BU Research Blog

June 6, 2023

Centre for Midwifery & Women’s Health

BU research, Featured academics, international, Knowledge Exchange, Uncategorized Edwin van Teijlingen

Today received confirmation from Bournemouth University Executive that the proposed name change of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) to the more inclusive Centre for Midwifery & Women’s Health (CMWH) has been ratified. So we proudly present our new centre with over fifty members. The new centre has four focus areas: (1) ‘Changing the narrative and care in early labour; (2) Infant feeding and postnatal care; (3) Improving care for mothers and babies in low and middle income countries; and (4) Women’s health and other research.

Professors Vanora Hundley & Edwin van Teijlingen

CMWH

June 4, 2023

BU graduate speaks at 2023 World Health Assembly in Geneva

Global engagement, international, PG research, Uncategorized, Women's Academic Network Edwin van Teijlingen

On Friday 26th May Dr. Sheetal Sharma (BU PhD awarded in 2017) was invited to speak at a Strategic Round Table “A safer and healthier tomorrow by restoring essential immunization today”, at the UN (United Nations) Palais during the 2023 World Health Assembly in Geneva, Switserland. The round table included the Director General of WHO (World Health Organization), the Head of Immunization of WHO & the CEO of GAVI Vaccine Alliance with ministers of health of Nepal, Moldova, Somalia, and other health representatives from Ghana and Canada. Sheetal said it was a great opportunity to share solutions to health and immunization equity as health services recover from the pandemic.

Sheetal’s PhD thesis Measuring what Works: A Mixed-Methods Evaluation of Women’s Groups on Maternal Health was supervised by Professors Vanora Hundley and Edwin van Teijlingen, Associate Professor Catherine Angell, BU Visiting Professor Padam Simkhada and Dr Elisa Sicuri from the ISGlobal Foundation based in Barcelona, Spain.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women Health

June 3, 2023

Using participatory asset mapping and PhotoVoice in Nepalese alcohol study

BU research, Featured academics, international, open access, Publishing, Research news, Uncategorized, writing Edwin van Teijlingen

This week we received an email from the editorial office of Perspectives in Public Health with congratulations on the acceptance of your paper ‘Participatory asset mapping and photovoice interviews to scope cultural and community resources to reduce alcohol harm in Chitwan, Nepal’ [1]. The lead researcher on this public health alcohol research project in Nepal is Dr. Ranjita Dhital, Lecturer in Interdisciplinary Health Studies in the Arts and Sciences Department at UCL (University College London).

The World Health Organization (WHO) suggests that in low and middle-income countries (LMICs) like Nepal, morbidity and mortality risks are greater per litre of pure alcohol consumed than in higher-income countries. This is largely due to poverty, poor nutrition, adverse living conditions, and poor access to care. These inequities are made worse by the dearth of understanding of the most appropriate and cost-effective approaches to reduce alcohol-related harm in LMICs. Our study aims to stimulate new thinking on how cultural and community assets could be integrated to co-designed alcohol interventions for future evaluation in LMICs, through scoping the breadth of cultural and community assets in relation to alcohol use and to exploring attitudes towards alcohol and people experiences with it.

The journal Perspectives in Public Health is published by SAGE and the paper will be Open Access when it appears online. My previous alcohol studies have focused on students [2], Nepalese migrants living in the UK [3], and Public Health measures to reduced alcohol misuse in Scotland [4].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

Dhital, R., Yoeli, H., Adhikari, A., Luitel, N.P., Nadkarni, A., van Teijlingen, E., Sin, J. (2023) Participatory asset mapping and photovoice interviews to scope cultural and community resources to reduce alcohol harm in Chitwan, Nepal, Perspectives in Public Health (accepted). DOI: 10.1177/17579139231180744).
Engs, R.C, van Teijlingen E (1997) Correlates of alcohol, tobacco & marijuana use among Scottish post-secondary helping profession students, Journal of Alcohol Studies, 58:435-44.
van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: bmj.com/cgi/eletters/339/oct20_1/b4028#223451
Ludbrook A, Godfrey C, Wyness L, Parrott S, Haw S, Napper M, van Teijlingen E. (2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, ISBN: 0755932803 www.alcoholinformation.isdscotland.org/alcohol_misuse/files/MeasureReduce_Full.pdf

