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Prof. Edwin van Teijlingen
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Latest research and knowledge exchange news at Bournemouth University
Prof. Edwin van Teijlingen
On Friday 26th May Dr. Sheetal Sharma (BU PhD awarded in 2017) was invited to speak at a Strategic Round Table “A safer and healthier tomorrow by restoring essential immunization today”, at the UN (United Nations) Palais during the 2023 World Health Assembly in Geneva, Switserland. The round table included the Director General of WHO (World Health Organization), the Head of Immunization of WHO & the CEO of GAVI Vaccine Alliance with ministers of health of Nepal, Moldova, Somalia, and other health representatives from Ghana and Canada. Sheetal said it was a great opportunity to share solutions to health and immunization equity as health services recover from the pandemic.
Sheetal’s PhD thesis Measuring what Works: A Mixed-Methods Evaluation of Women’s Groups on Maternal Health was supervised by Professors Vanora Hundley and Edwin van Teijlingen, Associate Professor Catherine Angell, BU Visiting Professor Padam Simkhada and Dr Elisa Sicuri from the ISGlobal Foundation based in Barcelona, Spain.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women Health
The World Health Organization (WHO) suggests that in low and middle-income countries (LMICs) like Nepal, morbidity and mortality risks are greater per litre of pure alcohol consumed than in higher-income countries. This is largely due to poverty, poor nutrition, adverse living conditions, and poor access to care. These inequities are made worse by the dearth of understanding of the most appropriate and cost-effective approaches to reduce alcohol-related harm in LMICs. Our study aims to stimulate new thinking on how cultural and community assets could be integrated to co-designed alcohol interventions for future evaluation in LMICs, through scoping the breadth of cultural and community assets in relation to alcohol use and to exploring attitudes towards alcohol and people experiences with it.
The journal Perspectives in Public Health is published by SAGE and the paper will be Open Access when it appears online. My previous alcohol studies have focused on students [2], Nepalese migrants living in the UK [3], and Public Health measures to reduced alcohol misuse in Scotland [4].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Reference:
Dr. Heidi Singleton, Programme Lead for Children’s and Young People’s Nursing in the Faculty of Health & Social Sciences had a paper from her PhD ‘Accounting for complexity in critical realist trials: the promise of PLS-SEM’ accepted this month by the Journal of Critical Realism. This journal is published by Taylor and Francis.
Congratulations!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
This week we had the luxury of four exchange visitors from Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal who are here on the Erasmus+ scheme. Erasmus+ funds are a great way to build academic networks and gain experience of teaching and learning elsewhere. Global staff mobility, including training and teaching, leads to professional development and networking and brings great value to BU and our students, whilst also offering invaluable international experience for BU staff and postgraduate students in Nepal.
Today Prof. Sujan Marahatta, Dr. Sujata Sapkota and Dr. Sujan Gautam offered a workshop under the title ‘Introducing federalization in Nepal: What are the effects on its health system?’ All three academics are 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 it is an collaboration with Bournemouth University, the University of Huddersfield, MMIHS and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. After highlighting the difference between ‘federalisation’ and ‘decentralisation’, the Nepalese academics briefly explained the political changes in the Nepal over the past decade or so. Followed by an outline of the project’s research methods and the key preliminary findings. The presenters focused on the data generated through a participatory method called River of Life, and from the policy analysis based on the World Health Organisation’s (WHO) Health System Building blocks. This project has resulted in three publications to date [1-3].
Our visitors got involved in a range of teaching activities, for example, Prof. Beenu Bista, Professor of Nursing at MMIHS, taught various groups of BU nursing students earlier this week, whilst Dr. Sujata Sapkota helped supervise and advise one of BU’s M.Sc. Public Health students for her dissertation project.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
References:
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:
Last we took a new step into the academic publishing by submitting a paper to Qeios. This Open Access journal publishes papers for free, more or less immediately and after the paper has appeared online peer-reviewers are being invited. The paper ‘Impact of Men’s Labour Migration on Non-migrating Spouses’ Health: A Systematic Review‘ [1] is part of Shraddha Manandhar’s Ph.D. study at the University of Huddersfield. Her supervisors are Huddersfield’s Prof. Philip Brown and Prof. Padam Simkhada and Bournemouth University’ Prof. Edwin van Teijlingen. This journal uses AI to find and invite reviewers, and these reviews will the be are published alongside our article. Should we advised by reviewers to make changes, edits or improvements the next version of the paper will be published online alongside the original submission and the reviews.
We have had some previous experience with the process of post-publication review, in 2017 BU’s Dr. Sarah Collard and Prof. van Teijlingen wrote a referee report for F1000Research after it published a methods paper on online focus groups [2]. More recently we published a COVID-19 paper in a so-called pre-print journal SSRN [3], but this was later in published in a traditional peer-reviewed journal called Scientific Reports [4], part of the Nature publishing family.
