2 January 2016

Field visit to birthing centre in rural Nepal

international, PG research, writing Edwin van Teijlingen

Today, as part of several related maternity-care studies, one of Bournemouth University’s (BU) researchers visited a rural birthing centre in Nawalparasi. The first photo is the view from the birthing centre showing exactly how rural it is. This particular birthing centre is based close to the Indian border. It has been supported for over a year by Green Tara Nepal, an organisation which works closely with BU on a range of health and maternity-care projects. The birthing centre has been improved since our last visit one year ago. There now is a newly build decomposition pit for the disposal of placentas. There is a new postnatal recovery room, and the number of local women giving birth in the facility has been increasing! When we arrived a new baby had just been born an hour or so earlier (second photo with proud father on the right).

This and several neighbouring birthing centres are the focus of a PhD study by FHSS’s Preeti Mahato. She recently co-authored an editorial in Nepal Journal of Epidemiology on the role of birthing centres in post-earthquake Nepal [1]. Her PhD is supervised by Dr. Catherine Angell, Prof. Padam Simkhada, based at Liverpool John Moores University (LJMU) and who is also Visiting Faculty at BU, and Prof. Edwin van Teijlingen.

The birthing centre also lies in the area where the charity Green Tara Nepal has been supporting groups for pregnant women and their mothers-in-law. The latter is an important group as they are still key decision-makers on maternity care questions related to their daughters-in-law [2]. The birthing centre is part of a wider intervention to improve the uptake of antenatal and postnatal care and skilled attendance at delivery. BU has been involved in evaluating this intervention with Green Tara Trust (UK) and LJMU for nearly a decade.

Some of the birthing centre staff will attend the mental health and maternity care training organised next week [3]. This training project is run by a consortium of BU, LJMU, and Tribhuvan University (the oldest university in Nepal). This mental health and maternity care project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID), and in the field our THET project is supported by Green Tara Nepal.

Prof. Edwin van Teijlingen

CMMPH

References:

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/14260/11579
Simkhada, B., Porter, M., van Teijlingen, E. (2010) The role of mothers-in-law in antenatal care decision-making in Nepal: A qualitative study. BMC Pregnancy & Childbirth 10(34) biomedcentral.com/content/pdf/1471-2393-10-34.pdf
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

1 January 2016

First CMMPH editorials of 2016

international, open access, PG research, Publishing, student research Edwin van Teijlingen

Happy New Year and a healthy and successful 2016. I have the pleasure to announce the first two editorials published this year by CMMPH staff and students. Although I am slightly cheating as the editorials were really published yesterday on the very last day of 2015 in the latest edition of the Nepal Journal of Epidemiology. In my defence I didn’t have access to the internet here in Nepal until this afternoon.

The first of the two editorials focuses on small-scale community birth centres in post-earthquake Nepal [1]. The lead author of this editorial our CMMPH PhD student Preeti Mahata and all her co-authors are affiliated with BU. Dr. Pramod Regmi, Dr. Catherine Angell and Prof. Edwin van Teijlingen are FHSS staff and Prof. Padam Simkhada and Dr. Brijesh Sathian are both BU Visiting Faculty. Preeti Mahato is conducting her PhD research on birthing centres in Nawalparasi, in the south of Nepal, in an area bordering India.

The second editorial looks at ‘health’ in the recently announced new Constitution of the Federal Republic of Nepal [2]. The concept of health as a human right seems to us quite central in the Nepalese Constitution, considerably more so than in the Constitutions of the USA or the Netherlands, for example. Four of the five authors of this editorial are affiliated with BU, whilst Dr.Puspa Pant is based at the Centre for Child and Adolescent Health, at the University of the West of England.

The Nepal Journal of Epidemiology is Gold Open Access hence both editorials are freely available to everyone.

