BU Research Blog

January 23, 2024

Media coverage in Nepal

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Last week Mr. Yogesh Dhakal, who is Deputy Editor at Shilapatra, an online newspaper in Nepal, interviewed three UK professors: Julie Balen (Canterbury Christ Church University), Simon Rushton (the University of Sheffield) and Edwin van Teijlingen (Bournemouth University). The focus of the interview (see interview online here) was our recently completed interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’.

In this Nepal Federal Health System Project we studied the consequences for the health system of Nepal’s move from a centralised political system to a more federal structure of government. This three-year project is UK-funded by the MRC, Wellcome Trust and FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

Today (23rd January) the article appeared online in Nepali. We have seen the transcript in English of the actual interviews with the three of us, but I have no idea how the journalist has edited, selected and translated the relevant text.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 17, 2024

A tale of two ministries

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Yesterday in Nepal we attempted to meet two government ministers to present policy recommendations generated by the study examining the consequences for the health system of Nepal’s move to a federal government structure. This three-year project is UK-funded by the MRC, Wellcome Trust and the FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. Through our collaborating partners in Nepal we had managed to make initial contacts with the Prime Minister’s office and a senior secretary in the Ministry of Health & Population. The timing was significant as yesterday was the last day that UK-based members of our team were in Nepal. The day started with a possible meeting with first the Prime Minister Pushpa Dahal, followed by a possible meeting with the Health Minister Mohan Baladur Basnet. However, as the saying goes ‘timing is everything!’ And, in the end the time was against us.

One of the two principle investigators of our study, Professor Simon Rushton from the University of Sheffield, and got ready early in the morning, only to be told by our Nepalese collaborators that the traffic in Kathmandu was hectic. Having waited for nearly an hour for our transport, we decided to split up with one of us joining some of our Nepalese collaborators trying to see the Prime Minister (PM) and the other one with a team to visit the Minister of Health & Population. Prof. Rushton went to the latter and after a period of waiting he and one of our Nepalese collaborators managed to meet the Minister and his staff. He also managed to hand over our policy recommendations. This offered a nice picture opportunity to illustrate a REF Impact Case Study.

Three other Nepalese collaborators and I, on the other hand, waited for over two hours in the waiting room of the Prime Minister, who turned out to be in an urgent meeting with two senior ministers. After over two hours we had to call off our attempt to see the PM. All I ended up with as ‘evidence’ was a picture of the tissue box in the PM’s waiting room. In the end I had to rush to Tribhuven International Airport to catch my flight to Qatar, then onward to London Gatwick.

For the team visiting the PM it felt very much like Robert Burns’ poem: “The best laid schemes o’ Mice an’ Men. Gang aft agley.”

Professor Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 15, 2024

Research methods capacity building in Nepal

BU research, international, PG research, Public engagement, Research communication, Uncategorized Edwin van Teijlingen

Yesterday, Sunday 14th January, I was invited by Bournemouth University’s former PhD student Dr. Pratik Adhikary to run a three-hour methods session on semi-structured interviews and focus group discussions at the Nepal Injury Research Centre (NIRC). The workshop was based on work normally presented as part of BU’s Doctoral College Researcher Development Programme.

The audience comprised PhD students based at NIRC, as well as at Kathmandu Medical College (KMC), and Nepal’s oldest and largest university, Tribhuvan University. Participants were involved in research into many different research questions, ranging from road traffic accidents to sexual health and the well-being of migrant workers. NIRC was established with funding from the UK National Institute for Health and Care Research (NIHR) Global Health Research Programme and it is a partnership between KMC and the University of the West of England, Bristol (UWE).

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

January 15, 2024

TV interview in Nepal

BU research, international, Public engagement, Research news, Uncategorized Edwin van Teijlingen

Two days ago Professor Edwin van Teijlingen from BU’s Faculty of Health & Social Sciences was interviewed by the national television channel News24 in Kathmandu, Nepal. His interview covered some more personal questions, including the question how Edwin became involved in research in Nepal two decades ago, followed questions about recent research projects. The latter involved questions about the nearly completed project “The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’. This project, launched in 2020 at the beginning of the COVID-19 pandemic, is led by the University of Sheffield, in collaboration with BU, the University of Huddersfield, Canterbury Christ Church University, PHASE Nepal and MMIHS (Manmohan Memorial Institute of Health Sciences). This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called the Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.

