Congratulations to Dr. Rachel Arnold on the publication of her fourth PhD paper. Today the Journal of Asian Midwives informed us that the paper ‘Hidden Relationships: Perspectives on Leadership and Management in Afghan Maternity Services – An Ethnographic Exploration‘ has been published today [1]. Earlier papers have been published in BJOG, Social Science & Medicine as well as BMC Pregnancy & Childbirth [2-4]. The paper discusses the improvement of the quality of healthcare, particularly in low-income countries, which often focuses on the performance of healthcare providers and the availability, acceptability, and uptake of services. The role that health service leaders play in facilitating effective care has received less attention in the literature. This ethnographic study explored the perspectives of Afghan maternity care providers, managers and other stakeholders on leadership and the provision of quality maternity care.
The results of this study involves 1. Healthcare providers who described their managers as both autocratic and weak. They explained that their managers failed to enforce standards or listen to their concerns. 2. Managers who felt powerless to improve
care because the government did not support their initiatives to reform the working environment or discipline staff members who were flouting the rules.

Prof. Edwin van Teijlingen
CMMPH
References:
- Arnold, R, vanTeijlingen, E, Ryan, K, & Holloway, I. (2022) Hidden Relationships: Perspectives on Leadership and Management in Afghan Maternity Services – An Ethnographic Exploration. Journal of Asian Midwives. 9(1):45–55.
- Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care, BMC Pregnancy & Childbirth 19 :307 https://rdcu.be/bPqlj
- Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
- Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.


According to UK Research Office in Brussels (UKRO), this new announcement reiterates that association to EU programmes remains the UK’s preferred outcome and extends the scope of the Guarantee to cover additional Horizon Europe calls for proposals while the delay to association continues.
The




The measures will only come into force if the UK is unable to associate to Horizon Europe and will ensure that there is no funding gap. The UK government remains committed to a strong research collaboration with Europe and has reiterated that association remains its preferred outcome. The UK Government is ready to formalise association to EU programmes at the earliest opportunity.
To finish this update and the whole academic year on an optimistic note, I am glad to tell you that in July 2022 BU academics have been awarded two Horizon Europe collaborative grants. This is amazing – congratulations!


























Join the 17th Annual Postgraduate Research Conference – Wednesday 3 December 2025
BU Festival of Social Sciences invite at RNLI
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ECR Funding Open Call: Research Culture & Community Grant – Apply Now
MSCA Postdoctoral Fellowships 2025 Call
ERC Advanced Grant 2025 Webinar
Horizon Europe Work Programme 2025 Published
Horizon Europe 2025 Work Programme pre-Published
Update on UKRO services
European research project exploring use of ‘virtual twins’ to better manage metabolic associated fatty liver disease