BU Research Blog

February 29, 2024

Writing some blurb

Events, international, Publishing, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

Publisher Routledge announced the forthcoming edited volume Menstruation in Nepal: Dignity Without Danger, which is edited by Sara Parker, Madhusudan Subedi and Kay Standing. This book examines the complexities of menstrual beliefs and practices in Nepal. Taking an interdisciplinary and intersectional approach, it explores and promotes the rights of women, girls and people who menstruate, to a dignified and healthy menstruation. I had the honour of being asked to write some of the blurb for this exciting book. Partly, because of our wide-range of health services and health promotion research in the country and partly because of our previous paper on reusable sanitary towels in the aftermath of the 2015 earthquake in Nepal [1].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.

February 18, 2024

Collaborative midwifery paper cited 40 times

BU research, international, Research news, Women's Academic Network, writing Edwin van Teijlingen

Two days ago ResearchGate informed us that that the paper ‘Midwifery-led antenatal care models: mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care‘ has reached 40 citations. This paper, co-authored by Bournemouth University’s Professors Vanora Hundley and Edwin van Teijlingen, was originally published in 2016 in BMC Pregnancy & Childbirth [1]. Both Vanora and Edwin are based in the Centre for Midwifery & Women’s Health (CMWH) in the Faculty of Health & Social Sciences.

The same team wrote a separate paper the following year on ‘Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models’ [2]. Interestingly, ResearchGate tells us this paper has been read fewer times and cited ‘only’ 21 times to date.

Reference:

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 evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16:168 http://rdcu.be/uifu
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 & taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3

February 10, 2024

New BU Public Health publication

Featured academics, Global engagement, open access, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

Yesterday we received the proofs of the recently accepted paper ‘Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal’ [1]. Luckily these are only the proof pages as my family name is misspelt, and the paper still lists the old name of our Centre for Midwifery and Women’s Health, which was, of course, the correct name at the time of submission.

The last time I published a paper on hygiene was also with colleagues in Nepal seven years ago, this time it was on menstrual hygiene [2].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

References:

Sharma, M., Adhikari, R., van Teijlingen, E., Devkota, B., Khanal, S. (2024) Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal, International Journal of Health Promotion & Education (accepted). https://doi.org/10.1080/14635240.2024.2314459.
Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.

February 6, 2024

Paper by BU MSc student accepted for publication

Featured academics, Global engagement, international, open access, PG research, Postgraduate Research, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

Congratulations to Mr. Musa Lewis Nhlabatsi whose paper ‘Clinicians’ barriers to screening and diagnosing diabetes distress in patients with type 1 and 2 Diabetes Mellitus: a systematic review’ has just been accepted by the African Journal of Health Sciences [1].This systematic review’s initial search identified 1,579 studies, but only four primary studies from three countries met the inclusion criteria. The studies reported five barriers: (1) lack of knowledge, (2) lack of time, (3) lack of accessibility to mental health services, (4) lack of motivation and (5) patients’ denial of their diabetes distress. The two most reported barriers were lack of knowledge and time. In conclusion this review identifies critical barriers to the underdiagnosis of diabetes distress by clinicians and highlights the need for policymakers and organisations to conduct pragmatic research to understand clinicians’ experiences in assessing diabetes distress in various healthcare settings to improve diabetes management.

The paper developed from his work on the Systematic Review Module for Masters student. Earlier Musa won The Department of Medical Science and Public Health Award in July 2023 and he graduated in November 2023.

Congratulations!

Profs. Vanora Hundley and Edwin van Teijlingen

CMWH

Reference:

Nhlabatsi, M.L., van Teijlingen, E., Hundley, V. (2024) Clinicians’ barriers to screening and diagnosing diabetes distress in patients with type 1 and 2 Diabetes Mellitus: a systematic review’, African Journal of Health Sciences (forthcoming)

January 25, 2024

Health Promotion article is being read

BU research, Featured academics, international, open access, Publishing, Research communication, Research news, Uncategorized, writing Edwin van Teijlingen

Our article ‘Understanding health education, health promotion & public health’ [1] is getting read according to ResearchGate. This conceptual/ theoretical paper was published open access in late 2021 in the Journal of Health Promotion and it reached 4,500 reads yesterday. Whilst the web side of the journal suggests today that the PDF of the paper has been downloaded 8,511 times.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

van Teijlingen, K. R., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. R. (2021). Understanding health education, health promotion and public health. Journal of Health Promotion, 9(1): 1–7. https://doi.org/10.3126/jhp.v9i01.40957

