Latest research and knowledge exchange news at Bournemouth University
Early next week Prof. Edwin van Teijlingen from the Centre for Midwifery & Women’s Health (CMWH) has been invited to present online at the International Evidence Synthesis Workshop on November 13th in Qatar. His presentation will focus on key aspects of writing up systematic reviews. The workshop is organised by the WHO (World Health Organization) Collaborating Centre for Healthy Ageing and Dementia. 
This week the editor of the International Journal of Social Sciences and Management emailed that the paper ‘Drowning Prevention should be a Public Health Issue in Nepal‘ [1] had been published. This is the first paper for our Ph.D. student Md. Shafkat Hossain. Shafkat co-authored this paper drowning prevention experts in Nepal, Dr. Bhagabati Sedain and Dr. Puspa Rai Pant and Prof. Aminur Rahman based at CIPRB (the Centre for Injury Prevention and Research, Bangladesh).
Shafkat’s thesis is part of the interdisciplinary Sonamoni project on drowning prevention in toddlers under the age of two in Bangladesh. 
This newly published paper takes lessons learnt from Bangladesh and offers them as ideas to be considered in Nepal. Nepal is prone to a range of natural disasters; earthquakes being the most widely recognised one. However, many people are at risk of drowning as the serious flooding in the autumn of 2024 showed, but this is not recognised as a serious public health risk in Nepal. Drowning relates to people’s everyday activities such as crossing rivers, bathing and swimming and should be treated as a social and public health problem.
The Sonamoni project is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), CIPRB in Bangladesh and Design Without Borders in Uganda. It funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
As we are reaching the end of Open Access Week is worth highlighting that this paper is fully Open Access, and hence freely available in both Nepal and Bangladesh!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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Yesterday ResearchGate informed us that our paper ‘The impact of decentralisation on health systems: a systematic review of reviews‘ [1] had reached 400 reads. This paper, published in BMJ Global Health, is one of six papers published from our interdisciplinary research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’, the other five include a methods paper and a public health paper [2-6].
This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we study the consequences for the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015. This joint project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.
Appropriately on Open Access Week, all six papers are Open Access, i.e. freely available to everyone with internet access in Nepal (and elsewhere in the world).
Prof. Edwin van Teijlingen
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There are several different methods or approaches to help researchers when evaluating of complex public health interventions or programmes. Our recent paper ‘Most Significant Change Approach: A Guide to Assess the Programmatic Effects’ [1] describes the Most Significant Change (MSC) participatory technique to monitor and evaluate programmatic effects. The MSC is a form of monitoring because it occurs throughout the programme’s lifecycle and provides information to manage it. Unfortunately, MSC as a participatory evaluation technique using qualitative methods is not widely used nor known. 
We hope to convince relevant funders and evaluators of the value of the MSC technique and application. Our paper offers step-by-step guidelines on how to use the MSC technique when evaluating a large-scale intervention covering perspectives of different beneficiaries within a limited period. The MSC process involves purposively selecting the beneficiaries, collecting the Most Significant (MS) stories, which are then systematically analysed by designated stakeholders and or implemented partners, selected through internal vetting, and external process by involving beneficiaries and stakeholders.
The central question focuses on changes in the form of stories such as ‘Who did what?’; ‘When did the change occur?’; and ‘What was the process?’ Additionally, it seeks feedback to explain why particular a story was selected as MS and how the selection process was organised. The MSC technique further attempts to verify the validity, significant, relevant, sustainability of the change, and impact on marginalized or Gender Equality and Social Inclusion (GESI) groups brought by the programme. Furthermore, the technique seeks verification of the MS story by triangulating comprehensive notes and recordings.
Prof. Edwin van Teijlingen
Centre fro Midwifery & Women’s Health
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Congratulations to Emeritus Prof. Jonathan Parker, Faculty of Health & Social Sciences Visiting Faculty Prof. Vanessa Heaslip and Dr. Kirsty Marshall, the latter two co-authors are based at the University of Salford, on their latest paper ‘Promoting equity in community nursing’ [1]. 
