Tagged / CMWH

New academic paper on Nepal

Yesterday the international journal Health Policy & Planning published our latest article with the title ‘Understanding the formulation of non-communicable disease policies in Nepal: A qualitative study[1].  The paper is part of the PhD work (at the University of Hudderfield) by the first author, Dr. Anju Vaidya, who is originally from Nepal. Anju’s thesis was supervised by Prof. Padam Simkhada (University of Chester), Prof. Andre Lee (The University of Sheffield) and by Bournemouth University’s Prof. Edwin van Teijlingen.

 

The paper recognises that there is limited evidence about the process through which health policies were formulated in Nepal. This study used Kingdon’s multiple streams framework to explore how NCDs (non-communicable diseases) were recognised and prioritised, how policy alternatives were decided, how policy windows were opened, and which contextual factors influenced the policy formulation process.  Anju’s PhD included a qualitative study to gain a comprehensive understanding of the formulation of major NCD-related policies in Nepal. Semi-structured interviews were conducted with 12 key stakeholders, and policy documents were analysed using framework analysis.

The NCDs were gradually prioritised through the convergence of global and local evidence, sustained advocacy, and international commitments. Policymakers encountered several challenges, such as competing health priorities, the chronic nature of NCDs, donor preferences for communicable diseases, financial constraints, and multisectoral complexities of NCDs. The Package of Essential Non-communicable diseases (PEN) interventions were adopted as a policy alternative, informed by global evidence, World Health Organization (WHO) recommendations, and lessons from other countries.  While coordinated efforts by stakeholders brought the problem, policy and politics streams together, the role of policy entrepreneurs was found to be less relevant in Nepal’s context.

Health Policy & Planning is an Open Access journal, hence the paper is available worldwide to anybody with internet access.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

References:

  1. Vaidya, A., Simkhada, P., van Teijlingen, E., Lee, A.C.K. (2026) Understanding the formulation of non-communicable disease policies in Nepal: A qualitative study, Health Policy and Planning, [online first] czag048, https://doi.org/10.1093/heapol/czag048

New HIV paper by BU PhD student

The editor of HIV Research & Clinical Practice informed us that the paper ‘Stigma in UK health care: A key barrier to reaching zero HIV transmission by 2030’ has been accepted for publication [1].   This paper is based on the PhD research currently conducted by Mr. Tom Weeks in the Faculty of Health, Environment & Medical Sciences (HEMS).  Tom’s thesis focuses on the perceptions of stigmatisation of People Living with HIV in care settings in the UK and the kind of education health care staff (clinical and non-clinical) receive in relation to HIV.  His long-term aim in the PhD is to help improve education to reduce such stigma.  Tom is being supervised by Dr. Pramod Regmi and Prof. Edwin van Teijlingen. 

Both supervisors have a long experience in studying social and health promotion aspects of HIV and AIDS.  Thirty years ago Prof. van Teijlingen worked in the NHS as a researcher in the Centre for HIV/AIDS and Drugs Studies based in Edinburgh.  Whilst Dr. Regmi conducted his PhD research on sexual health and health promotion in young people in Nepal.  Both supervisors themselves have published widely on the topic of HIV and AIDS [2-23].  The first of these many publication was a letter on community care for people living with HIV in the community which was published in the Lancet in 1993 [2]

 

 

