Tagged / Nepal

New PhD publication on Nepal’s migrant workers

Congratulations to BU postgraduate student Yagya Adhikari, who has just been informed by the editor of the Journal of Immigrant & Minority Health that his paper “Parental migration for work and psychosocial problems among left-behind adolescents in Nepal” [1] has been accepted for publication.  Yagya’s PhD is based in the Faculty of Health, Environment & Medical Science.  He is supervised by Dr. Pramod Regmi and Prof. Edwin van Teijlingen with support from Mr. Sudip Khanal, Lecturer in Biostatistics, at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.  This is the second paper from Yagya’s PhD the first one was published at the start of his PhD studies [2].  Both papers are published in Open Access journals and therefor will be freely available to read by anyone in the world with internet access.

 

References:

  1. Adhikari, Y.R., van Teijlingen, E., Regmi, P.R., Khanal, S., Parental migration for work and psychosocial problems among left-behind adolescents in Nepal, Journal of Immigrant & Minority Health (forthcoming)
  2. Adhikari, Y.R., Regmi, P.R., Devkota, B., van Teijlingen, E.R. (2022) Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10(1):1–4. https://doi.org/10.3126/jhp.v10i1.50976

New Centre for Midwifery & Women’s Health (CMHW) paper on Nepal

Last week the international Journal of Water, Sanitation and Hygiene for Development emailed to tell that our paper ‘Exploring handwashing knowledge and practice among lactating mothers in Kathmandu’s slum communities[1] had been accepted for publication.

It is widely known that poor access to good quality water, sanitation, and hygiene (WASH) lead to high morbidity in young children. The paper reports on a cross-sectional study conducted with 127 breastfeeding mothers in two slum settlements in Nepal’s capital.  It found that most had a good knowledge of WASH and appropriate washing of hands. However, the prevalence of illness among children whose mothers had only basic education was 26% higher than those whose mothers had completed secondary education. Family income and hand-washing practice were also significantly associated with child health (p < 0.01). Nearly three in four (73.2%) of children had experienced health issues, particularly diarrhoea, in the past half year.

The authors concluded that strengthening maternal hand-hygiene education programmes, particularly for lactating mothers, and improving WASH infrastructure are necessary, as well as promoting affordable hand-washing solutions in urban slums.

Prof. Edwin van Teijlingen

 

Reference:

  1. Devkota, G.P., Sharma, M.K., Sherpa, S., Khanal, T.R., Devkota, B., van Teijlingen, E. (2025) Exploring handwashing knowledge and practice among lactating mothers in Kathmandu’s slum communities, Nepal, Journal of Water, Sanitation and Hygiene for Development, 15:1-10. doi: 10.2166/washdev.2025.084

Nepal migrant workers returning from India

Nepal has been in the world news this week for the wrong reasons, with young protesters burning down the parliament, and damaging many government building in all seven provinces.  Some 30 young people died in the process and and thousands of sometimes dangerous prisoners were freed.   After the political and social upheaval in the country this past week, Nepalese migrant workers are beginning to return home from India to be with their families. Today (Friday 12th September) the BBC online reported under the heading ‘Worried migrants head home from India after Nepal turmoil‘.

The journalist interviewed both migrant workers and students from Nepal living in India.  The piece also cited several studies on Nepalese migrant workers in India, including a Bournemouth University (BU) study with the title ‘The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks[1].  This publication is one of the many published papers on the health and well-being of Nepalese migrant workers conducted in BU’s Faculty of Health, Environment & Medical Sciences.  The lead author of this paper in theInternational Journal of Environmental Research and Public Health is Dr. Pramod Regmi, Principal Academic in International Health. 

 

References:

  1. Regmi PR, van Teijlingen E, Mahato P, Aryal N, Jadhav N, Simkhada P, Zahiruddin QS, Gaidhane A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. Int J Environ Res Public Health. 16(19):3655. doi: 10.3390/ijerph16193655.

 

UK Turing Scheme: My student mobility programme in Nepal

My name is Anjana Regmi Paudyal, and I am a PhD student in the Faculty of Health, Environment and Medical Sciences (HEMS), Bournemouth University (BU). My doctoral research focuses on modern slavery, particularly the opportunities and barriers to survivors reintegrating into their families and communities. I was honoured to take part in the Turing Scheme traineeship and other international academic activities in Nepal, which became a truly transformative experience both personally and professionally. The Turing Scheme lasted four weeks and was hosted by the Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.