There were also questions about the health and well-being of Nepal’s migrant workers, partly related to a recently finished study on kidney health of migrant workers funded by The Colt Foundation and a new project led by La Isla Network in the United States of America (USA). La Isla Network, Johns Hopkins University Bloomberg School of Public Health (in the USA) , Nepal Development Society and Bournemouth University are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.

The television company has already put the half-hour interview on YouTube, to watch it click here!

January 12, 2024

Labour migration: desperation & exploitation

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

On my latest trip to Nepal I noticed a number of related newspaper stories about those wanting to migrate abroad for work. Yesterday there was an article with the headline ‘Three held for defrauding unemployed youths’ (The Himalayan Times, January 11, page 2), which could be seen as story about crime, just like the one next to it on the same page with was headed ‘Vehicle stolen’ (The Himalayan Times, January 11, page 2) . Both fit under the category of people suffering from crime committed by naughty people. However, having studied labour migration as a sociologist for over a decade it also speaks of the desperation of young people to leave Nepal. In that sense, the ‘Three held for defrauding unemployed youths’ story, is more like the story the day before ‘Family of Nepali who joined Russian Army worried after hearing about his death’ (The Himalayan Times, January 10, page 1).

In the latter story of a tragic death of a Nepalese mercenary, the most unexpected element I found was that Nepalese victim had paid Rs. 500,000 to criminals, who acted as brokers. I would have expected that Putin’s agents operating in the Middle East were paying large amounts of money to potential army recruits to fight in the invasion of Ukraine. To my great surprise, the payment was the other way round, where Nepalese migrant workers are desperate enough to pay the country at war. When people are desperate to work abroad unscrupulous brokers see opportunities to make money.

Whilst at the end of December 2023 two Nepalese men were killed when Korean language test candidates were staging demonstrations in Kathmandu demanding that they be allowed to appear for language tests for jobs in the manufacturing sector in South Korea. When the Minister for Physical Infrastructure and Transport stopped to intervene, he sparked a riot and his car was set on fire. The police opened fire and killed two protesters in a very un-Nepalese way of dealing with protest. Again to me the underlying issue to note is how desperate these men are to go abroad and get to work in South Korea.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 10, 2024

Newspaper coverage in Nepal

BU research, Featured academics, Global engagement, Impact, international, Public engagement, Publishing, Research news, UKRI, Uncategorized Edwin van Teijlingen

One print daily English-language newspaper The Annapurna Express and one online newspaper Gazzabkoo Magazine published articles this week on our project on strengthening the health system in Nepal. The latter used the title ‘Strengthening Health Systems for Better Health‘ and the former opted for the headline ‘Forum on health system strengthening’.

Our interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this Nepal Federal Health System Project we study the consequences for the health system of Nepal’s move in 2015 from a centralised political system to a more federal structure of government . This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 10, 2024

Latest paper from Federalisation & Health System in Nepal

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

The sixth paper from our interdisciplinary research team focuses on the effective way we applied participatory policy analysis in a study on the effects on the health system in Nepal. In the research we used a methodological approach using the River of Life which we describe in this paper ‘Participatory policy analysis in health policy and systems research: reflections from a study in Nepal’ [1]. The Lead author is Dr. Sujata Sapkota from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.

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 is 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 and PHASE Nepal. We have managed to publish five papers from this project prior to today’s one reflecting on the methodology [2-6].

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

References:

Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti, S.P., Karki, J.K., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, S.B. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
Wasti, S.P., van Teijlingen, E., Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117) https://doi.org/10.1186/s12961-023-01033-2
Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

January 9, 2024

Forum on Post-Federalisation Health System Strengthening

BU research, Events, Fusion themes, Global engagement, international, research governance, research methods, Research news, Training, Uncategorized, writing Edwin van Teijlingen

Today and tomorrow our research team is engaged in discussions with those responsible for running the health system at different levels of the new federal system in Nepal. The aim today and tomorrow of this participatory research project is bring together stakeholders from all levels of government (local, provincial and federal), to develop solutions, practical actions and recommendations for different levels of the political system to address some of the five areas our research identified as possible priorities. Nepal changed from a centralised political system of government to a federal system in 2015. It is easy to see how such change in the political system might affect the organisation, funding, governance, human resources, etc. of all sub-systems in society, such as the education system, the police, and in the area of our particular interest, the health system.

This interdisciplinary study started just before COVID-19 in 2020 and is now coming to a conclusion. The multi-national research team includes researchers from Nepal: MMIHS (Manmohan Memorial Institute of Sciences) in Kathmandu, and PHASE Nepal (Bhaktapur), the University of Sheffield, Bournemouth University, and the University of Huddersfield (the original UK applicants), and researchers currently based at three further UK universities: the University of Greenwich, the University of Essex and Canterbury Christ Church University. This exciting research is funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office (FCDO), and the Welcome Trust.

