BU Research Blog

October 10, 2019

Newly accepted paper on Nepal in BMJ Open

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

Congratulations to Dr. Pramod Regmi in the Faculty of Health & Social Sciences (FHSS) who the lead author of the paper “Hormone use among Nepali transgender women: A qualitative study” which has just been accepted for publication in BMJ Open (Impact Factor 2.376). The paper highlights that there is a dearth of information on transgender individuals in Nepal, particularly studies exploring their use of hormone therapies. This qualitative study therefore explored: (a) how hormones are used; (b) types of hormones used; and (c) side-effects experienced by transgender women after hormone use. This is the first study in Nepal of its kind addressing this important public health issue.

The paper was co-authored by Sanjeev Neupane, Sujan Marahatta and Edwin van Teijlingen. Prof. Sujan Marahatta is based at Manmohan Memorial Institute of Health Sciences in Nepal. Bournemouth University has a long-standing collaboration with Manmohan Memorial Institute of Health Sciences. Whilst Mr. Sanjeev Raj Neupane is based at the charity Save the Children in Kathmandu.

Reference:

Regmi, P., Neupane, S., van Teijlingen, E., Marahatta, S. Hormone use in the male-to-female transgender population in Nepal: A qualitative study, BMJ Open (accepted).

October 1, 2019

Nepali migrants’ health & wellbeing: Setting research priorities

BU research, Featured academics, Global engagement, international, Knowledge Transfer, PG research, Publishing, Research news, Uncategorized Edwin van Teijlingen

Work-related migration is a common livelihood strategy for many young people in Nepal. It is estimated that about 3.5 million Nepali work abroad, mainly in Malaysia, the Gulf countries, and India. The economic contribution of Nepali migrants to the country is highly significant as they send over US$6.1 billion in remittances which is 26 % of Nepal’s gross domestic product (GDP) [1].

There is a growing global literature on migrant workers’ poor health and wellbeing and of those they leave behind. Over the past decade the media in Nepal have reported on the mortality and morbidity of Nepali migrants abroad. Every year at least one thousand dead bodies of Nepali migrants return back home via Tribhuvan International Airport (the only international airport in Nepal the country). The Government of Nepal estimated 5,982 deaths in migrant workers in the period 2008 to 2017, however there is likely to have been under-reporting [2].

Although there have been studies on Nepali migrants’ health [3-9], these are largely around (a) sexual risk-taking behaviours of Nepali migrants in India; and, (b) occupational health and injuries issues among Nepali migrants in Gulf countries. These studies are carried out with the support from development partners and/or government organisations. However, most migration health research in Nepal has been small-scale for example to collect baseline information or as part of Masters or PhD projects. Currently, there is no research priority agenda on the topic of Nepali migrants’ health and wellbeing issues.

To address this gap in the research agenda staff in BU’s Faculty of Health & Social Sciences and their collaborators organised a consultation workshop on August 2^nd of this year in Kathmandu, Nepal. This workshop aimed to identify Nepali migrant workers’ health research prioritites and gaps. A total of 26 participants representing universities, ministries, non-governmental organisations working for migrants and research organisations attended the workshop.

The workshop was participatory in nature. To start with BU Professor Edwin van Teijlingen and Professor Padam Simkhada (BU Visiting Professor) shared global perspectives on migrant workers health. Whilst BU lecturer Dr Pramod Regmi highlighted key findings of BU’s migration research of Nepali migrants and their left-behinds. This contextual information helped focus the discussion on Nepali migrant health research priorities and gaps.

In order to identify the research agenda and prioritise issues and problems, participants were divided into four groups, each comprising 6-8 experts in the migration field. Groups were purposively formed to include participants from diverse backgrounds, e.g., migration related researchers, migration programme managers and policy-makers. Each member of the team was requested to identify two to five research needs around Nepali migrants’ health and share within their group for consensus. The group then prepared research priorities agreed in their team. Each team presented the research priorities to the wider group. A total of 46 research agenda items were identified which were subsequently prioritised through a voting process. Table 1 shows who participants ranked the top issues requiring further research.

