Tagged / Health systems

BU Workshop on Health Systems in Nepal

BU research, COVID-19, Featured academics, open access, policy, Research news, Uncategorized, writing

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 Sciences, 7(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 system. Journal of Karnali Academy of Health Sciences 3(3)

Conference presence in Nepal

BU research, Events, international, Uncategorized

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)

Summit of Health & Population Scientists in Nepal 2022

BU research, Featured academics, international, Publishing, research staff, Uncategorized, writing

Today say the start of the Eight National Summit of Health & Population Scientists in Nepal.  Bournemouth University is involved in two presentation.  The first will be one by University of Huddersfield PhD student Tamang Pasang, and her supervisors Prof. Padam Simkhada (FHSS Visiting Faculty), Dr. Bibha Simkhada (former BU Lecturer in Nursing and current FHSS Visiting Faculty) and Prof. Edwin van Teijlingen.  Pasang will be talking about her thesis fieldwork: ‘Impact of Federalisation in Maintaining Quality of Maternal and Neonatal Care in Nepalese Health System’.

The second presentation will focus 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 led by the University of Sheffield with Bournemouth University, the University of Huddersfield, and two institutions in Nepal: Manmohan Memorial Institute of Health Sciences MMIHS) and PHASE Nepal.  This interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref.
MR/T023554/1]. 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternity & Perinatal Health (CMMPH)

 

 

FHSS PhD student’s poster at prestigious GLOW conference

BU research, conferences, Featured academics, international, PG research, policy, Publishing, Research news, student research, Uncategorized, Women's Academic Network, writing

Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference].  This year for the first time, this international conference is held completely online.  Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van  Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal.  Sulochana has already published two papers from her on-going thesis research [1-2].

References

  1. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
  2. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives, 6(2):4–22.

Building Strong Primary Health Care in Nepal

BU research, Featured academics, international, Publishing, Research news, Uncategorized, writing

New  BU co-authored article ‘Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal’ will be published soon [1].  This paper has been accepted by the international journal Global Health Action (published by Taylor & Francis).  The international authorship comprises Nepal, Denmark and the UK.

Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends in the former. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. The paper argues that while the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, its potential is not fully tapped in Nepal. In line with the Alma-Ata and Astana declarations, the authors propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burden of NCDs.  These six key areas are: (1) Life-course approach to addressing NCDs; (2) Task shifting for NCD risk factor management; (3) Strengthening informal care givers; (4) Strengthening quality of PHC and health systems;  (5) Establish strategic information management system; and (6) Healthcare financing.

Publication Cover

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gyawali, B., Khanal, P., Mishra, S.R., van Teijlingen, E., Meyrowitsch, D.W. (2020) Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal, Global Health Action (accepted) https://doi.org/10.1080/16549716.2020.1788262

 

Congratulations on timely editorial in Nepal

Featured, Featured academics, international, open access, policy, Publishing, Uncategorized, writing

Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal.  The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’ [1] was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st.  Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor.  He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal.  Bournemouth University has a long-standing research collaboration with MMIHS.

The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal.  Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process.  Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in.  Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc.  The paper argues that Public Health can easily disappear of the radar.  The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general.  Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.

The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.  The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

Simkhada, P., Teijlingen van, 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.