5 December 2023

Paper in BMJ Global Health

international, open access, writing Edwin van Teijlingen

Today we received notice that our paper ‘The impacts of decentralisation on health systems: a systematic review of reviews’ has been accepted by the international journal BMJ Global Health. [1] This review of reviews was produced as part of the Nepal Federal Health System Project, examining the consequences for the health system of Nepal’s move to a federal government structure. This is a joint project (2020-2024) led by the University of Sheffield and in collaboration with Bournemouth University, the University of Huddersfield, Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] and has resulted in four previous publications. [2-5]

The latest paper is a review which synthesizes evidence generated by previous reviews on the impact of decentralising health system governance on the six WHO (World Health Organization) health system building blocks. We systematically searched for reviews exploring the impact of decentralisation on the health system from five databases. Reviews, both systematic and non-systematic, published in the English language from 1990 to February 2022 were included. Nine reviews, each addressing slightly different questions, contexts and health system issues, were synthesised. They showed that devolution can have positive or negative impacts on the health system and its components. Moreover, impact assessments are significantly affected by complexities surrounding decentralisation and health system concepts: their dynamic mechanisms, inconsistent and often differently operationalized health system and health system component variables, and methodological challenges. For the WHO health system components, more negative than positive impacts were reported. The reviews highlight the importance of closely assessing (pre-)existing (political and non-political) characteristics of countries and their health systems to better understand impacts. This review of reviews concludes that decentralisation can have a negative or a positive impact on the health system and its components; the impacts are shaped by pre-existing country contexts. Generating conclusive and generalisable evidence of the impacts of decentralisation on health systems is challenging. Whilst decentralisation may seek to enhance community engagement and improve the responsiveness of decision-making, it has the potential to create serious challenges to the health system, the manifestations of which are likely to be context-specific.

Prof. Edwin van Teijlingen

CMWH

Sapkota, S., Dhakal, A., Rushton, S., van Teijlingen, E., Marahatta, S.B., Balen, J., Lee, A. for the Nepal Federal Health System Team (2023) The impacts of decentralisation on health systems: a systematic review of reviews, BMJ Global Health (forthcoming)
Wasti, S.P., van Teijlingen, E.,Rushton, S., Subedi, M., Simkhada, P., Balen, J. for the Nepal Federal Health System Team (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117) https://doi.org/10.1186/s12961-023-01033-2
Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., van Teijlingen, E., Rushton, S., Subedi, M., Gautam, S., Karki., J., Adhikary, P., Marahatta, S., Simkhada, P., for the Nepal Federal Health System Team (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
Adhikary, P., Balen, J., Gautam, S., Ghimire, S., Karki, J., Lee, A.C.K., Marahatta, S.B., Panday, S., Pohl, G., Rushton, S., Sapkota, S., Simkhada, P.P., Subedi, M., van Teijlingen, E. for the Nepal Federal Health System team (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
Rushton, S., Pandey, S., van Teijlingen, E., Subedi, M., Balen, J., Karki, J., Simkhada, P. on behalf of the Nepal Federal Health System Team (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

2 December 2023

New sociology book published late November

international, Publishing, Women's Academic Network, writing Edwin van Teijlingen

Congratulations to Dr. Hyun-Joo Lim on the publication of her latest book North Korean Women and Defection: Human Rights Violations and Activism which was published last week by Bristol University Press. The book covers the recent North Korean diaspora which has created female refugee groups fighting for the protection of women’s rights. Presenting in-depth accounts of North Korean women defectors living in the UK, this book examines how their harrowing experiences have become an impetus for their activism. Dr Hyun-Joo Lim, who is Principal Academic in Sociology in the Faculty of Health and Social Sciences, reveals how North Korean women defectors’ have an Utopian dream of a better future for fellow North Korean women. This dream is vital in their activism. Unique in its focus on the intersections between gender, politics, activism and mobility, the book will inform debates on activism and human rights internationally.

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

1 December 2023

Deadline Extended!! Social Work and Social Policy Academics – REF roles

REF Subjects, Research assessment sastringer

We’ve extended the deadline for expressions of interest for REF roles in Social Work and Social Policy until Wednesday 6 December 2023. Further information below…

We are currently recruiting to a number of roles to help support preparation for our next REF Submission to Social Work and Social Policy. The deadline for expressions of interest is the

The roles are recruited through an open and transparent process, which gives all academic staff the opportunity to put themselves forward. Applications from underrepresented groups (e.g. minority ethnic, declared disability) are particularly welcome.

