Category / Research themes

Paper on Nepal reaching 5,000 readers

international, open access, Publishing, Women's Academic Network, writing

Today ResearchGate informed us that our 2010 paper ‘Women’s autonomy in household decision-making: A demographic study in Nepal‘ [1] has been read 5,000 times.  This academic paper published in the international journal Reproductive Health is Open Access, hence available to anybody globally with internet access. The study explored the links between women’s household position in Nepal and their autonomy in decision making.  Using existing data (n = 8,257)  from the Nepal Demographic Health Survey (NDHS) 2006 we (Dr. Pramod Regmi and Prof. Edwin van Teijlingen with colleagues from other UK universities) focused on four types of household decision making: (1) women’s own health care; (2) making major household purchases; (3) making purchase for daily household needs; and (4) visits to her family or relatives.

We found that women’s autonomy in decision making is positively associated with their age, employment and number of living children. Women from rural area and Terai region (the southern part of Nepal bordering India) have less autonomy in decision making in all four types of outcome measure. There is a mixed variation in women’s autonomy in the development region across all outcome measures. Western women are more likely to make decision in own health care (1.2-1.6), while they are less likely to purchase daily household needs (0.6-0.9). Women’s increased education is positively associated with autonomy in own health care decision making (p < 0.01), however their more schooling (school-leaving certificate and above) shows non-significance with other outcome measures. Interestingly, rich women are less likely to have autonomy to make decision in own healthcare.

 

Reference:

  1. Acharya, D.R., Bell, J.S., Simkhada, P., van Teijlingen, E., Regmi, P. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health 7, 15   https://doi.org/10.1186/1742-4755-7-15

Promoting Human-Centred Design in Drowning Prevention

international, Knowledge Exchange, student research

The Department of Design and Engineering at Bournemouth University has a reputation for its Human-Centred Design (HCD) work.  In our interdisciplinary Sonamoni project we have HCD at its centre.  The Sonamoni project is 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), Design Without Border (DWB) in Uganda and Centre for Injury Prevention and Research, Bangladesh (CIPRB). The interdisciplinary team at Bournemouth University covers three faculties and six academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.

Last month two staff from CIPRB, Notan Chandra Dutta and Mirza Shibat Rowshan visited DBW in Uganda, as part of so-called South-South learning. Their objective was to share (1) knowledge and experience of using HCD techniques and (2) best practices of drowning prevention in both countries. Utilizing HCD techniques, Sonamoni is working to identify and prioritize potential solutions, develop prototypes, and assess the acceptability of the interventions to reduce drowning deaths among old children under two in Bangladesh.

During the visit, Notan and Shibat participated a four-day ideation workshop with the fisher community near Lake Victoria, organized by DWB. In the workshop, different HCD tools were used along with other group activities to generate and refine ideas for the solutions. The generated ideas were recorded by visualization tools. Notan and Shibat also attended a session on the principles of creative facilitation of HCD, including the need to understand the problem, role of the facilitator and other stakeholders.  Various visualization tools were discussed, e.g.  ‘journey maps’, ‘stakeholder map’, ‘context map’ and different types of sketches.  Notan shared CIPRB’s experiences of managing the best drowning prevention practices and its challenges from Bangladesh context.

This international project funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme, also includes a BU-based PhD student, Mr. Md. Shafkat Hossein.  Last week Shafkat presented our Sonamoni project in lecture to BU Engineering students at Talbot campus.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