Table 1 Top migration health research priorities in Nepal

Causes of sudden cardiac deaths among Nepali migrant workers in the countries of Gulf and Malaysia
Left-behind adolescents and social blaming/separation
Methods/mixed/iterature searching/before and after study/case study
Cross-border/national studies
Research on undocumented migrants
Culturally appropriate health care to migrants
School education on migration
Living condition of migrants abroad
Pre-departure health status

The way forward

The consultation workshop was very productive in many ways. First, it identified wide ranging health research for Nepali migrants and prioritised these research issues. This information may help guide future research on migration studies. Secondly, the workshop offered a platform to build a network among researchers working for Nepali migrants.

Pramod R Regmi, Nirmal Aryal, and Edwin van Teijlingen

References:

Ministry of Finance. (2018). Economic survey: Fiscal Year 2017/18. In. Kathmandu: Ministry of Finance: Government of Nepal.
Ministry of Labour and Employment, Government of Nepal. (2018) Labour migration for employment: a status report for Nepal: 2015/2016 – 2016/2017. In. Kathmandu, Nepal: Ministry of Labour and Employment.
Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. 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: 169-75. 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 & Saudi Arabia, 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
Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Zahiruddin, Q.S., Gaidhane, A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. International Journal of Environmental Research and Public Health, 16 (19). https://doi.org/10.3390/ijerph16193655
Aryal, N., Regmi, P.R., Faller, E.M., van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia. Nepal Journal of Epidemiology, 9 (3), 788-791. https://doi.org/10.3126/nje.v9i3.25805
Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature. Journal of Travel Medicine, 24 (4). https://doi.org/10.3126/nje.v9i3.25805

September 26, 2019

New BU paper: Health of Nepali migrants in India

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

Today the International Journal of Environmental Research and Public Health accepted our paper ‘The health of Nepali migrants in India: A qualitative study of lifestyles and risks’ [1]. The research in this paper was funded through Connect India is Bournemouth University’s Hub of Practice for the Indian subcontinent. It brought together a community of researchers, educators, practitioners and students, both at Bournemouth University and across the Indian subcontinent.

The lead author, Dr. Pramod Regmi, is lecturer in International Health in the Department of Nursing & Clinical Science. His co-authors are based in the UK, Nepal and India. BU authors are: Pramod Regmi, Edwin van Teijlingen, Preeti Mahato and Nirmal Aryal as well as BU Visiting Faculty Prof. Padam Simkhada. The International Journal of Environmental Research and Public Health is an interdisciplinary Open Access journal, hence when published this paper will be freely available to readers across the globe, including India and Nepal.

Reference:

Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks Journal of Environmental Research & Public Health (forthcoming)

September 12, 2019

Congratulations to Dr. Pramod Regmi

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

Congratulations to FHSS’s Dr. Pramod Regmi on the publication of his recent qualitative paper ‘Parents’ and teachers’ perspectives on children’s sexual health education: a qualitative study in Makwanpur Nepal’ [1]. The paper is co-authored by colleagues from Aberystwyth University.

This academic paper in an Open-Access journal, hence freely available to researchers, policy-makers, teachers, etc. in Nepal and elsewhere in the world. This Health Prospect publication is the latest in a series of publications focusing on sex education and sexual health in Nepal by Dr. Regmi [see 2-10].

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

References:

Acharya, DR, Thomas, M., Cann, R., Regmi, P.R., 2019. Parents’ and teachers’ perspectives on children’s sexual health education: a qualitative study in Makwanpur Nepal Health Prospect, 18(2): 1-6.
Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., Stone, N., 2015. Sexual health knowledge and risky sexual behaviour of Nepalese trekking guides. Journal of Manmohan Memorial Institute of Health Sciences, 1 (4), 35-42.
Acharya, D., Regmi, P., Simkhada, P., van Teijlingen, E., 2015. Modernisation and changes in attitudes towards sex and relationships in young people. In Wasti, S., Simkhada, P., van Teijlingen, E. (Eds.) The Dynamics in Health in Nepal, Kathmandu, Nepal: Social Science Baha: 63-94.
Regmi, P., Simkhada, P., van Teijlingen, E ., 2011. Dating and sex among emerging adults in Nepal. Journal of Adolescent Research, 26 (6), 675-700.
Regmi, P., Simkhada, P., van Teijlingen, E., 2010. ‘…Boys remain prestigious, girls become prostitutes’: Socio-cultural context of relationships and sex among young people in Nepal. Global Journal of Health Science, 2 (1), 60-72.
Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., 2010. Sexual relationship and condom use among male trekking guides in Nepal: A qualitative study. Culture Health & Sexuality, 12 (1), 45-58.
Regmi, P., Simkhada P., van Teijlingen, E., 2010. ‘…There are too many naked pictures found on the net’: Factors encouraging premarital sex among young people in Nepal. Health Science Journal, 4 (3), 169-181.
Regmi, P., Simkhada, P., Acharya, D., van Teijlingen, E., 2010. Barriers to sexual health services for young people in Nepal. Journal of Health, Population and Nutrition, 28 (6), 619-627.
Upreti, D., Regmi, P., Pant, P., Simkhada, P., 2009 Knowledge, attitude towards HIV and AIDS among Nepalese young people: A systematic review. Kathmandu University Medical Journal, 7(4), 383-391.
Regmi, P., Simkhada, P., van Teijlingen, E., 2008. Sexual and reproductive health status among young people in Nepal: opportunities and barriers for sexual health education and services utilisation. Kathmandu University Medical Journal, 6(2), 245-256.