May 25, 2023

Erasmus+ visitors from Nepal teaching at BU

BU research, Events, Featured academics, Global engagement, international, Knowledge Exchange, parliament, Publishing, Research Centres, Research Integritiy, Research news, Uncategorized, writing Edwin van Teijlingen

This week we had the luxury of four exchange visitors from Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal who are here on the Erasmus+ scheme. Erasmus+ funds are a great way to build academic networks and gain experience of teaching and learning elsewhere. Global staff mobility, including training and teaching, leads to professional development and networking and brings great value to BU and our students, whilst also offering invaluable international experience for BU staff and postgraduate students in Nepal.

Today Prof. Sujan Marahatta, Dr. Sujata Sapkota and Dr. Sujan Gautam offered a workshop under the title ‘Introducing federalization in Nepal: What are the effects on its health system?’ All three academics are part of the Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure in 2015. This is a joint project (2020-2024) led by the University of Sheffield and it is an collaboration with Bournemouth University, the University of Huddersfield, MMIHS and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1]. After highlighting the difference between ‘federalisation’ and ‘decentralisation’, the Nepalese academics briefly explained the political changes in the Nepal over the past decade or so. Followed by an outline of the project’s research methods and the key preliminary findings. The presenters focused on the data generated through a participatory method called River of Life, and from the policy analysis based on the World Health Organisation’s (WHO) Health System Building blocks. This project has resulted in three publications to date [1-3].

Our visitors got involved in a range of teaching activities, for example, Prof. Beenu Bista, Professor of Nursing at MMIHS, taught various groups of BU nursing students earlier this week, whilst Dr. Sujata Sapkota helped supervise and advise one of BU’s M.Sc. Public Health students for her dissertation project.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

References:

Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of Nepal Public Health Association 7 (1): 36-42.
Rushton, S., Pandey, S., van Teijlingen, E., Subedi, M., Balen, J., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146
Adhikary, P., Balen, J., Gautam, S., Ghimire S., Karki J.K., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system. Journal of Karnali Academy of Health Sciences 3(3)

May 19, 2023

BU Workshop on Health Systems in Nepal

BU research, COVID-19, Featured academics, open access, policy, Research news, Uncategorized, writing Edwin van Teijlingen

You are invited to a two-hour ‘Workshop on Health Systems in Nepal’ at Bournemouth University (BU) on Thursday 25^th May in the Bournemouth Gateway Building (BGB room 315) starting at 14.00, aiming to finish at 16.00. We have the pleasure of welcoming three academic visitors from Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu who are at BU on an Erasmus+ exchange.

‘Prof. Sujan Marahatta, Dr. Sujata Sapkota and Dr. Sujan Gautam from MMIHS are part of an international project examining the consequences for the health system of Nepal’s move to a federal government structure. This project, launched in 2020 at the beginning of the COVID-19 pandemic, is led by the University of Sheffield, in collaboration with BU, the University of Huddersfield, PHASE Nepal and MMIHS. This nearly four-year project is UK-funded by the MRC (Medical Research Council), the Wellcome Trust and DFID (now called Foreign, Commonwealth & Development Office [FCDO]) under the Health Systems Research Initiative.

