BU Research Blog

April 24, 2024

Methods or Methodology?

BU research, international, PG research, Research news, Uncategorized Edwin van Teijlingen

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:

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.
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
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.
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.
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
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.
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
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
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
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
Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
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

April 22, 2024

BU involved in new MRF dissemination grant

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Bournemouth University of part of a research consortium that has recently been awarded a Dissemination Award from the Medical Research Foundation (MRF). Last week the MRF announced that it has granted £30,294 for a project to ‘Strengthening Nepal’s health systems’. This Dissemination Award has been offered to expand the reach and impact of our recently completed study which was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we studied the effects on the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015. This interdisciplinary project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two institutions in Nepal: MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

Prof. Edwin van Teijlingen

CMWH

April 21, 2024

New COVID-19 publication

BU research, COVID-19, Global engagement, international, mrc, Publishing, Research communication, Research news, Uncategorized, writing Edwin van Teijlingen

This week the Asia Pacific Journal of Public Health (APJPH) accepted our latest paper from our research on the impact of the federalisation of the health care system in Nepal. This paper ‘COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets’ has Bikesh Koirala as first author [1].

This recently completed study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we studied the effects on 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, Canterbury Christ Church University and two higher education institutions in Nepal: MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

This is the seventh paper from our collaboration. Previous papers focused on a wide range of aspects of this interdisciplinary study, including on its methods, participatory policy analysis, the WHO (World Health Organization) health systems building blocks, and public health [2-7].

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

References:

Koirala, B., Rushton, S., Adhikary, P., Balen, J., Basnet, S., Joshi, S., Karki, A., Lee, A., Rijal, B., Simkhada, P., Subedi, M., van Teijlingen, E., Karki, J. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (accepted).
Sapkota, S., Rushton, S., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
Wasti, S.P., van Teijlingen, E., 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(117) https://doi.org/10.1186/s12961-023-01033-2
Sapkota, S., Dhakal, A., 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.
Sapkota, S., Panday, S., 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.
Adhikary, P., Balen, J., 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 (3): 1-11.
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 Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

April 7, 2024

Requests to speak to the media are like buses….

BU research, Events, Featured academics, Global engagement, international, Knowledge Exchange, Research news, Uncategorized Edwin van Teijlingen

Last week for the first time in over a year I received a request for a mass media interview in the UK on our research. On Easter Monday (1 April) I received an email to appear on Sky TV that very evening to speak about migrant workers and kidney health. this seemed to fit in very nicely with our recently completed study on kidney health funded by the charity The Colt Foundation, and our on-going Ensure-Nepal project funded by the U.S. Department of State’s Office.

After a lot of hassle and finally speaking to the TV research assistant over the phone it turned out Sky TV really wanted an expert to talk about poor people in South Asia selling kidney, despite what they had put in the email invitation on their interest in kidney health of migrant worker. In the end it felt like a few hours wasted on my Bank Holiday Monday.

Then to my surprise I received a call on Wednesday from BBC Radio Scotland to speak about what babies can hear in the womb and the importance of singing lullabies. Unfortunately, I had to put that request down as this is really not my area of expertise as Professor of Reproductive Health.

Requests to appear on the media to speak about once research seem to be like buses. As the old saying goes, you wait ages for a bus and then two (or more) come along at once. And in this case, NOT only did two turn up, but they were wrong buses anyway!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

April 7, 2024

Ph.D. paper cited 40 times

BRIAN, BU research, Featured academics, Global engagement, international, open access, Postgraduate Research, Publishing, Research news, student research, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

Today ResearchGate notified us that our paper ‘Caste Exclusion and Health Discrimination in South Asia: A Systematic Review’ has been cited 40 times [1]. This paper is based Dr. Raksha Thapa’s work for her Ph.D. in FHSS. This postgraduate project focused on caste-based inequity in health care utilization in Nepal, particularly focusing on people at the bottom of the caste hierarchy, commonly known as Dalit communities. Her Ph.D. study was supervised by Dr. Pramod Regmi, Principal Academic in the Department of Nursing Sciences, Prof. Vanessa Heaslip Professor of Nursing and Healthcare Equity at the University of Salford and Prof. Edwin van Teijlingen in the Centre for Midwifery & Women’s Health (CMWH). Raksha published two further papers from her thesis [2-3].

