BU Research Blog

1 April 2016

Blog THET volunteer on BU-led project

On previous occasions we have written on the BU Research Blog about our THET-funded project, for example earlier this year on the first training sessions in Nepal. Bournemouth University is leading on a project in collaboration with Tribhuvan University (the largest and oldest university in Nepal) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a non-governmental organisation called Green Tara Nepal. We have been working with this charity for nearly ten years.

This time we would like to highlight a regular research blog written by Ish Fawcett who went out to Nepal last month as one of the UK volunteers. She has written some lovely blogs on her time in Nepal, about the training sessions as well as her general experiences of and observations on Nepal. Her blogs can be accessed here!

We would like to take this opportunity to repeat our call for volunteers. If you are a health or education professional with an interest in mental health and/or maternity care and you are interested in volunteering later this year for a week to ten days in Nepal please contact Edwin van Teijlingen (evteijlingen@bournemouth.ac.uk ).

Prof. Edwin van Teijlingen

CMMPH

29 February 2016

New BU multidisciplinary media & health paper out today!

international, open access, Publishing Edwin van Teijlingen

Today saw the publication “Is it realistic?” the portrayal of pregnancy and childbirth in the media, a paper which is truly interdisciplinary, both in terms of its authorship as well as its topics[1]. The lead-author, Dr. Ann Luce is based in the Faculty of Media & Communication, whilst her BU co-authors Dr. Catherine Angell, Prof. Vanora Hundley, Prof. Edwin van Teijlingen and Dr. Marylin Cash are all associated with the Faculty of Health & Social Sciences. Prof. Helen Cheyne, the only non-BU co-author, is based at the University of Stirling.

The paper is a scoping review to assess the influence media have on pregnant women. Much of the academic literature discusses the influence of (reality) television, which often portrays birth as risky, dramatic and painful. Although many claim that the portrayal of childbirth has a negative effect on society, there is little research evidence to support this claim. It has been suggested that women seek out such programmes to help understand what could happen during the birth because there is a cultural void through the increasing anticipation of negative outcomes. However the impact that has on normal birth has not been explored. Our paper highlighted three key themes: (a) the medicalisation of childbirth; (b) women using media to learn about childbirth; and (c) birth as a missing everyday life event. The key conclusions are the media appear to influence how women engage with childbirth. The dramatic television portrayal of birth may perpetuate the medicalisation of childbirth, and last, but not least, portrayals of normal birth are often missing in the popular media. Hence midwives need to engage with television producers to improve the representation of midwifery and maternity in the media.

BMC Pregnancy and Childbirth is an Open Access journal so our paper is freely available to researchers, journalists, childbirth activists as well as pregnant women anywhere in the world. This paper builds on a growing number of academic papers published by staff in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the role the media play in health and midwifery, both in the UK [2-3] and in Nepal [4-6].

Prof. Edwin van Teijlingen

CMMPH

References:

Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C., (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40
Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2012) Media use for Health Promotion: Communicating Childhood Immunisation Messages to Parents. Journal of Health Promotion 4(1): 1-9.
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2013) Childhood Immunisation in Nepal: Parents’ knowledge, attitudes and behaviour & implications for Health Policy. Health Science Journal 7(4):370-383.
Devkota, S., Maharjan, H.M., van Teijlingen, E. (2015) Media and Health. In: Wasti, S.P., Simkhada, P.P. & van Teijlingen, E. (Eds.) The Dynamics of Health in Nepal, Kathmandu, Nepal: Social Science Baha & Himal Books: 169-184.

26 February 2016

New health editorial on Sustainable Development Goals & Nepal

international, Publishing, student research, writing Edwin van Teijlingen

Since late 2015 the world strives to achieve towards the Sustainable Development Goals (SDG). The SDGs bring together the social, economic and environmental aspects of development. There are 17 SDGs sub-divided into 169 targets. One of these 17 goals focuses specifically on health, namely to “ensure healthy lives and promote wellbeing for all at all age”. SDG devotes 13 health-related targets to diverse population health and wellbeing issues including maternal and child health, communicable disease including HIV, non-communicable diseases, substance use, traffic accidents, universal access to sexual and reproductive health, and sanitation.

