Tagged / interdisciplinary research

Impact of federalisation on Nepal’s health system

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to study the consequences for 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, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS and PHASE Nepal. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., 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.
  5. Wasti, S.P., van Teijlingen, E.Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117https://doi.org/10.1186/s12961-023-01033-2
  6. Sapkota, S., Panday, S., Wasti, S.P., 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.
  7. Adhikary, P., Balen, J., Gautam, S., 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): 1-11.
  8. 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 Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

Student Research Opportunity

As the new academic year begins, so does the recruitment process for a new cohort of Missing Persons Indicator Project researchers. This year, as well as recruiting law students to the project, we are presenting this opportunity to budding researchers across the university. Notably, a new collaboration between the FMC and BUBS has emerged, enhancing the interdisciplinary approach of the project.

 

In collaboration with the International Commission on Missing Persons, students have begun the process of collating indicators to capture the way States engage with, and seek to solve, missing persons cases. These indicators range from understanding contextual factors that could have contributed to a surge of missing persons cases, such as conflict or natural disasters, to international treaty ratification, to domestic legislation.

 

In light of recent headlines concerning conflicts across the globe, students have likely been exposed to stories that highlight the pressing issues of our time, such as missing persons. This voluntary research project offers them a unique opportunity to engage with work that has real-world significance, showing how research can extend beyond the university to make a meaningful impact.

 

Our expectations:

  • Dedicate approximately 8 hours a month to the project (flexible around university commitments).
  • Attend in-person meetings, skills workshops and data collating sessions.
  • Be keen to develop research skills.
  • Work respectfully within a diverse team.

 

 

Student experience:

  • Support into real-world research with lasting impact.
  • Assist in articulating the project into written form to enhance employability.
  • Optional research skills workshops.
  • Inter-disciplinary learning.
  • Feedback opportunities.
  • A well-stocked snack cupboard.

 

If you feel this opportunity would benefit students in your faculty, discipline, or program, please email indicators@bournemouth.ac.uk to request the necessary recruitment paperwork or to arrange a drop-in talk for your students.

 

First EPPOCH study paper accepted for publication

This afternoon the editorial office of Frontiers in Psychiatry informed us that our manuscript “Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison” [1] has been accepted for publication in Frontiers in Psychiatry, section Perinatal Psychiatry.   An interdisciplinary team from Germany, Canada and the UK designed and initiated a longitudinal pregnancy cohort in the United Kingdom titled Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes & Childhood Health (EPPOCH).    In the second half of  2020, we recruited 3,600 pregnant individuals via self-enrollment through our website ‘www.eppoch-uk.org’. Our EPPOCH study has since collected a wealth of validated questionnaire data at multiple time points, from mothers (during pregnancy and postpartum) and their children (from birth to age 3), and we are currently distributing our 4-year childhood follow-up questionnaire. This is the first paper from the EPPOCH study.

The UK team is a collaboration between Bournemouth University and University Hospitals Dorset NHS Foundation Trust, the latter through Professor Minesh Khashu and Dr. Latha Vinayakarao based in Poole Maternity Hospital. The German team is led by Dr. Melanie Conrad, previously at Charité University Medicine Berlin, and now associated with the University of Augsburg, and includes Swarali Datye, PhD student at Charité University Medicine Berlin, whilst our Canadian collaborator, Alison MacRae-Miller, is based at the University of British Columbia, Victoria.  This EPPOCH cohort is closely linked with a sister cohort in Canada called the Pregnancy During the Pandemic (PDP) study.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, (accepted).

Drowning prevention meeting for NIHR-funded study

This week our collaborators on the Sonamoni project traveled from Bangladesh and Uganda to Dorset for a set of research planning meetings.  The visitors represented CIPRB (The Centre for Injury Prevention and Research, Bangladesh) and DWB (Design without Borders).  They were hosted by colleagues from Bournemouth University, the RNLI (Royal National Lifeboat Institute) and from the University of Southampton.  Since Monday we managed to have an intensive week of design workshops, reviewing and incorporating local-community prioritised interventions for child drowning prevention (aged <2years) in Bangladesh.  I say ‘we managed’, but I have been at home all week with COVID-19.  The past few days I was beginning to feel quite well again, so I was unpleasantly surprised that I was still positive when I tested yesterday, and even more so this morning.  Consequently, missing the whole week working with our visiting collaborators.

The Sonamoni project recently presented its own video recording on YouTube,which you can watch here!

Sonamoni is a public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.

 

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Methods or Methodology?

Yesterday our latest methodological paper ‘Methods or Methodology: Terms That Are Too Often Confused’ appeared online. [1]  We recently published a methods paper outlining the difference between Methods and Methodology as so many postgraduate students manage to get it wrong or don’t understand the distinction between the two.  There is a distinct difference between methodology and methods in research. However, too many students, researchers, and authors of academic papers do not seem to pay attention to the crucial difference. This is true not only in education research but also in many other academic disciplines. In simple terms, the term methods refers to the research tools and techniques; for example, in the qualitative field, interviews are a tool to collect data, and in the quantitative field, a questionnaire-based survey is an example of a data collection tool. Methodology is a broader concept as it refers to the overall approach to the research, includes a justification for this approach, and links to research philosophy, i.e., how we produce knowledge. This methodological note aims to explain the confusion, drawing on examples from the published literature in education research and beyond. It also considers the complexities and crossovers. The final section ends with key advice to researchers and authors on key mistakes to avoid regarding the difference between methods and methodology, including covering this in early supervision discussions.