Prof. Edwin van Teijlingen

CMMPH

References:

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/14260/11579
Simkhada, P., Regmi, P.R., Pant, P.R., van Teijlingen, E., Sathian, B. (2015) Stipulating citizens’ fundamental right to healthcare: Inference from the Constitution of Federal Republic of Nepal 2015. Nepal Journal of Epidemiology 5(4); 516-517. http://www.nepjol.info/index.php/NJE/article/view/14257/11576

31 December 2015

THET-funded project in Nepal

international, open access, writing Edwin van Teijlingen

Yesterday Prof. Edwin van Teijlingen met with Nepalese collaborators from Tribhuvan University to discuss the first training session planned for THET project ‘Mental Health Training for Maternity Care Providers in Nepal‘. The target population of the project comprises community-based health-care practitioners at the level of nurse and below (there are no doctors in rural villages). The project is a collaboration between the Department of Health, Physical and Population Education at Nepal’s oldest and largest university, Tribhuvan University’s (TU), and two UK universities, Bournemouth University (BU) and Liverpool John Moores University (LJMU), and supported by our local partner, Green Tara Nepal (GTN). BU has a long history of working with GTN as well as its sister organisation Green Tara Trust (GTT), a Buddhist charity based in London. The project is funded from a grant awarded under the Health Partnership Scheme (HPS). HPS put money into health partnerships to carry out training and capacity-building projects in low-income countries, such as Nepal. HPS itself is funded by the UK Department for International Development (DfID) and managed by THET (Tropical Health & Education Trust).

Prof. Edwin van Teijlingen is one of the first volunteers together with BU Visiting Faculty Dr. Bibha Simkhada (research nurse at LJMU & practising nurse in the NHS). Together with collaborators in Nepel they will deliver the first training early in 2016 (i.e. next week) on this THET project. The first photo shows Prof. Lokendra Sherchan writing a letter of invitation to the District Public Health Officer in Nawalparasi inviting him to encourage his staff to participate in our training. The letter is beautifully handwritten in Nepali as the university is closed between terms at the moment. The second photo shows professors Shyam K Maharjan, Ram K Maharjan and Edwin van Teijlingen in discussion with Kathmandu in the background. Both photos are taken by GTN’s Samridhi Pradhan. We have published some of the background information on our project earlier this year in the Nepal Journal of Epidemiology [1].

References:

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

30 December 2015

New paper by BU PhD student Preeti Mahato

open access, PG research, Publishing, student research, writing Edwin van Teijlingen

Today saw the publication of an academic paper in the World Health Organization’s WHO South-East Asia Journal of Public Health by FHSS’s PhD student Mrs Preeti Mahato. The paper ‘Access to free health-care services for the poor in tertiary hospitals of western Nepal: a descriptive study’ [1] based on work conducted prior to commencing her PhD thesis in the Centre for Midwifery, Maternal and Perinal Health (CMMPH). The journal is Open Access and the paper is freely available across the globe, to access online manuscript click here!

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Mahato,P.K, Paudel, G.S. (2015) Access to free health-care services for the poor in tertiary hospitals of western Nepal: a descriptive study. WHO South-East Asia Journal of Public Health 4(2): 167–175.

14 November 2015

Successful ESRC Festival of Social Sciences in EBC today

Knowledge Exchange, Knowledge Transfer, PG research, student research, Women's Academic Network Edwin van Teijlingen

This afternoon Prof. Jonathan Parker introduced the final of three session in the Executive Business Centre under the title ‘Enhancing social life through global social research: Part 3. Social science research in diverse communities’. This session was well attended and coveredwas a wide-range of interesting social science research topics.

Professor of Sociology Ann Brooks started off the session with her presentation on ‘Emotional labour and social change.’ She was followed by Prof. Edwin van Teijlingen who gave an overview of research in Nepal. FHSS PhD student Andy Harding introduced his thesis research into ‘Information provision and housing choices for older people.’ At this point Prof. Brooks gave her second talk on ‘Risk and the crisis of authenticity in cities’. Social Anthropologist Dr. Stephanie Schwandner-Sievers spoke about her research on ‘Reconciliation and engaged ethnography in the Balkans.’ Dr. Hyun-Joo Lim highlighted her study on ‘North Korean defectors in the UK’ and the session was completed by Dr. Mastoureh Fathi who presented her analysis of parenting books for Muslim parents in the UK.

This was the last day of the ESRC Festival of Social Science at which Bournemouth University was extremely well presented!

Thank you to my colleagues for organising this and the ESRC for funding the events!

