Tagged / Nepal

New comparative paper India-Nepal

international, Publishing

India-NepalThis week saw the publication of a new paper co-written by BU staff in the Sociological Bulletin.  This is the first paper comparing Indian and Nepali Maoist rebels providing health services and health promotion to the communities under their influence.  It presents the key provisions either made by rebel health workers themselves or by putting political pressure on government health workers to deliver better services in the areas controlled by rebels. Prof. Edwin van Teijlingen’s co-authors are based in India and Nepal.  Prof. Gaurang R. Sahay is based at the Centre for Study of Developing Societies, Tata Institute of Social Sciences, Mumbai, India, whilst Bhimsen Devkota is Professor in Health Education, Tribhuvan University, Nepal.

This sociological paper is based on a mixed-method approach comprising 15 interviews and a questionnaire survey with 197 Nepalese Maoist health workers and a secondary analysis of policy documents and other published materials on the Maoist health services of India. The paper suggests that rebel health services in India and Nepal followed a fairly similar approach to what and how they offered health care services to local populations. Maoists becoming a government party changed the political landscape for the rebel health workers in Nepal. However, not incorporating the Maoist rebel health workers into the government health system was a missed opportunity. There are lessons that India and Nepal can learn from each other. Should the Maoist rebels and the Government of India come to an agreement, potential for rebel health workers to be integrated in the official health care system should at least be considered.

The paper benefitted from an earlier review through eBU: Online Journal.  The feedback from the eBU: Online Journal’s reviewers helped shape and polish the paper before submission to the Sociological Bulletin.services-ebu-logo

 

Edwin van Teijlingen

CMMPH

 

 

References:

  1. Sahay, G., Devkota, B., van Teijlingen, E.R. (2016) Rebel Health Services in South Asia: Comparing Maoist-led Conflicts in India & Nepal, Sociological Bulletin 65(1):19-39.

BNAC presentation Jib Acharya

international, Publishing, student research, writing

Jib poster BNAC +Edwin 2016FHSS PhD student Jib Acharya presented a poster from his thesis research at last week’s BNAC (Britain-Nepal Academic Council) Study Days in Liverpool.[1]  Jib’s PhD research focused on the knowledge, attitudes and beliefs of poor women about nutritious food and the study also identify major food barriers.  He used a mixed-methods approached comprising a survey and qualitative research. The poster at BNAC focused on findings related to mothers’ knowledge, attitudes and beliefs about nutritious food.  Jib’s research is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.  Some of the preliminary findings of this FHSS thesis have recently been published in two academic journals. [2-3]

 

Prof. Edwin van Teijlingen

CMMPH

References:

  1. Acharya, J, van Teijlingen, E, Murphy, J, Hind, M. ‘A Comparative Study on Nutritional Problems in Preschool Aged Children of Kaski district of Nepal’ poster at Britain-Nepal Academic Council (BNAC) 14th Annual Nepal Study Days (Liverpool April 2016)
  2. 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.
  3. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District in Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.

2016 BNAC conference with BU representation in Liverpool

conferences, international, PG research, Publishing, student research

FG BNAC LJMU 2016At the 14th BNAC (Britain-Nepal Academic Council) Nepal Study Days starting tomorrow (14th April 2016) FHSS’s PhD student Jib Acharya will presenting his poster on ‘A Comparative Study on Nutritional Problems in Preschool Aged Children of Kaski district of Nepal’.  Jib’s PhD project is supervised by FHSS’s Prof. Edwin van Teijlingen, Dr. Jane Murphy and Dr. Martin Hind.  Prof. Edwin van Teijlingen is also joint supervisor of Sarita Pandey (based at the University of Sheffield) whose poster ‘Factors that promote and hinder provision of maternal health services by Female Community Health Volunteers (FCHV) in rural Nepal’ will also be on display.

BNAC 2016BU Visiting Faculty Dr. Bibha Simkhada (based at Liverpool John Moores University) will be presenting on the on-going THET-funded project ‘Mental Health Training and Education in Nepal’.  This paper is part of the education stream of the conference,and its acceptance is a reflection of BU’s reputation in Educational Research.  This paper has co-authors based in the UK and Nepal: Bibha Simkhada, Edwin van Teijlingen, Jillian Ireland, Padam Simkhada, Bhimsen Devkota, Lokendra Sherchan, Ram Chandra Silwal, Shyam K. Maharjan, Ram K. Maharjan, Geeta Sharma, and Samridhi Pradhan.  Both Prof. Padam Simkhada and Ms. Jillian Ireland are BU Visiting Faculty.

The first Study Day tomorrow starts with an invited Skills-building session on Focus Group Research by Prof. Edwin van Teijlingen.  The final day includes a paper on ‘Impacts of Migration in Nepal’ by Prof. Padam Simkhada and Prof. Edwin van Teijlingen.

We are hoping to get the 15th BNAC Study Days to Bournemouth University for this time next year!

Prof. Edwin van Teijlingen

CMMPH

 

 

 

 

New paper out this week by Dr. Regmi

international, open access, Publishing, writing

Cover of NJESince his arrival in the Faculty of Health & Social Sciences last year postdoctoral researcher Dr. Pramod Regmi has been busy getting his publications out.  Yesterday saw the latest of his articles appear in print, this time in the latest issue of the Nepal Journal of Epidemiology.  The editorial, co-authored with Dr. Om Kurmi (University of Oxford) and Dr. Puspa R. Pant at the University of the West of England, addresses the growing problem air pollution in low-income countries such as Nepal.  The paper is called: ‘Implication of Air pollution on health effects in Nepal: Lessons from global research’. [1]

The journal is Open Access so the article can be accessed by anybody across the globe for free.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1.   Kurmi O, Regmi PR, Pant PR. Implication of Air pollution on health effects in Nepal: Lessons from global research. Nepal J Epidemiol. 2016;6(1); 525-527. (online at: http://www.nepjol.info/index.php/NJE/article/view/14733/11949 )

New BU multidisciplinary media & health paper out today!

international, open access, Publishing

media childbirth

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 cover 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:

  1.  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
  2. 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.
  3. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
  4. 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.
  5. 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.
  6. 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.

New health editorial on Sustainable Development Goals & Nepal

international, Publishing, student research, writing

Regmi SDG 2016SDG 17Since 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:

  1. 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

 

Presentation by PhD student Preeti Mahato Jan 27th.

international, PG research, student research

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.

IMG_6459Preeti’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.IMG_6591

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

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

international, open access

group work NawalparasiIMG_6649

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.

logo THETAs 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