January 24, 2024

New paper by FHSS PhD student Abier Hamidi

BU research, international, PG research, Research communication, Research news, Uncategorized Edwin van Teijlingen

This morning the journal Discover Social Science & Health informed us that Abier Hamidi’s latest paper ‘Islamic Perspectives on HIV: A Scoping Review’ has been accepted for publication [1]. Discover Social Science & Health is an Open Access journal publishing research across the full range of disciplines at the intersection of health, social and biomedical sciences. This latest review is part of Abier’s PhD research project and it follows several earlier related publications [2-7].

Abier is supervised by Dr. Pramod Regmi, Principal Academic-International Health and the Global Engagement Lead in the Department of Nursing Sciences, and Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH).

Congratulations!

References:

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
Hamidi, A. (2023) Social media now trumps traditional family networks in Libya – my Facebook survey reached 446,000 women, The Conversation published: April 24.
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, https://doi.org/10.1007/s10389-023-01923-3
Hamidi, A. (2023) Book Review: Fatma Müge Göçek and Gamze Evcimen, The I.B. Tauris Handbook of Sociology and The Middle East, Sociologial Research Online 28(4)
Hamidi A. (2022) HIV prevention – Challenges in reaching Libyan women: A narrative review. Women’s Health. 18: doi:10.1177/17455057221080832
Hamidi, A., van Teijlingen, E., Regmi, P. (2021) Facilitators and barriers to condom use in Middle East and North Africa: a systematic review. PROSPERO CRD42021297160
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 .

January 17, 2024

A tale of two ministries

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Yesterday in Nepal we attempted to meet two government ministers to present policy recommendations generated by the study examining the consequences for the health system of Nepal’s move to a federal government structure. This three-year project is UK-funded by the MRC, Wellcome Trust and the FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. Through our collaborating partners in Nepal we had managed to make initial contacts with the Prime Minister’s office and a senior secretary in the Ministry of Health & Population. The timing was significant as yesterday was the last day that UK-based members of our team were in Nepal. The day started with a possible meeting with first the Prime Minister Pushpa Dahal, followed by a possible meeting with the Health Minister Mohan Baladur Basnet. However, as the saying goes ‘timing is everything!’ And, in the end the time was against us.

One of the two principle investigators of our study, Professor Simon Rushton from the University of Sheffield, and got ready early in the morning, only to be told by our Nepalese collaborators that the traffic in Kathmandu was hectic. Having waited for nearly an hour for our transport, we decided to split up with one of us joining some of our Nepalese collaborators trying to see the Prime Minister (PM) and the other one with a team to visit the Minister of Health & Population. Prof. Rushton went to the latter and after a period of waiting he and one of our Nepalese collaborators managed to meet the Minister and his staff. He also managed to hand over our policy recommendations. This offered a nice picture opportunity to illustrate a REF Impact Case Study.

Three other Nepalese collaborators and I, on the other hand, waited for over two hours in the waiting room of the Prime Minister, who turned out to be in an urgent meeting with two senior ministers. After over two hours we had to call off our attempt to see the PM. All I ended up with as ‘evidence’ was a picture of the tissue box in the PM’s waiting room. In the end I had to rush to Tribhuven International Airport to catch my flight to Qatar, then onward to London Gatwick.

For the team visiting the PM it felt very much like Robert Burns’ poem: “The best laid schemes o’ Mice an’ Men. Gang aft agley.”

Professor Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 15, 2024

Research methods capacity building in Nepal

BU research, international, PG research, Public engagement, Research communication, Uncategorized Edwin van Teijlingen

Yesterday, Sunday 14th January, I was invited by Bournemouth University’s former PhD student Dr. Pratik Adhikary to run a three-hour methods session on semi-structured interviews and focus group discussions at the Nepal Injury Research Centre (NIRC). The workshop was based on work normally presented as part of BU’s Doctoral College Researcher Development Programme.

The audience comprised PhD students based at NIRC, as well as at Kathmandu Medical College (KMC), and Nepal’s oldest and largest university, Tribhuvan University. Participants were involved in research into many different research questions, ranging from road traffic accidents to sexual health and the well-being of migrant workers. NIRC was established with funding from the UK National Institute for Health and Care Research (NIHR) Global Health Research Programme and it is a partnership between KMC and the University of the West of England, Bristol (UWE).

