Last Friday (July 26) members of the GCPHR (Global Consortium for Public Health Research) held their second Annual Meeting at the University of Huddersfield. This year’s theme was “Research Priority for Nepal”. GCPHR is an international network of public health researchers, practitioners, and policymakers; for details click here! In addition to researchers from the University of Huddersfield, there were participants from Bournemouth University, Keele University, York St. John University, the University of Greenwich, Liverpool John Moores University, NHS England, the University of Bradford, the University of Wolverhampton, the University of Aberdeen, The University of Sheffield, Tribhuvan University (Nepal), Technical University of Kaiserslautern (Germany), Kids at School in Nepal UK, Green Tara Nepal, Global Banking School UK, QINET International, among others.
Bournemouth University was represented by Dr. Pramod Regmi, Principal Academic in the Centre for Wellbeing and Long-Term Health (CWLTH), Mr. Yagya Adhikari, Ph.D. student in the Faculty of Health & Social Sciences (FHSS), and Prof. Edwin van Teijlingen, in the Centre for Midwifery & Women’s Health (CMWH). Since the audience was very interdisciplinary with both academics and representative from development and research charities there were thought-provoking presentations at the GCPHR meeting resulting in stimulating debates. These will hopefully lead to future collaborations, grant applications and publications.
We thank Prof. Padam Simkhada, Dr. Rajeeb Sah, and many others from the University of Huddersfield for the excellent organisation of the event. Prof. Padam Simkhada is also Bournemouth University Visiting Professor in FHSS.
Today and yesterday (24-25 July) the Global Consortium for Public Health Research (GCPHR) met at the University of Huddersfield in a workshop to plan the multi-country (India, Nepal & Ghana) longitudinal cohort study. The workshop was attended by 15 people including Dr. Pramod Regmi and Prof. Edwin van Teijlingen from Bournemouth University’s Faculty of Health & Social Sciences.
This longitudinal study is coordinated by Prof. Padam Simkhada from the University of Huddersfield, Padam is also Visiting Professor at BU. The main start-up funding for this three-country study comes from the University of Huddersfield. The workshop participants represented India, Ghana and Nepal, including the non-governmental organisation Green Tara Nepal. The participants discussed research process as well as more detailed health domains and questions to be included in the survey tools.
The journal PLOS Global Public Health informed us that our paper ‘Exploring the motivations of female community health volunteers in primary healthcare provision in rural Nepal: a qualitative study’ [1] has been formally accepted in the Open Access journal. Dr. Sarita Panday is based at the Univeristy of Essex and Dr. Amy Barnes is based at the University of York. This paper is part of the first author’s Ph.D. project at the University of Sheffield, and it is the third second paper from her Ph.D. thesis as previous academic articles have appeared in BMC Health Services Research[2] and PLoS ONE[3].
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2017) The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study, BMC Health Services Research17:623 be/vz9C
Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2019) Perceived barriers to accessing female community health volunteers’ services amongst ethnic minority women in Nepal: a qualitative study, PLoS ONE14(6): e0217070 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217070
Join our public lecture and debate on Wednesday 17 July, 5:30-7pm to find out how to advocate for your rights to medical treatment
People living in Dorset currently face some of the worst levels of contact with health services in the UK, with GP waiting times in the county the second longest in England.
Join our public lecture and debate, led by Bournemouth University legal experts Dr Samuel Walker and Dr Matthew Watkins to explore your legal and ethical rights to timely care and treatment. Discover practical steps you can take to speed up diagnosis and treatment for you and your family, and discuss the recent introduction of ‘Martha’s Rule’, which enables you to seek a second opinion on the NHS.
After the lecture (30 minutes approx.), you will be invited to move into small groups to discuss your own experiences and suggest ways to improve local access and provision to healthcare services
Last week I attended Bournemouth University’s Research Conference which focused on collaboration and participation. One the many issues discussed that day include international research teams, especially differences in culture and expectations as well as the very practical time differences across the globe. I was reminded of the latter this morning when I woke up at five AM to start a two-hour online training workshop on academic writing for our research colleagues in Bangladesh. This is one of the sessions we run as part of our internal research capacity building strategy on the Sonamoni project. Due to the time difference it was as 11.00 AM start in Bangladesh which meant sixteen people from CIPRB could attend, opening up the session to not jest those staff working on the Sonamoni project.
