This week saw the pre-publication of ‘Qualitative evaluation of mental health training of auxiliary nurse midwives in rural Nepal’ in the international journal Nurse Education Today (published by Elsevier). The paper is a report of an evaluation of a THET-funded projectwhich run from 2015 to 2017. Bournemouth University led a team comprising Liverpool John Moores University and Tribhuvan University (the oldest university in Nepal). These three universities worked together on a training project of Auxiliary Nurse Midwives in Nawalparasi focusing on key aspects of mental health and mental health promotion. The project was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
Mental illness is increasingly recognized as a global health problem. However, in many countries, including Nepal, it is difficult to talk about mental health problems due to the stigma associated with it. Hence a training programme was developed to train auxiliary nurse midwives, who otherwise are not trained in mental health as part of their pre-registration training in rural Nepal, on issues related to maternal mental health. After the training programme a selection of auxiliary nurse midwives were interviewed to establish their views on the training, its usefulness and ways to improve it.
Preeti Mahato is a PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) who undertook an in-depth evaluation of our project as part of her PhD research. This qualitative study has three themes emerging: (1) issues related to training; (2) societal attitudes; and (3) support for women. The ‘training’ theme describes the benefits and limitations of training sessions. ‘Societal attitudes’ describes society’s attitude towards mental health which is largely negative. ‘Support’ describes the positive behaviour and attitude towards pregnant women and new mothers.
The paper concludes that there is a need for continued training for auxiliary nurse midwives who are based in the community. This gives them the opportunity to reach the whole community group and potentially have influence over reduction of stigma; offer support and diagnosis of mental ill-health. There is still stigma around giving birth to a female child which can lead to mental health problems. It is imperative to increase awareness and educate the general public regarding mental health illnesses especially involving family members of those who are affected.
Reference:
Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
Every year, the Research & Knowledge Exchange Office, along with internal and external delivery partners, runs over 150 events to support researcher development through the Research & Knowledge Exchange Development Framework (RKEDF).
Responding to your feedback and by popular request, below are the main events coming up over the next two months – please click on the event titles that are of interest to find out more and reserve your place as soon as possible:
As part of the new plan BU2025, “we want to continue to develop our global partnerships and links with other institutions and organisations”. This is an admirable aim, and it is, of course, the best way forward for a truly global Higher Education Institution like Bournemouth University (BU). But to translate this general aim into a particular global partnership we need to consider the underlying processes of initiating and developing such partnerships. We published a paper [1] on the issues one needs to consider in developing a partnership, based on the example of BU’s partnership with Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal.
In late February this year MMIHS signed a Memorandum of Agreement (MoA) with BU at a ceremony in the Nepalese capital Kathmandu, where Prof. Stephen Tee represented BU. This MOA is an agreement between us that provides a basis on which the parties will consider potential future collaboration. The UoA formalises a long-standing collaboration between the two institutions, and indicates a desire to collaborate further in the future. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together and it is exactly this personal link between people that allows this, and many other, global partnerships to flourish.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Reference:
van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies J Manmohan Memorial Inst Health Sci, 3(1): 94-100.
Congratulations to two Faculty of Health & Social Sciences PhD students, Preeti Mahato and Elizabeth Waikhaka, who co-authored a paper published in the WHO South-East Asia Journal of Public Health. Their paper is called ‘Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries’.[1] Co-authors include Dr. Puspa Pant from the Centre for Child and Adolescent Health, University of the West of England (Bristol) and Dr. Animesh Biswas based at the Reproductive & Child Health Department, Centre for Injury Prevention & Research, Bangladesh (CIPRB) in the capital of Bangladesh, Dhaka.
The authors argue that verbal autopsy is used to attribute a clinical cause to a maternal death. The aim of social autopsy is to determine the non-clinical contributing factors. A social autopsy of a maternal death is a group interaction with the family of the deceased woman and her wider local community, where facilitators explore the social causes of the death and identify improvements needed. Although still relatively new, the process has proved useful to capture data for policy-makers on the social determinants of maternal deaths. This article highlights the potential role of social autopsy in health promotion.