References
Today one of my co-editors of the Journal of Asian Midwives emailed me to announce that our journal has been accepted for inclusion by Scopus.
Scopus, which is owned by the publishing house Elsevier, is the world’s largest electronic database of peer-reviewed literature. The Scopus assessors of our application made some very nice comments about the Journal of Asian Midwives, for example that it:
“consistently includes articles that are academically sound and relevant to an international academic or professional audience in the field. The journal has scholarly relevance as evidenced by citations in other journals currently covered by Scopus… The journal has clear aims and scope/journal policies that are consistent with the journal’s content. Although the scope of this journal is narrow, it addresses the need of an important niche audience.”
We are very proud of this achievement and we, as editors (Prof. Rafat Jan, Ms. Kiran Mubeen, Prof. Edwin van Teijlingen, with editorial assistant Ms. Abeer Musaddique), thank all our supporters, especially the library staff at The Aga Khan University in Pakistan, our reviewers, our authors and of course, you, our readers! I personally like to thank our former CMMPH (Centre for Midwifery, Maternal & Perinatal Health) PhD student Dr. Sheetal Sharma for suggesting many years ago that I might like to help this, at the time, new journal. It is a proper well-run peer-reviewed journal, and I know that from personal experience, as a few years ago one of the papers on which I am a co-author was rejected after peer review by ‘my’ journal!
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
Co-editor Journal of Asian Midwives
Yesterday Plos ONE published our latest study on the health system in Nepal under the title ‘Barriers in accessing family planning services in Nepal during the COVID-19 pandemic: A qualitative study‘ [1]. This qualitative study, in an Open Access journal, explores what sorts of barriers are faced by women needing family planning services in Nepal during the pandemic. It was conducted in five districts of Nepal. Telephonic in-depth interviews were conducted with 18 women of reproductive age (18–49 years) who were the regular clients of family planning services. Data were coded deductively using the preexisting themes based on a socio-ecological model (e.g., individual, family, community, and health-facility levels).
The authors conclude that policymakers and programme managers should consider strategies to ensure continued availability of the full method mix during emergency, particularly since disruptions may go unnoticed and strengthen the provision of services through alternative service delivery channels to ensure sustained uptake of such services in this sort of pandemic.
This is the latest addition to the pool of academic papers published by Bournemouth University academics on the effects of COVID-19 on health care in Nepal or issues related to Nepal [2-11].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
References:
The paper reports that of these 23 papers, 21 focused on assessing AHL measures, and 15 addressed the association between AHL and HP. Seven studies used the HL School-Aged Children instrument. The findings suggested that the methodological and conceptual underpinnings of HL measures are insufficient. Furthermore, HL acts as an independent and positive mediator for many facets of HP. Overall, this review offers a warning to practitioners and educationists interested in measuring HL as the number of measurement tools is substantial with different tools applying different scales.
Dr Jonathan Williams, Principal Academic and Deputy Head of the Department of Rehabilitation & Sports Science is the latest BU academic to visit Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal as part of the Erasmus+ exchange funding. Yesterday he run a workshop in Kathmandu on how to conduct a Literature Review for Health Professionals. This session was well attended by medical doctors at Manmohan Memorial Teaching Hospital.
The workshop was organised buy Prof. Sujan Marahatta at MMIHS, who is also Visiting Faculty member in FHSS. BU is currently in the process of renewing its MoA with MMIHS, to continue working together after this successful Erasmus+ programme.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Yesterday FHSS graduate Dr. Shaqaieq Ashrafi Dost heard from Razi International Medical Journal the the paper from her Ph.D. study had been accepted for publication. Her paper ‘Management capacity in the Ministry of Public Health (MoPH) Afghanistan: Political and socio-cultural issues’ is based on a mixed-methods case-study was conducted with staff at the Afghan Ministry of Public Health. The Ph.D. study explores MoPH’s management capacity. Interviews were conducted with 12 senior staff and qualitative data were analysed thematically. A quantitative survey, covering directors of 30 departments, was analysed using descriptive statistics.
The paper reports that management capacity was generally weak. Key appointments including directors were subject to political interference and many directors appointed by politicians lacked the skills to manage well. Consequently, those directors were not able to support employees appropriately or to create a healthy work environment. The respondents reported that there were strong socio-cultural influences such as nepotism and favouritism. Often employees believed they were not treated consistently or fairly. This was compounded by overly complex administrative systems. The authors concluded that the Afghan government needs to appoint competent and committed staff who can recognize/address the gaps in the functioning of the Ministry, especially the negative political and socio-cultural practices that undermine effectiveness.The reader needs to bear in mind that this Ph.D. study was conducted prior to the 2021 takeover by the Taliban. Putting the paper’s conclusion in perspective.
Razi International Medical Journal founded in 2021 is a peer-reviewed scholarly journal from Afghanistan that aims to impact public health and global health and distributed internationally. The journal is Open Access and published in electronic and paper-based format twice a year, and there is no article publishing charge (APCs).