We are currently preparing submissions to thirteen units (otherwise known as UOAs). Each unit has a leadership team with at least one leader, an output and impact champion. The leadership team are supported by a panel of reviewers who assess the research from the unit. This includes research outputs (journal articles, book chapters, digital artefacts and conference proceedings) and impact case studies. We currently have vacancies in the following roles:

Impact Champion –20 – Social Work and Social Policy

Output Champion – 20 – Social Work and Social Policy x2

Review Panel Members –

20 – Social Work and Social Policy

All roles require a level of commitment which is recognised accordingly with time to review, attend meetings, and take responsibility for tasks.

Undertaking a UOA role can be enjoyable and rewarding as two of our current champions testify:

“As UOA Outputs Champion you develop a detailed knowledge of all the great work that colleagues are doing related to the subject, and the different outlets used for disseminating their work. As an outputs committee member, you also get to know what research is going on across BU, and it’s interesting to see the differences between disciplines. It’s a good way develop your knowledge of the bigger picture of BU’s research, and also to understand the importance of REF and how it works in practice. You do spend quite a bit of time chasing colleagues to put their outputs on BRIAN for REF compliance but hopefully they forgive you!”

Professor Adele Ladkin – UOA 24 Output Champion

“As a UoA 17 impact champion, I work closely with the UoA 17 impact team to encourage the development of a culture of impact across BUBS. I try to pop into Department / research group meetings when I can to discuss impact, and I’ve enjoyed meeting people with a whole range of research interests. Sometimes it can be tough to engage people with impact – understandably; everyone is busy – so it’s important to be enthusiastic about the need for our BU research to reach the public. Overall, the role is about planting the seeds to get researchers thinking about the impact their work might have in the future (as well as the impact they have already had, sometimes without realising!)”

Dr Rafaelle Nicholson – UOA 17 Impact Champion

How to apply

All those interested should put forward a short case (suggested length of one paragraph) as to why they are interested in the role and what they think they could bring to it. These should be clearly marked with the relevant role and unit and emailed to ref@bournemouth.ac.uk by Wednesday 6 December 2023.

Further detail on the roles, the process of recruitment and selection criteria can be found here:

UOA Leader	Output Champion	Impact Champion	Panel Reviewer
Role Descriptor	Role Descriptor	Role Descriptor	Role Descriptor
Process and criteria for selection	Process and criteria for selection	Process and criteria for selection	Process and criteria for selection

For further information please contact ref@bournemouth.ac.uk, a member of current UOA Team or your Deputy Dean Research and Professional Practice with queries.

27 November 2023

Congratulations to BU sociology professors

international, open access, Publishing, Women's Academic Network, writing Edwin van Teijlingen

Congratulations to Professors Sara Ashencaen Crabtree and Jonathan Parker on the publication of their book chapter ‘Social work with children and human rights’ in the edited collection Change Agents: An interprofessional book about children with disabilities in Tanzania and Norway [1].

The chapter explores human rights in social work with children, based on cases from several countries in the world. Human rights and social justice differ across countries and cultures. This is complicated further in respect of children who are dependent and as a result potentially vulnerable. This chapter discusses the balance between protection of the child versus allowing the child to be exposed to “risky” situations and develops a model for complex human rights social work with children.

The book also has a chapter by former BU staff member Prof. Sarah Hean, who is currently linked with the University of Stavanger in Norway.

Congratulations on this Open Access publication!

Prof. Edwin van Teijlingen

Reference:

Parker, J. & Ashencaen Crabtree, S. (2023) Social work with children and human rights, In: Change Agents: An interprofessional book about children with disabilities in Tanzania and Norway, Siv E. N. Sæbjørnsen, Mariana J. Makuu, & Atle Ødegård (Editors), Scandinavian University Press, pp.55-75.

20 November 2023

Congratulations to Dr. Rachel Arnold

international, Publishing, Women's Academic Network, writing Edwin van Teijlingen

Congratulations to Dr. Rachel Arnold, whose paper ‘Parallel worlds: An ethnography of care in an Afghan maternity hospital‘ has been cited twenty times according to a message from ResearchGate. This is one of the paper originating from Rachel’s PhD in the Centre for Midwifery and Women’s Health. Rachel’s has published several more papers from her PhD research [2-4] and she also co-authored a further paper on health management in Afghanistan with our former PhD student Dr. Shaqaieq Ashrafi [5].