Reference:
Mahato, P.K, Waithaka, E., van Teijlingen, E., Pant, P.R., Biswas, A. (2018) Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries. WHO South-East Asia Journal of Public Health7(1): 24–28.
The paper addresses issues around men’s involvement in programmes or interventions aimed at the improvement of maternal health. One such innovative intervention is an educational board game which offers a unique approach to present health information where learning is reinforced through group discussions supporting peer-to-peer interactions. The authors would like to thank Gill Phillips for permission to use the Whose Shoes? board game and all participants for their participation in the PhD study.
Alice PhD is focused on Uganda and this particular paper reports a qualitative study with men from Uganda who live in the UK on their views of an educational board game. This pilot study explored perceptions on whether a board game was relevant as a health promotional tool in maternal health prior to implementation in Uganda.
Reference:
Ladur, A.N., van Teijlingen, E., Hundley, V. (2018) `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom, BMC Pregnancy & Childbirth 18:81.http://rdcu.be/JXs0
Congratulations to Daisy Wiggins in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol’. The paper is published in the Open Access journal Journal of Innovation in Health Informatics and can be accessed by clicking here! The paper is co-authored by CMMPH’s Prof. Vanora Hundley, Dr. Carol Wilkins, as well asProf. Carol Bond (University of Wolverhampton) and the Chief Executive of the Royal College of Midwives (RCM) Gill Walton.
Congratulations to all!
Prof. Edwin van Teijlingen
CMMPH
Reference:
Wiggins D, Hundley VA, Wilkins C, Bond C, Walton G. The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol. J Innov Health Inform.2018;25(1):001–006.
Congratulations to Mrs. Preeti Mahato on the acceptance of her paper ‘Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal’ by Nurse Education Today, an academic journal published by Elsevier. Preeti is currently registered as PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The paper is co-authored by CMMPH’s Catherine Angell and Edwin van Teijlingen as well as BU Visiting Faculty Padam Simkhada and Jillian Ireland. The paper is a result of the evaluation part of the ‘Mental Health Training for Community-based Maternity Providers in Nepal’ project and written on behalf of this THET team.
Our THET project in Nepal is a collaboration between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Tribhuvan University (Nepal’s oldest university) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a charity Green Tara Nepal.
THET team:
Edwin van Teijlingen, Padam Simkhada, Shyam K Maharjan Preeti Mahato, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Shyam K Maharjan, Ram K Maharjan, Catherine Angell, Flora Douglas.
Last week Sacha Gardener reported on this BU Research Blog on the publication of our most recent article ‘Why suicide rates among pregnant women in Nepal are rising’ in The Conversation. Since then we have been informed that this piece was reproduced in two Indian independent online newspapers, last week in The Wire and today in Scroll.in (India’s leading independent source of news, analysis and culture). Scroll.in used the heading ‘A project is training midwives in Nepal to stem rising suicides of pregnant women’, whilst The Wire used the title ‘Why Suicide Rates Among Pregnant Women in Nepal Are on the Rise’. Suicide in pregnant women and soon after birth is an important issue in both Nepal and India. Just for completeness the original article, written by BU’s Visiting Faculty Dr. Bibha Simkhada and Prof. Edwin van Teijlingen based in BU’s Centre for Midwifery, Maternal and Perinatal health (CMMPH), can be found here!
This weekend Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal signed a Memorandum of Agreement (MoA) with Bournemouth University (BU). The ceremonial signing took place on the final day (24th Feb.) of the International Conference on Quality Education in Federal Nepal. Prof. Stephen Tee, who also spoke at the conference, represented our university.
The UoA formalises a long-standing collaboration between the two institutions. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together. Several BU staff [1-3] and students [4] in the Faculty of Health & Social Sciences have published in the Journal of Manmohan Memorial Institute of Health Sciences, an Open Access journal. Moreover, Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal and Perinatal Health has been a Visiting Professor at MMIHS for nearly a decade and has given several guest lectures over the years to staff and students at MMIHS.
Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences 3(1): 1-5.
van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
Vickery, M. van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.
