Festival of Learning event 2018 with an international flavour: exploring recent research projects undertaken in Nepal by staff from the Faculty of Health and Social Sciences. The event focuses on Nepali migrant workers in India, women and migration and explores the health and social issues of transgender and the use of hormone therapy in male-to-female transitioning populations in Nepal.
Fusion Building: Create Lecture Theatre, Bournemouth University on Saturday 16 June 2018 from 5.00-6.00PM
Free tickets can be found here!
Prof. Edwin van Teijlingen, Dr Pramod Regmi & Prof Padam Simkhada (BU Visiting Faculty)
The first review by a Bournemouth University academic in the prestigious journal American Anthropologist was published in its February issue. Dr. Sue Sudbury who is Principal Academic in Media Production reviewed the film ‘The Anthropologist’ . She wrote in this Open Access review that this film raises many interesting issues about the role of the anthropologist and deftly illustrates the divide that exists when different cultures come together. Her conclusion of the review is that ‘The Anthropologist’ is an intriguing and memorable film about environmental anthropologists and the important work they do collecting and telling the stories of people whose lives are being reshaped by climate change. It is also about the relationship between female anthropologists and their daughters. As such, it does an important job of introducing the subject and will no doubt generate discussion, but it is not an anthropological film and doesn’t claim to be.
The second one, a book review this time, appeared this week in the June issue. Prof. Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) reviewed the book Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by the American anthropologist Sheila Cosminsky . He reminds the reader that some of the work in this book work has previously been published in articles, as clearly stated in the acknowledgments (p. xii). He highlights that “on reading the book I remembered with joy snippets from some of the articles on Doña María I read nearly thirty years ago while working on my PhD thesis.” Cosminsky does a great job of bringing together a lifetime of anthropological (field)work in a comprehensive and easy‐to‐read book.
It is not often that we see reviews written by BU staff in this impressive journal, let alone two in subsequent issues.
- Sudbury S. (2018) The Anthropologist Seth Kramer, Daniel A. Miller, and Jeremy Newberger, dirs. 81 mins. English, Russian, Sakha, Kiribati, Spanish, and Quechua with English subtitles. New York: Ironbound Films, 2015, American Anthropologist 120(1): 169-170.
- van Teijlingen E. (2018) Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by Sheila Cosminsky, American Anthropologist 120(2): 369.
Congratulations to FHSS students Folashade Alloh and Igoche Onche who found out today that their ‘Mental health in low-and-middle-income countries (LMIC): Going beyond the need for funding’ has been accepted for publication by the editors of Health Prospect. The paper is co-authored by FHSS staff Dr Pramod Regmi, Prof Edwin van Teijlingen and Dr Steven Trenoweth. Health Prospect is an Open Access journal.
More than 70% of the global mental health burden occurs in many low-and middle-income countries (LMIC). The paper discusses mental health issues in LMIC under different themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for mental health sector. The paper highlights that mental health education and health care services in most LMIC is poorly resourced; however, there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMIC, there is a need for effort to address cultural and professional practices that contribute to poor mental health among individuals. The authors argue that mental health should be integrated into primary health care in LMIC. Creating awareness on impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease of discussing mental health issues in these countries which will contribute to reducing stigma faced by mental health patients.
Congratulations to FHSS PhD students Preeti Mahato and Elizabeth Waithaka, FHSS academics Drs. Catherine Angell and Pramod Regmi and BU Visiting Faculty Prof. Padam Simkhada (Based at Liverpool John Moores University) on the publication of their latest paper: ‘ Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal’ . The paper appeared in Health Prospect: Journal of Public Health.
Mahato, P.K., Regmi, P.R., Waithaka, E., van Teijlingen, E., Simkhada, P., Angell, C. . Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal. Health Prospect, 16 (2): pp. 13-17, May. 2018.
Available at: <https://www.nepjol.info/index.php/HPROSPECT/article/view/19903/16389>. Date accessed: 14 May. 2018. doi:http://dx.doi.org/10.3126/hprospect.v16i2.19903.
Rebecca Weston, BU student midwife, on the publication of her article: ‘When all you want to do is run out of the room…‘ Rebecca published this reflective piece in May issue of the journal The Practising Midwife. She wrote it shortly after having been involved in “a traumatic, sudden and heart-breaking event in practice”. Reflection is certainly beneficial in experiential learning, developing critical thinking and integrating midwifery theory and practice.
