On World Refugee Day 2025, Friday 20 June, the new Maternal and Infant Health Equity Research Centre (MIHERC) website was launched. MIHERC is a hub for research, collaboration and action on maternal and infant health equity. MIHERC) is a collaborative effort between Sheffield Hallam University, Bournemouth University and City of Doncaster Council working to reduce health inequalities for mothers and babies. This year’s World Refugee Day’s theme, hashtag Solidarity, reflects MIHERC’s mission to stand with all mothers and babies – especially those facing health and social inequalities or barriers to care.
Tagged / Health
Academics write for newspaper in Nepal
Yesterday the online newspaper Online Khabar in Nepal published an opinion piece in English written by three Bournemouth University academics working with a colleague in Kathmandu. This interdisciplinary piece ‘Resilient through experiences: Unlocking the entrepreneurial prowess of Nepal’s left-behind women‘ brings together ideas gained from many different studies and disciplines. The three authors from Bournemouth University are: Dr. Sukanya Ayatakshi-Endow, Prof. Edwin van Teijlingen, and Dr. Pramod Regmi, and they collaborated with Dr. Rashmee Rajkarnikar who is based at Nepal’s oldest and largest university, Tribhuvan University. The four authors brings insights from economics, business studies, sociology, women’s studies, migration studies and health.

New paper published on disability in women & girls
Yesterday (25 June) the online journal PLoS One published ‘Life-time experience of violence among women and girls living with disability in Nepal‘ our latest study on disability in Nepal [1]. This cross-sectional study was conducted in 28 municipalities representing all seven provinces as well as all three ecological regions of Nepal. A total of 1,294 women and girls with disability aged 15–59 years participated in 2021. We trained local enumerators using the KoBo application on smartphones or tablets. Both written and oral informed consent was sought from all participants. Cross-tabulations were performed in STATA 18 to determine the distribution of the prevalence of violence. Also, bivariable and multivariable logistic regression models were fitted to establish association between the participants’ characteristics and odds of experiencing violence.
Overall, 457 (35.32%) women living with disabilities had ever experienced violence at a point in their lifetime. Psychological/emotional violence was the most prevalent violence (74.40%) followed by physical violence (31.07%) and denial of services (28.67%). Age was positively associated with the likelihood of experiencing violence. Women belonging to the Brahman/Chhetri ethnic group had reduced odds of violence [AOR = 0.56; 95%CI: 0.37–0.85] compared to Hill Dalits. Divorced or separated women showed a markedly higher likelihood of experiencing violence [AOR = 6.69; 95%CI: 2.31–19.40] compared to currently married women. Participants who had not witnessed violence against other women exhibited significantly higher odds of experiencing violence [AOR = 1.86; 95%CI: 1.20–2.89]. Women living in the Koshi province [AOR = 4.04; 95%CI: 2.54–6.42], Madhesh province [AOR = 2.16; 95%CI: 1.15–4.08] and Bagmati province [AOR = 2.21; 95%CI: 1.41–3.46] reported significantly higher odds of experiencing violence compared to those in Karnali.
The paper concludes oncludes that age, ethnicity, marital status, and provincial residence are significant predictors of violence among women and girls living with disability in Nepal. Interventions aimed at addressing violence against women living with disability in Nepal must prioritize older women and those who were previously married. Also, policy-makers may want to consider giving priority must be given to those provinces where the prevalence and risk of experiencing violence is highest.
The study was funded The United Nations Women Trust Fund, and the paper is freely available in the Open Access journal. We previously published on research into disability in Nepal in 2023 [2].

Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Visiting Faculty, Centre for Disability Studies, Mahatma Gandhi University, Kerala, India.
References:
- Simkhada P, Basnet S, Sharma S, van Teijlingen E, Wasti SP, Dahal T, et al. (2025) Life-time experience of violence among women and girls living with disability in Nepal. PLoS One 20(6): e0326659. https://doi.org/10.1371/journal.pone.0326659.
