A few months ago Dr. Ann Luce (Faculty of Media & Communication) and I were interviewed by the US-based organisation Catalysta TM on the issue of the portrayal of childbirth in the media. This week Catalysta released the podcast which is available here!
The online interviews with a journalist and podcast producer in the USA was based on our publications around the topic, such as our highly cited BMC Pregnancy& Childbirth paper ‘“Is it realistic?” the portrayal of pregnancy and childbirth in the media ‘  and our 2017 book Midwifery, Childbirth and the Media published by Palgrave Macmillan , as well as papers in UK midwifery journals [3-4].
Prof. Edwin van Teijlingen
- 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
- Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
- 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.
- Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10
Last week we presented key findings from our various research projects on health and migration in Nepal. The research meeting was held in a hotel in central Kathmandu. More than seventy people turned up, in fact more people than had registered so the kitchen had to add to the lunch buffet at short notice. The chief guest was the Deputy Speaker of the Nepal’s Federal Parliament, Shivamaya Tumbahangphe. Dr. Tumbahangphe was the first female MP in Nepal with a PhD (in Political Sciences). She is speaking on the photo right, standing next to BU’s Dr. Bibha Simkhada.
The event was organised jointly with Liverpool John Moores University, Green Tara Nepal, and POURAKHI Nepal. the latter is an organisation of women migrant workers established in 2003. It aims to ensure the rights of women migrant workers and their families in the entire process of migration. The organisation focuses its work on women migrant worker’s concerns regarding issues that arise at the different stages of migration, namely pre-employment, pre-departure, employment and post-arrival periods through support programmes.
Nearly one-seventh of the world’s population is now living in a location different from the one in which they were born. Some 3.5 million Nepali are working as migrant workers in the Gulf countries, Malaysia, and India, contributing nearly one-third of the Nepal’s gross domestic product. Despite Nepal’s long history of work-related migration, the national dialogue has only recently become more prominent. Migration has become a political as well as a social issues, for example, we see migration mentioned in the national media on a daily basis. Our meeting was reported on TV and in an English-language newspaper The Himalayan Times on January 6th (to read article click here!).
The BU team comprises: Dr Pramod Regmi (FHSS Lecturer in International Health), Dr. Nirmal Aryal (Post-doctoral Research Fellow), Dr. Bibha Simkhada (FHSS Lecturer in Nursing), and in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) Dr. Catherine Angell and Prof. Edwin van Teijlingen. The team is complemented by Liverpool John Moores University’s Prof. Padam Simkhada (who is also Visiting Professor at BU), Dr. Pratik Adhikary (BU graduate based at Green Tara Nepal) and colleagues at Datta Meghe Institute of Medical Sciences, India.
Last year BU signed a Memorandum of Agreement (MoA) with Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal. This week Dr. Bibha Simkhada, Lecturer in Nursing, Dr. Shanti Shanker, Lecturer (Academic) in Psychology, and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) delivered one-day workshop on qualitative and mixed-methods research approaches. The workshop was very well attended by MSc students, not just from MMIHS, but also those from several other colleges and universities.
MMIHS is part of BU’s latest bids for ERASMUS Higher Education Student & Staff Mobility between Programme and Partner Countries (Key Action 107) – International Credit Mobility. Bournemouth University’s strategic plan known as BU2015 has as one of its pillars our desire to “enrich society by having a significant impact on challenges world-wide“. Through Fusion BU aims to (a) have a positive impact world-wide on the challenges facing society; (b) ensure staff, students and graduates enrich society as active citizens in their communities; and (c) strengthen our shared impact through worldwide partnerships. Expanding and developing the existing BU-MMIHS partnership is a excellent stepping stone for the ERASMUS application.
Prof. Edwin van Teijlingen
Traveling long distances for work is key to many academic jobs. However, traveling during the Festive Season has its challenges. Getting your tickets in time from the university-appointed travel agency is one of them. Getting tickets to go to Heathrow took me a week, due to range of minor human errors and my family forbidding me to work on Christmas Day and Boxing. Having received the bus tickets on the day of travel, the coach to Heathrow broke down half way, raising my anxiety level.