The project has resulted in several publications, all in Open Access journals. The first of three papers introduced the research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ [1], the second focused on COVID-19 when examining the effects of changing Nepal’s constitution towards a federal republic on its health system [2], and the third one highlighted Public Health approaches around the ongoing federalisation of the state of Nepal and the associated decentralisation processes in its health system [3].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (formerly CMMPH)

References:

Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., van Teijlingen, E., Rushton, S., Subedi, M., Gautam, S., Karki, J., Adhikary, P., Marahatta, S., Simkhada, P. for the Nepal Federal Health System Team (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of Nepal Public Health Association 7 (1): 36-42.
Rushton, S., Pandey, S., van Teijlingen, E., Subedi, M., Balen, J., Karki, J., Simkhada, P. on behalf of the Nepal Federal Health System Team (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146
Adhikary, P., Balen, J., Gautam, S., Ghimire S., Karki J.K., Lee A.C., Marahatta S.B., Pandey S., Pohl G., Ruston S., Sapkota S., Simkhada P.P., Subedi M., van Teijlingen E.R., on behalf of the NFHS Team (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system. Journal of Karnali Academy of Health Sciences 3(3)

May 14, 2023

New ways of publishing?

COVID-19, Featured academics, Global engagement, international, open access, PG research, Publishing, Research news, Research Training, student research, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

Last we took a new step into the academic publishing by submitting a paper to Qeios. This Open Access journal publishes papers for free, more or less immediately and after the paper has appeared online peer-reviewers are being invited. The paper ‘Impact of Men’s Labour Migration on Non-migrating Spouses’ Health: A Systematic Review‘ [1] is part of Shraddha Manandhar’s Ph.D. study at the University of Huddersfield. Her supervisors are Huddersfield’s Prof. Philip Brown and Prof. Padam Simkhada and Bournemouth University’ Prof. Edwin van Teijlingen. This journal uses AI to find and invite reviewers, and these reviews will the be are published alongside our article. Should we advised by reviewers to make changes, edits or improvements the next version of the paper will be published online alongside the original submission and the reviews.

We have had some previous experience with the process of post-publication review, in 2017 BU’s Dr. Sarah Collard and Prof. van Teijlingen wrote a referee report for F1000Research after it published a methods paper on online focus groups [2]. More recently we published a COVID-19 paper in a so-called pre-print journal SSRN [3], but this was later in published in a traditional peer-reviewed journal called Scientific Reports [4], part of the Nature publishing family.

References

Manandhar, S., Simkhada, P., Brown, P., van Teijlingen, E. (2023) Impact of Men’s Labour Migration on Non-migrating Spouses’ Health: A Systematic Review, Qeios,
May 13, https://doi.org/10.32388/BX9WFC
Collard, S., van Teijlingen, E. (2017) Referee Report For: Insights for conducting real-time focus groups online using a web conferencing service [version 2; referees: 2 approved]. F1000Research 6:122 (doi: 10.5256/f1000research.11236.r21467) https://f1000research.com/articles/6-122/v1#referee-response-21467
Parajuli, R.R., Mishra, B., Banstola, A., Ghimire, B.R., Poudel, S., Sharma, K., Dixit, S.M., Shah, S., Simkhada, P., van Teijlingen, E., (2020) Multidisciplinary Approach to COVID-19 Risk Communication: A Framework and Tool for Individual and Regional Risk Assessment. Available at SSRN: https://ssrn.com/abstract=3634190 or http://dx.doi.org/10.2139/ssrn.3634190
Parajuli, R.R., Mishra, B., Banstola, A. et al. Multidisciplinary approach to COVID-19 risk communication: a framework and tool for individual and regional risk assessment. Sci Rep 10, 21650 (2020). https://doi.org/10.1038/s41598-020-78779-0

May 6, 2023

New COVID-19 paper on Nepal

BRIAN, BU research, COVID-19, Featured academics, Global engagement, international, open access, Publishing, Research Centres, Research news, Uncategorized, writing Edwin van Teijlingen

Yesterday Plos ONE published our latest study on the health system in Nepal under the title ‘Barriers in accessing family planning services in Nepal during the COVID-19 pandemic: A qualitative study‘ [1]. This qualitative study, in an Open Access journal, explores what sorts of barriers are faced by women needing family planning services in Nepal during the pandemic. It was conducted in five districts of Nepal. Telephonic in-depth interviews were conducted with 18 women of reproductive age (18–49 years) who were the regular clients of family planning services. Data were coded deductively using the preexisting themes based on a socio-ecological model (e.g., individual, family, community, and health-facility levels).