- Simkhada, P, Shyangdan, D, van Teijlingen E, Kadel, S, Stephen, J., Gurung, T. (2013) Women’s Knowledge & Attitude towards Disability in Rural Nepal. Disability & Rehabilitation 35(7): 606-13. http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702847
Paper accepted on women and disability in Nepal
The academic editor of PLOS ONE informed us yesterday that our latest paper ‘Life-time experience of violence among women and girls living with disability in Nepal: A cross-sectional study’ [1] has been accepted for publication. The paper is based on research conducted as part of the Inclusive Partnership Against Violence (INPAV) project in Nepal. Working with our long-term research paper Green Tara Nepal (GTN) and funded by The United Nations Trust Fund (UNTF) through Nepal Disabled Women Association (NDWA), we have been involved in InPAV. This project included a situation analysis of the existing government setup One-stop Crisis Management Center (OCMC) to understand the inclusiveness of the OCMC services for girls and women with disabilities. The paper just accepted was part of this research.
Centre for Midwifery & Women’s Health
- Simkhada, P., Basnet, S., Sharma, S., van Teijlingen, E., Wasti, S.P., Dahal, T., Okyere, J., Silwal, R.C., Pyakurel, M. (2025) Life-time experience of violence among women and girls living with disability in Nepal: A cross-sectional study . PLoS ONE (accepted).
Centres of Excellence / demonstration projects
Many organisations use the concept of Centre of Excellence (CoE) in the intervention design and testing stage of a labour migration project. CoE is an interesting concept, which links to the notion of a ‘show home’ on a building site, the Scottish Government notion of a ‘demonstration project’, or more basic the content of the suitcase of a travelling salesman in the last century. For example, currently the Scottish Government established a Gypsy/Traveller Accommodation Fund, running from 2021 to 2026, to deliver good quality local authority sites with the initial ‘demonstration projects’ providing examples of how to design more and better accommodation for the community. Whislt a previous demonstration projects in Scotland featured teenage sexual health behaviour (1-2). A ‘model home’ or a ‘show home’ is the same house as the new one you will be buying or renting, but fully decorated with often expensive stuff. This to show the seller the house’s best potential, i.e. to give you a sense of what you own home could look like.
The idea behind a CoE is that a group of people with a share aim, provide leadership, skills training, research, and advice and support on topic based on a high level of expertise among the team members to ensure best practice. It is to demonstrate that something could work and also how it might work in practice.
Professor Edwin van Teijlingen
Centre for Midwifery & Women’s Health
References:
- Tucker, J, van Teijlingen E, Philip, K, Shucksmith, J, Penney, G (2006) Health Demonstration Projects: Issues evaluating community-based health intervention programme to improve young people’s sexual health, Critical Public Health, 16(3):175-89
- Tucker, J., Fitzmaurice AE., Imamura, M., Penfold, S., Penney G, van Teijlingen E, Shucksmith J., Philip, K. (2007) Effect of national demonstration project Healthy Respect on teenage sexual health behaviour, European Journal of Public Health, 17(2): 33-41.
PhD supervision is good for you
Some people in academia (and many outside it) don’t appreciate the importance of PhD supervision . An academic supervising PhD students is not merely for the educational purposes, or in other words, for the benefits of the postgraduate student. The value of postgraduate supervision lies in pushing the boundaries of knowledge, about testing new ideas, new approaches or even new methods.
Interestingly, enough it means that PhD supervision for an academic is also about developing their own ideas, expanding one’s CV, and developing one’s career. Whilst for the university it is also for the wider benefit of research for the wider society. The latter means that PhD students help improve the REF (Research Excellence Framework) scores for a university, through metrics such as number and proportion of PhD completions, but also through papers based on PhD research co-authored with staff. It always amazes me how some outsider regard PhD supervision as simply more of the same, i.e. not that different from supervising an undergraduate student.
Looking at my ow CV, some of my best papers have been co-written with PhD students, including my most cited paper on SCOPUS [1]. Moreover, as the graph of my h-index [checked SCOPUS for May 19th 2025] shows four of my top eight highest cited papers were co-authored with postgraduate students [1-4]. Papers that would not have been written without the postgraduate student conducting knowledge-advancing research!