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

January 15, 2024

TV interview in Nepal

BU research, international, Public engagement, Research news, Uncategorized Edwin van Teijlingen

Two days ago Professor Edwin van Teijlingen from BU’s Faculty of Health & Social Sciences was interviewed by the national television channel News24 in Kathmandu, Nepal. His interview covered some more personal questions, including the question how Edwin became involved in research in Nepal two decades ago, followed questions about recent research projects. The latter involved questions about the nearly completed project “The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’. This project, launched in 2020 at the beginning of the COVID-19 pandemic, is led by the University of Sheffield, in collaboration with BU, the University of Huddersfield, Canterbury Christ Church University, PHASE Nepal and MMIHS (Manmohan Memorial Institute of Health Sciences). This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called the Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.

There were also questions about the health and well-being of Nepal’s migrant workers, partly related to a recently finished study on kidney health of migrant workers funded by The Colt Foundation and a new project led by La Isla Network in the United States of America (USA). La Isla Network, Johns Hopkins University Bloomberg School of Public Health (in the USA) , Nepal Development Society and Bournemouth University are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.

The television company has already put the half-hour interview on YouTube, to watch it click here!

January 10, 2024

Communication in the aftermath of an NHS staff suicide: New research published today!

ECR Network, Fusion themes, humanities, Impact, nhs, NHS, open accecss, open access, parliament, PG research, Postgraduate Research, Public engagement, Publishing, Research Centres, Research communication, Research Ethics, Research news, research staff, student research aluce

Prof. Ann Luce (FMC), Ms. Georgia Turner (PhD candidate FST), Ms. Lauren Kennedy (MSc student FST) and Dr. Reece D. Bush-Evans (Lecturer in FST) are pleased to announce the publication of their most recent work in British Medical Journal: Medical Humanities titled, “Quite simply they don’t communicate: a case study of a National Health Service response to staff suicide”. You can access the article here for free.

Workplace suicide can have significant knock-on effects within an organisation, yet research has shown within the healthcare profession, not all staff receive suicide prevention training, and few employers take the time to reflect on the need to change workplace policies or practices following the death of a staff member to suicide. How staff suicide is communicated across an organisation and to family members is important. Effective crisis communication is critical for effective management for a timely and sensitive response to a staff suicide within an organisation. By doing so, workplaces can help to reduce the significant emotional trauma suicide can have on an employee, and support good mental health across its workforce.

This groundbreaking work in the field of suicide prevention is already having an impact. The work was cited by Parliament’s Public Accounts Committee recent report on “Improving Mental Health Services”. Furthermore, the research has served as the underpinning evidence for NHS England’s National Suicide Prevention Toolkit for England, which will be implemented across all NHS Trusts in England. And, with a renewed focus on healthcare suicide, with a specific focus on female nurses, the research served as underpinning evidence for England’s National Suicide Prevention Strategy that was released in September 2023.

The team would like to thank all research participants as this was a difficult project to complete. Further, thanks must also be extended to NHS England for funding, the BU Open Access Fund, and the colleagues across BU who read drafts of the work prior to publication.

January 10, 2024

Latest paper from Federalisation & Health System in Nepal

BU research, Featured academics, Global engagement, Impact, international, mrc, open access, Publishing, research methods, Research news, Uncategorized, writing Edwin van Teijlingen

The sixth paper from our interdisciplinary research team focuses on the effective way we applied participatory policy analysis in a study on the effects on the health system in Nepal. In the research we used a methodological approach using the River of Life which we describe in this paper ‘Participatory policy analysis in health policy and systems research: reflections from a study in Nepal’ [1]. The Lead author is Dr. Sujata Sapkota from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.

This study was 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 in 2015. This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS and PHASE Nepal. We have managed to publish five papers from this project prior to today’s one reflecting on the methodology [2-6].

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

References:

Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti, S.P., Karki, J.K., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, S.B. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
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., 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.
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

January 9, 2024

Forum on Post-Federalisation Health System Strengthening

BU research, Events, Fusion themes, Global engagement, international, research governance, research methods, Research news, Training, Uncategorized, writing Edwin van Teijlingen

Today and tomorrow our research team is engaged in discussions with those responsible for running the health system at different levels of the new federal system in Nepal. The aim today and tomorrow of this participatory research project is bring together stakeholders from all levels of government (local, provincial and federal), to develop solutions, practical actions and recommendations for different levels of the political system to address some of the five areas our research identified as possible priorities. Nepal changed from a centralised political system of government to a federal system in 2015. It is easy to see how such change in the political system might affect the organisation, funding, governance, human resources, etc. of all sub-systems in society, such as the education system, the police, and in the area of our particular interest, the health system.