References:

Arnold, R., van Teijlingen, E., Ryan, K. and Holloway, I., 2018. Parallel worlds: An ethnography of care in an Afghan maternity hospital. Social Science and Medicine, 216, 33-40.
Arnold, R., van Teijlingen, E., Ryan, K. and Holloway, I., 2015. Understanding Afghan healthcare providers: A qualitative study of the culture of care in a Kabul maternity hospital. BJOG: An International Journal of Obstetrics and Gynaecology, 122 (2), 260-267.
Arnold, R., van Teijlingen, E., Ryan, K. and Holloway, I., 2019. Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care. BMC Pregnancy and Childbirth, 19 (1).
Ryan, K., Brown, S., Wilkins, C., Taylor, A., Arnold, R., Angell, C. and van Teijlingen, E., 2011. Which hat am I wearing today? Practising midwives doing research. Evidence Based Midwifery, 9 (1), 4-8
Ashrafi Dost, S., Arnold, R., van Teijlingen, E. (2023). Management capacity in theAfghan Ministry of Public Health pre-Taliban: A mixed-methods study of political and socio-cultural issues. Razi International Medical Journal, 3(1): 9-18. DOI:10.56101/rimj.v3i1.67

13 November 2023

Social Work and Social Policy Academics – Would you like to get more involved in preparing our next REF submission?

REF Subjects, Research assessment sastringer

We are currently recruiting to a number of roles to help support preparation for our next REF Submission to Social Work and Social Policy. The deadline for expressions of interest is the 4 December 2023.

The roles are recruited through an open and transparent process, which gives all academic staff the opportunity to put themselves forward. Applications from underrepresented groups (e.g. minority ethnic, declared disability) are particularly welcome.

We are currently preparing submissions to thirteen units (otherwise known as UOAs). Each unit has a leadership team with at least one leader, an output and impact champion. The leadership team are supported by a panel of reviewers who assess the research from the unit. This includes research outputs (journal articles, book chapters, digital artefacts and conference proceedings) and impact case studies. We currently have vacancies in the following roles:Impact Champion –

20 – Social Work and Social Policy

Output Champion –

20 – Social Work and Social Policy x2

Review Panel Members –

20 – Social Work and Social Policy

All roles require a level of commitment which is recognised accordingly with time to review, attend meetings, and take responsibility for tasks.

Undertaking a UOA role can be enjoyable and rewarding as two of our current champions testify:

“As UOA Outputs Champion you develop a detailed knowledge of all the great work that colleagues are doing related to the subject, and the different outlets used for disseminating their work. As an outputs committee member, you also get to know what research is going on across BU, and it’s interesting to see the differences between disciplines. It’s a good way develop your knowledge of the bigger picture of BU’s research, and also to understand the importance of REF and how it works in practice. You do spend quite a bit of time chasing colleagues to put their outputs on BRIAN for REF compliance but hopefully they forgive you!”

Professor Adele Ladkin – UOA 24 Output Champion

“As a UoA 17 impact champion, I work closely with the UoA 17 impact team to encourage the development of a culture of impact across BUBS. I try to pop into Department / research group meetings when I can to discuss impact, and I’ve enjoyed meeting people with a whole range of research interests. Sometimes it can be tough to engage people with impact – understandably; everyone is busy – so it’s important to be enthusiastic about the need for our BU research to reach the public. Overall, the role is about planting the seeds to get researchers thinking about the impact their work might have in the future (as well as the impact they have already had, sometimes without realising!)”

Dr Rafaelle Nicholson – UOA 17 Impact Champion

How to apply

All those interested should put forward a short case (suggested length of one paragraph) as to why they are interested in the role and what they think they could bring to it. These should be clearly marked with the relevant role and unit and emailed to ref@bournemouth.ac.uk by 4 December 2023.

Further detail on the roles, the process of recruitment and selection criteria can be found here:

UOA Leader	Output Champion	Impact Champion	Panel Reviewer
Role Descriptor	Role Descriptor	Role Descriptor	Role Descriptor
Process and criteria for selection	Process and criteria for selection	Process and criteria for selection	Process and criteria for selection

For further information please contact ref@bournemouth.ac.uk, a member of current UOA Team or your Deputy Dean Research and Professional Practice with queries.

