Category / international

Verbal autopsy paper published two days ago

Over the weekend the Nepal Journal of Epidemiology published our latest article on the health and well-being of migrant workers in Nepal, under the title Investigating the unresolved causes of sudden cardiac deaths among Nepalese labour migrants in Malaysia: A verbal autopsy study.  The lead author, Dr. Pramod Regmi, is Principal Academic-International Health in BU’s Faculty of Health, Environment & Medical Science.  His international co-authors are former BU academic Dr. Nirmal Aryal, Green Tara Nepal’s researcher Mr. Sankalpa Bhattarai, Prof. Erwin Faller who is Academic Director of Holy Child Central Colleges in the Philippines, Mr. Adrian Pereira and Mr. Bed Kuma Khatiwada from the North South Initiative (NSI) based in Malaysia, as well as BU’s Prof. Edwin van Teijlingen.  HEMS academics have been collaborating for a long time with Green Tara Nepal and NSI, both are non-governmental organisations working for marginalised groups.

The paper explored (a) the circumstances surrounding unexplained deaths of Nepalese migrant workers in Malaysia and (b) potential contributing factors.  Following public and patient involvement and engagement (PPIE) activities with key stakeholders and Nepalese migrant communities in Malaysia, we conducted a verbal autopsy study of 57 friends, roommates, and relatives of 40 Nepalese nationals who had died unexpectedly in Malaysia.

Since the overwehelming majority of Nepalese labour migrants is male, it was not surprising that most of the deceased were men (92.5%, n=37), with a mean age of 34.5 years (SD 8.3) and a mean duration of employment in Malaysia of 5.9 years (SD 4.4). Only 40.0% (n=16) reportedly received a regular weekly rest day, while 80.0% (n=32) worked more than 8 hours per day. Among those who consumed alcohol (n=33), one-third (33.3%, n=11) drank daily. More than half of the deceased (55.0%, n=22) had at least one pre-existing health condition, most commonly hypertension (32.5%, n=13), followed by diabetes (7.5%, n=3).  The authors conclude that circumstances surrounding sudden deaths among Nepalese migrant workers in Malaysia suggest a potential contribution from cardiovascular risk factors, lifestyle behaviours, and adverse working conditions. Reducing this burden will require targeted health-promotion interventions, improved prevention and management of cardiovascular risk factors, stronger occupational health protections, and measures to prevent the production and consumption of counterfeit alcohol.

The Nepal Journal of Epidemiology is an Open Access journal hence the paper will be freely available to anybody interested in the health and well-being of migrnat workers.   

Reference

  1. Regmi, P.R., Aryal, N., Bhattarai, S., Faller, E.M., Pereira, A., Khatiwada, B.K., van Teijlingen, E. (2026). Investigating the unresolved causes of sudden cardiac deaths among Nepalese labour migrants in Malaysia: A verbal autopsy study. Nepal Journal of Epidemiology, 16(3), 1534-1547. https://doi.org/10.3126/nje.v16i3.99396 16(3), 1534-1547. https://doi.org/10.3126/nje.v16i3.99396

Three CMWH presentations at Berlin conference

Two Ph.D. students and one member of staff from Bournemouth University’s Centre for Midwifery & Women’s Health (CMWH)  presented their work at the 25th International Normal Labour and Birth Research Conference held in mid-September 2026 in Berlin.  Ph.D. student and CMWH midwifery lecturer Kate Burgess presented her poster ‘Sustaining Maternity Care: Intrapartum Leadership, Teamwork and Workforce Wellbeing’.  This poster shared her on-going literature review on how leadership and teamwork influence midwives’ courage and capacity to provide personalised care during labour. 

Whilst Joanne Rack presented work from her clinical doctorate ‘Beyond the Risk Label: Communication, Autonomy and Care for Women of Advanced Maternal Age’.   Joanne’s Ph.D. research (the ParentAge Study) started from an important observation: births to women aged 40+ are at record levels in the UK, these women consistently experience increased morbidity and yet report limited risk discussions, unmet information needs, and anxiety-provoking encounters with maternity services. This, combined with the last three MBRRACE reports, that have repeatedly identified this as a discrete and growing population at increased risk of poorer mortality outcomes.