Nepal is one of the many countries that have signed up to the SDGs. This week BU researchers Dr. Pramod Regmi, Prof. Vanora Hundley, Prof. Edwin van Teijlingen, FHSS, PhD students Sheetal Sharma and Preeti Mahato, and BU Visiting Faculty Prof. Padam Simkhada (Liverpool John Moores University) published an editorial under the title ‘Sustainable Development Goals: relevance to maternal & child health in Nepal’ [1]. This editorial written by health researchers working in Nepal highlights some of the weaknesses in the country’s health care system. These key problems include the persistence of inequalities in health and the limited access to health services and the low uptake of care in many poorer populations especially in the more remote rural regions. For instance, only about one in nine of the poorest women deliver their babies with the aid of a skilled birth attendant (SBA), whilst 81.5% for the richest women benefit form a SBA. Therefore, this editorial stresses the need for a continuum of health care services to be available across the country and for all sections of the society. Moreover, we can only assess whether a country has reached all or any of the SDGs if there is systematic monitoring and regular review of interventions at all levels. Hence, Nepal should develop measureable and time-bond indicators to track its progress towards the SDGs. The country will need support from development partners in both its attempts to achieve the SDGs as well when it tries to collect and analysis data to assess its progress.

Prof. Edwin van Teijlingn

CMMPH

Reference:

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

11 February 2016

CMMPH editorial on Sustainable Development Goals in Nepal

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

Congratulations to FHSS post-doctoral researcher Dr. Pramod Regmi who is the lead author on the forthcoming editorial ‘Sustainable Development Goals: relevance to maternal and child health in Nepal’.[1] The Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has extensive research experience in the field of maternal and child health in Nepal. This latest editorial was invited by the editors of Health Prospect. The scientific journal Health Prospect is published by the Nepal Public Health Students’ Society.

The editorial outlines the recent history of the Millennium Development Goals which came to an end in 2015 [2] and which are now replaced by the Sustainable Development Goals [3]. The authors argue that continued technical and financial support from external development partners is necessary to sustain Nepal’s achievements in maternal and child health and to strengthen its health-service provision. They also suggest that the Sustainable Development Goals offer an opportunity to change Nepal for the better.

This is a joint publication with BU Visiting Faculty Prof. Padam Simkhada (Liverpool John Moores University) and two of CMMPH PhD students who research aspects of maternity care in Nepal, namely Sheetal Sharma and Preeti Mahato.

Professors Vanora Hundley & Edwin van Teijlingen

References:

Regmi, PR, van Teijlingen, E, Hundley, V, Simkahda, P., Sharma, S, Mahato, P. (2016) Sustainable Development Goals: relevance to maternal and child health in Nepal, Health Prospect (accepted for publication).
van Teijlingen, E., Hundley, V., Matthews, Z., Lewis, G., Graham, W.J., Campbell, J., ten Hoope-Bender, P., Sheppard, Z.A., Hulton, L. (2014) Millennium Development Goals: All good things must come to an end, so what next? Midwifery 30: 1-2.
World Health Organization (2015). Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. Geneva, Switzerland: World Health Organization. Available: http://www.who.int/gho/publications/mdgs-sdgs/en/

25 January 2016

Presentation by PhD student Preeti Mahato Jan 27th.

international, PG research, student research Edwin van Teijlingen

On Wednesday Jan. 27th CMMPH PhD student Preeti Mahato will present her PhD research ideas under the title “Addressing quality of care and equity of services available at birthing centres to improve maternal and neonatal health in western Nepal.” Her presentation will be held at the Lansdowne Campus at 13.00 in room 301 in Royal London House.

Preeti’s research focuses on birthing centres in western Nepal; and quality and equity of service available at these facilities. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. The focus of this presentation will be to talk about the first review article Preeti Mahato wrote for the ‘Journal of Asian Midwives’ entitled “Birthing centres in Nepal: Recent development, obstacles and opportunities”. The article has been accepted for publication in June 2016 and focuses on introducing birthing centres, their current state of operation under the health system of Nepal, barriers they are facing and what could be done to improve their present state. The quality of care issue available at birthing centre is emphasised, since the number of these facilities are increasing however there is a growing trend to bypass and uptake services at hospitals. Despite barriers to utilisation of services at birthing centres, they can play an important role in increasing institutional delivery rate and proportion of births benefiting from a skilled birth attendant.

The second part of presentation will provide a brief summary on what Preeti has done since writing a review article, as she has worked on a systematic review on quality of basic obstetric care facilities in low and middle income countries.

Preeti Mahato has worked in the field of public health in Nepal for three years after completing her Master of Public Health. She has an interest in sexual and reproductive health, women’s health and maternal and child health. Working as a public health officer she was involved in maternal and neonatal health that developed her interest in pursuing a doctorate related to maternal and neonatal health. Part of her work in Nepal also included monitoring and supervision of birthing centres in rural areas of Nepal and that is how she became motivated to start a PhD at BU.