Prof. Edwin van Teijlingen

(medical sociologist)

5 November 2015

Congratulations new publication Dr. Pramod Regmi in FHSS

Publishing Edwin van Teijlingen

Asian-Pacific Journal of Public Health published an editorial with Dr. Pramod Regmi as its first author. The editorial ‘Importance of Health and Social Care Research into Gender and Sexual Minority Populations in Nepal.’ The authors argue that despite progressive legislative developments and increased visibility of sexual and gender minority populations in the general population, mass media often report that this population face a wide range of discrimination and inequalities. LGBT (lesbian, gay, and bisexual, and transgender) populations have not been considered as priority research populations in Nepal.

Prof. Edwin van Teijlingen

CMMPH

Reference:

Regmi, R.R., van Teijlingen, E. Importance of Health and Social Care Research into Gender and Sexual Minority Populations in Nepal

Asia Pac J Public Health 2015 27: 806–808,

6 October 2015

CMMPH editorial in today’s Nepal Journal of Epidemiology

Awarded & submitted bids, Fusion, open access, Post-award, Publishing Edwin van Teijlingen

The current issue of the Nepal Journal of Epidemiology published today carries an editorial by a BU-led team of researchers and development workers. The editorial Mental health issues in pregnant women in Nepal highlights the intervention funded by THET which aims to improve the knowledge and attitude of maternity care workers in a rural district in the south of Nepal. The BU authors include Visiting Faculty: Padam Simkhada, Samridhi Pradham, Jillian Ireland and Bibha Simkhada, the other co-authors are affiliated with the charity we work with in Nepal (Ram Chandra Silwal), the Buddhist charity based in London Green Tara Trust (Padmadharini Fanning), and our Tribhuvan University based colleagues (Lokendra Sherchan, Shyam K Maharjan, and Ram K Maharjan.

This THET-funded project will involve over 15 UK short-term volunteers. It is important to bring UK volunteers, who as health professionals will bring their experience of, and training in, the provision of mental health and maternity/midwifery services including the area of mental ill health prevention and health promotion. These experienced health workers (such as midwives, family doctors, mental health nurses, health visitors, psychiatrists) from the UK are invited to volunteer for two to three weeks at a time to design and deliver training. The mixture of training staff abroad (= Education) by UK professionals (=Practice) through an intervention which is properly evaluated (=Research) is a perfect example of BU’s FUSION in action.

This project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID) and runs from this year May 1st until the autumn of 2016. The paper is freely available on line, click here!

Prof. Edwin van Teijlingen

CMMPH

Refererence:

van Teijlingen E, Simkhada P, Devkota B, Fanning P, Ireland J, Simkhada B, Sherchan L, Silwal CR, Pradhan S, Maharjan KS, Maharjan KS. Mental health issues in pregnant women in Nepal. Nepal J Epidemiol. 2015;5(3); 499-501.

30 September 2015

Manuscript accepted from Dr. Regmi (FHSS)

Publishing Edwin van Teijlingen

Congratulations to BU’s Dr. Pramod Regmi on the acceptance of the manuscript: “Importance of health and social care research into gender and sexual minority populations in Nepal” by the Asia-Pacific Journal of Public Health.

Dr. Pramod Regmi is originally from Nepal and currently a post-doc researcher in the Faculty of Health & Social Sciences.

Prof. Edwin van Teijlingen

CMMPH

28 September 2015

Congratulations to Jib Acharya on his latest Ph.D. paper

PG research, Publishing Edwin van Teijlingen

Congratulations to FHSS Ph.D. student Jib Acharya on the publication of his latest paper on childhood nutrition in Nepal.[1] Mr. Acharya’s study included a cross-sectional, community-based survey of 524 mothers in one district of Nepal. These were mothers of young children aged 36-60 months who are no longer breastfed at the time. The questionnaire survey included: socio-demographic measurements, knowledge, beliefs and attitudes about nutritious food, as well as child feeding patterns, food recommendation, major barriers, food insecurity and health-seeking behaviours. Jib’s mixed-methods Ph.D. work is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

The study found that both urban and rural mothers lacked knowledge of what food is nutritious. Moreover, their attitudes and views appeared often ill informed. This study suggests that a different approach was needed because the public health problems are associated with behaviour. Thus, more attention should be paid to appropriate intervention of under-nutrition in poor communities like this one studied in Nepal.

Prof. Edwin van Teijlingen

CMMPH

Reference:

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.

17 September 2015

Joint project with Tribhuvan University

Awarded & submitted bids, Public engagement Edwin van Teijlingen

Today I attended a contract-signing meeting at the Department of Health, Physical and Population Education at Nepal’s oldest university, Tribhuvan University (TU).

