider culture plays a vital role in both dementia care and policy. This study explored the cultural practice and policy influence around caring for People Living with Dementia (PLWD) in Nepal. It comprised four in-depth interviews and four focus group discussions with 29 participants, including family members, health care professionals, and other stakeholders. Data were analysed using thematic analysis.
This qualitative research resulted in four major themes (each with several sub-themes): 1. Cultural practice in dementia care; 2. Impact of policy on the dementia care; 3. Service provision; and 4. Education and training. The authors conclude that is a need for community-based awareness raising on dementia and its care, to sensitize all relevant stakeholders to meet the needs of PLWD. In addition, capacity building of health workforce is needed to enhance their knowledge of and skills around dementia care.
The lead author is Dr. Bibha Simkhada, formerly in BU’s Department of Nursing Sciences, and currently based in the School of Human and Health Sciences at the University of Huddersfield. Further co-authors are Pallavi Simkhada, PhD student at the University of Edinburgh, Sanju Thapa Magar, based at Aging Nepal and Prof. Edwin van Teijlingen, in BU’s Centre for Midwifery & Women’s Health.
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Bournemouth University’s collaboration in the field of ageing research in Qatar is going from strength to strength. BU staff have been working with academics and clinicians at Hamad Medical Corporation’s (HMC) Department of Geriatrics and Long-Term Care. HMC has been appointed as a WHO (World Health Organization) Collaborating Centre for Healthy Ageing and Dementia, under auspices of Ministry of Publich Health in Qatar. Hamad Medical Corporation is not-for profit organisation. Tomorrow morning (7.00 AM UK time) FHSS will be contributing to an International Survey Research Workshop, together with BU’s Faculty of Health & Social Sciences Visiting Faculty Dr. Brijesh Sathian (based at HMC), and Prof. Padam Simhada, based at the University of Huddersfield.
Last Sunday ResearchGate informed us that the paper ‘Health facility preparedness of maternal and neonatal health services: a survey in Jumla, Nepal‘ [1] published in the international journal BMC Health Services Research had been read 10,000 times. In this paper, which is in an Open Access journal, Pasang reports on a cross-sectional study conducted in 2019 covering all 31 state health facilities in a district of Nepal to assess the availability of maternal and neonatal health services including appropriate workforce and access to essential medicines. Tests of association between demographic factors and the probability of a facility experiencing a shortage of essential medicine within the last 3 months were also conducted as exploratory procedures. Overall health facilities reported better availability of staff than of drugs. The authors concluded that health facilities in Nepals should be supported to meet required minimal standards such as availability of essential medicines and the provision of emergency ambulance transport for women and newborns. This paper was part of Dr. Pasang Tamang’s Ph.D. project at the University of Huddersfield, which resulted in four other related publications [2-5]. Pasang is currently working as a Lecturer in Public Health in the School of Human Sciences at the University of Greenwich.
Prof. Edwin van Teijlingen
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Twenty reads may not look a lot, but this paper on kidney disease in Nepalese migrant workers was only published in the second half of last month. Our paper ‘Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems’ [1] resulted from a study funded by UK-based charity The Colt Foundation.
One of the problems with kidney disease is that damage might be inflicted over a long period before people experience serious symptoms, as they might not show until the kidneys are working on less than half their capacity and long-term permanent damage has been done. This study indicates that Nepalese migrant workers face numerous challenges, including limited access to clean water and sanitation facilities, poor diets, exposure to occupational hazards, and overuse of pain medication, all of which may contribute to an increased risk of kidney disease.
The paper is Open Access, and hence freely available to everybody with internet access. Our faculty of Health & Social Sciences team (Dr. Nirmal Aryal, Dr. Pramod Remi & Prof. Edwin van Teijlingen) has written many scientific papers (as well as a few Viewpoint articles) on a wide-range of aspects related to the health and well-being of migrant workers [2-33], our co-authors include former BU staff members Dr. Preeti Mahato, Dr. Bibha Simkhada, Dr. Shovita Adhikari Dhakal, Dr. Steve Trenoweth, Dr. Steve Keen, Dr. Zoe Sheppard and former BU PhD student Pratik Adhikary.