First paper by PhD student

NHS, open access, PG research, Publishing, student research, writing

We are delighted to announce that Bournemouth University (BU) and University Hospitals Dorset NHS Foundation Trust (UHD) Clinical Match-Funded PhD researcher, Leila Kattach, has published her first academic paper. This milestone marks an important step in Leila’s research journey and highlights the impactful work being carried out within our clinical research community.
The paper, titled “Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review“, was published in the Journal of Advanced Nursing yesterday (April 1, 2025) [1]. This research consolidates evidence on nurse-led models for skin cancer detection, comparing their effectiveness to physician-led care and highlighting their potential benefits in terms of accessibility, cost-effectiveness, and patient satisfaction.
The systematic review, co-authored with Heidi Singleton, Steven Ersser, Debbie Holley, Ian Pearson, and Abdulrahman Shadeed, rigorously analyzed studies from 1992 to 2024, assessing the role of nurses in diagnosing, treating, and supporting skin cancer patients. The findings demonstrate that nurse-led models can complement or even substitute traditional physician-led care, offering high diagnostic accuracy, improved access to care, and enhanced patient education.
Key highlights from the study include:
Comparable diagnostic accuracy between nurses and ophthalmologists in skin cancer detection.
Increased accessibility and reduced waiting times for patients through community-based, nurse-led services.
Significant cost savings associated with nurse-led care delivery.
Patient preference for nurse-led models, citing convenience and enhanced education on self-examination.
The study also emphasizes the need for further research and standardized national guidelines to scale and integrate nurse-led models effectively into healthcare systems.
Leila’s research has strong implications for policy and clinical practice, advocating for:
✅ Enhanced dermatology nursing training to equip nurses with advanced skills in assessment, diagnosis, and treatment.
✅ Development of Dermatology Nurse Consultant Training Programmes to support professional development and independent practice.
✅ Support for community-based care to enhance accessibility, particularly in underserved regions.
✅ Standardization of nurse-led models to ensure consistency and high standards across healthcare settings.
Leila Kattach’s research has a PhD studentship jointly funded by BU and UHD NHS Foundation Trust. The study was conducted in collaboration with academic dermatology experts, specialist clinicians, and a patient representative with lived experience of melanoma, ensuring a patient-centered approach.  Leila’s work paves the way for further exploration into nurse-led service delivery models and their long-term impact on skin cancer care, cost-effectiveness, and healthcare workforce sustainability. We look forward to seeing how her research evolves and contributes to improving patient care in dermatology.
👏 Congratulations to Leila Kattach and the research team on this outstanding achievement!
Prof. Edwin van Teijlingen
Reference:
  1. Kattach, L., Singleton, H., Ersser, S., Holley, D., Pearson, I. & Shadeed, A. (2025), Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review. Journal of Advanced Nursing.[online first]  https://doi.org/10.1111/jan.16854

 

Nepal Family Cohort Study dissemination event

international, open access, Publishing, writing

Colleagues working on our Nepal Family Cohort Study (NeFCoS) presented baseline data at a dissemination programme held today (March 28th) in Everest Hotel, Kathmandu.  Bournemouth University is a key partner in this unique long-term follow-up study in Nepal.  Our large international team is led by Dr. Om Kurmi, Associate Professor Research in the Centre for Healthcare and Communities at Coventry University.  The Bournemouth University (BU) team comprises Dr. Pramod Regmi (Principal Academic-International Health), Dr. Edwin van Teijlingen (Professor of Reproductive Health), Dr. Rebecca Neal (Principal Lecturer in Exercise Physiology) and Dr. Vanora Hundley (Professor of Midwifery).
The Nepal Family Cohort Study (NeFCoS) is a multidisciplinary cohort study into the prevalence, incidence, and determinants of various diseases from childhood to adulthood in children and their parents for over two decades.  NeFCoS is a longitudinal study which recently started collecting health and well-being data, and which will collect data repeatedly from the same individuals at certain intervals for years to come.
Today’s programme included a range of academics and policy-makers introducing aspects of the study and its preliminary findings.  Prof. Edwin van Teijlingen did a short presentation offering ‘Special Remarks on Midwifery, Maternal & Perinatal Health’.  To date we have published one academic paper in an Open Access journal on the research protocol of this work [1].
Reference:
  1. Kurmi, O.P., Chaudhary, N., Delanerolle, G., Bolton, C.E., Pant, P.R., Regmi, P., Gautam, S., Satia, I., Simkhada, P., Kyrou, I., Sigdel, T.K., Hundley, V., Dali, P.R., Lokke, A., Hubert Lam, K.B., Bennett, D., Custovic, A., van Teijlingen, E., Gill, P. Randeva, H., O’Byrne, P.M., and Nepal Family Cohort Collaborators Group, Nepal Family Cohort Study: A Study Protocol, BMJ Open 14:e088896. doi:10.1136/ bmjopen-2024-088896

CWLTH Research Seminar & Centre Meeting

PG research, student research

The Centre for Wellbeing and Long-Term Health (CWLTH) will be hosting their next Research Seminar and Centre meeting at 11:00 on Tuesday 22nd April. PhD student Yagya Adhikari will be presenting their doctoral research exploring ‘Parental migration for work and psychosocial problems among left-behind adolescents in Nepal.‘ Click HERE to join this meeting on Teams. Contact CWLTH@bournemouth.ac.uk for more information about the Centre.

