Category / Research themes

New BU health publication in Portuguese

international, Publishing, writing

Congratulations to Dr. Debbie Almeida in the Faculty of Health & Social Sciences, who published her latest article late last month colleagues and students.  This article SKIN TEARS: FRICTION INJURIES IN THE ELDERLY AND NURSING DIAGNOSES is in Portuguese and addresses the decline in organic functioning predisposes to a reduction in the human body’s response capacity, increasing the state of vulnerability and fragility of the elderly, especially in relation to the skin. This work aimed to organize nursing diagnoses to support nurses in proposing intervention and care for elderly people with friction injuries or skin tears. Exploratory study, carried out in two stages, with a literature review from December/2022 to March/2023, and structuring of nursing diagnoses. Eleven studies published in the last ten years on skin tears in elderly people were analyzed and 14 nursing diagnoses were structured. Preventive, care and therapeutic measures for skin tears were addressed, as aspects to structure nursing diagnoses for elderly people. Assertive diagnoses are fundamental for the correct planning and implementation of committed and safe assistance, influencing the quality of life of the person assisted

 

Well done!

Prof. Edwin van Teijlingen

 

Reference:

Tobse, L., Santos, dos Santos, B.B., Costa da Cruz, D.M.O., de Paulo, J.G., Almeida, D.G. (2025). SKIN TEARS: LESÕES POR FRICÇÃO EM PESSOA IDOSA E OS DIAGNÓSTICOS DE ENFERMAGEM. Arquivos de Ciências da Saúde da UNIPAR, 28(3):914–933, https://doi.org/10.25110/arqsaude.v28i3.2024-11494

BU conference presentation Federalisation & Nepal’s health system

international, Publishing, writing

The health system in Nepal’s unique federalisation experiment will be presented by Prof. Edwin van Teijlingen at a three-day conference at the Far Western University, Nepal on Saturday 8th February.  Nepal’s introduction of its federal system in the 2015 Constitution changed the way society, including its health system, was organised.  It meant that political changes and health systems changes occurred in parallel.  Prof. Edwin van Teijlingen explores the impact of federalisation on Nepal’s health system as part of an interdisciplinary mixed-methods study* called ‘The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’.

First, implementing a new federal system is a slow, resource intensive process. While building new federal structures is important, challenging the status quo through strategic “unlearning and undoing” of old tendencies is also essential, as this creates spaces for new approaches that are more in line with federalism. This requires attention to emotional and political spheres, and not just structural or technical ones.

Federalisation, generally, brought decision making, resources and service delivery closer to the people, yet the process remains challenging and incomplete. Importantly, at the same time as federalism was being introduced, Nepal’s health system had to respond to COVID-19, making it difficult to disentangle the effects of the pandemic from those of federalisation. The health system is also part of a broader, complex, and interdependent set of socio-political, economic, legal, and cultural systems.

We found that the impact of federalisation varied across the six WHO building blocks and pre-existing conditions, e.g. wealthier regions often benefit disproportionately, exacerbating inequities in health.  Our study further highlighted: (a) the importance of leadership and governance, combined with financing mechanisms; (b) insufficient planning and misalignment between central and local levels resulting in inefficiencies; (c) weak health information systems hinder the ability to measure long-term effects.  Overall, unlocking the full potential of federalism will require political will and commitment at all three levels of government.

To date eight papers have been produced based in this project [1-8].

 

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

Research seminar and tech showcase 12.02.25: ICONIC (Intergenerational Co-design Of Novel technologies In Coastal communities) project

Fusion, innovation, PG research, Research themes

The Ageing and Dementia Research Centre are welcoming colleagues from Plymouth University to talk about the ICONIC project (see more details below) and showcase some of the technologies they have created.

 The team are interested in talking to any BU colleagues who work on co-design/digital health or immersive technologies and AI so please do come along (and let Michelle mheward@bournemouth.ac.uk know if would like to give a short presentation about your research).

 12th February 2025

11-1pm (presentations will be first and then tech showcase)

P222, Poole House, Talbot Campus

ICONIC Project

The ICONIC (Intergenerational Co-design Of Novel technologies In Coastal communities) project is exploring how co-design of novel technologies can support digital inclusion in Cornwall and Devon. The project recruited 99 participants to join intergenerational co-design workshops to create technologies that support access to environment, heritage, and community resources. The technologies include a social game, immersive heritage and underwater experiences, and a voice AI system accessed via a telephone call. The research team will be sharing their insights from the co-design process for each technology and discuss the effects of participation on digital inclusion.