It is my pleasure to wrote this BU Research Blog to congratulate Rebecca today on the International day of the Midwife.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
This week’s inaugural meeting of the Dorset Global Health Network was a great success. It was sold out on ‘Eventbrite’ long before day of the event (25th of April). The inaugural meeting held at Bournemouth University (BU) focused on Nepal. The evening was opened by Dr. Emer Forde who is GP Programme Director, Health Education Wessex (Dorset) and member of BU’s Centre for General Practice. She spoke of her and her son’s recent experience in her presentation ‘Voluntourism in Nepal : A lesson in the grey areas of global health.’
The second short presentation was by Prof. Edwin van Teijlingen for BU’s Centre for Midwifery, Maternal & Perintal Health (CMMPH). His presentation with the title ‘The challenge of perinatal mental health in Nepal’ covered issues around maternal mental health, auxiliary nurse-midwives and stigma and culture in southern Nepal. The project brought together academics, midwives, nurses, and other health workers in Nepal and the UK to help in the training of auxiliary nurse midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
The third speaker and final speaker Dr Ollie Ross, Consultant Anaesthetist at Southampton General Hospital, introduced the film ‘Hospital’. The film provides a portrait of a state-run hospital in one of the most remote and poor districts of Nepal and how individuals can make a difference to people’s lives. Dr Ross is also a consultant to the Nick Simons Foundation working in Nepal. According to The Nepali Times Nepal’s most accomplished documentary maker, Kesang Tseten, has a knack of bringing out in his films the best in people. He looks for the flower that grows amidst the squalour, and tries to spread a message of hope. His film, Hospital, returns to rural Nepal to portray a hospital in Kalikot where ordinary health workers accomplish extraordinary things.
The event was organised by the Dorset Primary Care Workforce Centre in collaboration with Bournemouth University and the Wessex Global Health Network.
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.
- 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
Next week the Dorset Global Health Network will have its inaugural meeting on April 25th. The meeting will focus on Nepal starting at 18.30 with a Nepalese buffet.
There will be three short presentations followed by the film ‘Hospital’.
- Voluntourism in Nepal : A lesson in the grey areas of global health (Dr Emer Forde, Bournemouth University)
- The challenge of perinatal mental health in Nepal (Prof. Edwin van Teijlingen, Bournemouth University)
- Supporting Training and innovative solutions to the provision of rural health care in Nepal (Dr Ollie Ross, Consultant Anaesthetist, Southampton General Hospital)
The Film “Hospital” provides a portrait of a state-run hospital in one of the most remote and poor districts of Nepal and how individuals can make a difference to people’s lives. It will be introduced by Dr Ollie Ross, who is a consultant to the Nick Simons Institute working in Nepal.
This will be followed by a discussion about the development of Dorset Global Health Network.
All are welcome. Book your place at www.focusnepal.eventbrite.co.uk
Today on the second day of the 2018 BNAC (Britain-Nepal Academic Council) conference there was a very good representation of Bournemouth University (BU) research at Durham University. BU’s Professor Michael Wilmore presented his paper: Construction of ‘Community’ in Research on Nepalese Commons. In the morning FHSS’s PhD student Jib Acharya had an oral presentation on Impact of Healthy Snacks on Children’s Health: An Overview of a Pilot Study.
Prof. Edwin van Teijlingen presented joint work between BU, Liverpool John Moors University (LJMU) and the University of Oxford on the topic Skills transfer, employability & entrepreneurship of returnee labour migrants in Nepal. Bournemouth University was involved in this project through Dr. Pramod Regmi, Dr. Nirmal Aryal and Prof. Edwin van Teijlingen.
The final talk of the day (and of the conference) was by Prof. Padam Simkhada from LJMU. Prof. Simkhada is also Visiting Professor at the Centre for Midwifery, Maternal & Perinatal Health at Bournemouth University. He was presenting Debate on Educational Reform in Nepal: Outcomes of the International Conference on Quality of Higher Education in Federal Nepal on behalf of LJMU, Bournemouth University and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal. Earlier this year BU signed a Memorandum of Agreement with MMIHS in Kathmandu.