August 9, 2019

Not all fieldwork goes to plan

BU Challenges, BU research, conferences, Featured academics, Global engagement, international, Public engagement, Research news Edwin van Teijlingen

Hardly ever does a research trip go smoothly and completely to plan. Our latest trip to Nepal was no different. It started really with a delay, I had the money for a flight in the spring, but I really could not find the time to leave Bournemouth University for a three-week trip.

The first little hiccup of this summer’s fieldwork trip, during the monsoon, occurred on arrival at Kathmandu Airport on 23 July. I normally bring three bottles of whisky as a present for my PhD former students and fellow researchers in Nepal. These are bought during my stop-over in the Middle East and this always worked well until this year. This time I was stopped on arrival by a very apologetic customs officer who informed me that the rules for bringing alcohol into Nepal had changed since the beginning of this year and that I could only bring in one bottle. I received a lovely certificate for the two bottles I had to leave behind (see photo).

The second little hiccup was that one of the three research dissemination meetings we had hoped to organise in Kathmandu could not take place. Unfortunately, the organisation we had been collaborating with had not managed to finalise the research report on time. We had also hoped to meet up with staff at Social Science Baha. We have submitted the final draft manuscript for our next book to them and wanted to discuss progress, but the director was unfortunately out of the country.

Further little hiccups were more mundane, such as the electricity going off twice (for perhaps five minutes each time) during one of my teaching sessions on Introduction to Qualitative Research. This meant trying to start a slow laptop as back-up, whilst restarting a still warm overhead projector, etc. But the Nepali audience, being used this, took it all in its stride. And I’ll spare you the details of my day of diarrhoea (either weather or food-hygiene related, probably both).

The biggest problem this time was much more unexpected. Two days ago there was a big fire not too far from in Kathmandu (see picture taken from my bed room). A little later after the photo was taken, we got stuck in traffic because several roads were blocked around the burning building on our way to Tribhuvan University. Later I found out that the fire had destroyed the head office of a national internet provider, which is also the provider for the charity Green Tara Nepal, which we are working with. So I have had hardly any internet for a few days which is really difficult for a 21^st century academic.

However, this fieldwork trip has been very successful to date. We have co-organised two well attended meetings, one on the introduction of CPD in Nursing led by Dr. Bibha Simkhada (see previous BU blog here) and one Consultation meeting on migration and health research led by Dr. Pramod Regmi, both run in collaboration with BU’s Visiting Professor Padam Simkhada. Moreover, I was invited to speak at an international sociology conference last Sunday here in Kathmandu which I did not even know was going on till two days before. I had to pleasure of meeting our midwifery friends in Nepal as well as a representative of the German Aid Agency GIZ. We managed to have dinner in Kathmandu with loads of colleagues and friends who work with BU in one form or another, including one of my recent co-authors from the University of Tokyo who happened to be in Nepal.

Prof. Edwin van Teijlingen

CMMPH

August 3, 2019

Promoting Nursing CPD in Nepal

Events, Featured academics, Fusion, Impact, international, Research news, Uncategorized, writing Edwin van Teijlingen

Bournemouth University facilitated a Strategic planning meeting to develop a Continuing Professional Development (CPD) Framework for Nepal last week in Kathmandu. The planning meeting was held on 30^th July 2019 at the Institute of Medicine IOM Maharajgunj Nursing Campus. Midwifery is not formally recognised in Nepal, i.e. as a profession separate from nursing, therefore when refer to nursing CPD in this blog we mean both ‘nurses’ and ‘nurse-midwives’.

