Category / writing
Congratulations to Prof. Parker on his latest publication


Books are major tools of the trade in the social sciences, not just in the discipline of sociology. Book reviews give social scientists an insight in one particular book in the wide array of books published in one’s research domain. Book reviews are a bit of a rarity in online journals, but Sociological Research Online has been publishing book review since its inception 24 years ago.
Congratulations!
Prof. Edwin van Teijlingen
CMMPH & Book Review Editor Sociological Research Online
Congratulations to Anita Immanuel on PhD paper
FHSS PhD student Anita Immanuel just had the first paper from her PhD “Quality of life in survivors of adult haematological malignancy” accepted by the international journal European Journal of Cancer Care. This international journal is published by Wiley and has an Impact Factor 2.409.
Survivors of haematological malignancies endure long-term effects of both the treatment and the disease. This paper examines factors that influence their quality of lives through reporting on the results of a survey. The survey used previously validated quality of life questionnaires for use in cancer management. Participants were adults over the age of 18 years who had completed treatment for a haematological malignancy and were between 1-5 years post treatment.
Anita is currently working as Lead Clinical Research Nurse at East Suffolk and North Essex NHS Foundation Trust. Her PhD research (see picture above) was conducted at the Haematology Department of Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, which has one of the most extensive research portfolios in the Trust. Her PhD is supervised by Dr. Jane Hunt (Dept of Nursing & Clinical Science), Dr. Helen McCarthy, Consultant Haematologist at the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
BU media coverage in Nepal
The article “Why suicide rate among pregnant women in Nepal is rising” written by BU academics was published in The Conversation last year. At the time this attracted Indian newspaper attention. Clearly it is still a relevant issue as it attracted national coverage in a Nepali newspaper this week.

Dr. Bibha Simkhada & Prof. Edwin van Teijlingen

Interdisciplinary and REF2021
Over the past decades interdisciplinary or multidisciplinary research has grown in popularity. REF2021 promises that all types of research shall be assessed on a fair and equal basis, including interdisciplinary and collaborative research. New to REF 2021 compared to REF2014 is the Interdisciplinary Research Advisory Panel (IDAP) which has been established to advise the REF team and panel chairs on interdisciplinary research. Furthermore, REF2021 will: (1) appoint at least two members to specifically oversee the assessment of interdisciplinary research in each UoA (Unit of Assessment) to ensure equitable assessment; (2) allow universities to flag-up outputs in the submission system with an ‘interdisciplinary identifier’; and (3) require an discrete section in the environment template on the submitting UoA’s structures to support interdisciplinary research.
Many academics from all disciplines can at some point benefit from working with other scholars from other disciplines. Interdisciplinary research can bring new insights and understanding across disciplinary boundaries. Novel interdisciplinary research can transcend disciplinary boundaries to address sophisticated and so-called wicked problems in society. We would argue that some disciplines are more open to interdisciplinary approaches, and we would argue that the discipline of Public Health as a multi-faceted discipline is probably the most interdisciplinary of all.