This project is an interdisciplinary study of nearly £1.7 million funded by the UK National Institute for Health and Care Research (NIHR). Sonamoni (meaning ‘golden pearl’ in Bangla) aims to reduce the deaths of newly-mobile toddlers (those aged under two) 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 Bangladesh-based research organisation CIPRB (Centre for Injury Prevention and Research, Bangladesh) and Design Without Borders (based in Uganda).
The Nepal Journal of Epidemiology achieved its first proper Web of Science impact factor this month. The Nepal Journal of Epidemiologyis a international journal with strong links to Bournemouth University. It is a Open Access journal that covers all aspects of epidemiology and encourages communication among those engaged in the research, teaching, and application of epidemiology of both communicable and non-communicable disease, including research into health services, public health and medical care. One of the two Editors-in-Chief is Dr. Brijesh Sathian, FHSS Visiting Faculty and the journal’s Editorial Board Members include Prof. Padam Simkhada, FHSS Visiting Faculty as well as Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health.
Dr. Nirmal Aryal, who is a part-time researcher in the Department of Nursing Sciences, is in Malaysia this week to prepare further migrant-health research collaborations and plans. His trip is part of the Faculty of Health & Social Sciences (FHSS) seed-corn funding for Early Career Researchers. In Malaysia Nirmal has conducted several PPIE (Patient and Public Involvement and Engagement) events with migrant workers and stakeholders, including current Nepalese migrant workers. Nirmal is working closely with Dr. Pramod Regmi and Prof. Edwin van Teijlingen (both based in FHSS) in the field of the health and well-being of Nepalse migrant workers. Today Nirmal also met with the Ambassador of Nepal in Kuala Lumpur (Malaysia) who expressed a great interest in our work.
Nirmal is on a double mission as building links in Malaysia is also important for our latest funded project ‘ENSURE‘. ENSURE is a project led by La Isla Network in the United States of America. La Isla Network, Johns Hopkins University Bloomberg School of Public Health (based in the U.S.), the Nepal Development Society and Bournemouth University are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.
Today, Sunday 9th June, our paper ‘Health and well-being of Nepalese migrant workers abroad was highlighted by ResearchGate as being widely read. This scientific paper which was part of Dr. Pratik Adhikary’s PhD study in the Faculty of Health & Social Sciences has been read 1,000 times.
Last week we found out that the paper ‘Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content’ was published by the Journal of Media Studies [1]. This latest paper is co-authored by Dr. Nirmal Aryal and Dr. Pramod Regmi in the Department of Nursing Sciences, Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH), as well as former BU employee Dr. Shovita Dhakal Adhokari. The published paper addresses the effects of COVID-19 stereotyping and so-called ‘othering’ on migrant workers returning home to Nepal is the latest article in a long line of publications by Faculty of Health and Social Sciences (FHSS) academics.
This BU team (including former and current PhD students) has published over thirty papers on a wide range of aspects related to migrant and their work, health and well-being [2-31].
References:
Aryal, N., Regmi, P., Adhikari Dhakal, S., Sharma, S., 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. http://111.68.103.26/journals/index.php/jms/article/viewFile/7846/4025
Chaudhary MN, Lim V-C, Faller EM,Regmi P, Aryal N, Mohd Zain SN, Azman AS, Sahimin B. (2024) Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE 19(2): e0297527. https://doi.org/10.1371/journal.pone.0297527
Khanal, S.P., van Teijlingen, E., Sharma, M., Acharya, J., Sharma, C., Kharel, S., Gaulee, U., Bhattarai, K., Pasa, R.B., Bohora, P. (2024) Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India. KMC Journal, 6(1): 313–330. https://doi.org/10.3126/kmcj.v6i1.62364
Gyawali, K., Simkhada, P., van Teijlingen, E.R., Manandhar, S., Silwal, R.C. (2023). Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men. Journal of Health Promotion,11(1): 22–31. https://www.nepjol.info/index.php/jhp/article/view/61198
Chaudhary MN, Lim V-C, Sahimin N, Faller EM, Regmi P, Aryal N, Azman AS (2023) Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia, Travel Medicine and Infectious Disease doi: https://doi.org/10.1016/j.tmaid.2023.102620.
Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4. https://doi.org/10.3126/jhp.v10i1.50976
Khatri, R., van Teijlingen, E., Simkhada, P. (2022) The health and well-being of female labour migrants from: A qualitative study of stakeholder views, Europasian Journal of Medical Sciences (EJMS) accepted
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 Prospect20(1):15-7
Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P., Simkhada, P. (2020) The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study, International Journal of Environmental Research & Public Health 17(4), 1292; https://doi.org/10.3390/ijerph17041292
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 22, 973–981.