References

  1. Weeks, T., Regmi, P., van Teijlingen, E. (2026) Stigma in UK health care: A key barrier to reaching zero HIV transmission by 2030, HIV Research & Clinical Practice (accepted).
  2. Huby, G, van Teijlingen E, Porter M., Bury, J (1993) Care for HIV in community (letter) Lancet 342: 1297-1298.
  3. Huby, G, van Teijlingen, E, Robertson J, Porter, AM (1993) Community care & support for women, In: Johnson F & Johnstone M. (Eds.) HIV Infection in Women, Edinburgh: Churchill Livingstone, 123-32.
  4. Bury, J.K., Ross, A., van Teijlingen, E., Porter, AMD, Bath, G. (1996) Lothian GPs, HIV infection & Drug Misuse: Epidemiology, Experience & Confidence 1988-93 Health Bulletin, 54: 258-269.
  5. Huby, GO, van Teijlingen E, Porter, AMD, Bury, J. (1997) Co-ordination of care on discharge from hospital into the community for patients with HIV/AIDS in Lothian, Health Bulletin, 55:338-50.
  6. van Teijlingen, E, Huby, G. (1998) Evaluation within a policy-making and contracting culture: reflections of practice, In: Barbour R.S., Huby G. (Eds.), Meddling with mythology: AIDS & the social construction of knowledge, London: Routledge, 218-33.
  7. Lowis, G, van Teijlingen, E, Sheremata, W. (2000) AIDS in developing countries: A comparative epidemiological analysis, In: Rose, J. (Ed.), Population Problems, Reading: Gordon & Breach Science Publishers: 133-61
  8. Scotland, G., van Teijlingen E., van der Pol, M, Smith, WCS. (2003) A review of studies assessing costs & consequences of interventions to reduce mother-to-child HIV transmission in sub-Saharan Africa, Aids, 17: 1045-52.
  9. Nicholson, D., van Teijlingen E. (2006) Comparing level of expenditure on HIV health promotion & incidence of HIV in Greater Glasgow & Lothian Health Boards (1988-98), Salusvita, 25(1): 13-22 usc.br/Edusc/colecoes/revistas/salusvita_pdf/salusvita_v25_n.1_2006.pdf
  10. Regmi, P., Simkhada, P., van Teijlingen E. (2008) Sexual & reproductive health status among young people in Nepal: opportunities & barriers for sexual health education & service utilisation, Kathmandu University Medical Journal 6(2): 248-256.
  11. Wasti, S.P., Simkhada, P.P, Randall, J., van Teijlingen E. (2009) Issues & Challenges of HIV/AIDS Prevention & Treatment Programme in Nepal, Global Journal of Health Science 1(2): 62-72. http://ccsenet.org/journal/index.php/gjhs/article/viewFile/2460/3474
  12. Regmi P, Simkhada PP, van Teijlingen E (2010) “Boys Remain Prestigious, Girls become Prostitutes”: Socio-Cultural Context of Relationships & Sex among Young People in Nepal, Global Journal of Health Science 2(1): 60-72.
  13. Regmi P., Simkhada, P., van Teijlingen E. (2010) “There are too many naked pictures found in papers and on the net”: Factors encouraging pre-marital sex among young people of Nepal. Health Science Journal 4(3): 162-174. hsj.gr/volume4/issue3/437.pdf
  14. Regmi, P., Simkhada, P., van Teijlingen E. (2010) Dating and Sex among Emerging Adults in Nepal. Journal of Adolescence Research 26 (6): 675-700.
  15. Regmi, P., van Teijlingen, E, Simkhada, P., Acharya, D. (2010) Barriers to sexual health services for young people in Nepal. Journal of Health Population & Nutrition 28: 619-27.
  16. Wasti, SP, Simkhada, PP, van Teijlingen E (Eds.) (2015) Socio-Cultural Aspects of HIV/ AIDS. The Dynamics of Health in Nepal, Kathmandu: Soc Sci Baha/Himal Books: 47-62.
  17. Aryal, N., Regmi, P.R., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, G.K. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV, SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  18. Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: systematic review. African Health Sciences 17(3): 753-61.
  19. Sathian, B., Sreedharan, J., Asim, M., Menezes, R.G., van Teijlingen, E., Unnikrishnan, B. (2018) Estimation of burden of people living with HIV/AIDS in Kerala state, India. Nepal Journal of Epidemiology 8(3): 738-44.
  20. Hamidi, A., Regmi, P., van Teijlingen, E. (2021) HIV epidemic in Libya: Identifying gaps, Journal of the International Association of Providers of AIDS Care, 20 :1-5 https://doi.org/10.1177/23259582211053964 .
  21. Regmi, P.R., van Teijlingen, E.R., Silwal, R.C., Dhital, R. (2022) Role of social media for sexual communication and sexual behaviors: A focus group study among young people in Nepal. Journal of Health Promotion, 10(1):153–166. https://doi.org/10.3126/jhp.v10i1.50995
  22. Hamidi, A., Regmi, P., van Teijlingen, E. (2023) Facilitators and barriers to condom use in Middle East and North Africa: a systematic review, Journal of Public Health, 32: 1651-81 https://doi.org/10.1007/s10389-023-01923-3
  23. Hamidi, A., Regmi, P, van Teijlingen, E. (2024) Islamic perspectives on HIV: a scoping review, Discover Social Science & Health 4:6 https://link.springer.com/content/pdf/10.1007/s44155-024-00063-7.pdf

