Today we added to our growing pool of publications on aspects of labour migration in Nepal. The Open Access journal BMC Health Services Research published our paper ‘Accessing health services in India: experiences of seasonal migrants returning to Nepal’ . The paper explores the experiences of returnee Nepali migrants with regard to accessing healthcare and the perspectives of stakeholders in the government, support organizations, and health providers working with migrant workers in India. The paper concludes that Nepali migrants experience difficulties in accessing healthcare in India. Hence the authors recommend partnerships between the Nepali and Indian governments, migrant support organizations and relevant stakeholders such as healthcare providers, government agencies and employers should be strengthened so that this vulnerable population can access the healthcare to which they are entitled.
Three of the authors are based at BU (Dr. Nirmal Aryal, Dr. Pramod Regmi & Prof. Edwin van Teijlingen), whilst Dr. Pratik Adhikary is a BU PhD graduate and Prof. Padam Simkhada, from the University of Huddersfield, is BU Visiting Faculty.This qualitative paper is part of a larger International Organization for Migration research project on ‘Health vulnerabilities of the cross-border migrants from Nepal’ .
The authors to acknowledge the continuous support from Green Tara Nepal (GTN) during the field work. This Open Access paper from this FHSS team of researchers on migration and health research related to Nepal is the 19th paper in total on the topic [3-19].
- Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P.R., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E., Simkhada, P. (2020) Accessing health services in India: experiences of seasonal migrants returning to Nepal. BMC Health Services Research 20, 992. https://doi.org/10.1186/s12913-020-05846-7
- IOM [International Organization for Migration]. (2019) Health vulnerabilities of cross-border migrants from Nepal. Kathmandu: International Organization for Migration.
- 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/ijerph1704129
- 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.
- Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M., Regmi, P. (2020) Health and Wellbeing of the Nepali population in the UK: Perceptions and experiences of health and social care utilisation, Journal of Immigrant & Minority Health (accepted).
- 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 Epidemiology 9(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 & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
- Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 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 Health 28(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.
- 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
International Webinar on COVID-19 and GLOBAL Health coming Saturday 25 July. This webinar, organized by Mahatma Gandhi University, India, includes speakers from the Middle East, America, Europe and South Asia. Bournemouth University will be represented by Professor Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perintal Health (CMMPH). Please note the advertised times are local Indian time, the event will take place coming Saturday at 8.00 AM UK summer time.
Updated message (8 July 2020): due to floods in Assam this week this international conference has been postponed by a few weeks.
If you are interested in a more global perspective of COVID-19 you may want to attend the upcoming Online International Conference “COVID-19: A Global Perspective” to be held from 29 to 31 July, 2020 by the PG Department of Economics, Gossaigaon College, Gauhati University, Assam, INDIA. BU will be contributing to the sub-theme COVID-19 and its impact on the health sector.
Professor Edwin van Teijlingen
In the last week of May the Journal of Advanced Internal Medicine published our paper: ‘Impact of COVID-19 on community health: A systematic review of a population of 82 million‘ . As we know relatively little about the COVID-19 we conducted a review of the literature on the impact of COVID-19 on community health. The review found limited evidence in support of quarantine to prevent COVID‐19, most studies considered quarantine as an essential public health measure to minimize rate of infection and mortality. Under these circumstances, people should focus on maintaining personal hygiene, proper nutrition, and extreme social distancing to reduce the risk of COVID-19. Besides, that there is a need to provide professional psychological support to reduce mental ill-health. In addition we have highlighted two different public health approaches in South Asia, namely Nepal and India.
This is not the first Faculty of Health & Social Sciences (FHSS) health science publication on COVID-19, earlier this year saw the publication of a blog for the Healthy Newborn Network , a letter on the increased risk of COVID-19 to BAME (Black, Asian and Minority Ethnic) communities in the BMJ , and a paper on the public health implications of COVID-19 .
