Category / Communities, Cultures and Conflicts

Bringing FUSION to Nepal

FUSION abroad 2016We have written in many previous BU blogs about progress of our THET-funded project in southern Nepal (e.g. here AND here ). Today’s blog reflects on the use on BU’s unique FUSION approach in our project ‘Mental Health Training for Maternity Care Providers in Nepal‘.

DSC_0151Our BU-led project brings highly experienced health professionals, such as midwives, health visitors or mental health nurses, to Nepal to work as volunteer trainers. The training is aimed at community-based maternity care practitioners and addresses key mental health issues relevant to pregnancy and for new mothers and offers the required communication skills. These health professionals will bring their experience as health care providers as well as trainers in the field of mental health and maternity care/midwifery, mental ill-health prevention and health promotion. They volunteer for two to three weeks at a time to design and deliver training in southern Nepal.

logo THETThe Centre for Midwifery & Maternal Health (CMMPH) collaborates in this project with Liverpool John Moores University (LJMU), the Department of Health, and Physical & Population Education at Nepal’s oldest university Tribhuvan University’s (TU). The project is supported in the field by a local charity called Green Tara Nepal. Our project is part of the Health Partnership such as Nepal. HPS itself is funded by the UK Department for International Development and managed by THET (Tropical and Health Education Trust).

Fusion Diagram Our maternal mental health project is a good example of BU’s FUSION approach as it combines EDUCATION (through the training of Auxiliary Nurse-Midwives in Nepal) by UK volunteers (representing PRACTICE) through an intervention which is properly evaluated (representing RESEARCH) is a perfect example of BU’s FUSION in action. Moreover, the project will be partly evaluated by FHSS’s Preeti Mahato as part of her PhD thesis research. This PhD project is supervised by Dr. Catherine Angell (CEL & CMMPH), BU Visiting Professor Padam Simkhada (based at LJMU) and CMMPH’s Prof. Edwin van Teijlingen.BU’s focus on the FUSION of research, education and professional practice is a unique variant of the way UK universities (and many abroad) blend academic teaching, research and scholarship. FUSION is a key concept derived from BU’s strategic Vision & Values).

 

Prof. Edwin van Teijlingen

CMMPH

Public Health in Nepal: Vitamine A

Vit AThis week we published an editorial in the Journal of Biomedical Sciences on the question: “Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?”
The editorial concludes that prevention is still better than cure, but instead of a mass Vitamin A supplementation in Nepal, we need a health promotion intervention aiming to increase the intake of relatively cheap vegetables and fruit (containing β carotene). In addition we need better surveillance and help to identify children with Vitamin A Deficiency and provide them with Vitamin A supplements. The primary focus should be on adopting sustainable food based approaches to combat vitamin A deficiency. In Public Health terms: rather than a blanket coverage of Vitamin A supplementation to whole population we should consider a targeted intervention aimed at those who need it most.

Reference:
Simkhada P, Sathian B, Adhikari S, van Teijlingen E, Roy B. (2015) Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?. J Biomed Sci. 2(4):28-30.
http://www.nepjol.info/index.php/JBS/index

Security by Design through “Human Centered” Specification Exemplars

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A year ago, we received Fusion funding to build the Bournemouth-Athens Network in Critical Infrastructure Security. The aim of this project was to build collaborative links between the BU Cyber Security Research group and the Information Security & Critical Infrastructure Protection Laboratory at Athens University of Economics & Business (AUEB). We built these links by working on a joint project, which we advanced through visits and other activities.

The aim of our joint activities was to build human-centered specification exemplars of Critical Infrastructure (CI) operating environments.
We depend on infrastructure associated with things like water, gas, electricity, or transport, but the criticality of such infrastructure is usually lost on us because it fades into the background of our everyday lives. The damage or loss of such infrastructure is only felt when it becomes unavailable, and its significance can range from mild annoyance if its means the trains are late, through to civil disorder and loss of life if we are unable to access clean water for a prolonged period. Despite their importance, there are no useful models of environments that people can use when developing or evaluating technology for CI. Our work aimed to remedy this by building specification exemplars for typical CI companies. In doing so, these would capture the human nuances associated with different aspects of CI, and help people identify possible security issues associated with new ideas before, rather than after, they are deployed in the field.

