Tagged / CMWHblog

Federalisation & health research presented in Nepal

BU Challenges, international, Knowledge Exchange, Publishing, writing

Last month we reported on this Bournemouth University Research Blog (click here!) that Ms. Amshu Dhakal, presented findings from our Nepal Federal Health System Project in Nepal.  Amshu’s presentation at the Nepal Health Conclave 2024, organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA, resulted in an online article in Nepal.  This article in Nepali in Swasthya Khabar Patrika features lessons learnt and evidence from our research project “The Impact of Federalisation on the Health System of Nepal.”
Our project ran from 2020 to 2024, and it was funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office, and the Welcome Trust.  This joint project was 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 Manmohan Memorial Institute of Health Sciences and PHASE Nepal.  In 2023 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings in Nepal.  Furthermore, to date we have published eight papers from this interdisciplinary project [1-8].
This is one of several news articles from this project which have appeared in both English and Nepali in national media in Nepal.  In early 2024 two daily English-language media outlets: The Annapurna Express and Gazzabkoo Magazine published articles covering our project.  The latter used the title ‘Strengthening Health Systems for Better Health‘ and the former opted for the headline ‘Forum on health system strengthening’.
In the same month last year three UK professors: Julie Balen (Canterbury Christ Church University), Simon Rushton (the University of Sheffield) and Edwin van Teijlingen (Bournemouth University) were interviewed (see interview here) about the study.  Our interdisciplinary research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ was also previously reported in several national media in Nepal in the spring of 2023. 
 
Prof. Edwin van Teijlingen
Centre of Midwifery & Women’s Health.
References:
  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (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 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. 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.
  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
  6. 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.
  7. 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.
  8. 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

Anyone can drown. No one should!

Awarded & submitted bids, international, PG research, Publishing, writing

The first editorial of The Lancet Public Health [1] highlights a public health issue close to our work in Bangladesh, namely the risk of drowning, especially in young children.  “Anyone can drown. No one should” are the words of the Director General of the World Health Organization (WHO) in its first Global status report on drowning prevention, published two weeks ago (Dec. 2024). According to  The Lancet Public Health this landmark report dissects the drowning burden globally, at the country level, and the trends since 2000, presents an overview of the key strategies to prevent drowning, and provides a benchmark for tracking prevention efforts in the future. Importantly, this report sheds light on a tragic, neglected, mostly preventable public health issue.

We are grateful to The Lancet Public Health for raising this important issue in 2025, since Bournemouth University (BU) is currently engaged in  research project in this field called ‘Sonamoni’.  This an interdisciplinary study is a collaboration with CIPRB (the Centre for Injury Prevention and Research, Bangladesh), the University of the West of England (in Bristol), the University of Southampton, the Royal National Lifeboat Institution (RNLI), and Design Without Borders (DWB) in Uganda.  Sonamoni aims to design and develop interventions to reduce the number of  young children drowning in Bangladesh.

This public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.

The interdisciplinary team at BU includes three faculties and six member of staff: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.  We recently published the first paper ‘Drowning Prevention should be a Public Health Issue in Nepal related to this project [2].

 

References:

  1. Anonymous (2025) Anyone can drown. No one should. The Lancet Public Health, 10(1): e1
  2. Hossain, M. S., Pant, P.R., van Teijlingen, E., Sedain, B., Rahman, A. (2024). Drowning Prevention should be a Public Health Issue in Nepal. International Journal of Social Sciences and Management, 11(4): 83–87.

Advancing Rehabilitation Research

international, Publishing, Training, writing

Rehabilitation research has long remained in the shadows of other health/medical disciplines, despite its immense potential to reshape patient outcomes and community health. The Rehabilitation Research Symposium Series in Qatar is a significant initiative aligned with global and national frameworks such as the WHO’s (World Health Organization) Rehabilitation 2030 and Qatar’s National Vision 2030.

Advancing Rehabilitation Research: Building Capacity for Evidence-Based Practice:  Level 2 Rehabilitation Research Symposium serves as a powerful response to the growing call for a comprehensive, evidence-based approach to rehabilitation, both locally and globally.  The second day of this symposium, tomorrow (January 4th 2025), includes a session by Bournemouth University’s Prof. Edwin van Teijlingen.  He has been invited to help build research capacity in the field of academic writing and publishing.

Bournemouth University collaboration in Qatar centres on academics and clinicians based at Hamad Medical Corporation’s (HMC).  HMC has been appointed as a WHO Collaborating Centre for Healthy Ageing and Dementia, under auspices of Ministry of Public Health in Qatar.

 

Last publication of 2024

international, Publishing, Research Integritiy, writing

The Nepal-based Dhaulagiri Journal of Sociology and Anthropology published its latest issue today, the last day of 2024, with an editorial on the hot topic of ‘The Use of Artificial Intelligence (AI) in Academic Writing and Publishing Papers’  [1].

In this editorial, the authors made it very clear that the complete text in Box 1 is generated by AI. Which is appropriate considering the focus of this editorial is on questions raised by the potential use of academic writing.  The authors argue that AI should be used with consideration to avoid misuse. Any use of AI should be done transparently, ethically, and professionally, and the authors should take full responsibility for the accuracy of the information.