The paper reports that individual level barriers included low self-confidence, inadequate knowledge on COVID-19, myths and misconception related to COVID-19, limited access to family planning services, low priority to sexual and reproductive health services, low autonomy in family and limited financial ability. Family level barriers comprised partner’s support, social stigma, increased time at home with husbands or parents, not accepting family planning services as essential health services, financial hardship due to loss of jobs, and communication with in-laws. Movement restrictions and transportation hindering access, unsecured feeling, violation of privacy, and obstacles from security personnel were the community level barriers and unavailability of preferred choice of contraception, increased waiting time, limited outreach services by community health workers, limited physical infrastructures, the behavior of health workers, stock out of commodities, and absence of health workers were health facility level barriers.

The authors conclude that policymakers and programme managers should consider strategies to ensure continued availability of the full method mix during emergency, particularly since disruptions may go unnoticed and strengthen the provision of services through alternative service delivery channels to ensure sustained uptake of such services in this sort of pandemic.

This is the latest addition to the pool of academic papers published by Bournemouth University academics on the effects of COVID-19 on health care in Nepal or issues related to Nepal [2-11].

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

References:

Sigdel A, Bista A, Sapkota H, van Teijlingen E (2023) Barriers in accessing family planning services in Nepal during the COVID-19 pandemic: A qualitative study. PLoS ONE 18(5): e0285248. https://doi.org/10.1371/journal.pone.0285248
Mahato P., Adhikari B., Marahatta S.B., Bhusal S., Kunwar K., Yadav R.K., Baral, S., Adhikari, A., van Teijlingen, E. (2023) Perceptions around COVID-19 and vaccine hesitancy: A qualitative study in Kaski district, Western Nepal. PLOS Global Public Health 3(2): e0000564.
Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986.
Simkhada, P., Tamang, P., Timilsina, L., Simkhada, B., Bissell, P., van Teijlingen, E., Sah, S.K., Wasti, S.P. (2022) Factors Influencing COVID-19 Vaccine Uptake among Nepali in the UK: A Qualitative Study, Vaccine 10(5): 780. https://doi.org/10.3390/vaccines10050780
Khanal, S.P., van Teijlingen, E., Sharma, M.K., Acharya, J., Sharma, C. (2021) Perceived threats towards COVID-19 pandemic among Nepali migrant workers returned from India, Journal of Health Promotion 9(1):87-99.
Wasti, SP., Simkhada, P., Magar, S.A., van Teijlingen, E. (2021) Nepalese Health System Response to Fight Against COVID-19 Pandemic, Europasian Journal of Medical Sciences 3(1): 98-104.
Simkhada, P., Mahato, P., Tamang, P., van Teijlingen, E., Shahi, P. (2020) The Role of Health Promotion during the COVID-19 Pandemic. Journal of Health Promotion, 8:1-4. https://doi.org/10.3126/jhp.v8i0.32964
Parajuli, R.R., Mishra, B., Banstola, A., Ghimire, B.R., Poudel, S., Sharma, K., Dixit, S.M., Shah, S., Simkhada, P., van Teijlingen, E. (2020) Multidisciplinary Approach to COVID-19 Risk Communication: A Framework and Tool for Individual and Regional Risk Assessment. Scientific Reports 10: 21650
Adhikary, P., Balen, J., Gautam, S., Ghimire, S., Karki, J., Lee, A.C.K., Marahatta, S.B., Panday, S., Pohl, G., Rushton, S., Sapkota, S., Simkhada, P.P., Subedi, M., van Teijlingen, E. for the Nepal Federal Health System team (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
Mahato, P., Tamang, P., Shahi, P., Aryal, N., Regmi, P., van Teijlingen, E., Simkhada, P. (2020) Effects of COVID-19 during lockdown in Nepal, Europasian Journal of Medical Sciences 2(2):1-5.
Tamang, P., Mahato, P., Shahi, P., Simkhada, P., van Teijlingen, E., Amgain, K. (2020) COVID-19 Quarantine: A Key Part of Prevention in Nepal. Journal of Karnali Academy of Health Sciences 3(1):1-14.

