Tagged / Edwin-blog-post

Impact of federalisation on Nepal’s health system

conferences, international, Publishing, writing

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to 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 and PHASE Nepal. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (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 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. 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.
  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
  6. 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.
  7. 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.
  8. 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

Academic writing: Six encouragements

Publishing, writing

The Festive Season is a good time to clean up and clear out the pile of paper collected throughout the proceeding year.  One the many pieces of potentially useful information I archived was a three-page article from the April edition of the monthly magazine Prima [1].  Most certainly not the most academic magazine, but useful all the same, as it was a piece encouraging readers to write their own book.

The six steps or recommendations in Prima were:

  • Figure out what you want to write;
  • Make time to write;
  • Find your writing method;
  • Forget about perfection;
  • Keep going (even when the going gets though);
  • Find writing buddies!

I found it interesting as these six steps in this piece overlap a lot with the advice we have been giving to budding academics for years [2].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

 

References:

  1. Gibson, F. (2024) How to write a novel and get published, Prima (April edition): 38-40.
  2. Wasti, S.P., van Teijlingen, E., Simkhada, P., Hundley, V. with Shreesh, K. (2022) Writing and Publishing Academic Work, Kathmandu, Nepal: Himal Books

Two new BU midwifery publications

international, open access, writing

This past week, as part of her work with McMaster University in Canada, Bournemouth University’s (BU) Centre for Midwifery & Women’s Health (CMWH) postgraduate PhD student Joanne Rack published a paper in BMJ Open.  This Open Access paper explores the strengths and weaknesses of midwifery research in Canada [1].  Joanne is currently doing a Clinical Doctorate in the  specialising in personalised care for women of advanced maternal age.  This PhD study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Professors Vanora Hundley and Edwin van Teijlingen in CMWH, Prof. Ann Luce, deputy dean in BU’s Department of Communication & Journalism as well as Dr. Latha Vinayakarao in Poole Maternity Hospital.

The second midwifery paper ‘Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal‘, which is also Open Access, has a different international focus, this time on Nepal [2].  The paper is co-authored by Dr. Preeti Mahato and Prof. Edwin van Teijlingen.  Dr. Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, is currently based at Royal Holloway, University of London.

 

 

 

 

References:

  1. Ruby, E., Brunton, G., Rack, J., et al. (2024). Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities – results of a scoping review. BMJ Open 14:e087698. doi:10.1136/bmjopen-2024-087698
  2. Mahato, P.,  van Teijlingen, E. (2024). Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal. Europasian Journal of Medical Sciences 6(1). https://doi.org/10.46405/ejms.v6i1.537

FHSS academics teaching in Nepal

international, writing

As part of our long-standing Memorandum of Agreement between Bournemouth University and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal, Dr. Pramod Regmi taught a postgraduate class in Kathmandu last week.  Pramod, who is Principal Academic in International Health in the Centre for Wellbeing and Long-term Health (CWLTH) in the Faculty of Health & Social Sciences, addressed M.Sc. students about the finer aspects of research methods.  Tomorrow (Sunday 24th November) I have been invited to speak to the same MMIHS postgraduate students about research theories and paradigms.

The process of internationalising higher education institutions through collaborative partnerships like this one between BU and MMIHS, brings benefits to both institutions’ staff and students.  This collaboration has led to many BU staff and students visiting Nepal, and many MMIHS staff and student visiting Bournemouth.  The collaboration has also led to several successful grant applications and nearly twenty academic publications [1-17].

 

 

Prof. Edwin van Teijlingen

 

 

References (BU + MMIHS authors in bold):