5 November 2023

BU Sociology professor invited to speak at Royal Holloway

Delicious links, international, Publishing, writing Edwin van Teijlingen

Professor Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH) has been invited to speak at Royal Holloway, University of London, about writing an academic paper. His public lecture will be coming Tuesday lunch time in the appropriately named ‘Bourne Lecture Theatre’ at Royal Holloway. Prof. van Teijlingen, together with several Bournemouth University (BU) colleagues, has published a text book [1], several book chapters [2-18] and a large number of papers [19-38] about a wide-range of aspects of academic writing and publishing. One of former BU academics, who co-authored a book chapter [10], and two papers [21, 25], is Dr. Preeti Mahato. She is Lecturer in Global Health at Royal Holloway as well as Visiting Faculty in BU’s Faculty of Health & Social Sciences.

References:

Wasti, S.P., van Teijlingen, E., Simkhada, P., Hundley, V. with Shreesh, K. (2022) Writing and Publishing Academic Work, Kathmandu, Nepal: Himal Books
van Teijlingen, E., Hundley, V., Simkhada, P.P., Wasti, S.P. (2022) Introduction, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 1-4.
Simkhada, P., van Teijlingen, E., Hundley, V., Swoveet, P. (2022) Writing an Academic Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 6-14.
Hundley, V., Luce, A., Simkhada, P., van Teijlingen, E. (2022) Collaborative Writing for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 15-19.
van Teijlingen, E., Simkhada, P., Shanker, S. (2022) Selecting an Appropriate Journal and Submitting your Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 20-31.
van Teijlingen, E., Thapa, D., Marahatta, S.B., Sapkota, J.L., Regmi, P. Sathian, B. (2022) Editors and Reviewers: Roles and Responsibilities, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 32-37.
van Teijlingen, E., Ireland, J., Hundley, V, Dhakal Rai, S., Simkhada, P., Sathian, B. (2022) Identifying an appropriate Title, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 39-47.
Simkhada, P., van Teijlingen, E., Hundley, V., Simkhada, B, Acharya D.R. (2022) Writing an Abstract for a Scientific Conference, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 48-56.
Subedi, M., van Teijlingen, E., Baniya J., Sijapati, B. (2022) Writing the Introduction and Background, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 57-67.
van Teijlingen, E., Pitchforth, E., Keenan Forrest, K., Mahato, P. (2022) Writing a Qualitative Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 88-97.
Wasti, S.P, Devkota, B., Bhatta, D.N., Pitchforth, E., van Teijlingen, E. (2022) Writing the Introduction and Background, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 112-120.
Regmi, P., van Teijlingen, E., Simkhada, P. (2022) Writing up the Discussion, Conclusion and Recommendations, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 121-129
Aryal, N., Regmi, P.R., Simkhada, B., Subedi, M., van Teijlingen, E., Wasti, S.P., Hundley, V, Khatri, R. (2022) Being Ethical in Writing and Publishing, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 153-161.
van Teijlingen, E., Venter, K. (2022) Writing a Book Review, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 162-167.
Devkota, B., Simkhada, P., van Teijlingen, E., Hundley, V, Wasti, S.P. (2022) Writing a Research Proposal, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 168-175.
Wasti, S.P. Regmi, P.R., Simkhada, P., van Teijlingen, E., Hundley, V. (2022) Writing a PhD Proposal, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 176-183.
Hundley, V., Simkhada, P., van Teijlingen, E. (2022) Converting your Master’s or Doctoral Thesis into an Academic Paper for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 184-189.
van Teijlingen, E., Hundley, V., Simkhada, P., Acharya, J., Silwal, R.C., Wasti, S.P. (2022) Academic Writing: Final Thoughts, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 201-20.
Harvey, O., Taylor, A., Regmi, P.R., van Teijlingen, E. (2022) Struggling to reply to reviewers: Some advice for novice researchers. Health Prospect, 21(2):19-22.
Sathian B, van Teijlingen E, Banerjee I, Kabir R. (2022) Guidance to applying for health research grants in the UK. Nepal J Epidemiol 12(4):1231-1234.
Arnold, R., Ireland, J., Mahato, P., van Teijlingen, E. (2022) Writing and publishing a reflective paper: Three case studies, Welhams Acad J 1(1): 4-11.
van Teijlingen, E., Hundley, V, Sathian, B., Simkhada, P., Robinson, J., Banerjee, I. (2022) The Art of the Editorial Nepal J Epidemiol, 12(1): 1135–38.
Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing Health Prospect 21(1):1-3.
van Teijlingen, E.R., Dhakal Adhikari, S., Regmi, P.R., van Teijlingen, A., Aryal, N., Panday, S. (2021). Publishing, identifiers & metrics: Playing the numbers game. Health Prospect, 20(1). https://doi.org/10.3126/hprospect.v20i1.37391
Adhikari, S. D., van Teijlingen, E. R., Regmi, P. R., Mahato, P., Simkhada, B., & Simkhada, P. P. (2020). The Presentation of Academic Self in The Digital Age: The Role of Electronic Databases. Int J Soc Sci Management, 7(1), 38-41. https://doi.org/10.3126/ijssm.v7i1.27405
van Teijlingen, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10(1): 1-4.
van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, BD. (2013) Writing an Abstract for a Scientific Conference, Kathmandu Univ Med J 11(3): 262-65. http://www.kumj.com.np/issue/43/262-265.pdf
Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11(1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 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.
Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
Sathian, B., Simkhada, P., van Teijlingen, E., Roy, B, Banerjee, I. (2016) Grant writing for innovative medical research: Time to rethink. Med Sci 4(3):332-33.
Pradhan, AK, van Teijlingen, ER. (2017) Predatory publishing: a great concern for authors, Med Sci 5(4): 43.
van Teijlingen, E, Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, J Advanced Nurs 37(6): 506-11.
Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
van Teijlingen, E (2004), Why I can’t get any academic writing done, Medical Sociol News 30(3): 62-63. britsoc.co.uk/media/26334/MSN_Nov_2004.pdf