Just before the start of Bournemouth University’s Global Festival of Learning India (12-16 February) the Journal of Manmohan Memorial Institute of Health Sciences published Michelle Vickery’s paper ‘Female infanticide in India and its relevance to Nepal’ [1]. This article developed out of Michelle’s undergraduate Sociology thesis which she completed as part of her undergraduate degree in 2016. The Journal of Manmohan Memorial Institute of Health Sciences is an Open Access journal which means its content is freely available to any reader with internet access across the globe.
Over the last few years Bournemouth University academic have published papers on a range of topics related to India, for example on Media Studies [2-3], English literature [4] , Sociology [5], Public Health [6] , and environmental science and conservation [7-9].
Prof. Edwin van Teijlingen
CMMPH
References:
Vickery, M., van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal.Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.
Sudbury, S. (2016) Locating a “third voice”: participatory filmmaking and the everyday in rural India. Journal of Media Practice, 17 (2-3): 213-231.
Goodman, S. (2018) ‘Ain’t it a Ripping Night’: Alcoholism and the Legacies of Empire in Salman Rushdie’s Midnight’s Children. English Studies, (forthcoming).
Sahay, G., Devkota, B., van Teijlingen, E.R. (2016) Rebel Health Services in South Asia: Comparing Maoist-led Conflicts in India & Nepal, Sociological Bulletin 65(1):19-39.
Sathian, B. , De, A. ,van Teijlingen, E., Simkhada, P. , Banerjee, I. , Roy, B. , Supram, H. , Devkota, S. , E, R. (2015). Time Trend of the Suicide Incidence in India: a Statistical Modelling. American Journal of Public Health Research, 3(5A), 80-87. http://pubs.sciepub.com/ajphr/3/5A/17/index.html
Bower, S. D., Danylchuk, A. J., Raghavan, R., Danylchuk, S. C., Pinder, A. C., Alter, A. M., Cooke, S. J. (2017) Involving recreational fisheries stakeholders in development of research and conservation priorities for mahseer (Tor spp.) of India through collaborative workshops. Fisheries Research, 186, 665-671.
Bower S.D., Danylchuk A.J., Raghavan R., Clark-Danylchuck S.E., Pinder A.C., Cooke S.J. (2016) Rapid assessment of the physiological impacts caused by catch-and-release angling on blue-finned mahseer (Tor sp.) of the Cauvery River, India. Fisheries Management and EcologyDOI: 10.1111/fme.12135
Pinder, A.C., Raghavan, R., Britton, J.R. (2015) Efficacy of angler catch data as a population and conservation monitoring tool for the flagship Mahseer fishes (Tor spp.) of Southern India. Aquatic Conservation: Marine and Freshwater Ecosystems, DOI: 10.1002/aqc.2543
Last week the Journal of Manmoham Memorial Institute of Health Sciences based in Nepal published as its editorial ‘What can we learn from the Nepal Health Facility Survey 2015. [1] The Nepal Health Facility Survey 2015 is a first of its kind. It is a much needed start to help analyse and improve the workings of the country’s health system. This is very important and timely as one of the targets of the Sustainable Development Goals (SDG) is to reduce premature mortality by one-third from non-communicable diseases. Success in this effort will depend on the concerted efforts on health facilities (for both health promotion, prevention and management) for an early and optimal care. The editorial also raises some of the ethical and methodological issues associated with the first ever Nepal Health Facility Survey 2015. The lead author of the editorial is Dr. Pramod Regmi and our co-authors include Prof. Padam Simkhada (Visiting Faculty in the Faculty of Health & Social Sciences). The Journal of Manmoham Memorial Institute of Health Sciences is an Open Access journal hence freely available to scholars and politicians and health managers across the globe, including those based in low-income countries such as Nepal.
Reference:
Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 1-5
BU Visiting Prof. Padam Simkhada and BU’s Prof. Edwin van Teijlingen published a blog post about Nepal’s significant progress in improving the health of women and a striking reduction on maternal mortality. The paper highlights that despite difficult terrain, conflict and political turmoil, Nepal was one of the few countries that managed to achieve Millennium Development Goal 5 on maternal health in 2015.