My traineeship was arranged through Bournemouth University in partnership with MMIHS in Kathmanduand it was supported by my BU supervisors Dr. Orlanda Harvey and Prof. Edwin van Teijlingen. I chose this placement because MMIHS has a strong research culture and offers opportunities to collaborate with students, faculty, and NGOs working in migration and modern slavery.

From the very beginning, I felt warmly welcomed by academics and students, which helped me settle in quickly. The first week was spent getting to know the university, its values, and its research culture. I particularly enjoyed informal discussions with first- and second-year MSc students, where we shared ideas and experiences across different academic settings.

By the second week, the focus shifted towards intensive academic engagement. I participated in a research workshop on grant applications, systematic reviews, and qualitative research methods led by expert guest speakers. These sessions sharpened my skills in data analysis and literature reviews, giving me fresh insights into areas highly relevant to my own PhD. Alongside this, I began engaging with NGOs (Non-Governmental Organisations) working in the field of migration and modern slavery. I met with Ms. Manju Gurung, Director of POURAKHI Nepal, an organisation that supports female returnee migrants and survivors of trafficking. I also gathered policy documents and insights from Green Tara Nepal (GTN) and the Nepal Development Society (NeDS), both of which have significant experience in migration health. These connections will help to shape my upcoming PhD fieldwork.

During the third week, it was my turn to share. I presented my PhD project, and my approach, using photo elicitation, is relatively new in Nepalese research, therefore, it sparked great curiosity among students and faculty. The discussions that followed were highly rewarding, especially around ethical considerations and practical challenges. I was struck by the students’ engagement, particularly the second-year MSc cohort, who found the sessions useful for their own research journeys.

As my time in Nepal came to an end, I reflected on the differences between teaching and learning styles in the UK and Nepal. I spoke with students about the UK system, where independent study and varied assessment methods are emphasised, which was particularly valuable for those considering postgraduate studies abroad. Beyond academia, I was fortunate to experience cultural festivals within and beyond Kathmandu Valley, which deepened my appreciation of Nepal’s vibrant traditions and community spirit.

I was fortunate to witness the “Gaijatra Festival” in Bhaktapur, Nepal. Gai Jatra is a Newari Hindu festival that honours deceased loved ones by parading decorated cows or children dressed as cows through the streets. The belief is that cows guide souls to the afterlife. Celebrated around the August full moon, the festival features music, dance, humor, and satire to provide comfort to grieving families and encourage them to embrace life despite their loss.

Looking back, this traineeship not only enhanced my academic and research skills but also strengthened my confidence in working across cultures and linking theory with practice. It confirmed my motivation to pursue a global research career and taught me the importance of being open, flexible, and curious. My greatest achievement was being able to present and discuss my methodology with such an engaged audience, while also building long-term connections with NGOs and academic partners.

I would wholeheartedly recommend the Turing Scheme to other students. It is challenging but deeply rewarding, offering the chance to grow personally, academically, and professionally while contributing meaningfully to international collaborations.  The environment at MMIHS was welcoming, though more structured compared to the UK. Students showed huge interest in UK teaching and assessment styles. Most academic sessions were in English, but some conversations were in Nepali, which helped me practice my language skills and build rapport.

If you get the opportunity: Say yes to goin abroad on the Turing Scheme.  It challenges you, but the growth and insights are worth it. I am much more confident working with diverse groups, whether in academic or NGO settings. Presenting my PhD methodology in Nepal and receiving recognition and engagement from students and academics. Academic presentation, intercultural dialogue, trauma-informed sensitivity, networking with NGOs, and collaborative learning. Absolutely. The Turing Scheme was transformative for both my personal and professional development.

Conducting training in Kathmandu by BU academic

This week Dr. Pramod Regmi, who is Principal Academic in International Health in the Faculty of Health & Social Sciences, taught a CPD refresher workshop on systematic reviewing in Kathmandu.  This workshop is part of our long-standing Memorandum of Agreement between Bournemouth University (BU) and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal.  The teaching aimed to refresh knowledge and provide practical training on various aspects of the systematic review process, including literature searching, study selection, data extraction, critical appraisal, and synthesis. The programme, which included both staff and Master students, was jointly organized by MMIHS and BU.