  • Dr Rory Baxter is a Research Fellow at the Centre for Health Technology, University of Plymouth, working on the EPSRC funded Intergenerational Codesign Of Novel technologies In Coastal communities (ICONIC) project to address digital exclusion in Cornwall and Devon. The project involves the intergenerational co-design of technologies for supporting access to heritage, environment, and community resources. His previous work includes the ESRC funded GOALD and ERDF funded EPIC projects, which focused on digital health innovation co-design and evaluation to support healthy ageing. Prior to that he completed an EPSRC funded iCASE PhD, exploring human navigation and search behaviour, during which Rory developed VR-based experimental tasks using Unity, which were adapted for online platforms during the COVID-19 pandemic.
  • Dr Oksana Hagen earned a BSc in Electrical and Computer Engineering from NCTU (Taiwan), MSc in Computer Vision and Robotics through the Erasmus Mundus ViBOT program, and a PhD in Computing at the University of Plymouth. After a brief period in industry, Oksana joined Aldebaran AI Lab (France) under a Marie Curie Fellowship to focus on research in machine learning. She subsequently contributed to social robotics research for AgeIn project at the University of Plymouth. Currently, she is part of the ICONIC project, developing VoiceAI and underwater telepresence applications through co-design. Her research interests include machine learning, robotics and HCI.
  • Dr Marius Varga’s expertise sits at the intersection of game technology and user experience, with a focus on serious games and immersive experiences. Currently, a Research Fellow part of the ICONIC project, using a co-design approach, Marius leads the development of a multiplayer Social Game focused on seagrass conservation and for Extended Reality (XR), he is developing an immersive heritage experience in partnership with National Trust. Marius is also involved in digital health projects such part of Bridging project – focused on using XR training with autistic employees and employers and Glider project – addressing challenges in frailty through robotics, play and immersive technology.
  • Dr Linan Zhang holds an MA in East Asian Studies (Japanese) and an MSc in International Development from the University of Edinburgh. She later earned a PhD with Transtechnology Research at the University of Plymouth, where she developed a philosophical framework to ease the paradigm conflicts in knowledge sharing, drawing inspiration from an international health collaboration, a global health crisis, and the development discourse. She is currently an Associate Lecturer for i-DAT, a Research Fellow in Orbital Science, and the Media and Admin officer for the ICONIC Project at the University of Plymouth. Additionally, she serves as an Associate Editor for Leonardo Review.

Thinking about interdisciplinary research

international, PG research, Publishing, writing

Thank you very much for all those who attended last Wednesday’s monthly online session organised by BU’s Centre for Midwifery & Women’s Health (CMWH).  This event featured PhD student Mr. Shafkat Hossein who spoke about his thesis research ‘Using Human-Centred Design (HCD) to develop community-led interventions to prevent drowning among children under the age of 2 in rural Bangladesh’.  His work is part of an interdisciplinary study called ‘Sonamoni’ in which BU collaborates with CIPRB (Centre for Injury Prevention and Research, Bangladesh), the University of the West of England (in Bristol), the University of Southampton, the Royal National Lifeboat Institution (RNLI), and Design Without Borders (DWB) in Uganda.  Sonamoni aims to design and develop interventions to reduce the number of  young children drowning in Bangladesh.

This 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.

The second speaker at the CMWH event was Prof. Edwin van Teijlingen, who spoke about trials and tribulations of conducting, running and managing interdisciplinary studies.  His talk was largely based on three three published papers co-written with BU academic and Faculty of Health & Social Sciences Visiting Faculty members on interdisciplinary or multidisciplinary working [1-3].  There are, of course, differences between multidisciplinary, and interdisciplinary and the even more integrated level of working called transdisciplinary.  At the same time the individual member of an interdisciplinary team needs to have individual field-based expertise in their own discipline, e.g. sociology, nursing, chemistry or law to bring required knowledge and skills to that team.

 

 

References:

  1. Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences 3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
  2. Wasti, S. P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences, 6(1):21-22.
  3. van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7. https://doi.org/10.3126/hprospect.v18i1.19337

An inspiring visit to Türkiye! Towards gender equality in research and academia

conferences

On January 20-21, 2025, the VOICES in Action: International Event on Gender Equality in Science and Research took place at Izmir University of Economics (IEU). Organised and funded by COST Action VOICES, this two-day conference brought together a group of experts and researchers from across Europe to exchange knowledge and experiences on issues related to gender equality in academia and research. The event featured a lineup of speakers, including Dr Ola Thomson from BU Business School.

Day one set the scene with topics such as implementing Gender Equality Plans (GEPs) in universities and research institutions, integrating gender perspectives in research, and exploring the global challenges faced by women in STEM careers.