BU PhD student Mrs Preeti Mahato published her latest scientific paper ‘Determinants of quality of care and access to Basic Emergency Obstetric and Neonatal Care facilities and midwife-led facilities in low and middle-income countries: A Systematic Review’ in the Journal of Asian Midwives [1]. This paper is co-authored by Dr. Catherine Angell and Prof. Edwin van Teijlingen, who are both based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Prof. Padam Simkhada, BU Visiting Professor and based at Liverpool John Moores University (LJMU). Journal of Asian Midwives is a free Open Access journal, freely available for anybody across the globe to read online.
The authors highlight that maternal mortality is a major challenge to health systems in Low and Middle-Income Countries (LMICs) where almost 99% of maternal deaths occurred in 2015. Primary-care facilities providing Basic Emergency Obstetric and Neonatal Care (BEmONC) facilities, and facilities that are midwife-led are appropriate for normal birth in LMICs and have been proposed as the best approach to reduce maternal deaths. However, the poor quality of maternal services that leads to decreased utilisation of these facilities is among the major causes of maternal deaths worldwide. This systematic review studied factors affecting the quality of care in BEmONC and midwife-led facilities in LMICs.
Thematic analysis on included studies revealed various factors affecting quality of care including facility-level determinants and other determinants influencing access to care. Facility-level determinants included these barriers: lack of equipment and drugs at the facility, lack of trained staff, poor attitudes and behaviour of service providers, and poor communication with women. Facility-level positive determinants were: satisfaction with services, emotional support during delivery and trust in health providers. The access-to-care determinants were: socio-economic factors, physical access to the facility, maintaining privacy and confidentiality, and cultural values. The authors include that improving quality of care of birthing facilities requires addressing both facility level and non-facility level determinants in order to increase utilization of the services available at the BEmONC and midwife-led facilities in LMICs.
This is the fifth paper co-authored by CMMPH’s current most published PhD student. The evaluation of birth centres in rural Nepal by Preeti Mahato under joint supervision Dr. Angell and Prof. Simkhada (LJMU) and Prof. van Teijlingen.
References:
Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017) Factors related to choice of place of birth in a district in Nepal. Sexual & Reproductive Healthcare 13: 91-96.
Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/11579
Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. www.healthprospect.org/archives/15/1/3.pdf
Lizzie Gadd warns against jumping on ‘bad metrics’ bandwagons without really engaging with the more complex responsible metrics agenda beneath.
An undoubted legacy of the Metric Tide report has been an increased focus on the responsible use of metrics and along with this a notion of ‘bad metrics’. Indeed, the report itself even recommended awarding an annual ‘Bad Metrics Prize’. This has never been awarded as far as I’m aware, but nominations are still open on their web pages. There has been a lot of focus on responsible metrics recently. The Forum for Responsible Metrics have done a survey of UK institutions and is reporting the findings on 8 February in London. DORA has upped its game and appointed a champion to promote their work and they seem to be regularly retweeting messages that remind us all of their take on what it means to do metrics responsibly. There are also frequent twitter conversations about the impact of metrics in the up-coming REF. In all of this I see an increasing amount of ‘bad metrics’ bandwagon-hopping. The anti-Journal Impact Factor (JIF) wagon is now full and its big sister, the “metrics are ruining science” wagon, is taking on supporters at a heady pace.
It looks to me like we have moved from a state of ignorance about metrics, to a little knowledge. Which, I hear, is a dangerous thing.
It’s not a bad thing, this increased awareness of responsible metrics; all these conversations. I’m responsible metrics’ biggest supporter and a regular slide in my slide-deck shouts ‘metrics can kill people!’. So why am I writing a blog post that claims that there is no such thing as a bad metric? Surely these things can kill people? Well, yes, but guns can also kill people, they just can’t do so unless they’re in the hands of a human. Similarly, metrics aren’t bad in and of themselves, it’s what we do with them that can make them dangerous.
Adequacy of the indicator for the object that it measures
Sensitivity to the intrinsic inertia of the object being measured
Homogeneity of the dimensions of the indicator.