Bournemouth University is collaborating in this project with Liverpool John Moores University (LJMU) in the UK, the IOM Nursing Campus, the Nursing Association of Nepal (NAN), MIDSON, the Nepal Nursing Council (NNC) and several other key stakeholders in Nepal to support nursing regulatory bodies to establish mandatory CPD and/or post-registration training programmes relevant to their current practice in nursing.

The Bournemouth team (led by Dr. Bibha Simkhada with Prof. Edwin van Teijlingen and Dr.Pramod Regmi) argued that CPD offers nurses the opportunity to maintain, improve and broaden knowledge, expertise and develop their personal and professional qualities to enhance practice and career development. Nepal has had limited process and progress in ensuring CPD for nurses and the uptake of post-registration education and training programmes or CPD tends to be ad hoc. Generally, CPD in Nepal remains under-developed as showing evidence of having received CPD is not currently a requirement of nurses when they re-register every five year.

This project is a good example of a BU FUSION project as our earlier Research in the form of a needs assessment will to the introduction of CPD which is of course, post-registration Education in nursing, helping to improve Practice in a low-income country. We think we have had at least some impact on nursing in Nepal as the general feeling of our strategic planning meeting positive towards introducing CPD in the near future in Nepal.

July 27, 2019

IOM or IOM: it can be rather confusing

Events, Featured academics, Global engagement, Impact, international, Research news, Uncategorized Edwin van Teijlingen

This month’s fieldtrip to Nepal has a rather confusing element, namely the two separate organisations the BU team is working with have the same abbreviation. Not only that, each organisation/abbreviation is equally well known in its own field. Dr. Bibha Simkhada, Prof. Edwin van Teijlingen and FHSS’s Visiting Professor Padam Simkhada are here in Kathmandu to work with IOM (Institute of Medicine) Maharajgunj Nursing Campus. It is the pioneer school of nursing in the country and part of Nepal’s oldest university, Tribhuvan University. This collaboration involves studying issues around CPD (Continuous Professional Development) in Nursing in Nepal, and also includes BU’s Dr. Ian Donaldson and Dr. Catherine Angell.

The second research meeting next week or early August in Kathmandu is between BU’s Dr. Pramod Regmi, Prof. Padam Simkhada and Prof. Edwin van Teijlingen on the issue of health and migration with IOM (International Organisation of Migration). IOM, as a United Nations’ agency, is the leading international organization for migration. This health of migrants’ project also involves BU’s Dr. Nirmal Aryal and Dr. Preeti Mahato.

Sometimes it is all a little bit confusing. Perhaps as well that we don’t have a collaborator from the IOM (Isle of Man).

May 20, 2019

Trekking guides paper well read

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

Today ResearchGate alerted us that our paper ‘Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour’ [1] has been cited 300 times. This paper links between Tourism and Public Health in the field of sexually transmitted infections in travellers and tourism workers. This article, in an Open Access journal, is co-authored by BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen with BU Visiting Faculty Prof. Padam Simkhada and Psychology colleagues from the University of Southampton.

This study assessed sexual behaviour, knowledge and condom use among male trekking guides in Nepal. A questionnaire (n=324) was administered to Nepali men working as mountain trekking guides. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-marital sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman.

The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

Reference:

Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., & Stone, N. (2015). Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour. J Manmohan Memorial Inst Health Sci, 1(4), 35-42. https://doi.org/10.3126/jmmihs.v1i4.12000

April 24, 2019

BU migration health stakeholders’ meetings in Malaysia

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

BU’s researchers Dr. Pramod Raj Regmi and Dr. Nirmal Aryal have recently visited Malaysia for a consultation meeting. They organised meetings with stakeholders working on migration health related and Nepali migrant workers as Public Patient Involvement (PPI ) in Malaysia. These meetings discussed risk factors for sudden nocturnal deaths and kidney disease among Nepali migrant workers in Malaysia.

