Tagged / Nepal

Two new academic papers on COVID-19 research

This month CMMPH has two new research papers focusing on COVID-19.   The first one published in World Medical & Health Policy reports on a quantitative study of the availability of hand-washing facilities in households across Nepal [1].  This study used secondary data from Nepal Demographic Health Survey (NDHS) 2016 to assess the association between households’ wealth status to handwashing stations. The findings reported a statistically significant association between age of the household head, residence place, ecological zone, province, wealth status, having of mosquito net, having a radio, and TV at respondents’ household to fixed hand-washing stations at their households.

The second paper published three days ago in Vaccines is a qualitative study of of interviews with Nepali immigrants living in the UK and their attitudes towards COVD-19 vaccination [2].  Vaccination saves lives and can be an effective strategy for preventing the spread of the COVID-19, but negative attitudes towards vaccines lead to vaccine hesitancy. This study aimed to explore the factors influencing the uptake of the COVID-19 vaccine in the Nepali community in the UK. This study found that attitudes towards COVID-19 are generally positive. Nine overlapping themes around barriers to COVID-19 vaccination were identified: (a) rumours and mis/disinformation; (b) prefer home remedies and yoga; (c) religion restriction; (d) concern towards vaccine eligibility; (e) difficulty with online vaccine booking system; (f) doubts of vaccine effectiveness after changing the second dose timeline; (g) lack of confidence in the vaccine; (h) past bad experience with the influenza vaccine; and (i) worried about side-effects. Understanding barriers to the uptake of the COVID-19 vaccine can help in the design of better targeted interventions. Public health messages including favourable policy should be tailored to address those barriers and make this vaccination programme more viable and acceptable to the ethnic minority communities in the UK.   This Vaccine paper includes two FHSS Visiting Faculty as co-authors: Prof. Padam Simkhada and Dr. Bibha Simkhada.

 

Prof. Edwin van Teijlingen

 

 

 

 

 

References:

  1. Sharma, M., Adhikari, R., van Teijlingen, E. (2022) Handwashing station in Nepal: Role of wealth status in establishing a handwashing station, World Medical & Health Policy Accepted
  2. 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

Summit of Health & Population Scientists in Nepal 2022

Today say the start of the Eight National Summit of Health & Population Scientists in Nepal.  Bournemouth University is involved in two presentation.  The first will be one by University of Huddersfield PhD student Tamang Pasang, and her supervisors Prof. Padam Simkhada (FHSS Visiting Faculty), Dr. Bibha Simkhada (former BU Lecturer in Nursing and current FHSS Visiting Faculty) and Prof. Edwin van Teijlingen.  Pasang will be talking about her thesis fieldwork: ‘Impact of Federalisation in Maintaining Quality of Maternal and Neonatal Care in Nepalese Health System’.

The second presentation will focus 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 led by the University of Sheffield with Bournemouth University, the University of Huddersfield, and two institutions in Nepal: Manmohan Memorial Institute of Health Sciences MMIHS) and PHASE Nepal.  This interdisciplinary study is funded by the UK Health Systems Research Initiative [Grant ref.
MR/T023554/1]. 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternity & Perinatal Health (CMMPH)

 

 

Speaking to a journalist

In late 2021 I was contacted by an Indonesian science journalist, Dyna Rochmyaningsih, who was investigating the ethics around international studies on human population genetics to build expand genomic libraries of people in the Global South.  She highlights that “these international studies, often led by Western scientists, have contributed to a more global understanding of ancient patterns of human migration and evolution. But on some occasions, they’ve also sidestepped local regulatory agencies in the developing world, and ventured into murky research ethics terrain as a result”.   The reason for contacting me was because we had published several papers here at Bournemouth University about the need for applying for ethical approval for research in developing countries [1-3].  I had a long Skype conversation with her about the various perspectives on the matter she was investigating.

Today she emailed me that her piece ‘Opinion: Genomics’ Ethical Gray Areas Are Harming the Developing World. A recent controversy in the Philippines illustrates the pitfalls and pressure points of international genomics research‘ has been published online.  In the email she made a really nice comment: “It was nice talking to you even though you might see that I disagree at some of your points. However, the discussion gave me insights that there is a wide disagreement on what considers ethical research.”  I think that is what science should be all about, disagreements, discussions, disputes, etc. and, at the same time, learning from these disputes and gaining greater insight.

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. van Teijlingen E.R., Simkhada P.P. (2012)    Ethical approval in developing countries is not optional. Journal of Medical Ethics 38(7):428-30. doi: 10.1136/medethics-2011-100123. Epub 2012 Feb 16.PMID: 22345548 
  2. van Teijlingen, E., Simkhada, P. (2015). Failure to Apply for Ethical Approval for Health Studies in Low-Income Countries. Nepal Journal of Epidemiology5(3), 511–515. https://doi.org/10.3126/nje.v5i3.13609
  3. Regmi, P. R., Aryal, N., Kurmi, O., Pant, P. R., van Teijlingen, E., & Wasti, S. P. (2017). Informed Consent in Health Research: Challenges and Barriers in Low-and Middle-Income Countries with Specific Reference to NepalDeveloping World Bioethics17(2), 84–89. https://doi.org/10.1111/dewb.12123

New BU publication on academic writing

Congratulations to Dr. Orlanda Harvey in the Department of Social Sciences & Social Work, Dr. Pramod Regmi in the Department of Nursing Science and FHSS Visiting Faculty Jillian Ireland, Professional Midwifery Advocate in Poole Maternity Hospital (UHD/University Hospitals Dorset NHS Foundation Trust) whose paper ‘Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing‘ was published today.[1] 

The paper argues that academic writing, especially in the health field, is usually an interdisciplinary team effort. It highlights some of the trials, tribulations, and benefits of working with co-authors. This includes collaborations and co-authorship between academics from different disciplines, academics of different level of careers, and authors from countries of varying economies i.e., high-income countries (HICs) and from low-and middle-income countries (LMICs). This paper also provides advice in the form of several useful tips to lead authors and co-authors to support collaborative working.  Our other co-authors are: Aney Rijal, postgraduate student and Executive Editor of the journal Health Prospect based in Nepal, and Alexander van Teijlingen postgraduate student in the Department of Pure and Applied Chemistry (University of Strathclyde, Glasgow, Scotland).