BU, TU and Liverpool John Moores University (LJMU) have been awarded a Tropical Health & Education Trust (THET) grant for health partnerships to carry out training and capacity-building projects in low-income countries, such as Nepal.

The new BU-led THET project will bring highly experienced UK volunteers to train some 100 maternity care providers, such as Auxiliary Health Workers (AHWs) and Auxiliary Nurse Midwives (ANMs) about the key mental health issues in pregnancy and in the months after birth. A local charity Green Tara Nepal (GTN) will support the work through some of the curriculum design, sensitising UK volunteers to live in rural Nepal, assisting in translating, as well as helping to recruit the local health workers. The two UK universities have a long history of working with GTN as well as its sister organisation Green Tara Trust (GTT), a Buddhist charity based in London. The new project will be based in Nawalparasi in the sub-tropical part of the country bordering India. The target population consists of grassroot health care practitioners since there are no doctors in these rural villages.

The pictures accompanying this post illustrate the inequalities and the mix of modern and traditional in Kathmandu today. The city crowded with motorbikes and then occasionnally one sees a couple cows been driven through these busy streets. The green house is in the street in front of where I am staying and the shanty town building are the backdoor neighbours. The picture with text is the price-list ourside the main infectious diseases hospital informing patients about the costs of certain treatments, tests and drugs. A reminder that health care might be free in name for the poorest people, there are still many costs involved in gettiong treated in hospital!

This project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID). The following people make up the international project team: Edwin van Teijlingen, Padam Simkhada, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Samridhi Pradhan, Shyam K. Maharjan, Ram K. Maharjan

9 September 2015

Your most popular paper this week was ….

BRIAN, Publishing, Research themes, Training Edwin van Teijlingen

Every week I receive an email telling me what my most accessed paper is on Academia.edu. As a research-active academic I would like this ‘top paper’ to be one of my research papers based on primary research or perhaps a systematic review. My second preference is that I would like it to be one of my few more theoretical papers and, if not that, then at least one of many methods papers I have published with colleagues over the past decade. But no, every single week a fairly basic ‘how-to-do’ paper is my most accessed paper. This week’s message is typical: “Your most popular paper for the week was Writing an academic paper for publication, which had 142 views.”

This how-to-write-an-academic editorial has been my most read paper for months now. It is a paper Prof. Vanora Hundley, Prof. Padam Simkhada (Liverpool John Moores University & BU Visiting Faculty) and I wrote in an attempt to help budding academics and postgraduate students in a low-income country to think about the process of drafting and writing a scientific paper.

Perhaps this paper is popular because there is a global need for it (Academia.edu also gives break down from where in the world the paper has been accessed). It is also possible that it is on course reading list or perhaps it is recommended on webpage somewhere. The paper is,of course, Open-Access which helps in terms of providing more people across the globe easy and free access!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Simkhada, P., van Teijlingen, E., Hundley, V. (2013) Writing an academic paper for publication, Health Renaissance 11(1): 1-5. healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf

23 August 2015

BU PhD student publishes in Huffington Post

PG research, student research Edwin van Teijlingen

From Aspirations to Reality: How to Effectively Measure the Sustainable Development Goals

PhD student Ms. Sheetal Sharma in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) published an article in online newspaper The Huffington Post this week. In the article argues in order that the new Sustainable Development Goals (SDGs) are achieved in 2030 we set out clear he measurable guidelines and targets as well as mechanisms to facilitate that measurement. The measuring progress in itself is important as transparent measurement stimulates a culture of accountability.

With co-authors Prof. Zoë Matthews and Dr. Sylvia Szabo both from the University of Southampton, Sheetal argues that we need a Call to Action. Now is not the time for weakness, neither in the implementation nor in tracking technical progress. They state: “We cannot be conservative in our measurement of progress in the post-2015 agenda. The measurement framework must empower the implementation of the SDGs and improve equity, welfare and environment for all for greatest and most inclusive developmental impact.”

The proposed two-track SDG indicator framework for 2030:
• Track 1 could monitor political goals (about 30 impact indicators) to assess overall progress regionally and globally.
• Track 2 could include a larger number of technical indicators to measure the means of implementation or processes towards each goal (300 indicators, or more).