More than 350 Nepali migrant workers die in Malaysia every year. Nearly one-fourth of them die from cardiovascular problems often during their sleep, many without previous signs or illnesses. This also seems to be the case in South Asian workers in the Middle-East. The cause of death is hitherto unknown. During a consultation meeting on 19^th April, participants suggested several possible causes of these deaths and strongly supported the idea of carrying out verbal autopsy with close friends, employers, roommates, etc. The emerging health issue of kidney health risk among Nepali migrant workers and its risk factors were also discussed. A total of 25 participants attended the meeting. Participants from many different disciplines [1], including from migration health researchers from several universities, migrant workers’ non-governmental organizations (NGO), the Malaysian Ministry of Health, and International Organization for Migration (IOM) Malaysia. FHSS’s Drs Aryal and Regmi facilitated the consultation workshops.

On the same day, Dr. Regmi and Dr. Aryal met with the Nepali ambassador to Malaysia Mr. Udaya Raj Pandey and his team and discussed migration issues. The Nepali Embassy in Malaysia is aware of these health problems and the ambassador committed to provide any support required for further investigation in these issues.

On 20^th April, another PPI was carried out among Nepali migrant workers at their living quarters. Around 20 Nepali migrant workers participated. During this meeting, issues of sudden nocturnal deaths and acceptability and feasibility of verbal autopsy tools, problem of kidney disease and its possible triggers were discussed. The research into the usefulness of verbal autopsy tool as a good example of BU’s FUSION, since research can lead to a change in practice regarding health of migrant workers through better education of the migrant community, their left-behind families and NGOs working in the field.

These consultation meeting and PPI were intended to develop basis for further research in these area and build collaboration in Malaysia. The NGOs North-South Initiatives (Mr. Adrian Pereira and his team) and Migrant Workers’ Health Alliance (Dr. Erwin Martinez Faller and his team) have locally co-ordinated these events. These activities were conducted from the QR pump-priming fund awarded to Dr. Aryal this year in FHSS.

Finally, on 21^st April, Dr. Regmi and Dr. Aryal were invited to the Philippine Embassy to share knowledge on mental health risk among migrant workers. They have presented findings of previous BU’s research on it as well as existing evidence on mental health risk on migrant workers and their left-behinds. More than 60 Filipino migrant workers attended the event.

As Malaysia is a popular destination for migrant workers from Asia Pacific and South Asia (there are currently more than 700,000 Nepali workers in Malaysia), these consultations will play a significant role in designing and developing grant applications to promote health and wellbeing of migrant workers. This consultation meeting builds on recent work on the topic conducted at BU [2-14] as highlighted in the recent Research Brief Migration and Health (Jan. 2019).

References:

van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7.
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahat, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia J Public Health 8 (1): 38-41.
Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
Simkhada, P.P., van Teijlingen, ER., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East & Malaysia, BMC Int Health Human Rights 18(1):4.
Adhikary P, Sheppard Z, Keen S, van Teijlingen E (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar & Saudi, Health Prospect 16(2): 3-10
Simkhada P, Regmi, P, van Teijlingen E, Aryal N (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific J Public Health 28(8): 703-705.
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 J Tuberculosis, Lung Diseases HIV/AIDS 8(1):9-15.
Joshi, S., Prescott, G., Simkhada, P., Sharma, N., Bhurtyal, Y. (2014). Knowledge and Risk Perceptions about HIV/AIDS among Nepalese Migrants in Gulf Countries: a Cross-sectional Study. Health Sci J, 8 (3) pp 350-36
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
Joshi S, Simkhada, P, Prescott, G (2011) Health problems of Nepalese migrants working in three Gulf countries, BMC Int Health Human Rights, 2011, 11:3
Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC Int Health Human Rights, 8(6).

