Congratulations to PhD student Mrs Preeti Mahato who has a research methods paper published based on her PhD study in Nepal . In the areas of health promotion and health education, mixed-methods research approach has become widely used. In mixed-methods research, also referred to as multi-methods research, researchers combine quantitative and qualitative research designs in a single study. This paper introduces the mixed-methods approach for use in research in health education. To illustrate this pragmatic research approach the paper includes Preeti’s thesis as an example of mixed-methods research as applied in Nepal.
The paper, in the Journal of Health Promotion, is co-authored by Preeti’s PhD supervisors Dr. Catherine Angell and Prof. Edwin van Teijlingen (both in the Centre for midwifery, Maternal &Perinatal Health) and BU Visiting Faculty Prof. Padam Simkhada.
- 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.
Congratulations to Prof. Vanora Hundley of FHSS on the publication of her ‘Editorial midwifery special issue on education: A call to all the world’s midwife educators!’ in Midwifery (Elsevier). This editorial is co-authored by midwives Franka Cadée of the International Confederation of Midwives (ICM) and Mervi Jokinen of European Midwives Association (EMA). The editorial was written to accompany a Special Issue of the journal focussing on midwifery education. The Midwifery Special Issue addresses a wide range of topics from across the globe. Whilst the editorial explores the challenges for midwifery educators from three diﬀerent midwifery perspectives: (1) political; (2) academic ; and (3) professional association.
Congratulations to all three authors!
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- Hundley, V., Cadée, F., Jokinen, M. (2018) Editorial midwifery special issue on education: A call to all the world’s midwife educators!, Midwifery 64: 122-123
Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics. The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany. Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
Prof. Edwin van Teijlingen
In the first week of July Bournemouth University ran its second international midwifery education conference in the Executive Business Centre. This year’s conference was called ‘What works in midwifery education? A conference run by midwifery educators for midwifery educators.’ CMMPH (Centre for Midwifery, Maternal & Perinatal Health) brought together nearly 100 delegates on Thursday and Friday (July 5-6). There were presentations and posters from midwifery educators based in in all four countries of the UK, Germany, Belgium, Switzerland and Australia, resulting in lively stimulating debates.
The conference organisers has teamed up with the leading scientific journal in the field Midwifery (published by Elsevier). To coincide with BU’s conference Midwifery published this month its special issue on Midwifery Education. This special issue was introduced at the conference by Dutch midwife Dr. Ans Luyben, one of the special issue’s editors.
The conference awarded two prizes for the best poster. One prize was for the best academic poster and one voted by the conference audience. The former prize was won by a poster from NHS Education for Scotland. The public’s poster prize was won by a poster from the University of Bradford jointly produced by film students and student midwives.
The main conference organisers Dr. Catherine Angell and Dr. Sue Way from CMMPH said afterwards that the success of the conference means that CMMPH will organise a third midwifery education conference run for and by educators in three years’ time.
Congratulations to Faloshade Alloh (PhD student in Faculty of Health and Social Science), Dr. Pramod Regmi (Lecturer in International Health), Abe (Igoche) Onche (BU graduate MSc in Public Health) and Dr. Stephen Trenoweth (Principal Academic and Leaded for BU iWell Research Centre) on the timely publication of their paper on mental health in developing countries .
Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in poorer countries. The paper addresses mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. This exciting paper has 51 references including several linking to BU publications on research in Africa [2-3] and several papers related to South Asia [4-6], particularly highlighting the recently completed THET project that was led by BU [4-5].
The authors highlight that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. The authors suggest that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal and Perinatal Health (CMMPH)
Click here to view the full publication.
- Alloh, F.T., Regmi, P., Onche, I., van Teijlingen E., Trenoweth, S. (2018) Mental health in low- and middle income countries (LMICs): Going beyond the need for funding, Health Prospect 17 (1): 12-17.
- Alloh F, Regmi P, Hemingway A, Turner-Wilson A. (2018) Increasing suicide rates in Nigeria. African Health Journal [In Press].
- Alloh FT, Regmi PR. (2017) Effect of economic and security challenges on the Nigerian health sector. African Health Sciences. 17 (2):591-2.
- Acharya DR, Bell JS, Simkhada P, van Teijlingen ER, Regmi PR. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health. 7 (1):15.
- Simkhada B, Sharma G, Pradhan S, Van Teijlingen E, Ireland J, Simkhada P, et al. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey. Journal of Manmohan Memorial Institute of Health Sciences. 2:20-6.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. https://authors.elsevier.com/c/1Wu2axHa5G~S-
- Regmi PR, Alloh F, Pant PR, Simkhada P, van Teijlingen E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet. 389 (10072):904-5.
