Having had the pleasure of announcing the last BU publication yesterday, today we received an email that our paper ‘Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom’ has been accepted by the International Journal of Obstetric Anesthesia. This paper is led by FHSS Visiting Faculty Gary Smith and Richard Isaac and has as co-authors Vanora Hundley, Lisa Gale-Andrews and Edwin van Teijlingen as well as two further BU Visiting Professors: Mike Wee and Debra Bick.
Tagged / congratulations
New paper on Nepal by FHSS’s Dr. Nirmal Aryal


This is the first study of its kind to collect cardiovascular disease and risk factors related information at four different altitude levels above or equal to 2800 m and from ethnically diverse samples. This paper highlighted that despite known hypoxia-induced favourable physiological responses on blood pressure, high altitude residents (>2800 m) in Nepal might have an increased risk of raised blood pressure associated with lifestyle factors and clinicians should be aware of it. The authors previously published a systematic review paper summarizing global evidence on the relationship between blood pressure and high altitude [2].
This publication is available online at: https://www.nature.com/articles/s41440-018-0138-x and pre-refereed version is available in BURO.
Well done!
Dr. Pramod Regmi & Prof. Edwin van Teijlingen
References:
- Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in people living at high altitude in Nepal. Hypertension Res 2018 doi: 10.1038/s41440-018-0138-x[published Online First: Epub Date]|
- Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in adults permanently living at high altitude: a systematic review and meta-analysis. High Alt Med Biol 2016; 17: 185-193.
FHSS student awarded Chiropractor of the Year 2018-19
Congratulations to Amy Miller! At the British Chiropractic Council’s annual conference 13-14th October, Bournemouth University PhD student Amy Miller was awarded the British Chiropractic Association’s award of ‘Chiropractor of the Year 2018-19’ for her contributions to research and engagement.
Amy is based in the Faculty of Health & Social Sciences (FHSS). Her PhD is investigating an inter-professional student-led breastfeeding clinic for student learning, and breastfeeding outcomes and experiences. Amy is supervised by Associate Professor Sue Way, Senior Lecturer in Midwifery Dr. Alison Taylor and Prof. Edwin van Teijlingen all based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The British Chiropractic Association’s award for Chiropractor of the Year recognises individuals who have made a significant contribution to the profession.
Journal of Asian Midwives
As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
References:
- Ireland, J., van Teijlingen, E., Kemp, J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33.
- 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.
- Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
- Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.
- 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.
New CMMPH publication on sex trafficking
Earlier this month the Journal of Manmohan Memorial Institute of Health Sciences published a paper co-authored by Centre for Midwifery, Maternal & Perinatal Health (CMMPH) staff. The paper ‘Health consequences of sex trafficking: A systematic review’ [1]. The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.
The review reminds us that sex trafficking is one of the most common forms of human trafficking globally. It is associated with health, emotional, social, moral and legal problems. The victims of sex trafficking when returned home are often ignored. This review explored the health consequences of sex trafficking among women and children. A total of 15 articles were included covering health risks and well-being related to sex trafficking. Sexual and physical violence among victims such as rape and repetitive stress and physical injuries were common. The prevalence of STI (sexually transmitted infections) and HIV (human immunodeficiency virus) was also reported as high. Being trafficked at a young age, having been in brothels for a longer period and sexual violence and forced prostitution were linked with a higher risk for HIV infection. Physical health problems reported included headaches, fatigue, dizziness, back pain, memory problem, stomach pain, pelvic pain, gynaecological infections, weight loss, lesions or warts, unwanted pregnancies and abortions. The studies on mental health reported that depression, anxiety and post-traumatic stress disorder (PTSD) were commonly reported health consequences among sex trafficking victims.
The authors of the review concluded that there is a compelling need for interventions raising awareness about sex trafficking among young girls and women most at risk of being trafficked. Most studies in this review have focussed on the physical health problems of the trafficked victims although there is also remarkable mental burden amongst those victims. Key policy makers, government officials, public health officials, health care providers, legal authorities and non-governmental organisations (NGOs) should be made aware about the health risks and consequences of trafficking. Trafficking consequences should be recognised as a health issue and all the sectors involved including regulating bodies should collaborate to fight against sex trafficking
Related research in this field at Bournemouth University include the Sexual Spaces Project by Prof. Mike Silk and Dr. Amanda De Lisio on ‘Rio’s sex workers after the Olympics’ and the The Gay and Grey Project, funded through a Big Lottery Grant and led by Prof. Lee Ann Fenge.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
- Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti S.P. (2018) Health consequences of sex trafficking: A systematic review Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-149.
New BU publication on maternity care & 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:
- 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. 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:
- 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:
- 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
- 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
- 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.
- 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
Successful Midwifery Education conference at BU
In the first week of July Bournemouth University ran its second international midwifery education conference in the Executive Business Centre. This year’s conference was called ‘What works in midwifery education? A conference run by midwifery educators for midwifery educators.’ CMMPH (Centre for Midwifery, Maternal & Perinatal Health) brought together nearly 100 delegates on Thursday and Friday (July 5-6). There were presentations and posters from midwifery educators based in in all four countries of the UK, Germany, Belgium, Switzerland and Australia, resulting in lively stimulating debates.

The conference organisers has teamed up with the leading scientific journal in the field Midwifery (published by Elsevier). To coincide with BU’s conference Midwifery published this month its special issue on Midwifery Education. This special issue was introduced at the conference by Dutch midwife Dr. Ans Luyben, one of the special issue’s editors.
The conference awarded two prizes for the best poster. One prize was for the best academic poster and one voted by the conference audience. The former prize was won by a poster from NHS Education for Scotland. The public’s poster prize was won by a poster from the University of Bradford jointly produced by film students and student midwives.
The main conference organisers Dr. Catherine Angell and Dr. Sue Way from CMMPH said afterwards that the success of the conference means that CMMPH will organise a third midwifery education conference run for and by educators in three years’ time.