Dr. Pramod Regmi, Dr. Nirmal Aryal & Prof. Edwin van Teijlingen
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A few days ago we published the editorial for the latest issues of the Nepal Journal of Epidemiology. This editorial under the title ‘Urgent need for better quality control, standards and regulation for the Large Language Models used in healthcare domain‘ [1] comments that current methodologies for ensuring AI (Artificial Intelligence) technology’s safety and efficacy may be adequate for earlier AI iterations predating generative artificial intelligence (GAI). However, better clinical gouvernance GAI may necessitate the development of novel regulatory frameworks. As AI technology advances, researchers, academic institutions, funding bodies, and publishers should continue to examine its impact on scientific inquiry and revise their understanding, ethical guidelines, and regulations accordingly.
The co-authors include two Bournemouth University Visiting Faculty, Prof. Padam Simkhada (based at the University of Huddersfield) and Dr. Brijesh Sathian (based at Rumailah Hospital, Qatar).
Prof. Edwin van Teijlingen
CMWH
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Last week colleagues from our Sonamoni project co-hosted a workshop with TGI Australia (The George Institute for Global Health) at the 15th World Conference on Injury Prevention and Safety Promotion (Safety 2024) which was held in New Delhi (India). Focusing on the strengths of the Human-Centred Design (HCD) approach, this workshop first introduced the design principles to participants and demonstrated how they can be employed to reduce risks and prevent accidents. These design principles have been applied for many years in designing consumer products and, more recently, in the fields of health and social systems.
In this well-attended workshop researchers presented case studies from Bangladesh (including the Sonamoni project) and Tanzania to illustrate how the process is employed with communities to co-develop interventions aimed at reducing the risk of drowning among fishing folk and vulnerable children. The team proposed a framework which integrates HCD methodology and traditional research methodologies, creating a more user-centred and multidimensional approach to intervention design. Outputs of the process included user risk journeys, stakeholder mapping and systems diagrams that can be used with communities and wider stakeholders to visualise the problem and bring to life the environment in which interventions are to be designed. These outputs can also be support advocacy and donor engagement.
The proposed framework provides a mechanism for closer collaboration between researchers, practitioners, and communities to work together to co-design context-specific solutions that are culturally and environmentally appropriate. Workshop participants were asked for their expert opinion on the proposed framework, to help us refine the framework and inform future practice.
Our Sonamoni project recently had its own video recording on YouTube. Sonamoni is a public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
Sonamoni is coordinated by Bournemouth University in collaboration with Centre for Injury Prevention and Research, Bangladesh (CIPRB), the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), and design Without Borders (DWB) Africa.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
This week Notan Dutta, from our collaborating research organisation CIPRB (Centre for Injury Prevention and Research Bangladesh) presented a poster on ‘Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh’ at the 15th World Conference on Injury Prevention & Safety Promotion (Safety 2024). One of the co-authors of this poster presentation is Bournemouth University’s PhD student Md. Shafkat Hossain. Shafkat also attended the conference in India. Shafkat was in Delhi funded by Bloomberg Philanthropies as part of its Emerging Leaders in Drowning Prevention programme.
This initiative brings together a cohort of younger leaders to join national and international efforts to raise awareness and strengthen solutions and political commitment towards drowning.
Our research into drowning prevention of under two-year old children in rural Bangladesh is funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information about our ongoing collaborative research in Bangladesh, please see the NIHR website. This is an interdisciplinary project between Bournemouth University, CIPRB, the RNLI (Royal National Lifeboat Institute), the University of the West of England, the University of the West of England, and Design Without Borders (DWB) in Uganda.
Prof. Edwin van Teijlingen & Dr. Mavis Bengtsson
Centre for Midwifery & Women’s Health
In this theoretical overview paper, we have first of all outlined our understanding of these individual terms. We suggest how the five principles of health promotion as outlined by the World Health Organization (WHO) fit into Andrew Tannahill’s model from 2009 [2] of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Our schematic overview places health education within health promotion and health promotion itself in the center of the overarching disciplines of education and public health. We hope our representation helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.
The paper is co-authored by a primary school teacher based in Dorset, and four professors who have a combined experience in the wider public health field of over a century.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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The University of Huddersfield recently hosted the 2nd annual meeting for the Global Consortium for Public Health Research (GCPHR), with the theme ‘Research Priority in Nepal’. A lovely write-up of the even just appeared online (click here to read this). Among its invited international delegates were Dr. Pramod Regmi (Centre for Wellbeing & Long-Term Health) and Prof. Edwin van Teijlingen (Centre for Midwifery & Women’s Health). GCPHR is led by Prof Padam Simkhada, Professor of Global Health and Associate Dean (International) of the School of Human & Health Sciences at the University of Huddersfield as well as Visiting Professor in the Faculty of Health & Social Sciences at Bournemouth University. This interdisciplinary event was funded by funded by the University of Huddersfield’s PVC International’s International collaborative fund (ICF).