The first review by a Bournemouth University academic in the prestigious journal American Anthropologist was published in its February issue. Dr. Sue Sudbury who is Principal Academic in Media Production reviewed the film ‘The Anthropologist’ . She wrote in this Open Access review that this film raises many interesting issues about the role of the anthropologist and deftly illustrates the divide that exists when different cultures come together. Her conclusion of the review is that ‘The Anthropologist’ is an intriguing and memorable film about environmental anthropologists and the important work they do collecting and telling the stories of people whose lives are being reshaped by climate change. It is also about the relationship between female anthropologists and their daughters. As such, it does an important job of introducing the subject and will no doubt generate discussion, but it is not an anthropological film and doesn’t claim to be.
The second one, a book review this time, appeared this week in the June issue. Prof. Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) reviewed the book Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by the American anthropologist Sheila Cosminsky . He reminds the reader that some of the work in this book work has previously been published in articles, as clearly stated in the acknowledgments (p. xii). He highlights that “on reading the book I remembered with joy snippets from some of the articles on Doña María I read nearly thirty years ago while working on my PhD thesis.” Cosminsky does a great job of bringing together a lifetime of anthropological (field)work in a comprehensive and easy‐to‐read book.
It is not often that we see reviews written by BU staff in this impressive journal, let alone two in subsequent issues.
- Sudbury S. (2018) The Anthropologist Seth Kramer, Daniel A. Miller, and Jeremy Newberger, dirs. 81 mins. English, Russian, Sakha, Kiribati, Spanish, and Quechua with English subtitles. New York: Ironbound Films, 2015, American Anthropologist 120(1): 169-170.
- van Teijlingen E. (2018) Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by Sheila Cosminsky, American Anthropologist 120(2): 369.
The researcher as tourist: “Photographing the photographer”
Our next Photo of the Week is Edwin van Teijlingen‘s photo taken in the Nawalparasi district of Nepal. This weekly series features photo entries taken by our academics, students and professional staff for our annual Research Photography Competition, which gives a glimpse into some of the fantastic research undertaken across the BU community.
In early 2017, Bournemouth University led the last of six one-day training sessions in Nepal. This project in improving maternal mental health involved bringing UK volunteers to this South-Asian country to do the training. The training was conducted jointly by UK volunteers and Nepali-speaking trainers and translators. The project, under the Health Partnership Scheme (HPS), was funded by the UK Department for International Development (DfID) and managed by THET (Tropical Health & Education Trust).
The project centred on Auxiliary Nurse Midwives working in birthing centres in Nawalparasi. This is relatively poor a district in the south of Nepal, bordering India. Since the training site was very close to Lumbini, the birthplace of Buddha, we always tried to take volunteers there for a visit. This photo was taken just outside of the main building (not in view). It shows many Nepali visitors to the site trying to get a photograph of, or be in a photograph with, our fair-haired Scottish volunteer, Dr. Flora Douglas.
Edwin van Teijlingen is a Professor of Reproduction Health. For more information about this research, please contact Edwin here.
Congratulations to FHSS PhD students Preeti Mahato and Elizabeth Waithaka, FHSS academics Drs. Catherine Angell and Pramod Regmi and BU Visiting Faculty Prof. Padam Simkhada (Based at Liverpool John Moores University) on the publication of their latest paper: ‘ Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal’ . The paper appeared in Health Prospect: Journal of Public Health.
Mahato, P.K., Regmi, P.R., Waithaka, E., van Teijlingen, E., Simkhada, P., Angell, C. . Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal. Health Prospect, 16 (2): pp. 13-17, May. 2018.
Available at: <https://www.nepjol.info/index.php/HPROSPECT/article/view/19903/16389>. Date accessed: 14 May. 2018. doi:http://dx.doi.org/10.3126/hprospect.v16i2.19903.
Rebecca Weston, BU student midwife, on the publication of her article: ‘When all you want to do is run out of the room…‘ Rebecca published this reflective piece in May issue of the journal The Practising Midwife. She wrote it shortly after having been involved in “a traumatic, sudden and heart-breaking event in practice”. Reflection is certainly beneficial in experiential learning, developing critical thinking and integrating midwifery theory and practice.
It is my pleasure to wrote this BU Research Blog to congratulate Rebecca today on the International day of the Midwife.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
This week’s inaugural meeting of the Dorset Global Health Network was a great success. It was sold out on ‘Eventbrite’ long before day of the event (25th of April). The inaugural meeting held at Bournemouth University (BU) focused on Nepal. The evening was opened by Dr. Emer Forde who is GP Programme Director, Health Education Wessex (Dorset) and member of BU’s Centre for General Practice. She spoke of her and her son’s recent experience in her presentation ‘Voluntourism in Nepal : A lesson in the grey areas of global health.’