References:

Thapa, R., van Teijlingen, E., Regmi, P., Heaslip, V. (2021) Caste Exclusion and Health Discrimination in South Asia: A Systematic Review, Asia Pacific Journal of Public Health 33(8):828-838.
Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
Thapa, R., van Teijlingen, E., Regmi, P., Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of B.P. Koirala Institute of Health Sciences 1(2): 1-6.

March 8, 2024

New BU migrants’ health paper

BU research, Featured academics, Global engagement, international, open access, Publishing, writing Edwin van Teijlingen

Drs. Pramod Regmi and Nirmal Aryal in the Department of Nursing Sciences published a new paper with colleagues from Malaysia, Thailand, and the Philippines in PLoS ONE under the title ‘Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia’. [1] Globally, 390 million dengue virus infections occur per year. In Malaysia, migrant workers are particularly vulnerable to Dengue Fever (DF) due to mosquito breeding sites exposure and poor health literacy. This study reports on assessing the current Dengue Fever knowledge, attitudes and practices (KAP). The paper identifies strategies to promote awareness around Dengue Fever among migrant workers in Malaysia. Most respondents were male, working in the services industry, had completed high school, aged between 30–39 years and with less than ten years work experience in Malaysia. Overall, respondents’ knowledge was positively correlated with attitude but negatively with practices. Older respondents, who had completed higher education, obtained higher knowledge scores. Similarly, those with working experience of >20 years in Malaysia obtained higher attitude scores. Respondents with a previous history of Dengue Fever strongly considered the removal of mosquito breeding sites as their own responsibility, hence tended to frequently apply preventive measures. Respondents’ knowledge was also positively correlated to their understanding of Dengue Fever information sourced from social media platforms.

Congratulations!

Prof. Edwin van Teijlingen

Reference:

Chaudhary MN, Lim V-C, Faller EM, Regmi P, Aryal N, Mohd Zain SN, Azman AS, Sahimin B. (2024) Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE 19(2): e0297527. https://doi.org/10.1371/journal.pone.0297527

February 29, 2024

Writing some blurb

Events, international, Publishing, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

Publisher Routledge announced the forthcoming edited volume Menstruation in Nepal: Dignity Without Danger, which is edited by Sara Parker, Madhusudan Subedi and Kay Standing. This book examines the complexities of menstrual beliefs and practices in Nepal. Taking an interdisciplinary and intersectional approach, it explores and promotes the rights of women, girls and people who menstruate, to a dignified and healthy menstruation. I had the honour of being asked to write some of the blurb for this exciting book. Partly, because of our wide-range of health services and health promotion research in the country and partly because of our previous paper on reusable sanitary towels in the aftermath of the 2015 earthquake in Nepal [1].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.

February 10, 2024

New BU Public Health publication

Featured academics, Global engagement, open access, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

Yesterday we received the proofs of the recently accepted paper ‘Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal’ [1]. Luckily these are only the proof pages as my family name is misspelt, and the paper still lists the old name of our Centre for Midwifery and Women’s Health, which was, of course, the correct name at the time of submission.

The last time I published a paper on hygiene was also with colleagues in Nepal seven years ago, this time it was on menstrual hygiene [2].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

References:

Sharma, M., Adhikari, R., van Teijlingen, E., Devkota, B., Khanal, S. (2024) Improved Water, Sanitation and Hygiene Facilities at School and their Effect on Educational Achievement in Basic Level Students in Nepal, International Journal of Health Promotion & Education (accepted). https://doi.org/10.1080/14635240.2024.2314459.
Budhathoki, S.S., Bhattachan, M., Pokharel, P.K., Bhadra, M., van Teijlingen, E. (2017) Reusable sanitary towels: Promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning & Reproductive Health Care 43(2): 157-159.