Our interdisciplinary team, based in the UK and Nepal, comprises Dr. Orlanda Harvey in BU’s Department of Sociology & Social Work, Dr. Pramod Regmi in BU’s Department of Nursing Science, Dr. Preeti Mahato from Royal Holloway, University of London, Dr. Shovita Dhakal Adhikari, London Metropolitan University, Dr. Rolina Dhital, based at Health Action & Research in Nepal and Prof. Edwin van Teijlingen in BU’s Department of Midwifery & Health Sciences.  In addition it is worth mentioning that both Preeti and Shovita are both former member of staff in the Faculty of Health & Social Sciences (FHSS) at BU.  Finally, although the official publication date is Sept 2023, it only appeared online yesterday.  This new methods paper is part of growing series of methods papers by members of this team of academics [2-12].

 

References:

  1. Harvey, O., Regmi, P. R., Mahato, P., Dhakal Adhikari, S., Dhital, R., van Teijlingen E. (2023) Methods or Methodology: Terms That Are Too Often Confused. Journal of Education & Research, 13(2): 94-105.
  2. Regmi, P.R., Waithaka, E., Paudyal, A., Simkhada, P., van Teijlingen, E. (2016) Guide to the design and application of online questionnaire surveys. Nepal Journal of Epidemiology 6(4): 640-644. http://www.nepjol.info/index.php/NJE/article/view/17258
  3. Regmi, PR., Aryal, N., Kurmi, O., Pant, PR., van Teijlingen, E, Wasti, PP. (2017) Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics 17(2):84-89.
  4. Mahato, P., Angell, C., van Teijlingen, E., Simkhada, P.P. (2018) Using Mixed-methods Research in Health & Education in Nepal, Journal of Health Promotion Official Publication of Health Education Association of Nepal (HEAN), 6: 45-48.
  5. 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. https://doi.org/10.3126/hprospect.v18i1.19337
  6. Dhakal Adhikari, S., van Teijlingen, E., Regmi,P., Mahato, P., Simkhada, B., Simkhada, P. (2020) The presentation of academic self in the digital age: the role of electronic databases, International Journal of Social Sciences & Management 7(1):38-41.
  7. Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences 3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
  8. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7. https://doi.org/10.18332/ejm/147444
  9. Mahato, P., Tamang, P., Simkhada, B., Wasti, S. P., Devkota, B., Simkhada, P., van Teijlingen, E.R. (2022) Reflections on health promotion fieldwork in Nepal: Trials and tribulations. Journal of Health Promotion 10(1): 5–12. https://doi.org/10.3126/jhp.v10i1.50978
  10. Khatiwada, S., Gautam, P., Koju, A., Niraula, B., Khanal, G., Sitaula, A., Lamichhane, J., Regmi, P., van Teijlingen, E (2023). Patient and Public Engagement in Health Research: Learning from UK Ideas. Journal of Manmohan Memorial Institute of Health Sciences, 8(1): 28–35. https://doi.org/10.3126/jmmihs.v8i1.57268
  11. Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
  12. Harvey, O., van Teijlingen, E., Parrish, M. (2024) Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online 29(1): 221–232 https://journals.sagepub.com/doi/pdf/10.1177/13607804221142212

Bid-generating Sandpit: Interdisciplinary Research towards Sustainable Development Goals

Illustration of a lightbulb with a group of people inside around a circular table, with computers and papers. They are clearly working together.

Register here

Calling early career researchers (including practice-led) for two days of sparking ideas, discovering new project partners, and developing interdisciplinary funding bids!

30 April – 1 May 2024

Bournemouth

Day 1 begins at 1230, Day 2 finishes at 1630, to enable travel from external universities.

The British Academy Early Career Researcher Network and Bournemouth University’s Centre for the Study of Conflict, Emotion, and Social Justice invite applicants for a two-day research collaboration, networking, and grant development event.

Participate in dynamic and interactive sessions to develop innovative research concepts addressing any of the United Nations Sustainable Development Goals (UNSDGs), leading to funding bids across institutions and disciplines. Your goal is to form an interdisciplinary project team and build a funding proposal in only two days.

This two-day sandpit will be supplemented with two online follow-up sessions (summer and autumn 2024) to share your project progress and experiences.

We welcome any South West-based early career (as you choose to define it) researcher, artist, practitioner or anyone with a general interest in sustainability and emerging interdisciplinary projects. You must be based at one of the South West Cluster Universities. You should be keen to work in a multidisciplinary team, and willing to commit to attending the full sandpit, on both days. No prior experience of research funding is required.

To secure your spot in the Sandpit, please complete and submit the following application – note that all participants must commit to attending both full days:

APPLY HERE BY 8 MARCH 2024https://forms.office.com/e/AkaeieQHKx

The event is facilitated by Dr. Catalin Brylla and Dr. Lyle Skains, with advisors to be drawn from senior Bournemouth University staff based on participant disciplines and interests.

If you have any queries, please don’t hesitate to contact us.

Ageing and Dementia Research Forum – 26th January – Accessible Tourism

Details of the next ADRC ageing and dementia research forum are listed below. The forum is an opportunity for staff and PhD students to get together to chat about research and share experiences in a safe and supportive environment. Specific topics are discussed but there is also time for open discussion to mull over aspects of research such as project ideas and planning, ethical considerations and patient and public involvement.

Date, time, and campus Research areas
26th January 2023

15.30-16.45

BG601, Bournemouth Gateway

Lansdowne Campus

‘Accessible Tourism for Ageing and Dementia travellers’

Professor Dimitrios Buhalis and Dr Daisy Fan

Please confirm attendance by email to adrc@bournemouth.ac.uk

If you would like to discuss your research ideas at a future meeting, please email Michelle mheward@bournemouth.ac.uk

We look forward to seeing you there.

Ageing and Dementia Research Centre