January 8, 2024

Media: press presentation in Nepal

Impact, international, Uncategorized Edwin van Teijlingen

Today we sent out a press release in both English and Nepali prior to a face-to-face media event in Hotel Yak and Yeti, Kathmandu. This media coverage highlights our interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’. We are hosting a National Forum on post-Federalisation Health System Strengthening tomorrow and the day after with stakeholders involved of all three (local, provincial and central) levels of government in Nepal.

This study started just before COVID-19 in 2020 and this is the final year. The research team includes researchers from Nepal, namely MMIHS (Manmohan Memorial Institute of Sciences) in Kathmandu, and PHASE Nepal (Bhaktapur), the University of Sheffield, Bournemouth University, and the University of Huddersfield (the three original UK co-applicants), and researchers now based at the University of Greenwich, the University of Essex and Canterbury Christ Church University. This exciting research is funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office (FCDO), and the Welcome Trust.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 8, 2024

Partnership planning meeting in Kathmandu

BU research, Featured academics, Global engagement, international, Strategic Investment Areas Edwin van Teijlingen

This afternoon Prof. Edwin van Teijlingen attended a partnership meeting with colleagues from Nepal’s Manmohan Memorial Institute of Health Sciences (MMIHS) in Yak & Yeti Hotel in Kathmandu. The discussion highlighted the longstanding partnership and collaboration between MMIHS and BU. The meeting was part of a wider collaboration around between MMIHS, BU and the University of Huddersfield, The University of Sheffield and Canterbury Christ Church University. The latter universities have been working together for over fours years in an interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’. This project has been funded by the Health System Research Initiative, a UK collaboration between three funding bodies: the MRC (Medical Research Council), the Foreign, Commonwealth & Development Office, and the Welcome Trust.

The BU-MMIHS collaboration has included successful ERASMUS+ staff and student exchanges as well as student exchanges from BU to Kathmandu as part of the Turing Scheme. Currently various BU academics are also involved a co-supervisors on MSc projects conducted by MMIHS postgraduate students.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

January 6, 2024

New migration paper related to Nepal

Featured academics, Global engagement, international, open access, PG research, Publishing, Research news, student research, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

On the last day of 2023 the Journal of Health Promotion published the paper ‘Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men’ [1]. This paper, in an Open Access journal, addresses one of the consequences of male labour migrants leaving their family members behind in Nepal. While non-migrating spouses often receive financial support in the form of remittances, their husbands’ migration also creates numerous social and personal problems. This qualitative study explored non-migrating spouses’ experience of sexual harassment/abuse and its impact on their mental health. Fourteen in-depth interviews were conducted and women reported experiencing harassment by men they knew, including their teachers and colleagues, who knew their husbands were abroad. But none of the women reported taking any action against their perpetrators, indicating a lack of power in this study population in still predominantly patriarchal society.

The lead author of the paper is Assistant Prof. Kalpana Gyawali from Tribhuvan University, Nepal’s largest and oldest university paper. Her co-authors are: Padam Simkhada, Visiting Professor in BU’s Faculty of Health & Social Sciences as well as Professor in Global Health at the University of Huddersfield, Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery & Women’s Health, Ms. Shraddha Manandhar, PhD. student at the University of Huddersfield, and Mr. Ram Chandra Silwal the Country Director of Green Tara Nepal, the charity we have been working with for nearly twenty years.

References:

Gyawali, K., Simkhada, P., van Teijlingen, E.R., Manandhar, S., Silwal, R.C. (2023). Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men. Journal of Health Promotion, 11(1): 22–31. https://www.nepjol.info/index.php/jhp/article/view/61198

January 1, 2024

The last BU blog of 2023

BU research, Featured academics, international, open access, Publishing, research methods, writing Edwin van Teijlingen

First of all: Happy New Year!