The 13th Congress of the International Society for the Study of Fatty Acids and Lipids (ISSFAL) http://www.issfal.org/ will be held in Las Vegas, USA in May 2018. BU will be highly represented at this biennial congress, which is the biggest and most prestigious congress in the field of fatty acid and lipid research. Isabell Nessel, a third year PhD student in the Faculty of Health and Social Sciences, will present her PhD work at this congress. She is supervised by Dr Simon Dyall and Prof Minesh Khashu.
Her research aims to investigate ways to increase the intake of long-chain polyunsaturated fatty acids in the perinatal period and to address whether this intake is associated with any adverse effects, due to the susceptibility of the fatty acids to oxygen-related damage. Isabell secures a prestigious oral presentation, and is also presenting two posters at this international congress, which expects around 800 delegates!
Isabell was awarded a full Santander Mobility Award to cover the travel costs to Las Vegas. Furthermore, Isabell won a New Investigator Award, which is granted by ISSFAL in conjunction with the Congress to recognise and encourage excellent abstract submissions.
The Congress will be an excellent opportunity for her to present her PhD work, and to learn about the latest research and the newest methods.
Isabell would like to express her gratitude to Santander, ISSFAL, and Bournemouth University for making this trip possible, and to her supervisors Dr Simon Dyall and Prof Minesh Khashu for their support with the applications and abstracts!
Look out for her blog post after the conference.
If you would like to know more about her research in the meantime, e-mail her at email@example.com
Charlotte is a midwife and in her first year of doctoral studies in FHSS, exploring the impact that living on a low income has on women’s experiences of pregnancy, maternity care and parenting.
Charlotte recently applied to BU’s ‘destination summer school programme’ in Indonesia and her application was successful. The programme will take place at the BINUS University in Jakarta, Indonesia in June 2018 and is designed for students from BU and BINUS University to work together on projects that address one or more of the Sustainable Development Goals (SDG). The SDG’s are a collection of 17 goals set by the United Nations for countries to work towards achieving. The goals are interrelated although each has its own targets and they cover a broad range of social and economic development issues. These include poverty, hunger, health, education, climate change, gender equality, water, sanitation, energy, environment and social justice. Charlotte says, ‘Collaborating with others on these projects will foster the development of my global mind-set and enhance my competence as a researcher interested in health and social sciences research’.
Charlotte applied to the programme for the opportunity to develop her knowledge of issues such as poverty and gender equality, both of which are relevant to her research topic. In order for Charlotte’s research to be impactful and authentic she believed it important to listen to and learn from others and hopes the summer school programme will assist her in achieving this. Charlotte will translate the knowledge gained from the experience into her own research and competence as an early-career researcher. Charlotte looks forward to being able to share these experiences with you all on her return.
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  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
- 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’. 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.
- 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 Health 7(1): 24–28.
Last week I attended and presented e-poster at the RCOG (Royal College of Obstetrics & Gynaecology) World Congress 2018 in Singapore. The main congress programme run 22 to 24 March. RCOG president Professor Lesley Regan told in her opening speech that this Congress had more than 2,800 delegates and 150 speakers from 82 countries. Prof Regan also said that the Congress focused on the need for all to work in the field of obstetrics and gynaecology and to act as advocates for women’s health. Furthermore, she stressed that it is necessary to look beyond clinical aspects and provide safe, high-quality care to speak for the needs of the women, many of whom have no choice of their own.
The e-poster I presented ‘Study of rural maternity and childbirth care in a southern district of Nepal’ is part of my PhD study on maternity care in Nepal.
My poster was displayed on the morning of 22nd March (8:08– 8:16 AM) under the topic ‘early pregnancy and acute gynaecology’. Over the three days programme schedule, I also attended several plenary sessions, oral presentations and viewed many e-posters. Although there were many topics specific to clinical aspects of obstetrics and gynaecology, I was mostly interested in presentations related to contraception and fertility control, abortion, gender equality, reproductive and sexual health of marginalised communities, female genital mutilation, breastfeeding and so on. Overall, it was a great experience to learn about research in women’s health and maternity care and an opportunity to do networking with researchers with similar interests.
Finally, I would like to thank Santander Awards to provide me fund to cover my expenses to attend this congress and my supervisors for motivating me to apply for this conference.
Today BMC Pregnancy & Childbirth published the latest paper by a PhD student at Bournemouth University. Our congratulations go to Alice Ladur in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), who published `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom . This paper is based on her PhD research and co-authored with her supervisors.
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.
- 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
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.
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!