Reading about Positionality

international, open access, PG research, Publishing, Women's Academic Network, writing

This week ResearchGate informed us that the paper ‘The Importance of Positionality for Qualitative Researchers‘ by Bournemouth University M.Res. student Ms. Hannah Gurr has been read over 800 times.  The co-authors are Hannah’s supervisors Dr. Louise Oliver, Dr. Orlanda Harvey and Prof. Edwin van Teijlingen in the Faculty of Health & Social Sciences (FHSS), and one of Nepal’s foremost sociology of health and illness researchers Prof. Madhusudan Subedi. 

The paper is of particular interest for qualitative and mixed-methods researchers as these researchers are especially required to be critically reflective and explain to readers their positionality on their work. This account can be relatively straightforward, but there are occasions when this process of reflection and outlining one’s positionality is much more complicated. This method-paper explains this process. It outlines, using examples of different occasions and situations, where and why such complications may arise, for example, around values and personal experiences. It concludes with further practical advice on writing the section on positionality for novice social scientists.  The journal in which this methodological paper is published is Open Access and therefor freely available to read for anybody across the globe.

 

Reference:

  1. Gurr, H., Oliver, L., Harvey, O., Subedi, M., van Teijlingen, E. (2024) The Importance of Positionality for Qualitative Researchers, Dhaulagiri Journal of Sociology and Anthropology 18(1): 48-54,

New Social Work Education paper published

international, Publishing, writing

Congratulations to Dr. Alex Fry (Senior Lecturer in the Sociology of Health & Illness) and Professor Emeritus Jonathan Parker who were part of a project researching the use of creative methodologies in pedagogy. Their latest paper ‘Using the arts in social work education for short-term European mobility: evaluating student experiences on an Erasmus+ blended intensive program‘ resulting from this work was published last month in the journal Social Work Education (a Routledge journal) [1].
Well done!
Prof. Edwin van Teijlingen
Faculty of Health & Social Sciences
Reference:
  1. Frampton, M., Schiller, U., Parker, J.,  Hartogh, T., Arlinghaus, G.A., Fry, A.D.J., Autio, K., Ndhlovu, N. (2025): Using the arts in social work education for short-term European mobility: evaluating student experiences on an Erasmus+ blended intensive program, Social Work Education, DOI: 10.1080/02615479.2025.2466707  

Presenting BU’s kidney disease research in Manchester

conferences, international, Publishing, writing

Tuesday 18th March Drs. Pramod Regmi and Nirmal Aryal from the Department of Nursing Sciences presented our work on risk of kidney disease in Nepalese migrant workers in the Middle East and Malaysia.  The presentation was at the Project Impact Seminar in the Whitworth Gallery in Manchester organised by  The Colt Foundation, the funder of our research.

The title was: ‘Risk of kidney injury among returnee Nepalese migrants: a mixed-methods’ which was conducted in the one of areas of Nepal with a high proportion of people working abroad as migrant labourers.  Over the past decade there have been increasing concerns about possible chronic kidney disease (CKD) in migrant workers returning to Nepal. 

