Tagged / Nepal

Public Health in Nepal: Vitamine A

international, open access, Publishing

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

international, PG research

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

 

Presentation PhD student Jib Acharya in Liverpool

international, open access, PG research, Publishing, student research

Jib LJMU 2016Mr. Jib Acharya (FHSS) gave an interesting presentation yesterday about the qualitative research findings of his PhD at Liverpool John Moores University.  Jib’s PhD research focused on the knowledge, attitudes and beliefs of poor women in Nepal about healthy eating and the study also identifies major food barriers.

His mixed-methods approach combines a quantitative questionnaire survey with qualitative research. Jib’s research project is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen. Some of the preliminary findings of this FHSS thesis have already been published in two scientific journals [1-2].

References:

  1. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Assessment of knowledge, beliefs and attitudes towards healthy diet among mothers in Kaski, Nepal, Participation 17(16): 61-72.
  2. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District in Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.

Why editorials?

international, Knowledge Transfer, open access, Publishing, Research Integritiy, writing

Zika editorial 2016BU academics are editors on a wide range of scientific journals.  As editors we often write editorials for academic journals which have a number of specific functions.  It is a key means of communication between the editor(s) and the journal’s readership.  It is also vehicle to highlight topical academic and political issues related to the journal and the discipline(s) it represents. JAM June 2016 editorial

Earlier this week the latest issue of the Journal of Asian Midwives came out with an editorial which is an illustration of the first point giving information to the readers [1].  The topics addressed in this editorial included the announcement that this new journal was now indexed in the CINAHL Database, a recent major international conference in the field and a call for the forthcoming 2017 ICM (Internation Confederation of Midwives) tri-annual conference.  Today saw the publication of an editorial on the Zika virus and its potential impact in Nepal in the journal Medical Science [2].   This guest editorial co-written by BU’s Visiting Faculties Dr. Brijesh Sathian and Prof. Padam Simkhada with Prof. Edwin van Teijlingen (Centre for Midwifery, Maternal & Perinatal Health) calls for action in Nepal.  A country where malaria is endemic. The Zika virus uses mosquitoes like the ones spreading Dengue fever and malaria.  Zika is a virus we do not wish to see spreading in countries where malaria is already rife.  The editorial warns that precautionary measures are needed to prevent a Zika outbreak as the spread of the virus to the country seems inevitable, the only uncertainty is when it will be arriving.

Both journals are Open Access which means these editorials can be read by anybody with internet access free of charge.

References:

  1. Jan, R., van Teijlingen, E. (2016) Editorial JAM June 2016, Journal of Asian Midwives 3(1):1. http://ecommons.aku.edu/jam/vol3/iss1/1/
  2. van Teijlingen, E., Sathian, B., & Simkhada, P. (2016). Zika & Nepal: a far greater risk for its population than to individuals. Medical Science 4(2): 312-313. http://www.pubmedhouse.com/journals/ms/articles/1064/PMHID1064.pdf

 

BU-Nepal link highlighted

international, Publishing, writing

Talbot Himalayans 2016This week BU’s work in Nepal was highlighted in several ways.  Most publicly on the wonderful new mural at Talbot Campus.  Secondly, BU currently displays some of the entries of images to the past two years of its research photo competition.  The photos show the creativity of BU’s academics and students as well as the fascinating range of research taking place at the university.  One of these pictures was taken by FHSS Visiting Faculty Dr. Bibha Simkhada during fieldwork in Dhading, Nepal.  The selected photos are on display in the Atrium Art Gallery until the 13th of June.  Helicopter Dhading

Last, but not least, another FHSS Visiting Faculty, Poole Hospital NHS Foundation Trust midwife Jillian Ireland published a blog on her involvement in the THET-funded project in Nepal.  She reflects on her time as UK volunteer in Nepal.  Jilly wrote: ” Three volunteers Andrea Lawrie, David Havelock and I are keen to share what we experienced in a paper sometime soon and today I will condense some of my own reflections. I wrote ‘letters’ (via email) to my Head of Midwifery, Sandra Chitty and to Senior Lecturer in Midwifery at Bournemouth University Dr. Jen Leamon while I was away, using different styles of expression to ‘get at’ my reflections from more than one angle. It helped me to separate out elements of the whole experience.”

Prof. Edwin van Teijlingen

CMMPH

New paper BU PhD student Sheetal Sharma

open access, PG research, Publishing, writing

Plos ONE Sheetal 2016Congratulations to FHSS PhD student Sheetal Sharma on her latest paper [1].  The paper ‘Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal’ appeared this week in the journal PLOS One.  Sheetal’s innovative mixed-methods approach was applied to a long-running maternity intervention in rural Nepal.  The paper concludes that community-based health promotion in Sheetal’s study had a greater affect on the uptake of antenatal care and less so on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.

Reference:

  1. Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144