April 13, 2019

Ten years at BU

BU research, Featured, Featured academics, Festival of Learning, Fusion, Global engagement, international, Publishing, Research news, the conversation, Uncategorized, writing Edwin van Teijlingen

(more…)

March 3, 2019

Interdisciplinary and REF2021

BRIAN, BU research, Centre for Excellence in Learning, Featured academics, Global engagement, humanities, international, Knowledge Exchange, open access, Publishing, Research assessment, Research communication, Research Integritiy, research integrity, Training, Uncategorized, writing Edwin van Teijlingen

Over the past decades interdisciplinary or multidisciplinary research has grown in popularity. REF2021 promises that all types of research shall be assessed on a fair and equal basis, including interdisciplinary and collaborative research. New to REF 2021 compared to REF2014 is the Interdisciplinary Research Advisory Panel (IDAP) which has been established to advise the REF team and panel chairs on interdisciplinary research. Furthermore, REF2021 will: (1) appoint at least two members to specifically oversee the assessment of interdisciplinary research in each UoA (Unit of Assessment) to ensure equitable assessment; (2) allow universities to flag-up outputs in the submission system with an ‘interdisciplinary identifier’; and (3) require an discrete section in the environment template on the submitting UoA’s structures to support interdisciplinary research.

Many academics from all disciplines can at some point benefit from working with other scholars from other disciplines. Interdisciplinary research can bring new insights and understanding across disciplinary boundaries. Novel interdisciplinary research can transcend disciplinary boundaries to address sophisticated and so-called wicked problems in society. We would argue that some disciplines are more open to interdisciplinary approaches, and we would argue that the discipline of Public Health as a multi-faceted discipline is probably the most interdisciplinary of all.

Having decades of research experience between us we also recognize that there can be difficulties arising from researchers trained in different individual disciplines trying to work together. We have highlighted some of these issues which interdisciplinary research in Public Health needs to consider and, where necessary, address before they become barriers in an article published this month in Health Prospect [1]. In this Open Access article we remind the reader that doing interdisciplinary research is not an easy option. Interdisciplinary research may involve a mixed-methods approach and could be underpinned by conflicting, and according to some incommensurable, research philosophies.

We argue, for example that in an interdisciplinary team topic specialists face potentially challenging demands on their range of skills and knowledge. For example, sociologists are required to have a broad knowledge at hand to represent the social science perspective in a study of a disease they know little about, designed by clinicians with a health services research outcome in mind. We also suggest that Public Health researchers have to be versed in both qualitative and quantitative methods. Working multidisciplinary or interdisciplinary means that they have to be able to understand the methods of the epidemiologists (e.g. ‘interrupted -time series’ or ‘nested-case control studies’) and those of health service researchers (e.g. ‘double-blind randomised controlled trials’) and have the whole range of qualitative methods at your command to improve the quality of the overall study.

Prof. Edwin van Teijlingen, Dr. Pramod Regmi & Dr. Nirmal Aryal

(all based in the Faculty of Health & Social Sciences)

Dr. Pratik Adhikary &Prof. Padam Simkhada

(both BU Visiting Faculty)

Reference:

van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7.

February 25, 2019

BU contributes to International Conference in India.

BU research, Centre for Excellence in Learning, Featured academics, Global engagement, Impact, international, policy, Publishing, Research news, Training, Uncategorized, writing Edwin van Teijlingen

This past weekend saw BU Visiting Professor Padam Simkhada, who is a Professor of International Public Health in the Public Health Institute at Liverpool John Moores University (LJMU), delivering the keynote speech in an International Conference on Mixed-Methods Research (ICMMR 2019). His presentation at the conference, held at the Mahatma Gandhi University in Kerala (India), was held on Saturday. The next day (Sunday 24th February) the two Bournemouth University academics Dr. Pramod Regmi and Prof. Edwin van Teijlingen and facilitated a session on academic publishing under the heading “Meet the editors” via Skype. Over 200 delegates from 10 countries, mainly from India and other South Asian countries participated in the conference.

BU focuses its global collaborations on three geographical areas, one of these is the Indian sub-continent. Connect India is BU’s strategic Hub of Practice for the Indian sub-continent, bringing together a community of researchers, educators, practitioners and students to collaborate with colleagues in India and Nepal.

February 18, 2019

New epilepsy paper by BU academics

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

Congratulations to Dr. Sarah Collard and Dr. Pramod Regmi whose paper ‘Qualitative insights into feelings, knowledge, and impact of SUDEP: A narrative synthesis’. The paper has been accepted by the scientific journal Epilepsy & Behavior (published by Elsevier). Epilepsy Action is a charity that improves the lives of everyone affected by epilepsy. Epilepsy Action gives advice, improves healthcare, funds research and campaigns for change.

Well done!