3 November 2023

New health policy paper published this week

international, open access, Publishing, writing Edwin van Teijlingen

This week the Nepal Federal Health System Team published its latest paper the international journal Health Research Policy & Systems [1]. This Open Access paper ‘Overcoming the challenges facing Nepal’s health system during federalisation: an analysis of health system building blocks‘ reports on two separate methods: interviews and participatory policy analysis workshops, to offer an in-depth understanding of stakeholders’ practical learning, experiences, and opinions. Participants included policymakers, health service providers, local elected members, and other local stakeholders. All interviews were audio-recorded, transcribed, translated into English, and analysed thematically using the six WHO (World Health Organization) health system building blocks [2] as its theoretical framework.

Wasti et al. found that participants noted both opportunities and challenges around each building block. Identified opportunities were: (a) tailored local health policies and plans, (b) improved health governance at the municipality level, (c) improved health infrastructure and service capacity, (d) improved outreach services, (e) increased resources (health budgets, staffing, and supplies), and (f) improved real-time data reporting from health facilities. At the same time, several challenges were identified including: (a) poor coordination between the tiers of government, (b) delayed release of funds, (c) maldistribution of staff, (d) problems over procurement, and (e) limited monitoring and supervision of the quality of service delivery and data reporting.

The paper concludes that since federalisation, Nepal’s health system performance is improving, although much remains to be accomplished. For Nepal to succeed in its federalisation process, understanding the challenges and opportunities is vital to improving each level of the health system in terms of (a) leadership and governance, (b) service delivery, (c) health financing, (d) health workforce, (e) access to essential medicines and technologies and (f) health information system.

This publication is the fourth one originating from our Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure [2-5]. This is a joint project (2020-2024) led by the University of Sheffield and in collaboration with Bournemouth University, the University of Huddersfield, Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

References:

Wasti, S.P., van Teijlingen, E.,Rushton, S., Subedi, M., Simkhada, P., Balen, J. for the Nepal Federal Health System Team (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117) https://doi.org/10.1186/s12961-023-01033-2
World Health Organization (2007) Everybody’s business: strengthening health systems to improve health outcomes. WHO’s Framework for Action. Geneva: World Health Organization.
Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., van Teijlingen, E., Rushton, S., Subedi, M., Gautam, S., Karki., J., Adhikary, P., Marahatta, S., Simkhada, P., for the Nepal Federal Health System Team (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
Adhikary, P., Balen, J., Gautam, S., Ghimire, S., Karki, J., Lee, A.C.K., Marahatta, S.B., Panday, S., Pohl, G., Rushton, S., Sapkota, S., Simkhada, P.P., Subedi, M., van Teijlingen, E. for the Nepal Federal Health System team (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
Rushton, S., Pandey, S., van Teijlingen, E., Subedi, M., Balen, J., Karki, J., Simkhada, P. on behalf of the Nepal Federal Health System Team (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

