Tagged / Nepal

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.

 

Risk of kidney problems in migrant workers

Congratulations to Dr. Pramod Regmi, Lecturer in International Health & Global Engagement Lead, Department of Nursing Sciences, and Dr. Nirmal Aryal, formerly of the Centre of Midwifery, Maternal & Perinatal Health (CMMPH), whose editorial “Kidney health risk of migrant workers: An issue we can no longer overlook” has been published today in Health Prospect [1].  Further co-authors (Arun Sedhain, Radheshyam Krishna KC, Erwin Martinez Faller, Aney Rijal, and Edwin van Teijlingen) work in India, Nepal, the Philippines and at BU.  The study was funded by GCRF.

This editorial highlights that low-skilled migrant workers in the countries of the Gulf and Malaysia are at a disproportionately higher risk of kidney health 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.  

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 overlook. Health Prospect 21(1): 15-17.

BU conference presentation on migration and COVID-19 in Nepal

Yesterday Dr. Pramod Regmi, Dr. Shovita Dhakal Adhikari, Dr. Nirmal Aryal and Prof. Edwin van Teijlingen, all based in the Faculty of Health & Social Sciences, presented at the tenth Annual Kathmandu Conference on Nepal & the Himalaya.  Their paper ‘Moral panic and othering practices during Nepal’s COVID-19 Pandemic (A study with returnee migrants and Muslims in Nepal)’ was co-authored by Dr. Sharada Prasad Wasti from the University of Huddersfield and Shreeman Sharma (Department of  Conflict, Peace & Development
Studies, Tribhuvan University, Nepal).  The presentation was partly based on research funded by the British Academy.

 

New joint publication with  Dorset HealthCare University NHS Foundation Trust

 

This morning International Journal of Mental Health Nursing informed us that our article  ‘Cultural issues on accessing mental health services in Nepali and Iranian migrants communities in the UK‘ has been published today.   This paper is written by an interdisciplinary team including Hannah Blunt who works at Dorset HealthCare University NHS Foundation Trust, Dr. Bibha Simkhada who is Senior Lecturer in Nursing at the University of Huddersfield and Dr. Mariam Vahdaninia who works in the Peninsula Medical School at the University of Plymouth.  Both Mariam and Bibha worked with me at Bournemouth University at the time of the study.

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

New obstetrics publication by PhD student Sulochana Dhakal Rai

Congratulations to Mrs. Sulochana Dhakal Rai on the publication today of her PhD article ‘Classification of Caesarean Section: A Scoping Review of the Robson classification‘ in the Nepal Journal of Obstetrics & Gynecology [1].  Sulochana’s PhD project in the Centre of Midwifery, Maternal & Perinatal Health (CMMPH) is supervised by Dr. Pramod Regmi, Dr. Juliet Wood and Prof. Edwin van  Teijlingen at BU and she is supported in Nepal by Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] and senior obstetrician Dr. Keshar Bahadur Dhakal [Karnali Province Hospital, Nepal].  Sulochana has already published two earlier papers from her PhD thesis research [2-3].

 

 

References:

  1. Rai SD, van Teijlingen E, Regmi P, Wood J, Dangal G, Dhakal KB. (2021) Classification of Caesarean Section: A Scoping Review of the Robson classification. Nep J Obstet Gynecol. 16(32):2-9.
  2. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
  3. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives6(2):4–22.