Tagged / Edwin-blog-post

Growing wealth of migration publications at Bournemouth University

Yesterday saw the latest publication based on Bournemouth University (BU) migration research.  The international journal BMC Public Health published our quantitative paper ‘Psychological morbidity in Nepali cross-border migrants in India: a community based cross-sectional study’ [1].  This scientific article highlights that since Nepali migrants can freely cross the border with India and hence work and stay there, they are largely undocumented. The majority of these Nepali migrant workers is involved in semi-skilled or unskilled jobs with limited labour rights and social security, which predisposes them to psychological distress. The paper assessed the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India.

Just a few days ago the UN Migration Agency in Nepal IOM (International Organization for Migration) published ‘Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal‘, an online report to which BU academics (Aryal, Regmi & van Teijlingen) had contributed [2].  Just recently we had published the qualitative sister paper on Nepali migrants working and living in India. [3].  Whilst Dr. Nirmal Aryal was the lead author on a paper highlighting the need for more research specifically focusing on adolescents left behind by migrant workers [4]. Earlier this year BU PhD graduate Dr. Pratik Adhikary published his latest paper from his thesis, the paper is called ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ and was published in the Journal of Immigrant & Minority Health [5].

Last year was also a very good year for BU migration research, including a systematic review on sex trafficking (perhaps the worst kind of migrant workers) [6], an earlier research paper by Dr. Adhikary with his PhD supervisors [7], and one paper on Nepali female migrants workers in the Middle-East & Malaysia [8].  Earlier BU academics published on general health issues and accidents among Nepali migrant workers in Malaysia, Qatar & Saudi Arabia [9-10], Nepali migrants in the UK [11-12] , other papers included: a call for action on Public Health [13]; a systematic review [14]; a paper on migrant workers’ spouses [15]; migrant health workers in the UK [16-17]; migration and tourism industry [18-20]; migrants and space in Italy [21-22]; an anthropological perspective on migration [23]; a media studies’ perspective [24]; and archaeological perspective [25]; and a socio-economic perspective [26].  No doubt there are several other publications I have forgotten or I am simply unaware missed in this list.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

References:

  1. Dhungana, R.R., Aryal, N, Adhikary, P., KC, R., Regmi, P.R., et al. (2019) Psychological morbidity in Nepali cross-border migrants in India: A community-based cross-sectional, BMC Public Health 19:1534
  2. International Organization for Migration (2019) Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal, Kathmandu, Nepal: International Organization for Migration.
  3. 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 16(19), 3655; doi:10.3390/ijerph16193655.
  4. 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 Journal of Public Health 8(1): 38-41.
  5. 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
  6. 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.
  7. 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
  8. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
  9. 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.
  10. 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
  11. 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
  12. 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
  13. 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.
  14. 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.
  15. 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.
  16. Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
  17. 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.
  18. 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.
  19. Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
  20. 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.
  21. De Martini Ugolotti, N., 2016. ‘If I climb a wall of ten meters’: capoeira, parkour and the politics of public space among (post)migrant youth in Turin, Italy. Patterns of Prejudice, 50 (2), 188-206.
  22. De Martini Ugolotti, N., 2015. Climbing walls, making bridges: children of immigrants’ identity negotiations through capoeira and parkour in Turin. Leisure Studies, 34 (1), 19-33.
  23. Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
  24. Marino, S., Dawes, S., 2016. Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
  25. 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.
  26. Chowdhury, M., 2014. Migration, Human Capital Formation and the Beneficial Brain Drain Hypothesis: A Note. Migration & Development, 3 (2), 174-180.

More pilots please!

“More pilots please!” is not a call from British Airways, Ryanair or the Royal Air Force.  No, it a reminder to students to do more piloting in their postgraduate research projects.  Between us we have read many (draft) theses and examined over 60 PhD theses external to Bournemouth University, and it is clear to us that many students do not do enough pre-testing or piloting of their research instruments.  Perhaps they did some piloting or feasibility work for their projects but don’t write enough about it.  Or they present some feasibility or piloting in their thesis but haven’t added references to methodological texts.