2 November 2023

New publication on positionality

international, PG research, Publishing, student research, Women's Academic Network, writing Edwin van Teijlingen

Today the journal Health Prospect published Raksha Thapa’s paper ‘Researching Dalits and health care: Considering positionality’ [1]. This methodological paper is based on Dr. Raksha Thapa’s recently completed BU project on caste-based inequity in health care utilization in Nepal, particularly focusing on people at the bottom of the caste hierarchy, commonly known as Dalit communities. Her PhD study was supervised by Dr. Pramod Regmi, Principal Academic in the Department of Nursing Sciences, Prof. Vanessa Heaslip Professor of Nursing and Healthcare Equity at the University of Salford and Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health. This is the third paper from her PhD work; the first one was published in the Journal of B.P. Koirala Institute of Health Sciences [2] and the second one in the Asia Pacific Journal of Public Health [3].

Congratulations!

Prof. Edwin van Teijlingen & Dr. Pramod Regmi

FHSS

References:

Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
Thapa, R., van Teijlingen, E., Regmi, P., Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of B.P. Koirala Institute of Health Sciences 1(2): 1-6.
Thapa, R., van Teijlingen, E., Regmi, P., Heaslip, V. (2021) Caste Exclusion and Health Discrimination in South Asia: A Systematic Review, Asia Pacific Journal of Public Health 33(8):828-838.

16 October 2023

PhD training workshop in Kathmandu

international, Publishing, writing Edwin van Teijlingen

Yesterday (Sunday 15th October) Prof. Edwin van Teijlingen from BU’s Department of Midwifery and Health Sciences presented a PhD Thesis Writing Workshop at Tribhuvan University (TU), the largest and oldest university in Nepal. The session was organised by Prof. Dr. Bhimsen Devkota in the Graduate School of Education, he is also Visiting Professor in the Faculty of Health & Social Sciences at BU. Prof. Devkota is currently also involved in a major grant application to the NIHR. This application is together with colleagues in Pakistan and led by Prof. Vanora Hundly in the Department of Midwifery and Health Sciences.

Most people, including students, in Nepal only have one day, Saturday off as weekend. So teaching on a Sunday is normal here. As you would expect from an audience of largely PhD students, during and at the end of the session there was a very good range of very good questions. The teaching session was also an opportunity to promote our textbook ACADEMIC WRITING AND PUBLISHING IN HEALTH AND SOCIAL SCIENCES. This book was published April last year in Kathmandu.

13 October 2023

Media coverage BU’s kidney research in Nepal

international Edwin van Teijlingen

This week Bournemouth University organised two dissemination events for our risk of kidney disease study in Nepalese migrant workers in the Middle East and Malaysia. A previous blog reported on the first event in the capital Kathmandu (see details here!) . These dissemination events have generated a loads of media coverage in Nepal, both in Nepali and in English.

The study was led by Bournemouth University and a charity in Nepal which whom we have been collaborating for two decades, called Green Tara Nepal. This important study, the first of its kind, was conducted among the Nepalese migrant workers and a comparison group of non-migrants from the same community. This study was funded by The Colt Foundation, based in the UK. In the field it was supported by the Madhes Province Public Health Laboratory, the United Nations’ International Organization for Migration and University College London (UCL).

Dr Pramod Raj Regmi (Principal Academic in International Health in Bournemouth University’s Department of Nursing Sciences) is the lead researcher and our team further comprises researchers Dr Nirmal Aryal and Prof Edwin van Teijlingen (both from BU’s Faculty of Health & Social Sciences), and in Nepal clinicians: Prof Dr Arun Sedhai, Dr Radheshyam KC and Dr Shrawan Kumar Mishra.