Not surprisingly, three of the four former PhD students who co-authored these highly-cited papers are now in academic positions across the UK (the fourth one has retired). These four highlighted papers are not just looking good on my CV, they are also highly ranked within their respective journals. The first paper [1] is the 28th most cited paper in the Journal of Advanced Nursing, an impressive 28th position out of 12,762 articles ever published by this international journal. Similarly, the paper ‘Women’s autonomy in decision-making for health care: Demographic study in Nepal’ [2] is the 10th most cited paper in Reproductive Health, whilst ‘ To tell or not to tell: Barriers and facilitators in family communication about genetic risk’ [3] is the 20th most article in Clinical Genetics. Last, but not least, ‘Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care’ [4] is the 17th most cited article (out of 3,910) in the international journal Midwifery.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
References:
- Simkhada, B., van Teijlingen E., Porter, M., Simkhada, P. (2008) Factors affecting the utilisation of antenatal care in developing countries: a systematic review of the literature, Journal of Advanced Nursing 61(3): 244-260.
- Acharya, D.R., Bell, J., Simkhada, P., van Teijlingen, E, Regmi, P.R. (2010) Women’s autonomy in decision-making for health care: Demographic study in Nepal. Reproductive Health 9(15) reproductive-health-journal.com/content/pdf/1742-4755-7-15.pdf
- Forrest, K., Simpson, S., Wilson, B.J., van Teijlingen E, McKee L, Haites, N., Matthews E. (2003) To tell or not to tell: Barriers and facilitators in family communication about genetic risk,Clinical Genetics, 64: 317-26.
- MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
NIHR Global Health Research Academy 2025
The 2025 NIHR Global Health Research Academy Member event will take place on Tuesday 13th and Wednesday 14th May. The NIHR recognizes that career progression is a common challenge for early-career researchers. This year the event’s theme is ‘Empowering Early-Career Researchers: Navigating Careers in Global Health’. This two-day online event aims to equip participants from across the globe with the skills and knowledge to navigate and build a career in global health research.
Bournemouth University staff and students participating in the NIHR Research and Innovation for Global Health Transformation Call 4: Drowning Prevention for newly mobile infants under 2 years in Bangladesh programme have been invited. This NIHR-funded project is called Sonamoni and BU’s student Md. Shafkat Hossain, whose PhD assessed the work in Bangladesh, is one the participants, as is our colleague from Bangladesh Notan Dutta. In the afternoon BU’s Edwin van Teijlingen who will be chairing a session on ‘Funding & Grant Writing’.
Sonamoni is being coordinated by Bournemouth University in collaboration with the Centre for Injury Prevention and Research (CIPRB) in Bangladesh as well as the University of the West of England, Bristol, the University of Southampton, Design Without Borders (DWB) in Uganda, and the Royal National Lifeboat Institution (RNLI). This project, with Prof. Dr. Aminur Rahman (at CIPRB) as Bangladesh lead, includes the above mentioned BU-based PhD project. The interdisciplinary team at Bournemouth University covers three faculties through: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.
Nepal Family Cohort Study meeting in Bournemouth


The Nepal Family Cohort Study (NeFCoS) is a multidisciplinary cohort study into the prevalence, incidence, and determinants of various diseases from childhood to adulthood in children and their parents [1]. NeFCoS has just started to collect date for the first round of follow-up.
Today’s meeting was organised by Dr. Neal and supported by BU’s QR funds.
- Kurmi, O.P., Chaudhary, N., Delanerolle, G., Bolton, C.E., Pant, P.R., Regmi, P., Gautam, S., Satia, I., Simkhada, P., Kyrou, I., Sigdel, T.K., Hundley, V., Dali, P.R., Lokke, A., Hubert Lam, K.B., Bennett, D., Custovic, A., van Teijlingen, E., Gill, P. Randeva, H., O’Byrne, P.M., and Nepal Family Cohort Collaborators Group, Nepal Family Cohort Study: A Study Protocol, BMJ Open 14:e088896. doi:10.1136/ bmjopen-2024-088896
Plenary talk by Dr Regmi on Hidden Health Burden of Nepalese Migrants


Dr. Regmi’s talk highlighted the health burden experienced by Nepali migrants throughout their migration journey. Labour migration from Nepal poses significant risks at all stages. Many aspiring migrants lack access to accurate information and support, while those from lower socioeconomic backgrounds face high documentation costs and illegal recruitment fees, affecting their mental health and placing strain on their families. Abroad, migrants often suffer exploitation, unsafe working conditions, overcrowded and unsanitary housing, limited access to healthcare, and high medical expenses. Female migrants face additional risks such as sexual violence, unintended pregnancy, exploitation, and unemployment. Upon return, especially for those who experienced abuse or trafficking, reintegration is hindered by social stigma and a lack of support services. Nepal’s weak economy further limits their ability to utilise skills gained abroad.