May 5, 2023

Measuring Health Literacy & Health Promotion in Adolescents

Featured academics, Global engagement, international, Publishing, Research communication, research methods, Research news, Uncategorized, writing Edwin van Teijlingen

Our team published the article ‘Systematic Review of Health Literacy and Health Promotion in School-Aged Adolescents‘ in the Journal of Education and Community Health [1]. The authors include a Bournemouth University PhD graduate Dr. Jib Acharya and a former BU member of staff Dr. Cate Wood.

This paper identified gaps in adolescent health literacy (AHL) measurements, as well as how the health literacy (HL) level is related to health promotion (HP) aspects. This study aimed to examine the tools used to measure HL and determine its relation with HP among adolescents. In this review three databases were searched for papers published between January 2016, and January 2021. In this review, 373 articles were identified and after removing duplicates and screening titles and abstracts of articles, 49 full texts were selected for full-text reading. After appraisal 23 papers were included in the synthesis.

The paper reports that of these 23 papers, 21 focused on assessing AHL measures, and 15 addressed the association between AHL and HP. Seven studies used the HL School-Aged Children instrument. The findings suggested that the methodological and conceptual underpinnings of HL measures are insufficient. Furthermore, HL acts as an independent and positive mediator for many facets of HP. Overall, this review offers a warning to practitioners and educationists interested in measuring HL as the number of measurement tools is substantial with different tools applying different scales.

Congratulations to all.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Reference:

Khanal SP, Budhathoki CB, Okan O, van Teijlingen E, Sharma MK, Acharya J, Wood C. Systematic review of health literacy and health promotion in school-aged adolescents. Journal of Education & Community Health. 2023; 10(1):49-57. doi:10.34172/jech.2023.1982

May 3, 2023

Erasmus exchange visit to Nepal by Dr. Jon Williams

Events, Featured academics, Global engagement, Knowledge Exchange, research methods, Uncategorized Edwin van Teijlingen

Dr Jonathan Williams, Principal Academic and Deputy Head of the Department of Rehabilitation & Sports Science is the latest BU academic to visit Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal as part of the Erasmus+ exchange funding. Yesterday he run a workshop in Kathmandu on how to conduct a Literature Review for Health Professionals. This session was well attended by medical doctors at Manmohan Memorial Teaching Hospital.

The workshop was organised buy Prof. Sujan Marahatta at MMIHS, who is also Visiting Faculty member in FHSS. BU is currently in the process of renewing its MoA with MMIHS, to continue working together after this successful Erasmus+ programme.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

April 24, 2023

Several BU papers at this week’s BNAC Nepal Study Days

conferences, COVID-19, Events, Featured academics, Global engagement, international, policy, Publishing, research methods, Uncategorized, writing Edwin van Teijlingen

The BNAC (Britain-Nepal Academic Council) twentieth Nepal Study Days (24-25 April) start today in Huddersfield. BU is directly represented through Dr. Pramod Regmi who will be presenting ‘Health Research Priorities and Needs in Migrant Health: A Review of Reviews’ today. Dr. Regmi based in the Department of Nursing Sciences and Prof. Edwin van Teijlingen in the Department of Midwifery & Health Sciences are also part of the paper ‘Nepal Family Cohort Study: Starting a Longitudinal Population Health Study’ which will be presented by our colleague Dr. Om P. Kurmi from Coventry University.

There will also be a BU paper on ‘Perceptions Around Covid-19 and Vaccine Hesitancy: A Qualitative Study Among People Living in Kaski, Western Nepal’ , presented by Dr. Preeti Mahato. Preeti is based at Royal Holloway (University of London) and she is also a Visiting Faculty member of FHSS. She’ll presenting a study recently published in PLOS Global Public Health.