This interdisciplinary study started just before COVID-19 in 2020 and is now coming to a conclusion. The multi-national research team includes researchers from Nepal: MMIHS (Manmohan Memorial Institute of Sciences) in Kathmandu, and PHASE Nepal (Bhaktapur), the University of Sheffield, Bournemouth University, and the University of Huddersfield (the original UK applicants), and researchers currently based at three further UK universities: the University of Greenwich, the University of Essex and Canterbury Christ Church University. This exciting research is funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office (FCDO), and the Welcome Trust.

January 1, 2024

The last BU blog of 2023

BU research, Featured academics, international, open access, Publishing, research methods, writing Edwin van Teijlingen

First of all: Happy New Year!

One of the first message I received this morning was that our editorial ‘Addressing the inequalities in global genetic studies for the advancement of Genetic Epidemiology’ [1] had been published yesterday. If I had know this in time it would have been the proper last Bournemouth University Research Blog of 2023 published yesterday. Interestingly, we only submitted the draft editorial on Christmas Day, got it back for revisions on Boxing Day and resubmitted it and had it accepted on December 28th. It dis, of course, help that both editors-in-chief of the Nepal Journal of Epidemiology are co-authors on this editorial!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

Sathian, B., van Teijlingen, E., Roy., B., Kabir, R., Banerjee, I., Simkhada, P., Al Hamad, H. (2023) Addressing the
inequalities in global genetic studies for the advancement of Genetic Epidemiology. Nepal Journal of Epidemiology, 13(4):1292-1293.
DOI: 10.3126/nje.v13i4.61271

December 28, 2023

Interview with BU professor published

BU research, Delicious links, Featured academics, Global engagement, international, open access, Publishing, Research news, Uncategorized Edwin van Teijlingen

Today Madhusudan Subedi and Man Bahadur Khattri published their Interview with Prof. Edwin van Teijlingen in the Dhaulagiri Journal of Sociology & Anthropology [1]. This academic journal is published in Nepal and it is Open Access; hence freely available to read to anybody with access to the internet.

Their abstract reads: “Edwin van Teijlingen is Dutch by birth and a Professor of Reproductive Health at Bournemouth University in the south of England. He has achieved a PhD in Medical Sociology at the University of Aberdeen, UK. Prof. Edwin van Teijlingen connected with Nepal while supervising Nepali PhD scholars in UK, and he has been a frequent visitor to Nepal since 2006. He has supervised more than 35 PhDs, among which 13 are Nepali. He has examined more than 50 PhDs. He has published around 300 academic papers and book chapters in health promotion, midwifery, and health services research. He serves as a peer reviewer for worldwide famous health journals such as PLOS One and BMC Pregnancy & Childbirth. He delivered a speech to the Members of Parliamentarians in Kathmandu in 2016 as part of a workshop to promote evidence-based policy-making. He is a committee member on various grant-awarding bodies in the UK, Belgium, the Netherlands, Norway, Switzerland, and the USA. He is a visiting Professor at the Centre for Disability Studies, Mahatma Gandhi University, Kerala in India (2020-present); the School of Health Sciences at the University of Nottingham in England (2017-2026); Nobel College, affiliated with Pokhara University, Nepal (2012-present); and Manmohan Memorial Institute of Health Sciences affiliated with Tribhuvan University (2009-present). We would like to express our gratitude for his acceptance to share personal and academic lives, which can inspire young and energetic scholars in Nepal and elsewhere.”

Reference:

Subedi, M., Khattri, M. B. (2023). Interview with Professor Edwin van Teijlingen. Dhaulagiri Journal of Sociology and Anthropology, 17(01), 79–88. https://doi.org/10.3126/dsaj.v17i01.61149

December 23, 2023

Paper published on ‘living evidence’

BU research, Featured academics, international, open access, Publishing, research methods, Training, Uncategorized, writing Edwin van Teijlingen

The Nepal Journal of Epidemiology published today carries an article on so-called ‘living evidence’ as an on-going synthesis approach that provides up-to-date rigorous research evidence [1]. This short research methods paper argues that living evidence is particularly useful in rapidly expanding research domains, uncertain existing evidence, and incorporating new research evidence that may impact policy or practice, ensuring that health worker, managers and health-policy makers have access to the best, i.e. the most recent evidence.