Prof. Edwin van Teijlingen

CMMPH

January 29, 2019

Expanding BU’s India links

Centre for Excellence in Learning, conferences, Events, Featured academics, international, Publishing, Research communication, Research Training, Uncategorized, writing Edwin van Teijlingen

Dr. Pramod Regmi and Prof. Edwin van Teijlingen (both in the Faculty of Health & Social Sciences) have been invited to join the scientific committee of the International Conference on Mixed Methods Research [ICMMR-2019]. This year’s ICMMR conference will be held in the School of Behavioural Sciences at the Mahatma Gandhi University in Kottayam (India) on February 22-24, 2019. The two BU academics will run an online panel discussion session on academic publishing under the heading “Meet the editors.” The advantage of such online session is that BU academic don’t have to travel to India saving time and money as well as the environment. This has benefits for their own work-live balance as well as their carbon footprint.

BU focuses its global collaborations on three geographical areas, one of these is the Indian sub-continent. Connect India is BU’s strategic Hub of Practice for the Indian sub-continent, bringing together a community of researchers, educators, practitioners and students at Bournemouth University to collaborate with colleagues in India and Nepal.

January 21, 2019

Reflections on doing interdisciplinary research

Centre for Excellence in Learning, Featured academics, humanities, international, Knowledge Transfer, open access, Public engagement, Publishing, REF Subjects, Research assessment, Research Integritiy, Research news, Uncategorized, writing Edwin van Teijlingen

Conducting interdisciplinary or even transdisciplinary research has become more to the fore in many academic fields. As a result of the steady rise of multidisciplinary research It has been made more explicit in REF 2021 [1]. For example, REF 2021 UoA 2 Public Health, Health Services & Primary Care “recognises the breadth and diverse range of single, multidisciplinary and/or multi-professional research across public health, health services and primary care”, whilst UoA22 Anthropology & Development Studies states that its submissions “can be multidisciplinary or interdisciplinary and may combine social science with other disciplines”.

However, doing multidisciplinary research is not without its problems (and barriers). In a paper accepted today we reflect on some of these issues [2]. The co-authors are Bournemouth University’s Dr. Pramod Regmi, Dr. Nirmal Ayral and Prof. Edwin van Teijlingen, and BU Visiting Professor Padam Simkhada (Public Health Institute, Liverpool John Moores University) and BU graduate Dr. Pratik Adhikary (Green Tara Nepal). We all are Public Health researchers, with very different educational backgrounds and training, reflecting the diversity of and interdisciplinarity in the field. Several of us have a first degree in Education or Health Education, but one has a first degree in Sociology. Whilst four of the five authors have Master degree in Public Health and/or Health Promotion, two have a Master in Education. Most of us have a Ph.D. in Public Health, but again one of us has a Ph.D. in Sociology. Our paper ‘Interdisciplinary Research in Public Health: Not quite straightforward’ has been accepted by the journal Health Prospect [2]. The advantage of this journal, which is part of the NepJOL family is that it is Open Access and hence freely available for anybody working in Public Health across the globe.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

Reference:

REF 2021 (2018) Consultation on the draft panel criteria and working methods https://www.ref.ac.uk/media/1013/consultation-on-the-draft-panel-criteria-and-working-methods-ref-2018_02.pdf
van Teijlingen, E., Regmi, P.R., Adhikary, P., Aryal, N., Simkhada, P. (2019) Interdisciplinary Research in Public Health: Not quite straightforward, Health Prospect (forthcoming)

January 20, 2019

Migrant workers & mental health in Nepal

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

Congratulations to Dr. Nirmal Aryal and Dr. Pramod Regmi in BU’s Faculty of Health & Social Sciences on the acceptance of their latest paper ‘Adolescents left behind by migrant workers: Call for community-based mental health interventions in Nepal’ [1]. This paper has just been accepted by WHO South East Asia Journal of Public Health. This academic journal is Open Access and published by the Regional Office for South-East Asia of the World Health Organization (WHO) in Delhi, India. Co-authors of this scientific paper are: Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH); BU Visiting Prof. Padam Simkhada (based at Liverpool John Moores University);and Dr. Pashupati Mahat from CMC-Nepal (Center for Mental Health & Counselling- Nepal).