Ola, who is a management committee member and co-lead of VOICES, delivered a talk focusing on the activities of her working group in promoting inclusive mentoring as a strategy to advance gender equality in academia and research. Ola shared insights from the Mentoring Mapping in Europe project, which involved identifying and analysing existing mentoring programmes to better understand their impact and gaps. Additionally, she presented the outcomes of the Inclusive Mentoring Summer Training held in Bilbao in 2024, which had utilised art-based and co-creation techniques to enable mentees, mentors and programme managers to share their experiences of mentoring and create ten guiding principles on inclusive mentoring.

Day two was an interactive and hands-on experience for attendees, featuring co-creation workshops for early-career researchers. Ola and her two VOICES colleagues Dr Jennifer Dahmen-Adkins from Germany, and Şerife Durna from Türkiye co-led a World Café session, which explored the challenges impacting early researchers’ careers. Themes included the gendered nature of institutions and the impact of systemic inequalities, addressing the tension between professional demands and societal gender roles, examining gendered access to opportunities and critiquing notions of “meritocracy” and “excellence”, and lastly, sharing personal and institutional experiences to understand the prevalence and impact of bias.

This event was a rewarding opportunity to engage with a Turkish community of researchers and academics committed to shaping the future of gender equality in science and research. It underscored the importance of collaboration across Europe and Inclusiveness Target Countries such as Türkiye, where challenging socio-political systems operate and influence gender equality efforts and outcomes.

This work links to three UN SDGs: Gender equality,  Decent work and economic growth, and Reduced inequalities within and among countries.

New PhD publication on Caesarean Section

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

Congratulations to Dr. Soluchana Dhakal-Rai whose latest research paper ‘Explaining rising caesarean section rates in urban Nepal: A mixed-methods study’ has been accepted today by the international journal PLOS One [1].  Sulochana graduated last November with a Ph.D. from Bournemouth University; photo shows her with the BU-based supervisors: Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen. 

Sulochana has been very productive in terms of publications based on her Ph.D., as this is the seventh paper based on her research! She published six previous papers [1-6], in addition during her time as BU Ph.D. student Sulochana also contributed to a book chapter [8[ as part of the textbook Academic Writing and Publishing in Health & Social Sciences.

 

Prof. Edwin van Teijlingen

 

 

 

 

 

References:

  1. Dhakal Rai, S., van Teijlingen, E., Regmi, P.R., Wood, J., Dangal, G., Dhakal, K.B. 2025 Explaining rising caesarean section rates in urban Nepal: A mixed-methods study, PLOS One (Accepted).
  2. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2022) Factors contributing to rising cesarean section rates in South Asian countries: A systematic review, Asian J Med Sci 13(2): 143-174.
  3. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2021) Caesarean Section for Non-medical Reasons: A Rising Public Health Issue. J Karnali Acad Health Sci 2021;4(2)
  4. Dhakal-Rai, S., van Teijlingen, E., Regmi, P., Wood, J., Dangal, G., Dhakal, K.B. (2021) A brief history and indications for cesarean section. J Patan Acad Health Sci, 8: e1-e10.
  5. Dhakal-Rai, S., van Teijlingen, E, Regmi, P, Wood, J, Dangal, G, Dhakal, KB. (2021) Classification of Caesarean Section: A Scoping Review of the Robson classification. Nep J Obstet Gynecol. 16(32):2-9.
  6. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, J Nepal Health Res Council 16(41): 479-80.
  7. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? J Asian Midwives, 6(2):4–22.
  8. 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.

 

Federalisation & health research presented in Nepal

BU Challenges, international, Knowledge Exchange, Publishing, writing

Last month we reported on this Bournemouth University Research Blog (click here!) that Ms. Amshu Dhakal, presented findings from our Nepal Federal Health System Project in Nepal.  Amshu’s presentation at the Nepal Health Conclave 2024, organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA, resulted in an online article in Nepal.  This article in Nepali in Swasthya Khabar Patrika features lessons learnt and evidence from our research project “The Impact of Federalisation on the Health System of Nepal.”
Our project ran from 2020 to 2024, and it was funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office, and the Welcome Trust.  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 Manmohan Memorial Institute of Health Sciences and PHASE Nepal.  In 2023 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings in Nepal.  Furthermore, to date we have published eight papers from this interdisciplinary project [1-8].
This is one of several news articles from this project which have appeared in both English and Nepali in national media in Nepal.  In early 2024 two daily English-language media outlets: The Annapurna Express and Gazzabkoo Magazine published articles covering our project.  The latter used the title ‘Strengthening Health Systems for Better Health‘ and the former opted for the headline ‘Forum on health system strengthening’.
In the same month last year three UK professors: Julie Balen (Canterbury Christ Church University), Simon Rushton (the University of Sheffield) and Edwin van Teijlingen (Bournemouth University) were interviewed (see interview here) about the study.  Our interdisciplinary research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ was also previously reported in several national media in Nepal in the spring of 2023. 
 
