Category / international

A series of co-incidents

Over 25 years ago during my PhD research comparing the organisation of midwifery and maternity care in the Netherlands and the Northeast of Scotland I wrote a chapter comparing the history of maternity care in the two countries.  I needed to write this not, as I thought at the time, to improve my thesis, but for myself to help me as a sociologist to help understand these historical developments.

In the process of researching the history of midwifery in the Netherlands I found a commemorative book by Drenth (1998) celebrating the centenary of the Dutch midwifery organisation. In this book is a footnote stating that the first chair of the KNOV (Royal Dutch Organisation of Midwives), Ms Francijntje de Kadt, lived and worked in the town of Vlaardingen in the late 19th to early 20th century (Drenth 1998). This note caught my eyes as I am born and bred in Vlaardingen.

Francijntje de Kadtlaan in Vlaardingen, the Netherlands

Francijntje de Kadtlaan in Vlaardingen, the Netherlands

After a bit more searching and a visit to the archives of the town of Vlaardingen I managed to dig up a little more about Francijntje de Kadt, but not an awful lot. During a family visit to the Netherlands I visited the archives of Vlaardingen to see what information they had about her. The archivist immediately recognised the name of Francijntje de Kadt, since genealogists keep finding her name as the midwife listed on their ancestors’ birth certificates. However, the archivist did not know that Francijntje de Kadt had been the first chair of the Dutch Mmidwifery organisation from its establishment in 1898 till 1926. At that point I decided to apply for a small travel grant in the History of Medicine from the Wellcome Trust. That application was successful, awarding a travel grant of £ 1,050 in 2001. My research in various archives in the Netherlands resulted in two papers (in Dutch) about Francijntje de Kadt, one in a local history journal (van Teijlingen 2003a) and one in the Dutch midwifery journal (2003b) and one about the collapse in 1921 of the midwives’ first pension fund (van Teijlingen 2002). This was for a while the end of my career as an amateur historian due to my busy day job as a health researcher and MSc coordinator at the University of Aberdeen.

Many years later (2010) I ended up talking to the burgomaster of Vlaardingen at the reception organised by the town to celebrate the fact that my father had been awarded the Dutch equivalent of an OBE. Over a drink I asked the burgomaster what the process was for suggesting a new street name in Vlaardingen. He suggested I write to the Street Name Committee with a justification why Francijntje de Kadt deserved a street name. With my recommendation I sent this committee my two Dutch publications. A few months later the secretary to the Street Name Committee wrote to say that my proposal had been accepted and that her name would be given to a street in a new development of the former local hospital grounds.

Then in mid-2015 a Dutch historian Eva Moraal came to Vlaardingen with her partner on a day trip and they ended up walking through the Francijntje de Kadtlaan. She read the subscript on the street sign (see photo) and thought ‘This woman need to have an encyclopaedia entry!’ A few days later she emailed me at Bournemouth University for further information on the live, work and achievements of Francijntje de Kadt to help her write a piece for the encyclopaedia. Two months ago Eva Moraal (2015) published her very nice contribution on Francijntje de Kadt.

So what started as a small historical study as an introduction chapter of a PhD thesis in Medical Sociology ended up with a ‘forgotten’ national midwifery leader having a street named after her in the town she spent most of her working live and her own entry in the encyclopaedia, Digitaal Vrouwenlexicon van Nederland (in Dutch: Online Women’s Lexicon of the Netherlands). What is even more interesting that this otherwise chronologically logical story is based on three major co-incidents: first, spotting a footnote in commemorative book about Vlaardingen. If Francijntje de Kadt had lived and worked anywhere else in the Netherlands other than my birthplace I would not have paid much attention. Secondly, speaking to the burgomaster of Vlaardingen and having a conversation in which street names cropped up, and thirdly, Eva Moraal who just happened to walk through the Francijntje de Kadtlaan, reading the street sign, and thinking this is an historical figure who needs better recognition.

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

Drenth, P. (1998) 1898-1998. Honderd jaar vroedvrouwen verenigd, Bilthoven: KNOV.