Having decades of research experience between us we also recognize that there can be difficulties arising from researchers trained in different individual disciplines trying to work together. We have highlighted some of these issues which interdisciplinary research in Public Health needs to consider and, where necessary, address before they become barriers in an article published this month in Health Prospect [1]. In this Open Access article we remind the reader that doing interdisciplinary research is not an easy option. Interdisciplinary research may involve a mixed-methods approach and could be underpinned by conflicting, and according to some incommensurable, research philosophies.
We argue, for example that in an interdisciplinary team topic specialists face potentially challenging demands on their range of skills and knowledge. For example, sociologists are required to have a broad knowledge at hand to represent the social science perspective in a study of a disease they know little about, designed by clinicians with a health services research outcome in mind. We also suggest that Public Health researchers have to be versed in both qualitative and quantitative methods. Working multidisciplinary or interdisciplinary means that they have to be able to understand the methods of the epidemiologists (e.g. ‘interrupted -time series’ or ‘nested-case control studies’) and those of health service researchers (e.g. ‘double-blind randomised controlled trials’) and have the whole range of qualitative methods at your command to improve the quality of the overall study.
Prof. Edwin van Teijlingen, Dr. Pramod Regmi & Dr. Nirmal Aryal
(all based in the Faculty of Health & Social Sciences)
Dr. Pratik Adhikary &Prof. Padam Simkhada
(both BU Visiting Faculty)
Reference:
- 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.
Dr. Aryal funded to attend international workshop on migration & health
Congratulations to Dr. Nirmal Aryal in the Faculty of Health & Social Sciences has been selected to participate in an international workshop targeting early career researchers (ECRs) on ‘Engendering research and reframing policy debate on migration & health and intersectional rights’ to be held in Kathmandu (Nepal) from 25th to 28th April 2019.
This workshop is jointly organized by several universities in the UK, India as well as the International Organisation for Migration, as well as the Migration Health and Development Research Initiative(MHADRI). There will be 18 ECRs from South Asia and South East Asia and Nirmal is one for the six from the UK. The organizers will fund flight to and accommodation in Nepal.
Congratulations!
Prof. Edwin van Teijlingen
CMMPH
BU contributes to International Conference in India.
This past weekend saw BU Visiting Professor Padam Simkhada, who is a Professor of International Public Health in the Public Health Institute at Liverpool John Moores University (LJMU), delivering the keynote speech in an International Conference on Mixed-Methods Research (ICMMR 2019). His presentation at the conference, held at the Mahatma Gandhi University in Kerala (India), was held on Saturday. The next day (Sunday 24th February) the two Bournemouth University academics Dr. Pramod Regmi and Prof. Edwin van Teijlingen and facilitated a session on academic publishing under the heading “Meet the editors” via Skype. Over 200 delegates from 10 countries, mainly from India and other South Asian countries participated in the conference.


New epilepsy paper by BU academics
Congratulations to Dr. Sarah Collard and Dr. Pramod Regmi whose paper ‘Qualitative insights into feelings, knowledge, and impact of SUDEP: A narrative synthesis’. The paper has been accepted by the scientific journal Epilepsy & Behavior (published by Elsevier). Epilepsy Action is a charity that improves the lives of everyone affected by epilepsy. Epilepsy Action gives advice, improves healthcare, funds research and campaigns for change.
Prof. Edwin van Teijlingen
CMMPH
Descent or dissent? Social work education in post-Brexit UK
Congratulations to Prof. Jonathan Parker on the publication of his article ‘Descent or dissent? A future of social work education in the UK post-Brexit‘ in the European Journal of Social Work. In true European style the journal also gives the title in Italian: Discesa o dissenso? Il futuro dell’istruzione nel settore dei servizi sociali nel Regno Unito dopo la Brexit.
BU Systematic Review Masterclass starting tomorrow
Looking forward to our annual Systematic Review Masterclass at Bournemouth University which will be starting tomorrow February 14th. This year for the first time we have renamed it a ‘Systematic Review to Inform Clinical Practice’ as it is not only a free-standing masterclass but also a level 7 unit of Continuing Professional Development and Training . This year we aim to provide students with the opportunity to choose an area of interest and undertake an in-depth, independent study in the form of a systematic review, focusing on a negotiated aspect of clinical practice. Prof. Vanora Hundley and I had published over twenty systematic reviews (or papers about systematic reviewing) over the past two decades. [1-21] The unit will have input from BU’s Academic Liaison Librarian, Caspian Dugdale, and BU academics such as Dr. Bibha Simkhada, Lecturer in Nursing.