The Journal of Advanced Internal Medicine is Open Access and hence freely available to anyone with an internet access and it is part of Nepal Journals Online (NepJOL) which provides online publication of Nepalese journals.
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
- Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, S.,Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11. https://www.nepjol.info/index.php/JAIM/article/view/29159
- Tamang, P., Mahato, P., van Teijlingen E, Simkhada, P. (2020) Pregnancy and COVID-19: Lessons so far, Healthy Newborn Network [14 April] healthynewbornnetwork.org/blog/pregnancy-and-covid-19-lessons-so-far/
- Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269
- Alloh, F.T., Regmi, P., van Teijlingen, E. (2020) Is ethnicity linked to incidence or outcomes of Covid-19? (Rapid Response) BMJ (14 May) 369:m1548
The Departments of Psychology (SciTech), Midwifery and Health Sciences (HSS) from Bournemouth University and SSLA part of Symbiosis International (Deemed University) were successful in getting the United Kingdon India Education Research Initiative (UKIERI) funding to support 10 UK Psychology Students and Staff to visit India. This initiative receives further support from Global Engagement Hub, Bournemouth University.
The Study in India Programme has been designed in collaboration with BU’s project partner university Symbiosis International in India, where this will be hosted. This exchange will offer a program of interactive lectures, workshops, research methods seminars, clinical experience observations, and relevant field visits.
Students will also contribute to research with Sheetal Astitva, which is a GCRF funded initiative aimed to improve mental health in rural India and Nepal. The lead researchers for this initiative are Prof. Edwin van-Teijlingen and Dr. Shanti Shanker.
Congratulation to FHSS PhD student Sulochana Dhakal Rai who just published her latest article in the Journal of Asian Midwives. The paper ‘Caesarean Section rates in South Asian cities: Can midwifery help stem the rise?‘  is highly topical in this Year of the Nurse and Midwife (see Bournemouth University’s earlier event on YouTube).
Caesarean section (CS) is a life-saving surgical intervention for delivering a baby when complications arise in childbirth. The World Health Organization (WHO) suggests a rate of CS from 10% to 15%. However, CS rates increased steadily in recent decades and have almost doubled from 12.1% in 2000 to 21.1% in 2015. Therefore, this has become a global public health problem. This scoping review gives an analysis of the rising CS use in four South Asian countries: Bangladesh, India, Nepal and Pakistan. The authors conclude that the increasing CS rates in South Asian cities, particularly in specific groups of women, present a challenge to hospital staff and managers and policy-makers. The challenge is to avoid ‘Too Much Too Soon’ in otherwise healthy urban women and avoid ‘Too Little Too Late’ in women living in remote and rural area and in poor urban women.
This paper is co-authored by Dr. Juliet Wood and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Pramod Regmi Lecturer in International Health in the Department of Nursing Science, Dr. Amudha Poobalan at the University of Aberdeen, Dr. Malin Bogren at the University of Gothenburg in Sweden, Prof. Rafat Jan at the Aga Khan University in Pakistan and Dr. Ganesh Dangal at Kathmandu Model Hospital in Nepal and Dr.Keshar Bahadur Dhakal based at Karnali Academy of Health Science also in Nepal. This is Sulochana’s second PhD paper, her first paper was published last year .
- Dhakal Rai, S, Poobalan, A, Jan, R, Bogren, M, Wood, J, Dangal, G, Regmi, P, van Teijlingen, E, Dhakal, K B. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives, 6(2):4–22.
- Dhakal Rai, S., Regmi, P.R., van Teijlingen, E., Wood, J., Dangal, G. and Dhakal, K.B., 2019. Rising Rates of Caesarean Section in Urban Nepal. Journal of Nepal Health Research Council, 16(41): 479-480
Last week FHSS’s Prof. Edwin van Teijlingen held a workshop on ‘academic publishing and writing’ with BU Visiting Professor Padam Simkhada. This event took place at Tribhuvan University, Nepal’s oldest and largest university. The capacity building workshop was organised by HEAN and the Health and Population Education Department at the Central Department of Education at Tribhuvan University. The local charity Green Tara Nepal acted as a facilitator. Bournemouth University has been collaborating with Green Tara Nepal for over a decade!