Adhikary, P. van Teijlingen, E. (2020) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences, International Journal of Occupational Safety & Health (IJOSH), 9(2): 31-35.
Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks, Journal of Environmental Research & Public Health 16(19), 3655; doi:10.3390/ijerph16193655.
Dhungana, R.R., Aryal, N, Adhikary, P., KC, R., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., van Teijlingen, E., Simkhada, P. (2019) Psychological morbidity in Nepali cross-border migrants in India: A community-based cross-sectional, BMC Public Health 19:1534 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7881-z
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahato, 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.
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 Epidemiology9(3): 755-758. https://www.nepjol.info/index.php/NJE/article/view/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
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
Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health and Social Care14(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 and Saudi, Health Prospect16(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): 1-9.
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health28(8): 703-705.
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
Adhikary P, Keen S and van Teijlingen E (2011). Health Issues among Nepalese migrant workers in the Middle East. Health Science Journal.5(3):169-i75 DOI: 2-s2.0-79960420128.
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 Rights8(6). Web address: www.biomedcentral.com/1472-698X/8/6
Today ResearchGate informed us that the academic paper `Whose Shoes?` Can an educational board game engage Ugandan men in pregnancy and childbirth? published in 2018 by former Ph.D. student Dr. Alice Ladur has been read 600 times. The paper appeared in the Open Access journal BMC Pregnancy & Childbirth. Alice was based in the Centre for Midwifery and Women Health (CMWH) and supervised by professors Vanora Hundley and Edwin van Teijlingen.
Men can play a significant role in reducing maternal morbidity and mortality in low-income countries such as Uganda. Maternal health programmes are increasingly looking for innovative interventions to engage men to help improve health outcomes for pregnant women. Educational board games offer a unique approach to present health information where learning is reinforced through group discussions supporting peer-to-peer interactions. Alice conducted interviews with men from Uganda currently living in the UK on their views of an educational board game. Men were asked their perceptions on whether a board game was relevant as a health promotional tool in maternal health prior to implementation in Uganda.
The results of the pilot study were promising; participants reported the use of visual aids and messages were easy to understand and enhanced change in perspective. Men in this study were receptive on the use of board games as a health promotional tool and recommended its use in rural Uganda. The paper concluded that key messages from the focus group appeared to be that the board game is more than acceptable to fathers and that it needs to be adapted to the local context to make it suitable for men in rural Uganda
Prof. Edwin van Teijlingen
Reference:
Ladur, A.N., van Teijlingen, E. & Hundley, V. `Whose Shoes?` Can an educational board game engage Ugandan men in pregnancy and childbirth?. BMC Pregnancy Childbirth18, 81 (2018). https://doi.org/10.1186/s12884-018-1704-6
Tomorrow (Monday 13th May) and Tuesday BNAC (Britain-Nepal Academic Council) will held its annual conference. The conference is called the 21st BNAC Nepal Study Days, which will be in Edinburgh this year. Bournemouth University academics will be involved in several presentations and panel discussions. Drs. Pramod Regmi and Nirmal Aryal and prof. Edwin van Teijlingen will be part of the panel discussion ‘Navigating Health Challenges: The Well-being of Nepalese Migrant Workers’. All three academics were part of the recently completed study on kidney disease in Nepalese Migrant workers, a project lead by Bournemouth University and funded by The Colt Foundation. All three researchers are also involved in the latest international research funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs. USA.
Furthermore, there will also be a presentation on another recently completed study on the impact of federalisation on Nepal’s health system. The paper ‘Studying The Effects Of Federalisation On Nepal’s Health System: From Participatory Action Research To Producing Policy Briefs’ will be presented by Dr. Sharada P. Wasti (University of Greenwich), Prof. Padam Simkhada (University of Huddersfield & Visiting Professor at BU), and Prof. Edwin van Teijlingen. This interdisciplinary study was funded by the Health Systems Research Initiative (MRC/FCDO/Wellcome Trust/ESRC).
Two weeks ago our eBook Evidence-based approaches in aging and public health was published online by Frontiers Media [1]. This ebook is co-edited by BU Visiting Faculty Dr. Brijesh Sathian (based in Qatar), Prof. Padam Simkhada (based at the University of Huddersfield) and Prof. Edwin van Teijingen in the Centre for Midwifery & Women’s Health (CMWH) as well as Drs. Russell Kabir and Hanadi Al Hamad. This eBook started life as a Special Issue for the journal Frontiers in Public Health. We wrote the accompanying editorial for 15 selected articles in this Special Issue [2]. This publication raises the interesting question when does a Special Issue become an eBook.