Sheetal Sharma is currently writing up her PhD thesis on issues around evaluation of a maternity care intervention in Nepal. She has submitted several papers based on her PhD work for publications. Her PhD supervisory team comprises professors Vanora Hundley, Padam Simkhada (BU Visiting Faculty) & Edwin van Teijlingen and doctors Catherine Angell & Elisa Sicuri (BU Visiting Faculty).

Well done!

Prof. Edwin van Teijlingen

CMMPH

Twitter: @EvanTeijlingen

Follow Sheetal Sharma on Twitter: www.twitter.com/sheetale

11 August 2015

New publication by BU PhD student Jib Acharya

Publishing, student research Edwin van Teijlingen

Congratulations to FHSS Ph.D. student Mr. Jib Acharya, whose paper ‘Study of nutritional problems in preschool aged children in Kaski District in Nepal’ has just been published in the Journal of Multidisciplinary Research in Healthcare [1]. The academic paper, based on his Ph.D. thesis, reports on his mixed-methods Public Health study addressing attitudes and knowledge of mothers of young children (pre-school aged) in one particular district in Nepal. The research comprises a quantitative survey and qualitative focus groups. Jib Acharya, who is originally from Nepal, compares and contrasts the attitudes, knowledge and behaviour of poor rural and poor urban women (=mothers) in that district. The research is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

Prof. Edwin van Teijlingen

CMMPH

Reference:

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.

24 July 2015

New BU Research Methods paper

Knowledge Transfer, Publishing Edwin van Teijlingen

Yesterday the journal Health Prospect published another of our research methods papers. This latest paper on cross-national comparative research has been written by five sociologists from Northern Europe and North America: Ray De Vries (University of Michigan USA & Hogeschool Zuyd, Maastricht University, the Netherlands), Cecilia Benoit (University of Victoria, Canada), Jane Sandall (King’s College London), Ivy Bourgeault (University of Ottawa, Canada), Sirpa Wrede (University of Helsinki, Finland) and Edwin van Teijlingen (Bournemouth University). We have been working together on cross-cultural and cross-national issues in maternity care and midwifery since the mid-1990s. Our collaborative research led to the edited volume Birth by Design: Pregnancy, Midwifery Care and Midwifery in North America and Europe (Routledge, 2001). The book was short-listed for the British Sociological Association’s (BSA) Medical Sociology Book Prize in 2004.

The paper in Health Prospect is the latest in a series of papers addressing issues around the method of doing cross-national research. We highlight some of the specific contributions the discipline of sociology can make to cross-national comparative research in the public health field. Sociologists call attention to often unnoticed social and cultural factors that influence the way national reproductive health care systems are created and operated. The paper is published in an Open Access journal so it is easily and freely available to anybody across the globe.

Prof. Edwin van Teijlingen

CMMPH

van Teijlingen, E., Benoit, C., Bourgeault, I., DeVries, R., Sandall, J., Wrede, S. (2015) Learning from health care in other countries: the prospect of comparative research, Health Prospect 14(1): 8-12. info/index.php/HPROSPECT/article/view/13036/10525

23 July 2015

UK Nepali community research dissemination event

Public engagement, Publishing Edwin van Teijlingen

BU and UKNFS jointly presented some of the key findings of their study into the UK’s Nepali community. The meeting (22 July) in the EBC was attended by local representatives of the NHS, the CCG and Healthwatch Dorset. BU Prof. Vanora Hundley, Deputy Dean for Research (FHSS), who herself has published several academic paper on Nepal or English-language academic journals in Nepal, welcomed the audience. She highlighted how the research fitted into the wider health and soial care research portfolio of the Faculty.

BU Prof. Edwin van Teijlingen’s presentation highlighted the issues of access the health and social services in growing Nepali community in the UK. The reports highlights health and lifestyle issues, help-seeking behaviour and the influence of culture on health-related decision making. He mentioned barriers such as language and knowledge about services (or lack thereof). The findings of this study relate to previous studies in the field of ethnic minority communities int he UK. Mr. Alan Mercel-Sanca, Chairperson of the UK Nepal Friendship Society thanked the key researchers Dr. Bibha Simkhada (BU VIsiting Faculty) and Dr. Rajeeb Kumar Sah for conducting this mixed-methods research to such a high standard. He also thanked the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their interest in final report and advice on the research.