One of the first message I received this morning was that our editorial ‘Addressing the inequalities in global genetic studies for the advancement of Genetic Epidemiology’ [1] had been published yesterday. If I had know this in time it would have been the proper last Bournemouth University Research Blog of 2023 published yesterday. Interestingly, we only submitted the draft editorial on Christmas Day, got it back for revisions on Boxing Day and resubmitted it and had it accepted on December 28th. It dis, of course, help that both editors-in-chief of the Nepal Journal of Epidemiology are co-authors on this editorial!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

Sathian, B., van Teijlingen, E., Roy., B., Kabir, R., Banerjee, I., Simkhada, P., Al Hamad, H. (2023) Addressing the
inequalities in global genetic studies for the advancement of Genetic Epidemiology. Nepal Journal of Epidemiology, 13(4):1292-1293.
DOI: 10.3126/nje.v13i4.61271

December 30, 2023

Well-being of Nepal’s migrant workers no longer on global agenda

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

A few days ago were alerted by ResearchGate that our article ‘Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup‘ has reached 300 reads [1]. We (Padam Simkhada, Pramod Regmi and I) wrote this article a year ago to raise publicity about the conditions of Nepalese migrant workers in the Middle East. The hazards faced by migrant workers engaged in building the football stadiums in Qatar have been well documented before and during the FIFA Men’s Football World Cup. Their working conditions are often very dangerous and their living conditions are often very poor.

This time last year Dr. Pramod Regmi, Dr. Nirmal Aryal, Prof. Edwin van Teijlingen, and BU’s Visiting Professor Padam Simkhada also published ‘Excessive Mortalities among Migrant Workers: the Case of the 2022 FIFA World Cup’ [2]. At the time we wrote “The men’s FIFA Football World Cup 2022 is in full flow in Qatar” which finished with a very exciting final between Argentina and France. Around the same time BU’s PhD student Yagya Adhikari also wrote a paper on ‘Forgotten health and social care needs of left-behind families of Nepali migrant workers’ [3]. This paper was co-authored by Dr.Pramod Regmi in the Department of Nursing Sciences, Prof. Edwin van Teijlingen, and BU Visiting Faculty Prof. Bhimsen Devkota.

Unfortunately, since the World Cup finished, the world, the media and our politicians have moved on and the health and well-being of migrant workers are no longer headline news. The reminder this week of 300 reads for our editorial gives us another opportunity to remind everyone of the need to keep the plight of migrant workers in the Middle East (and elsewhere) on the world’s agenda.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

References:

Simkhada, P., van Teijlingen, E., Regmi, P. R. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022 . Health Prospect, 21(3). https://doi.org/10.3126/hprospect.v21i3.49835
Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4.
Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4. https://doi.org/10.3126/jhp.v10i1.50976

December 30, 2023

Migration and mental health meeting in Kathmandu

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

Yesterday (29th December) Prof. Edwin van Teijlingen attended a workshop on ‘Current situation of migration and its impact on Mental health’ in a hotel in Kathmandu, Nepal. This workshop was organised by the Transcultural Psychosocial Organization Nepal (TPO Nepal) and funded by a Finnish aid organisation. Two of BU’s current collaborators were members of the workshop panel. One of the panel members was FHSS Visiting Faculty Prof. Padam Simkhada, who is Professor of Global Health at the University of Huddersfield. He spoke about the limited amount of research into mental health in general in Nepal and in migrant workers in particular. The chair was Mrs. Manju Gurung from the organisation POURAKHI Nepal, who collaborates with BU in the recently started project on health and migration funded by the USA State Department. Unsurprisingly, several speakers at the workshop referred to studies conducted in the field of migrant workers’ health by BU academics, particularly the work published by Dr. Pramod Regmi and Dr. Nirmal Aryal.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

December 28, 2023

Interview with BU professor published

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

Today Madhusudan Subedi and Man Bahadur Khattri published their Interview with Prof. Edwin van Teijlingen in the Dhaulagiri Journal of Sociology & Anthropology [1]. This academic journal is published in Nepal and it is Open Access; hence freely available to read to anybody with access to the internet.

Their abstract reads: “Edwin van Teijlingen is Dutch by birth and a Professor of Reproductive Health at Bournemouth University in the south of England. He has achieved a PhD in Medical Sociology at the University of Aberdeen, UK. Prof. Edwin van Teijlingen connected with Nepal while supervising Nepali PhD scholars in UK, and he has been a frequent visitor to Nepal since 2006. He has supervised more than 35 PhDs, among which 13 are Nepali. He has examined more than 50 PhDs. He has published around 300 academic papers and book chapters in health promotion, midwifery, and health services research. He serves as a peer reviewer for worldwide famous health journals such as PLOS One and BMC Pregnancy & Childbirth. He delivered a speech to the Members of Parliamentarians in Kathmandu in 2016 as part of a workshop to promote evidence-based policy-making. He is a committee member on various grant-awarding bodies in the UK, Belgium, the Netherlands, Norway, Switzerland, and the USA. He is a visiting Professor at the Centre for Disability Studies, Mahatma Gandhi University, Kerala in India (2020-present); the School of Health Sciences at the University of Nottingham in England (2017-2026); Nobel College, affiliated with Pokhara University, Nepal (2012-present); and Manmohan Memorial Institute of Health Sciences affiliated with Tribhuvan University (2009-present). We would like to express our gratitude for his acceptance to share personal and academic lives, which can inspire young and energetic scholars in Nepal and elsewhere.”