In Nepal, travel issues are usually traffic issues. In the dry season Kathmandu is dusty and polluted (one of my colleagues said it is the fifth most polluted city in terms of air quality in the world). Outside Kathmandu on the Highway to India the scary bits are the narrow winding roads with little opportunity to overtake slow moving lorries going up the mountains, but people still do. The pictures show the equivalent of the M1 or M6 in the UK. Not quite what one would expect a Highway to look like. And it really does not that we recently submitted a paper about road traffic injuries in Nepal. Sometimes know less is better!
Having had the pleasure of announcing the last BU publication yesterday, today we received an email that our paper ‘Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom’ has been accepted by the International Journal of Obstetric Anesthesia. This paper is led by FHSS Visiting Faculty Gary Smith and Richard Isaac and has as co-authors Vanora Hundley, Lisa Gale-Andrews and Edwin van Teijlingen as well as two further BU Visiting Professors: Mike Wee and Debra Bick.
Congratulations to Orlanda Harvey on the publication of her paper ‘Shades of Grey’: The Ethics of Social Work Practice in Relation to Un-prescribed Anabolic Androgenic Steroid Use. Orlanda Harvey is a PhD student in the Faculty of Health and Social Sciences with a research interest in image and performance enhancing drug (IPED) use. Her paper will be published in Practice: Social Work in Action.
This paper highlights ethical dilemmas that social workers face when assessing risk in relation to those using substances. It explores how legislation and societal factors can impact not just on people’s choices and decisions but also on their ‘vulnerability’ and access to services. Vulnerability, a contested term, is linked, in this paper, to assessment of risk. There are ethical issues that arise when assessing risk with people who use Anabolic Androgenic Steroids (AAS) from both service user and professional perspectives. These ethical issues concern a person’s right to choose whilst making potentially harmful decisions. The paper argues that using substances such as AAS in and of itself does not suffice to make a person vulnerable but this does not mean that people using AAS are not in need of support. It suggests that there may be some groups of people who are more at risk to starting AAS use and that social workers should be aware of these. It also recommends the need for further qualitative research to understand the reasons for starting use and support to help people stop using AAS.
Prof. Edwin van Teijlingen
On the last working day of 2018 at Bournemouth University we congratulate FHSS student Raksha Thapa on the publication of her first PhD paper in her first PhD year. The paper Uptake of Health Services by People from the Dalit Community was published today in the Journal of BP Koirala Institute of Health Sciences . Raksha is supervised by Dr. Pramod Regmi, Dr. Vanessa Heaslip and Prof. Edwin van Teijlingen.
The paper discusses a variety of studies and reports on the uptake of health services in Nepal and other low-income countries by socio-economic cultural status in South Asia. These reports often focus on limitations due to physical factors, such as travel distance to health facility, or lack of medical facilities or electricity at the health care centre or focus on resources, such as lack of service providers, or lack of appropriately trained staff. Therefore, this article highlights the importance of discrimination as a reason for people not seeking available health care. Discrimination is particularly a barrier to service usage among the most deprived people in society, such as the Dalit community in Nepal and South Asia more generally. The authors discuss the caste-based discrimination in Nepal and its effects on health outcomes of those groups who experience such discrimination.
- Thapa, R., van Teijlingen, E., Regmi, P. , Heaslip, V. (2018) Uptake of Health Services by People from the Dalit Community, Journal of BP Koirala Institute of Health Sciences 1(2): 1-6.
Congratulations to FHSS Dr. Pramod Regmi & Dr. Nirmal Aryal on their media appearance yesterday in a national English-language newspaper Republica. The newspaper article covers one of the key social issues in Nepal today namely migration, especially for work. Moreover, there was a different story on the Britain-Nepal health and medical relationship over the past fifty year. This feature article appeared on BBC Nepali (if you can read Nepali click here !).
In FHSS we have been working on health and migration issues in Nepal and the health and well-being of Nepali migrant workers abroad for over ten years, resulting in numerous publications [1-9].
Prof. Edwin van Teijlingen
- Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105, https://doi.org/10.1108/IJMHSC-12-2015-0052
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia, BMC International Health & Human Rights 18(1):4. doi: 10.1186/s12914-018-0145-7.
- van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
- Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
- Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
- Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
- Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
- Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
- Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
This week we had this enviable record of two academic papers on health topics being rejected the day after submission. The first paper was submitted on Monday to Issues in Mental Health Nursing. Our paper reported the Content Analysis of a review of the nursing curricula on mental health and maternity care issues in Nepal. The journal editor emailed us the next day to inform us that the topic was interesting, but not relevant enough to the journal’s readers.