The Report offers a unique opportunity for local health crae providers and commissioners to improve their understanding of this particular ethnic minority group. In the long run the report may lead to more effectively service delivery, especially in terms of health and social services that are sensitive to the needs of the Nepali community. Moreover, the report’s findings have direct relevance to other South Asian and broader Black & Minority Ethnic (BME) communities in the UK.

Finally, the audience heard how the report has been widely reported among the Nepali-language media to the Nepali community in the UK as well as in Nepal. This include coverage by the BBC World Service in Nepali, who interviewed Dr. Bibha Simkhada about the study.

The report is available online here!

Prof. Edwin van Teijlingen

CMMPH

21 July 2015

Improving Nepali’s health & social care in the UK: Presentation of key findings 22 July at BU

Public engagement, Publishing Edwin van Teijlingen

Bournemouth University presents some of the key findings of the first study of its kind of the Nepali community in the UK. The report also shows the way forward for improved UK Nepali community NHS and social care provision. The research is a joint initiative between the UK Nepal Friendship Society, Bournemouth University in collaboration with the South East London Nepali community and funded by the Big Lottery Fund.

Key findings from the report suggest in particular that the elderly Nepali population struggle to access cultural appropriate health and social care. This results in people accessing health services too late. Further research is needed on mental health, especially on loneliness and social isolation in the elderly, but also on minorities within the broader community as well as those with limited English language skills. Its recommendations have potential transformational value for the relationship between this ethnic minority, most well-known for its Gurkha community, and the NHS and social care providers.

Many Nepali people evidenced that they struggle with accessing and navigating NHS services, and that there are significant confidence-building requirements that need to be addressed concerning a revealed need for experiencing more equitable NHS customer service provision. The lead author Dr. Bibha Simkhada is Visiting Faculty at BU.

Ruth Passman of NHS England, Head of Equality & Health Inequalities commented:

“This report and its findings indicate the scale of the need for the NHS to have a better understanding of the needs of the Nepali community accessing in an effective and equitable way, and through its profile of health and wellbeing seeking behaviour of the community for the NHS to have the opportunity to better address in partnership with the Nepali community, its particular needs.”
Prof. Gail Thomas the Dean of the Faculty of Health & Social Sciences added: “Bournemouth University has a long-standing history of health and health promotion research in Nepal. This study amongst the Nepali community in South London reminds us of the importance of addressing health and well-being issues in ethnic minority communities in the UK.”

Mr. Tej Bahadur Chhetri, the Acting Ambassador and Charge D’Affaires at the Embassy of Nepal sent the following message:

This report is a most helpful contribution, to promote much needed change in healthcare provision for the Nepali community, especially with the fast approaching 200 years of special friendship and diplomatic relations between Nepal and the UK. The link between the two countries started with the Gurkha regiments becoming part of the British Army, and having been so to this day. The UK Nepali community will clearly benefit from the report and its recommendations’

Alan Mercel-Sanca, the Chairperson of the UK Nepal friendship Society added: “We particularly appreciate Dr Bibha Simkhada and Dr Rajeeb Kumar Sah’s dedication and high quality research in the Nepali community. We would also like to thank the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their great interest in the value of the research. The Report offers a unique opportunity for our evolving NHS and the Ministry of Health to better understand and more effectively meet the needs and hear the Voice of the Nepali community – it clearly has direct relevance to other South Asian and broader Black & Minority Ethnic communities using and seeking to access an NHS that is equitable and effective.”

The presentation will take place tomorrow Wednesday 22nd July at 15.00 in the Executive Business Centre on Holdenhurst Rd. The meeting will be introduced and opened by Prof. Vanora Hundley, Deputy Dean for Research & Professional Practice in the Faculty of Health & Social Sciences. Prof. Hundley herself has published several academic paper on Nepal or English-language academic journals in Nepal.

Prof. Edwin van Teijlingen

CMMPH

@EvanTeijlingen

10 July 2015

UK Nepali Community Equality in Health & Social Care Study

Public engagement, Publishing Edwin van Teijlingen

Yesterday (July 9th) saw the launch of the report based on a study of the Nepali Community in the UK on Equality in Health & Social Care. The joint project between the UKNFS (UK-Nepal Friendship Society) and Bournemouth University was funded by the National Lottery and supported by The Embassy of Nepal in London, the Non Residential Nepali Association [NRNA UK], and NHS England. The presentation of the report ook place at the NRNA UK head office in Woolwich.

