Tagged / congratulations

New BU publication on maternity care and culture in Afghanistan

Congratulations to Dr. Rachel Arnold on the acceptance by Social Science & Medicine (published by Elsevier) of the second paper based on her PhD on maternity care in Afghanistan [1].  This interesting ethnography explores the experiences, motivations and constraints of healthcare providers in a large public Afghan maternity hospital. Arnold and colleagues identify barriers and facilitators in the delivery of care. Under the surface of this maternity hospital, social norms were in conflict with the principles of biomedicine. Contested areas included the control of knowledge, equity and the primary goal of work. The institutional culture was further complicated by pressure from powerful elites. These unseen values and pressures explain much of the disconnection between policy and implementation, education and the everyday behaviours of healthcare providers.

Improving the quality of care and equity in Afghan public maternity hospitals will require political will from all stakeholders to acknowledge these issues and find culturally attuned ways to address them.  The authors argue that this notion of parallel and competing world-views on healthcare has relevance beyond Afghanistan.   The paper co-authored by (a) Prof. Kath Ryan, Professor of Social Pharmacy at the University of Reading and Visiting Professor in FHSS, and BU’s Professors Immy Holloway and Edwin van Teijlingen.

 

References:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: An ethnography of care in an Afghan maternity hospital, Social Science & Medicine [online first] doi: 10.1016/j.socscimed.2018.09.010.

 

New BU publication disability & pregnancy

Two days ago the Open Access journal BMC Pregnancy & Childbirth published an important article on women with disabilities and their experiences with the maternity services when pregnant [1].  The new paper Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ has been co-authored by BU’s Dr. Jenny Hall (Centre for Excellence in Learning/CEL) and Prof. Vanora Hundley (Centre for Midwifery, Maternal & Perinatal Health/CMMPH) in collaboration with Dr. Bethan Collins (formerly of BU and now based at the University of Liverpool) and BU Visiting Faculty Jillian Ireland (Poole NHS Foundation Trust). The project was partially funded by the charity Birthrights and Bournemouth University.

Women’s experiences of dignity and respect in childbirth revealed that a significant proportion of women felt their rights were poorly respected and that they were treated less favourably because of their disability. The authors argue that this suggests that there is a need to look more closely at individualised care. It was also evident that more consideration is required to improve attitudes of maternity care providers to disability and services need to adapt to provide reasonable adjustments to accommodate disability, including improving continuity of carer.

 

Congratulations!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

Reference:

  1. Jenny Hall, Vanora Hundley, Bethan Collins & Jillian Ireland (2018) Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women, BMC Pregnancy & Childbirth, 18:328

New BU migrants’ health publication

The Journal of Immigrant and Minority Health (Springer) just accepted the latest paper by former FHSS Ph.D. student Dr. Pratik Adhikary (photo). [1]  His latest paper ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ is the fourth, and probably final, paper from his Bournemouth University Ph.D. thesis.  This latest paper is based on the qualitative part of the mixed-methods thesis, his previous papers focused more on the quantitative data. [2-4] 

Since this is a qualitative paper it also offers a more theoretical underpinning than the previous papers.  The work uses the dual labour market theory which associates labour migration specifically to the host economy as it explains migration from the demand side. Labour migrants from less developed economies travel to fill the unskilled and low-skill jobs as guest workers in more developed economies to do the jobs better trained and paid local workers do not want to do.  This theory also explains the active recruitment through labour agents in Nepal to help fulfil the demand for labour abroad, and it helps explain some of the exploitation highlighted in host countries. The theory also helps explain why lowly skilled migrant workers are often at a higher risk to their health than native workers . Similar to migrant workers from around the world, Nepali migrant workers also experience serious health and safety problems in the host countries including accidents and injuries.

The latest article will be Open Access in the Journal of Immigrant and Minority Health!

 

References:

  1. Adhikary P, van Teijlingen E., Keen S. (2018) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant and Minority Health (First Online), https://link.springer.com/article/10.1007/s10903-018-0801-y
  2. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  3. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  4. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052

New BU mental health publication

Congratulations to Faloshade Alloh (PhD student in Faculty of Health and Social Science), Dr. Pramod Regmi (Lecturer in International Health), Abe (Igoche) Onche (BU  graduate MSc in Public Health) and Dr. Stephen Trenoweth (Principal Academic and Leaded for BU iWell Research Centre) on the timely publication of their paper on mental health in developing countries [1]. 

Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in poorer countries. The paper addresses mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector.  This exciting paper has 51 references including several linking to BU publications on research in Africa [2-3] and several papers related to South Asia [4-6], particularly highlighting the recently completed THET project that was led by BU [4-5].

The authors highlight that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. The authors suggest that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal and Perinatal Health (CMMPH)

 

Click here to view the full publication.

 

References:

  1. Alloh, F.T., Regmi, P., Onche, I., van Teijlingen E., Trenoweth, S. (2018) Mental health in low- and middle income countries (LMICs): Going beyond the need for funding, Health Prospect 17 (1): 12-17.
  2. Alloh F, Regmi P, Hemingway A, Turner-Wilson A. (2018) Increasing suicide rates in Nigeria. African Health Journal  [In Press].
  3. Alloh FT, Regmi PR. (2017) Effect of economic and security challenges on the Nigerian health sector. African Health Sciences. 17 (2):591-2.
  4. Acharya DR, Bell JS, Simkhada P, van Teijlingen ER, Regmi PR. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health. 7 (1):15.
  5. Simkhada B, Sharma G, Pradhan S, Van Teijlingen E, Ireland J, Simkhada P, et al. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey. Journal of Manmohan Memorial Institute of Health Sciences. 2:20-6.
  6. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. https://authors.elsevier.com/c/1Wu2axHa5G~S-
  7. Regmi PR, Alloh F, Pant PR, Simkhada P, van Teijlingen E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet389 (10072):904-5.

BU contribution to Routledge Handbook of Well-Being

Congratulations to current and past academics in the Faculty of Health & Social Sciences and the Faculty of Science & Technology who contributed to the newly published Routledge Handbook of Well-Being.  The editor Prof. Kate Galvin was previously based at Bournemouth University.  She is currently Professor of Nursing Practice in the School of Health Sciences at the University of Brighton.

The following four chapters in the edited collection have been authored or co-authored by BU scholars and students past and present:

  • Dwelling- Mobility: An Existential Theory of Well-being Chapter 8 by Les Todres & Kate Galvin
  • Heritage and Well-being: Therapeutic places, past and present Chapter 11 by Timothy Darvill, Vanessa Heaslip & Kerry Barras
  • Embodied Routes to Well-being: Horses and Young People Chapter 20 by Ann Hemingway
  • Eighteen Kinds of well-being but there may be many more: A conceptual Framework that provides direction for Caring Chapter 30 by Kate Galvin & Les Todres.

 

Congratulations to all!

Prof. Edwin van Teijlingen

Publication by BU midwifery student

Rebecca Weston, BU student midwife, on the publication of her article: ‘When all you want to do is run out of the room…‘  Rebecca published this reflective piece in May issue of the journal The Practising Midwife.  She wrote it shortly after having been involved in “a traumatic, sudden and heart-breaking event in practice”.   Reflection is certainly beneficial in experiential learning, developing critical thinking and integrating midwifery theory and practice.

It is my pleasure to wrote this BU Research Blog to congratulate Rebecca today on the International day of the Midwife

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Congratulations to Dr James Gavin on his position at the British Council Researcher Links Workshop

Congratulations to Dr James Gavin, BU Lecturer in Exercise Physiology, on recently being awarded a funded position at the British Council Researcher Links Workshop, which will be taking place from 11 – 15 June 2018 in Botucatu, Brazil.

The Researcher Links programme provides opportunities for early career researchers from the UK and internationally to interact, learn from each other and explore opportunities for building long-lasting research collaborations. The 5 day workshop will provide a unique opportunity for sharing research expertise and networking.

“I’m immensely excited (the closest I’ve come to South America was working in a Brazilian restaurant as an undergraduate) to be able to spend dedicated time working with, and learning from, international ECRs across the health sciences,” says Dr Gavin.

During the workshops ECRs will have the opportunity to present their research in the form of a poster with short oral presentation and discuss this with established researchers and mentors from the UK and partner countries.

“I will present work on my current projects, including: i) Community-based exercise programmes for recovery self-management after orthopaedic surgery: a development study and, ii) the feasibility of inspiratory muscle training (IMT) in reducing falls risk in older adults”, says Dr Gavin.