  1. Simkhada, P., van Teijlingen E., Winter, RC., Fanning, C., Dhungel, A., Marahatta SB. (2015) Why are so many Nepali women killing themselves? Review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. nepjol.info/index.php/JMMIHS/article/view/12001
  2. Simkhada, P.P., van Teijlingen, E., Marahatta, S.B. (2015) Mental health services in Nepal: Is it too late? Journal of Manmohan Memorial Institute of Health Sciences 1(4): 1-2.
  3. Simkhada, B, Mackay, S, Khatri, R., Sharma, C.K., Pokhrel, T, Marahatta, S, Angell, C, van Teijlingen, E., Simkhada, P (2016) Continual Professional Development (CPD): Improving Quality of Nursing Care in Nepal, Health Prospect 15 (3):1-3 nepjol.info/index.php/HPROSPECT/article/view/16326/13255
  4. van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies, Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
  5. Simkhada, P., van Teijlingen, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.
  6. Regmi, P., van Teijlingen, E., Neupane, S., Marahatta, S. (2019) Hormone use among Nepali transgender women: a qualitative study, BMJ Open 9: e030464. doi:10.1136/bmjopen-2019-030464.
  7. Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, P., Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11. https://www.nepjol.info/index.php/JAIM/article/view/29159
  8. Adhikary, P., Balen, J., Gautam, S., Ghimire, S., Karki, J., Lee, A.C.K., Marahatta, S.B., Panday, S., Pohl, G., Rushton, S., Sapkota, S., Simkhada, P.P., Subedi, M., van Teijlingen, E. for the Nepal Federal Health System team (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.
  9. Khatri, R., van Teijlingen, E., Marahatta, S., Simkhada, P., Mackay, S., Simkhada, B. (2021) Exploring the Challenges and Opportunities for Continuing Professional Development of Nurses: A Qualitative Study with Senior Nurse Leaders in Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1); 15–29. https://doi.org/10.3126/jmmihs.v7i1.43147
  10. Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., van Teijlingen, E., Rushton, S., Subedi, M., Gautam, S., Karki., J., Adhikary, P., Marahatta, S., Simkhada, P., for the Nepal Federal Health System Team (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42. https://nepha.org.np/wp-content/uploads/2022/10/5.-Manuscript_Health-System-Strengthening.pdf
  11. van Teijlingen, E., Thapa, D., Marahatta, S.B., Sapkota, J.L., Regmi, P. Sathian, B. (2022) Editors and Reviewers: Roles and Responsibilities, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 32-37.
  12. Mahato P., Adhikari B., Marahatta S.B., Bhusal S., Kunwar K., Yadav R.K., Baral, S., Adhikari, A., van Teijlingen, E. (2023) Perceptions around COVID-19 and vaccine hesitancy: A qualitative study in Kaski district, Western Nepal. PLOS Global Public Health 3(2): e0000564. https://doi.org/10.1371/journal.pgph.0000564
  13. Wasti, S.P., van Teijlingen, E., Simkhada, P., Rushton, S., Balen, J., Subedi, M., Karki, J., Adhikary, P., Sapkota, S., Gautam, S., Marahatta, S., Panday, S., Bajracharya, B., Vaidya, A. for the Nepal Federal Health System Team (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health (accepted).
  14. Sapkota, S., Dhakal, A., Rushton, S., van Teijlingen, E., Marahatta, S.B., Balen, J., Lee, A. for the Nepal Federal Health System Team (2023) The impacts of decentralisation on health systems: a systematic review of reviews, BMJ Global Health 8(12) https://gh.bmj.com/content/8/12/e013317
  15. Marahatta, S., Regmi, P., Knight, A., Kuncova, J., Asbridge, E., Khanal, D., van Teijlingen, E. (2023). Staff-Student Exchange between MMIHS and Bournemouth University (UK). Journal of Manmohan Memorial Institute of Health Sciences, 8(1): 1–5. https://doi.org/10.3126/jmmihs.v8i1.57265
  16. Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti,SP., Karki, JK., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, SB. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22(7) https://doi.org/10.1186/s12961-023-01092-5 .
  17. Clark CJ, Marahatta SB, Hundley VA (2024) The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth. PLoS ONE 19(8): e0308129. https://doi.org/10.1371/journal.pone.0308129

 

New nursing paper published

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

 

Reference:

Parkr, J., Heaslip, V., Marshall, K. (2024) Promoting equity in community nursing, Clinics in integrated care 26 October , 100229

 

BU Emeritus Professor contributes to Transforming Society

Publishing

Congratulations to Prof. Jonathan Parker, Professor Emeritus in the Faculty of Health & Social Sciences, who was invited to contribute a post to the influential social science blog Transforming Society. See details here: Transforming Society ~ Now is the winter fuel payment of our discontent. The blog concerns the highly topical winter fuel payments and Jonathan’s policy analysis and its impact.
Congratulations
Prof. Edwin van Teijlingen

Upcoming BU systematic review training

Awarded & submitted bids, PG research, Publishing, writing

With the upcoming Bournemouth University  systematic review module co-ordinated lead by Prof. Vanora Hundley, the following announcement was timely today:

Your article reached 400 reads

Article: Evidence-based health care in Nepal: The importance of systematic reviews

The systematic review course is part of the INSIGHT programme.

 

Reference:

  1. van Teijlingen, E. R., Simkhada, B., Ireland, J.C., Simkhada, P. P., Bruce, J. (2012). Evidence-based health care in Nepal: The importance of systematic reviews. Nepal Journal of Epidemiology, 1(4), 114–118. https://doi.org/10.3126/nje.v1i4.5498