The Nepal Journal of Epidemiology is an Open Access journal, and hence freely available to researchers across the globe. The paper has been co-authored by researchers from the Denmark, Qatar, Mauritius and the UK.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

Sathian B., van Teijlingen E., do Nascimento I.J.B., Khatib M.N., Banerjee I., Simkhada P., Kabir R., Al Hamad H. (2023) Need for evidence synthesis for quality control of healthcare decision-making. Nepal Journal of Epidemiology 13(3):1288-1291. DOI: 10.3126/nje.v13i3.61004

December 22, 2023

New Nepal paper published

BU research, Featured academics, Global engagement, international, policy, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

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

December 21, 2023

Viewpoint on free birthing

Featured academics, Global engagement, international, open access, Publishing, Uncategorized, writing Edwin van Teijlingen

This week the Journal of Asian Midwives published our short article ‘Out-of-hospital births: A small but growing phenomenon in high income countries: A viewpoint‘ [1]. OOHBs (out-of-hospital births), is also referred to as freebirth (or freebirthing), unassisted childbirth and/or unassisted pregnancy [2]. OOHB does not refer to giving birth at home before the midwife arrives at a home birth or the birth taking place in an ambulance or along the side of the road on the way to a maternity unit, this is called ‘born before arrival’. OOHB suggests an element of planning of planning a birth without a midwife (or other maternity-care professional).

The paper in the Journal of Asian Midwives highlights that during the COVID-19 pandemic, OOHBs were a way to avoid Public Health regulations and lock-down constraints, and to guarantee the presence of a partner at the birth. The authors argue, however, that the pandemic is not at the origin of the trend, but more of a catalyst. Advocacy groups, maternity-service users’ groups, the media, and midwifery organisations in several high-income countries have in recent years underlined the growing criticism of existing maternity care and midwifery services and a long-term shortage of midwives. This is in addition to a longstanding trend in the United Kingdom of closing community-based hospitals, including small, free-standing midwife-led units.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

Miani, C, Batram-Zantvoort, S, Pitchforth, E, Treadgold, B, Johnston, K, Rozée, V, MacDougall, C, Schantz, C, van Teijlingen, E. (2023) Out-of-hospital births: A small but growing phenomenon in high income countries: A viewpoint. Journal of Asian Midwives 10(2):77–78.
AIMS. (2020) Freebirth, Unassisted Childbirth and Unassisted Pregnancy, published on 30 March 2020, accessed 21 December 2023.

December 18, 2023

CMWH leads the way with latest evidence on early labour

BU research, international, PG research Vanora Hundley

It has been a busy month for researchers in the Centre for Midwifery and Women’s Health. Academics have been reporting their findings on improving care and support for women in early / latent phase labour.

This has included a specially focused issue in Women and Birth edited by Professors Susanne Grylka-Baeschlin and Vanora Hundley.

The issue starts with an editorial by Grylka-Baeschlin S, Hundley V, Cheyne H et al (2023) Early labour: an under-recognised opportunity for improving the experiences of women, families and maternity professionals Women & Birth https://doi.org/10.1016/j.wombi.2023.09.004

The issue includes the results of a randomised controlled trial by CMWH member Dr Rebecca Edwards:

Edwards R, Way S and Hundley V (2023) Let’s Talk Early Labour: The L-TEL Randomised Controlled Trial. Women & Birth https://doi.org/10.1016/j.wombi.2023.07.132

and the results of the BALL trial by midwifery lecturer Dr Dominique Mylod:

Mylod DC, Hundley V, Way S, Clark C (2023) Can a birth ball reduce pain perception for women at low obstetric risk in the latent phase of labour? The Ball Assisted Latent Labour (BALL) randomised controlled trial. Women & Birth https://doi.org/10.1016/j.wombi.2023.11.008

An additional paper by doctoral student Vanessa Bartholomew has just been published in Sexual & Reproductive Healthcare:

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 https://doi.org/10.1016/j.srhc.2023.100941

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CMWH leads the way with latest evidence on early labour

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