These Nepal Studies Days pay serious attention to our ongoing interdisciplinary study ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ which was reported in several national newspapers in Nepal last week. Tomorrow there will be a plenary session by Prof. Simon Rushton, the PI on this project in which BU collaborates. He will be talking about ‘Nepal’s Health System During Federalisation: Emerging Issues and the Co-production of Policy and Practice Recommendations’. Later that day there will be two further presentations based on this large-scale study, the first one by Dr. Sharada P. Wasti followed by one delivered by Dr. Sujata Sapkota.

April 22, 2023

Extensive media coverage in Nepal last week

Featured academics, Impact, international, Knowledge Exchange, policy, Public engagement, Research news, Uncategorized Edwin van Teijlingen

The interdisciplinary research project ‘The impact of federalisation on Nepal’s health system: a longitudinal analysis’ was reported in several national media in Nepal last week. This project running from 2020 to 2024 is, funded by the Health System Research Initiative, a UK collaboration between three funders: the MRC (Medical research Council), the Foreign, Commonwealth & Development Office, and the Welcome Trust.

The 2015 Constitution brought federalisation and with it, significant changes to the health system. To understand these changes researchers worked in three provinces where they interviewed 243 stakeholders, at all three levels of government. They also conducted 31 Participatory Policy Analysis workshops at local and province levels. The team includes researchers from Manmohan Memorial Institute of Health Sciences (Kathmandu), and PHASE Nepal (Bhaktapur), and three UK institutions (the Universities of Sheffield, Bournemouth, and Huddersfield). It researchers from the UK and Nepal meet with Provincial and Federal MPs to discuss the interim findings of a federalisation and health study.

News articles appeared in national newspapers in Nepal, both in English and Nepali. The Nepali article appeared in the country’s oldest newspaper Gorkhapali, see copy here! Bournemouth University [Thank you Nathaniel Hobby and Stephen Bates] also publicized our press release on this project online. The journalist Nam Raj Bhatta published an item in the online Nepali-language newspaper NepalHealthOnline on April 13. The main meeting to discuss the interim findings of our project took place on Thursday 13 April an hotel close Nepal’s parliament. The interim results highlight how federalisation of the political system has affected Nepal’s health care organisation. The research team summarized the findings for the invited MPs and local and provincial political leaders, and invited their reflections on the political possibilities and obstacles to moving forward with the development of the country’s health system. The Himalayan Times published the article on top of this BU Research Blog as well as the special interview with the University of Sheffield based PI Prof. Simon Rushton.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

April 13, 2023

Successful event with senior policymakers in Nepal

BU research, Events, international, Research news, Uncategorized Edwin van Teijlingen

Today, the last day of the Nepalese year 2079, we held a well attended event to discuss the preliminary findings of the interdisciplinary study of the impact of federalisation on health system in the country. We invited policymakers and politicians from all three levels of government in the country to help the research team to analyse the large amount of high-quality data. This meeting helped to validate the study results and guide our future capacity building as part of this project. We were pleasantly surprised by the number who turned up and with their active engagement!

One of the interesting comments made by the participants was that this was the first time that they had met with staff from differ levels to discuss the working of the system. In fact, participants expressed that they wanted more opportunities to have this kind of discussions across all three levels of government. The researchers reported both positive and negative developments in the decentralized health system of Nepal. Positive aspects included, for example, improvements in the availability of resources for health, the construction of new health posts and hospitals, better availability of essential medicines in many places. We also commented on the positive management of COVID-19, compared to other many countries. The policymakers from local, provincial and national level largely agreed with our findings and analyses.

This stakeholders’ event is part of the Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure in 2015. This is a joint project (2020-2024) led by colleagues the University of Sheffield in collaboration with the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) Bournemouth University, the University of Huddersfield, with two partners in Nepal, namely Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1].

