BMJ Global Health published our latest paper today under the title ‘The impact of decentralisation on health systems: a systematic review of reviews‘ [1]. This so-called review of reviews is part of a larger study funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. in this larger Nepal Federal Health System Project we study the consequences for the health system of Nepal’s move from a centralised political system to a more federal government structure. This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, and two collaborating institutions in Nepal, namely Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. We have managed to publish four papers from this project prior to today’s one. [2-5]
This latest paper, is Open Access and it includes nine reviews, each addressing somewhat different questions, contexts and issues. More negative than positive impacts of decentralisation on health system building blocks were identified. Although inconclusive, evidence suggested that the impacts on leadership and governance and financing components in particular shape the impact on the overall health system. Assessment of how the impact on building blocks translates to the broader impact on health systems is challenged by the dynamic complexities related to contexts, process and the health system itself. This review highlights some of the common potential issues to consider in advance.
Prof. Edwin van Teijlingen
CMWH (Centre for Midwifery & Women’s Health)
References:
- 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.
- 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
- 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.
- 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.
- 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
Now to the news. The European Commission has adopted the European Innovation Council (EIC)
It has been announced that the ESRC and the AHRC, in their capacity as the UK National Contact Point for the Horizon Europe Cluster 2 (Culture, Creativity and Inclusive Society), are holding an online session to support applicants in writing successful proposals for Cluster 2 calls. The Zoom event will take place on 17 January 2024 (13:00-16:00 UK time). Please note that prior registration is required. More information and registration forms are available 



Bartholomew V, Hundley V, Clark C, Parris B (2024) The RETHINK Study: Could pain catastrophisation explain why some women are more likely to attend hospital in early labour. Sexual & Reproductive Healthcare
Third, a fast-paced Ignite presentation by Rama Permana (BU PGR in Sustainable Travel). Using eccentric images with few surprises, students found it joyful to follow compared to the usual-boring presentation format. A short competition was held for the third activity. Students were asked about climate actions in a Mentimeter quiz that was guided by Dr Tuan Vu. Whilst this activity requires active engagement from the students, the questions include repetitive climate action and SDGs knowledge that was previously discussed in the event. The iterative cycle on repeated themes was intentionally set for students to easily memorise the information.
contribute to climate action ideas on a real-time Padlet. Through this interactive ideation activity, students were asked to post online either their individual or social climate action(s). The final hour activity was more socially interactive. We divided them into groups to solve climate change causal relationships card game in a
The student participants were highly satisfied with these activities in the post-event survey, representing the usefulness of those relatively new methods to higher education in Viet Nam. It also implies a successful knowledge exchange between BU and UTC. Our project partners also responded positively, asking for more information on the tools we have been using and confirming that they will try these activities in their own sessions.


Final round-up of the year from Parliament


Pillar 1 asserts that comprehending the scale of global mass graves is paramount to understanding the nature of the problem. Consequently, pillar 1 will result in an open-source map of mass grave sites and ancillary outputs that have the potential to strengthen protection, forensic investigation, justice efforts, commemoration and remembrance for the benefits of survivors.















ESRC Festival of Social Science 2026: An Opportunity to Engage New Audiences
New HIV paper by BU PhD student
BU Annual Research Conference: Poster Exhibition Call for Applications
Vitae Three Minute Thesis (3MT®) Competition: Applications Now Open
3C Online Social: Thursday 26 March 1–2pm – Research Culture, Community & Can you Guess Who?
ECR Funding Open Call: Research Culture & Community Grant – Apply now
ECR Funding Open Call: Research Culture & Community Grant – Application Deadline Friday 12 December
MSCA Postdoctoral Fellowships 2025 Call
ERC Advanced Grant 2025 Webinar
Update on UKRO services
European research project exploring use of ‘virtual twins’ to better manage metabolic associated fatty liver disease