There will be a focus on building links for future collaborations and participants selected on the basis of their research potential and ability to build longer term links.

“Aside from the prestige of the University of Sao Paulo (THE World University Rankings top 150), I hope to learn cross-cultural skills, particularly in developing and sustaining international research partnerships”, he says. “On return, I look forward to sharing my experiences with my colleagues in Sport, Physical Activity Research Centre (SPARC) and the Faculty of Health and Social Sciences, and seek opportunities for supporting a partner ‘international ECR’ to visit BU.”

 

For more information, contact Dr James Gavin (jgavin@bournemouth.ac.uk).

Latest editorial on Nepal by Dr. Regmi in FHSS

Last week the Journal of Manmoham Memorial Institute of Health Sciences based in Nepal published as its editorial ‘What can we learn from the Nepal Health Facility Survey 2015. [1]  The Nepal Health Facility Survey 2015 is a first of its kind.  It is a much needed start to help analyse and improve the workings of the country’s health system.  This is very important and timely as one of the targets of the Sustainable Development Goals (SDG) is to reduce premature mortality by one-third from non-communicable diseases.  Success in this effort will depend on the concerted efforts on health facilities (for both health promotion, prevention and management) for an early and optimal care. The editorial also raises some of the ethical and methodological issues associated with the first ever Nepal Health Facility Survey 2015.  The lead author of the editorial is Dr. Pramod Regmi and our co-authors include Prof. Padam Simkhada (Visiting Faculty in the Faculty of Health & Social Sciences).  The Journal of Manmoham Memorial Institute of Health Sciences is an Open Access journal hence freely available to scholars and politicians and health managers across the globe, including those based in low-income countries such as Nepal.

 

Reference:

  1. Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 1-5

 

Systematic Review birthing centres by CMMPH PhD student Preeti Mahato

BU PhD student Mrs Preeti Mahato published her latest scientific paper ‘Determinants of quality of care and access to Basic Emergency Obstetric and Neonatal Care facilities and midwife-led facilities in low and middle-income countries: A Systematic Review’ in the Journal of Asian Midwives [1].  This paper is co-authored by Dr. Catherine Angell and Prof. Edwin van Teijlingen, who are both based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Prof. Padam Simkhada, BU Visiting Professor and based at Liverpool John Moores University (LJMU).  Journal of Asian Midwives is a free Open Access journal, freely available for anybody across the globe to read online.

The authors highlight that maternal mortality is a major challenge to health systems in Low and Middle-Income Countries (LMICs) where almost 99% of maternal deaths occurred in 2015. Primary-care facilities providing Basic Emergency Obstetric and Neonatal Care (BEmONC) facilities, and facilities that are midwife-led are appropriate for normal birth in LMICs and have been proposed as the best approach to reduce maternal deaths. However, the poor quality of maternal services that leads to decreased utilisation of these facilities is among the major causes of maternal deaths worldwide. This systematic review studied factors affecting the quality of care in BEmONC and midwife-led facilities in LMICs.

Thematic analysis on included studies revealed various factors affecting quality of care including facility-level determinants and other determinants influencing access to care. Facility-level determinants included these barriers: lack of equipment and drugs at the facility, lack of trained staff, poor attitudes and behaviour of service providers, and poor communication with women. Facility-level positive determinants were: satisfaction with services, emotional support during delivery and trust in health providers. The access-to-care determinants were: socio-economic factors, physical access to the facility, maintaining privacy and confidentiality, and cultural values.  The authors include that improving quality of care of birthing facilities requires addressing both facility level and non-facility level determinants in order to increase utilization of the services available at the BEmONC and midwife-led facilities in LMICs.

This is the fifth paper co-authored by CMMPH’s current most published PhD student.  The evaluation of birth centres in rural Nepal by Preeti Mahato under joint supervision Dr. Angell and Prof. Simkhada (LJMU) and Prof. van Teijlingen.

