Tagged / Nepal

Congratulations to BU Visiting Faculty on latest publication

Congratulations to Bournemouth University’s Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada for the paper on financial barriers to the uptake of antenatal care in a rural community in Nepal.1   The first author (a native Nepali-speaker) conducted 50 face-to-face interviews with women and their families in rural Nepal.  These interviews were thematically analysed after transcription.

This latest paper adds to our knowledge into user costs related to maternity services in Nepal as we had already published our findings on users costs in the largest obstetric hospital in the capital. 2

 

Professor Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., van Teijlingen, E.R., Porter, M., Simkhada, P. & Wasti, S.P. (2014) Why do costs act as a barrier in maternity care for some, but not all women? A qualitative study in rural Nepal International Journal of Social Economics 41 (8), 705-713

 

  1. Simkhada, P.P., van Teijlingen, E., Sharma, G., Simkhada, B., Townend, J. (2012) User costs and informal payments for care in the largest maternity hospital in Kathmandu, Nepal, Health Science Journal 6(2): 317-334.  www.hsj.gr/volume6/issue2/6212.pdf

 

BU student Jib Acharya presents poster in Ethiopia

HSC Ph.D. student Mr. Jib Acharya presented a poster in Ethiopia on his thesis research.  His poster accepted by the scientific committee of the Micronutrient Forum Global Conference in Addis Adeba, the capital of Ethiopia.

 

Jib Acharya reported on his Ph.D. research which involves a mixed-methods study of to assess knowledge, attitudes and beliefs about nutritious food amongst rural and urban mothers in one district of Nepal.  The poster highlighted that both knowledge of and attitudes towards nutritious food of rural and urban mothers are still poor in both rural and urban populations.

Jib’s supervisors in the School of Health & Social Care are: Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

 

Reference:

Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2014) A Comparative Study on Nutritional Problems in Preschool Aged Children of Nepal, poster presented at the Micronutrient Forum Global Conference in Addis Adeba, Ethiopia, June 2014.

 

 

Well done!

 

Prof. Edwin van Teijlingen, CMMPH

BU Nepal health research at international midwifery conference

Yesterday HSC Ph.D. student Sheetal Sharma presented her key research findings under the title ‘Getting women to care: mixed–methods evaluation of maternity care intervention in rural Nepal’ at the 30th congress of the ICM (International Confederation of Midwives) in Prague.   Sheetal’s Ph.D. evaluates the effectiveness of a health promotion intervention aiming antenatal care attendance in rural Nepal.  Her evaluation suggests that practice should be socio-culturally appropriate and inclusive not only of women but also their families.

This afternoon three HSC posters were displayed as part of a special session on Midwifery in South Asia.  All three posters featured aspects of maternity care research conducted in the Centre for Midwifery, Maternal and Perinatal Health in Nepal.

Poster 1:        Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study

Milne, L, Hundley, V, van Teijlingen, E, Ireland, J, Simkhada, P,

Poster 2:        Pregnant & Dirty?

Sharma, S., van Teijlingen, E., Hundley, V. Simkhada, P., Angell, C.

Poster 3:        Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention

Sharma, S.  Sicuri, E., Belizan, JM., van Teijlingen, E., Simkhada, P., Stephens J., Hundley, V., Angell, C.

 

Prof. Edwin van Teijlingen

CMMPH

HSC postgraduate student speaks at Canadian Conference

 

Pratik Adhikary spoke about his Ph.D. research at the American Canadian Conference for Academic Disciplines (Toronto: 19-22 May 2014).  Pratik presented the key findings from his thesis under the title ‘Health status and health risks to Nepalese migrant workers in the Middle East and Malaysia’.

Pratik is originally from Nepal and he conducted his research with male migrant workers who were returning to Nepal for definite or for a holiday/break.  He is supervised by Dr. Steve Keen and Prof. Edwin van Teijlingen both in HSC.

 

Pratik’s study has been supported by Bournemouth University, the PGR Development Fund and the Open Society Foundations.

 

Edwin van Teijlingen

CMMPH

HSC paper cited over hundred times in Scopus

The academic publisher Elsevier alerted us today that our paper has been cited for the 101st time in Scopus.  The paper ‘Factors affecting the utilization of antenatal care in developing countries: Systematic review of the literature’ was published in the Journal of Advanced Nursing.  The paper was part of the first author’s Ph.D. research into maternity care in Nepal.