This paper links to the Sustainable Development Goals (SDGs) published by the United Nations (UN) in 2015 in order to promote health, well-being and economic security for all. Bournemouth University, of course, is among the best universities worldwide for its sustainability, according to the new Times Higher Education (THE) Impact Rankings. BU was ranked 39th out of 1,963 universities measured against the UN Sustainable Development Goals (UNSDGs) internationally in June 2024.
Heaslip and colleagues remind us that is worth considering the degree to which these influence one’s professional practice. They offer a reflective activity on the issue, see Box 1 ‘Community nurses and the SDGs’ .
Congratulations!
Prof. Edwin van Teijlingen
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Congratulations to Dr. Shanti Farrington, Principal Academic in Psychology, on the publication of her latest paper ‘The impact of cultural practice and policy on dementia care in Nepal‘ [1]. This paper in the international journal BMC Geriatrics reminds us that our wider culture plays a vital role in both dementia care and policy. This study explored the cultural practice and policy influence around caring for People Living with Dementia (PLWD) in Nepal. It comprised four in-depth interviews and four focus group discussions with 29 participants, including family members, health care professionals, and other stakeholders. Data were analysed using thematic analysis.
This qualitative research resulted in four major themes (each with several sub-themes): 1. Cultural practice in dementia care; 2. Impact of policy on the dementia care; 3. Service provision; and 4. Education and training. The authors conclude that is a need for community-based awareness raising on dementia and its care, to sensitize all relevant stakeholders to meet the needs of PLWD. In addition, capacity building of health workforce is needed to enhance their knowledge of and skills around dementia care.
The lead author is Dr. Bibha Simkhada, formerly in BU’s Department of Nursing Sciences, and currently based in the School of Human and Health Sciences at the University of Huddersfield. Further co-authors are Pallavi Simkhada, PhD student at the University of Edinburgh, Sanju Thapa Magar, based at Aging Nepal and Prof. Edwin van Teijlingen, in BU’s Centre for Midwifery & Women’s Health.
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Bournemouth University’s collaboration in the field of ageing research in Qatar is going from strength to strength. BU staff have been working with academics and clinicians at Hamad Medical Corporation’s (HMC) Department of Geriatrics and Long-Term Care. HMC has been appointed as a WHO (World Health Organization) Collaborating Centre for Healthy Ageing and Dementia, under auspices of Ministry of Publich Health in Qatar. Hamad Medical Corporation is not-for profit organisation. Tomorrow morning (7.00 AM UK time) FHSS will be contributing to an International Survey Research Workshop, together with BU’s Faculty of Health & Social Sciences Visiting Faculty Dr. Brijesh Sathian (based at HMC), and Prof. Padam Simhada, based at the University of Huddersfield.
Our latest CMWH newsletter (autumn 2024 edition) is out now. Click here! 
This edition includes news items and stories related the successes of CMWH staff and students. For example, about Drs. Dominique Mylod and Daisy Wiggins who both secured innovative NIHR funding for undergraduate student internships. Or about the recently awarded National Institute for Health and Care Research (NIHR) funding for ‘INSIGHT: Inspiring Students into Research’. This innovative three-year programme started this summer as part of the NIHR Academy’s portfolio of career support for health and social care professionals. The programme supports the NIHR aim to develop a highly skilled research workforce capable of advancing the best research which improves health and care, and benefits society and the economy.
There is also an item on the importance of humour to stimulate interest and engagement with taboo women’s health topics. CMWH’s Rosie Harper, a PhD researcher and pelvic floor physiotherapist at University Hospitals Dorset NHS Foundation Trust has led a study with comedian and women’s health physiotherapist Elaine Miller and the results were published in Health Expectations. Elaine’s Instagram campaign ran daily for 3 months @gusset_grippers. And there are many more stories and announcements. The editors would like to thank Abier Hamidi for her excellent editorial support!
Last Sunday ResearchGate informed us that the paper ‘Health facility preparedness of maternal and neonatal health services: a survey in Jumla, Nepal‘ [1] published in the international journal BMC Health Services Research had been read 10,000 times. In this paper, which is in an Open Access journal, Pasang reports on a cross-sectional study conducted in 2019 covering all 31 state health facilities in a district of Nepal to assess the availability of maternal and neonatal health services including appropriate workforce and access to essential medicines. 