Reference:

Subedi, M., Khattri, M. B. (2023). Interview with Professor Edwin van Teijlingen. Dhaulagiri Journal of Sociology and Anthropology, 17(01), 79–88. https://doi.org/10.3126/dsaj.v17i01.61149

December 23, 2023

Paper published on ‘living evidence’

BU research, Featured academics, international, open access, Publishing, research methods, Training, Uncategorized, writing Edwin van Teijlingen

The Nepal Journal of Epidemiology published today carries an article on so-called ‘living evidence’ as an on-going synthesis approach that provides up-to-date rigorous research evidence [1]. This short research methods paper argues that living evidence is particularly useful in rapidly expanding research domains, uncertain existing evidence, and incorporating new research evidence that may impact policy or practice, ensuring that health worker, managers and health-policy makers have access to the best, i.e. the most recent evidence.

The Nepal Journal of Epidemiology is an Open Access journal, and hence freely available to researchers across the globe. The paper has been co-authored by researchers from the Denmark, Qatar, Mauritius and the UK.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

Sathian B., van Teijlingen E., do Nascimento I.J.B., Khatib M.N., Banerjee I., Simkhada P., Kabir R., Al Hamad H. (2023) Need for evidence synthesis for quality control of healthcare decision-making. Nepal Journal of Epidemiology 13(3):1288-1291. DOI: 10.3126/nje.v13i3.61004

December 22, 2023

New Nepal paper published

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

BMJ Global Health published our latest paper today under the title ‘The impact of decentralisation on health systems: a systematic review of reviews‘ [1]. This so-called review of reviews is part of a larger study 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. This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, and two collaborating institutions in Nepal, namely Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. We have managed to publish four papers from this project prior to today’s one. [2-5]

This latest paper, is Open Access and it includes nine reviews, each addressing somewhat different questions, contexts and issues. More negative than positive impacts of decentralisation on health system building blocks were identified. Although inconclusive, evidence suggested that the impacts on leadership and governance and financing components in particular shape the impact on the overall health system. Assessment of how the impact on building blocks translates to the broader impact on health systems is challenged by the dynamic complexities related to contexts, process and the health system itself. This review highlights some of the common potential issues to consider in advance.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

References:

Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
Wasti, S.P., van Teijlingen, E., Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117) https://doi.org/10.1186/s12961-023-01033-2
Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

December 21, 2023

Viewpoint on free birthing

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

This week the Journal of Asian Midwives published our short article ‘Out-of-hospital births: A small but growing phenomenon in high income countries: A viewpoint‘ [1]. OOHBs (out-of-hospital births), is also referred to as freebirth (or freebirthing), unassisted childbirth and/or unassisted pregnancy [2]. OOHB does not refer to giving birth at home before the midwife arrives at a home birth or the birth taking place in an ambulance or along the side of the road on the way to a maternity unit, this is called ‘born before arrival’. OOHB suggests an element of planning of planning a birth without a midwife (or other maternity-care professional).

The paper in the Journal of Asian Midwives highlights that during the COVID-19 pandemic, OOHBs were a way to avoid Public Health regulations and lock-down constraints, and to guarantee the presence of a partner at the birth. The authors argue, however, that the pandemic is not at the origin of the trend, but more of a catalyst. Advocacy groups, maternity-service users’ groups, the media, and midwifery organisations in several high-income countries have in recent years underlined the growing criticism of existing maternity care and midwifery services and a long-term shortage of midwives. This is in addition to a longstanding trend in the United Kingdom of closing community-based hospitals, including small, free-standing midwife-led units.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

Miani, C, Batram-Zantvoort, S, Pitchforth, E, Treadgold, B, Johnston, K, Rozée, V, MacDougall, C, Schantz, C, van Teijlingen, E. (2023) Out-of-hospital births: A small but growing phenomenon in high income countries: A viewpoint. Journal of Asian Midwives 10(2):77–78.
AIMS. (2020) Freebirth, Unassisted Childbirth and Unassisted Pregnancy, published on 30 March 2020, accessed 21 December 2023.

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