Prof Marahatta promoting BU-Nepal collaboration

On Monday 9th March Prof. Sujan Marahatta visited Bournmouth University (BU) to speak about ‘Strengthening BU-Nepal collaboration AND Nepal’s experience of competency-based health professional education’.  Prof. Marahatta is the Director of the Medical Education Commission in Nepal overseeing the education of health professionals in 15 areas including Medicine, Physiotherapy, Nursing and Midwifery. He spoke about long partnership between Manmohan Memorial Institute of Health Sciences (MMIHS) and BU.  This partnership is formalised in a Memoradum of Agreement (MoA) and over the years it has included joint research projects, staff-student exchanges (funded by ERASMUS+ and Turing scheme) and offering guest lectures at each others institutions.

One of the jointly conducted studies which Prof. Marahatta highlighted was the work on CPD (Continuous Professional Development) in nursing and midwifery in Nepal.  Research on CPD started a decade ago and culminated in several papers [1-4]. The research was combined with sustained advocacy and stakeholder engagement, and resulted in the Nepal Nursing Council (NNC) formally introduced mandatory CPD as a requirement for nursing and midwifery re-registration earlier this year (15 January 2026).  The National Guideline on Continuing Nursing and Midwifery Education (CNME) CPD for Nurses and Midwives refer to our work conducted by academics based at Bournemouth University.  This is the foundation for one of BU’s REF Impact Case Studies for 2029.

Amongst other studies, Prof. Marahatta also highlighted a recent publication which was  jointly authored between BU’s professors Clark and Hundley and himself on pain catastrophising in nulliparous women in Nepal, the importance for childbirth [5].  Prof. Marahatta’s  visit was held in the Faculty of Health, Environment & Medical Sciences (HEMS) in the Bournemouth Gateway Building.

References:

  1. Simkhada B, Mackay S, Khatri R, Sharma CK., Pokhrel T, Marahatta SB., Angell C, van Teijlingen E, Simkhada P. (2016) Continual Professional Development (CPD): Improving Health Prospect15 (3):1-3.
  2. Khatri, RJ, van Teijlingen, E, Marahatta, SB, Simkhada, P, Mackay, S and Simkhada, B. Exploring the Challenges and Opportunities for Continuing Professional Development for Nurses: A Qualitative Study with Senior Nurse Leaders in Nepal. Journal of Manmohan Memorial Institute of Health Sciences. 2021 7(1):15-29. 
  3. Simkhada B, van Teijlingen E, Pandey A, Sharma CK, Simkhada P, Singh DR (2023) Stakeholders’ Perceptions of Continuing Professional Development among Nepalese Nurses: A Focus Group Study Nursing Open.10(5).
  4. Simkhada B, van Teijlingen E, Sharma C, Pandey A, Simkhada P. (2023) Nepal needs Continuing Professional Development for Re-registration in Nursing and Midwifery Journal of Nepal Health Research Council, 21(60):541-42.
  5. Clark CJ, Marahatta SB, Hundley VA. (2024) The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth. PLoS ONE 19(8): e0308129. https://doi. org/10.1371/journal.pone.0308129.