 

Prof. Edwin an Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. van Teijlingen, E., Subedi, M., Parker, S., Khattri, M.B. (2024) The Use of Artificial Intelligence (AI) in Academic Writing and Publishing Papers Dhaulagiri Journal of Sociology & Anthropology, 18(2): 1-4.   https://www.nepjol.info/index.php/DSAJ/article/view/73358

Impact of federalisation on Nepal’s health system

conferences, international, Publishing, writing

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to 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 was 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. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (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 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. 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.
  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
  6. 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.
  7. 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.
  8. 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

Academic writing: Six encouragements

Publishing, writing

The Festive Season is a good time to clean up and clear out the pile of paper collected throughout the proceeding year.  One the many pieces of potentially useful information I archived was a three-page article from the April edition of the monthly magazine Prima [1].  Most certainly not the most academic magazine, but useful all the same, as it was a piece encouraging readers to write their own book.

The six steps or recommendations in Prima were:

  • Figure out what you want to write;
  • Make time to write;
  • Find your writing method;
  • Forget about perfection;
  • Keep going (even when the going gets though);
  • Find writing buddies!

I found it interesting as these six steps in this piece overlap a lot with the advice we have been giving to budding academics for years [2].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

 

References:

  1. Gibson, F. (2024) How to write a novel and get published, Prima (April edition): 38-40.
  2. Wasti, S.P., van Teijlingen, E., Simkhada, P., Hundley, V. with Shreesh, K. (2022) Writing and Publishing Academic Work, Kathmandu, Nepal: Himal Books

Two new BU midwifery publications

international, open access, writing

This past week, as part of her work with McMaster University in Canada, Bournemouth University’s (BU) Centre for Midwifery & Women’s Health (CMWH) postgraduate PhD student Joanne Rack published a paper in BMJ Open.  This Open Access paper explores the strengths and weaknesses of midwifery research in Canada [1].  Joanne is currently doing a Clinical Doctorate in the  specialising in personalised care for women of advanced maternal age.  This PhD study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Professors Vanora Hundley and Edwin van Teijlingen in CMWH, Prof. Ann Luce, deputy dean in BU’s Department of Communication & Journalism as well as Dr. Latha Vinayakarao in Poole Maternity Hospital.

The second midwifery paper ‘Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal‘, which is also Open Access, has a different international focus, this time on Nepal [2].  The paper is co-authored by Dr. Preeti Mahato and Prof. Edwin van Teijlingen.  Dr. Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, is currently based at Royal Holloway, University of London.

 

 

 

 

References:

  1. Ruby, E., Brunton, G., Rack, J., et al. (2024). Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities – results of a scoping review. BMJ Open 14:e087698. doi:10.1136/bmjopen-2024-087698
  2. Mahato, P.,  van Teijlingen, E. (2024). Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal. Europasian Journal of Medical Sciences 6(1). https://doi.org/10.46405/ejms.v6i1.537

New publications Dr. Pramod Regmi

international, open access, Publishing, Research themes, writing

Dr. Pramod Regmi in the Centre for Wellbeing & Long-Term Health published two new academic papers just before Christmas on health and migration.  The first one was called ‘Health and Wellbeing Among Nepali Migrants: A Scoping Review’ [1], and the second one has the title ‘Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion’ [2].  Both papers are Open Access and, hence, freely available online!

 

 

 

References:

  1. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion, 12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
  2. Paudyal, A.R., Harvey, O., van Teijlingen, E., Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion, 12(1): 125–132. https://doi.org/10.3126/jhp.v12i1.72713

Appreciating Appreciative Inquiry

international, Publishing, Women's Academic Network, writing

Prof. Gabriele Bammer, the editor of the i2Insights blogs, highlighted in her ninth annual review that a post created by Bournemouth University academics was one of the website’s  most popular contributions in 2024.  This BU contribution ‘Learning to use Appreciative Inquiry‘ by Dr. Rachel Arnold is in the top eight most viewed this year – in fact it’s the second most viewed blog!

Dr. Rachel Arnold has been lead author on several research papers in the field of Appreciative Inquiry [1-2], in collaboration with current and former Bournemouth Academics, Professor Emerita Sue Way, Dr. Preeto Mahato (now at Royal Holloway, University of London) and Prof. Edwin van Teijlingen.   Rachel has also been a contributor to a major textbook in the field [3-4].

References:

  1. Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2024) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth 37: 128-136. 
  2. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.
  3. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024a)  Appreciating Health and Care: A practical Appreciative Inquiry resource for the Health and Social Care sector, Forres: Appreciating People; ISBN: 978-1-9160267-6-6
  4. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024b) Appreciating Health and Care: AI in practice, Forres: Appreciating People.

