Tagged / Nepal

EU award for PhD student Preeti Mahato

FHSS PhD student Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has been awarded a funded place on the COST Action Training School BEYOND BIRTH COHORTS: from study design to data management.  This training school will run from 23-15 November in Spain.

eu-flagCOST (European Cooperation in Science and Technology) is a unique platform where European researchers can jointly develop their ideas and initiatives across all scientific disciplines through trans-European networking of nationally funded research.  Preeti pal has been awarded the sum of 500 euro to cover the cost of attending the Training School and travel and accommodation costs.    Preeti’s PhD project is on maternity care provision in  Nepal. Preeti’s research focuses on the quality and equity of service available at birthing centres. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. She is supervised by Dr. Catherine Angell, Prof. Edwin van Teijlingen and BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University).

Preeti has already published the first PhD paper ‘Birthing centres in Nepal: Recent developments, obstacles and opportunities’ in the Journal of Asian Midwives (JAM) [1], whilst another was published in the Nepal Journal of Epidemiology [2].  Furthermore, a more general health and development paper was published this year in Health Prospect [3].

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. 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): 17-30.
  2. Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/1157
  3. Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. healthprospect.org/archives/15/1/3.pdf

New THET project paper published

thet-needs-assessmentToday saw the latest publication on our BU-led THET in Nepal.  The paper ‘Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey’ was published the Journal of Manmohan Memorial Institute of Health Sciences [1].   This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi District in the southern part of Nepal. The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.logo THET

This is the third publication linked to our mental health and maternity care project. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train maternity workers on issues around mental health.  This latest paper and the previous two papers are all Open Access publications.  The previous two papers raised the issue of women and suicide [2] and outlined the THET project in detail [3].

np-thet-2916-jilly

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
  2. Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
  3. van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

New paper Dr. Catherine Angell on CPD in Nepal

nnaCongratulations to Dr. Catherine Angell (FHSS) who just had her paper ‘Continual Professional Development (CPD): an opportunity to improve the Quality of Nursing Care in Nepal’ accepted in Health Prospect.   The paper is co-authored with BU Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada  both based at Liverpool John Moores University (LJMU), Dr. Rose Khatri  and Dr. Sean Mackacel-logo-weby (also at LJMU), Prof. Edwin van Teijlingen in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH), and our colleagues in Dr. Sujan Marahatta and Associate Professor Chandra Kala Sharma. Ms. Chandra Kala Sharma is also the president of the Nepal Nursing Association (left in photo).  Health Prospect is an Open Access journal, hence freely available to anybody in Nepal (and elsewhere in the world).

dsc_0124This paper is first of several based on a study aiming to improve CPD in Nepal and it is partly funded by LJMU and partly funded by BU’s Centre for Excellence in Learning (CEL).  The CEL-funded part of the project centres on focus group research with representatives of the Ministry of Health & Population, the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and Higher Education providers of Nurse Education (both form Government-run universities and private colleges). The focus group schedule will include starter questions to initiate discussions around the kind of CPD nurses in Nepal need, its format, preferred models, the required quality and quantity, and ways of  checking up (quality control). In addition we will be asking a subgroup of nurses registered in Nepal about midwifery skills as midwifery is not recognised as a separate profession from nursing in Nepal. Hence there will be three focus groups specifically about midwifery CPD: one at MIDSON (the Midwifery Organisation of Nepal), one with nurses providing maternity care in private hospitals and one with nurses doing this in government hospitals.

The research is a natural FUSION project in the field of nursing & midwifery as it links Research in the field of Education to help improve Practice in Nepal.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. (CPD): an opportunity to improve the Quality of Nursing Care in Nepal, Health Prospect (Accepted) 

 

 

Bringing FUSION to Nepal

FUSION abroad 2016We have written in many previous BU blogs about progress of our THET-funded project in southern Nepal (e.g. here AND here ). Today’s blog reflects on the use on BU’s unique FUSION approach in our project ‘Mental Health Training for Maternity Care Providers in Nepal‘.