May be an image of 8 people and text that says "HEALTHSCIENCES SCIENCES अफहेलसाराइन्सेज હહર इन्सज"

The staff at MMIHS also welcome BU’s Ph.D. student Ms. Anjana Paudyal.  Anjana is currently in Nepal as part of the UK’s Turing Scheme Traineeship Programme.  Over the past few years MMIHS have kindly hosted several BU students who came to Nepal under the Turing Scheme.  Anjana’s Ph.D. focuses on human trafficking, which is form of modern slavery.  Despite being a global problem, modern slavery is understudied and poorly understood. Victims of modern slavery are exploited and can experience significant physical, psychological, or sexual, and reproductive health problems. Until recently, there has been little research in this field, especially in low-income countries such as Nepal.  Anjana”s Ph.D. fits in with BU’s collaboration with the US-based La Isla Network, the Johns Hopkins University Bloomberg School of Public Health and the Nepal Development Society (for details click here!).   Led by La Isla Network, we are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

AI and Visual Anthropology & Sociology

Scholars worldwide are in dialogue about using Artificial Intelligence (AI) in various fields of research.  Of course, AI can make certain kinds of work more efficient, this is also the case in social science research. Although ethical use of AI is still fuzzy, the use of AI in visual anthropological and sociological research that entails the Interpretive Approach raises several questions. The editorial  team of Dhaulagiri Journal of Sociology and Anthropology, including BU’s Professor Edwin van Teijlingen, just published a research note raising three key questions: First, are researchers satisfied with the interpretation (the meaning created) by AI, i.e., the authenticity of the interpretation?; (b) Secondly, can AI reach the depth of the details of the visual object being interpreted? And thirdly, what ethical issues would AI-based research encounter if AI were highly supportive?

They agree that answering these questions is not easy. Since a detailed analysis of these components needs rigorous research work, we consider issues that will be the basis for further research in this editorial note. Hence, the purpose of this editorial note is to bring the research agenda to the forefront of researchers for further investigation rather than answering specific research questions mentioned above.

 

Reference:

  1. Khattri, M. B., Pandey, R., Roy, R. K., Subedi, M., van Teijlingen, E., Parker, S., & Bhandari, P. (2025). Ethical Dilemmas in Visual Anthropology and Sociology in the Era of Artificial Intelligence. Dhaulagiri Journal of Sociology and Anthropology19(1), i-v. https://doi.org/10.3126/dsaj.v19i1.80819

Academics write for newspaper in Nepal

Yesterday the online newspaper Online Khabar in Nepal published an opinion piece in English written by three Bournemouth University academics working with a colleague in Kathmandu.  This interdisciplinary piece ‘Resilient through experiences: Unlocking the entrepreneurial prowess of Nepal’s left-behind women‘ brings together ideas gained from many different studies and disciplines.  The three authors from Bournemouth University are: Dr. Sukanya Ayatakshi-Endow, Prof. Edwin van Teijlingen, and Dr. Pramod Regmi, and they collaborated with Dr. Rashmee Rajkarnikar who is based at Nepal’s oldest and largest university, Tribhuvan University.  The four authors brings insights from economics, business studies, sociology, women’s studies, migration studies and health.

New paper published on disability in women & girls

Yesterday (25 June) the online journal PLoS One published ‘Life-time experience of violence among women and girls living with disability in Nepal‘ our latest study on disability in Nepal [1].  This cross-sectional study was conducted in 28 municipalities representing all seven provinces as well as all three ecological regions of Nepal. A total of 1,294 women and girls with disability aged 15–59 years participated in  2021. We trained local enumerators using the KoBo application on smartphones or tablets. Both written and oral informed consent was sought from all participants. Cross-tabulations were performed in STATA 18 to determine the distribution of the prevalence of violence. Also, bivariable and multivariable logistic regression models were fitted to establish association between the participants’ characteristics and odds of experiencing violence.