This week the Asia Pacific Journal of Public Health (APJPH) accepted our latest paper from our research on the impact of the federalisation of the health care system in Nepal. This paper ‘COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets’ has Bikesh Koirala as first author [1].
This recently completed study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we studied the effects on the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015. This joint project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two higher education institutions in Nepal: MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.
This is the seventh paper from our collaboration. Previous papers focused on a wide range of aspects of this interdisciplinary study, including on its methods, participatory policy analysis, the WHO (World Health Organization) health systems building blocks, and public health [2-7].
Prof. Edwin van Teijlingen
CMWH (Centre for Midwifery & Women’s Health)
References:
Koirala, B., Rushton, S., Adhikary, P., Balen, J., Basnet, S., Joshi, S., Karki, A., Lee, A., Rijal, B., Simkhada, P., Subedi, M., van Teijlingen, E., Karki, J. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (accepted).
Sapkota, S., Rushton, S., 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., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems21(117) https://doi.org/10.1186/s12961-023-01033-2
Sapkota, S., Dhakal, A., 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.
Sapkota, S., Panday, S., 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., 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
Last week for the first time in over a year I received a request for a mass media interview in the UK on our research. On Easter Monday (1 April) I received an email to appear on Sky TV that very evening to speak about migrant workers and kidney health. this seemed to fit in very nicely with our recently completed study on kidney health funded by the charity The Colt Foundation, and our on-going Ensure-Nepal project funded by the U.S. Department of State’s Office.
After a lot of hassle and finally speaking to the TV research assistant over the phone it turned out Sky TV really wanted an expert to talk about poor people in South Asia selling kidney, despite what they had put in the email invitation on their interest in kidney health of migrant worker. In the end it felt like a few hours wasted on my Bank Holiday Monday.
Then to my surprise I received a call on Wednesday from BBC Radio Scotland to speak about what babies can hear in the womb and the importance of singing lullabies. Unfortunately, I had to put that request down as this is really not my area of expertise as Professor of Reproductive Health.
Requests to appear on the media to speak about once research seem to be like buses. As the old saying goes, you wait ages for a bus and then two (or more) come along at once. And in this case, NOT only did two turn up, but they were wrong buses anyway!
Today ResearchGate notified us that our paper ‘Caste Exclusion and Health Discrimination in South Asia: A Systematic Review’ has been cited 40 times [1]. This paper is based Dr. Raksha Thapa’s work for her Ph.D. in FHSS. This postgraduate project focused on caste-based inequity in health care utilization in Nepal, particularly focusing on people at the bottom of the caste hierarchy, commonly known as Dalit communities. Her Ph.D. study was supervised by Dr. Pramod Regmi, Principal Academic in the Department of Nursing Sciences, Prof. Vanessa Heaslip Professor of Nursing and Healthcare Equity at the University of Salford and Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH). Raksha published two further papers from her thesis [2-3].
Professor Katherine Appleton and Danielle Guy write for The Conversation about the simple food swaps that have the greatest benefits environmentally and for your health…
Four ways to eat less meat that are better for the planet, your health and your bank balance
Do I choose the meat in my local store or drive out of town for tofu instead? Shall I add honey to my winter porridge or would strawberries or mango be better? Should I choose to drink oat milk or organic goat’s milk?
Most people are familiar with the idea that food consumption will affect their health. But food consumption also contributes between 20% and 30% of the environmental footprint from daily life, with impacts from production, processing, transport and retail. For many of us, our diet could be healthier and more sustainable, but it can be hard to know which options will have the biggest positive effect.
As part of our research into healthy and sustainable eating, interviews with predominantly young adults found that UK consumers are willing to make small changes that would improve the health and environmental footprint of their diet, if these changes will have some benefit and are of little cost to them. Small dietary changes tend to be easier to maintain in the longer term than larger changes, but the small changes to make for greatest benefit, for health and the planet, are not well known.
To provide this advice, we compared the health-related, environmental and financial effects of a number of sustainable dietary actions that have previously been proposed. We applied 12 sustainable actions to the dietary data of 1,235 UK adults in the National Diet and Nutrition Survey.