This important study has resulted in one publication in PLoS One  (1) and one more recently submitted.  The event was good for networking to discuss possible collaborations.  We also had the pleasure of meeting former colleagues from the University of Aberdeen, now based at the University of Stirling.  This dissemination event is the latest in a long line of research publications focusing on the health and well-being of migrant workers from Nepal from the BU team in the Faculty of Health & Social Sciences [1-35].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Regmi, P., Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
  2. Paudyal, P., Wasti, S.P., Neupane, P., Sapkota, J.L., Watts, C., Kulasabanathan, K., Silwal, R., Memon, A., Shukla, P., Pathak, R.S., Michelson, D., Beery, C., Moult, A., Simkhada, P., van Teijlingen, E., Cassell, J. 10, (2025) Coproducing a culturally sensitive storytelling video intervention to improve psychosocial well-being: a multimethods participatory study with Nepalese migrant workers, BMJ Open 15:e086280. doi: 10.1136/bmjopen-2024-086280
  3. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion, 12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
  4. Paudyal, A.R., Harvey, O., van Teijlingen, E., Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion, 12(1): 125–132. https://doi.org/10.3126/jhp.v12i1.72713
  5. Simkhada, P.P., van Teijlingen, E., Gurung, M., Bhujel, S., Wasti, S.P. (2024) Workplace harassment faced by female Nepalese migrants working aboard, Global Health Journal 8(3): 128-132. https://www.sciencedirect.com/science/article/pii/S241464472400040X
  6. Regmi, P., Aryal, N., van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
  7. Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P., Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
  8. Aryal, N., Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
  9. Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P., Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
  10. Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
  11. Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
  12. Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
  13. Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
  14. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
  15. Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
  16. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
  17. Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P. and Simkhada, P., (2020). The impact of spousal migration on the mental health of Nepali women: A cross-sectional study. International Journal of Environmental Research and Public Health, 17 (4).
  18. Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health https://link.springer.com/content/pdf/10.1007/s10903-019-00960-z.pdf
  19. Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E. and Simkhada, P. (2020). Accessing health services in India: Experiences of seasonal migrants returning to Nepal. BMC Health Services Research, 20 (1), 992.
  20. Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Zahiruddin, Q.S., Gaidhane, A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. International Journal of Environmental Research and Public Health, 16 (19). https://doi.org/10.3390/ijerph16193655
  21. Adhikary P, van Teijlingen E. (2019) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ – International Journal of Occupational Safety and Health  9(2): 31-35.
  22. Aryal, N., Regmi, P.R., Faller, E.M., van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia. Nepal Journal of Epidemiology, 9 (3), 788-791. https://doi.org/10.3126/nje.v9i3.25805
  23. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  24. Dhungana, R.R., Aryal, N., Adhikary, P., Kc, R.K., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., Van Teijlingen, E. and Simkhada, P. (2019). Psychological morbidity in Nepali cross-border migrants in India: A community based cross-sectional study. BMC Public Health, 19 (1).
  25. Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P. and Mahat, P. (2019). Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South-East Asia journal of public health, 8 (1), 38-41.
  26. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro.
  27. Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti, S.P. (2018) Health consequences of sex trafficking: A systematic review, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-49.
  28. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105.  https://doi.org/10.1108/IJMHSC-12-2015-0052
  29. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  30. 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). https://doi.org/10.3126/nje.v9i3.25805
  31. Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
  32. Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  33. Adhikary P., Keen S., van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75.   www.hsj.gr/volume5/issue3/532.pdf
  34. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  35. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.

 

Congratulations to Dr. Tsofliou

open access, PG research, writing

Earlier this month the scientific journal Psychology & Health published the paper ‘Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review’ [1].   This paper is based on the work of Itse Olaoye, a PhD student at St Mary’s University, London.  Bournemouth University’s Dr Fotini Tsofliou is part of the student’s interdisciplinary supervisory team together with academics from the Faculty of Sport, Allied Health and Performance Science at St Mary’s University, London.
The message in the paper is that client-centred counselling appears promising for weight management in Black African women with overweight or obesity. Long-term follow-up studies are needed to ensure the sustainability and effectiveness of these interventions in this population over time.
Congratulations!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Reference:
  1. Olaoye, I., Myrissa, K., Kelaiditi, E., Tsofliou, F., & Brown, N. (2025). Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review. Psychology & Health, 1–32. [Published online: 11 Mar 2025]  https://doi.org/10.1080/08870446.2025.2475161

 

Promoting South-South collaboration and learning

international

The Sonamoni Project is working with communities in rural Bangladesh utilizing human-centered design (HCD) techniques. These design principles have been applied for many years in designing consumer products and, more recently, in the fields of health and social systems. The research project is identifying solutions to reduce the number of drowning deaths in newly mobile children (6-24 months), developing prototype, and assessing the acceptability and usability of potential  interventions. This interdisciplinary project is coordinated by Bournemouth University in collaboration with the Centre for Injury Prevention and Research, Bangladesh (CIPRB), the University of the West of England, the Royal National Lifeboat Institution (RNLI), the University of Southampton, and Design without Borders Africa (DwB) from Uganda. Our Sonamoni 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.

As part of the Sonamoni project we arranged some serious South-South learning by facilitating a visit to DwB in Uganda in early march by two of our Bangladesh-based team, namely Notan Chandra Dutta, Research Manager and Mirza Shibat Rowshan, HCD Specialist.  DwB applies HCD approaches to complex challenges faced by communities in low and middle-income countries. To gain greater insights into HCD activities the researchers from Bangladesh visited one site near Lake Victoria to observe data collection with fishermen, transporters, and local leaders. Notan and Shibat co-facilitated a four-day long Design Community Advisory Board (DCAB) workshop on the “Enhancing Fisherfolk Safety” project where fishermen, boat owners, transporters, traditional weather forecasters, health workers were the participants. To prevent drowning, HCD was applied in the workshop to generate ideas and share solutions of the lake site community from Lake Victoria of Mayuge district. Lessons learnt from the visit by two staff of CIPRB can further enrich the Sonamoni Project implementation in Bangladesh.  The NIHR really values research capacity building and South-South learning in its funded projects, as well as North-South leaning, of course.