Moraal, E. (2015) Kadt, Francijntje de, in: Digitaal Vrouwenlexicon van Nederland. URL: http://resources.huygens.knaw.nl/vrouwenlexicon/lemmata/data/Kadt

van Teijlingen, E. (2002) Ondergang eerste pensioenfonds voor vroedvrouwen (in Dutch: Decline of the first pension fund for midwives), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 27(12): 684.

van Teijlingen, E.R. (2003a) Berichten – Francijntje de Kadt (1858-1929), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 28(12): 630-633.

van Teijlingen, E.R. (2003b) Francijntje de Kadt (1858-1929). Vroedvrouw te Vlaardingen en eerste voorzitter van de Nederlandsche vroedvrouwenvereeniging, Tijd-schrift (in Dutch: Time-Magazine) 88: 14-23.

The Graduate School in the Netherlands

Professor Tiantian Zhang attended the 9th EUA Council for Doctoral Education (CDE) in the Netherlands on the 20th – 21st January, 2016. The EUA CDE is dedicated to improving and developing doctoral education. This event was attended by approximately 110 international delegates who represented numerous Universities from across Europe. Representing the Graduate School from Bournemouth University, Professor Zhang was able to network and develop international contacts with other UniversitiEUAes. This was a wonderful opportunity for a representative from BU to learn and exchange good practices with others who are dedicated to enhancing the Doctoral Education experience.

Editorial by Dr. Way in top journal highlights midwifery education

Way editorial 2016The forthcoming editorial in Midwifery (Elsevier) by FHSS’s Dr Susan Way highlights the importance of midwifery education and its educators.[1]  This editorial makes reference to the recent series on midwifery in The Lancet.[2]  Of course, midwifery plays a vital role in improving the quality of care of women and infants globally. Dr. Way reminds us that consistent, high-quality midwifery care has a vital role to play in the reduction of maternal and newborn mortality. Outcomes are enhanced when care is led by midwives who are educated, licensed, regulated, integrated in the health system, and working in interdisciplinary teams, with ready access to specialised care when needed.

Midwifery one of the leading academic journals globally in the field of midwifery and maternity care.  Dr.Way is based in the Centre for Midwifery, Maternal & Perinatal Health in FHSS at the Lansdowne Campus.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Way, S. (2015) Consistent, quality midwifery care: How midwifery education and the role of the midwife teacher are important contributions to the Lancet Series, Midwifery (online first) see: http://www.midwiferyjournal.com/article/S0266-6138(16)00021-8/abstract
  2. Renfrew, M.J., McFadden, A., Bastos, M.H. et al. (2014) Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. the Lancet. 384:1129–1145.

Presentation by PhD student Preeti Mahato Jan 27th.

On Wednesday Jan. 27th CMMPH PhD student Preeti Mahato will present her PhD research ideas under the title “Addressing quality of care and equity of services available at birthing centres to improve maternal and neonatal health in western Nepal.”  Her presentation will be held at the Lansdowne Campus at 13.00 in room 301 in Royal London House.

IMG_6459Preeti’s research focuses on birthing centres in western Nepal; and quality and equity of service available at these facilities. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. The focus of this presentation will be to talk about the first review article Preeti Mahato wrote for the ‘Journal of Asian Midwives’ entitled “Birthing centres in Nepal: Recent development, obstacles and opportunities”. The article has been accepted for publication in June 2016 and focuses on introducing birthing centres, their current state of operation under the health system of Nepal, barriers they are facing and what could be done to improve their present state. The quality of care issue available at birthing centre is emphasised, since the number of these facilities are increasing however there is a growing trend to bypass and uptake services at hospitals. Despite barriers to utilisation of services at birthing centres, they can play an important role in increasing institutional delivery rate and proportion of births benefiting from a skilled birth attendant.IMG_6591

The second part of presentation will provide a brief summary on what Preeti has done since writing a review article, as she has worked on a systematic review on quality of basic obstetric care facilities in low and middle income countries.

Preeti Mahato has worked in the field of public health in Nepal for three years after completing her Master of Public Health. She has an interest in sexual and reproductive health, women’s health and maternal and child health. Working as a public health officer she was involved in maternal and neonatal health that developed her interest in pursuing a doctorate related to maternal and neonatal health. Part of her work in Nepal also included monitoring and supervision of birthing centres in rural areas of Nepal and that is how she became motivated to start a PhD at BU.

