BU’s researchers Dr. Pramod Raj Regmi and Dr. Nirmal Aryal have recently visited Malaysia for a consultation meeting. They organised meetings with stakeholders working on migration health related and Nepali migrant workers as Public Patient Involvement (PPI ) in Malaysia. These meetings discussed risk factors for sudden nocturnal deaths and kidney disease among Nepali migrant workers in Malaysia.
More than 350 Nepali migrant workers die in Malaysia every year. Nearly one-fourth of them die from cardiovascular problems often during their sleep, many without previous signs or illnesses. This also seems to be the case in South Asian workers in the Middle-East. The cause of death is hitherto unknown. During a consultation meeting on 19th April, participants suggested several possible causes of these deaths and strongly supported the idea of carrying out verbal autopsy with close friends, employers, roommates, etc. The emerging health issue of kidney health risk among Nepali migrant workers and its risk factors were also discussed. A total of 25 participants attended the meeting. Participants from many different disciplines , including from migration health researchers from several universities, migrant workers’ non-governmental organizations (NGO), the Malaysian Ministry of Health, and International Organization for Migration (IOM) Malaysia. FHSS’s Drs Aryal and Regmi facilitated the consultation workshops.
On the same day, Dr. Regmi and Dr. Aryal met with the Nepali ambassador to Malaysia Mr. Udaya Raj Pandey and his team and discussed migration issues. The Nepali Embassy in Malaysia is aware of these health problems and the ambassador committed to provide any support required for further investigation in these issues.
On 20th April, another PPI was carried out among Nepali migrant workers at their living quarters. Around 20 Nepali migrant workers participated. During this meeting, issues of sudden nocturnal deaths and acceptability and feasibility of verbal autopsy tools, problem of kidney disease and its possible triggers were discussed. The research into the usefulness of verbal autopsy tool as a good example of BU’s FUSION, since research can lead to a change in practice regarding health of migrant workers through better education of the migrant community, their left-behind families and NGOs working in the field.
These consultation meeting and PPI were intended to develop basis for further research in these area and build collaboration in Malaysia. The NGOs North-South Initiatives (Mr. Adrian Pereira and his team) and Migrant Workers’ Health Alliance (Dr. Erwin Martinez Faller and his team) have locally co-ordinated these events. These activities were conducted from the QR pump-priming fund awarded to Dr. Aryal this year in FHSS.
Finally, on 21st April, Dr. Regmi and Dr. Aryal were invited to the Philippine Embassy to share knowledge on mental health risk among migrant workers. They have presented findings of previous BU’s research on it as well as existing evidence on mental health risk on migrant workers and their left-behinds. More than 60 Filipino migrant workers attended the event.
As Malaysia is a popular destination for migrant workers from Asia Pacific and South Asia (there are currently more than 700,000 Nepali workers in Malaysia), these consultations will play a significant role in designing and developing grant applications to promote health and wellbeing of migrant workers. This consultation meeting builds on recent work on the topic conducted at BU [2-14] as highlighted in the recent Research Brief Migration and Health (Jan. 2019).
- van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7.
- Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahat, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia J Public Health 8 (1): 38-41.
- Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
- Simkhada, P.P., van Teijlingen, ER., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East & Malaysia, BMC Int Health Human Rights 18(1):4.
- Adhikary P, Sheppard Z, Keen S, van Teijlingen E (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar & Saudi, Health Prospect 16(2): 3-10
- Simkhada P, Regmi, P, van Teijlingen E, Aryal N (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
- Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific J 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 J Tuberculosis, Lung Diseases HIV/AIDS 8(1):9-15.
- Joshi, S., Prescott, G., Simkhada, P., Sharma, N., Bhurtyal, Y. (2014). Knowledge and Risk Perceptions about HIV/AIDS among Nepalese Migrants in Gulf Countries: a Cross-sectional Study. Health Sci J, 8 (3) pp 350-36
- Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
- Joshi S, Simkhada, P, Prescott, G (2011) Health problems of Nepalese migrants working in three Gulf countries, BMC Int Health Human Rights, 2011, 11:3
- Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
- van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
- Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC Int Health Human Rights, 8(6).