Tests of association between demographic factors and the probability of a facility experiencing a shortage of essential medicine within the last 3 months were also conducted as exploratory procedures. Overall health facilities reported better availability of staff than of drugs. The authors concluded that health facilities in Nepals should be supported to meet required minimal standards such as availability of essential medicines and the provision of emergency ambulance transport for women and newborns. This paper was part of Dr. Pasang Tamang’s Ph.D. project at the University of Huddersfield, which resulted in four other related publications [2-5]. Pasang is currently working as a Lecturer in Public Health in the School of Human Sciences at the University of Greenwich.
Prof. Edwin van Teijlingen
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Dr. Rebecca Neal in the Centre for Midwifery & Women’s Health (CMWH) who has a poster accepted for presentation at the prestigious GLOW conference later this month. This poster ‘Heat resilience and midwives: Bridging the gap for women’s health in a changing global climate. The 2024 GLOW conference, supported by the Medical Research Council, will focus on the effects of the ongoing global crises of climate change, infectious diseases, mental health, and conflict and migration on women’s and newborn health.
Insights from the Nepal Family Cohort Study (NeFCoS). NeFCoS is a multidisciplinary, longitudinal family cohort study designed to be one of its kind, informative research conducted in various geographical areas of Nepal. NeFCoS, led by Dr. Om Kurmi at the University of Coventry is part large-scale epidemiological study supported by BU and several other universities in the UK and elsewhere.
With the upcoming Bournemouth University systematic review module co-ordinated lead by Prof. Vanora Hundley, the following announcement was timely today:
The systematic review course is part of the INSIGHT programme.
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A few days ago we published the editorial for the latest issues of the Nepal Journal of Epidemiology. This editorial under the title ‘Urgent need for better quality control, standards and regulation for the Large Language Models used in healthcare domain‘ [1] comments that current methodologies for ensuring AI (Artificial Intelligence) technology’s safety and efficacy may be adequate for earlier AI iterations predating generative artificial intelligence (GAI). However, better clinical gouvernance GAI may necessitate the development of novel regulatory frameworks. As AI technology advances, researchers, academic institutions, funding bodies, and publishers should continue to examine its impact on scientific inquiry and revise their understanding, ethical guidelines, and regulations accordingly.
The co-authors include two Bournemouth University Visiting Faculty, Prof. Padam Simkhada (based at the University of Huddersfield) and Dr. Brijesh Sathian (based at Rumailah Hospital, Qatar).
Prof. Edwin van Teijlingen
CMWH
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Congratulations to Dr. Ans Luyben on the publication of her latest midwifery article ‘How to promote midwives’ recognition and professional autonomy? A document analysis study’ [1]. This latest paper will appear in the forthcoming November issue of the international scientific journal Midwifery, published by Elsevier.
The paper identified challenges in Belgian midwives’ recognition and professional autonomy and provided recommendations to address them, emphasizing the importance of recognized authority in midwifery. Implementing these recommendations can positively impact midwives’ recognition and autonomy in Belgium as well as in other countries. Ans has long been affiliated with the Centre of Midwifery & Women’s Health (CMWH) as Visiting Faculty and she works in the Frauenzentrum (Centre for Women’s Health), Lindenhofgruppe, Bern, Switzerland.
Well done!
Prof. Edwin van Teijlingen
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This week Notan Dutta, from our collaborating research organisation CIPRB (Centre for Injury Prevention and Research Bangladesh) presented a poster on ‘Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh’ at the 15th World Conference on Injury Prevention & Safety Promotion (Safety 2024). One of the co-authors of this poster presentation is Bournemouth University’s PhD student Md. Shafkat Hossain. Shafkat also attended the conference in India. Shafkat was in Delhi funded by Bloomberg Philanthropies as part of its Emerging Leaders in Drowning Prevention programme. 
This initiative brings together a cohort of younger leaders to join national and international efforts to raise awareness and strengthen solutions and political commitment towards drowning.