So, you might have an indicator such as ‘shoe size’, where folks with feet of a certain length get assigned a certain shoe size indicator. No problem there – it’s adequate (length of foot consistently maps on to shoe size); it’s sensitive to the thing it measures (foot grows, shoe size increases accordingly), and it’s homogenous (one characteristic – length, leads to one indicator – shoe size). However, in research evaluation we struggle on all of these counts. Because the thing we really want to measure, this elusive, multi-faceted “research quality” thing, doesn’t have any adequate, sensitive and homogeneous indicators. We need to measure the immeasurable. So we end up making false assumptions about the meanings of our indicators, and then make bad decisions based on those false assumptions. In all of this, it is not the metric that’s at fault, it’s us.
In my view, the JIF is the biggest scapegoat of the Responsible Metrics agenda. The JIF is just the average number of cites per paper for a journal over two years. That’s it. A simple calculation. And as an indicator of the communication effectiveness of a journal for collection development purposes (the reason it was introduced) it served us well. It’s just been misused as an indicator of the quality of individual academics and individual papers. It wasn’t designed for that. This is misuse of a metric, not a bad metric. (Although recent work has suggested that it’s not that bad an indicator for the latter anyway, but that’s not my purpose here). If the JIF is a bad metric, so is Elsevier’s CiteScore which is based on EXACTLY the same principle but uses a three-year time window not two, a slightly different set of document types and journals, and makes itself freely available.
If we’re not careful, I fear that in a hugely ironic turn, DORA and the Leiden Manifesto might themselves become bad (misused) metrics: an unreliable indicator of a commitment to the responsible use of metrics that may or may not be there in practice.
I understand why DORA trumpets the misuse of JIFs; it is rife and there are less imperfect tools for the job. But there are also other metrics that DORA doesn’t get in a flap about – like the individual h-index – which are subject to the same amount of misuse, but are actually more damaging. The individual h-index disadvantages certain demographics more than others (women, early-career researchers, anyone with non-standard career lengths); at least the JIF mis-serves everyone equally. And whilst we’re at it peer review can be an equally inadequate research evaluation tool (which, ironically, metrics have proven). So if we’re to be really fair we should be campaigning for responsible peer review with as much vigour as our calls for responsible metrics.
It looks to me like we have moved from a state of ignorance about metrics, to a little knowledge. Which, I hear, is a dangerous thing. A little knowledge can lead to a bumper sticker culture ( “I HEART DORA” anyone? “Ban the JIF”?) which could move us away from, rather than towards, the responsible use of metrics. These concepts are easy to grasp hold of, but they mask a far more complex and challenging set of research evaluation problems that lie beneath. The responsible use of metrics is about more than the avoidance of certain indicators, or signing DORA, or even developing your own bespoke Responsible Metrics policy (as I’ve said before this is certainly easier said than done).
The responsible use of metrics requires responsible scientometricians. People who understand that there is really no such thing as a bad metric, but it is very possible to misuse them. People with a deeper level of understanding about what we are trying to measure, what the systemic effects of this might be, what indicators are available, what their limitations are, where they are appropriate, how they can best triangulate them with peer review. We have good guidance on this in the form of the Leiden Manifesto, the Metric Tide and DORA. However, these are the starting points of often painful responsible metric journeys, not easy-ride bandwagons to be jumped on. If we’re not careful, I fear that in a hugely ironic turn, DORA and the Leiden Manifesto might themselves become bad (misused) metrics: an unreliable indicator of a commitment to the responsible use of metrics that may or may not be there in practice.
Let’s get off the ‘metric-shaming’ bandwagons, deepen our understanding and press on with the hard work of responsible research evaluation.
Elizabeth Gadd is the Research Policy Manager (Publications) at Loughborough University. She has a background in Libraries and Scholarly Communication research. She is the co-founder of the Lis-Bibliometrics Forum and is the ARMA Metrics Special Interest Group Champion
Pourakhi, meaning self-reliant in Nepali, was established in 2003 to advocate for the rights of women who returned to Nepal after having worked abroad. The current Chair Manju Gurung is co-author on our paper.