Prof. Edwin van Teijlingen

CMMPH

April 12, 2023

Dementia research in Nepal

BU research, Events, international, Research news, Uncategorized Edwin van Teijlingen

Yesterday (April 11^th) Dr. Bibha Simkhada presented key findings from our research project on ‘Cultural practice and policy in dementia care in Nepal’. She spoke at the ‘Ninth National Summit of Health and Population Scientists in Nepal’. This annual health summit in Kathmandu is organised by the NHRC (Nepal Health Research Council). Dr. Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences (FHSS), started this work whilst at Bournemouth University, before she moved to the University of Huddersfield to become a Senior Lecturer in Nursing. This project is a cross-faculty collaboration with Dr. Shanti Shanker in the Department of Psychology.

This qualitative study comprising four face-to-face interviews and four focus groups with carers, health workers and other stakeholders. The two key conclusion she presented are:

Stigma and stereotyping around dementia needs addressing. Nepal needs better policies, guidelines and service provision for people living with dementia and their carers.
There is need for inclusion of Dementia/Alzheimer education in undergraduate and postgraduate curricula of nurses, doctors and allied health professionals in Nepal.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

April 11, 2023

Conference presence in Nepal

BU research, Events, international, Uncategorized Edwin van Teijlingen

Our study on the impact of federalism on the health system in Nepal got great coverage at the ‘Ninth National Summit of Health and Population Scientists in Nepal’ on Tuesday 11^th April. This annual conference in Kathmandu is organised by the NHRC (Nepal Health Research Council).

In the morning Prof. Sujan Marahatta (who is Visiting Professor at Bournemouth University) and Prof. Simon Rushton from the University of Sheffield presented in the plenary session. They jointly outlined the preliminary study findings. In the afternoon, our collaborator Dr. Jiban Karki (Liverpool School of Tropical Medicine) presented more detailed findings on ‘Human resource management at local level in Nepal’s federalised health system’ from the same study.

During the whole day we also had a poster presentation on display under the title ‘COVID-19 as a challenge to Nepal’s newly-federalised health system: Capacities, responsibilities, and mindsets’.

All dissemination was part of the Nepal Federal Health System Project, our major collaborative project examining the consequences for the health system of Nepal’s move to a federal government structure in 2015. This is a joint project (2020-2024) led by the University of Sheffield and collaborating with Bournemouth University, the University of Huddersfield, Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal. This longitudinal interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1].

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

April 10, 2023

Speaking at this week’s Nepal Health Research Council conference

BU research, Events, international, Public engagement, Research news, Uncategorized Edwin van Teijlingen

Professor Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has been invited to speak at this week’s annual conference of the Nepal Health Research Council (NHRC). His presentation on Wednesday 12th April ‘Why is evidence synthesis centre important for Nepal? An opportunity for networking, collaboration & partnership’is based on a recently co-authored paper on this topic [1]. On behalf of his colleagues from the University of Huddersfield and the NHRC, he will argue that there is a need for a National Evidence Synthesis Centre under NHRC which can synthesize global, national and local research evidence that is relevant to a local context and meets demand of programme managers and policymakers at every level in Nepal. The Centre should also promote the use of systematic review findings to appropriate decision-makers to ensure they have the best chance of getting implemented. Regular evidence synthesis can also contribute to the tracking of progress of Sustainable Development Goals (SDGs) indicators. Such national centre should work in close collaboration with national and international academics and research institutions, national, regional and local governments, health experts and care providers.

There are many types of outputs that use evidence synthesis, such as policy briefs, systematic reviews, clinical practice guidelines and so on. Finally, establishing a National Evidence Synthesis Centre would be very timely to help develop mechanisms of evidence synthesis as well as improve research communication. The first step could be the planning of a national workshop to identifying evidence gaps, next independent research teams can be formed for evidence synthesis while experts from institutions in the global north can provide mentoring support for capacity building and help ensure the centre’s sustainability.