This paper is one of the four outputs submitted to the UK REF for both Prof. Edwin van Teijlingen as part of the Bournemouth University submission and for Dr. Padam Simkhada as part of the University of Sheffield submission.

 

 

Prof. Edwin van Teijlingen

CMMPH, School of Health & Social Care

More about academic writing

Earlier this year (13th Jan. 2014) we wrote a BU Research Blog under the title ‘Writing about academic publishing’.  We can now add two further contributions this body of work.  The first article in Nepal Journal of Epidemiology offers some advice on how to construct a title for an academic article.  The authors (BU Professors Edwin van Teijlingen and Vanora Hundley; BU Visiting Faculty Ms. Jillian Ireland and Dr. Padam Simkhada and international collaborator Dr. Brijesh Sathian) have a wealth of experience reviewing papers and all have experience as editor board members and/or editors.  The authors are associated the editorial boards of the many journals, including: Birth, BMC Pregnancy & Childbirth, Medical Science, Nepal Journal of Epidemiology, Essentially MIDIRS, Sociological Research Online, Hellenic Journal of Nursing Science, Midwifery and Asian Journal of Health Sciences.  In our joint capacity as reviewers and editors we have seen some great and some awful titles.  The paper in Nepal Journal of Epidemiology is an attempt to improve the appropriateness and usefulness of titles chosen by budding authors.

Editorial Midwifery 2014

Editorial Midwifery 2014

The second addition is an editorial in the international journal Midwifery published by Elsevier.  Together with HSC Visiting Faculty Prof. Debra Bick we address the question: ‘Who should be an author on your academic paper?’   Still too often we hear about worrying stories from fellow academic s and postgraduate students about inappropriate behaviour related to authorship of academic journal papers.  The Midwifery Editorial advises academics to discuss authorship and authorship order early on in the writing process.  At the same time, it highlights that authorship ‘rules’ or ‘traditions’ can vary between different academic disciplines.  Thus when working in a multidisciplinary team, issues of authorship of any papers which arise out of the study should be discussed before problems or concerns arise.

 

We would like to take this opportunity point our readers to another interesting and useful BU Research Blog written by Shelly Maskell under the title: ‘How to design a completely uninformative title’ (7th Feb. 2014).

 

Prof. Edwin van Teijlingen & Prof. Vanora Hundley

Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University

 

References:

  1. van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal Journal of Epidemiology 4(1): 344-347.
  2. van Teijlingen, E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.

 

Highest marks for International Fellowship for Midwives research in Nepal

 

In 2013 Wellbeing of Women joined the Royal College of Midwives (RCM) to offer the International Fellowship for Midwives (worth £20,000).  Their first ever recipient was BU Lesley Milne with her supporting team.  Lesley is a Senior Lecturer in Midwifery based at BU’s Portsmouth Branch Campus and her proposal set out to undertake a research project to explore barriers to facility birth in Nepal.

 

Delivery bed small hospital Nepal

Apart from Lesley herself the BU team comprises Vanora Hundley, Professor in Midwifery, Edwin van Teijlingen, Professor of Reproductive Health Research, and two HSC Visiting Faculty members, namely Dr. Padam Simkhada, Senior Lecturer at the University of Sheffield, and Ms. Jillian Ireland, Community Midwife NHS Poole Hospitals.

 

Small commercial pharmacy outside local hospital (Nepal)

Small commercial pharmacy outside local hospital (Nepal)

At the end of March 2014 we submitted the final report on the research to Well-Being of Women and the RCM and this report gained an ‘A’ in their scoring system.  Last week at the feedback meeting in Well-Being of Women’s office in London Lesley presented some of her key findings which she illustrated with some of her photographs.  The comments from those round the table were that the topic was well researched and that the qualitative research findings could help focus the funders in their future work.

 

Having reached the dissemination stage, we are planning scientific papers as well as a feedback session in Kathmandu (in September this year). Currently we are working on two academic papers, one is in an advanced stage approaching submission and the other is just passed its draft stage.