Our research into drowning prevention of under two-year old children in rural Bangladesh is funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information about our ongoing collaborative research in Bangladesh, please see the NIHR website. This is an interdisciplinary project between Bournemouth University, CIPRB, the RNLI (Royal National Lifeboat Institute), the University of the West of England, the University of the West of England, and Design Without Borders (DWB) in Uganda.
Prof. Edwin van Teijlingen & Dr. Mavis Bengtsson
Centre for Midwifery & Women’s Health
Last night ResearchGate informed us that our paper ‘Understanding health education, health promotion and public health‘ had reached 6,000 reads [1]. This reflective paper in an Open Access journal tries to bring a little more clarity in the confusion around the difference between the concepts of health education, health promotion and public health. We argue that such confusion does not limit itself to the individual terms but also to how these terms relate to each other. Some authors and public health practitioners use terms such as health education and health promotion interchangeably; others see them clearly as different concepts. 
In this theoretical overview paper, we have first of all outlined our understanding of these individual terms. We suggest how the five principles of health promotion as outlined by the World Health Organization (WHO) fit into Andrew Tannahill’s model from 2009 [2] of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Our schematic overview places health education within health promotion and health promotion itself in the center of the overarching disciplines of education and public health. We hope our representation helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.
The paper is co-authored by a primary school teacher based in Dorset, and four professors who have a combined experience in the wider public health field of over a century.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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The University of Huddersfield recently hosted the 2nd annual meeting for the Global Consortium for Public Health Research (GCPHR), with the theme ‘Research Priority in Nepal’. A lovely write-up of the even just appeared online (click here to read this). Among its invited international delegates were Dr. Pramod Regmi (Centre for Wellbeing & Long-Term Health) and Prof. Edwin van Teijlingen (Centre for Midwifery & Women’s Health). GCPHR is led by Prof Padam Simkhada, Professor of Global Health and Associate Dean (International) of the School of Human & Health Sciences at the University of Huddersfield as well as Visiting Professor in the Faculty of Health & Social Sciences at Bournemouth University. This interdisciplinary event was funded by funded by the University of Huddersfield’s PVC International’s International collaborative fund (ICF).
After the event BU’s Dr. Pramod Regmi reminded us that: “It is important to meet up in person, especially for larger international and interdisciplinary research projects. There is only so much you can do online in meeting.” There is a great advantage of online meetings by Zoom, Teams or Google Meet, especially when working with countries like Nepal. Not least of course in reducing our global carbon footprint. Of course, such meeting help academics to build and maintain research contacts across the globe, but it is not the same as sitting in the same room with someone and share ideas over coffee.
This afternoon the editorial office of Frontiers in Psychiatry informed us that our manuscript “Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison” [1] has been accepted for publication in Frontiers in Psychiatry, section Perinatal Psychiatry. An interdisciplinary team from Germany, Canada and the UK designed and initiated a longitudinal pregnancy cohort in the United Kingdom titled Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes & Childhood Health (EPPOCH). In the second half of 2020, we recruited 3,600 pregnant individuals via self-enrollment through our website ‘www.eppoch-uk.org’. Our EPPOCH study has since collected a wealth of validated questionnaire data at multiple time points, from mothers (during pregnancy and postpartum) and their children (from birth to age 3), and we are currently distributing our 4-year childhood follow-up questionnaire. This is the first paper from the EPPOCH study. 
The UK team is a collaboration between Bournemouth University and University Hospitals Dorset NHS Foundation Trust, the latter through Professor Minesh Khashu and Dr. Latha Vinayakarao based in Poole Maternity Hospital. The German team is led by Dr. Melanie Conrad, previously at Charité University Medicine Berlin, and now associated with the University of Augsburg, and includes Swarali Datye, PhD student at Charité University Medicine Berlin, whilst our Canadian collaborator, Alison MacRae-Miller, is based at the University of British Columbia, Victoria. This EPPOCH cohort is closely linked with a sister cohort in Canada called the Pregnancy During the Pandemic (PDP) study.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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Three Minute Thesis (3MT®) Competition
C.A.I.R.E.E.S. Conference: Harnessing AI for a sustainable future
Update on UKRO services
European research project exploring use of ‘virtual twins’ to better manage metabolic associated fatty liver disease
BU Professor has been invited to a series of plenary and invited lectures.
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