Looking forward to our annual Systematic Review Masterclass at Bournemouth University which will be starting tomorrow February 14th. This year for the first time we have renamed it a ‘Systematic Review to Inform Clinical Practice’ as it is not only a free-standing masterclass but also a level 7 unit of . This year we aim to provide students with the opportunity to choose an area of interest and undertake an in-depth, independent study in the form of a systematic review, focusing on a negotiated aspect of clinical practice. Prof. Vanora Hundley and I had published over twenty systematic reviews (or papers about systematic reviewing) over the past two decades. [1-21] The unit will have input from BU’s Academic Liaison Librarian, Caspian Dugdale, and BU academics such as Dr. Bibha Simkhada, Lecturer in Nursing.
Professors Vanora Hundley and Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- van Teijlingen E, Wilson, B, Barry, N, Ralph, A, McNeill, G, Graham, W, Campbell, D. (eds.) (1998) Effectiveness of interventions to promote healthy eating in pregnant women & women of childbearing age: a review, London: Health Education Authority www.nice.org.uk/nicemedia/documents/effect_eatpregant.pdf [ISBN: 0752110977].
- van Teijlingen ER, Bruce, J. (1999) Systematic reviews of health promotion initiatives: the Smokebusters experience, Health Education, 99: 76-83.
- Ryan M, Scott DA, Reeves C, Bate A., van Teijlingen E, Russell E, Napper M, Robb C (2001) Eliciting public preferences for healthcare: systematic review of techniques. Health Technology Assessment 5(5)
- 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.
- Paul-Ebhohimhen, V.A., Poobalan, A., van Teijlingen E. (2008) Systematic review of effectiveness of school-based sexual health interventions in Sub-Saharan Africa, BMC Public Health, 8(4). www.biomedcentral.com/1471-2458/8/4
- Robertson L, Douglas F, Ludbrook A., Reid G., van Teijlingen E. (2008) What works with men? A systematic review of health promoting interventions targeting men, BMC Health Services Research 8(141). www.biomedcentral.com/1472-6963/8/141
- Acharya, D.R., Bhattarai, R, Poobalan, A, van Teijlingen E.R., Chapman, G. (2010) Factors associated with teenage pregnancy in South Asia: a systematic review. Health Sciences Journal 4(1): 3-14. www.hsj.gr/volume4/issue1/402.pdf
- Hundley V, Avan B, Braunholtz D, and Graham WJ (2012). Are birth kits a good idea? A systematic review of the evidence. Midwifery 28(2): 204-215
- Wasti, SP, van Teijlingen E., Simkhada, P., Randall, J., Baxter S, Kirkpatrick P, Vijay Singh Gc. (2012) Factors influencing adherence to antiretroviral treatment in Asian developing countries: a systematic review, Tropical Medicine & International Health 17(1): 71-81. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02888.x/pdf
- VA Hundley, BI Avan, CJ Sullivan, WJ Graham. (2013) Should oral misoprostol be used to prevent postpartum haemorrhage in home-birth settings in low-resource countries? A systematic review of the evidence. BJOG: An International Journal of Obstetrics & Gynaecology, 120:277–287DOI: 10.1111/1471-0528.12049
- van Teijlingen, ER, Simkhada, B., Ireland J., Simkhada P., Bruce J. (2012) Evidence-based health care in Nepal: The importance of systematic reviews, Nepal Journal of Epidemiology 1(4): 114-118.
- Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, et al. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
- Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE & Embase, Systematics Reviews 3,78
- Gyawali, B., Neupane, D., Sharma, R., Mishra, S.R., van Teijlingen, E., Kallestrup, P. (2015) Prevalence of type 2 diabetes in Nepal: Systematic review & meta-analysis from 2000 to 2014 Global Health Action 8: 29088 www.globalhealthaction.net/index.php/gha/article/view/29088/pdf_189
- Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
- Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
- Simkhada, P.P., Sharma, A., van Teijlingen, ER., Beanland, R,L. (2016) Factors influencing sexual behaviour between tourists and tourism employees: A systematic review. Nepal Journal of Epidemiology 6(1): 530-538. www.nepjol.info/index.php/NJE/article/view/14735/11952
- 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 an evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16: 168 http://rdcu.be/uifu
- Hanley GE, Munro S, Greyson D, Gross MM, Hundley V, Spiby H and Janssen PA (2016) Diagnosing onset of labor: A systematic review of definitions in the research literature. BMC Pregnancy and Childbirth 16: 71 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0857-4
- Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123.
- 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 and taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
- Pitchforth, E, Nolte, E, Corbett, J, Miani, C, Winpenny, E, van Teijlingen E, et al. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
- Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences 17(3): 753-761.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51. https://ecommons.aku.edu/jam/vol4/iss2/4/
- 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): 130-149.
Congratulations to Amy Miller! At the British Chiropractic Council’s annual conference 13-14th October, Bournemouth University PhD student Amy Miller was awarded the British Chiropractic Association’s award of ‘Chiropractor of the Year 2018-19’ for her contributions to research and engagement.
Amy is based in the Faculty of Health & Social Sciences (FHSS). Her PhD is investigating an inter-professional student-led breastfeeding clinic for student learning, and breastfeeding outcomes and experiences. Amy is supervised by Associate Professor Sue Way, Senior Lecturer in Midwifery Dr. Alison Taylor and Prof. Edwin van Teijlingen all based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The British Chiropractic Association’s award for Chiropractor of the Year recognises individuals who have made a significant contribution to the profession.
Last week Sacha Gardener reported on this BU Research Blog on the publication of our most recent article ‘Why suicide rates among pregnant women in Nepal are rising’ in The Conversation. Since then we have been informed that this piece was reproduced in two Indian independent online newspapers, last week in The Wire and today in Scroll.in (India’s leading independent source of news, analysis and culture). Scroll.in used the heading ‘A project is training midwives in Nepal to stem rising suicides of pregnant women’, whilst The Wire used the title ‘Why Suicide Rates Among Pregnant Women in Nepal Are on the Rise’. Suicide in pregnant women and soon after birth is an important issue in both Nepal and India. Just for completeness the original article, written by BU’s Visiting Faculty Dr. Bibha Simkhada and Prof. Edwin van Teijlingen based in BU’s Centre for Midwifery, Maternal and Perinatal health (CMMPH), can be found here!
This last week two separate papers have been accepted on aspects of health and well-being among migrants workers from Nepal. The first in the International Journal of Migration, Health and Social Care is based on a completed PhD project in the Faculty of Health & Social Sciences with Dr. Pratik Adhikary as first author . This paper ‘Health and well-being of Nepalese migrant workers abroad’ is co-authored by two former FHSS staff Dr. Zoe Sheppard and Dr. Steve Keen, and Prof. Edwin van Teijlingen of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
The second paper ‘A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia’ was accepted by the Open Access journal BMC International Health & Human Rights . The lead author of this paper is Bournemouth University (BU) Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University) and two of his co-authors are based in Nepal: Manju Gurung (chair of Pourakhi Nepal) and Dr. Sharada Prasad Wasti and one at BU: Prof. Edwin van Teijlingen .
There is a growing momentum in migration research at BU with further academic papers being published related to studies on migrant workers from Nepal [4-8], relatives of migrant workers , migration into the UK [10-12], Eastern European migration issues [13-15], migration and tourism , migration and the media  as well as migration in the past .
- 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 Care (accepted). https://doi.org/10.1108/IJMHSC-12-2015-0052
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia, BMC International Health & Human Rights (accepted Jan.).