Furthermore, CMWH academic Dr. Dominique Mylod presented ‘The Early Labour App as a Digital Solution: Ten Lessons Learned’ based on midwifery research conducted with Prof. Vanora Hundley.  The Early Labour App is in development as an innovative digital tool which combines evidence-based strategies to support families in preparing for early phase labour. It includes a dedicated website, an educational video to promote birth ball use and a Slow and Deep Breathing visual graphic. The project has been underpinned by co-creation since its inception, involving women, birth partners and midwives, with the recognition that current service users are the first digital natives. This collaboration has validated the app concept and informed the content, structure and design of the app.

 

Well done!

Prof.Edwin van Teijlingen

 

New interdisciplinary paper on Nepal

Congratulations to Dr. Pramod Regmi on yesterday’s publication of ‘Strengthening evidence on migrant workers’ health in Nepal’ in the international scientific journal Discover Public Health [1].  Co-authors on this paper include Bournemouth University’s (BU) Ph.D. student Anjana Paudyal and Prof. Edwin van Teijlingen (in CMWH), former BU member of staff Dr. Nirmal Aryal, and BU’s Visiting Faculty Prof.Padam Simkhada (based at the University of Chester) as well as our North American collaborator in the ENSURE project, Dr. Heath Prince.

Further congratulations are due to Dr. Regmi who was also accepted as by the UKGCE as recognised research supervisor!

Labour migration is a vital economic driver for Nepal, yet it poses significant health risks to migrant workers, with many suffering from chronic illnesses and high mortality rates abroad. This paper emphasizes the need for a systematic approach to utilize existing health data from pre-departure screenings and returnee assessments, advocating for an integrated electronic health database to inform targeted health interventions and improve the overall well-being of Nepalese migrant workers.

 

Reference:

  1. Regmi, P., Pant, P.R., Faller, E.M., Paudyal, A.R., Aryal, N., Paudyal, P., Simkhada, P., Prince, H.J., van Teijlingen, E. (2026) Strengthening evidence on migrant workers’ health in Nepal. Discover Public Health 23, 1495. https://doi.org/10.1186/s12982-026-02877-z

Journal of Advanced Nursing 50 years of publishing

I would like to thank my colleague Dr. Leslie Gellingm, Associate Professor of Nursing in the Faculty f Health, Environment and Medical Science (HEMS) for reminding my on LinkedIn that one the leading global nursing journals, the Journal of Advanced Nursing is celebrating its 50th anniversary this year.

Over the past five decades the Journal of Advanced Nursing has published nearly 14 thousand papers.  According to SCOPUS our 2008 paper ‘Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature‘ [1] is still in the top 30 most cited papers of the journal.  With 661 citations it is the 30th most quoted paper out of 13,585!  It is also the most cited paper on SCOPUS for all four co-authors, two of whom, Dr. Bibha Simkhada (University of Huddersfield) and Prof. Padam Simkhada (University of Chester) are BU Visiting Faculty in HEMS .

 

Prof. Edwin van Teijlingen

Reference:

  1. Simkhada B, van Teijlingen ER, Porter M, Simkhada P. (2008) Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. Journal of Advanced Nursing,  61(3):244-60. doi: 10.1111/j.1365-2648.2007.04532.x. PMID: 18197860.

 

BU PhD student presented at World Safety Conference in South Africa

PhD student Mr. Md. Shafkat Hussain was invited to present at the World Conference on Injury Prevention and Safety in South Africa at the beginning of September.  Shafkat based in the Faculty of Health, Environemnt & Medical Science (HEMS) is conducting hs PhD on the use of human-centred design in drowing prevention interventions and programmes aimed at children under the age of two, which is part of our NIHR-funded Sonamoni project.

The SONAMONI Project is a large interdisciplinary research project co-ordinated by Bournemouth University (BU) and CIPRB (Centre for Injury Prevention and Research, Bangladesh) to help reduce drowning in young children (under the age of two) in rural Bangladesh.  The SONAMONI project is a collaboration between BU, CIPRB, the University of the West of England, the University of Southampton, the RNLI (Royal National Lifeboat Institution) and Design Without Borders (Uganda).

This £1.6m project has been made possible thanks to a UK grant from the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. This exciting four-year project will run until February 2027.

