Category / Research themes

Pilot studies methods paper cited 500 times

Publishing, writing

This morning ResearchGate alerted us that our paper ‘The importance of pilot studies’ [1] had reached 500 citations.  Profs. Vanora Hundley and Edwin van Teijlingen, both in BU’s Centre for Midwifery & Women’s Health (CMWH) have published several methods papers [1-6] on the importance of (a) conducting pilot studies, but also (b) reporting on their outcomes and lessons learnt.  It started more than two decades ago with lessons learnt from the Scottish Birth study [2]. Followed by a methods paper in a sociology journal [3], one in a midwifery journal [4] and one in a family planning journal [5].  The icing on the pudding was an encyclopedia entry in 2003 [6].

 

References:

  1. van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen, E., Rennie, AM., Hundley, V., Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
  3. van Teijlingen, E., Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  4. Hundley, V., van Teijlingen E. (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74.
  5. van Teijlingen, E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
  6. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Encyclopaedia of Social Science Research Methods, Vol. 2, Lewis-Beck, M., Bryman, A. & Liao, T. (eds.), Orego, Sage: 823-24.

 

Congratulations on new paper by BU PhD graduate

Guidance, PG research, Publishing, Research Ethics, writing

Congratulations to Dr. Karim Khaled on the latest paper from his BU Ph.D. research.  This article ‘Ethical Issues and Challenges Regarding the Use of Mental Health Questionnaires in Public Health Nutrition Research‘ [1] was published earlier this month in the international journal Nutrients. 

Karim is currently based at Birmingham City University, and the paper is co-authored with his  Ph.D. supervisors Dr. Fotini Tsofliou and Prof. Vanora Hundley in BU’s Faculty of Health & Social Sciences.  This paper addresses the potential burden of completing mental health questionnaires on (a) participants and (b) researchers. This examines ethical issues and challenges of using such scales and questionnaires, providing a real-life case study where the Beck’s Depression Inventory-II was used.
The ethical considerations raised by using mental health questionnaires in epidemiological research include incorrectly identifying participants as depressed or non-depressed; inability to identify participants for referral procedures due to the anonymous nature of some research studies; an increased burden on participants through depression and suicidal questions; and the high expectation of participants towards the researcher. Preventative measures to reduce these challenges include choosing appropriate cut-off scores for correctly identifying participants; highlighting whether mental health questionnaires used may elicit negative emotional or psychological reactions related to suicide ideation; specifying the criteria for referral to clinical services; detailing the intended referral processes; including approaches where the researcher directly connects participants with a psychological service provider; and including a passive referral method such as contact details for participants to initiate their own referrals to clinical care.  The authors offer a guide for researchers aiming to collect data on mental health through questionnaires, and they conclude that ethical challenges should be considered and reviewed at all stages of the research project.

Well done!

Prof. Edwin van Teijlingen

 

Reference:

  1. Khaled, K., Tsofliou, F., Hundley, V. (2025). Ethical Issues and Challenges Regarding the Use of Mental Health Questionnaires in Public Health Nutrition Research Nutrients 17 (4): 715. https://doi.org/10.3390/nu17040715

 

 

ZOOM Academic Writing & Publishing Workshop for Bangladesh

international, Publishing, Training, writing

Colleagues are invited to our Bangladesh Midwifery Academic Writing & Publishing Workshop

This online workshop is an introduction to the world of academic writing and publishing.  The workshop organisers, Professors Hundley and van Teijlingen will introduce the basic structure of an academic article, highlight the importance of selecting the most appropriate journal, reading and following the author instructions, understanding the role of the journal editor and that of peer reviewers.  The authors will use the submission requirements of the Journal of Asian Midwives as an example.

The ZOOM event will be held this Tuesday 18 February 14.00-16.00 UK time.  FHSS colleagues who are interested in joining this introductory workshop with midwives and midwifery researchers from Bangladesh can use the following link:

Image preview

 

BU student’s M.Res. paper read 500 times

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

Yesterday ResearchGate alerted us that our paper ‘The importance of positionality for qualitative researchers‘ [1] has been read 500 times. This methods paper was only written last year by Bournemouth University M.Res. student Hannah Gurr, her M.Res. supervisors Dr. Orlanda Harvey, Dr. Louise Oliver and Prof. Edwin van Teijlingen in collaboration with Prof. Madhusudan Subedi from Patan Academy of Health Sciences in Nepal.

In the paper we remind qualitative researchers about the importance of critical reflection, and why they need to explain their positionality to readers of 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.

Well done Hannah!

Dr. Lou Oliver, Dr. Orlanda Harvey & Prof. Edwin van Teijlingen

 

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. https://doi.org/10.3126/dsaj.v18i01.67553

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