The paper argues that there exists an increased risk of mental health problems in Nepali adolescents, especially those left-behind by migrant workers. There is a paucity of research on mental health intervention among adolescents in low and middle income countries (LMICs) such as Nepal. The paper calls for more and better community-based mental health intervention in Nepali adolescents including the special group of left-behind adolescents. Doing this work in Nepal, a country with a very high proportion of its population working abroad will have a broader implication for a other low-and middle-income countries. This article is a welcome addition to BU’s growing publications on migrant workers and health in Nepal [2-11].

References:

Aryal, N., Regmi, P. van Teijlingen, E., Simkhada, P & Mahat, P. (2019) Adolescents left behind by migrant workers: Call for community-based mental health interventions in Nepal, WHO South East Asia J Public Health (forthcoming).
Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
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 & Malaysia, BMC International Health & Human Rights 18(1):4.
Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10
Simkhada, P, Regmi, P., van Teijlingen E., Aryal, N. (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
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.
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC International Health & Human Rights, 8(6).

January 12, 2019

Migration research dissemination in Kathmandu

BU research, conferences, Events, Featured academics, Global engagement, international, PG research, Research news, Uncategorized Edwin van Teijlingen

Last week we presented key findings from our various research projects on health and migration in Nepal. The research meeting was held in a hotel in central Kathmandu. More than seventy people turned up, in fact more people than had registered so the kitchen had to add to the lunch buffet at short notice. The chief guest was the Deputy Speaker of the Nepal’s Federal Parliament, Shivamaya Tumbahangphe. Dr. Tumbahangphe was the first female MP in Nepal with a PhD (in Political Sciences). She is speaking on the photo right, standing next to BU’s Dr. Bibha Simkhada.
The event was organised jointly with Liverpool John Moores University, Green Tara Nepal, and POURAKHI Nepal. the latter is an organisation of women migrant workers established in 2003. It aims to ensure the rights of women migrant workers and their families in the entire process of migration. The organisation focuses its work on women migrant worker’s concerns regarding issues that arise at the different stages of migration, namely pre-employment, pre-departure, employment and post-arrival periods through support programmes.

Nearly one-seventh of the world’s population is now living in a location different from the one in which they were born. Some 3.5 million Nepali are working as migrant workers in the Gulf countries, Malaysia, and India, contributing nearly one-third of the Nepal’s gross domestic product. Despite Nepal’s long history of work-related migration, the national dialogue has only recently become more prominent. Migration has become a political as well as a social issues, for example, we see migration mentioned in the national media on a daily basis. Our meeting was reported on TV and in an English-language newspaper The Himalayan Times on January 6th (to read article click here!).

The BU team comprises: Dr Pramod Regmi (FHSS Lecturer in International Health), Dr. Nirmal Aryal (Post-doctoral Research Fellow), Dr. Bibha Simkhada (FHSS Lecturer in Nursing), and in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) Dr. Catherine Angell and Prof. Edwin van Teijlingen. The team is complemented by Liverpool John Moores University’s Prof. Padam Simkhada (who is also Visiting Professor at BU), Dr. Pratik Adhikary (BU graduate based at Green Tara Nepal) and colleagues at Datta Meghe Institute of Medical Sciences, India.

December 21, 2018

Congratulations to FHSS student Raksha Thapa

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

On the last working day of 2018 at Bournemouth University we congratulate FHSS student Raksha Thapa on the publication of her first PhD paper in her first PhD year. The paper Uptake of Health Services by People from the Dalit Community was published today in the Journal of BP Koirala Institute of Health Sciences [1]. Raksha is supervised by Dr. Pramod Regmi, Dr. Vanessa Heaslip and Prof. Edwin van Teijlingen.

The paper discusses a variety of studies and reports on the uptake of health services in Nepal and other low-income countries by socio-economic cultural status in South Asia. These reports often focus on limitations due to physical factors, such as travel distance to health facility, or lack of medical facilities or electricity at the health care centre or focus on resources, such as lack of service providers, or lack of appropriately trained staff. Therefore, this article highlights the importance of discrimination as a reason for people not seeking available health care. Discrimination is particularly a barrier to service usage among the most deprived people in society, such as the Dalit community in Nepal and South Asia more generally. The authors discuss the caste-based discrimination in Nepal and its effects on health outcomes of those groups who experience such discrimination.

Reference:

Thapa, R., van Teijlingen, E., Regmi, P. , Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of BP Koirala Institute of Health Sciences 1(2): 1-6.

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