DSC_0151Our BU-led project brings highly experienced health professionals, such as midwives, health visitors or mental health nurses, to Nepal to work as volunteer trainers. The training is aimed at community-based maternity care practitioners and addresses key mental health issues relevant to pregnancy and for new mothers and offers the required communication skills. These health professionals will bring their experience as health care providers as well as trainers in the field of mental health and maternity care/midwifery, mental ill-health prevention and health promotion. They volunteer for two to three weeks at a time to design and deliver training in southern Nepal.

logo THETThe Centre for Midwifery & Maternal Health (CMMPH) collaborates in this project with Liverpool John Moores University (LJMU), the Department of Health, and Physical & Population Education at Nepal’s oldest university Tribhuvan University’s (TU). The project is supported in the field by a local charity called Green Tara Nepal. Our project is part of the Health Partnership such as Nepal. HPS itself is funded by the UK Department for International Development and managed by THET (Tropical and Health Education Trust).

Fusion Diagram Our maternal mental health project is a good example of BU’s FUSION approach as it combines EDUCATION (through the training of Auxiliary Nurse-Midwives in Nepal) by UK volunteers (representing PRACTICE) through an intervention which is properly evaluated (representing RESEARCH) is a perfect example of BU’s FUSION in action. Moreover, the project will be partly evaluated by FHSS’s Preeti Mahato as part of her PhD thesis research. This PhD project is supervised by Dr. Catherine Angell (CEL & CMMPH), BU Visiting Professor Padam Simkhada (based at LJMU) and CMMPH’s Prof. Edwin van Teijlingen.BU’s focus on the FUSION of research, education and professional practice is a unique variant of the way UK universities (and many abroad) blend academic teaching, research and scholarship. FUSION is a key concept derived from BU’s strategic Vision & Values).

 

Prof. Edwin van Teijlingen

CMMPH

Public Health in Nepal: Vitamine A

Vit AThis week we published an editorial in the Journal of Biomedical Sciences on the question: “Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?”
The editorial concludes that prevention is still better than cure, but instead of a mass Vitamin A supplementation in Nepal, we need a health promotion intervention aiming to increase the intake of relatively cheap vegetables and fruit (containing β carotene). In addition we need better surveillance and help to identify children with Vitamin A Deficiency and provide them with Vitamin A supplements. The primary focus should be on adopting sustainable food based approaches to combat vitamin A deficiency. In Public Health terms: rather than a blanket coverage of Vitamin A supplementation to whole population we should consider a targeted intervention aimed at those who need it most.

Reference:
Simkhada P, Sathian B, Adhikari S, van Teijlingen E, Roy B. (2015) Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?. J Biomed Sci. 2(4):28-30.
http://www.nepjol.info/index.php/JBS/index

Fieldwork preparation in Nepal

If you have a number of research projects running in the same location it pays to combine some of the preparation.  Thus as part of five different studies and one PhD project, I’m currently in Kathmandu.  The projects are (1) the THET-funded intervention in Nawalparasi; (2) the CEL-funded qualitative research led by Dr. Catherine Angell on CPD (Continuous Professional Development); (3) the FHSS-funded project on transgender which is led by Dr. Pramod Regmi; (4) the FHSS-funded project with Pourakhi which supports Nepali women returning home after having been abroad as migrant workers;  and (5) the Green Tara Trust funded project on improving maternal health care in Dhading and Nawalparasi, and the FHSS PhD project is that of Mrs. Preeti Mahato.  Two of the project and the PhD topcic are closely related as all three cover maternity care in one for or another in Nawalparasi.  The planning meetings we are having in Nepal involve planning training sessions and workshops, resource allocation and research preparation.DSCN0026

Fortunately, it is not all work.  Today I enjoyed Kheer (Achar and Chana) for lunch in the Green Tara flat in Kathmandu a lovely rice pudding with slightly sour green vegetables and chick peas (see photo).  The actual meal is traditionally health tomorrow but as this is the weekend the staff brought it one day forward so that I could join in too.

Finally, I like to thank colleagues who gave me mobile phones and a camera.  One of the mobile phones is already in use by one of the Nepali charity workers in Kathmandu. I bought a new battery and memory card for camera in the UK and it is working fine, the photo with this blog has been taken with the donated camera!

 

Prof. Edwin van Teijlingen (writing from Nepal).

Centre for Midwifery, Maternal & Perinatal Health Research