After the event BU’s Dr. Pramod Regmi reminded us that: “It is important to meet up in person, especially for larger international and interdisciplinary research projects. There is only so much you can do online in meeting.” There is a great advantage of online meetings by Zoom, Teams or Google Meet, especially when working with countries like Nepal. Not least of course in reducing our global carbon footprint. Of course, such meeting help academics to build and maintain research contacts across the globe, but it is not the same as sitting in the same room with someone and share ideas over coffee.
Pratik’s PhD was supervised by Dr. Zoe Sheppard, Dr. Steve Keen and Prof. Edwin van Teijlingen. This research has been financially supported by a PhD studentship at Bournemouth University and funding from the Open Society Foundation (OSF). BU supported Pratik to travel to Nepal, and the OSF provided subsistence funds. Pratik has written several further papers based on his PhD study [2-5].
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Our recent paper in BMJ Global Health was highlighted in an earlier BU Research Blog (to read this click here!). This latest paper is the third one based on Dr. Sarita Panday’s PhD research conducted at the University of Sheffield [2-3]. It is the fourth Bournemouth University paper on FCHVs with last weeks publication in the Journal of Manmohan memorial Institute of Health Sciences [4]
Professor Edwin van Teijlingen
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As part of the interdisciplinary Sonamoni project our collaborator Mirza Shibat Rowshan will be presenting at Safety 2024. The 15th World Conference on Injury Prevention and Safety Promotion (Safety 2024) will be held between in the first week of September in New Delhi, India. The conference is hosted by The George Institute for Global Health and co-sponsored by the World Health Organization (WHO).
Sonamoni is being coordinated by Bournemouth University and CIPRB (The Centre for Injury Prevention and Research, Bangladesh) in collaboration with the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), and Design Withour Borders in Uganada. This project, with Prof. Dr. Aminur Rahman as Bangladesh lead, includes a BU-based PhD project Mr. Md. Shafkat Hossain. The interdisciplinary team at Bournemouth University covers three faculties through: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.
Shibat works at CIPRB, which is a world leading injury prevention organisation based in Bangladesh. This presentation focuses on a needs assessment of the risk of very young children drowning in rural Bangladesh.All conference abstracts will be published in a pre-conference supplement of the scientific journal BMJ- Injury Prevention.
Prof. Edwin van Teijlingen
Bournemouth University PhD student Md. Shafkat Hossain has been invited to attend the international Safety 2024 conference in India in September. The 15th World Conference on Injury Prevention & Safety Promotion (Safety 2024) will be held 2-4 September at the Taj Palace in New Delhi. Safety 2024 global event will focus worldwide attention on safety and injury prevention. This conference will gather international experts in the field with a united goal of “Building a safer future for all: Equitable and sustainable strategies for injury and violence prevention”.
Shafkat will be presenting this PhD work to date under the title ‘Using Human-Centred Design (HCD) to develop community-led interventions to prevent drowning among children under the age of 2 in rural Bangladesh’. Mr. Md. Shafkat Hossain who has been selected by Bloomberg Philanthropies as one of the Emerging Leaders in Drowning Prevention programme. This programme has been designed to create a cohort of younger leaders to join national and international efforts to raise awareness and strengthen solutions and political commitment towards drowning. This programme is hosted by the Global Health Advocacy Incubator and provides a unique opportunity for people like Shafkat to develop leadership skills in drowning prevention, and be a part of a global community working to reduce drowning deaths. This first group of Emerging Leaders includes people from Bangladesh, Ghana, India, Uganda, United States and Vietnam.
Shafkat’s PhD study is part of the interdisciplinary Sonamoni study. Sonamoni is coordinated by BU in collaboration with Centre for Injury Prevention and Research, Bangladesh (CIPRB), the University of the West of England, Bristol, the University of Southampton, Design Without Borders (DWB) in Uganda, and the Royal National Lifeboat Institution (RNLI). We are working to reduce drownings among newly-mobile children, generally under two years old. This £1.6m project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information about our ongoing research in Bangladesh, please visit the NIHR website.
Prof. Edwin van Teijlingen & Dr. Mavis Bengtsson
Centre for Midwifery & Women’s Health