This presentation was informed by a long history of BU research into the health and well-being of Nepalese migrant workers, led by Dr. Regmi, Dr. Nirmal Aryal, Dr. Orlanda Harvey, Prof. Edwin van Teijlingen, and current PhD students Yagya Adhikari and Anjana Regmi Paudyal in the Faculty of Health & Social Sciences.
A round table discussion after the session focused on four questions:
- How can we better inform migrants during the pre-migration stage?
- How can we reduce the health vulnerabilities of Nepali labour migrant workers abroad?
- What are the barriers to, and opportunities for, reintegration when migrants return?
- How can we facilitate increased research collaboration in destination countries engaging local academic institutions?
Bournemouth University also contributed to two other presentations related to a project studying the impact of federalisation on Nepal’s health system. This study was funded by the UK Health Systems Research Initiative to examine the consequences of Nepal’s transition from a centralised political system to a federal structure in 2015. These two papers were presented by BU collaborators Prof. Julie Balen (Canterbury Christ Church University) and Ms. Amshu Dhakal (Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal).
BU’s Dr. Regmi, Prof Edwin van Teijlingen and Dr Nirmal collectively have over 40 publications on Nepalese migrants’ health and well-being issues. Their recent publications on the topic include studies on modern slavery [1], kidney disease [2–4], pre-departure training of aspiring migrant workers in Nepal [5], moral panic and societal fears around migrant workers and COVID-19 [6–7], Nepalese migrant workers in Malaysia [8–9], left-behind families of migrant workers [10], migrant workers and the 2022 FIFA Men’s World Cup [11–12], Nepalese migrants in the UK [13], as well as a comprehensive literature review [14]. They are also a founder members of Health Research Network for Migrant Workers in Asia: www.hearmigrants.org

References:
- Paudyal, A. R., Harvey, O., Teijlingen, E. van, Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion, 12(1), 125–132. https://doi.org/10.3126/jhp.v12i1.72713
- Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
- Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
- Regmi, P., Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
- Regmi, P., Aryal, N., van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
- Aryal, N., Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
- Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
- Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P., Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
- Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P., Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
- Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
- Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
- Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
- Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
- Mahato, P., Bhusal, S., Regmi, P., van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion, 12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
Bournemouth University’s contributions to BNAC
This year’s annual conference of BNAC (Britain-Nepal Academic Council) will be held on April 24-25 at Liverpool John Moores University. Dr. Pramod Regmi, Principal Academic in International Health in the Department of Nursing Sciences, will be a panellist on a Round Table discussion on the topic of ‘The Hidden Burden of Migration: Struggles of Nepalese Labour Migrants from Departure to Return’.
This contribution is inspired by history of BU research into the health and well-being of migrant workers from Nepal by Dr.Regmi, Dr. Nirmal Aryal, Dr. Orlanda Harvey, Prof. Edwin van Teijlingen as well as Bournemouth University PhD students Yagya Adhikari and Anjana Regmi Paudyal. Dr. Regmi’s more recent publications on the topic include papers on: modern slavery [1], kidney disease [2-4], pre-departure training of aspiring migrant workers in Nepal [5], moral panics and societal fear around migrant workers and COVID-19 [6-7], Nepalese migrant workers in Malaysia [8-9], left-behind families of migrant workers [10], migrant workers and the 2022 FIFA male football world cup [11-12], Nepalese migrants in the UK [13] as well as literature review [14].

Bournemouth University is further involved in two presentation originating from the project studying the impact of the introduction of federalisation in Nepal on its health system. Details about our project are on the website 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.
Our interdisciplinary joint project was 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 Manmohan Memorial Institute of Health Sciences (in Nepal) 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. These two papers will be presented by our collaborators, namely Prof. Julie Balen of Canterbury Christ Church University and Ms. Amshu Dhakal from Manmohan Memorial Institute of Health Sciences in Kathmandu, Nepal.
