Tagged / Nepal

Working towards research impact in Nepal

BU’s Centre for Midwifery, Maternal & Perinatal Health has a long history of working Nepal.  Last month (January 7th) BU’s partner Green Tara Nepal led the dissemination of the findings of our evaluation of key health promotion initiatives in Nepal. The evaluation was conducted in collaboration with the Government of Nepal, Green Tara Trust, a UK-based charity, several national and international non-governmental organisations and three UK universities, namely Liverpool John Moores University, Bournemouth University and the University of Sheffield. The evaluation identified key government, bilateral, UN agencies national and international non-governmental organisations working in health promotion in Nepal. Their health promotion activities and approaches were documented and gaps were identified.

As a follow up to both the evaluation and dissemination event we were asked by the journal Public Health Perspectives to write an editorial on our work.1  Our editorial ‘Health Promotion: A review of policies and practices in Nepal’ highlights the research we conducted and the state of health promotion we uncovered.  We also used our editorial to explain the UK notion of impact as formalised in the 2014 Research Excellence Framework (REF).  To explain to our non-academic readers the REF is a nation-wide system to assess the quality academic research in all academic disciplines. 2-4  One key part of the REF is measuring the ‘impact’ that a UK university has on society and/or the economy.  This REF requires UK universities to write and submit a number of case studies that show societal impact.5   The dissemination of the health promotion research in Nepal is the beginning of a REF impact case study for Bournemouth University and our UK partner Liverpool John Moores University.  The editorial is a further stepping stone in the dissemination especially since it was co-authored between UK academics, health promotion practitioners as well as a member of the Constitutional Assembly (the Nepali equivalent of Parliament).   Working with policy-makers at an early stage increases the chances of our research being incorporated in national policy-making in Nepal.

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Sharma, A, Tuladhar, G., Dhungel, A., Padmadharini, van Teijlingen, E., Simkhada, P. (2015) Health Promotion: A review of policies and practices in Nepal, Public Health Perpective 5(2): http://phpnepal.org/index.php?listId=941#.VO4Qvn9tXkd
  2. Parker, J., van Teijlingen, E. (2012) The Research Excellence Framework (REF): Assessing the impact of Social Work research on society, Practice: Social Work in Action 24(1): 41-52.  http://eprints.bournemouth.ac.uk/20511/2/REF%20paper%20JPEvT.pdf
  3. van Teijlingen, E., Ryan, K., Alexander, J., Marchant, S. (2011) The Research Excellence Framework (REF): new developments to assess research in higher education institutions and its impact on society. MIDIRS 21 (3): 298-301.
  4. Hartwell, H., van Teijlingen, E., Parker, J. (2013) Nutrition; Effects of the Research Excellence Framework (REF) Nutrition & Food Science 43 (1): 74-77.
  5. Research Councils UK (2015)  RCUK Review of Pathways to Impact: Summary http://www.rcuk.ac.uk/RCUK-prod/assets/documents/documents/PtoIExecSummary.pdf

 

Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travellers and hosts.
Previous studies have largely focused on sex workers and sex tourists. This latest paper ‘Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour’ published yesterday in the Journal of Manmohan Memorial Institute of Health Sciences assesses sexual behaviour, knowledge and condom use among male trekking guides in Nepal. 

A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Most respondents (59%) had  initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women.About 60% reported condom use during their most recent occasion of extra-martial sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

Reference:

Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., Stone, N. (2015) Sexual health knowledge and risky sexual behaviour of Nepalese trekking guides. Journal of Manmohan Memorial Institute of Health Sciences 1 (4): 35-42.

 

Prof. Edwin van Teijlingen

CMMPH

 

 

 

Congratulations to HSC student Mr. Jib Acharya

HSC PhD student Jib Acharya presented the preliminary results of his thesis research in a poster presentation entitled “A Comparative Study on Nutritional Problems in Preschool Aged Children of Nepal”

The poster was accepted at the 3rd World Congress of Public Health Nutrition Conference in Gran Canaria,  Spain, 2014.

Mr. Acharya’s poster was displayed as a traditional paper poster but also a digital poster on television screens around the conference.  The thesis work is supervised in the School of Health & Social Care by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.  The attendance of this conference was made possible due to the support of a Santander award.

Congratulations

Prof. Edwin van Teijlingen

CMMPH

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