 

Spotlight on the Menopause: A Recap of the Women’s Health Symposium

On the evening of Wednesday, November 20, 2024, Bournemouth University hosted at the Centre for Midwifery and Women’s Health at Bournemouth University shining a Spotlight on the Menopause. This event was an opportunity to better understand the menopause, including a discussion on the latest treatment options and menopause in the workplace. This event was intended for the general public, staff, students, researchers, charity partners and local organisations.

https://www.youtube.com/watch?v=tJtnwGylQjQ

The symposium featured an impressive lineup of speakers:

  • Tim Hillard: Consultant Gynaecologist and Menopause Specialist, University Hospitals Dorset, Poole
  • Dr Abbie Laing: GP and Menopause Specialist, University Hospitals Dorset, Poole
  • Kathy Abernethy: Menopause Specialist Nurse and BMS Menopause Specialist, Director “The Menopause Course”
  • Dr Sarah Hillier: Senior Academic in Nutrition, Centre for Midwifery and Women’s Health, Bournemouth University.

https://www.bournemouth.ac.uk/research/centres-institutes/centre-midwifery-womens-health


Left to Right – Sarah, Tim, Carol, Emma, Abbie. Photo by Jakob Rossner 20 11 2024, Wolfson Theatre

and photo of Tim presenting below. Photo by Jakob Rossner 20 11 2024, Wolfson Theatre.

As part of the event, the CMWH showcased the fantastic research we are doing in this area at BU in a series of elevator style presentations from colleagues Dr Hyun-Joo Lim Principal Academic in Sociology, Psychology PhD researcher Eunhee Kim, as well as an overview of Nutrition related projects from PhD researcher Rebecca Owen (ANutr) and staff Dr Reena Vijayakumaran, Senior Lecturer in Nutrition, Dr Fotini Tsofliou, Principal Lecturer in Nutrition, Dr Sumanto Haldar, Lecturer in Nutrition Sciences and Dr Chloe Casey, Lecturer in Nutrition.

Special thanks to the BSc Nutrition and MSc Nutrition and Behaviour students who volunteered to support the event and to Jakob Rossner, Learning Technologist who helped with the smooth technology running of the event. 

#BUMenopause #BUHealthSymposium

BU academics’ paper read 170,000 times!

NHS, Publishing, Training, Women's Academic Network, writing

This week ResearchGate notified us that our methods paper ‘The Importance of Pilot Studies‘ [1], published 22 years ago in The Nursing Standard, has now been read 170,000 times!  Prof. Vanora Hundley and Prof. Edwin van Teijlingen wrote this more elementary paper after  publishing an in-depth academic paper on a pilot study into assessing  maternity care in Scotland [2].  The latter paper described their learning from a pilot study which we conducted prior to a cross-national study of births in Scotland.

The methods paper in the Nursing Standard is also their most highly cited paper.  Today Google Scholar lists it with 2,035 citations, interestingly this is not the case on SCOPUS as The Nursing Standard is not listed on SCOPUS.  Researchers seem to be quoting this paper in their research methods section when they have done pilot or feasibility study for a larger-scale study.

 

 

References:

  1. van Teijlingen E, Hundley, V. (2002) The importance of pilot studies, The Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.

Race Equity Month: Disparities in maternity care

NHS, open access, Women's Academic Network, writing

Race Equity Month – Can the UK finally tackle health disparities in maternity care?

Last week Prof. Hora Sultani, who leads the joint bid submitted by Sheffield Hallam University (SHU) and Bournemouth University (BU) in reply to the ‘NIHR Challenge: Maternity Inequalities funding call’, wrote an article on the website of the Council of Deans for Health.  This piece with the title ‘Race Equity Month – Can the UK finally tackle health disparities in maternity care?‘ can be freely accessed (click here!).  One of Prof. Soltani’s key arguments is that it is vital that national policy makers and service providers collaborate with researchers and communities to co-design and provide practical solutions for such important maternity challenges in UK society.

Prof. Soltani was writing on behalf of  the UK Network of Professors in Midwifery and Maternal and Newborn Health, an organisation to which both Profs Hundley and van Teijlingen belong.

Methods or Methodology paper: 300+ reads

BRIAN, international, Publishing, writing

Last month ResearchGate informed us that our paper ‘Methods or Methodology: Terms That Are Too Often Confused’ has been read 300 times [1].  This paper started as a discussion among the authors about how many students, researchers, and authors of academic papers do not seem to know the difference between methodology and methods. This is true in many academic disciplines.

In simple terms, the term methods refers to the research tools and techniques; for example, in the qualitative field, interviews are a tool to collect data, and in the quantitative field, a questionnaire-based survey is an example of a data collection tool. Methodology is a broader concept as it refers to the overall approach to the research, includes a justification for this approach, and links to research philosophy, i.e., how we produce knowledge. This methodological note aims to explain the confusion, drawing on examples from the published literature in education research and beyond. It also considers the complexities and crossovers. The final section ends with key advice to researchers and authors on key mistakes to avoid regarding the difference between methods and methodology, including covering this in early supervision discussions.

 

Prof. Edwin van Teijlingen

Reference:

  1. Harvey, O., Regmi, P.R., Mahato, P., Dhakal Adhikari, S., Dhital, R., van Teijlingen E. (2023) Methods or Methodology: Terms That Are Too Often Confused. Journal of Education & Research, 13(2): 94-105. https://doi.org/10.51474/jer.v13i2.716