Latest research and knowledge exchange news at Bournemouth University
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].
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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
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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.
Prof. Edwin van Teijlingen
CMWH
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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)
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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!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
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].
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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…
Katherine Appleton, Bournemouth University and Danielle Guy, Bournemouth University
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.
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.
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.
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.
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.
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Katherine Appleton, Professor of Psychology, Bournemouth University and Danielle Guy, PhD Candidate in Psychology, Bournemouth University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Two days ago ResearchGate informed us that that the paper ‘Midwifery-led antenatal care models: mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care‘ has reached 40 citations. This paper, co-authored by Bournemouth University’s Professors Vanora Hundley and Edwin van Teijlingen, was originally published in 2016 in BMC Pregnancy & Childbirth [1]. Both Vanora and Edwin are based in the Centre for Midwifery & Women’s Health (CMWH) in the Faculty of Health & Social Sciences.
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.
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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
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Congratulations to Mr. Musa Lewis Nhlabatsi whose paper ‘Clinicians’ barriers to screening and diagnosing diabetes distress in patients with type 1 and 2 Diabetes Mellitus: a systematic review’ has just been accepted by the African Journal of Health Sciences [1].This systematic review’s initial search identified 1,579 studies, but only four primary studies from three countries met the inclusion criteria. The studies reported five barriers: (1) lack of knowledge, (2) lack of time, (3) lack of accessibility to mental health services, (4) lack of motivation and (5) patients’ denial of their diabetes distress. The two most reported barriers were lack of knowledge and time. In conclusion this review identifies critical barriers to the underdiagnosis of diabetes distress by clinicians and highlights the need for policymakers and organisations to conduct pragmatic research to understand clinicians’ experiences in assessing diabetes distress in various healthcare settings to improve diabetes management.
The paper developed from his work on the Systematic Review Module for Masters student. Earlier Musa won The Department of Medical Science and Public Health Award in July 2023 and he graduated in November 2023.
Congratulations!
Profs. Vanora Hundley and Edwin van Teijlingen
CMWH
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New paper on migrant workers from Nepal was published this week in KMC Journal. The paper ‘Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India’ has Shanti Khanal as lead author [1]. The journal is Open Access, hence freely available online across the globe. The paper examines the association between risk perception and protective behaviour regarding COVID-19 in returnee migrant workers. A total of 384 returnee migrants, based in a quarantine centre on return from India, participated in the study. Using the health belief model (HBM) as a theoretical framework, a structured interview questionnaire was designed and administered. A further three health workers were interviewed face-to-face.
The study showed that the perceived risk of COVID-19 among participants was medium to low. Participants perceived few barriers and had low self-efficacy levels compared to other constructs. This study further showed that participants were more likely to follow a range of protective health behaviours, but not found all. The study revealed a significant association between all risk perception constructs and protective behaviours (p=< 0.05). This study accordingly highlighted a significant relationship between the respondents’ risk perception level and protective health behaviours. The study envisaged that public awareness of risk to the people who returned from India is essential to increase risk perception during the outbreak.
The study works towards fulfilling SDGs (Sustainable Development Goals), especially ‘Good health and well-being’ (SDG 3) and Decent work and economic growth (SDG 8).
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
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Our article ‘Understanding health education, health promotion & public health’ [1] is getting read according to ResearchGate. This conceptual/ theoretical paper was published open access in late 2021 in the Journal of Health Promotion and it reached 4,500 reads yesterday. Whilst the web side of the journal suggests today that the PDF of the paper has been downloaded 8,511 times.
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
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This morning the journal Discover Social Science & Health informed us that Abier Hamidi’s latest paper ‘Islamic Perspectives on HIV: A Scoping Review’ has been accepted for publication [1]. Discover Social Science & Health is an Open Access journal publishing research across the full range of disciplines at the intersection of health, social and biomedical sciences. This latest review is part of Abier’s PhD research project and it follows several earlier related publications [2-7].
Abier is supervised by Dr. Pramod Regmi, Principal Academic-International Health and the Global Engagement Lead in the Department of Nursing Sciences, and Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH).
Congratulations!
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Last week Mr. Yogesh Dhakal, who is Deputy Editor at Shilapatra, an online newspaper in Nepal, interviewed three UK professors: Julie Balen (Canterbury Christ Church University), Simon Rushton (the University of Sheffield) and Edwin van Teijlingen (Bournemouth University). The focus of the interview (see interview online here) was our recently completed interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’.
In this Nepal Federal Health System Project we studied the consequences for the health system of Nepal’s move from a centralised political system to a more federal structure of government. This three-year project is UK-funded by the MRC, Wellcome Trust and FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. This joint project is 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 MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.
Today (23rd January) the article appeared online in Nepali. We have seen the transcript in English of the actual interviews with the three of us, but I have no idea how the journalist has edited, selected and translated the relevant text.
Prof. Edwin van Teijlingen
CMWH (Centre for Midwifery & Women’s Health)
Yesterday, Sunday 14th January, I was invited by Bournemouth University’s former PhD student Dr. Pratik Adhikary to run a three-hour methods session on semi-structured interviews and focus group discussions at the Nepal Injury Research Centre (NIRC). The workshop was based on work normally presented as part of BU’s Doctoral College Researcher Development Programme.
The audience comprised PhD students based at NIRC, as well as at Kathmandu Medical College (KMC), and Nepal’s oldest and largest university, Tribhuvan University. Participants were involved in research into many different research questions, ranging from road traffic accidents to sexual health and the well-being of migrant workers. NIRC was established with funding from the UK National Institute for Health and Care Research (NIHR) Global Health Research Programme and it is a partnership between KMC and the University of the West of England, Bristol (UWE).
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health (CMWH)
Two days ago Professor Edwin van Teijlingen from BU’s Faculty of Health & Social Sciences was interviewed by the national television channel News24 in Kathmandu, Nepal. His interview covered some more personal questions, including the question how Edwin became involved in research in Nepal two decades ago, followed questions about recent research projects. The latter involved questions about the nearly completed project “The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’. 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, Canterbury Christ Church University, PHASE Nepal and MMIHS (Manmohan Memorial Institute of Health Sciences). This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called the Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.
There were also questions about the health and well-being of Nepal’s migrant workers, partly related to a recently finished study on kidney health of migrant workers funded by The Colt Foundation and a new project led by La Isla Network in the United States of America (USA). La Isla Network, Johns Hopkins University Bloomberg School of Public Health (in the USA) , 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.
The television company has already put the half-hour interview on YouTube, to watch it click here!
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Three Minute Thesis (3MT®) Competition
C.A.I.R.E.E.S. Conference: Harnessing AI for a sustainable future
Writing for The Conversation interactive workshop – Wednesday 5th March
Congratulations on new paper by BU PhD graduate
Public lecture looks to the future of the NHS
Update on UKRO services
European research project exploring use of ‘virtual twins’ to better manage metabolic associated fatty liver disease
BU Professor has been invited to a series of plenary and invited lectures.
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