Overall, 457 (35.32%) women living with disabilities had ever experienced violence at a point in their lifetime. Psychological/emotional violence was the most prevalent violence (74.40%) followed by physical violence (31.07%) and denial of services (28.67%). Age was positively associated with the likelihood of experiencing violence. Women belonging to the Brahman/Chhetri ethnic group had reduced odds of violence [AOR = 0.56; 95%CI: 0.37–0.85] compared to Hill Dalits. Divorced or separated women showed a markedly higher likelihood of experiencing violence [AOR = 6.69; 95%CI: 2.31–19.40] compared to currently married women. Participants who had not witnessed violence against other women exhibited significantly higher odds of experiencing violence [AOR = 1.86; 95%CI: 1.20–2.89]. Women living in the Koshi province [AOR = 4.04; 95%CI: 2.54–6.42], Madhesh province [AOR = 2.16; 95%CI: 1.15–4.08] and Bagmati province [AOR = 2.21; 95%CI: 1.41–3.46] reported significantly higher odds of experiencing violence compared to those in Karnali.

The paper concludes oncludes that age, ethnicity, marital status, and provincial residence are significant predictors of violence among women and girls living with disability in Nepal. Interventions aimed at addressing violence against women living with disability in Nepal must prioritize older women and those who were previously married. Also, policy-makers may want to consider giving priority must be given to those provinces where the prevalence and risk of experiencing violence is highest.

The study was funded The United Nations Women Trust Fund,  and the paper is freely available in the Open Access journal.  We previously published on research into disability in Nepal in 2023 [2].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Visiting Faculty, Centre for Disability Studies, Mahatma Gandhi University, Kerala, India.


References:

  1. Simkhada P, Basnet S, Sharma S, van Teijlingen E, Wasti SP, Dahal T, et al. (2025) Life-time experience of violence among women and girls living with disability in Nepal. PLoS One 20(6): e0326659. https://doi.org/10.1371/journal.pone.0326659.
  2. Simkhada, P, Shyangdan, D, van Teijlingen E, Kadel, S, Stephen, J., Gurung, T. (2013) Women’s Knowledge & Attitude towards Disability in Rural Nepal. Disability & Rehabilitation 35(7): 606-13. http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702847

Global Consortium for Public Health Research 2025

This week the 3rd Annual Meeting of the Global Consortium for Public Health (GCPHR) takes place at the University of Huddersfield on June 25th-26th.  GCPHR 2025 was attended by people involved in global health research from the UK, India, Nepal, Qatar, and Ghana.  Building on the success of the 2023 inaugural two-day meeting and the second annual event in 2024, the 2025 meeting brought together a diverse community of health researchers, practitioners, policy-makers and global health leaders. This initiative has as its main aim to facilitate the exchange of knowledge, promote innovation, and strengthen international collaboration.

Bournemouth University academics have been involved since GCPHR’s inception, and this year Prof. Edwin van Teijlingen from the Centre for Midwifery & Women’s Health (CMWH) contributed to a panel discussion on ‘Innovating Tomorrow: National and Global Research in the Age of AI’.  He presented around the pros and cons of Interdisciplinary Research in Global Health. Together with colleagues Edwin has published several papers on interdisciplinary research [1-3] and collaborative writing of research output with a range of colleagues from different disciplines [4-5].

Prof. Padam Simkhada from the University of Huddersfield (and Visiting Faculty in BU’s Faculty of Health & Social Sciences outlined the recently awarded British Academy grant on ‘Evidence-based Policy-Making in Nepal’.  The latter project, which includes BU’s Dr. Pramod Regmi as co-investigator, also has policy-makers in Nepal as collaborators, giving it great potential to become a REF Impact Case-Study.

 

 

 

 

 

 

 

 

References:

  1. 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
  2. van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect18(1), 4-7. https://doi.org/10.3126/hprospect.v18i1.19337
  3. Wasti, S. P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences6(1):21-22.
  4. Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing, Health Prospect 21(1):1-3. https://www.nepjol.info/index.php/HPROSPECT/article/view/39320/31432
  5. Hundley, V., Luce, A., Simkhada, P., van Teijlingen, E. (2022) Collaborative Writing for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 15-19.

World Drowning Prevention Day at BU

Next month on July 25th  Bournemouth University will join in with the world-wide celebrations of World Drowning Prevention Day 2025.  The first achievement to highlight is Dr. Jill Nash interesting piece recently published in The Conversation, in which she highlights Five ways to keep teenagers safe by the water [1]. It is also worthwhile to read last year’s contribution to World Drowning Prevention Day by Jill on the dangers of being near water and the role emotions play in making safer decisions [2].