February 1, 2024

New Nepalese migrant health paper published

BU research, Featured academics, Global engagement, international, open access, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

New paper on migrant workers from Nepal was published this week in KMC Journal. The paper ‘Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India’ has Shanti Khanal as lead author [1]. The journal is Open Access, hence freely available online across the globe. The paper examines the association between risk perception and protective behaviour regarding COVID-19 in returnee migrant workers. A total of 384 returnee migrants, based in a quarantine centre on return from India, participated in the study. Using the health belief model (HBM) as a theoretical framework, a structured interview questionnaire was designed and administered. A further three health workers were interviewed face-to-face.

The study showed that the perceived risk of COVID-19 among participants was medium to low. Participants perceived few barriers and had low self-efficacy levels compared to other constructs. This study further showed that participants were more likely to follow a range of protective health behaviours, but not found all. The study revealed a significant association between all risk perception constructs and protective behaviours (p=< 0.05). This study accordingly highlighted a significant relationship between the respondents’ risk perception level and protective health behaviours. The study envisaged that public awareness of risk to the people who returned from India is essential to increase risk perception during the outbreak.

The study works towards fulfilling SDGs (Sustainable Development Goals), especially ‘Good health and well-being’ (SDG 3) and Decent work and economic growth (SDG 8).

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

Khanal, S.P., van Teijlingen, E., Sharma, M., Acharya, J., Sharma, C., Kharel, S., Gaulee, U., Bhattarai, K., Pasa, R.B., Bohora, P. (2024) Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India. KMC Journal, 6(1): 313–330. https://doi.org/10.3126/kmcj.v6i1.62364

January 25, 2024

Health Promotion article is being read

BU research, Featured academics, international, open access, Publishing, Research communication, Research news, Uncategorized, writing Edwin van Teijlingen

Our article ‘Understanding health education, health promotion & public health’ [1] is getting read according to ResearchGate. This conceptual/ theoretical paper was published open access in late 2021 in the Journal of Health Promotion and it reached 4,500 reads yesterday. Whilst the web side of the journal suggests today that the PDF of the paper has been downloaded 8,511 times.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

Reference:

van Teijlingen, K. R., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. R. (2021). Understanding health education, health promotion and public health. Journal of Health Promotion, 9(1): 1–7. https://doi.org/10.3126/jhp.v9i01.40957

January 23, 2024

Media coverage in Nepal

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Last week Mr. Yogesh Dhakal, who is Deputy Editor at Shilapatra, an online newspaper in Nepal, interviewed three UK professors: Julie Balen (Canterbury Christ Church University), Simon Rushton (the University of Sheffield) and Edwin van Teijlingen (Bournemouth University). The focus of the interview (see interview online here) was our recently completed interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’.

In this Nepal Federal Health System Project we studied the consequences for the health system of Nepal’s move from a centralised political system to a more federal structure of government. This three-year project is UK-funded by the MRC, Wellcome Trust and FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

Today (23rd January) the article appeared online in Nepali. We have seen the transcript in English of the actual interviews with the three of us, but I have no idea how the journalist has edited, selected and translated the relevant text.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 17, 2024

A tale of two ministries

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

Yesterday in Nepal we attempted to meet two government ministers to present policy recommendations generated by the study examining the consequences for the health system of Nepal’s move to a federal government structure. This three-year project is UK-funded by the MRC, Wellcome Trust and the FCDO (Foreign, Commonwealth & Development Office; formerly DFID) under the Health Systems Research Initiative. Through our collaborating partners in Nepal we had managed to make initial contacts with the Prime Minister’s office and a senior secretary in the Ministry of Health & Population. The timing was significant as yesterday was the last day that UK-based members of our team were in Nepal. The day started with a possible meeting with first the Prime Minister Pushpa Dahal, followed by a possible meeting with the Health Minister Mohan Baladur Basnet. However, as the saying goes ‘timing is everything!’ And, in the end the time was against us.