 

Prof. Edwin van Teijlingen

The order of things: Starting an M.Sc. after your Ph.D.

PG research

In the 1990s after I had completed my Ph.D. in Medical Sociology my first lectureship was in Public Health at the University of Aberdeen where my job title included that of coordinator of the B.Sc. Health Sciences.  At the time I was required to do a variety of training modules and workshops on education at university level. Since there was the option to register for the Master of Education (M.Ed.) in the Department of Education at the University of Aberdeen, I thought I might as well gain more insight into education and learning than the required basic training and get a degree out of it at the same time.  For a long time, I considered myself as odd, starting a lower degree after having completed a higher one.  I bit like the guy I met thirty years ago who had completed to Ph.D.’s, one in Chemistry and then afterwards one in Divinity.

My view changed a few years ago when a colleague (with a Ph.D.) commenced an M.Sc. for a different reason.  On this occasion to become a qualified practitioner, through the completion of a practice-based M.Sc. in Mental Health Nursing.  The M.Sc. programme started a decade after the completion of a Ph.D. in Public Health.

And the idea for this blog sprang on me this morning when a colleague with a Ph.D. in Statistics and Epidemiology asked me for a reference to support his application for a place on an M.Sc. in Neuroscience.  His argument for starting such M.Sc. is that he is actively involved in several neuro-psychology research projects and as a quantitative researcher he wants to have a greater understanding of the underpinning science and the wider topic area.

Having successfully passed your Ph.D. viva is evidence that you study and learn effectively on your own, the subsequent M.Sc. can offer licensure (the right to practice) or greater insight into an academic field different from your Ph.D. one.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Presenting HSRI results at Nepal Dialogue UK

international, Publishing, writing

Today, Saturday morning, BU Visiting Professor Padam Simkhada from the University of Huddersfield was guest speaker at the third Nepal Dialogue UK webinar series of the Centre for Nepal Studies UK (CNSIK).   His presentation was titled Is Nepal’s Health System fit for Purpose? Reflections on Transformations, Maladies and Future Needs.  He outlined the state of health (epidemiology) as well as that of the health system.  He presented a lot of change in the health of the population, in the health system, as well as issues around human resources, including the high rate of migration of health workers.  He highlight that there is in Nepal insufficient investment in health, unethical practices,

He introduced some the key findings from our recently completed study on the effects of the federalisation process on Nepal’s health system.  Padam was one of the co-applications on this study together with academics from the University of  Sheffield, Canterbury Christ Church University and Bournemouth University in the UK, and colleagues in Nepal from Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal.  The project was funded by the UK Health Systems Research Initiative (Grant ref MR/T023554/1). For more information on the Nepal Federal Health System Team, see: https://www.nepalfederalhealthsystem.com/.  This interdisciplinary study has been disseminated in the form of eight published papers [1-8].

 

Prof. Edwin van Teijlingen

CMWH

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
  5. Wasti, S.P., van Teijlingen, E., Rushton, S., et al. (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
  6. Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
  7. Adhikary, P., Balen, J., Gautam, S., et al. (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.
  8. Rushton, S., Pandey, S., van Teijlingen, E., et al. (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

 

 

 

Nepal maternity care paper online yesterday

international, open access, Publishing, Women's Academic Network, writing

Yesterday the international journal PLoS ONE published the latest paper of former Centre for Midwifery & Women’s Health (CMWH) PhD student Dr. Sulochana Dhakal-Rai [1].  As in many countries, Caesarean Section (CS) rates are rising in urban hospitals in Nepal. However, the reasons behind these rising rates are poorly understood. Therefore, this study explores factors contributing to rising CS rates in two urban hospitals as well as strategies to make a more rational use of CS.  Dr. Dhakal-Rai was supervised by Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen all based in the Faculty of Health & Social Sciences.

The paper highlights that high CS rates in the private hospital reflects the medicalisation of childbirth, a public health issue which needs to be urgently addressed for the health benefits of both mother and baby. Multiple factors affecting rising CS rates were identified in urban hospitals. This study provides insights into factors affecting the rising CS rate and suggests that multiple strategies are required to stem the rise of CS rates and to make rational use of CS in urban hospitals.

The journal is Open Access and the paper is freely available to read in Nepal (and elsewhere) for anyone with internet access.

 

Reference:

  1. Dhakal Rai S, van Teijlingen E, Regmi PR, Wood J, Dangal G, Dhakal KB (2025) Explaining rising caesarean section rates in urban Nepal: A mixed-methods study. PLoS ONE 20(2): e0318489. https://doi.org/10.1371/journal.pone.0318489