 

 

Lesley Milne, Vanora Hundley, Jillian Ireland (Visiting Faculty),Edwin van Teijlingen & Padam Simkhada (Visiting Faculty)

 

Centre for Midwifery, Maternal & Perinatal Health

School of Health & Social Care

 


BU’s best wishes to Dr. Padam Simkhada (HSC Visiting Faculty)

Dr Padam Simkhada, senior lecturer in ScHARR at the University of Sheffield was awarded the CEA Award of Global Health Research for his contribution to global research at a special ceremony at the Mahatma Gandhi University, India just before last Christmas. Dr Simkhada has been Visiting Faculty at BU in the School of Health & Social Care since 2010. He is involved in various BU projects, including the Fellowship awarded by the charity Wellbeing of Women, in association with the Royal College of Midwives (RCM), for research into Nepalese maternity services and women’s health from an international perspective. The research team consists of Lesley Milne, Senior Lecturer in Midwifery, Vanora Hundley, Professor in Midwifery, Edwin van Teijlingen, Professor of Reproductive Health Research at BU, and BU Visiting Faculty Dr. Padam Simkhada.

 

Dr. Simkhada is also co-supervisor of HSC PhD student Ms. Sheetal Sharma.  Sheetal Sharma’s poster presentation recently won the best poster prize at a conference in Birmingham for the poster Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention.   Sheetal is supported by Bournemouth University with a studentship and a Santander grant.

Dr. Simkhada has published over 70 research articles on issues such as reproductive and sexual health, migration and sex trafficking and maternal and child health.  Furthermore, he has been working to improve the quality of health research among higher education institutions in Nepal.

This Global Health Research Award for Dr. Simkhada has been reported widely in the media in India, Nepal and in England.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal and Perinatal Health

BU well represented at Global Women’s (GLOW) Research Conference

 

At tomorrow’s Global Women’s (GLOW) Research Conference at the University of Birmingham BU’s Centre for Midwifery, Maternal & Perinatal Health is very well presented.  Prof. Vanora Hundley presents her poster Clean Birth Kits to promote safe childbirth, which reports the views of policy makers and district health officers in Pakistan regarding the potential for CBKs to facilitate clean birth practices.

 

PhD student Sheetal Sharma also presents a poster on her thesis under the title: Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention.  Sheetal’s work is supervised by BU Professors Edwin van Teijlingen and Vanora Hundley, BU Senior Lecturer in Midwifery Catherine Angell, BU Visiting Fellow Dr. Padam Simkhada (ScHARR, University of Sheffield) and Dr. Elisa Sicuri from CRESIB (Barcelona Centre for International Health Research) in Spain and Prof. José M. Belizán from IECS (Institute for Clinical Effectiveness and Health Policy) in Argentina.  Sheetal’s PhD evaluates a community-based health promotion intervention in Nepal which aims to improve the uptake of maternity care.  The intervention is sponsored by the London-based Buddhist charity Green Tara Trust (see: http://www.greentaratrust.com/ ).

 

Whilst PhD student Rachel Arnold will give an oral presentation of her PhD research under the title:  Afghan women: a qualitative study of the culture of care in an Afghan maternity hospital.   This PhD, supervised by BU Professors Immy Holloway and Edwin van Teijlingen and BU Visiting Professor Kath Ryan (La Trobe University, Australia), analyses the culture of care within a maternity hospital in the Afghan capital Kabul and examines the perspectives of midwives, doctors and cleaners on their role and care within that hospital. In a country striving to reduce the high rate of maternal mortality the provision of quality intrapartum care for women in Kabul’s maternity hospitals is vital.

 

BU Professors Vanora Hundley and Edwin van Teijlingen will also take the opportunity at the GLOW conference to promote the forthcoming BU conference on what will happen after the Millennium Development Goals in 2015 ‘Midwifery and the post MDG agenda’ (http://postmdgagenda-eorg.eventbrite.co.uk/ ).

 

Vanora Hundley is Professor of Midwifery

Edwin van Teijlingen is Professor of Reproductive Health Research

 

BU presents at first National Midwifery Conference in Nepal

 

Lesley Milne, senior lecturer in Midwifery at Bournemouth University, presented this weekend at the First National Midwifery Conference in Kathmandu, Nepal.  She is part of a team studying why women in Nepal don’t use health services when giving birth in areas where such facilities are available.    After her presentation Lesley (picture first right) was awarded a certificate and token in true Nepali style.