Professors Vanora Hundley and Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
References:
- van Teijlingen E, Wilson, B, Barry, N, Ralph, A, McNeill, G, Graham, W, Campbell, D. (eds.) (1998) Effectiveness of interventions to promote healthy eating in pregnant women & women of childbearing age: a review, London: Health Education Authority www.nice.org.uk/nicemedia/documents/effect_eatpregant.pdf [ISBN: 0752110977].
- van Teijlingen ER, Bruce, J. (1999) Systematic reviews of health promotion initiatives: the Smokebusters experience, Health Education, 99: 76-83.
- Ryan M, Scott DA, Reeves C, Bate A., van Teijlingen E, Russell E, Napper M, Robb C (2001) Eliciting public preferences for healthcare: systematic review of techniques. Health Technology Assessment 5(5)
- Simkhada, B., van Teijlingen E., Porter, M., Simkhada, P. (2008) Factors affecting the utilisation of antenatal care in developing countries: a systematic review of the literature, Journal of Advanced Nursing 61(3): 244-260.
- Paul-Ebhohimhen, V.A., Poobalan, A., van Teijlingen E. (2008) Systematic review of effectiveness of school-based sexual health interventions in Sub-Saharan Africa, BMC Public Health, 8(4). www.biomedcentral.com/1471-2458/8/4
- Robertson L, Douglas F, Ludbrook A., Reid G., van Teijlingen E. (2008) What works with men? A systematic review of health promoting interventions targeting men, BMC Health Services Research 8(141). www.biomedcentral.com/1472-6963/8/141
- Acharya, D.R., Bhattarai, R, Poobalan, A, van Teijlingen E.R., Chapman, G. (2010) Factors associated with teenage pregnancy in South Asia: a systematic review. Health Sciences Journal 4(1): 3-14. www.hsj.gr/volume4/issue1/402.pdf
- Hundley V, Avan B, Braunholtz D, and Graham WJ (2012). Are birth kits a good idea? A systematic review of the evidence. Midwifery 28(2): 204-215
- Wasti, SP, van Teijlingen E., Simkhada, P., Randall, J., Baxter S, Kirkpatrick P, Vijay Singh Gc. (2012) Factors influencing adherence to antiretroviral treatment in Asian developing countries: a systematic review, Tropical Medicine & International Health 17(1): 71-81. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02888.x/pdf
- VA Hundley, BI Avan, CJ Sullivan, WJ Graham. (2013) Should oral misoprostol be used to prevent postpartum haemorrhage in home-birth settings in low-resource countries? A systematic review of the evidence. BJOG: An International Journal of Obstetrics & Gynaecology, 120:277–287DOI: 10.1111/1471-0528.12049
- van Teijlingen, ER, Simkhada, B., Ireland J., Simkhada P., Bruce J. (2012) Evidence-based health care in Nepal: The importance of systematic reviews, Nepal Journal of Epidemiology 1(4): 114-118.
- Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, et al. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
- Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE & Embase, Systematics Reviews 3,78
- Gyawali, B., Neupane, D., Sharma, R., Mishra, S.R., van Teijlingen, E., Kallestrup, P. (2015) Prevalence of type 2 diabetes in Nepal: Systematic review & meta-analysis from 2000 to 2014 Global Health Action 8: 29088 www.globalhealthaction.net/index.php/gha/article/view/29088/pdf_189
- Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
- Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
- Simkhada, P.P., Sharma, A., van Teijlingen, ER., Beanland, R,L. (2016) Factors influencing sexual behaviour between tourists and tourism employees: A systematic review. Nepal Journal of Epidemiology 6(1): 530-538. www.nepjol.info/index.php/NJE/article/view/14735/11952
- Symon, A., Pringle, J., Cheyne, H., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H, Alderdice, F. (2016) Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16: 168 http://rdcu.be/uifu
- Hanley GE, Munro S, Greyson D, Gross MM, Hundley V, Spiby H and Janssen PA (2016) Diagnosing onset of labor: A systematic review of definitions in the research literature. BMC Pregnancy and Childbirth 16: 71 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0857-4
- Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123.
- Symon, A., Pringle, J., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H., Alderdice, F. (2017) Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
- Pitchforth, E, Nolte, E, Corbett, J, Miani, C, Winpenny, E, van Teijlingen E, et al. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
- Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences 17(3): 753-761.
- 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. https://ecommons.aku.edu/jam/vol4/iss2/4/
- 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): 130-149.
Expanding BU’s India links
Dr. Pramod Regmi and Prof. Edwin van Teijlingen (both in the Faculty of Health & Social Sciences) have been invited to join the scientific committee of the International Conference on Mixed Methods Research [ICMMR-2019]. This year’s ICMMR conference will be held in the School of Behavioural Sciences at the Mahatma Gandhi University in Kottayam (India) on February 22-24, 2019. The two BU academics will run an online panel discussion session on academic publishing under the heading “Meet the editors.” The advantage of such online session is that BU academic don’t have to travel to India saving time and money as well as the environment. This has benefits for their own work-live balance as well as their carbon footprint.
BU focuses its global collaborations on three geographical areas, one of these is the Indian sub-continent. Connect India is BU’s strategic Hub of Practice for the Indian sub-continent, bringing together a community of researchers, educators, practitioners and students at Bournemouth University to collaborate with colleagues in India and Nepal.
New textbook for medical students
Experts from universities across the UK have contributed to a new edition of a best-selling textbook which is out this month. This is the fourth edition of Psychology and Sociology Applied to Medicine which is a jargon-free 179-page introduction to psychology and sociology for medical students (and other health care students). The book is published by one of the largest academic publishers in the world, Elsevier in its series of Illustrated Colour Texts.
Seventy-three academics contributed chapters to the book which was edited by psychologist Prof. Gerry Humphris (University of St. Andrews) and sociologist Prof. Edwin van Teijlingen (Bournemouth University). The contributors are discipline and topic experts and come mainly from the UK but some are from further afield such as Ireland and Australia. Compared to the third edition this latest edition has 45 new authors, who contribute the most up-to-date knowledge on classical psychological and sociological concepts and issues. All chapters have been updated and several have been renamed and revamped to reflect changes in society, and three new ones have been added. The editors are very grateful to Catherine Calderwood, Chief Medical Officer for Scotland, for writing the Foreword.
Teaching behavioural and social sciences to students is of vital importance for good health care in the future. This textbook covers topics across the life cycle from birth to death. A range of concepts and issues such as health screening, personality & health, quality of life, self-care, and anxiety are explained in an easy to understand fashion. This makes the textbook excellent introductory text as well as an essential revision tool for students. This textbook for medical students is Bournemouth University’s latest contribution to medical training.
Reference:
van Teijlingen, E. & Humphris, G. (Eds.) (2019)Psychology & Sociology Applied to Medicine: An Illustrated Colour Text (4th Edn), Edinburgh: Elsevier The book is available as eBook [ISBN: 9780702062995] and as paperback [ISBN: 9780702062988].
Reflections on doing interdisciplinary research