- 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.
- 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., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
- Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
- 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.
- Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
- 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.
- Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
- Holscher, J., 2017. The effects of Brexit on the EU, the UK and Dorset – a migrant’s account. BAFES Working Papers, 1-11.
- 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.
- Filimonau, V., Mika, M. (2017) Return labour migration: an exploratory study of Polish migrant workers from the UK hospitality industry. Current Issues in Tourism, 1-22.
- Janta, H., Ladkin, A., Brown, L., Lugosi, P., 2011. Employment experiences of Polish migrant workers in the UK hospitality sector. Tourism Management, 32 (5): 1006-1019.
- Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
- Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
- Marino, S., Dawes, S. (2016). Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
- Parker Pearson, M., Richards, C., Allen, M., Payne, A., Welham, K. (2004) The Stonehenge Riverside project Research design and initial results Journal of Nordic Archaeological Science 14: 45–60.
The past Saturday I was given the opportunity to present my pilot study titled “The influence of inspiratory muscle training on balance and functional mobility in healthy older adults” at the Young Life Scientists Symposium (YLS) held in Derby (see related poster).
Purpose of the pilot was to gain an understanding of the effect of 8 weeks inspiratory muscle training upon balance and functional mobility outcomes (including Five-Sit-To-Stand, Time Up and Go, Mini-Best test and others) in older adults (65 and over). The results have led to a double-blind random control trial which will be completed by the beginning of 2018.
The YLS is organised by PhD students and Post-Doc’s for other PhD students and early career researchers it aims to give the opportunity to network and discuss research matters via poster and oral communication in a positive and constructive environment.
This year symposium was focusing on three major sections: nutrition, exercises for ageing and metabolic disease in ageing. Speakers from all the UK discussed their works, and I had the chance to collect feedbacks explaining my methods and methodology.
I would like to thank Bournemouth University and my supervisors who helped me to achieve this opportunity.
Thank you for reading.
Congratulations to Dr. Pramod Regmi on the publication of his latest article ‘Local elections and community health care in Nepal’. Pramod is our newly appointed Lecturer in International Health, who started this post exactly a month ago. The editorial, co-authored with BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University), Nirmal Aryal (based at the University of Otago, New Zealand) and CMMPH’s Prof. Edwin van Teijlingen, highlights the important link between local democracy and health in Nepal.
The paper argues that elected local governments are critical for public accountability on the operationalization of the SDGs (Sustainable Development Goals) at local level. Furthermore, having elected leaders in communities after such a long gap will certainly give Nepalese people rights and hopefully improve provision and access to health care services they are entitled to. Thus the role of civil society, community-based non-governmental organisation, development partners and the mass-media is critical in both advocacy for, and the effective monitoring and implementation of, local activities.
The paper appeared today in Health Prospect an Open Access journal published in English in Nepal as part of the Nepal Journals Online (NepJOL) service .
- Regmi, P., van Teijlingen, E., Simkhada, P., Aryal, N. (2017) Local elections and community health care in Nepal, Health Prospect: Journal of Public Health, 16(2):1-2.
BU academics from the Faculty of Health & Social Sciences had a strong presence at the International Confederation of Midwives (ICM) in Canada this lunch time. They presented four separate academic posters today at the ICM conference in Toronto. First, Dr. Alison Taylor presented her poster ‘Mothers need to talk, midwives need to listen: Insights from breastfeeding mother’s video diaries’. Secondly, Sara Stride and Dr. Sue Way presented their poster on ‘UUPP Study: Updating the Understanding of Perineal Practice at the time of birth across the United Kingdom’.
Prof. Vanora Hundley, Dr. Ann Luce (BU Faculty of Media & Communication), Prof. Edwin van Teijlingen and two students, Sofie Edlund and Sian Ridden also presented their poster on ‘Changing the narrative around birth: midwives’ views of working with the media’. And, last but not least, Prof. Vanora Hundley and Prof. Edwin van Teijlingen also contributed to a poster produced by Dr. Andrew Symon and colleagues from across the UK: ‘Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care’.