New CMWH paper on maternity care

The editor of Frontiers in Public Health have accepted our latest article from the EPPOCH study.  This latest paper ‘Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors‘ focuses on the use of substances in pregnancy in the UK during the COVID-19 pandemic [1].  Our previous EPPOCH paper, in line with several other population-based studies, highlighted that COVID-19 was associated with high levels of depression and anxiety during pregnancy in the UK [2].

This new publication reports on a cross-sectional analysis of baseline EPPOCH data (n = 3292; June – Nov. 2020). Participants reported alcohol, tobacco, cannabis, and illicit drug use before and after recognition of pregnancy, alongside validated measures of depression, anxiety, pregnancy-related anxiety, and pandemic stressors. Linear regression models examined associations between mental health, COVID-19 stressors, and substance use after pregnancy recognition. A qualitative thematic analysis of 380 open-ended responses explored perceptions of substance use post-pregnancy recognition. Results: Alcohol was the most commonly used substance before pregnancy. Following pregnancy recognition, tobacco (8.75%) and alcohol (8.60%) were the most frequently reported substances, followed by cannabis (1.49%) and illicit drugs (0.12%). Tobacco use after pregnancy recognition was associated with higher levels of depressive symptoms and pandemic stressors, including perceived personal health threat and not receiving necessary care. Prenatal co-use of substances was associated with higher depressive symptoms and pandemic-related financial difficulties. Qualitative themes included continued substance use until pregnancy detection, vaping as a perceived safer-use strategy, and midwifery advice influencing prenatal substance use decisions.

In this large UK pregnancy cohort recruited during the COVID-19 pandemic, substance use following pregnancy recognition – particularly tobacco – was linked to depression and pandemic-related stressors. These findings highlight the importance of equipping midwives and other healthcare professionals with clear, evidence-based guidance on prenatal substance use, particularly during global health crises.

This interdisciplinary project is led by Dr. Melanie Conrad in Germany.  The lead author for the paper is Ph.D. candidate Swarali Datye, whilst three members of the Centre for Midwifery & Women’s Health (CMWH): Dr. Latha Vinayakarao and Prof. Minesh Khashu both working in University Hospitals Dorset NHS Foundation Trust (UHD) and both Visiting Faculty at BU and Prof. Edwin van Teijlingen are team members and co-authors on this paper.

 

References:

  1. Datye, S., Peters, E.M.J., Windhorst, A.C., van Teijlingen, E., MacRae-Miller, A., Vinayakarao, L., Khashu, M., Fahlbusch, F.B., Conrad, M.L. (2026) Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors Frontiers in Public Health. (forthcoming)
  2. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

On Christmas Day in the Morning…

On Christmas Day (25 December 2025) the Journal of Mixed Methods Studies published Dr. Orlanda Harvey’s latest paper ‘Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids[1]. The Journal of Mixed Methods Studies is an Open Access journal, hence this paper is freely available to anybody with internet access.

Dr. Harvey is a Senior Lecturer in Social Work in the Faculty of Health, Environment & Medical Sciences. This is the latest in a series of publications based on Orlanda’s Ph.D. work at Bournemouth University.  She has published a steady stream of papers over the past six years [2-7].

Congratulations!

Prof. Edwin van Teijlingen

References:

  1. Harvey, O., van Teijlingen, E., Parrish, M. (2025). Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids. Journal of Mixed Methods Studies, 11: 43–60. https://doi.org/10.59455/jomes.42
  2. Harvey, O., van Teijlingen, E., Parrish, M. (2024) Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online 29(1): 221–232 https://journals.sagepub.com/doi/pdf/10.1177/13607804221142212
  3. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they accessBMC Public Health 19: 1024
  4. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  5.  Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2022) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29(3):276-288.
  6. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  7. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health 10(3) August, 100230

CMWH researcher featured on BBC Woman’s Hour

ChloeDr Chloe Casey, lecturer in Nutrition and Behaviour, was interviewed on BBC Woman’s Hour about her collaborative research called ‘Nourish the New You’.