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

Reference:

  1. Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing Health Prospect 21(1):1-3.

Research papers: A game of Happy Families

Recently I completed a game of Happy Families, to be more precise I added a paper with my fourth family member to a ‘collection’.  I got the idea from Prof. Jonathan Parker  and Prof. Sara Ashencaen Crabtree (both based in the Department of Social Sciences & Social Work) who published a paper with their children a few years ago [1].  When Jonathan told me about this achievement I had already published two dozen of scientific and practitioners’ papers with my partner  Jilly Ireland, Professional Midwifery Advocate in University Hospitals Dorset NHS Foundation Trust and FHSS Visiting Faculty (for example 2-5).

Two years ago, Dr. Preeti Mahato (in the Centre for Midwifery, Maternal & Perinatal Health) and I published a paper with my middle son about ‘Vaping and e-cigarettes: A public health warning or a health promotion tool?’ [6].  The following year, Prof. Hamid Bouchachia (Faculty of Science & Technology) and I co-authored a paper with my oldest son on AI and health in Nepal [7], followed by a paper this year on academic publishing with FHSS’s Dr. Shovita Dhakal Adhikari (Department of Social Sciences & Social Work , Dr. Nirmal Aryal (CMMPH) and Dr. Pramod Regmi (Department of Nursing Sciences  [8].  And to complete the four family members in the Happy Families set, I published a paper late last month with my daughter under the title ‘ Understanding health education, health promotion and public health’ [9].

 

 

 

References:

  1. Parker, J.Ashencaen Crabtree, S., Crabtree Parker, M. and Crabtree Parker, I., 2019. ‘Behaving like a Jakun!’ A case study of conflict, ‘othering’ and indigenous knowledge in the Orang Asli of Tasik Chini. Journal of Sociology and Development, 3 (1): 23-45.
  2. Ireland, J., Bryers, H., van Teijlingen E., Hundley, V., Farmer, J., Harris, F., Tucker, J., Kiger, A., Caldow, J. (2007) Competencies and Skills for Remote & Rural Maternity Care: A Review of the Literature, Journal of Advanced Nursing, 58(2): 105-115.
  3. van Teijlingen E., Simkhada, P., Ireland, J. (2010) Lessons learnt from undertaking maternity-care research in developing countries. Evidence-based Midwifery 8(1): 12-6.
  4. Ireland, J., van Teijlingen, E, Kemp J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33. http://ecommons.aku.edu/jam/vol2/iss1/5/
  5. Ireland, J., Khashu, M., Cescutti-Butler, L., van Teijlingen, E, Hewitt-Taylor, J. (2016) Experiences of fathers with babies admitted to neonatal care units: A review of literature, Journal of Neonatal Nursing 22(4): 171–176.
  6. van Teijlingen, E., Mahato, P., Simkhada, P., van Teijlingen, C., Asim, M., & Sathian, B. (2019). Vaping and e-cigarettes: A public health warning or a health promotion tool? Nepal Journal of Epidemiology9(4), 792-794. https://doi.org/10.3126/nje.v9i4.26960
  7. van Teijlingen, A., Tuttle, T., Bouchachia, H., Sathian, B., & van Teijlingen, E. (2020). Artificial Intelligence and Health in Nepal. Nepal Journal of Epidemiology10(3), 915–918. https://doi.org/10.3126/nje.v10i3.31649
  8. van Teijlingen, E.R., Dhakal Adhikari, S., Regmi, P.R., van Teijlingen, A., Aryal, N., Panday, S. (2021). Publishing, identifiers & metrics: Playing the numbers game. Health Prospect, 20(1). https://doi.org/10.3126/hprospect.v20i1.37391
  9. van Teijlingen, K., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. (2021) Understanding health education, health promotion and public health, Journal of Health Promotion 9(1):1-7.  https://www.nepjol.info/index.php/jhp/article/view/40957

Bournemouth research cited in The Sunday Times

Today Bournemouth University’s research on Nepali migrant workers and kidney problems was cited in The Sunday Times. In the preparation for the Qatar 2022 men’s football world cup The Sunday Times published an article under the title ‘Dying for the World Cup‘.

Dr. Pramod Regmi and Dr. Nirmal Aryal were awarded funding from GCRF (The Global Challenges Research Fund) and Bournemouth University’s QR fund.  This work resulted in an editorial highlighting that low-skilled migrant workers in the Middle Wast and Malaysia are at a disproportionately higher risk of kidney problems. The working conditions are often Dirty, Dangerous and Difficult (referred at as the 3Ds) include physically demanding work, exposure to a hot environment, dehydration, chemical exposures, excessive use of pain killers, and lifestyle factors (such as restricted water intake and a high intake of alcohol/sugary drinks) which may precipitate them to acute kidney injuries and subsequent chronic kidney disease [1].  And recently, a national survey of nephrologists (kidney specialists) on their perceptions of the size of the problem of kidney health in Nepali migrant workers [2].

 

 

References:

  1. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021). Kidney health risk of migrant workers: An issue we can no longer overlookHealth Prospect 21(1): 15-17.
  2. Aryal, N.Sedhain, A.Regmi, P.KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences 12(12), 126–132.