Lesley is currently in Nepal for fieldwork as part of the first International Fellowship for Midwives worth £20,000.  Her study uses a mixed-methods approach which comprises observation and interviews with staff.  The Fellowship has been awarded by the charity Wellbeing of Women, in association with the Royal College of Midwives (RCM), for research into maternity services and women’s health from an international perspective.

The team consists of Prof. Vanora Hundley, Professor in Midwifery, Prof. Edwin van Teijlingen, Professor of Reproductive Health Research at BU, and BU Visiting Faculty Dr. Padam Simkhada based at ScHARR, the University of Sheffield

A second paper with BU input was presented by Joy Kemp Global who is the RCM’s Professional Advisor (Global Midwifery Twinning Project).  The presentation ‘A Feasibility Study of Professional Midwives in Nepal’ is based on a paper recently accepted for publication by the international journal Midwifery.  This health policy planning paper is led by Swedish midwife Malin Bogren and in collaboration with Prof. Marie Berg (The Sahlgrenska Academy at the University of Gothenburg and Prof. Edwin van Teijlingen.

 

Professors Edwin van Teijlingen & Vanora Hundley

Centre for Midwifery, Maternal & Perinatal Health , HSC.

Realities of fieldwork: Sheetal Sharma, HSC PhD student on fieldwork in rural Nepal.

(c) Sheetal Sharma

Open air focus group in rural Nepal, (c) Sheetal Sharma 2013.


Roosters crowing, cows mooing, bleating goats, birds chirping, mobile phones ringing, children screaming, laughing and running around while women, breastfeeding, talk over one another excitedly in the sun as they need to leave us soon to drop the children off to school and/or head to the field to cultivate the season’s crop this spring it is wheat, last summer, rice. Women do this work as most of their husbands are away in the capital, Kathmandu or in the Arab Gulf. This is the reality of conducting focus groups in rural Nepal.

Although we, as researchers, spend considerable time to perfect the ideal ‘tool’ of the interview schedule and imagine the transcription clear and the background; a researcher must be prepared for every eventuality. Noise, din and interruptions: Today a dog nibbled on a nearby goat and a few men kept creeping to listen in why was this videshi (foreigner) recording conversations and making notes. The women shooed them away as today was a discussion on contraception; also that the discussion of the focus groups should be in ‘controlled environment’, safe, quiet; and in Nepal where women are not the main decision-maker for their reproductive health, it should mean a lieu women should be able to discuss freely these issues. In this Green Tara’s (www.greentaratrust.com) intervention area, which my PhD, supervised at HSC BU by Catherine Angell, Vanora Hundley, Edwin van Teijlingen and University of Sheffield’s Padam Simkhada, aims to evaluate both quantitatively and qualitatively, shows one the decision-making outcomes improved: increased the use of contraception in the Pharping area from 4.3% (2008) to 24.6% (2012) after 5 years of health promotion conducted by two auxiliary nurse-midwives.
40 minutes later recording (with 2 digital recorders) and once the demographic data and recording is double-checked and any last questions answered we set off walking 2 hours downhill visiting a tea-shop on the way for a cup of chai.

Edwin van Teijlingen and Emma Pitchforth, Qualitative Research: Focus group research in family planning and reproductive health care J Fam Plann Reprod Health Care 2006;32:1 30-32doi:10.1783/147118906775275299
http://jfprhc.bmj.com/content/32/1/30.citation

HSC Student receives Graduate Scholar Award at University of Berkeley Conference.

 

Sheetal Sharma, HSC presented at the Science in Society conference (SiS) at Berkeley University in November 2012 where she received a Graduate Scholar Award http://science-society.com/the-conference/graduate-scholar-award

As a PhD student presenting it’s an opportunity to practice for the inevitable viva and a chance to reflect on your work, as there’s always a question you do not expect. For instance, I had a few questions on cultural aspects of my PhD mixed-methods evaluation. That helped me prepare for my transfer viva, where I was asked on the cultural context of the health promotion intervention, specifically in a country context, run by Green Tara Nepal: http://www.greentaratrust.com/ The plenary was the Presidential Commission for the Study of Bioethical Issues http://www.bioethics.gov/cms/node/778 on ethics and morality of science.