References:

  1. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
  2. 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): 18-30. http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1033&context=jam
  3. Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017) Factors related to choice of place of birth in a district in Nepal. Sexual & Reproductive Healthcare 13: 91-96.
  4. 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/14260/11579
  5. 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. www.healthprospect.org/archives/15/1/3.pdf

Two papers on health & migration in Nepal

This last week two separate papers have been accepted on aspects of health and well-being among migrants workers from Nepal.  The first in the International Journal of Migration, Health and Social Care is based on a completed PhD project in the Faculty of Health & Social Sciences with Dr. Pratik Adhikary as first author [1].  This paper ‘Health and well-being of Nepalese migrant workers abroad’ is co-authored by two former FHSS staff Dr. Zoe Sheppard and Dr. Steve Keen, and Prof. Edwin van Teijlingen of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

The second paper ‘A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia’ was accepted by the Open Access journal BMC International Health & Human Rights [2].  The lead author of this paper is Bournemouth University (BU) Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University) and two of his co-authors are based in Nepal: Manju Gurung (chair of Pourakhi Nepal) and Dr. Sharada Prasad Wasti and one at BU: Prof. Edwin van Teijlingen .

There is  a growing momentum in migration research at BU with further academic papers being published related to studies on migrant workers from Nepal [4-8], relatives of migrant workers [9], migration into the UK [10-12], Eastern European migration issues [13-15], migration and tourism [16], migration and the media [17] as well as migration in the past [18].

 

References:

  1. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health and Social Care (accepted). https://doi.org/10.1108/IJMHSC-12-2015-0052
  2. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia, BMC International Health & Human Rights (accepted Jan.).
  3. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
  4. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  5. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  6. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  7. Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
  8. Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
  9. Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  10. Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
  11. Holscher, J., 2017. The effects of Brexit on the EU, the UK and Dorset – a migrant’s account. BAFES Working Papers, 1-11.
  12. Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
  13. Filimonau, V., Mika, M. (2017) Return labour migration: an exploratory study of Polish migrant workers from the UK hospitality industry. Current Issues in Tourism, 1-22.
  14. Janta, H., Ladkin, A., Brown, L., Lugosi, P., 2011. Employment experiences of Polish migrant workers in the UK hospitality sector. Tourism Management, 32 (5): 1006-1019.
  15. Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
  16. Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
  17. Marino, S., Dawes, S. (2016). Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
  18. Parker Pearson, M., Richards, C., Allen, M., Payne, A., Welham, K. (2004) The Stonehenge Riverside project Research design and initial results Journal of Nordic Archaeological Science 14: 45–60.

Last publication of 2017?

The final issue for 2017 of the Dutch Journal for Midwives, Nederlands Tijdschrift voor Verloskundigen, published our contribution on midwives and the media [1].  The two-page article ‘MEER BEMOEIEN MET MEDIA’ argues (in Dutch) that midwives as individuals and as a profession must try to engage with the media.  Midwives should be open to starting a dialogue concerning issues around maternity care and midwifery.  This article published in a practitioners’ journal builds on the collaborative research conducted at Bournemouth University around midwifery and the media [2-4], and our recently published edited book on the topic [5].

Ann Luce, Vanora Hundley & Edwin van Teijlingen

 

References:

  1. van Teijlingen, E., De Vries, R., Luce, A., Hundley, V. (2017) Meer bemoeien met media (In Dutch: more engagement with media). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 41 (6):28-29.
  2. Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x
  3. Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
  4. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
  5. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, Palgrave Macmillan

 

Young Life Scientists’ symposium: Frontiers in Musculoskeletal Health, Ageing and Disease

The past Saturday I was given the opportunity to present my pilot study titled “The influence of inspiratory muscle training on balance and functional mobility in healthy older adults” at the Young Life Scientists Symposium (YLS) held in Derby (see related poster).

 

Purpose of the pilot was to gain an understanding of the effect of 8 weeks inspiratory muscle training upon balance and functional mobility outcomes (including Five-Sit-To-Stand, Time Up and Go, Mini-Best test and others) in older adults (65 and over). The results have led to a double-blind random control trial which will be completed by the beginning of 2018.

The YLS is organised by PhD students and Post-Doc’s for other PhD students and early career researchers it aims to give the opportunity to network and discuss research matters via poster and oral communication in a positive and constructive environment.
This year symposium was focusing on three major sections: nutrition, exercises for ageing and metabolic disease in ageing. Speakers from all the UK discussed their works, and I had the chance to collect feedbacks explaining my methods and methodology.

I would like to thank Bournemouth University and my supervisors who helped me to achieve this opportunity.

Thank you for reading.
Francesco.