References:
- Paudyal, A. R., Harvey, O., Teijlingen, E. van, Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion, 12(1), 125–132. https://doi.org/10.3126/jhp.v12i1.72713
- Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
- Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
- Regmi, P., Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
- Regmi, P., Aryal, N., van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
- Aryal, N., Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
- Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
- Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P., Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
- Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P., Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
- Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
- Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
- Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
- Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
- Mahato, P., Bhusal, S., Regmi, P., van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion, 12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
Paper on Nepal reaching 5,000 readers


We found that women’s autonomy in decision making is positively associated with their age, employment and number of living children. Women from rural area and Terai region (the southern part of Nepal bordering India) have less autonomy in decision making in all four types of outcome measure. There is a mixed variation in women’s autonomy in the development region across all outcome measures. Western women are more likely to make decision in own health care (1.2-1.6), while they are less likely to purchase daily household needs (0.6-0.9). Women’s increased education is positively associated with autonomy in own health care decision making (p < 0.01), however their more schooling (school-leaving certificate and above) shows non-significance with other outcome measures. Interestingly, rich women are less likely to have autonomy to make decision in own healthcare.

Reference:
- Acharya, D.R., Bell, J.S., Simkhada, P., van Teijlingen, E., Regmi, P. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health 7, 15 https://doi.org/10.1186/1742-4755-7-15
Promoting Human-Centred Design in Drowning Prevention
The Department of Design and Engineering at Bournemouth University has a reputation for its Human-Centred Design (HCD) work. In our interdisciplinary Sonamoni project we have HCD at its centre. The Sonamoni project is coordinated by Bournemouth University in collaboration with the University of the West of England (Bristol), the University of Southampton, and the Royal National Lifeboat Institution (RNLI), Design Without Border (DWB) in Uganda and Centre for Injury Prevention and Research, Bangladesh (CIPRB). The interdisciplinary team at Bournemouth University covers three faculties and six academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.
Last month two staff from CIPRB, Notan Chandra Dutta and Mirza Shibat Rowshan visited DBW in Uganda, as part of so-called South-South learning. Their objective was to share (1) knowledge and experience of using HCD techniques and (2) best practices of drowning prevention in both countries. Utilizing HCD techniques, Sonamoni is working to identify and prioritize potential solutions, develop prototypes, and assess the acceptability of the interventions to reduce drowning deaths among old children under two in Bangladesh.
During the visit, Notan and Shibat participated a four-day ideation workshop with the fisher community near Lake Victoria, organized by DWB. In the workshop, different HCD tools were used along with other group activities to generate and refine ideas for the solutions. The generated ideas were recorded by visualization tools. Notan and Shibat also attended a session on the principles of creative facilitation of HCD, including the need to understand the problem, role of the facilitator and other stakeholders. Various visualization tools were discussed, e.g. ‘journey maps’, ‘stakeholder map’, ‘context map’ and different types of sketches. Notan shared CIPRB’s experiences of managing the best drowning prevention practices and its challenges from Bangladesh context.
This international project funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme, also includes a BU-based PhD student, Mr. Md. Shafkat Hossein. Last week Shafkat presented our Sonamoni project in lecture to BU Engineering students at Talbot campus.
Prof. Edwin van Teijlingen
First paper by PhD student



- Kattach, L., Singleton, H., Ersser, S., Holley, D., Pearson, I. & Shadeed, A. (2025), Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review. Journal of Advanced Nursing.[online first] https://doi.org/10.1111/jan.16854
Congratulations to Dr. Tsofliou
- Olaoye, I., Myrissa, K., Kelaiditi, E., Tsofliou, F., & Brown, N. (2025). Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review. Psychology & Health, 1–32. [Published online: 11 Mar 2025] https://doi.org/10.1080/08870446.2025.2475161
Presenting HSRI results at Nepal Dialogue UK
Today, Saturday morning, BU Visiting Professor Padam Simkhada from the University of Huddersfield was guest speaker at the third Nepal Dialogue UK webinar series of the Centre for Nepal Studies UK (CNSIK). His presentation was titled Is Nepal’s Health System fit for Purpose? Reflections on Transformations, Maladies and Future Needs. He outlined the state of health (epidemiology) as well as that of the health system. He presented a lot of change in the health of the population, in the health system, as well as issues around human resources, including the high rate of migration of health workers. He highlight that there is in Nepal insufficient investment in health, unethical practices,
He introduced some the key findings from our recently completed study on the effects of the federalisation process on Nepal’s health system. Padam was one of the co-applications on this study together with academics from the University of Sheffield, Canterbury Christ Church University and Bournemouth University in the UK, and colleagues in Nepal from Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. The project was funded by the UK Health Systems Research Initiative (Grant ref MR/T023554/1). For more information on the Nepal Federal Health System Team, see: https://www.nepalfederalhealthsystem.com/. This interdisciplinary study has been disseminated in the form of eight published papers [1-8].