Conferences can be competitive, in the sense, you need to be accepted. Secondly you also can compete for a ‘free space’ and in this instance you were able to compete to be a chair. At SiS, graduate students were invited to, through a very formal application process, to be chair of session. Although it means you won’t attend certain talks, the trade-off is worth is as one is forced to think of questions or how to manage, and be critical and aware of several issues of research.

Being ‘forced’ to be critical led to my planning more what aspects I want to present to the audience. This conference was concerned with the science of health, its epistemology and helped me think of how to discuss the development of theory. As in a PhD viva one might need to answer ‘new knowledge to the field’ how the theory or models proposed are better than competing theories.

I was also lucky to visit Howard University, where I spend time researching cultural ‘appropriateness’ of health programmes, specifically should postnatal care be done again at 40 days. For my PhD evaluation of the Green Tara Nepal that the cultural sensitive aspect led to its increase in health services uptake. I encourage those interested to visit their work as they are ranked school in the top 20% of social work programmes. The World Bank and USAID frequently have invitations to talks, the ones I attended highlighted the focus of women in development, what role programmes can play to develop rural areas; as it is women in Nepal who ‘stay’ in the villages to farm and care for the family as men migrate abroad or to the capital city Kathmandu.

This experience helped me begin the reflection of what my evaluation means, whether in a policy context or the epistemological context; on my return I spoke to my supervisory team. Prof. Edwin van Teijlingen, Prof. Vanora Hundley, Dr. Catherine Angell and my external supervisor Dr. Padam Simkhada (University of Sheffield) who encouraged me to on this basis strengthen my writing for my discussion on what the research done has meant.

 

HSC PhD student from HSC presents in London at Society for Social Medicine

Sheetal’s SSM poster can be viewed here

Sheetal Sharma a PhD student at Health and Social Care at BU was lucky to be accepted at the Society for Social Medicine (SSM) September Conference in London to present her poster on my PhD research: Mixed-methods evaluation of a health promotion intervention in rural Nepal, complete with a photograph of the fieldwork involved in villages in Nepal! This year was particularly tough getting accepted as conference organisers commented that 360 abstracts were submitted, of which just 159 (44%) were accepted (including 3 as plenary presentations, 96 as parallel presentations, and 60 as poster presentations). And further stated that that at another SSM conference, an abstract awarded a poster presentation would have been given an oral presentation.
“My BU supervisors Prof. Edwin van Teijlingen, Prof. Vanora Hundley, Dr. Catherine Angell and my external supervisor Dr. Padam Simkhada (University of Sheffield) supported me to submit an abstract with our Spanish and Argentine academic partners, early this year”. I really appreciated the free place as universities have limited budgets to support their students in presenting at conferences; I doubt I would have attended had I had to meet the costs myself. So a big thanks to BU and SSM for supporting me! After my experiences at SSM 2012, I would encourage students and young researchers to attend SSM, as the research presented is stimulating and the feedback obtained is invaluable, the conference is really well organised, the support team and volunteers are really friendly and helpful! I hope to be a part of the ECR committee based on this conference.”
Sheetal mentioned she particularly enjoyed the workshop session on Evaluation of complex public health interventions, the concepts and methods practical guidance on “how to do it” and the applicability of different study designs, particularly the role of qualitative research by Mark Petticrew (LSHTM), James Hargreaves (LSHTM), and Steve Cummins (QMUL), as it relates to her evaluation on a health promotion intervention that aims to improve childbearing women’s demand of health services.
Sheetal felt it was great to see what research is conducted from institutions across the U.K. and globally, in a dynamic setting specifically the welcome address by Dr Piot who co-discovered the Ebola virus in Zaire in 1976, the Pemberton Lecture, 2012: Ethnicity and health by Peter Whincup. Sheetal feels research students should be encouraged to present as it motivates them to publish and network. Attending the conference in London also gave her a chance to visit the King’s Fund and dine at Lincoln’s Inn in the 19th century Great Hall with a view onto a fresco of Moses and Edward I ending with a guided tour of the Wellcome Collection.