The term ‘pilot studies’ refers to mini versions of a full-scale study (also called ‘feasibility’ studies), as well as the specific pre-testing of a particular research instruments such as data collection tools (i.e. questionnaire or semi-structured interview schedule). Pilot studies are key to good study design [1-6].  Conducting a pilot study does not guarantee success in the main study, but it does increase the likelihood of success. Pilot studies have several of important functions in research design and can provide valuable insights to the researcher on both tools and research processes.  We think it is telling that our most cited paper on Google Scholar is not one of our papers reporting research findings but a methods paper highlighting the importance of pilot studies [2].

 

Professors Vanora Hundley & Edwin van Teijlingen

CMMPH

 

References:

  1. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
  2. van Teijlingen E, Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  3. van Teijlingen E, Hundley, V.(2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: www.nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  4. Hundley, V., van Teijlingen E, (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74.
  5. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Lewis-Beck, M., Bryman, A. & Liao, T. (eds.) Encyclopaedia of Social Science Research Methods, Vol. 2, Orego, Sage: 823-24.
  6. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.

 

 

Congratulations to BU sociologist

Congratulations to Dr. Shovita Dhakal Adhikari on the publication of her paper ‘Understanding ‘trafficking vulnerabilities’ among children: the responses linking to child protection issues in Nepal’ [1].  This academic paper was published earlier this month in the journal Children’s Geographies.   Shovita and her co-author Dr. Jackie Turton discuss child trafficking in Nepal within the broader framework of child protection.

The paper examines both individual (gender, ethnicity and caste) and structural (their experiences in relation to work, migration, education and lack of birth registration) vulnerabilities and their links with child trafficking as a child protection concern. The authors suggest there is a need for a more nuanced understanding of trafficking vulnerabilities as part of a continuum, rather than a distinct event, to improve outcomes for children. They use the evidence presented here to call for a holistic approach. Policies and programmes in Nepal and across the globe must be integrated within the broader concerns of child protection, thus strengthening the system from local to national level, while recognising the importance of children’s rights to participate in any decision-making.

Well done.

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Adhikari, S.D. & Turton, J. (2019) Understanding ‘trafficking vulnerabilities’ among children: the responses linking to child protection issues in Nepal, Children’s Geographies (online first) https://www.tandfonline.com/doi/full/10.1080/14733285.2019.1676398

 

BU articles on academic writing & publishing

Last Friday ResearchGate informed us that ‘Writing an Abstract for a Scientific Conference’ [1] published by three Bournemouth University (BU) scholars (Prof. Vanora Hundley, Dr. Bibha Sinkhada and Prof. Edwin van Teijlingen and a BU Visiting Professor (Prof. Padam Simkhada) had reached 2,500 reads. This paper is one of a series of articles BU academics have published on several aspects of academic writing and scientific publishing.  The range of publications includes issue such as: predatory publishers, authors earning from copyright; finding the best title for your paper, and issues of authorship [2-13].  These are great resources for budding academic writers, especially as nearly are Open Access publications and hence freely available across the world.

Other useful BU resources include the work by Dr. Kip Jones, such as his blogs on Organising & Writing a PhD thesis or his advice on Writing Blogs.   Another great BU resource is the online publication by Dr. Miguel Moital, who wrote the e-book Writing Dissertations & Theses: What you should know but no one tells you, where he shares valuable practical information about the process of writing academic work, notably dissertations. The book starts with explaining the six criteria, expressed in the form of 6 ‘C’s, required to produce high quality dissertations: Confined, Corroborated, Critical, Coherent, Concise and Captivating. The e-book then goes on to share a range of ‘tips and tools’ which contribute to fulfilling the 6 Cs. 

Moreover, it is also worth pointing out that there are some great web resources on writing and publishing produced by BU Library staff, for example on plagiarism;  academic writing; or how to cite references.