Prof. Edwin van Teijlingen is currently in Kathmandu as through Bournemouth University’s Erasmus+ exchange with Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal. As part of his teaching commitments at MMIHS he will conducted workshop sessions on academic writing and publishing based on the textbook Academic Writing and Publishing in Health & Social Sciences [2], which was published by Social Science Baha in Kathmandu in 2022.

References:

Simkhada P, Dhimal, M, van Teijlingen E, Gyanwali P (2022) Nepal Urgently Needs a National Evidence Synthesis Centre, J Nepal Health Res Council, 20(3): i-ii.
Wasti, S.P., van Teijlingen, E., Simkhada, P.P., Hundley, V. with Shreesh, K. (Eds.) (2022) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal.

April 5, 2023

Erasmus+ exchange visit to Nepal by Dr. Rebecca Neal

BU research, international, Uncategorized Edwin van Teijlingen

Last weekend Dr. Rebecca Neal, from the Faculty of Health & Social Sciences (FHSS) arrived in Kathmandu on her Erasmus+ exchange with Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal. Rebecca is a Senior Lecturer in Exercise Physiology in the Department of Rehabilitation & Sport Sciences. She met with Prof. Sujan Marahatta at MMIHS to discuss her her teaching in Kathmandu (see photo). Prof. Marahatta is also BU Visiting Faculty in FHSS. Rebecca faciltiated a workshop session with MSc students on their research proposals for their dissertations on her first day in Kathmandu.

BU is currently in the process of renewing its MoA with MMIHS, to continue working together after the completion of the Erasmus+ programme. We aim to to maintain the partnership, as the BU-MMIHS collaboration includes various funded and unfunded research projects apart from the Erasmus+ programme.

Prof. Edwin van Teijlingen

CMMPH

March 31, 2023

Future of Complex Innovative Trial Design

BU research, international, Research communication, Research news, Uncategorized Edwin van Teijlingen

The latest Faculty of Health & Social Sciences (FHSS) publication on the last day of March is an editorial in the Nepal Journal of Epidemiology. This editorial ‘The Promising Future for Complex Innovative Trial Design in Clinical Research’ has as its lead author, FHSS’s Visiting Faculty Dr. Brijesh Sathian.

Reference:

Sathian, B., van Teijlingen, E., Banerjee, I., Asim, M., Kabir, R. (2023) The Promising Future for Complex Innovative Trial Design in Clinical Research. Nepal Journal of Epidemiology, 13(1):1256-1257.

March 19, 2023

A global health journal with a diverse editorial board

BU research, COVID-19, Global engagement, international, open access, Publishing, research integrity, Uncategorized, Women's Academic Network, writing Edwin van Teijlingen

A recent study of 43 journals in the global health field found that PLOS Global Public Health has the joint highest diversity index, whilst also recording the maximum geographic diversity score! [1] The paper by a team from Pakistan and Canada addressed the question: “What is the current state of ethics of diversity and representation in global health publications?” In order to be able to answer this question they developed their own Journal Diversity Index (JDI) to measure three parameters of diversity and representation, namely gender, geographic & socioeconomic status.

The fact that PLOS Global Public Health came out top is good news for the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) as we published a paper in this journal last month. [2] Our qualitative paper ‘Perceptions around COVID-19 and vaccine hesitancy: A qualitative study in Kaski district, Western Nepal’ comprises 19 interviews in the city of Pokhara and its surrounding rural areas.

Prof. Edwin van Teijlingen

CMMPH

References:

Manan, M.R., Nawaz, I., Rahman, S. et al. (2023). Diversity, Equity, and Inclusion on Editorial Boards of Global Health Journals. Asian Bioethics Review. https://doi.org/10.1007/s41649-023-00243-8
Mahato P., Adhikari B., Marahatta S.B., Bhusal S., Kunwar K., Yadav R.K., Baral, S., Adhikari, A., van Teijlingen, E. (2023). Perceptions around COVID-19 and vaccine hesitancy: A qualitative study in Kaski district, Western Nepal. PLOS Global Public Health 3(2): e0000564. https://doi.org/10.1371/journal.pgph.0000564

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