The Chief Guest of Honour at our launch was Mr Sushil Thapa from the Embassy of Nepal, representing His Excellency Mr Tej Bahadur Chhetri, Acting Ambassador of Nepal to the UK. The chief guest speaker was Dr. Habib Naqvi, NHS England Head of Equality, who highlighted the Report and its recommendations. The Principal Investigator Dr. Bibha Simkhada, who is also Visiting Faculty in BU’s Faculty of Health & Social Sciences, presented the key findings to the audience. Prof. Edwin van Teijlingen gave a short presentation settign this report in the wider portfolio of resarch related to Nepal conducted at BU. Mr. Alan Mercel-Sanca, Chairperson of UKNFS commented:

‘We particularly appreciate Dr Bibha Simkhada and Dr Rajeeb Kumar Sah’s dedication and high quality research in the Nepali community. We would also like to thank the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their great interest in the value of the research. The Report offers a unique opportunity for our evolving NHS and the Ministry of Health to better understand and more effectively meet the needs and hear the Voice of the Nepali community – it clearly has direct relevance to other South Asian and broader Black & Minority Ethnic communities using and seeking to access an NHS that is equitable and effective.’

The Report’s Executive Summary can be found here!

Prof. Edwin van Teijlingen

CMMPH

4 July 2015

Paper published based on prestigious scholarship

Awarded & submitted bids, Publishing Edwin van Teijlingen

BU academics Ms. Lesley Milne, Prof. Vanora Hundley and Prof. Edwin van Teijlingen in collaboration with BU Visiting Faculty Prof. Padam Simkhada (Liverpool John Moores University) and Ms. Jillian Ireland (Community midwife NHS Poole) published there latest paper yesterday in BMC Pregnancy and Childbirth. The paper ‘Staff perspectives of barriers to women accessing birthing services in Nepal: a qualitative study’ originated from research conducted in small maternity hospitals in Nepal.

The project was funded in 2013 through the first ever WellBeing of Women-Royal College of Midwives International Fellowship Award. This Fellowship was the first of its kind. It was established to enable midwives to further develop research interests in midwifery, maternity services, pregnancy, childbirth and women’s health from an international perspective.

The Scholarship competition was open to RCM midwives undertaking research in the UK or abroad which would address Millennium Development Goals 4 (Reduce Child Mortality) and 5 (Improve Maternal Health). Lesley Milne in the Centre for Midwifery, Maternal & Perinatal Heealth (CMMPH) was the first and very worthy recipient of this award.

Based on the fieldwork we published our paper in BMC Pregnancy & Childbirth an Open Access journal. The paper highlights that Nepal has made significant progress with regard to reducing the maternal mortality ratio but a major challenge remains the under-utilisation of skilled birth attendants. We found other studies had explored women’s views of the barriers to facility birth; however the voices of staff who offer services have not been studied in detail. This research explored the views of staff as to the key reasons why pregnant women do not give birth in a maternity-care facility when they exist.

This study highlights a multitude of barriers, not all of the same importance or occuring at the same time in the pregnancy journey. It is clear that staff are aware of many of the barriers for women in reaching the facility to give birth, and these fit with previous literature of women’s views. However, staff had limited insight into barriers occuring within the facility itself and were more likely to suggest that this was a problem for other institutions and not theirs.

Edwin van Teijlingen, Lesley Milne & Vanora Hundley

CMMPH

@EvanTeijlingen / @VanoraHundley

Reference:

Lesley Milne, Edwin van Teijlingen, Vanora Hundley, Padam Simkhada and Jillian Ireland, Staff perspectives of barriers to women accessing birthing services in Nepal: a qualitative study, BMC Pregnancy & Childbirth 2015, 15:142 http://www.biomedcentral.com/1471-2393/15/142

BU Research Blog

Tagged / Nepal

Field visit to birthing centre in rural Nepal

THET-funded project in Nepal

New paper by BU PhD student Preeti Mahato

Other services

Don’t miss a post!

Recent posts

Search by Category

Research Information Network

UKRI

Tagged / Nepal

From Aspirations to Reality: How to Effectively Measure the Sustainable Development Goals

Other services

Don’t miss a post!

Recent posts

Search by Category

Search by popular post topics