One of the two principle investigators of our study, Professor Simon Rushton from the University of Sheffield, and got ready early in the morning, only to be told by our Nepalese collaborators that the traffic in Kathmandu was hectic. Having waited for nearly an hour for our transport, we decided to split up with one of us joining some of our Nepalese collaborators trying to see the Prime Minister (PM) and the other one with a team to visit the Minister of Health & Population. Prof. Rushton went to the latter and after a period of waiting he and one of our Nepalese collaborators managed to meet the Minister and his staff. He also managed to hand over our policy recommendations. This offered a nice picture opportunity to illustrate a REF Impact Case Study.

Three other Nepalese collaborators and I, on the other hand, waited for over two hours in the waiting room of the Prime Minister, who turned out to be in an urgent meeting with two senior ministers. After over two hours we had to call off our attempt to see the PM. All I ended up with as ‘evidence’ was a picture of the tissue box in the PM’s waiting room. In the end I had to rush to Tribhuven International Airport to catch my flight to Qatar, then onward to London Gatwick.

For the team visiting the PM it felt very much like Robert Burns’ poem: “The best laid schemes o’ Mice an’ Men. Gang aft agley.”

Professor Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 15, 2024

Research methods capacity building in Nepal

BU research, international, PG research, Public engagement, Research communication, Uncategorized Edwin van Teijlingen

Yesterday, Sunday 14th January, I was invited by Bournemouth University’s former PhD student Dr. Pratik Adhikary to run a three-hour methods session on semi-structured interviews and focus group discussions at the Nepal Injury Research Centre (NIRC). The workshop was based on work normally presented as part of BU’s Doctoral College Researcher Development Programme.

The audience comprised PhD students based at NIRC, as well as at Kathmandu Medical College (KMC), and Nepal’s oldest and largest university, Tribhuvan University. Participants were involved in research into many different research questions, ranging from road traffic accidents to sexual health and the well-being of migrant workers. NIRC was established with funding from the UK National Institute for Health and Care Research (NIHR) Global Health Research Programme and it is a partnership between KMC and the University of the West of England, Bristol (UWE).

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

January 15, 2024

TV interview in Nepal

BU research, international, Public engagement, Research news, Uncategorized Edwin van Teijlingen

Two days ago Professor Edwin van Teijlingen from BU’s Faculty of Health & Social Sciences was interviewed by the national television channel News24 in Kathmandu, Nepal. His interview covered some more personal questions, including the question how Edwin became involved in research in Nepal two decades ago, followed questions about recent research projects. The latter involved questions about the nearly completed project “The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’. This project, launched in 2020 at the beginning of the COVID-19 pandemic, is led by the University of Sheffield, in collaboration with BU, the University of Huddersfield, Canterbury Christ Church University, PHASE Nepal and MMIHS (Manmohan Memorial Institute of Health Sciences). This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called the Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.

There were also questions about the health and well-being of Nepal’s migrant workers, partly related to a recently finished study on kidney health of migrant workers funded by The Colt Foundation and a new project led by La Isla Network in the United States of America (USA). La Isla Network, Johns Hopkins University Bloomberg School of Public Health (in the USA) , Nepal Development Society and Bournemouth University 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.

The television company has already put the half-hour interview on YouTube, to watch it click here!

January 12, 2024

Labour migration: desperation & exploitation

BU research, Featured academics, Global engagement, international, Publishing, Research communication, Research news, Uncategorized Edwin van Teijlingen

On my latest trip to Nepal I noticed a number of related newspaper stories about those wanting to migrate abroad for work. Yesterday there was an article with the headline ‘Three held for defrauding unemployed youths’ (The Himalayan Times, January 11, page 2), which could be seen as story about crime, just like the one next to it on the same page with was headed ‘Vehicle stolen’ (The Himalayan Times, January 11, page 2) . Both fit under the category of people suffering from crime committed by naughty people. However, having studied labour migration as a sociologist for over a decade it also speaks of the desperation of young people to leave Nepal. In that sense, the ‘Three held for defrauding unemployed youths’ story, is more like the story the day before ‘Family of Nepali who joined Russian Army worried after hearing about his death’ (The Himalayan Times, January 10, page 1).