Prof. Edwin van Teijlingen
CMWH
References:
- 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.
- 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 .
- 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.
- 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
Pilot studies methods paper cited 500 times
This morning ResearchGate alerted us that our paper ‘The importance of pilot studies’ [1] had reached 500 citations. Profs. Vanora Hundley and Edwin van Teijlingen, both in BU’s Centre for Midwifery & Women’s Health (CMWH) have published several methods papers [1-6] on the importance of (a) conducting pilot studies, but also (b) reporting on their outcomes and lessons learnt. It started more than two decades ago with lessons learnt from the Scottish Birth study [2]. Followed by a methods paper in a sociology journal [3], one in a midwifery journal [4] and one in a family planning journal [5]. The icing on the pudding was an encyclopedia entry in 2003 [6].

References:
- van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
- van Teijlingen, E., Rennie, AM., Hundley, V., Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
- van Teijlingen, E., Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web: http://www.soc.surrey.ac.uk/sru/SRU35.html
- Hundley, V., van Teijlingen E. (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74.
- van Teijlingen, E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
- van Teijlingen E, Hundley, V. (2003) Pilot study, In: Encyclopaedia of Social Science Research Methods, Vol. 2, Lewis-Beck, M., Bryman, A. & Liao, T. (eds.), Orego, Sage: 823-24.
New labour migration and storytelling paper from Nepal
Two days ago BMJ Open published our latest article on Nepalese migrant workers ‘Coproducing a culturally sensitive storytelling video intervention to improve psycho-social well-being: a multimethods participatory study with Nepalese migrant workers’ [1]. This paper reports on an interdisciplinary feasibility study conducted in a Dhading, Nepal. The paper is Open Access and hence freely available to anybody across the globe with internet access. The authors claim the project is testament to the value of participatory methods in the development of culturally sensitive public health interventions for marginalised groups, and points to the utility of co-produced storytelling formats in migrant health contexts. The authors further highlight that future research is needed to evaluate feasibility and acceptability of the intervention as well as the outcomes and experiences of migrant workers who engaged with the video.
This latest paper in the field of the health and well-being of Nepalese migrant workers has Prof. Priya Paudyal from the University of Keele as its first author, and is co-authored by FHSS Visiting Faculty Prof. Padam Simkhada and Prof. Edwin van Teijlingen in BU’s Centre for Midwifery & Women’s Health (CMWH). Previous research on migrant workers from Nepal from the BU team in the Faculty of Health & Social Sciences has resulted in three dozen academic papers [2-35].
Prof. Edwin van Teijlingen
References:
- Paudyal, P., Wasti, S.P., Neupane, P., Sapkota, J.L., Watts, C., Kulasabanathan, K., Silwal, R., Memon, A., Shukla, P., Pathak, R.S., Michelson, D., Beery, C., Moult, A., Simkhada, P., van Teijlingen, E., Cassell, J. 10, (2025) Coproducing a culturally sensitive storytelling video intervention to improve psychosocial well-being: a multimethods participatory study with Nepalese migrant workers, BMJ Open 15:e086280. doi: 10.1136/bmjopen-2024-086280
- Mahato, P., Bhusal, S., Regmi, P., van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion, 12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
- Paudyal, A.R., Harvey, O., van Teijlingen, E., Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion, 12(1): 125–132. https://doi.org/10.3126/jhp.v12i1.72713
- Simkhada, P.P., van Teijlingen, E., Gurung, M., Bhujel, S., Wasti, S.P. (2024) Workplace harassment faced by female Nepalese migrants working aboard, Global Health Journal 8(3): 128-132. https://www.sciencedirect.com/science/article/pii/S241464472400040X
- Regmi, P., Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS ONE 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
- Regmi, P., Aryal, N., van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
- Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P., Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
- Aryal, N., Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
- Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P., Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
- Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
- Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
- Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
- Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
- Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
- Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
- Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
- Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P. and Simkhada, P., (2020). The impact of spousal migration on the mental health of Nepali women: A cross-sectional study. International Journal of Environmental Research and Public Health, 17 (4).
- Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health https://link.springer.com/content/pdf/10.1007/s10903-019-00960-z.pdf
- Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E. and Simkhada, P. (2020). Accessing health services in India: Experiences of seasonal migrants returning to Nepal. BMC Health Services Research, 20 (1), 992.
- Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Zahiruddin, Q.S., Gaidhane, A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. International Journal of Environmental Research and Public Health, 16 (19). https://doi.org/10.3390/ijerph16193655
- Adhikary P, van Teijlingen E. (2019) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ – International Journal of Occupational Safety and Health 9(2): 31-35.
- Aryal, N., Regmi, P.R., Faller, E.M., van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia. Nepal Journal of Epidemiology, 9 (3), 788-791. https://doi.org/10.3126/nje.v9i3.25805
- Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
- Dhungana, R.R., Aryal, N., Adhikary, P., Kc, R.K., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., Van Teijlingen, E. and Simkhada, P. (2019). Psychological morbidity in Nepali cross-border migrants in India: A community based cross-sectional study. BMC Public Health, 19 (1).
- Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P. and Mahat, P. (2019). Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South-East Asia journal of public health, 8 (1), 38-41.
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro.
- Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti, S.P. (2018) Health consequences of sex trafficking: A systematic review, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-49.
- Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
- Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature. Journal of Travel Medicine, 24 (4). https://doi.org/10.3126/nje.v9i3.25805
- Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
- Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
- Adhikary P., Keen S., van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75. www.hsj.gr/volume5/issue3/532.pdf
- van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
- Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
Congratulations on new paper by BU PhD graduate
Congratulations to Dr. Karim Khaled on the latest paper from his BU Ph.D. research. This article ‘Ethical Issues and Challenges Regarding the Use of Mental Health Questionnaires in Public Health Nutrition Research‘ [1] was published earlier this month in the international journal Nutrients.
Karim is currently based at Birmingham City University, and the paper is co-authored with his Ph.D. supervisors Dr. Fotini Tsofliou and Prof. Vanora Hundley in BU’s Faculty of Health & Social Sciences. This paper addresses the potential burden of completing mental health questionnaires on (a) participants and (b) researchers. This examines ethical issues and challenges of using such scales and questionnaires, providing a real-life case study where the Beck’s Depression Inventory-II was used.
The ethical considerations raised by using mental health questionnaires in epidemiological research include incorrectly identifying participants as depressed or non-depressed; inability to identify participants for referral procedures due to the anonymous nature of some research studies; an increased burden on participants through depression and suicidal questions; and the high expectation of participants towards the researcher. Preventative measures to reduce these challenges include choosing appropriate cut-off scores for correctly identifying participants; highlighting whether mental health questionnaires used may elicit negative emotional or psychological reactions related to suicide ideation; specifying the criteria for referral to clinical services; detailing the intended referral processes; including approaches where the researcher directly connects participants with a psychological service provider; and including a passive referral method such as contact details for participants to initiate their own referrals to clinical care. The authors offer a guide for researchers aiming to collect data on mental health through questionnaires, and they conclude that ethical challenges should be considered and reviewed at all stages of the research project.
Well done!
Prof. Edwin van Teijlingen

Reference:
- Khaled, K., Tsofliou, F., Hundley, V. (2025). Ethical Issues and Challenges Regarding the Use of Mental Health Questionnaires in Public Health Nutrition Research Nutrients 17 (4): 715. https://doi.org/10.3390/nu17040715
Explore our work, meet our partners, and find out how you can collaborate with us by clicking here! MIHERC is led by Sheffield Hallam University, with Bournemouth University as a key partner and the important funding coming from NIHR (National Institute for Health and Care Research) Maternity Challenge Initiative. The BU key academics are: Huseyin Dogan, Vanora Hundley, Edwin van Teijlingen, and Deniz Çetinkaya. Please share with all who may be interested.