Category / international

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

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

Presenting Advances in Marking Medical Images at NLP Healthcare Summit 2025

international

📢 The NLP Heathcare Summit 2025 is nearly in a week. This year, I am looking forward to showcase advances that were made at Bournemouth University in Understanding Medical Concepts via LLM in Textual Series Narratives of Imaging Series ⚕️

In this talk we cover LLM evaluation concepts through the detailed overview of manual reporting directions in liver cancer imaging. We cover radiological imaging aspects that doctors tend to mention ✍️ and see how these aspects could be retrieved by LLM 🤖 by means of NLP and IR techniques. We provide recommendations on model scale choice and findings out of result analysis.

These advances were achieved while at Centre for Applied Creative Technologies CfACTs+ by working on “Marking Medical Image Reports Automatically with Natural Language Processing (NLP-MMI)” project.

Dr. Nicolay Rusnachenko
Research Fellow at Centre For Applied Creative Technologies PLUS (CFACT+)
Bournemouth University

The Great British Medalists Project reaches 600 citations and 70,000 downloads

international, open accecss

Here at BU, in work led by Professor Tim Rees, we developed what Dr Simon Timson, Director of Performance for City Football Group, described as “the primary piece of empirical research that underpins talent identification, selection, confirmation, and development practice across Olympic, Paralympic and professional sport domains in the UK”. This work underpinned preparations for the Rio 2016 and Tokyo 2021 Games, and still permeates talent development programmes worldwide today. The research underpinned one of UoA24’s Impact Case Studies for REF 2021: “The development of athletic talent: Driving policy change in national sporting organisations.”

The first article from this project, published OA in the prestigious Sports Medicine, just reached 600 Google Scholar citations, with over 70,000 downloads. If you’re interested in a whirlwind tour of all we know about athletic talent development—despite being published in 2016—this is still a reasonably comprehensive overview.

Alongside working with UK Sport, the nation’s high-performance sports agency, this was part of a wider collaboration with colleagues at Bangor University, University College London, University of Kaiserslautern, University of Queensland, and Queens University.

Reference.

Rees, T., Hardy, L., Güllich, A., Abernethy, B., Côté J., Woodman, T., Montgomery, H., Laing, S., & Warr, C. (2016). The Great British medalists project: A review of current knowledge into the development of the world’s best sporting talent. Sports Medicine, 46(8), 1041-1058. https://doi.org/10.1007/s40279-016-0476-2 OA Link

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.

 

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

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

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

Update on UKRO services

Funding opportunities, international

Thank you to everyone who was able to attend our Horizon Europe event on 12 February. For those who missed it, the presentation is available on the RDS SharePoint site.

We briefly touched on a question regarding UKRO services, and here are further details on this matter, as recently communicated by UKRO.

UKRO has made changes to its service provision for subscribers in the current financial year. They are in the process of moving towards the UKRO future state and expect to communicate to subscribers in March what we can expect from April 2025 onwards.

The subscriber round-tables held in September 2024 have contributed to these plans, as well as ongoing discussions with the UKRO Steering Group. UKRO is extremely grateful for the feedback received and for the patience and understanding of subscribers during this time.

At present, UKRO is unable to allocate a named European Advisor to all subscribers and is instead focusing resources on responding to enquiries and producing portal content.

For those with more specific questions related to the Pillar II call topics, as mentioned during yesterday’s presentation, I would suggest getting in touch with the UK National Contact Points, who provide support for each specific area.

Just a quick reminder about UKRO: The UK Research Office (UKRO) supports the UK research and innovation community and works with partners across government and stakeholders to maximise UK engagement in the Horizon Europe programme. UKRO provides subscription-based advisory services for research organisations, and BU is one of UKRO’s subscribing organisations.

UKRO also offers free UK National Contact Point services for those interested in Marie Skłodowska-Curie Actions, the European Research Council, Widening Participation, and COST. However, some sections of the UKRO website are only available to staff at subscribing organisations. Any BU employee can access UKRO services by creating their own profile.

We encourage all BU academic staff to register – it’s a quick and simple process that only requires an institutional email address. Registered users receive tailored news articles on the latest EU funding and policy developments, as well as factsheets on various strands and aspects of EU research, innovation, and higher education activities.

In the meantime, I will continue to keep an eye on the 2025 work programmes and inform you of any updates we receive.

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

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

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