We investigated differences between the new diet and the original diet for six dietary markers (protein, saturated fat, sugars, salt, iron, calcium), three environmental markers (greenhouse gas emissions, freshwater withdrawals, land use), and dietary cost. There were some limitations – we couldn’t quantify the impacts of reducing food waste, for example.
But our research showed that four simple switches resulted in the greatest benefits for your diet, the planet and for your pocket. These changes won’t be small or simple for everyone, but you don’t need to try them all. Every switch will benefit both your health and our home, and lots of small changes will soon add up.
1. Replace meat items with pulses
Beans, chickpeas and lentils are high in protein, fibre and are low in fat. They have low environmental impacts and can even benefit the growth of other crops, plus they are very inexpensive. Barriers that prevent people consuming pulses tend to focus around their taste or texture. And pulses can be perceived as inconvenient, effortful or difficult to cook.
Start with houmous – a tasty pre-prepared chickpea spread or dip. Including more pulses in your diet is made easier and quicker by using pre-prepared and canned pulses or by batch cooking dishes and freezing portions for another day. Try incorporating canned beans into your favourite soups and stews. Add lentils to your bolognese sauce. If you’re feeling more adventurous, experiment with some tasty new recipes from cultures that traditionally use pulses, such as Mexico, the Middle East or India.
2. Replace meat items with eggs
Eggs, like pulses, are highly nutritious. They provide protein and many micronutrients, have low environmental impacts, and are good value for money. Choose free-range eggs for added animal welfare benefits.
Eggs can be easy to prepare. They are soft and can be easier to eat for those who may have difficulties chewing, swallowing or cutting up foods. Eggs can add taste and flavour to your diet. Eggs can be consumed at any meal. Poached or scrambled, they make a great high-protein breakfast, hard-boiled eggs are a filling on-the-go snack, and sous-vide (slow-cooked) eggs can impress guests at dinner parties.
3. Replace meat items with hard or soft cheeses
Cheese is another nutritious food, full of calcium and other micronutrients, good for strong bones and teeth. Often considered a food with high environmental impacts, cheese typically has a lower environmental footprint than meat, even more so for soft cheeses.
The environmental impact of dairy foods increases with the processing needed, predominantly as a result of the waste created at each stage of manufacture. Milk has the lowest environmental impact, yoghurt slightly higher, soft cheeses, such as cream cheese, slightly higher again, and hard cheeses such as Cheddar are higher still.
Try switching your pepperoni pizza for four cheeses pizza, replace the meat in pasta dishes for soft blue cheese to retain flavour, and use soft cheeses in sandwiches.
4. Reduce meat consumption by 20%
Meat production, particularly for beef and lamb, has high environmental impacts. Consuming a lot can be unhealthy, but meat consumption in small amounts can offer a valuable source of protein and micronutrients, including iron, zinc and B vitamins. Try consuming smaller portions, increase the quality of meat you buy to gain the health benefits while eating less, or aim to have regular vegetarian days, such as meat-free Mondays. Choose the meat option when you’re eating out, make it a treat for special occasions, and eat more plant-based dishes at home.
Don’t have time to read about climate change as much as you’d like?
The same team wrote a separate paper the following year on ‘Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models’ [2]. Interestingly, ResearchGate tells us this paper has been read fewer times and cited ‘only’ 21 times to date.
Reference:
Symon, A., Pringle, J, Cheyne, H, Downe, S., Hundley, V, Lee, E, Lynn, F., McFadden, A, McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H, Alderdice, F. (2016) Midwifery-led antenatal care models: Mapping a systematic review to evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16:168 http://rdcu.be/uifu
Symon, A., Pringle, J., Downe, S, Hundley, V., Lee, E., Lynn, F, McFadden, A, McNeill, J, Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H., Alderdice, F. (2017) Antenatal care trial interventions: a systematic scoping review & taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
Yesterday we received the proofs of the recently accepted paper ‘Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal’ [1]. Luckily these are only the proof pages as my family name is misspelt, and the paper still lists the old name of our Centre for Midwifery and Women’s Health, which was, of course, the correct name at the time of submission.
The last time I published a paper on hygiene was also with colleagues in Nepal seven years ago, this time it was on menstrual hygiene [2].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
References:
Sharma, M., Adhikari, R., van Teijlingen, E., Devkota, B., Khanal, S. (2024) Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal, International Journal of Health Promotion & Education (accepted). https://doi.org/10.1080/14635240.2024.2314459.
Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care43(2): 157-159.
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