However, doing multidisciplinary research is not without its problems (and barriers). In a paper accepted today we reflect on some of these issues [2]. The co-authors are Bournemouth University’s Dr. Pramod Regmi, Dr. Nirmal Ayral and Prof. Edwin van Teijlingen, and BU Visiting Professor Padam Simkhada (Public Health Institute, Liverpool John Moores University) and BU graduate Dr. Pratik Adhikary (Green Tara Nepal). We all are Public Health researchers, with very different educational backgrounds and training, reflecting the diversity of and interdisciplinarity in the field. Several of us have a first degree in Education or Health Education, but one has a first degree in Sociology. Whilst four of the five authors have Master degree in Public Health and/or Health Promotion, two have a Master in Education. Most of us have a Ph.D. in Public Health, but again one of us has a Ph.D. in Sociology. Our paper ‘Interdisciplinary Research in Public Health: Not quite straightforward’ has been accepted by the journal Health Prospect [2]. The advantage of this journal, which is part of the NepJOL family is that it is Open Access and hence freely available for anybody working in Public Health across the globe.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
- REF 2021 (2018) Consultation on the draft panel criteria and working methods https://www.ref.ac.uk/media/1013/consultation-on-the-draft-panel-criteria-and-working-methods-ref-2018_02.pdf
- van Teijlingen, E., Regmi, P.R., Adhikary, P., Aryal, N., Simkhada, P. (2019) Interdisciplinary Research in Public Health: Not quite straightforward, Health Prospect (forthcoming)
Migrant workers & mental health in Nepal


The paper argues that there exists an increased risk of mental health problems in Nepali adolescents, especially those left-behind by migrant workers. There is a paucity of research on mental health intervention among adolescents in low and middle income countries (LMICs) such as Nepal. The paper calls for more and better community-based mental health intervention in Nepali adolescents including the special group of left-behind adolescents. Doing this work in Nepal, a country with a very high proportion of its population working abroad will have a broader implication for a other low-and middle-income countries. This article is a welcome addition to BU’s growing publications on migrant workers and health in Nepal [2-11].