The second paper submitted by a different configuration of staff was submitted last Friday to the Journal of Youth & Adolescence. The second paper reported a qualitative study on students views on abortion in the south of England. This journal’s rapid reply came the next day (yesterday) stating that:
Unfortunately, the editors have completed an internal review of your study and have deemed your manuscript inappropriate for our journal. Although your manuscript has important strengths, the journal has moved away from supporting qualitative work (unless it would be part of a journal special issue). Please rest assured that our decision has nothing to do with the quality of your study or findings.
On both occasion we had discussed potential journals and we thought we had targeted appropriate journals for the respective manuscripts. Moreover, in both manuscripts we managed to cite at least one paper published in the journal to which we had submitted it. The general message to my colleagues is that it does not matter how many papers you have written and submitted, you will: (1) occasionally opt for the wrong journal; (2) continue to face regular rejection by journal editors; and (3) have an opportunity to submit to another journal.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Many congratulations to Dr. Nirmal Aryal, postdoctoral researcher in FHSS for his new publication ‘Blood pressure and hypertension in people living at high altitude in Nepal’ in Hypertension Research . Hypertension Research is a prestigious journal published by Nature (Impact Factor of 3.4).
This is the first study of its kind to collect cardiovascular disease and risk factors related information at four different altitude levels above or equal to 2800 m and from ethnically diverse samples. This paper highlighted that despite known hypoxia-induced favourable physiological responses on blood pressure, high altitude residents (>2800 m) in Nepal might have an increased risk of raised blood pressure associated with lifestyle factors and clinicians should be aware of it. The authors previously published a systematic review paper summarizing global evidence on the relationship between blood pressure and high altitude .
This publication is available online at: https://www.nature.com/articles/s41440-018-0138-x and pre-refereed version is available in BURO.
Dr. Pramod Regmi & Prof. Edwin van Teijlingen
- Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in people living at high altitude in Nepal. Hypertension Res 2018 doi: 10.1038/s41440-018-0138-x[published Online First: Epub Date]|
- Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in adults permanently living at high altitude: a systematic review and meta-analysis. High Alt Med Biol 2016; 17: 185-193.
Congratulations to Dr. Rosie Read and Prof. Lee-Ann Fenge in the Faculty of Health & Social Sciences who just published in the academic journal Health and Social Care in the Community. Their paper is called ‘What does Brexit mean for the UK social care workforce? Perspectives from the recruitment and retention frontline’ . You can’t have a more topical academic paper and it is freely available on the web through Open Access!
The paper is based on research on research they undertook last year on the impact of Brexit on the social care workforce. A key finding is that, irrespective of whether they employ EU/EEA workers or not, research participants have deep concerns about Brexit’s potential impact on the social care labour market. These include apprehensions about future restrictions on hiring EU/EEA nurses, as well as fears about increased competition for care staff and their organisation’s future financial viability. This article amplifies the voices of managers as an under‐researched group, bringing their perspectives on Brexit to bear on wider debates on social care workforce sustainability.
Prof. Edwin van Teijlingen
- Read R, Fenge L‐A. (2018) What does Brexit mean for the UK social care workforce? Perspectives from the recruitment and retention frontline.
Health Soc Care Community [online first] :1–7. https://doi.org/10.1111/hsc.12684
Congratulations to Denyse King, who is currently attending the Future Technologies Conference, FTC 2018; Vancouver, BC; Canada (15-16 November). Her conference paper ‘NoObesity apps – From approach to finished app’ has been published in Advances in Intelligent Systems and Computing . Denyse is part of the Centre for Midwifery, Maternal & Perinatal Health (CMMHP) where she is a Lecturer (Academic) in Midwifery based at BU’s campus in Portsmouth ,
Obesity is still a growing public health problem in the UK and many healthcare workers find it challenging to have a discussion with service users about this sensitive topic. They also feel they are not competent to provide the relevant heath advice and are seeking easily accessible, evidence-based, mobile health learning (mHealth). mHealth applications (apps) such as the Professional NoObesity and Family NoObesity (due for release late 2018), have been designed to: support families with making sustainable positive behaviour changes to their health and well-being, ease pressure on practitioners’ overweight and obesity care related workloads, as well as to support the education of professionals, students and service users. This paper describes the process of designing the apps from the inception of the idea, through the stages of research, app builds and testing. The processes of collaborative working to design and develop the apps to meet the needs of both service users and health professionals will also be reflected upon. Childhood obesity is an complex problem and whilst it is recognised that the NoObesity apps cannot singlehandedly resolve this health crisis, it is proposed that they can support families to identify and reduce the barriers that prevent them from living healthier, happier lives.
