Congratulations to Lesley Milne, senior lecturer in midwifery, on the acceptance of her latest paper on maternity care in Nepal. This new paper ‘Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal’ will appear soon in the Open Access publication: Journal of Asian Midwives . This is the second publication from a qualitative research study undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff .
The study received financial support from Wellbeing of Women and the RCM (Royal College of Midwives) as Lesley won their first International Fellowship Award. The study was a collaboration led by Lesley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with two of FHSS’s Visiting Faculty, namely Prof. Padam Simkhada who is based at Liverpool John Moores University and Jillian Ireland, Professional Midwifery Advocate based at Poole NHS Hospitals Foundation Trust.
Profs. Vanora Hundley & Edwin van Teijlingen
- Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P.P. (2018) Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal, Journal of Asian Midwives (accepted).
- Milne, L., van Teijlingen, E., Hundley, V., Simkhada, P., Ireland, J. (2015) Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study BMC Pregnancy & Childbirth 15:142 www.biomedcentral.com/1471-2393/15/142 .
As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
- Ireland, J., van Teijlingen, E., Kemp, J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30.
- Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
- Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
This week 8-12 October is both Mental Health Week and Library Week, and both are celebrated widely at Bournemouth University. On Thursday Prof. Edwin van Teijlingen will present on research on mental health and maternity care in the Centre for Midwifery, Maternal and Perinatal Health (CMMPH) as part of in the BU Library Week celebrations.
The presentation includes some of the findings from out recently completed THET-funded study on a maternal mental health intervention in southern Nepal as well as some reflections on working and researching in the country. The slides for tomorrow’s presentation can be found at LinkedIn, click here!
Two days ago Bournemouth University Visiting Professor Padam Simkhada presented our paper ‘Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ at the International Conference on Migration Health in Rome, Italy . The study reports on the health and other problems experienced by Nepali women migrants at their work place during foreign employment in Gulf Countries. The paper is building on earlier research with the charity Pourakhi in Kathmandu which helps women who return from working abroad in trouble. The first paper was publish earlier this year in the journal BMC International Health & Human Rights .
The conference presentation was co-authored with BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen, Ms. Manju Gurung from Pourakhi, Ms. Samjhana Bhujel from Green Tara Nepal, and Padam Simkhada, who is professor in the Public Health Institute at Liverpool John Moores University.
- Simkhada, P., van Teijlingen, E., Bhujel, S, Gurung, M., Regmi, P. Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ [Abstract: 238] presented at Internat. Conf. Migration Health, Rome, 1-3 Oct. 2018, http://istmsite.membershipsoftware.org/files/Documents/Activities/Meetings/Migration/FOR%20WEBSITE%20-%20ORAL%20accepted%20abstracts%20-%20session-bookmark.pdf
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East and Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
One of the first rules of drafting a scientific paper is that one cites the key literature in the respective field. So as someone who teaches people how to write and publish in this week’s experience of getting a paper rejected was not great, if not disheartening! Earlier this week we submitted a research paper to the Journal of Travel Medicine on a study of the health and well-being of female migrant workers in Nepal. This is high quality journal in which we have published before, including one paper on migrants’ health [1-3].
Two days later the journal editor emailed us to say: “”We feel that the scope of your paper would not justify a full original article in the Journal of Travel Medicine”, which is, in our opinion, a fair judgement. My co-authors and I between us have over 300 papers published and most have been rejected or at least we have been asked for a resubmission, so nothing new here. What was more upsetting than the rejection itself was the additional comment. The editor added:
“The authors should ideally include the two following references:
……(first reference omitted) …. +
Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature.
Simkhada PP, Regmi PR, van Teijlingen E, Aryal N. J Travel Med. 2017 Jul 1;24(4). doi: 10.1093/jtm/tax021. Review.
We agree with the editor that we should have included the two listed key papers. Crucially, it is more than a little mistake to have missed the second paper since we wrote it ourselves. There are many lessons to be learnt from this: (a) check you have covered the key literature in your paper, either in the Background section and/or the Discussion; (b) don’t underestimate the importance of your own work; (c) you’re never too old to make mistakes (and to learn from them); (d) be thankful for good editors and reviewers; (e) do what you advise others to do; (f) etc. ………………
Prof. Edwin van Teijlingen
- Hind, C., Bond, C.M., Lee, A., van Teijlingen E. (2008) Needs assessment study for community pharmacy travel medicine services, Journal of Travel Medicine 15(5): 328-334.