 

Prof. Edwin van Teijlingen

CMMPH

New CMMPH international midwifery publication

Congratulations to Professor Vanora Hundley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her latest international paper ‘How do midwives in Slovenia view their professional status?’ [1]. slovenia midwifery 2015

The paper explores Slovenian midwives’ views of their professional status, linkng this to the participants’ educational background. Most participants did not consider midwifery to be a profession in its ow right. Midwives with secondary education were more likely to consider practical skills to be important than theoretical midwifery knowledge. In general Slovenian midwives did not feel enabled to practise autonomously causing them several ethical dilemmas. All participants with midwifery secondary school education thought that obstetrics jeopardises midwifery scope of practice, but only half of the B.Sc. participants thought this. One-fifth of all participants estimated that midwifery is also threatened by nursing. The respondents reported feeling a lack of control over their professional activity and policy making; however the majority of midwives claimed that they were willing to take on more responsibility for independent practice. The authors conclude that Slovenian midwifery cannot be considered to be a profession yet. It faces several hindrances, due to its historical development.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Mivšek, P., Pahor, M., Hlebec, V., Hundley, V. (2015) How do midwives in Slovenia view their professional status? Midwifery 31(12):1193-201

Shakespeare festival: open call for digital ideas

British Council

What is it about?

BBC Arts Online and the British Council, supported by the GREAT Britain campaign, are collaborating to enable audiences, in the UK and overseas, to experience and discover the best of British Shakespeare in all art forms. The plan is to open with a 24 hour live-stream on 23 April 2016 and to offer new content on a regular basis over six months.

The British Council, on behalf of the GREAT Britain campaign, is calling for ideas from artists and cultural organisations across the UK. Funding is available for international rights clearances and to support the production of new content.

Five key cultural organisations are already working with  to provide world-class content – Shakespeare’s Globe, The Royal Opera House, the British Film Institute, Hay Festivals and the Royal Shakespeare Company and the Shakespeare400 consortium coordinated by King’s College.

The content will be hosted on BBC Shakespeare Lives (bbc.co.uk/shakespearelives ) and promoted internationally by BBC Worldwide online ( bbc.com/culture) so global rights need to be cleared . The campaign will be supported by social media campaigns in order to drive audiences to this unique festival.

This is an unprecedented partnership project for the BBC and the British Council and  believe it has great potential for all organisations involved to increase their international reach and reputation.

How can I get involved?

We are particularly looking for ideas which appeal to younger audiences and convey the diversity and creativity of the UK’s Arts sector. If you are interested in applying, please complete the attached form.

APPLICATIONS CLOSE TUESDAY 16 FEBRUARY 2016

Click here for more information including the application form.

Mental health & maternity care in Nepal: THET-funded training

group work NawalparasiIMG_6649

A few days I posted a short report of our first session as part of the THET-funded project ‘Mental Health Training for Community-based Maternity Providers in Nepal’, see this previous post here.  Yesterday we completed the final third day training of the first session of this BU-led project.  Over three days we had 70 ANMs (Auxiliary Nurse Midwives) in attendance, which we think is (nearly) all such staff based in all birthing centres in the district (=province).  The three days were the same, i.e. each session was repeated twice so each day one third of the ANMs could attend, and two-third could be at work in the birthing centre ensuring women could deliver safely.

logo THETAs part of this project we send UK volunteers (health and/or education) experts to Nepal to offer high quality training in areas where it is most needed.  Further detail on this BU-led THET project can be found in our scientific paper Mental health issues in pregnant women in Nepal  published in the Nepal Journal of Epidemiology available through Open Access.  Mental illness is still very much a taboo topic in Nepal as it has often a serious stigma attached to it.  Moreover, the relatively short training of ANMs is often fairly basic and the national curriculum does not cover mental health issues in any detail.  This joint project between Bournemouth University, Liverpool John Mooores University, Tribhuvan University and the local charity Green Tata Nepal addresses issues about mental health in general and in pregnant women and new mothers in particular.  Tribhuvan University is the oldest university in Nepal and one of the ten largest universities in the world (based on student numbers).  The project is multi-disciplinary involving midwives, (mental health) nurses, and doctors as well as global health researchers, educationalists and sociologists.

 

Prof. Edwin van Teijlingen

CMMPH