Making research meaningful and accessible to patients: Why patient and public involvement is crucial to designing effective health research studies
Date Monday 6th March 2017
Time 3:00 – 4:30 pm
Location EB708, Executive Business Centre, 89 Holdenhurst Road, Lansdowne Campus, Bournemouth University
As part of the Public and Patient Involvement (PPI) in Research seminar series
Dr Jo Adams is a Professor of Musculoskeletal Health within the Faculty of Health Sciences, University of Southampton. Jo is an occupational therapist by background. She has led both national and international applied translational research programmes related to developing effective self- management approaches for individuals with musculoskeletal diseases. Her research is widely published and she leads collaborative partnerships to improve the translation of research into NHS clinical practice. She is also an experienced educator having taught health care professionals at pre and post registration level for over 20 years
Book your place now: https://patientandpublicinvolvement.eventbrite.co.uk
Refreshments are available and there will be plenty of time for discussion at the seminar end. Any questions please contact:
Dr James Gavin
Phone +44 (0)1202566303
Focus groups in open air in rural Nepal, (c) Sheetal Sharma
Congratulations to Sheetal Sharma, postgraduate student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) whose latest paper on the process of the research in her PhD fieldwork was accepted today by the Journal of Asian Midwives . Sheetal used an innovative mixed-methods evaluation which was applied to a long-running maternity intervention in rural Nepal. The intervention has been supported for nearly seven years by Green Tara Trust, a Buddhist charity based in London. Sheetal’s supervisors are supervisors are Prof. Vanora Hundley, Prof. Edwin van Teijlingen, Dr. Catherine Angell (all in CMMPH) and Prof. Padam Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences and based at Liverpool John Moores University.
This paper is part of a larger body of health research work conducted by CMMPH in Nepal.
Sharma, S., Simkhada, P., van Teijlingen, E., Stephens J, Hundley, V., Angell, C. (2017) Evaluation of Maternity Care Intervention in Rural Nepal: Lessons learnt, Journal of Asian Midwives (accepted Jan. 2017).
We had the honour to speak to Parliamentarians (MPs) in Kathmandu today (December 29th) as part of workshop to promote evidence-based policy-making. The workshop was organised by a consortium of three UK universities: Liverpool John Moores University (LJMU), Bournemouth University and the University of Sheffield. Fund the Fund supported this Advocacy Workshop with Parliamentarians and Policy Experts on HV and AIDS (Discussion series IV) in the Himalayan Hotel in Lalitpur in Kathmandu Valley. The workshop was attended by some 30 MPs from all major parties and three or four former ministers. The drive to increase evidence-based policy-making in Nepal is led by Dr. Gangalal Tuladhar MP.
Prof. Padam Simkhada from LJMU and BU Visiting Professor addressed ‘key challenges on evidence-based health care delivery in Nepal’ and Prof. Edwin van Teijlingen from the Faculty of Health & Social Sciences compared selected different health-care systems in high-income countries.
Congratulations to CMMPH’s Donna Wixted, Joint BU-Portsmouth Hospitals NHS Trust, doctoral student who just had a paper published in MIDIRS. The paper is titled ‘Drinking in pregnancy: poor guidelines or lack of evidence?’ The paper reports a very lively debate at the 2016 BU Festival of Learning which was a debate around the motion: “Advising pregnant women to avoid drinking alcohol during pregnancy is symptom of the Nanny State and another step towards the medicalisation of childbirth”. The debate was chaired by CMMPH’s Prof. Vanora Hundley.
The Festival of Learning event grew out of Donna’s PhD research. Donna’s PhD is jointly supervised by Dr. Greta Westwood of Portsmouth Hospitals NHS Trust & the University of Southampton and FHSS academics Dr. Liz Norton and Prof. Edwin van Teijlingen.