Prof. Edwin van Teijlingen
Centre of Midwifery & Women’s Health.
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

New editorial Journal of Asian Midwives

international, open access, Publishing, writing

This weekend a new issue of the Journal of Asian Midwives appeared online [1].  Its latest editorial focuses in part on research ethics.  The editors highlight the new World Health Organization (WHO) guidance for best practices in clinical trials [2].  The new WHO guidance was picked up at the 24th FERCAP International Conference “Maximizing Benefits through Responsible Conduct of Research” held in November 2024 in Nepal.  FERCAP is the Forum for Ethical Review Committees in the Asian and Western Pacific Region.

FERCAP reminded us that research as a social activity should improve health and quality of life for both targeted and general populations.  One notable message from this recent conference was the need for shorter and more comprehensible consent forms to make them user-friendly without sacrificing clarity. The other interesting development is that of so-called “decentralized clinical trials”. Decentralized or point-of-care trials can increase the diversity of clinical trial enrollment by increasing its accessibility, for example where elements of the trial are delivered at home and/or data are collected electronically by trial participants instead of researchers. These are exciting new developments in thinking about research ethics.

The Journal of Asian Midwives is Gold Open Access and hence freely available online.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. van Teijlingen, E., Musaddique, A.,  Jan, R. (2024) Editorial – Dec 2024. Journal of Asian Midwives, 11(2):1–2.
  2. World Health Organization (2024). Guidance for best practices for clinical trials. World Health Organization. https://www.who.int/publications/i/item/9789240097711 (accessed Jan. 2025)

Anyone can drown. No one should!

Awarded & submitted bids, international, PG research, Publishing, writing

The first editorial of The Lancet Public Health [1] highlights a public health issue close to our work in Bangladesh, namely the risk of drowning, especially in young children.  “Anyone can drown. No one should” are the words of the Director General of the World Health Organization (WHO) in its first Global status report on drowning prevention, published two weeks ago (Dec. 2024). According to  The Lancet Public Health this landmark report dissects the drowning burden globally, at the country level, and the trends since 2000, presents an overview of the key strategies to prevent drowning, and provides a benchmark for tracking prevention efforts in the future. Importantly, this report sheds light on a tragic, neglected, mostly preventable public health issue.

We are grateful to The Lancet Public Health for raising this important issue in 2025, since Bournemouth University (BU) is currently engaged in  research project in this field called ‘Sonamoni’.  This an interdisciplinary study is a collaboration with CIPRB (the Centre for Injury Prevention and Research, Bangladesh), the University of the West of England (in Bristol), the University of Southampton, the Royal National Lifeboat Institution (RNLI), and Design Without Borders (DWB) in Uganda.  Sonamoni aims to design and develop interventions to reduce the number of  young children drowning in Bangladesh.

This 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.

The interdisciplinary team at BU includes three faculties and six member of staff: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.  We recently published the first paper ‘Drowning Prevention should be a Public Health Issue in Nepal related to this project [2].

 

References:

  1. Anonymous (2025) Anyone can drown. No one should. The Lancet Public Health, 10(1): e1
  2. Hossain, M. S., Pant, P.R., van Teijlingen, E., Sedain, B., Rahman, A. (2024). Drowning Prevention should be a Public Health Issue in Nepal. International Journal of Social Sciences and Management, 11(4): 83–87.

Advancing Rehabilitation Research

international, Publishing, Training, writing

Rehabilitation research has long remained in the shadows of other health/medical disciplines, despite its immense potential to reshape patient outcomes and community health. The Rehabilitation Research Symposium Series in Qatar is a significant initiative aligned with global and national frameworks such as the WHO’s (World Health Organization) Rehabilitation 2030 and Qatar’s National Vision 2030.

Advancing Rehabilitation Research: Building Capacity for Evidence-Based Practice:  Level 2 Rehabilitation Research Symposium serves as a powerful response to the growing call for a comprehensive, evidence-based approach to rehabilitation, both locally and globally.  The second day of this symposium, tomorrow (January 4th 2025), includes a session by Bournemouth University’s Prof. Edwin van Teijlingen.  He has been invited to help build research capacity in the field of academic writing and publishing.

Bournemouth University collaboration in Qatar centres on academics and clinicians based at Hamad Medical Corporation’s (HMC).  HMC has been appointed as a WHO Collaborating Centre for Healthy Ageing and Dementia, under auspices of Ministry of Public Health in Qatar.

 

Study of federalisation in Nepal leading to policy brief

conferences, international, Publishing, writing

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to 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, Canterbury Christ Church University and two institutions in Nepal, namely MMIHS and PHASE Nepal. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

For and from this project, our team produced a comprehensive English-language policy brief as well as a Nepali-language version for politicians and policy-makers and civil servants in Nepal.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

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.
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