Tagged / Edwin-blog-post

BU Workshop on Health Systems in Nepal

You are invited to a two-hour ‘Workshop on Health Systems in Nepal’ at Bournemouth University (BU) on Thursday 25th May in the Bournemouth Gateway Building (BGB room 315) starting at 14.00, aiming to finish at 16.00.  We have the pleasure of welcoming three academic visitors from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu who are at BU on an Erasmus+ exchange.

‘Prof. Sujan Marahatta, Dr. Sujata Sapkota and Dr. Sujan Gautam from MMIHS are part of an international project examining the consequences for the health system of Nepal’s move to a federal government structure.  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, PHASE Nepal and MMIHS.  This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.

The project has resulted in several publications, all in Open Access journals.  The first of three papers introduced the research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ [1], the second focused on COVID-19 when examining the effects of changing Nepal’s constitution towards a federal republic on its health system [2], and the third one highlighted  Public Health approaches around the ongoing federalisation of the state of Nepal and the associated decentralisation processes in its health system [3].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (formerly CMMPH)

 

References:

  1. 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 Nepal Public Health Association 7 (1): 36-42.
  2. Rushton, S., Pandey, S., van Teijlingen, E., Subedi, M., Balen, J., Karki, J., Simkhada, P. on behalf of the Nepal Federal Health System Team (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146
  3. Adhikary, P., Balen, J., Gautam, S., Ghimire S., Karki J.K., Lee A.C., Marahatta S.B., Pandey S., Pohl G., Ruston S., Sapkota S., Simkhada P.P., Subedi M., van Teijlingen E.R., on behalf of the NFHS 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 systemJournal of Karnali Academy of Health Sciences 3(3)

BU PhD student publishes in The Conversation

Congratulations the Abier Hamidi, PhD student in the Faculty of Health & Social Sciences (FHSS) whose PhD work was published in The Conversation this week (24 April) under the title Social media now trumps traditional family networks in Libya – my Facebook survey reached 446,000 women.  Her piece in The Conversation on the recruitment of female participants for a PhD study in a rather patriarchal society brings together issues of anonymity, gender, and wider social culture.

This is Abier’s PhD research is supervised by Dr. Pramod Regmi, Senior Lecturer in International Health and the Global Engagement Lead in the Department of Nursing Sciences, and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

Congratulations!

Prof. Edwin van Teijlingen

 

ERASMUS+ exchange with Nepal

The first half of April I have been in Nepal on the ERASMUS+ exchange with Manmohan Memorial Institute of Health Sciences MMIHS).  Apart from teaching and running tutorial and workshops at the host institution the exchange can also include student supervision.  I had the pleasure of offering some support to one of the MMIHS Master of Public Health (MPH) students.  Ms. Binita Dawadi designed an interesting project under the title on factors associated with burnout among nurses in the district of Jhapa (Nepal). She recently complete her research project as part of her dissertation which she subsequently presented as a poster at last week’s Ninth National Summit of Health and Population Scientists in Nepal.  This annual research conference organised by the NHRC (Nepal Health Research Council)  was held in Kathmandu on 11-12 April.

Prof. Edwin van Teijlingen

Centre for Midwifery & Perinatal Health {CMMPH}

Successful event with senior policymakers in Nepal

Today, the last day of the Nepalese year 2079, we held a well attended event to discuss the preliminary findings of the interdisciplinary study of the impact of federalisation on health system in the country.  We invited policymakers and politicians from all three levels of government in the country to help the research team to analyse the large amount of high-quality data.  This meeting helped to validate the study results and guide our future capacity building as part of this project.  We were pleasantly surprised by the number who turned up and with their  active engagement!

One of the interesting comments made by the participants was that this was the first time that they had met with staff from differ levels to discuss the working of the system.  In fact, participants expressed that they wanted more opportunities to have this kind of discussions across all three levels of government. The researchers reported both positive and negative developments in the decentralized health system of Nepal.  Positive aspects included, for example, improvements in the availability of resources for health, the construction of new health posts and hospitals, better availability of essential medicines in many places.  We also commented on the positive management of COVID-19, compared to other many countries.  The policymakers from local, provincial and national level largely agreed with our findings and analyses.

This stakeholders’ event is part of the Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure in 2015.  This is a joint project (2020-2024) led by colleagues the University of Sheffield in collaboration with the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) Bournemouth University, the University of Huddersfield, with two partners in Nepal, namely Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal.  This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1].

Prof. Edwin van Teijlingen

CMMPH

 

Dementia research in Nepal

Yesterday (April 11th) Dr. Bibha Simkhada presented key findings from our research project on ‘Cultural practice and policy in dementia care in Nepal’.  She spoke at the ‘Ninth National Summit of Health and Population Scientists in Nepal’.  This annual health summit in Kathmandu is organised by the NHRC (Nepal Health Research Council).  Dr. Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences (FHSS), started this work whilst at Bournemouth University, before she moved to the University of Huddersfield to become a Senior Lecturer in Nursing.  This project is a cross-faculty collaboration with Dr. Shanti Shanker in the Department of Psychology.

This qualitative study comprising four face-to-face interviews and four focus groups with carers, health workers and other stakeholders.  The two key conclusion she presented are:

  • Stigma and stereotyping around dementia needs addressing. Nepal needs better policies, guidelines and service provision for people living with dementia and their carers.
  • There is need for inclusion of Dementia/Alzheimer education in undergraduate and postgraduate curricula of nurses, doctors and allied health professionals in Nepal.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Conference presence in Nepal

Our study on the impact of federalism on the health system in Nepal got great coverage at the ‘Ninth National Summit of Health and Population Scientists in Nepal’ on Tuesday 11th April.  This annual conference in Kathmandu is organised by the NHRC (Nepal Health Research Council).

In the morning Prof. Sujan Marahatta (who is Visiting Professor at Bournemouth University) and Prof. Simon Rushton from the University of Sheffield presented in the plenary session.  They jointly outlined the preliminary study findings.  In the afternoon, our collaborator Dr. Jiban Karki (Liverpool School of Tropical Medicine) presented more detailed findings on ‘Human resource management at local level in Nepal’s federalised health system’ from the same study.

During the whole day we also had a poster presentation on display under the title ‘COVID-19 as a challenge to Nepal’s newly-federalised health system: Capacities, responsibilities, and mindsets’.

All dissemination was part of the Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure in 2015.  This is a joint project (2020-2024) led by the University of Sheffield and collaborating with Bournemouth University, the University of Huddersfield, Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal.  This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1].

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)