This capacity building workshop is part of Bournemouth University’s GCRF-funded project called “Sheetal Asthitva” covering India and Nepal. Sheetal Asthitva is the brain child of Dr. Shanti Shanker in the Department of Psychology.
Last week the IOM (International Organization for Migration) in Nepal, the UN Migration Agency published a new report online: Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal. This report mentioned the input and advice of Bournemouth University (BU) staff, including Dr. Nirmal Aryal, who worked on the report prior to his appointment at BU and who is listed as Co-Investigator, furthermore listed as Resource Persons are: Dr. Pramod Regmi and Prof. Edwin van Teijlingen. Working with the charity Green Tara Nepal (GTN) on this study has been good for IOM and BU. All of use have worked on the report in different kind of ways and to different degrees. The publication suggested a corporate authorship as ‘International Organization for Migration’, which is great for the status of the report as it is a UN agency. We feel part of this as BU academics and feel we are part of the team despite this not being a BU publication!
Professor Edwin van Teijlingen
International Organization for Migration (2019) Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal, Kathmandu, Nepal: International Organization for Migration. Available at : https://nepal.iom.int/sites/default/files/publication/Research_on_The_Health_Vulnerabilities_of_The_Cross_Border_Migrants_from_Nepal_0.pdf
Today the International Journal of Environmental Research and Public Health accepted our paper ‘The health of Nepali migrants in India: A qualitative study of lifestyles and risks’ . The research in this paper was funded through Connect India is Bournemouth University’s Hub of Practice for the Indian subcontinent. It brought together a community of researchers, educators, practitioners and students, both at Bournemouth University and across the Indian subcontinent.
The lead author, Dr. Pramod Regmi, is lecturer in International Health in the Department of Nursing & Clinical Science. His co-authors are based in the UK, Nepal and India. BU authors are: Pramod Regmi, Edwin van Teijlingen, Preeti Mahato and Nirmal Aryal as well as BU Visiting Faculty Prof. Padam Simkhada. The International Journal of Environmental Research and Public Health is an interdisciplinary Open Access journal, hence when published this paper will be freely available to readers across the globe, including India and Nepal.
- 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 (forthcoming)
Yesterday the Nepal Journal of Epidemiology published its latest issue which included the paper on ‘Post-Traumatic Stress Disorder among the Flood Affected Population in Indian Subcontinent’ . This Short Communication is co-authored by Prof. Edwin van Teijlingen and two members of the Visiting Faculty in our Faculty of Health & Social Sciences, namely: Prof. Padam Simkhada and Dr. Brijesh Sathian. The Nepal Journal of Epidemiology is an Open Access journal hence this paper is freely available for anybody with internet access to read.
- Asim, M., Mekkodathil, A., Sathian, B., Elayedath, R., N, R., Simkhada, P., & van Teijlingen, E. (2019). Post-Traumatic Stress Disorder among the Flood Affected Population in Indian Subcontinent. Nepal Journal of Epidemiology, 9(1), 755-758. https://doi.org/10.3126/nje.v9i1.24003
Dr. Pramod Regmi and Prof. Edwin van Teijlingen (both in the Faculty of Health & Social Sciences) have been invited to join the scientific committee of the International Conference on Mixed Methods Research [ICMMR-2019]. This year’s ICMMR conference will be held in the School of Behavioural Sciences at the Mahatma Gandhi University in Kottayam (India) on February 22-24, 2019. The two BU academics will run an online panel discussion session on academic publishing under the heading “Meet the editors.” The advantage of such online session is that BU academic don’t have to travel to India saving time and money as well as the environment. This has benefits for their own work-live balance as well as their carbon footprint.