Since 2003, Pourakhi has established a number of programmes around pre-employment, pre-departure, employment and post arrival support. In 2009, it opened a Shelter Facility to provide a safe space for women who returned to Nepal and were not able to rejoin their family and community. Pourakhi recognized that many women who returned from abroad had been victimized abroad and needed to seek relief from the government. In order to provide assistance to these women, In addition, Pourakhi established programmes to empower women after they return to Nepal from foreign employment. More specifically, Pourakhi established a financial literacy programme to educate women and an in business skills.
Pourakhi has been instrumental in ensuring that the voices of migrant women workers are heard and reflected in national policy and law. Additionally, it has successfully lobbied the government to ratify a number of international laws needed to protect the rights of female migrant workers.
Although Pourakhi began as an organisation by and on behalf of women, it has recognized that all migrant workers have the right to safe migration. Therefore, Pourakhi now assists both woman and men in all stages of the migration process.
The other two Nepali-speaking co-authors are Prof. Padam Simkhada from Liverpool john Moores University, who is also Visiting Professor in Bournemouth University’s Faculty of Health & Social Sciences and Dr. Sharada Prasad Wasti who is working for the Institute for Reproductive Health at Georgetown University, Washington, DC in the USA.
Congratulations to FHSS Prof. Vanora Hundley and her co-authors from across the globe who published ‘Progression of the first stage of spontaneous labour: A prospective cohort study in two sub-Saharan African countries’ in the journal PLOS Medicine [1].
The authors highlight that since the early 2000s researchers using new statistical methods to have informed changes in recommended labour practices in some settings, they have also generated a lot of controversy. As a result of persistent questions as to whether racial characteristics influence labour progression patterns, recent studies have been conducted among different populations, but not yet in any African population. The authors conclude that
As labour may not naturally accelerate in some women until a cervical dilatation of 5 cm is reached, labour practices to address perceived slow labour progression should not be routinely applied by clinicians until this threshold is achieved, provided the vital signs and other observations of the mother and baby are normal.
In the absence of any problems other than a slower than expected cervical dilatation rate (i.e., 1 cm/hour) during labour, it is in the interest of the woman that expectant, supportive, and woman-centred labour care is continued.
Within the Research and Knowledge Exchange Development Framework (RKEDF), there are a number of events in the coming months to support your academic publishing activities.
The flagship three-day Writing Academy retreats will commence on 11th April and 27th June. To find out more, please see the information page. Please note that you will need faculty to support to attend and cannot book onto these events without this recommendation.
If you have specific needs or wish to ‘dip your toe in the water’, there are shorter sessions available:
This last week two separate papers have been accepted on aspects of health and well-being among migrants workers from Nepal. The first in the International Journal of Migration, Health and Social Care is based on a completed PhD project in the Faculty of Health & Social Sciences with Dr. Pratik Adhikary as first author [1]. This paper ‘Health and well-being of Nepalese migrant workers abroad’ is co-authored by two former FHSS staff Dr. Zoe Sheppard and Dr. Steve Keen, and Prof. Edwin van Teijlingen of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
The second paper ‘A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia’ was accepted by the Open Access journal BMC International Health & Human Rights [2]. The lead author of this paper is Bournemouth University (BU) Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University) and two of his co-authors are based in Nepal: Manju Gurung (chair of Pourakhi Nepal) and Dr. Sharada Prasad Wasti and one at BU: Prof. Edwin van Teijlingen .
There is a growing momentum in migration research at BU with further academic papers being published related to studies on migrant workers from Nepal [4-8], relatives of migrant workers [9], migration into the UK [10-12], Eastern European migration issues [13-15], migration and tourism [16], migration and the media [17] as well as migration in the past [18].
References:
Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health and Social Care (accepted). https://doi.org/10.1108/IJMHSC-12-2015-0052
Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia, BMC International Health & Human Rights (accepted Jan.).
Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect16(2): 3-10.
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 Health28(8): 703-705.
Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine24 (4): 1-9.
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.
Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
Holscher, J., 2017. The effects of Brexit on the EU, the UK and Dorset – a migrant’s account. BAFES Working Papers, 1-11.
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal8(1):57-74.
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