References:
- Aryal, N., Regmi, P. van Teijlingen, E., Simkhada, P & Mahat, P. (2019) Adolescents left behind by migrant workers: Call for community-based mental health interventions in Nepal, WHO South East Asia J Public Health (forthcoming).
- Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
- 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 & Malaysia, BMC International Health & Human Rights 18(1):4.
- Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10
- Simkhada, P, Regmi, P., van Teijlingen E., Aryal, N. (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
- Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
- 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.
- Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
- Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
- van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
- Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC International Health & Human Rights, 8(6).
Beautiful Work Challenge: Podcast on Birth


The online interviews with a journalist and podcast producer in the USA was based on our publications around the topic, such as our highly cited BMC Pregnancy& Childbirth paper ‘“Is it realistic?” the portrayal of pregnancy and childbirth in the media ‘ [1] and our 2017 book Midwifery, Childbirth and the Media published by Palgrave Macmillan [2], as well as papers in UK midwifery journals [3-4].
Prof. Edwin van Teijlingen
CMMPH
References
- Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media, BMC Pregnancy & Childbirth 16: 40
- Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
- Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
- Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10
First publication of 2019
Having had the pleasure of announcing the last BU publication yesterday, today we received an email that our paper ‘Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom’ has been accepted by the International Journal of Obstetric Anesthesia. This paper is led by FHSS Visiting Faculty Gary Smith and Richard Isaac and has as co-authors Vanora Hundley, Lisa Gale-Andrews and Edwin van Teijlingen as well as two further BU Visiting Professors: Mike Wee and Debra Bick.
Final publication of 2018
Congratulations to Orlanda Harvey on the publication of her paper ‘Shades of Grey’: The Ethics of Social Work Practice in Relation to Un-prescribed Anabolic Androgenic Steroid Use. Orlanda Harvey is a PhD student in the Faculty of Health and Social Sciences with a research interest in image and performance enhancing drug (IPED) use. Her paper will be published in Practice: Social Work in Action.
This paper highlights ethical dilemmas that social workers face when assessing risk in relation to those using substances. It explores how legislation and societal factors can impact not just on people’s choices and decisions but also on their ‘vulnerability’ and access to services. Vulnerability, a contested term, is linked, in this paper, to assessment of risk. There are ethical issues that arise when assessing risk with people who use Anabolic Androgenic Steroids (AAS) from both service user and professional perspectives. These ethical issues concern a person’s right to choose whilst making potentially harmful decisions. The paper argues that using substances such as AAS in and of itself does not suffice to make a person vulnerable but this does not mean that people using AAS are not in need of support. It suggests that there may be some groups of people who are more at risk to starting AAS use and that social workers should be aware of these. It also recommends the need for further qualitative research to understand the reasons for starting use and support to help people stop using AAS.
Well done!
Prof. Edwin van Teijlingen
CMMPH
Congratulations to FHSS student Raksha Thapa
On the last working day of 2018 at Bournemouth University we congratulate FHSS student Raksha Thapa on the publication of her first PhD paper in her first PhD year. The paper Uptake of Health Services by People from the Dalit Community was published today in the Journal of BP Koirala Institute of Health Sciences [1]. Raksha is supervised by Dr. Pramod Regmi, Dr. Vanessa Heaslip and Prof. Edwin van Teijlingen.

The paper discusses a variety of studies and reports on the uptake of health services in Nepal and other low-income countries by socio-economic cultural status in South Asia. These reports often focus on limitations due to physical factors, such as travel distance to health facility, or lack of medical facilities or electricity at the health care centre or focus on resources, such as lack of service providers, or lack of appropriately trained staff. Therefore, this article highlights the importance of discrimination as a reason for people not seeking available health care. Discrimination is particularly a barrier to service usage among the most deprived people in society, such as the Dalit community in Nepal and South Asia more generally. The authors discuss the caste-based discrimination in Nepal and its effects on health outcomes of those groups who experience such discrimination.
Reference:
- Thapa, R., van Teijlingen, E., Regmi, P. , Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of BP Koirala Institute of Health Sciences 1(2): 1-6.