King D., Rahman E., Potter A., van Teijlingen E. (2019) NoObesity Apps – From Approach to Finished App. In: Arai K., Bhatia R., Kapoor S. (eds) Proceedings of the Future Technologies Conference (FTC) 2018. FTC 2018. Advances in Intelligent Systems and Computing, vol 881. Springer, Cham, pp. 1145-1157.
Congratulations to Lesley Milne, senior lecturer in midwifery, on the acceptance of her latest paper on maternity care in Nepal. This new paper ‘Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal’ will appear soon in the Open Access publication: Journal of Asian Midwives . This is the second publication from a qualitative research study undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff .
The study received financial support from Wellbeing of Women and the RCM (Royal College of Midwives) as Lesley won their first International Fellowship Award. The study was a collaboration led by Lesley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with two of FHSS’s Visiting Faculty, namely Prof. Padam Simkhada who is based at Liverpool John Moores University and Jillian Ireland, Professional Midwifery Advocate based at Poole NHS Hospitals Foundation Trust.
Profs. Vanora Hundley & Edwin van Teijlingen
- Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P.P. (2018) Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal, Journal of Asian Midwives (accepted).
- Milne, L., van Teijlingen, E., Hundley, V., Simkhada, P., Ireland, J. (2015) Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study BMC Pregnancy & Childbirth 15:142 www.biomedcentral.com/1471-2393/15/142 .
Congratulations to Amy Miller! At the British Chiropractic Council’s annual conference 13-14th October, Bournemouth University PhD student Amy Miller was awarded the British Chiropractic Association’s award of ‘Chiropractor of the Year 2018-19’ for her contributions to research and engagement.
Amy is based in the Faculty of Health & Social Sciences (FHSS). Her PhD is investigating an inter-professional student-led breastfeeding clinic for student learning, and breastfeeding outcomes and experiences. Amy is supervised by Associate Professor Sue Way, Senior Lecturer in Midwifery Dr. Alison Taylor and Prof. Edwin van Teijlingen all based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The British Chiropractic Association’s award for Chiropractor of the Year recognises individuals who have made a significant contribution to the profession.
As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
- 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.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30.
- Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
- Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
Congratulations to Dr. Alison Taylor whose PhD paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers‘ has just appeared online . This paper, in Women and Birth (published by Elsevier), was co-authored with her PhD supervisors Prof. Emerita Jo Alexander, Prof. Kath Ryan (University of Reading) and Prof. Edwin van Teijlingen.
The paper highlights that despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly. Alison’s study explored in a novel way the everyday experiences of first-time breastfeeding mothers in the early weeks following birth. Five UK mothers were given a camcorder to capture their real-time experiences in a video diary, until they perceived their infant feeding was established. This meant that data were collected at different hours of the day by new mothers without a researcher being present. Using a multidimensional approach to analysis, we examined how five mothers interacted with the camcorder as they shared their emotions, feelings, thoughts and actions in real-time. In total mothers recorded 294 video clips, total recording time exceeded 43 hours.
This paper focuses on one theme, the therapeutic role of the camcorder in qualitative research. Four subthemes are discussed highlighting the therapeutic impact of talking to the camcorder: personifying the camcorder; using the camcorder as a confidante; a sounding board; and a mirror and motivator. The paper concludes that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic and that more research is needed into how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.
Alison is Senior Lecturer in Midwifery and a member of the Centre for Midwifery, Maternatal & Perinal Health.
- Taylor, A.M., van Teijlingen, E., Alexander, J. & Ryan, K. The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women Birth (2018), (online first) https://doi.org/10.1016/j.wombi.2018.08.160
Dorset Global Health Network invites you to its next meeting focusing on Africa on Wednesday 7 November 2018 in Bournemouth University’s Executive Business Centre. The meeting organised by Primary Care Workforce Centre starts with a dinner at 6.30 PM with the event running between 19.00 and 21.00. You can register here!