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:
- 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.
- Alloh F, Regmi P, Hemingway A, Turner-Wilson A. (2018) Increasing suicide rates in Nigeria. African Health Journal [In Press].
- Alloh FT, Regmi PR. (2017) Effect of economic and security challenges on the Nigerian health sector. African Health Sciences. 17 (2):591-2.
- 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.
- 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.
- 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-
- Regmi PR, Alloh F, Pant PR, Simkhada P, van Teijlingen E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet. 389 (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.
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).
BU signs agreement with MMIHS in Nepal
This weekend Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal signed a Memorandum of Agreement (MoA) with Bournemouth University (BU).
The ceremonial signing took place on the final day (24th Feb.) of the International Conference on Quality Education in Federal Nepal. Prof. Stephen Tee, who also spoke at the conference, represented our university.
The UoA formalises a long-standing collaboration between the two institutions. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together. Several BU staff [1-3] and students [4] in the Faculty of Health & Social Sciences have published in the Journal of Manmohan Memorial Institute of Health Sciences, an Open Access journal. Moreover, Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal and Perinatal Health has been a Visiting Professor at MMIHS for nearly a decade and has given several guest lectures over the years to staff and students at MMIHS.

References:
- van Teijlingen, E., Simkhada, P., Luce, A., Hundley, V. (2016) Media, Health & Health Promotion in Nepal, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 70-75. http://www.nepjol.info/index.php/JMMIHS/article/view/15799/12744
- 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 3(1): 1-5.
- van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
- Vickery, M. van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.
Sociology graduate published this month
Just before the start of Bournemouth University’s Global Festival of Learning India (12-16 February) the Journal of Manmohan Memorial Institute of Health Sciences published Michelle Vickery’s paper ‘Female infanticide in India and its relevance to Nepal’ [1]. This article developed out of Michelle’s undergraduate Sociology thesis which she completed as part of her undergraduate degree in 2016.
The Journal of Manmohan Memorial Institute of Health Sciences is an Open Access journal which means its content is freely available to any reader with internet access across the globe.
Over the last few years Bournemouth University academic have published papers on a range of topics related to India, for example on Media Studies [2-3], English literature [4] , Sociology [5], Public Health [6] , and environmental science and conservation [7-9].
Prof. Edwin van Teijlingen
CMMPH
References:
- Vickery, M., van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal.Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.
- Sudbury, S. (2016) Locating a “third voice”: participatory filmmaking and the everyday in rural India. Journal of Media Practice, 17 (2-3): 213-231.
- Sudbury, S., 2017. Glocalizing the ‘other’: British factual television and documentary practices in global media cultures. In: Srinivas, M., ed. Glocalization: Media Beyond Borders. Mumbai, India: Department of Mass Media, Kishinchand Chellaram College.
- Goodman, S. (2018) ‘Ain’t it a Ripping Night’: Alcoholism and the Legacies of Empire in Salman Rushdie’s Midnight’s Children. English Studies, (forthcoming).
- Sahay, G., Devkota, B., van Teijlingen, E.R. (2016) Rebel Health Services in South Asia: Comparing Maoist-led Conflicts in India & Nepal, Sociological Bulletin 65(1):19-39.
- Sathian, B. , De, A. ,van Teijlingen, E., Simkhada, P. , Banerjee, I. , Roy, B. , Supram, H. , Devkota, S. , E, R. (2015). Time Trend of the Suicide Incidence in India: a Statistical Modelling. American Journal of Public Health Research, 3(5A), 80-87. http://pubs.sciepub.com/ajphr/3/5A/17/index.html
- Bower, S. D., Danylchuk, A. J., Raghavan, R., Danylchuk, S. C., Pinder, A. C., Alter, A. M., Cooke, S. J. (2017) Involving recreational fisheries stakeholders in development of research and conservation priorities for mahseer (Tor spp.) of India through collaborative workshops. Fisheries Research, 186, 665-671.
- Bower S.D., Danylchuk A.J., Raghavan R., Clark-Danylchuck S.E., Pinder A.C., Cooke S.J. (2016) Rapid assessment of the physiological impacts caused by catch-and-release angling on blue-finned mahseer (Tor sp.) of the Cauvery River, India. Fisheries Management and Ecology DOI: 10.1111/fme.12135
- Pinder, A.C., Raghavan, R., Britton, J.R. (2015) Efficacy of angler catch data as a population and conservation monitoring tool for the flagship Mahseer fishes (Tor spp.) of Southern India. Aquatic Conservation: Marine and Freshwater Ecosystems, DOI: 10.1002/aqc.2543
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:
- 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:
- 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.
- 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
- 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.
- 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
- 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
Prof. Stephen Tee speaking next month at education conference in Kathmandu
Prof. Stephen Tee, Professor of Nurse Education & National Teaching Fellow, has been invited to give a key note speech at an International Conference on CHALLENGES AND PROSPECTS OF QUALITY EDUCATION IN NEPAL IN FEDERALISM ERA in Kathmandu, the capital in Nepal.
This International Conference is organised by the Higher Institutions & Secondary Schools’ Association Nepal (HISSAN) in collaboration with 13 international universities including Bournemouth University. Members of the Conference Advisor Committee includes BU professors Vanora Hundley and Edwin van Teijlingen. Prof. Tee will be speaking about ‘What can Nepal learn from latest UK technology-enhanced teaching?’ He is in great position to speak about learning technology due to his dual role at BU as Executive Dean of the Faculty of Health & Social Sciences as well as Interim Executive Dean of the Faculty of Management, moreover with his role as Assistant Editor of Nurse Education Today.