BU Prof Jonathan Parker promoting social work in Malaysia

BU Professor Emeritus Jonathan Parker recently discussed his recently published latest edition of the book Newly-Qualified Social Workers: A Practice Guide to the Assessed and Supported Year in Employment to Prof. Denison Jayasooria from Malaysia.  Prof. Parker has a longstanding collaboration with social work researchers in Malaysia, for example in the field of social work education or the inclusion of indigenous people’s voices in the UN Sustainable Development Goals (SDG).

New interdisciplinary paper accepted for publication

Today we heard from the Editor in Chief of the Europasian Journal of Medical Sciences that our paper ‘Ethical Entrepreneurship in Pharmacy: An Interdisciplinary Solution to a Global Public Health Problem‘ has been accepted for publication [1].  This paper has three Bournemouth academics as co-author: Dr. Pramod Regmi, Dr. Sukanya Ayatakshi-Endow and Prof. Edwin van Teijlingen. The paper is truly interdisciplinary, the six authors have disciplinary backgrounds in: pharmacy, health education, public health, business studies, economics, health services research and sociology. 

This viewpoint offers a different way of looking at the worldwide problem of the increased use of antibiotics and antimicrobial resistance. In low-income countries, such as Nepal, pharmacies have a key role in dispensing medicine, and local pharmacies often provide health care advice in rural communities. However, the way many pharmacies operate can easily lead to unethical practices that are harmful to the health of their recipients, but also to the wider population. Such dangerous business practices involve inappropriate prescription and dispensing of medicine (i.e. antibiotics). Public health professionals have promoted better regulation and education to reduce the use of antibiotics and antimicrobial resistance. These approaches have an important place to play, but in this paper, we propose one particular intervention, namely the training of community pharmacy shop owners in sustainable and ethical entrepreneurship. To offer greater insights into the issue we have produced a theoretical framework. We suggest interventions should be co-created with all relevant stakeholders to change perceptions of entrepreneurship, offer management training, thus promoting an ethical and sustainable business culture, and in the long run, improve pharmacy education in these areas.

The Europasian Journal of Medical Sciences is an Open Access journal, hence freely available to read when it gets published.

Reference:

  1. Regmi, P.R., Ayatakshi-Endow, S., Rajkarnikar, R., van Teijlingen, E., Khanal, D.P., Poudel, R.S. (2026) Ethical Entrepreneurship in Pharmacy: An Interdisciplinary Solution to a Global Public Health Problem?” Europasian Journal of Medical Sciences (EJMS) (accepted July 2026).

BU contributions to successful Global Health conference

Dr. Pramod Regmi and Prof. Edwin van Teijlingen attended this week’s Global Consortium for Public Health Research (GCPHR) 4th Annual Conference at the University of Huddersfield.  The conference was very well attended with delegates from India, Nepal, Ghana, Finland and the UK.  BU’s contribution included a poster on the recently completed study on kidney disease in Nepalese migrant workers, a study funded by The Colt Foundation.

Prof. Chandra Kala Sharma, President of Nursing Association of Nepal and Dr. Bibha Simkhada, Reader in Nursing at the University of Huddersfield presented on ‘Implementing Continuous Professional Development (CPD) in Nursing in Nepal’.  In this very topical presentation they highlighted the importance of the research conducted in Nepal by UK universities (which included Bournemouth University) in getting the regulations changed in Nepal around CPD.  This effect of research into CPD in Nursing will make a useful REF Impact Case Study.

Both Pramod and Edwin chaired a session on different days of the conference.  Whilst Prof. van Teijlingen gave an invited presentation on the topic of ‘Equitable participation on academic publications’.    He also facilitated a Round Table Discussion with five selected panel members on the final day.

Equitable Partnerships in Global Health Research

Today is the first day of the Global Consortium for Public Health Research (GCPHR) 4th Annual Conference here at the University of Huddersfield.  This two-day Conference (July 6-7) has as its theme ‘Equitable Partnerships in Global Health Research’.  It brings together academics based in Ghana, the UK, Nepal, India, and Finland.  This 4th conference has a mixture of invited speakers, roundtable discussions, poster presentations and keynote speeches.

