Tagged / CMMPH

EU award for PhD student Preeti Mahato

FHSS PhD student Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has been awarded a funded place on the COST Action Training School BEYOND BIRTH COHORTS: from study design to data management.  This training school will run from 23-15 November in Spain.

eu-flagCOST (European Cooperation in Science and Technology) is a unique platform where European researchers can jointly develop their ideas and initiatives across all scientific disciplines through trans-European networking of nationally funded research.  Preeti pal has been awarded the sum of 500 euro to cover the cost of attending the Training School and travel and accommodation costs.    Preeti’s PhD project is on maternity care provision in  Nepal. Preeti’s research focuses on the quality and equity of service available at birthing centres. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. She is supervised by Dr. Catherine Angell, Prof. Edwin van Teijlingen and BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University).

Preeti has already published the first PhD paper ‘Birthing centres in Nepal: Recent developments, obstacles and opportunities’ in the Journal of Asian Midwives (JAM) [1], whilst another was published in the Nepal Journal of Epidemiology [2].  Furthermore, a more general health and development paper was published this year in Health Prospect [3].

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 17-30.
  2. 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/14260/1157
  3. 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. healthprospect.org/archives/15/1/3.pdf

Czech midwifery lecturer on EU-funded visit to CMMPH

pilzen-2006

Eva Hendrych Lorenzová, midwife and midwifery lecturer from the Czech Republic, visited the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) this passed week.  Eva was awarded a travel grant as part of the EU-funded COST Action IS1405 Short Term Scientific Mission (STSM).  Eva spoke to colleagues and students at Bournemouth University as well as midwifery colleagues in Weymouth, Bournemouth, Poole and the New Forrest Birth Centre.eu-flag

 

Over the past five year, four different midwives from Continental Europe have been to Bournemouth University on an STSM exchange. Eva is the fourth one, and with Brexit most likely to be the last on this EU scheme!  Each of these four midwives had a different aim for their STSM project. The first STSM midwifery visitor five years ago was Susanne Grylka-Baeschlin. She did a methodological piece of research which resulted in the translation of the Mother-Generated Index into German to be used in Switzerland and Germany. The STSM was part of her MSc project supervised by Prof. Mechthild Gross and supported by Dr. Kathrin Stoll, both based at the Hannover Medical School in Germany.

In 2013 Dr. Ans Luyben, a Dutch midwife working in Switzerland, came over to BU for ten days. She came to develop the survey content on organisational system design and culture as part of the international survey, taking place during the COST Action. The work focused on organisational system design and culture in regard to antenatal care, including prenatal screening.

Eva & Jillian 2016

Eva and Jillian 2016

The third STSM midwifery visitor in 2014 was Dr. Fátima León Larios from Spain. Her STSM was much more practical, Fátima was keen to find out more about how small midwifery-led maternity units were being run in England. BU’s Visiting Faculty and Poole Community Midwife Jillian Ireland took her to visit four different maternity units in the south of England.  Jillian also organised Eva’s meeting with community midwives and midwives in various birthing centres in Dorset and the New Forrest in October 2016.

 

Prof. Edwin van Teijlingen

CMMPH

CMMPH disability & childbirth research

Last month’s press release for the latest study in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) was picked up by the Journal of Family Health.  disability-pregnancy-2016The study ‘Human rights and dignities: Experience of disabled women during pregnancy, childbirth and early parenting’ appeared under the heading ‘Maternity care failing disabled women, charity warns’ in the Journal of Family Health.  The charity in question is Birthrights which funded the survey of women with physical or sensory impairment or long-term health conditions and their maternity care experiences.  The research was conducted by midwifery researchers Jenny Hall, Jillian Ireland and Vanora Hundley at Bournemouth University and occupational therapist Bethan Collins, at the University of Liverpool.

rcm-disabilityLast month this important study had already been reported by the Royal College of Midwives (RCM) on their webpages (click here to read more).  On the RCM website  Louise Silverton Director for Midwifery at the RCM said: “It is deeply disappointing to hear that women with disabilities are not getting the maternity care they need and deserve. Although this is only a small survey, it does provide a very valuable insight into the realties of the care these women have received while pregnant.  The RCM believes that maternity services should treat disabled women like every other woman, while ensuring that the care provided does not ignore or overreact to their specific wishes and aspirations.”