In the latter story of a tragic death of a Nepalese mercenary, the most unexpected element I found was that Nepalese victim had paid Rs. 500,000 to criminals, who acted as brokers. I would have expected that Putin’s agents operating in the Middle East were paying large amounts of money to potential army recruits to fight in the invasion of Ukraine. To my great surprise, the payment was the other way round, where Nepalese migrant workers are desperate enough to pay the country at war. When people are desperate to work abroad unscrupulous brokers see opportunities to make money.

Whilst at the end of December 2023 two Nepalese men were killed when Korean language test candidates were staging demonstrations in Kathmandu demanding that they be allowed to appear for language tests for jobs in the manufacturing sector in South Korea. When the Minister for Physical Infrastructure and Transport stopped to intervene, he sparked a riot and his car was set on fire. The police opened fire and killed two protesters in a very un-Nepalese way of dealing with protest. Again to me the underlying issue to note is how desperate these men are to go abroad and get to work in South Korea.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 10, 2024

Newspaper coverage in Nepal

BU research, Featured academics, Global engagement, Impact, international, Public engagement, Publishing, Research news, UKRI, Uncategorized Edwin van Teijlingen

One print daily English-language newspaper The Annapurna Express and one online newspaper Gazzabkoo Magazine published articles this week on our project on strengthening the health system in Nepal. The latter used the title ‘Strengthening Health Systems for Better Health‘ and the former opted for the headline ‘Forum on health system strengthening’.

Our interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this Nepal Federal Health System Project we study the consequences for the health system of Nepal’s move in 2015 from a centralised political system to a more federal structure of government . This joint project is led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canterbury Christ Church University and two institutions in Nepal, namely MMIHS (Manmohan Memorial Institute of Health Sciences) and PHASE Nepal.

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

January 10, 2024

Latest paper from Federalisation & Health System in Nepal

BU research, Featured academics, Global engagement, Impact, international, mrc, open access, Publishing, research methods, Research news, Uncategorized, writing Edwin van Teijlingen

The sixth paper from our interdisciplinary research team focuses on the effective way we applied participatory policy analysis in a study on the effects on the health system in Nepal. In the research we used a methodological approach using the River of Life which we describe in this paper ‘Participatory policy analysis in health policy and systems research: reflections from a study in Nepal’ [1]. The Lead author is Dr. Sujata Sapkota from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu.

This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. In this larger Nepal Federal Health System Project we 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 is 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. We have managed to publish five papers from this project prior to today’s one reflecting on the methodology [2-6].

Prof. Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

References:

Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti, S.P., Karki, J.K., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, S.B. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
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(117) https://doi.org/10.1186/s12961-023-01033-2
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.
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.
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 (3): 1-11.
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 Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

January 9, 2024

Forum on Post-Federalisation Health System Strengthening

BU research, Events, Fusion themes, Global engagement, international, research governance, research methods, Research news, Training, Uncategorized, writing Edwin van Teijlingen

Today and tomorrow our research team is engaged in discussions with those responsible for running the health system at different levels of the new federal system in Nepal. The aim today and tomorrow of this participatory research project is bring together stakeholders from all levels of government (local, provincial and federal), to develop solutions, practical actions and recommendations for different levels of the political system to address some of the five areas our research identified as possible priorities. Nepal changed from a centralised political system of government to a federal system in 2015. It is easy to see how such change in the political system might affect the organisation, funding, governance, human resources, etc. of all sub-systems in society, such as the education system, the police, and in the area of our particular interest, the health system.

This interdisciplinary study started just before COVID-19 in 2020 and is now coming to a conclusion. The multi-national research team includes researchers from Nepal: MMIHS (Manmohan Memorial Institute of Sciences) in Kathmandu, and PHASE Nepal (Bhaktapur), the University of Sheffield, Bournemouth University, and the University of Huddersfield (the original UK applicants), and researchers currently based at three further UK universities: the University of Greenwich, the University of Essex and Canterbury Christ Church University. This exciting research is funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office (FCDO), and the Welcome Trust.

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