- Bhatta, P., Simkhada, P., van Teijlingen E., Maybin, S. (2009) A questionnaire study of VSO volunteers: Health risk & problems encountered. Journal of Travel Medicine 16(5): 332-337.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
Earlier this month the Journal of Manmohan Memorial Institute of Health Sciences published a paper co-authored by Centre for Midwifery, Maternal & Perinatal Health (CMMPH) staff. The paper ‘Health consequences of sex trafficking: A systematic review’ . The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.
The review reminds us that sex trafficking is one of the most common forms of human trafficking globally. It is associated with health, emotional, social, moral and legal problems. The victims of sex trafficking when returned home are often ignored. This review explored the health consequences of sex trafficking among women and children. A total of 15 articles were included covering health risks and well-being related to sex trafficking. Sexual and physical violence among victims such as rape and repetitive stress and physical injuries were common. The prevalence of STI (sexually transmitted infections) and HIV (human immunodeficiency virus) was also reported as high. Being trafficked at a young age, having been in brothels for a longer period and sexual violence and forced prostitution were linked with a higher risk for HIV infection. Physical health problems reported included headaches, fatigue, dizziness, back pain, memory problem, stomach pain, pelvic pain, gynaecological infections, weight loss, lesions or warts, unwanted pregnancies and abortions. The studies on mental health reported that depression, anxiety and post-traumatic stress disorder (PTSD) were commonly reported health consequences among sex trafficking victims.
The authors of the review concluded that there is a compelling need for interventions raising awareness about sex trafficking among young girls and women most at risk of being trafficked. Most studies in this review have focussed on the physical health problems of the trafficked victims although there is also remarkable mental burden amongst those victims. Key policy makers, government officials, public health officials, health care providers, legal authorities and non-governmental organisations (NGOs) should be made aware about the health risks and consequences of trafficking. Trafficking consequences should be recognised as a health issue and all the sectors involved including regulating bodies should collaborate to fight against sex trafficking
Related research in this field at Bournemouth University include the Sexual Spaces Project by Prof. Mike Silk and Dr. Amanda De Lisio on ‘Rio’s sex workers after the Olympics’ and the The Gay and Grey Project, funded through a Big Lottery Grant and led by Prof. Lee Ann Fenge.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti S.P. (2018) Health consequences of sex trafficking: A systematic review Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-149.
Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal. The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’  was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st. Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor. He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal. Bournemouth University has a long-standing research collaboration with MMIHS.
The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal. Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process. Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in. Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc. The paper argues that Public Health can easily disappear of the radar. The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general. Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.
The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP. The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Simkhada, P., Teijlingen van, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.
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.
The Journal of Immigrant and Minority Health (Springer) just accepted the latest paper by former FHSS Ph.D. student Dr. Pratik Adhikary (photo).  His latest paper ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ is the fourth, and probably final, paper from his Bournemouth University Ph.D. thesis. This latest paper is based on the qualitative part of the mixed-methods thesis, his previous papers focused more on the quantitative data. [2-4]
Since this is a qualitative paper it also offers a more theoretical underpinning than the previous papers. The work uses the dual labour market theory which associates labour migration specifically to the host economy as it explains migration from the demand side. Labour migrants from less developed economies travel to fill the unskilled and low-skill jobs as guest workers in more developed economies to do the jobs better trained and paid local workers do not want to do. This theory also explains the active recruitment through labour agents in Nepal to help fulfil the demand for labour abroad, and it helps explain some of the exploitation highlighted in host countries. The theory also helps explain why lowly skilled migrant workers are often at a higher risk to their health than native workers . Similar to migrant workers from around the world, Nepali migrant workers also experience serious health and safety problems in the host countries including accidents and injuries.
The latest article will be Open Access in the Journal of Immigrant and Minority Health!