The second short presentation was by Prof. Edwin van Teijlingen for BU’s Centre for Midwifery, Maternal & Perintal Health (CMMPH). His presentation with the title ‘The challenge of perinatal mental health in Nepal’ covered issues around maternal mental health, auxiliary nurse-midwives and stigma and culture in southern Nepal. The project brought together academics, midwives, nurses, and other health workers in Nepal and the UK to help in the training of auxiliary nurse midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
The third speaker and final speaker Dr Ollie Ross, Consultant Anaesthetist at Southampton General Hospital, introduced the film ‘Hospital’. The film provides a portrait of a state-run hospital in one of the most remote and poor districts of Nepal and how individuals can make a difference to people’s lives. Dr Ross is also a consultant to the Nick Simons Foundation working in Nepal. According to The Nepali Times Nepal’s most accomplished documentary maker, Kesang Tseten, has a knack of bringing out in his films the best in people. He looks for the flower that grows amidst the squalour, and tries to spread a message of hope. His film, Hospital, returns to rural Nepal to portray a hospital in Kalikot where ordinary health workers accomplish extraordinary things.
The event was organised by the Dorset Primary Care Workforce Centre in collaboration with Bournemouth University and the Wessex Global Health Network.
This week saw the pre-publication of ‘Qualitative evaluation of mental health training of auxiliary nurse midwives in rural Nepal’ in the international journal Nurse Education Today (published by Elsevier). The paper is a report of an evaluation of a THET-funded projectwhich run from 2015 to 2017. Bournemouth University led a team comprising Liverpool John Moores University and Tribhuvan University (the oldest university in Nepal). These three universities worked together on a training project of Auxiliary Nurse Midwives in Nawalparasi focusing on key aspects of mental health and mental health promotion. The project was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
Mental illness is increasingly recognized as a global health problem. However, in many countries, including Nepal, it is difficult to talk about mental health problems due to the stigma associated with it. Hence a training programme was developed to train auxiliary nurse midwives, who otherwise are not trained in mental health as part of their pre-registration training in rural Nepal, on issues related to maternal mental health. After the training programme a selection of auxiliary nurse midwives were interviewed to establish their views on the training, its usefulness and ways to improve it.
Preeti Mahato is a PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) who undertook an in-depth evaluation of our project as part of her PhD research. This qualitative study has three themes emerging: (1) issues related to training; (2) societal attitudes; and (3) support for women. The ‘training’ theme describes the benefits and limitations of training sessions. ‘Societal attitudes’ describes society’s attitude towards mental health which is largely negative. ‘Support’ describes the positive behaviour and attitude towards pregnant women and new mothers.
The paper concludes that there is a need for continued training for auxiliary nurse midwives who are based in the community. This gives them the opportunity to reach the whole community group and potentially have influence over reduction of stigma; offer support and diagnosis of mental ill-health. There is still stigma around giving birth to a female child which can lead to mental health problems. It is imperative to increase awareness and educate the general public regarding mental health illnesses especially involving family members of those who are affected.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
Charlotte is a midwife and in her first year of doctoral studies in FHSS, exploring the impact that living on a low income has on women’s experiences of pregnancy, maternity care and parenting.
Charlotte recently applied to BU’s ‘destination summer school programme’ in Indonesia and her application was successful. The programme will take place at the BINUS University in Jakarta, Indonesia in June 2018 and is designed for students from BU and BINUS University to work together on projects that address one or more of the Sustainable Development Goals (SDG). The SDG’s are a collection of 17 goals set by the United Nations for countries to work towards achieving. The goals are interrelated although each has its own targets and they cover a broad range of social and economic development issues. These include poverty, hunger, health, education, climate change, gender equality, water, sanitation, energy, environment and social justice. Charlotte says, ‘Collaborating with others on these projects will foster the development of my global mind-set and enhance my competence as a researcher interested in health and social sciences research’.
Charlotte applied to the programme for the opportunity to develop her knowledge of issues such as poverty and gender equality, both of which are relevant to her research topic. In order for Charlotte’s research to be impactful and authentic she believed it important to listen to and learn from others and hopes the summer school programme will assist her in achieving this. Charlotte will translate the knowledge gained from the experience into her own research and competence as an early-career researcher. Charlotte looks forward to being able to share these experiences with you all on her return.