The conference was originally the brainchild of Prof. Padam Simkhada, who recently moved from the University of Huddersfield to the University of Chester.  The main organisers at the University of Huddersfield are Dr. Rajeeb Kumar Sah, Dr. Bibha Simkhada and Dr. Zoe Darwin.  Bournemouth University is represented in Huddersfield by Dr. Pramod Regmi and Prof. Edwin van Teijlingen

New Nepal-based paper published last week

Last week saw the publication of the latest article on Nepal by a BU academic.  This paper ‘Bridging The Skills Gap: Market-Relevant Skill Development Programmes in Nepal’s Health Sector‘ appeared in the Journal of Technical Education and Training [1].  This article explores the potential new diploma-level courses in the health sector in Nepal.

A qualitative research design was employed to identify new areas. Participants were selected based on their experiences in the health sector in both Nepal and abroad. A total of 25 in-depth interviews, and two interactive meeting events were conducted, and thematically analyzed. The health courses identified for diploma level development included: nursing, general medicine, Ayurveda, food science, and water, sanitation and hygiene, physiotherapy and rehabilitation, laboratory, health education and health promotion, medical records and data, health and social care, and radiotherapy. Courses identified as being in higher demand in Nepal and were: renal dialysis, radiotherapy, prosthetics and orthotics, audiology and language therapy, transfusion and blood banking, medical transcript, geriatric care, school nurse, palliative care, telemedicine and telehealth, cancer care, OT/anesthesia assistant, IVF and reproductive medicine, Panchkarma, herbs and shrubs, WASH and hospital hygienist, occupational therapy, health and social care, and data and medical records. 

The journal, based in Malaysia, is open-access and hence freely available to read for anyone with internet access.

Prof. Edwin van Teijlingen

 

 

Reference:

  1. Acharya, D., Devkota, B., Adhikari, E.R., van Teijlingen, E.R., Thapa, K.B. (2026) Bridging The Skills Gap: Market-Relevant Skill Development Programmes in Nepal’s Health Sector, Journal of Technical Education and Training, 18(1):118-132.

  

Official book launch at Bournemouth University

Last night Bournemouth University hosted the official launch at of the book Early Labour and Maternity Care: Research for Practice published by Routledge.  This edited collection was led by Prof. Vanora Hundley in the Centre for Midwifery & Women’s Health (CMWH) and University of Stirling Prof. Helen Cheyne.  Several BU staff as well as a current and a former BU student student have contributed to various chapters.  CMWH academics include in this edited volume are: Prof. Carol Clark and Dr. Dominique Mylod, our current BU M.Res. student Maryam Malekian and the former BU Ph.D. student and former staff member who contributed a chapter is Dr. Preeti Mahato (currently based at Royal Holloway, University of London).

The book launch was opened by Prof. Rick Stafford as Associate Dean – Research, Innovation & Enterprise in the Faculty of Health, Environment & Medical Sciences.  This was followed by  short presentations from various contributors to the book.   Prof. Hundley highlighted about the book: “The early phase of labour is an area of tension for women, midwives and other healthcare professionals. Current services often fail women, putting the onus on them to decide when to come into hospital and then sending them home ‘not in labour’, creating a revolving door that can lead to anxiety, stress, fear and negative communication between women and midwives. This book explores why this happens and the challenges that it places on women and the midwives that care for them. It works to define what “early labour” is and teases out some of the issues that definitions of the early phase of labour raise for both woman-centred care and the management of services. Presenting innovative approaches to practice in this contested area, this book includes vignettes from women exploring their experiences of the early phase of labour in different models of care. Key point summaries and boxed recommendations for practice help readers transfer their learning to practice.”

Congratulations!

Prof. Edwin van Teijlingen

Celebrating 70 PhD examinations

Yesterday I had the honour of conducting my 70th PhD examination, so-called viva voce.  The first one was at the University of Durham in 2004, and this latest one is at the Vrije Universiteit Brussel in Belgium on May 21st.  Most viva have been as an external examiner with only ten were conducted as internal examiner at the University of Aberdeen and Bournemouth University.   As expected, most viva voce were held at UK universities, but four each were in Finland and Nepal, three in Australia, two each in Belgium, the Netherlands and Ireland, one each in New Zealand and Denmark.  Also, the overwhelming majority candidates passed, but, disappointingly, not all.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health