Prof Edwin van Teijlingen

Centre for Midwifery & Women’s Health

9 October 2023

Dissemination kidney-disease research Kathmandu

international Edwin van Teijlingen

Yesterday, Sunday 8th October we held an event in the capital of Nepal to disseminate the findings of our study of the kidney health of Nepalese migrant workers working abroad. The study included 718 migrants and 725 non-migrants from Dhanusha district which has the highest number of labour migrants working abroad. Our study found that 5.8 % of our migrant samples had some sign of kidney injury compared to non-migrants (3.6%). The study also reported other lifestyle risk factors in migrants than non migrants. Labour migration has become an integral part of Nepali society, over a quarter of the country’s national income is from remunerations, i.e. workers sending money home from abroad. It is therefore important to measure and record these problems related to kidney health to get policymakers and other relevant stakeholders to implement culturally adapted and feasible interventions to promote healthy lifestyle and improve working conditions.

This mixed-methods study adopted Disadvantaged Populations eGFR Epidemiology Study (DEGREE) protocol which combines a questionnaire around living and working conditions abroad with biological measurements. This study, funded by the UK-based Colt Foundation, is the first of its kind in Nepal. The BU team comprises Dr. Pramod Regmi, Principal Academic and Dr. Nirmal Aryal, Postdoctoral Researcher, both in the Department of Nursing Science, and Prof. Edwin van Teijlingen, in the Department of Midwifery & Health Sciences. This event yesterday in Hotel Radisson in Kathmandu was first of two dissemination events, the second one will on Wednesday 11 October in the fieldwork area. In Kathmandu some 45-50 people attended including on of the regional ministers of Labour, Employment & Transport.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

5 October 2023

Non-code sharing: Academic travel

Edwin van Teijlingen

Selective Travel offers interesting combinations of airlines to fly to far away destinations. This is great as it offers staff the opportunity to seek out the cheapest flight combination or the one with the shortest stop-over time, especially when traveling on research project funded by charities. What is not always clear is that these airlines in in your deal don’t share codes, as I found out at Heathrow two yesterday when I checked in for a my flight to Nepal. This trip to Nepal is part of The Colt Foundation study into the risk of kidney disease in Nepalese migrant workers. The first leg was with British Airways (BA) to Delhi and the onward flight was with Air India to Kathmandu. I could not check in online nor on one of the machines at Heathrow as BA treated this as a flight to India and I have no visa for India. I needed to queue thrice to speak to BA staff member who could check me in to Delhi, she also informed me that Air India and British Airways don’t code share, and I should get my onward ticket in Delhi. However, she could check in my luggage and send it on to Kathmandu! Arriving in Delhi I was told at the transfer desk for Air India that my ticket was not ready yet, as my luggage had to be located. after I told the guy my BA story. Luckily I had a stop-over of five hours, because after an hour or so there was still no sign of y ticket. It finally arrived a little later, and luckily I have traveled often enough in South Asia not to be worried by delays in paperwork, bureaucratic procedures, and the simple statement; “You have to wait, Sir”.

Prof. Edwin van Teijlingen

CMWH

22 September 2023

After predatory journals & conferences, now predatory academic prizes

Guidance, international, PG research, Publishing, Research Integritiy, student research, writing Edwin van Teijlingen

After many emails about predatory journals and conferences, today I received an email about a predatory academic prize. Over the years there have been many BU Research Blogs warning readers about predatory journals, for example in 2014, 2015, 2018, and in 2019, and also about fake conferences (e.g. in 2017). It was inevitable that fake academic prizes would be the next trick. The email announces that for US$ 225 the prize is mine! This development fits in with the many messages I have received about having ‘won’ prizes on platforms such as Facebook and Twitter.

Today’s predatory prize announcement is still very much in its infancy as scammers from the ‘Asia International Research Award 2023’ did not pick the greatest paper written in 2020 by the first author Dr Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, and now Lecturer in Global Health at Royal Holloway , University of London. If they had wanted to make the award scam more believable they would have chosen the PloS one paper from her BU PhD work in Nepal [1]. Instead the announcement list a paper with much older data based on secondary analysis [2], not a bad paper, but not a winner either.

Prof. Edwin van Teijlingen

References

Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., & Hundley, V. (2020). Evaluation of a health promotion intervention associated with birthing centres in rural Nepal. PloS one, 15(5), e0233607.
Mahato, P. K., Sheppard, Z. A., van Teijlingen, E., & De Souza, N. (2020). Factors associated with contraceptive use in rural Nepal: Gender and decision-making. Sexual & Reproductive Healthcare, 24, 100507.