Congratulations to two Faculty of Health & Social Sciences PhD students, Preeti Mahato and Elizabeth Waikhaka, who co-authored a paper published in the WHO South-East Asia Journal of Public Health. Their paper is called ‘Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries’. Co-authors include Dr. Puspa Pant from the Centre for Child and Adolescent Health, University of the West of England (Bristol) and Dr. Animesh Biswas based at the Reproductive & Child Health Department, Centre for Injury Prevention & Research, Bangladesh (CIPRB) in the capital of Bangladesh, Dhaka.
The authors argue that verbal autopsy is used to attribute a clinical cause to a maternal death. The aim of social autopsy is to determine the non-clinical contributing factors. A social autopsy of a maternal death is a group interaction with the family of the deceased woman and her wider local community, where facilitators explore the social causes of the death and identify improvements needed. Although still relatively new, the process has proved useful to capture data for policy-makers on the social determinants of maternal deaths. This article highlights the potential role of social autopsy in health promotion.
- Mahato, P.K, Waithaka, E., van Teijlingen, E., Pant, P.R., Biswas, A. (2018) Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries. WHO South-East Asia Journal of Public Health 7(1): 24–28.
Today BMC Pregnancy & Childbirth published the latest paper by a PhD student at Bournemouth University. Our congratulations go to Alice Ladur in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), who published `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom . This paper is based on her PhD research and co-authored with her supervisors.
The paper addresses issues around men’s involvement in programmes or interventions aimed at the improvement of maternal health. One such innovative intervention is an educational board game which offers a unique approach to present health information where learning is reinforced through group discussions supporting peer-to-peer interactions. The authors would like to thank Gill Phillips for permission to use the Whose Shoes? board game and all participants for their participation in the PhD study.
Alice PhD is focused on Uganda and this particular paper reports a qualitative study with men from Uganda who live in the UK on their views of an educational board game. This pilot study explored perceptions on whether a board game was relevant as a health promotional tool in maternal health prior to implementation in Uganda.
- Ladur, A.N., van Teijlingen, E., Hundley, V. (2018) `Whose Shoes?’ Testing an educational board game with men of African descent living in the United Kingdom, BMC Pregnancy & Childbirth 18:81. http://rdcu.be/JXs0
Congratulations to Daisy Wiggins in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol’. The paper is published in the Open Access journal Journal of Innovation in Health Informatics and can be accessed by clicking here! The paper is co-authored by CMMPH’s Prof. Vanora Hundley, Dr. Carol Wilkins, as well asProf. Carol Bond (University of Wolverhampton) and the Chief Executive of the Royal College of Midwives (RCM) Gill Walton.
Congratulations to all!
Prof. Edwin van Teijlingen
Wiggins D, Hundley VA, Wilkins C, Bond C, Walton G. The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol. J Innov Health Inform.2018;25(1):001–006.
Congratulations to Mrs. Preeti Mahato on the acceptance of her paper ‘Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal’ by Nurse Education Today, an academic journal published by Elsevier. Preeti is currently registered as PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The paper is co-authored by CMMPH’s Catherine Angell and Edwin van Teijlingen as well as BU Visiting Faculty Padam Simkhada and Jillian Ireland. The paper is a result of the evaluation part of the ‘Mental Health Training for Community-based Maternity Providers in Nepal’ project and written on behalf of this THET team.
Our THET project in Nepal is a collaboration between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Tribhuvan University (Nepal’s oldest university) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a charity Green Tara Nepal.
Edwin van Teijlingen, Padam Simkhada, Shyam K Maharjan Preeti Mahato, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Shyam K Maharjan, Ram K Maharjan, Catherine Angell, Flora Douglas.
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 weekend Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal signed a Memorandum of Agreement (MoA) with Bournemouth University (BU). The ceremonial signing took place on the final day (24th Feb.) of the International Conference on Quality Education in Federal Nepal. Prof. Stephen Tee, who also spoke at the conference, represented our university.
The UoA formalises a long-standing collaboration between the two institutions. MMIHS and BU academics have jointly applied for research grants, conducted collaborative research and published together. Several BU staff [1-3] and students  in the Faculty of Health & Social Sciences have published in the Journal of Manmohan Memorial Institute of Health Sciences, an Open Access journal. Moreover, Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal and Perinatal Health has been a Visiting Professor at MMIHS for nearly a decade and has given several guest lectures over the years to staff and students at MMIHS.
- van Teijlingen, E., Simkhada, P., Luce, A., Hundley, V. (2016) Media, Health & Health Promotion in Nepal, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 70-75. http://www.nepjol.info/index.php/JMMIHS/article/view/15799/12744
- Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences 3(1): 1-5.
- van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
- Vickery, M. van Teijlingen, E., (2017) Female infanticide in India and its relevance to Nepal Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 79-85.