- Adhikary P, van Teijlingen E., Keen S. (2018) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant and Minority Health (First Online), https://link.springer.com/article/10.1007/s10903-018-0801-y
- Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
- Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
- Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
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.
Last Saturday Festival of Learning highlighted BU’s research in the fields of health and migration in South Asia. BU Visiting Professor Padam Simkhada from Liverpool John Moores University (LJMU) presented selected studies with Dr. Pramod Regmi and Prof. Edwin van Teijlingen in the Create lecture theatre. Their work covers some of the recent research conducted in Nepal by staff from the Faculty of Health & Social Sciences. They highlighted two very interesting, but different, projects in particular.
The first one relates to Nepali migrant workers, since some 3.5 million Nepalese (14% of total population) are working abroad; primarily in Malaysia, the Middle East and India. One recent project is focusing on Nepali migrant workers in India. Working abroad is considered a livelihood strategy for many poor people and most Nepalese migrants are involved in semi/unskilled labour, mainly on building sites, in factories, and in domestic work.
The second project focuses on the health and social issue of transgender and the use of hormones. To date there is little literature on hormone use experiences in transgender populations in Nepal, focusing on a study of male-to-female transgender (MTF) populations and the experiences of people using hormone therapy (oral or injection or other replacement therapies).
Festival of Learning event 2018 with an international flavour: exploring recent research projects undertaken in Nepal by staff from the Faculty of Health and Social Sciences. The event focuses on Nepali migrant workers in India, women and migration and explores the health and social issues of transgender and the use of hormone therapy in male-to-female transitioning populations in Nepal.
Fusion Building: Create Lecture Theatre, Bournemouth University on Saturday 16 June 2018 from 5.00-6.00PM
Free tickets can be found here!
Prof. Edwin van Teijlingen, Dr Pramod Regmi & Prof Padam Simkhada (BU Visiting Faculty)
A new multidisciplinary project in South Asia, run between two of Bournemouth University’s Faculties, has recently been funded. The cross-faculty project “Scoping Study to understand the maternal health, ageing and wellness in rural India to develop a grass-root centre addressing these issues” has Dr Shanti Shanker (Psychology) as its principal investigator in collaboration with Prof Edwin van Teijlingen (Human Sciences & Public Health). These BU lead researchers have been working in India and Nepal for more than a decade.
This project was recently awarded £76k from the HEFCE GCRF (Higher Education Funding Council for England, Global Challenge Research Funds) Call, at Bournemouth University. The project will be running from 2017 to 2021 between Maharashtra, India, Nepal and the UK. This important research initiative aligns closely with Bournemouth University’s strategic plan around South Asia through Connect India. Connect India is BU’s hub of practice which focuses on the world’s most populated areas and a global region which is developing rapidly in many ways.
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.
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
Dr. Pramod Regmi, FHSS Lecturer in International Health has been appointed as an Editorial Board Member for the Journal of Global Health Reports. This journal is affiliated with the Journal of Global Health (www.jogh.org). The Journal of Global Health Reports focuses on “Promoting local research to improve global health” It is open to all local, small-scale, context-specific studies in global health, both qualitative and quantitative, as long as they are conducted in a rigorous and replicable way and report their results properly.
Prof. Edwin van Teijlingen
Next week the Dorset Global Health Network will have its inaugural meeting on April 25th. The meeting will focus on Nepal starting at 18.30 with a Nepalese buffet.
There will be three short presentations followed by the film ‘Hospital’.
- Voluntourism in Nepal : A lesson in the grey areas of global health (Dr Emer Forde, Bournemouth University)
- The challenge of perinatal mental health in Nepal (Prof. Edwin van Teijlingen, Bournemouth University)
- Supporting Training and innovative solutions to the provision of rural health care in Nepal (Dr Ollie Ross, Consultant Anaesthetist, Southampton General Hospital)
The Film “Hospital” 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. It will be introduced by Dr Ollie Ross, who is a consultant to the Nick Simons Institute working in Nepal.
This will be followed by a discussion about the development of Dorset Global Health Network.
All are welcome. Book your place at www.focusnepal.eventbrite.co.uk