Prof. Edwin van Teijlingen

CMMPH

14 January 2016

Mental health & maternity care in Nepal: THET-funded training

international, open access Edwin van Teijlingen

A few days I posted a short report of our first session as part of the THET-funded project ‘Mental Health Training for Community-based Maternity Providers in Nepal’, see this previous post here. Yesterday we completed the final third day training of the first session of this BU-led project. Over three days we had 70 ANMs (Auxiliary Nurse Midwives) in attendance, which we think is (nearly) all such staff based in all birthing centres in the district (=province). The three days were the same, i.e. each session was repeated twice so each day one third of the ANMs could attend, and two-third could be at work in the birthing centre ensuring women could deliver safely.

As part of this project we send UK volunteers (health and/or education) experts to Nepal to offer high quality training in areas where it is most needed. Further detail on this BU-led THET project can be found in our scientific paper Mental health issues in pregnant women in Nepal published in the Nepal Journal of Epidemiology available through Open Access. Mental illness is still very much a taboo topic in Nepal as it has often a serious stigma attached to it. Moreover, the relatively short training of ANMs is often fairly basic and the national curriculum does not cover mental health issues in any detail. This joint project between Bournemouth University, Liverpool John Mooores University, Tribhuvan University and the local charity Green Tata Nepal addresses issues about mental health in general and in pregnant women and new mothers in particular. Tribhuvan University is the oldest university in Nepal and one of the ten largest universities in the world (based on student numbers). The project is multi-disciplinary involving midwives, (mental health) nurses, and doctors as well as global health researchers, educationalists and sociologists.

Prof. Edwin van Teijlingen

CMMPH

11 January 2016

Fieldwork accidents: never the ones you expect

Edwin van Teijlingen

Bournemouth University, as all good universities, has an in-depth risk assessment form for staff to complete prior to their travel on university business. The form is required for all travel even it is on the train to Southampton for a research meeting. Before I left for Nepal late last year I completed the form, assessed the usual travel risk to a low-income country, including the risk food poisoning, malaria and car accidents. The latter is usually the most serious risk for a healthy educated academic traveller to a low-income country.

I have been to Nepal nearly twenty times, I have in many a house of office with low ceilings and low door frames, so why did I not duck deep enough this morning in the training centre we use for running our THET project. To add to my shame it was not even the first day in this training centre as we were here all day yesterday. The good thing is (as a sociologist) I got to do some in promptu participant observation in the local A&E in the health centre in Parasi. Not that I can use it in my research as I didn’t apply for ethical approval for this unique additional part of the fieldwork.

For the record, the A&E service in Parasi is excellent, but it helps, of course, that we are doing training with the support of the District Health Office and we were only two minutes driving away from the health post. The other good thing is that it hurts a little, but no damage done! ethical approval for this part of the fieldwork. The other good thing is that it hurts a little, but no damage done!

Finally, I would like to say “Thank you!” to the ANMs (Auxiliary Nurse Midwives) who pick up off the floor and my Nepali colleagues for worrying about me.

Professor Edwin van Teijlingen

CMMPH

8 January 2016

THET Mental Health Training for Maternity Providers started in Nepal

Knowledge Exchange, open access, Public engagement Edwin van Teijlingen

Today, after months of delay, UK volunteers managed to deliver the first THET-funded training as part of the BU-led project ‘Mental Health Training for Community-based Maternity Providers in Nepal’. The first serious delays occurred due to the devastating earthquake in April 2015 when we are just about to start our project. Then more delays happened due to the political unrest in the country after the signing of the new Constitution of Nepal in September 2015. Whilst there are still plenty of people living in make-shift shelters today in some of the more remote districts affected by the earthquake and there is still a serious shortage of petrol and cooking gas due to politically-driven blockages at the Indian-Nepali border, the situation is now safe enough to start bringing UK volunteers to Nepal.

MIDSON

Today’s first training was delivered in Kathmandu to our friends and colleagues at MIDSON, the Midwifery Society of Nepal (the equivalent of the Royal College of Midwives in the UK). Joining Prof. Edwin van Teijlingen to deliver the first training session to Nepali midwives is Dr. Bibha Simkhada from Liverpool John Moores University. Bibha is a nurse in Wirral University Teaching Hospital NHS Foundation Trust as well as BU Visiting Faculty. The audience at MIDSON was very helpful in giving feedback on the planned training in the southern district of Nawalparasi (starting Sunday 10th January). The agreement is to run a one-day training session for ANMs (Auxiliary Nurse Midwives), and run this three day in a row for one-third of all the birthing centre staff from across the district. This means that the government birthing centres can stay open with the other two-thirds on the staff on any one day. Further detail on this BU-led THET project can be found in our recent academic article, which is available through Open Access: click here.

Professor Edwin van Teijlingen

CMMPH

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

Tagged / Nepal

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