The second major piece of research related to drowning prevention at Bournemouth University is the Sonamoni Project. The Sonamoni Project is working with communities in rural Bangladesh utilizing human-centered design (HCD) techniques.  The research project is identifying solutions to reduce the number of drowning deaths in newly mobile children (6-24 months), developing prototype, and assessing the acceptability and usability of potential  interventions. Sonamoni is coordinated by Bournemouth University in collaboration with the University of the West of England (Bristol), the University of Southampton, and the Royal National Lifeboat Institution (RNLI), Design Without Border (DWB) in Uganda and Centre for Injury Prevention and Research, Bangladesh (CIPRB). The interdisciplinary team at Bournemouth University covers three faculties and six academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.

This international project funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme, also includes a BU-based PhD student, Mr. Md. Shafkat Hossein.  He recently published the first article related to drowning prevention in Nepal [3].

References:

  1. Nash, J. (2025) Five ways to keep teenagers safe by the waterThe Conversation June 20th.
  2. Nash, J. (2024) Why so many people drown at the water’s edge The Conversation July 25th.
  3. Hossain, M. S., Pant, P. R., van Teijlingen, E., Sedain, B., & Rahman, A. (2024). Drowning Prevention should be a Public Health Issue in Nepal. International Journal of Social Sciences and Management, 11(4): 83–87.

Paper accepted on women and disability in Nepal

The academic editor of PLOS ONE informed us yesterday that our latest paper ‘Life-time experience of violence among women and girls living with disability in Nepal: A cross-sectional study’ [1] has been accepted for publication.  The paper is based on research conducted as part of the Inclusive Partnership Against Violence (INPAV) project in Nepal.  Working with our long-term research paper Green Tara Nepal (GTN) and funded by The United Nations Trust Fund (UNTF) through Nepal Disabled Women Association (NDWA), we have been involved in InPAV. This project included a situation analysis of the existing government setup One-stop Crisis Management Center (OCMC) to understand the inclusiveness of the OCMC services for girls and women with disabilities.  The paper just accepted was part of this research.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

  1. Simkhada, P., Basnet, S., Sharma, S., van Teijlingen, E., Wasti, S.P., Dahal, T., Okyere, J., Silwal, R.C., Pyakurel, M. (2025) Life-time experience of violence among women and girls living with disability in Nepal: A cross-sectional study . PLoS ONE (accepted).

Inaugural research meeting for British Academy grant

Today we had the introductory meeting of our recently funded ‘British Academy Project on Evidence-Informed Policymaking in Nepal’, the project is coordinated by the University of Huddersfield by Prof. Padam Simkhada, who is also Visiting Professor in Bournemouth University’s (BU) Faculty of Health & Social Sciences.  The co-investigator at BU is Dr. Pramod Regmi (Principal Academic in International Health), with other co-applicants based at the Keele University, Canterbury Christ Church University, the University of Sheffield, the University of Chester, the Nepal Health Research Council (NHRC), Kathmandu University and the research-based charity Green Tara Nepal.

This one year grant is officially starting next month (1st June).  The plans for this project were laid some time ago, and expressed in our 2022 paper ‘Nepal urgently needs a National Evidence Synthesis Centre‘ [1].   Our funded project will focus on the activities of: (1) formative research; (b)  capacity building including evidence synthesis; (c) the establishment of a National Evidence Synthesis Centre; and (d) the evaluation of sustainability planningThe British Academy see this award also as providing a developmental opportunity, enabling award holders to build connections within the cohort and critically beyond that as well.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

  1. Simkhada, P., Dhimal, M., van Teijlingen, E., Gyanwali, P. (2022) Nepal Urgently Needs a National Evidence Synthesis Centre, Journal of Nepal Health Research Council, 20 (3): i-ii.