 

Prof. Edwin van Teijlingen

Centre for Midwife

References

  1. Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, BD. (2013) Writing an Abstract for a Scientific Conference, Kathmandu Univ Med J 11(3): 262-65. http://www.kumj.com.np/issue/43/262-265.pdf
  2. van Teijlingen, E, Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, J Advanced Nurs 37(6): 506-11.
  3. Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
  4. Kretschmer, M., Hardwick, P. (2007) Authors’ earnings from copyright and non-copyright sources: A survey of 25,000 British and German writers, Bournemouth: Bournemouth University,  Centre for Intellectual Property Policy & Management.
  5. van Teijlingen, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10(1): 1-4.
  6. van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
  7. Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
  8. Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11(1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
  9. van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 4(1): 344-347.
  10. van Teijlingen E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
  11. Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
  12. Sathian, B., Simkhada, P., van Teijlingen, E., Roy, B, Banerjee, I. (2016) Grant writing for innovative medical research: Time to rethink. Med Sci 4(3):332-33.
  13. Pradhan, AK, van Teijlingen, ER. (2017) Predatory publishing: a great concern for authors, Med Sci 5(4): 43.

Migration & health research in Middle East & Malaysia

Yesterday the Journal of Immigrant and Minority Health published the final version of Dr. Pratik Adhikary’s paper ‘Workplace Accidents Among Nepali Male Workers in the Middle East and Malaysia: A Qualitative Study’ [1].  This is the fourth paper originating from Pratik’s Ph.D. research conducted in the Faculty of Health & Social Sciences, the first three papers appeared in the period 2011-2018 [2-4].

The paper highlights that many Nepali men work in the Middle East and Malaysia and media reports and anecdotal evidence suggests they are at a high risk of workplace-related accidents and injuries for male Nepali workers.   Pratik’s Ph.D. study used face-to-face interviews to explore the personal experiences of twenty male Nepali migrants of unintentional injuries at their place of work.  His study found that almost half of study participants experienced work-related accident abroad. The Participants suggested that the reasons behind this are not only health and safety at work but also poor communication, taking risks by workers themselves, and perceived work pressure. Some participants experienced serious incidents causing life-long disability, extreme and harrowing accounts of injury but received no support from their employer or host countries.

The paper concludes that Nepali migrant workers are at a high risk of occupational injuries owing to a number of interrelated factors poor health and safety at work, pressure of work, risk taking practices, language barriers, and their general work environment. Both the Government of Nepal and host countries need to be better policing   existing policies; introduce better legislation where necessary; ensure universal health (insurance) coverage for labour migrants; and improve preventive measures to minimize the number and severity of accidents and injuries among migrant workers.

 

References:

  1. 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
  2. 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
  3. 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.
  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

 

Promoting Nursing CPD in Nepal

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 30th 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.

 

 

BU PhD student Peter Wolfensberger has article accepted in Brit J Mental Health Nursing

Congratulations to FHSS PhD student Peter Wolfensberger whose article ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’ was accepted yesterday by the British Journal of Mental Health Nursing [1].   The paper introduces the concept of ‘uncertainty in illness’, which is a well-known concept in health care literature  and a considerable volume of research has investigated how people adapt to different health conditions and how the concept of uncertainty in illness relates to those populations. However, while there is substantial literature focusing on coping strategies and personal recovery, there is a paucity of research about uncertainty in illness among people living with mental ill health. 

This paper therefore, explores uncertainty in illness among mental health nurses and to provide an understanding of its relevance to people living with mental ill health.  The paper concludes that even though mental health nursing does not directly address uncertainty, the concept and its implications need to be considered and raised further among mental health professionals in order to improve support for people living with mental ill health in their process of personal recovery.

This paper originated from Peter’s PhD research on insights into mental health nursing in Switzerland, which has had input from Prof Fran Biley (before he passed away) and Dr. Zoe Sheppard (before she moved to her new job in Dorchester).  His current BU supervisors are: Dr. Sarah Thomas and Prof. Edwin van Teijlingen and his Swiss supervisor is Prof. Sabine Hahn (Berner Fachhochschule/ Bern University of Applied Sciences).