Wixted, D., Hundley, V., Norton, L., van Teijlingen, E., Westwood, G. (2016) Drinking in pregnancy: poor guidelines or lack of evidence? MIDIRS Midwifery Digest 26(4): 462-65.
We have written in many previous BU blogs about progress of our THET-funded project in southern Nepal (e.g. here AND here ). Today’s blog reflects on the use on BU’s unique FUSION approach in our project ‘Mental Health Training for Maternity Care Providers in Nepal‘.
Our BU-led project brings highly experienced health professionals, such as midwives, health visitors or mental health nurses, to Nepal to work as volunteer trainers. The training is aimed at community-based maternity care practitioners and addresses key mental health issues relevant to pregnancy and for new mothers and offers the required communication skills. These health professionals will bring their experience as health care providers as well as trainers in the field of mental health and maternity care/midwifery, mental ill-health prevention and health promotion. They volunteer for two to three weeks at a time to design and deliver training in southern Nepal.
The Centre for Midwifery & Maternal Health (CMMPH) collaborates in this project with Liverpool John Moores University (LJMU), the Department of Health, and Physical & Population Education at Nepal’s oldest university Tribhuvan University’s (TU). The project is supported in the field by a local charity called Green Tara Nepal. Our project is part of the Health Partnership such as Nepal. HPS itself is funded by the UK Department for International Development and managed by THET (Tropical and Health Education Trust).
Our maternal mental health project is a good example of BU’s FUSION approach as it combines EDUCATION (through the training of Auxiliary Nurse-Midwives in Nepal) by UK volunteers (representing PRACTICE) through an intervention which is properly evaluated (representing RESEARCH) is a perfect example of BU’s FUSION in action. Moreover, the project will be partly evaluated by FHSS’s Preeti Mahato as part of her PhD thesis research. This PhD project is supervised by Dr. Catherine Angell (CEL & CMMPH), BU Visiting Professor Padam Simkhada (based at LJMU) and CMMPH’s Prof. Edwin van Teijlingen.BU’s focus on the FUSION of research, education and professional practice is a unique variant of the way UK universities (and many abroad) blend academic teaching, research and scholarship. FUSION is a key concept derived from BU’s strategic Vision & Values).
Prof. Edwin van Teijlingen
Congratulations to Dr. Pramod Regmi as the lead author of the paper ‘Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal‘ . Informed consent is a process whereby potential participants are genuinely informed about their role, risk and rights before they are enrolled in the study. Thus, ethics committees in most countries require ‘informed consent form’ as part of an ethics application which is reviewed before granting research ethics approval. Despite a significant increase in health research activity in low-and middle-income countries (LMICs) in recent years, only limited work has been done to address ethical concerns.
Most ethics committees in LMICs lack the authority and/or the capacity to monitor research in the field. This is important since not all research, particularly in LMICs region, complies with ethical principles, sometimes this is inadvertently or due to a lack of awareness of their importance in assuring proper research governance. With several examples from Nepal, this paper reflects on the steps required to obtain informed consents and highlights some of the major challenges and barriers to seeking informed consent from research participants. The authors offer some recommendations around how can we can promote and implement optimal informed consent taking process.
The paper will appear later this year in the international journal Developing World Bioethics (publisher: Wiley). Finally, just out of interest five out of six of the authors are graduates of the University of Aberdeen!
Prof. Edwin van Teijlingen
- Regmi, P.R., Aryal, N., Kurmi, O., Pant, P.R., van Teijlingen, E., Wasti, P.P. (2016) Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics (Online HERE )
This week we had our latest planning meeting for the BU-led and THET-funded project in Nepal. The project has been running for over a year (following a six-month delay due to the terrible 2015 earthquake in Nepal). The project brings highly experienced UK health volunteers to train local community-based maternity care practitioners about the key mental health issues in pregnancy and after birth. The Centre for Midwifery & Maternal Health (CMMPH) works in collaboration with Liverpool John Moores University (LJMU), the Department of Health, Physical and Population Education at Nepal’s largest university Tribhuvan University’s (TU). Our project is part of the Health Partnership Scheme (HPS), which funds health partnerships to carry out capacity-building projects in low-income countries, including Nepal. HPS itself is funded by the UK Department for International Development and managed by THET.