 

Nepal Family Cohort Study meeting in Bournemouth

Prof. Om Kurmi who leads the Nepal Family Cohort Study (NeFCoS) joined the Bournemouth University (BU) team today for a research planning meeting in Bournemouth today.  Dr. Om Kurmi, Associate Professor Research in the Centre for Healthcare and Communities at Coventry University.  The BU team comprises Dr. Pramod Regmi (Principal Academic-International Health), Prof. Carol Clark (Professor in Physiotherapy), Prof. Edwin van Teijlingen (Professor of Reproductive Health), Dr. Rebecca Neal (Principal Lecturer in Exercise Physiology) and Dr. Vanora Hundley (Professor of Midwifery).

The Nepal Family Cohort Study (NeFCoS) is a multidisciplinary cohort study into the prevalence, incidence, and determinants of various diseases from childhood to adulthood in children and their parents [1].  NeFCoS has just started to collect date for the first round of follow-up.

Today’s meeting was organised by Dr. Neal and supported by BU’s QR funds.

 

Reference:
  1. Kurmi, O.P., Chaudhary, N., Delanerolle, G., Bolton, C.E., Pant, P.R., Regmi, P., Gautam, S., Satia, I., Simkhada, P., Kyrou, I., Sigdel, T.K., Hundley, V., Dali, P.R., Lokke, A., Hubert Lam, K.B., Bennett, D., Custovic, A., van Teijlingen, E., Gill, P. Randeva, H., O’Byrne, P.M., and Nepal Family Cohort Collaborators Group, Nepal Family Cohort Study: A Study ProtocolBMJ Open 14:e088896. doi:10.1136/ bmjopen-2024-088896

Plenary talk by Dr Regmi on Hidden Health Burden of Nepalese Migrants

Last week, BU academic Dr. Pramod Regmi delivered a plenary talk on the struggles faced by Nepalese migrant workers from departure to return at the 22nd Britain-Nepal Academic Council (BNAC) Conference, held on 24–25 April in Liverpool. The session included two other panelists, including Prof. Padam Simkhada from the University of Huddersfield, he is also a BU Visiting Professor.

Dr. Regmi’s talk highlighted the health burden experienced by Nepali migrants throughout their migration journey. Labour migration from Nepal poses significant risks at all stages. Many aspiring migrants lack access to accurate information and support, while those from lower socioeconomic backgrounds face high documentation costs and illegal recruitment fees, affecting their mental health and placing strain on their families. Abroad, migrants often suffer exploitation, unsafe working conditions, overcrowded and unsanitary housing, limited access to healthcare, and high medical expenses. Female migrants face additional risks such as sexual violence, unintended pregnancy, exploitation, and unemployment. Upon return, especially for those who experienced abuse or trafficking, reintegration is hindered by social stigma and a lack of support services. Nepal’s weak economy further limits their ability to utilise skills gained abroad.

This presentation was informed by a long history of BU research into the health and well-being of Nepalese migrant workers, led by Dr. Regmi, Dr. Nirmal Aryal, Dr. Orlanda Harvey, Prof. Edwin van Teijlingen, and current PhD students Yagya Adhikari and Anjana Regmi Paudyal in the Faculty of Health & Social Sciences.

A round table discussion after the session focused on four questions:

  1. How can we better inform migrants during the pre-migration stage?
  2. How can we reduce the health vulnerabilities of Nepali labour migrant workers abroad?
  3. What are the barriers to, and opportunities for, reintegration when migrants return?
  4. How can we facilitate increased research collaboration in destination countries engaging local academic institutions?

Bournemouth University also contributed to two other presentations related to a project studying the impact of federalisation on Nepal’s health system. This study was funded by the UK Health Systems Research Initiative to examine the consequences of Nepal’s transition from a centralised political system to a federal structure in 2015. These two papers were presented by BU collaborators Prof. Julie Balen (Canterbury Christ Church University) and Ms. Amshu Dhakal (Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal).