Chloe’s innovative project supports women in recovery from disordered alcohol use through nutrition education and creative expression. The project is part funded by Wessex Health Partners, the Arts University Bournemouth (AUB) and Bournemouth, Christchurch and Poole Council.

Working with The Friendly Food Club, the team explored how nutrition education can be meaningfully integrated into community recovery services. They introduced cookery and nutrition classes delivered by The Friendly Food Club alongside creative workshops led by Pauline Ferrick-Squibb from AUB. These sessions provided women with opportunities to explore and express what it means to nourish themselves in recovery.

BU PhD student attending HIV conference on scholarship

Congratulations to Tom Weeks, PhD student in the Faculty of Health, Environment & Medical Sciences at Bournemouth University, who has been awarded a scholarship from Gilead Sciences to attend the 2025 British HIV Association (BHIVA) Conference. His PhD research focuses on HIV stigma in the UK.  Tom is supervised by Dr. Pramod Regmi (Principal Academic in International Health) and Prof. Edwin van Teijlingen. The BHIVA conference features key sessions including:

  • What’s happening in HIV in 2025: New guidelines, new data, and new plans
  • Towards zero HIV transmission by 2030: Where are we now and where do we go next?

 Tom is eager to engage with the latest developments in HIV care and contribute to the ongoing dialogue around stigma reduction and equitable access to treatment.

Well done!

Prof. Edwin van Teijlingen & Dr. Pramod Regmi

 

Early labour research accepted for ICM 2026 congress

The ICM, the International Confederation of Midwives, holds its congress every three years, and the next one will be in Portugal in summer 2026.  Dr. Dominique Mylod had her abstract accepted with the title ‘Supporting women in early labour: An interdisciplinary, digital approach’, whilst Prof. Vanora Hundley’s ‘Can we identify women who will need additional support in the early (latent) phase of labour?’ abstract was also acceptedBoth Dr. Mylod and Prof. Hundley are based in the Centre for Midwifery & Women’s Health (CMWH) in the Faculty of Health, Environment & Medical Science.

Congratulations!

Prof. Edwin van Teijlingen

New PhD publication on Nepal’s migrant workers

Congratulations to BU postgraduate student Yagya Adhikari, who has just been informed by the editor of the Journal of Immigrant & Minority Health that his paper “Parental migration for work and psychosocial problems among left-behind adolescents in Nepal” [1] has been accepted for publication.  Yagya’s PhD is based in the Faculty of Health, Environment & Medical Science.  He is supervised by Dr. Pramod Regmi and Prof. Edwin van Teijlingen with support from Mr. Sudip Khanal, Lecturer in Biostatistics, at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.  This is the second paper from Yagya’s PhD the first one was published at the start of his PhD studies [2].  Both papers are published in Open Access journals and therefor will be freely available to read by anyone in the world with internet access.

 

References:

  1. Adhikari, Y.R., van Teijlingen, E., Regmi, P.R., Khanal, S., Parental migration for work and psychosocial problems among left-behind adolescents in Nepal, Journal of Immigrant & Minority Health (forthcoming)
  2. Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4. https://doi.org/10.3126/jhp.v10i1.50976

CWLTH Research Seminar Series

The Centre for Wellbeing and Long-Term Health (CWLTH) will be hosting a series of virtual research seminars in October and November (see below).  All are welcome … please join us if you are able.  Contact CWLTH@Bournemouth.ac.uk to receive the meeting link.

The Centre is also collaborating with the Centre for Midwifery and Women’s Health (CMWH) to host ‘Writing in Health and Social Sciences’ on Monday 20th October.  During this three-hour workshop, experienced authors and editors will focus on multiple aspects of writing and publishing journal papers.  For more information contact CWLTH@Bournemouth.ac.uk.