Halfway through the project we had an update meeting at Tribhuvan University in Kathmandu to discuss and plan the second half of the project which runs until the spring in 2017. The maternal mental health project is a good example of BU’s FUSION approach as it combines Education (through the training of Auxiliary Nurse-Midwives) by UK volunteers (representing the Practice-element of FUSION) in an intervention that is Research-based in both its design and evaluation. The next group of UK volunteers is due to go out to southern Nepal in September 2016. The photo on the top shows one of the UK volunteers (a midwife from Aberdeen) in action with the aid of a Nepali translator during the latest training session in Nawalparasi in May 2016.
Prof. Edwin van Teijlingen (CMMPH) and Prof. Padam Simkhada (LJMU & BU Visiting Faculty)
Congratulations to Dr. Sarah Collard on her latest paper ‘The psychosocial impact of exercising with epilepsy: A narrative analysis’ in Epilepsy & Behavior. The paper offers valuable insight into the psychosocial benefits of and barriers to exercising with epilepsy and draw attention to the individual differences in how a person with epilepsy copes with uncontrolled seizures and their impact on his/her exercise routine. This knowledge can lead to future research in exploring how a person with epilepsy can overcome these barriers to exercise and encourage more people with epilepsy to enjoy the benefits of exercise.
Prof. Edwin van Teijlingen
Congratulations to Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of a paper based on her Ph.D. research. Her paper ‘Birthing centres in Nepal: Recent developments, obstacles and opportunities’ can be found in the June 2016 edition of the Journal of Asian Midwives (JAM) . All articles in JAM are Open Access to ensure midwives and researchers in the poorest parts of Asia can freely access the scientific articles in the journal.
This literature review was appraised the relevant literature on birthing centres in Nepal, South Asia, and other similar settings. Preeti and her co-authors concluded that birthing centres in Nepal have the potential to improve both (a) the institutional delivery rate; and (b) the proportion of births that benefit from the presence of a skilled birth attendant (SBA). However, accessibility, socio-demographic characteristics, and cultural factors act as barriers to pregnant women attending birthing centres and hospital facilities.
Preeti’s Ph.D. is supervised by Dr. Catherine Angell and Prof. Edwin van Teijlingen in CMMPH and Prof. Padam Simkhada at Liverpool John Moores University. Padam is also Visiting Faculty at the Faculty of Health & Social Sciences (FHSS).
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 17-30.
Today BU staff and post-graduate students published our latest diabetes paper. In the International Journal of Food, Nutrition and Public Health (IJFNPH) publish by the World Association for Sustainable Development (WASD) you’ll find ‘Diabetes prevention and management in South Asia: a call for action‘.
The lead BU author is Dr. Pramod Regmi. he is joint by Faculty of Health & Social Sciences (FHSS) PhD student Ms. Folashade Alloh as well as Prof. Edwin van Teijlingen of the Centre for Midwfiery, Maternal & Perinatal Health (CMMPH). Further national and international co-authors are: Dr. Om Kurmi based at the Nuffield Department of Population Health, University of Oxford; Dr. Nirmal Aryal, from the Department of Medicine, University of Otago, New Zealand; Dr.Puspa Raj Pant based at the Centre for Child and Adolescent Health, University of the West of England; and Amrit Banstola based in the Faculty of Health and Applied Sciences, also at the University of the West of England.
The paper can be found here! Please note, you need to be a WASD member to login and download this paper. Once you are logged in you will see a ‘Download’ button in the box above. If you do not have a login, you can register to join WASD free of charge.