 

Reference:

  1. Wolfensberger P. Thomas, S., Sheppard, Z., Hahn, S, van Teijlingen, E.  ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’  British Journal of Mental Health Nursing (Accepted)

 

 

 

 

Congratulations on academic paper by BU PhD student Orlanda Harvey

Congratulations to Orlanda Harvey, PhD student in the Faculty of Health & Social Sciences on her PhD publication “Support for people who use Anabolic Androgenic Steroids: A Systematic Scoping Review into what they want and what they access” in the Open Access journal BMC Public Health [1].  Since there is a paucity of research on support for people using Anabolic Androgenic Steroids (AAS), this article searched and synthesised the available evidence in this field. Gaining an understanding of the support both accessed and wanted by recreational AAS users will be of use to professionals who provide services to intravenous substance users and also to those working in the fields of public health and social care, with the aim to increase engagement of those using AAS.

This systematic scoping review identified 23 papers and one report for review, which indicated that AAS users access a range of sources of information on: how to inject, substance effectiveness, dosages and side effects, suggesting this is the type of information users want. AAS users sought support from a range of sources including medical professionals, needle and syringe programmes, friends, dealers, and via the internet, suggesting that, different sources were used dependent on the information or support sought.

The authors argue that AAS users tended to prefer peer advice and support over that of professionals , and access information online/specialist fora, reflecting the stigma that is experienced by AAS  users. These tendencies can act as barriers to accessing services provided by professionals.  The paper concludes that support needs to be specific and targeted towards AAS users. Sensitivity to their perceptions of their drug-use and the associated stigma of being classified in the same sub-set as other illicit drug users is relevant to facilitating successful engagement.

 

Reference: 

  1. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMS Public Health 19: 1024      https://rdcu.be/bMFon

 

 

New CMMPH publication on health promotion in post-earthquake Nepal

Today saw the publication of a new paper from an international research team from the UK, Japan and Nepal.  Our research article ‘Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal’ has been published in the Open Access journal PLoS ONE [1]. 

The paper reminds us that natural disasters often disrupt health systems affecting the whole population, but especially vulnerable people such as pregnant women, new mothers and their babies. Despite the global progress in maternal, newborn and child health (MNCH) programmes over the years, emergency responses after a disaster are often poor. Post-disaster health promotion could play an important role in improving MNCH outcomes. However, evidence remains limited on the effect of post disaster health promotion activities in low-income countries such as Nepal.

The paper reports on an post-disaster intervention study aimed at women in Nepal following the 2015 earthquake. In total, 364 mothers were recruited in the pre-intervention group and 377 in the post-intervention group. The post-intervention group was more likely to have knowledge of at least three danger signs in pregnancy (AOR [Adjusted Odds Ratio] = 2.96, P<0.001), at least three danger signs in childbirth (AOR = 3.8, P<0.001), and at least five danger signs in newborns (AOR = 1.56, P<0.001) compared to the pre-intervention group. The mothers in the post-intervention group were also more likely to ever attend ANC (AOR = 7.18, P<0.001), attend a minimum of four ANC sessions (AOR = 5.09, P<0.001), and have institutional deliveries (AOR = 2.56, P<0.001).

Religious minority groups were less likely to have knowledge of all danger signs compared to the majority Hindu group. Mothers from poorer households were also less likely to attend four ANC sessions. Mothers with higher education were more likely to have knowledge of all the danger signs. Mothers whose husbands had achieved higher education were also more likely to have knowledge of danger signs and have institutional deliveries.  The paper concludes that the health promotion intervention helped the disaster-affected mothers in improving the knowledge and behaviours related to MNCH. However, the authors also comment that vulnerable populations need more support to benefit from such intervention.

 

Reference:

Dhital R, Silwal RC, Simkhada P, van Teijlingen E, Jimba M (2019) Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal. PLoS ONE 14(7): e0220191. https://doi.org/10.1371/journal.pone.0220191