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

New THET project paper published

thet-needs-assessmentToday saw the latest publication on our BU-led THET in Nepal.  The paper ‘Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey’ was published the Journal of Manmohan Memorial Institute of Health Sciences [1].   This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi District in the southern part of Nepal. The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.logo THET

This is the third publication linked to our mental health and maternity care project. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train maternity workers on issues around mental health.  This latest paper and the previous two papers are all Open Access publications.  The previous two papers raised the issue of women and suicide [2] and outlined the THET project in detail [3].

np-thet-2916-jilly

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
  2. Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
  3. van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

Congratulations to BU Visiting Faculty Dr. Sam Rowlands

sam-rowlandsDr. Sam Rowlands, FHSS Visiting Faculty, has just published an interesting article on ‘On being an expert witness in sexual and reproductive health’.   The paper will appear in the Journal of Family Planning & Reproductive Health Care [1].  In this article Sam highlights that expert witnesses need to be able to apply appropriate legal tests to the evidence, to deal with the range of expert opinion on a matter, and explain clearly what constitutes an appropriate standard of care for a clinician in their discipline and specialty. They must be aware of pitfalls such as being sued for substandard work and being reported to their professional regulator for straying outside their area of expertise. Expert witnesses must be truly independent and ideally their reports should be the same whoever they receive their instructions from.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Rowlands, S.  ‘On being an expert witness in sexual and reproductive health’. J Fam Plann Reprod Health Care doi:10.1136/jfprhc-2015-101385 (forthcoming/online first)

New paper Dr. Catherine Angell on CPD in Nepal

nnaCongratulations to Dr. Catherine Angell (FHSS) who just had her paper ‘Continual Professional Development (CPD): an opportunity to improve the Quality of Nursing Care in Nepal’ accepted in Health Prospect.   The paper is co-authored with BU Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada  both based at Liverpool John Moores University (LJMU), Dr. Rose Khatri  and Dr. Sean Mackacel-logo-weby (also at LJMU), Prof. Edwin van Teijlingen in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH), and our colleagues in Dr. Sujan Marahatta and Associate Professor Chandra Kala Sharma. Ms. Chandra Kala Sharma is also the president of the Nepal Nursing Association (left in photo).  Health Prospect is an Open Access journal, hence freely available to anybody in Nepal (and elsewhere in the world).

dsc_0124This paper is first of several based on a study aiming to improve CPD in Nepal and it is partly funded by LJMU and partly funded by BU’s Centre for Excellence in Learning (CEL).  The CEL-funded part of the project centres on focus group research with representatives of the Ministry of Health & Population, the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and Higher Education providers of Nurse Education (both form Government-run universities and private colleges). The focus group schedule will include starter questions to initiate discussions around the kind of CPD nurses in Nepal need, its format, preferred models, the required quality and quantity, and ways of  checking up (quality control). In addition we will be asking a subgroup of nurses registered in Nepal about midwifery skills as midwifery is not recognised as a separate profession from nursing in Nepal. Hence there will be three focus groups specifically about midwifery CPD: one at MIDSON (the Midwifery Organisation of Nepal), one with nurses providing maternity care in private hospitals and one with nurses doing this in government hospitals.

The research is a natural FUSION project in the field of nursing & midwifery as it links Research in the field of Education to help improve Practice in Nepal.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. (CPD): an opportunity to improve the Quality of Nursing Care in Nepal, Health Prospect (Accepted) 

 

 

Bringing FUSION to Nepal

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

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

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

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

 

Prof. Edwin van Teijlingen

CMMPH

Public Health in Nepal: Vitamine A

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

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