BU focuses its global collaborations on three geographical areas, one of these is the Indian sub-continent. Connect India is BU’s strategic Hub of Practice for the Indian sub-continent, bringing together a community of researchers, educators, practitioners and students at Bournemouth University to collaborate with colleagues in India and Nepal.
On the last working day of 2018 at Bournemouth University we congratulate FHSS student Raksha Thapa on the publication of her first PhD paper in her first PhD year. The paper Uptake of Health Services by People from the Dalit Community was published today in the Journal of BP Koirala Institute of Health Sciences . Raksha is supervised by Dr. Pramod Regmi, Dr. Vanessa Heaslip and Prof. Edwin van Teijlingen.
The paper discusses a variety of studies and reports on the uptake of health services in Nepal and other low-income countries by socio-economic cultural status in South Asia. These reports often focus on limitations due to physical factors, such as travel distance to health facility, or lack of medical facilities or electricity at the health care centre or focus on resources, such as lack of service providers, or lack of appropriately trained staff. Therefore, this article highlights the importance of discrimination as a reason for people not seeking available health care. Discrimination is particularly a barrier to service usage among the most deprived people in society, such as the Dalit community in Nepal and South Asia more generally. The authors discuss the caste-based discrimination in Nepal and its effects on health outcomes of those groups who experience such discrimination.
- Thapa, R., van Teijlingen, E., Regmi, P. , Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of BP Koirala Institute of Health Sciences 1(2): 1-6.
Last Saturday Festival of Learning highlighted BU’s research in the fields of health and migration in South Asia. BU Visiting Professor Padam Simkhada from Liverpool John Moores University (LJMU) presented selected studies with Dr. Pramod Regmi and Prof. Edwin van Teijlingen in the Create lecture theatre. Their work covers some of the recent research conducted in Nepal by staff from the Faculty of Health & Social Sciences. They highlighted two very interesting, but different, projects in particular.
The first one relates to Nepali migrant workers, since some 3.5 million Nepalese (14% of total population) are working abroad; primarily in Malaysia, the Middle East and India. One recent project is focusing on Nepali migrant workers in India. Working abroad is considered a livelihood strategy for many poor people and most Nepalese migrants are involved in semi/unskilled labour, mainly on building sites, in factories, and in domestic work.
The second project focuses on the health and social issue of transgender and the use of hormones. To date there is little literature on hormone use experiences in transgender populations in Nepal, focusing on a study of male-to-female transgender (MTF) populations and the experiences of people using hormone therapy (oral or injection or other replacement therapies).
Festival of Learning event 2018 with an international flavour: exploring recent research projects undertaken in Nepal by staff from the Faculty of Health and Social Sciences. The event focuses on Nepali migrant workers in India, women and migration and explores the health and social issues of transgender and the use of hormone therapy in male-to-female transitioning populations in Nepal.
Fusion Building: Create Lecture Theatre, Bournemouth University on Saturday 16 June 2018 from 5.00-6.00PM
Free tickets can be found here!
Prof. Edwin van Teijlingen, Dr Pramod Regmi & Prof Padam Simkhada (BU Visiting Faculty)
A new multidisciplinary project in South Asia, run between two of Bournemouth University’s Faculties, has recently been funded. The cross-faculty project “Scoping Study to understand the maternal health, ageing and wellness in rural India to develop a grass-root centre addressing these issues” has Dr Shanti Shanker (Psychology) as its principal investigator in collaboration with Prof Edwin van Teijlingen (Human Sciences & Public Health). These BU lead researchers have been working in India and Nepal for more than a decade.
This project was recently awarded £76k from the HEFCE GCRF (Higher Education Funding Council for England, Global Challenge Research Funds) Call, at Bournemouth University. The project will be running from 2017 to 2021 between Maharashtra, India, Nepal and the UK. This important research initiative aligns closely with Bournemouth University’s strategic plan around South Asia through Connect India. Connect India is BU’s hub of practice which focuses on the world’s most populated areas and a global region which is developing rapidly in many ways.
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!