Together, a team of BU and AUEB researchers carried out work to build two specification exemplars of hypothetical CI companies. One of these was a UK Water Company (ACME Water). The other was a rail company in South East Europe (Balkan Rail). BU hosted researchers from AUEB and ran a number of workshops to identify different security aspects of these companies. In return, AUEB hosted BU undergraduate research assistants as they collected data from a Greek CI company, and ran workshops to develop and evaluate different aspects of the exemplars with AUEB researchers.

The exemplars have been made publicly available, and are modelled using CAIRIS – an open-source security design tool maintained by researchers at BU. To date, several publications have so far arisen from our preliminary work building [1] and applying the ACME Water exemplar [2, 3, 4]. We’re also using the exemplars as part of our teaching to provide case studies for Forensic & Computer Security lab exercises and seminars. Although the studies provided are hypothetical, they are grounded in real world data, and make visible to students the root causes of a variety of cybersecurity risks.

Looking forward, our work has gained the interest of a number of UK and international collaborators, and we’re looking for opportunities to build a library of human-cantered specification exemplars for many other, non-CI, environments. Such environments might include homes, and different types of ‘soft target’. Our long term aim is to make sure people don’t design security as an afterthought. Our work on BANCIS has made a small, but significant, step towards achieving this goal.

References

[1] S. Faily, G. Lykou, A. Partridge, D. Gritzalis, A. Mylonas, and V. Katos, “Human-Centered Specification Exemplars for Critical Infrastructure Environments,” in Proceedings of the 30th British HCI Group Annual Conference on People and Computers, 2016.

[2] S. Faily, C. Iacob, and S. Field, “Ethical Hazards and Safeguards in Penetration Testing,” in Proceedings of the 30th British HCI Group Annual Conference on People and Computers: Fusion, 2016. 

[3] D. Ki-Aries, S. Faily, and K. Beckers, “Persona-Driven Information Security Awareness,” in Proceedings of the 30th British HCI Group Annual Conference on People and Computers: Fusion, 2016. 

[4] A. Partridge and S. Faily, “The application of useless japanese inventions for requirements elicitation in information security,” in Proceedings of the 30th British HCI Group Annual Conference on People and Computers: Fusion, 2016. 

Fieldwork preparation in Nepal

If you have a number of research projects running in the same location it pays to combine some of the preparation.  Thus as part of five different studies and one PhD project, I’m currently in Kathmandu.  The projects are (1) the THET-funded intervention in Nawalparasi; (2) the CEL-funded qualitative research led by Dr. Catherine Angell on CPD (Continuous Professional Development); (3) the FHSS-funded project on transgender which is led by Dr. Pramod Regmi; (4) the FHSS-funded project with Pourakhi which supports Nepali women returning home after having been abroad as migrant workers;  and (5) the Green Tara Trust funded project on improving maternal health care in Dhading and Nawalparasi, and the FHSS PhD project is that of Mrs. Preeti Mahato.  Two of the project and the PhD topcic are closely related as all three cover maternity care in one for or another in Nawalparasi.  The planning meetings we are having in Nepal involve planning training sessions and workshops, resource allocation and research preparation.DSCN0026

Fortunately, it is not all work.  Today I enjoyed Kheer (Achar and Chana) for lunch in the Green Tara flat in Kathmandu a lovely rice pudding with slightly sour green vegetables and chick peas (see photo).  The actual meal is traditionally health tomorrow but as this is the weekend the staff brought it one day forward so that I could join in too.

Finally, I like to thank colleagues who gave me mobile phones and a camera.  One of the mobile phones is already in use by one of the Nepali charity workers in Kathmandu. I bought a new battery and memory card for camera in the UK and it is working fine, the photo with this blog has been taken with the donated camera!

 

Prof. Edwin van Teijlingen (writing from Nepal).

Centre for Midwifery, Maternal & Perinatal Health Research

 

Presentation PhD student Jib Acharya in Liverpool

Jib LJMU 2016Mr. Jib Acharya (FHSS) gave an interesting presentation yesterday about the qualitative research findings of his PhD at Liverpool John Moores University.  Jib’s PhD research focused on the knowledge, attitudes and beliefs of poor women in Nepal about healthy eating and the study also identifies major food barriers.

His mixed-methods approach combines a quantitative questionnaire survey with qualitative research. Jib’s research project is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen. Some of the preliminary findings of this FHSS thesis have already been published in two scientific journals [1-2].

References:

  1. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Assessment of knowledge, beliefs and attitudes towards healthy diet among mothers in Kaski, Nepal, Participation 17(16): 61-72.
  2. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District in Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.