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
The BNAC (Britain-Nepal Academic Council) twentieth Nepal Study Days (24-25 April) start today in Huddersfield. BU is directly represented through Dr. Pramod Regmi who will be presenting ‘Health Research Priorities and Needs in Migrant Health: A Review of Reviews’ today. Dr. Regmi based in the Department of Nursing Sciences and Prof. Edwin van Teijlingen in the Department of Midwifery & Health Sciences are also part of the paper ‘Nepal Family Cohort Study: Starting a Longitudinal Population Health Study’ which will be presented by our colleague Dr. Om P. Kurmi from Coventry University.
There will also be a BU paper on ‘Perceptions Around Covid-19 and Vaccine Hesitancy: A Qualitative Study Among People Living in Kaski, Western Nepal’ , presented by Dr. Preeti Mahato. Preeti is based at Royal Holloway (University of London) and she is also a Visiting Faculty member of FHSS. She’ll presenting a study recently published in PLOS Global Public Health.
These Nepal Studies Days pay serious attention to our ongoing interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ which was reported in several national newspapers in Nepal last week. Tomorrow there will be a plenary session by Prof. Simon Rushton, the PI on this project in which BU collaborates. He will be talking about ‘Nepal’s Health System During Federalisation: Emerging Issues and the Co-production of Policy and Practice Recommendations’. Later that day there will be two further presentations based on this large-scale study, the first one by Dr. Sharada P. Wasti followed by one delivered by Dr. Sujata Sapkota.
The 2015 Constitution brought federalisation and with it, significant changes to the health system. To understand these changes researchers worked in three provinces where they interviewed 243 stakeholders, at all three levels of government. They also conducted 31 Participatory Policy Analysis workshops at local and province levels. The team includes researchers from Manmohan Memorial Institute of Health Sciences (Kathmandu), and PHASE Nepal (Bhaktapur), and three UK institutions (the Universities of Sheffield, Bournemouth, and Huddersfield). It researchers from the UK and Nepal meet with Provincial and Federal MPs to discuss the interim findings of a federalisation and health study.
News articles appeared in national newspapers in Nepal, both in English and Nepali. The Nepali article appeared in the country’s oldest newspaper Gorkhapali, see copy here! Bournemouth University [Thank you Nathaniel Hobby and Stephen Bates] also publicized our press release on this project online. The journalist Nam Raj Bhatta published an item in the online Nepali-language newspaper NepalHealthOnline on April 13. The main meeting to discuss the interim findings of our project took place on Thursday 13 April an hotel close Nepal’s parliament. The interim results highlight how federalisation of the political system has affected Nepal’s health care organisation. The research team summarized the findings for the invited MPs and local and provincial political leaders, and invited their reflections on the political possibilities and obstacles to moving forward with the development of the country’s health system. The Himalayan Times published the article on top of this BU Research Blog as well as the special interview with the University of Sheffield based PI Prof. Simon Rushton.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Congratulations to Abier Hamidi on the acceptance of her Ph.D. paper ‘Facilitators and barriers to condom use in Middle East and North Africa: a systematic review’. [1] This review has been registered on PROSPERO. [2] The Journal of Public Health is part of BU’s publishing deal with Springer, hence it will free open access when published.
Abier 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). Earlier Abier published ‘HIV epidemic in Libya: Identifying gaps’ in 2021. [3]
References:
Today we decided on the name of our interdisciplinary research project on ‘Drowning Prevention for newly mobile infants under two’s in Bangladesh’. We were looking for one or two words in Bangla (or Bengali) that also sounded good in English and which was not already used for another research project in Bangladesh. A team from BU and CIPRB (Centre for Injury Prevention and Research, Bangladesh) using Human-Centred Design (HCD) tools came up with the name. The wider research team, after some debate and and checking for its current use in the research field, settled for the word Sonamoni (golden pearl).
BU is leading on a new interdisciplinary study of nearly £1.7 million funded by the UK National Institute for Health and Care Research (NIHR). Sonamoni aims to reduce the deaths of newly-mobile toddlers from drowning in rural Bangladesh. This multidisciplinary project is a collaboration of BU’s Centre for Midwifery & Women’s Health (CMWH), BU’s Department in Accounting, Finance & Economics and Department of Design & Engineering, and external partners, namely the University of the West of England, the University of Southampton, the Poole-based Royal National Lifeboat Institution (RNLI) and the already mentioned CIPRB.
The Sonamoni project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
In Bangladesh, drowning is the leading cause of death in children between one and two years old. This low-income country has one of the highest rates of drowning, especially among children in the world. This four-year project will be working with communities to apply human-centred design techniques in Bangladesh. Together they will identify and prioritise potential solutions, develop prototype interventions, and assess the acceptability and usability of proposed interventions.
Edwin van Teijlingen & Mavis Bengtsson
CMWH
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}