13 September 2023

The end of an era

international, Publishing, writing Edwin van Teijlingen

Yesterday I wrote my resignation letter to the journal BMC Pregnancy & Childbirth. After acting as Associate Editor for fifteen years the time has come for me to give it up, and I found ‘giving up’ very difficult. The enormous growth in my workload at Bournemouth University and the increasing requests to take on new papers as Associate Editor, on top of the many requests to review papers and grants, just became too much. It made me realize I needed to reduce several tasks and jobs to have a slightly better balanced work-home life.

I am still co-editor of the Journal of Asian Midwives, book review editor of Sociological Research Online, guest editor for a special issue of Frontiers in Public Health, and I am still on the editorial or advisory boards of: Birth (published by Wiley), Sociological Research Online (published by SAGE), Nepal Journal of Epidemiology, Journal of Manmohan Memorial Institute of Health Sciences, and Midwifery (published by Elsevier), so still plenty of work to be done.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

30 August 2023

Dedicated to drowning prevention in Bangladesh

international Edwin van Teijlingen

Today we held the first International Advisory Group for the Sonamoni project. Sonamoni is a BU research project with CIPRB (the Centre for Injury Prevention and Research, Bangladesh) which aims to design and develop interventions to reduce the number of young children drowning in Bangladesh. The 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.

We are grateful to the members of our International Advisory Board for volunteering to do this important work. We were struck by the dedication of the international team members this morning. We especially admire the International Advisory Board member who was online at 21.00 local time in Australia and even more perhaps our member in Canada for whom the local time was 3.00 in the morning.

Sonamoni is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, and the Royal National Lifeboat Institution (RNLI). This project, with Prof. Dr. Aminur Rahman as Bangladesh lead, includes a BU-based PhD project. 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.

29 August 2023

Publishing papers takes time

international, open access, Publishing, student research, Women's Academic Network, writing Edwin van Teijlingen

Today we were informed by Razi International Medical Journal that the paper ‘Management capacity in the Ministry of Public Health (MoPH) Afghanistan: Political and socio-cultural issues’ [1] is finally out in print (i.e. online). I wrote a BU Research Blog (see copy of this here!) on May 1st to announce that this paper had accepted by the editors in late April. It has taken another four months at the editorial office to sort the publication details.

The lead author is Dr. Shaqaieq Ashrafi Dost, and this interesting paper is part of the dissemination of her Bournemouth University PhD research. The paper is in an Open Access journal and hence freely available online to read.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

References:

Ashrafi Dost, S., Arnold, R., van Teijlingen, E. (2023). Management capacity in theAfghan Ministry of Public Health pre-Taliban: A mixed-methods study of political and socio-cultural issues. Razi International Medical Journal, 3(1): 9-18. DOI:10.56101/rimj.v3i1.67

10 August 2023

An Appreciate Inquiry into NHS Maternity Services

NHS, writing Edwin van Teijlingen

Congratulation to Dr. Rachel Arnold and her Centre for Midwifery & Women’s Health research team on the publication yesterday of their paper ‘I might have cried in the changing room, but I still went to work’. Maternity staff balancing roles, responsibilities, and emotions of work and home during COVID-19: An appreciative inquiry [1]. This paper focuses on how to support staff and enhance their well-being in a small UK maternity service. The underpinning methodological approach is appreciative inquiry using interviews with 39 maternity staff and four group discussions exploring meaningful experiences, values and factors that helped their well-being.

The key findings are that maternity staff members were highly motivated, managing a complex melee of emotions and responsibilities including challenges to professional confidence, mental health, family situation, and conflict between work-life roles. Despite staff shortages, a demanding workload, professional and personal turmoil, and the pandemic participants still found meaning in their work and relationships. The authors go on to argue for a ‘whole person’ approach, since this approach provided insight into the multiple stressors and emotional demands staff faced. It also revealed staff resourcefulness in managing their professional and personal roles. They invested in relationships with women but were also aware of their limits – the need to be self-caring, employ strategies to switch-off, set boundaries or keep a protective distance. Overall, the paper concludes hat staff’s well-being initiatives, and research into well-being, would benefit from adopting a holistic approach that incorporates home and family with work. Research on emotion regulation strategies could provide insights into managing roles, responsibilities, and the emotional demands of working in maternity services. Emotion regulation strategies could be included in midwifery and obstetric training.

This paper was proceeded by a more methodological paper on the application of Appreciative Inquiry in this study [2].

References:

Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2023) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth (online first)
Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.

Category / Sociology & Social Policy

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