BU’s Dr. Regmi, Prof Edwin van Teijlingen and Dr Nirmal collectively have over 40 publications on Nepalese migrants’ health and well-being issues. Their recent publications on the topic include studies on modern slavery [1], kidney disease [2–4], pre-departure training of aspiring migrant workers in Nepal [5], moral panic and societal fears around migrant workers and COVID-19 [6–7], Nepalese migrant workers in Malaysia [8–9], left-behind families of migrant workers [10], migrant workers and the 2022 FIFA Men’s World Cup [11–12], Nepalese migrants in the UK [13], as well as a comprehensive literature review [14]. They are also a founder members of Health Research Network for Migrant Workers in Asia: www.hearmigrants.org 

 

References:

  1. Paudyal, A. R., Harvey, O., Teijlingen, E. van, Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion12(1), 125–132. https://doi.org/10.3126/jhp.v12i1.72713
  2. Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
  3. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
  4. Regmi, P.Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
  5. Regmi, P.Aryal, N.van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
  6. Aryal, N.Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
  7. Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
  8. Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P.Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
  9. Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P.Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
  10. Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
  11. Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
  12. Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
  13. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
  14. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699

 

Paper on Nepal reaching 5,000 readers

Today ResearchGate informed us that our 2010 paper ‘Women’s autonomy in household decision-making: A demographic study in Nepal[1] has been read 5,000 times.  This academic paper published in the international journal Reproductive Health is Open Access, hence available to anybody globally with internet access. The study explored the links between women’s household position in Nepal and their autonomy in decision making.  Using existing data (n = 8,257)  from the Nepal Demographic Health Survey (NDHS) 2006 we (Dr. Pramod Regmi and Prof. Edwin van Teijlingen with colleagues from other UK universities) focused on four types of household decision making: (1) women’s own health care; (2) making major household purchases; (3) making purchase for daily household needs; and (4) visits to her family or relatives.

We found that women’s autonomy in decision making is positively associated with their age, employment and number of living children. Women from rural area and Terai region (the southern part of Nepal bordering India) have less autonomy in decision making in all four types of outcome measure. There is a mixed variation in women’s autonomy in the development region across all outcome measures. Western women are more likely to make decision in own health care (1.2-1.6), while they are less likely to purchase daily household needs (0.6-0.9). Women’s increased education is positively associated with autonomy in own health care decision making (p < 0.01), however their more schooling (school-leaving certificate and above) shows non-significance with other outcome measures. Interestingly, rich women are less likely to have autonomy to make decision in own healthcare.

 

Reference:

  1. Acharya, D.R., Bell, J.S., Simkhada, P., van Teijlingen, E., Regmi, P. (2010) Women’s autonomy in household decision-making: a demographic study in NepalReproductive Health 7, 15   https://doi.org/10.1186/1742-4755-7-15

Nepal Family Cohort Study dissemination event

Colleagues working on our Nepal Family Cohort Study (NeFCoS) presented baseline data at a dissemination programme held today (March 28th) in Everest Hotel, Kathmandu.  Bournemouth University is a key partner in this unique long-term follow-up study in Nepal.  Our large international team is led by Dr. Om Kurmi, Associate Professor Research in the Centre for Healthcare and Communities at Coventry University.  The Bournemouth University (BU) team comprises Dr. Pramod Regmi (Principal Academic-International Health), Dr. Edwin van Teijlingen (Professor of Reproductive Health), Dr. Rebecca Neal (Principal Lecturer in Exercise Physiology) and Dr. Vanora Hundley (Professor of Midwifery).
The Nepal Family Cohort Study (NeFCoS) is a multidisciplinary cohort study into the prevalence, incidence, and determinants of various diseases from childhood to adulthood in children and their parents for over two decades.  NeFCoS is a longitudinal study which recently started collecting health and well-being data, and which will collect data repeatedly from the same individuals at certain intervals for years to come.
Today’s programme included a range of academics and policy-makers introducing aspects of the study and its preliminary findings.  Prof. Edwin van Teijlingen did a short presentation offering ‘Special Remarks on Midwifery, Maternal & Perinatal Health’.  To date we have published one academic paper in an Open Access journal on the research protocol of this work [1].
Reference:
  1. Kurmi, O.P., Chaudhary, N., Delanerolle, G., Bolton, C.E., Pant, P.R., Regmi, P., Gautam, S., Satia, I., Simkhada, P., Kyrou, I., Sigdel, T.K., Hundley, V., Dali, P.R., Lokke, A., Hubert Lam, K.B., Bennett, D., Custovic, A., van Teijlingen, E., Gill, P. Randeva, H., O’Byrne, P.M., and Nepal Family Cohort Collaborators Group, Nepal Family Cohort Study: A Study Protocol, BMJ Open 14:e088896. doi:10.1136/ bmjopen-2024-088896