Congratulations to Dr. Rachel Arnold on the acceptance by Social Science & Medicine (published by Elsevier) of the second paper based on her PhD on maternity care in Afghanistan . This interesting ethnography explores the experiences, motivations and constraints of healthcare providers in a large public Afghan maternity hospital. Arnold and colleagues identify barriers and facilitators in the delivery of care. Under the surface of this maternity hospital, social norms were in conflict with the principles of biomedicine. Contested areas included the control of knowledge, equity and the primary goal of work. The institutional culture was further complicated by pressure from powerful elites. These unseen values and pressures explain much of the disconnection between policy and implementation, education and the everyday behaviours of healthcare providers.
Improving the quality of care and equity in Afghan public maternity hospitals will require political will from all stakeholders to acknowledge these issues and find culturally attuned ways to address them. The authors argue that this notion of parallel and competing world-views on healthcare has relevance beyond Afghanistan. The paper co-authored by (a) Prof. Kath Ryan, Professor of Social Pharmacy at the University of Reading and Visiting Professor in FHSS, and BU’s Professors Immy Holloway and Edwin van Teijlingen.
- Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: An ethnography of care in an Afghan maternity hospital, Social Science & Medicine [online first] doi: 10.1016/j.socscimed.2018.09.010.
Congratulations to two members of Bournemouth University’s Visiting Faculty Minesh Khashu and Jillian Ireland on the publication of their paper ‘Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father co-parenting ‘ which has been accepted this week by the Journal of Neonatal Nursing.  Prof. Minesh Khashu is the lead Consultant Neonatologist and Jillian Ireland is Professional Midwifery Advocate and both are based at Poole Hospital NHS Foundation Trust.
This position paper has been co-authored by a wide-range of international experts from The Family Initiative (based in London), Edith Cowan University in Australia, McGill University in Canada, Northwestern University in the United States of America, the University of Toulouse in France, Luleå University of Technology in Sweden, Lillebaelt Hospital in Denmark, the Scientific Institute IRCCS Eugenio Medea in Italy, the University of Melbourne in Australia and Bournemouth University.
This is second paper in this field by these BU Visiting Faculty members after the 2016 publication of a literature review. 
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
- Fisher, D., Khashu, M., Adama, E., Feeley, N., Garfield, C., Ireland, J., Koliouli, F., Lindberg, B., Noergaard, B., Provenzi, L., Thomson-Salo, F., van Teijlingen, E. (2018) Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father co-parenting Journal of Neonatal Nursing (accepted).
- 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 the literature, Journal of Neonatal Nursing 22(4): 171–176.
Two days ago the Open Access journal BMC Pregnancy & Childbirth published an important article on women with disabilities and their experiences with the maternity services when pregnant . The new paper ‘Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ has been co-authored by BU’s Dr. Jenny Hall (Centre for Excellence in Learning/CEL) and Prof. Vanora Hundley (Centre for Midwifery, Maternal & Perinatal Health/CMMPH) in collaboration with Dr. Bethan Collins (formerly of BU and now based at the University of Liverpool) and BU Visiting Faculty Jillian Ireland (Poole NHS Foundation Trust). The project was partially funded by the charity Birthrights and Bournemouth University.
Women’s experiences of dignity and respect in childbirth revealed that a significant proportion of women felt their rights were poorly respected and that they were treated less favourably because of their disability. The authors argue that this suggests that there is a need to look more closely at individualised care. It was also evident that more consideration is required to improve attitudes of maternity care providers to disability and services need to adapt to provide reasonable adjustments to accommodate disability, including improving continuity of carer.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
- Jenny Hall, Vanora Hundley, Bethan Collins & Jillian Ireland (2018) Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women, BMC Pregnancy & Childbirth, 18:328
Congratulations to PhD student Mrs Preeti Mahato who has a research methods paper published based on her PhD study in Nepal . In the areas of health promotion and health education, mixed-methods research approach has become widely used. In mixed-methods research, also referred to as multi-methods research, researchers combine quantitative and qualitative research designs in a single study. This paper introduces the mixed-methods approach for use in research in health education. To illustrate this pragmatic research approach the paper includes Preeti’s thesis as an example of mixed-methods research as applied in Nepal.
The paper, in the Journal of Health Promotion, is co-authored by Preeti’s PhD supervisors Dr. Catherine Angell and Prof. Edwin van Teijlingen (both in the Centre for midwifery, Maternal &Perinatal Health) and BU Visiting Faculty Prof. Padam Simkhada.
- Mahato, P., Angell, C., van Teijlingen, E., Simkhada, P.P. (2018) Using Mixed-methods Research in Health & Education in Nepal, Journal of Health Promotion Official Publication of Health Education Association of Nepal (HEAN), 6: 45-48.
The Journal of Immigrant and Minority Health (Springer) just accepted the latest paper by former FHSS Ph.D. student Dr. Pratik Adhikary (photo).  His latest paper ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ is the fourth, and probably final, paper from his Bournemouth University Ph.D. thesis. This latest paper is based on the qualitative part of the mixed-methods thesis, his previous papers focused more on the quantitative data. [2-4]
Since this is a qualitative paper it also offers a more theoretical underpinning than the previous papers. The work uses the dual labour market theory which associates labour migration specifically to the host economy as it explains migration from the demand side. Labour migrants from less developed economies travel to fill the unskilled and low-skill jobs as guest workers in more developed economies to do the jobs better trained and paid local workers do not want to do. This theory also explains the active recruitment through labour agents in Nepal to help fulfil the demand for labour abroad, and it helps explain some of the exploitation highlighted in host countries. The theory also helps explain why lowly skilled migrant workers are often at a higher risk to their health than native workers . Similar to migrant workers from around the world, Nepali migrant workers also experience serious health and safety problems in the host countries including accidents and injuries.
The latest article will be Open Access in the Journal of Immigrant and Minority Health!
- Adhikary P, van Teijlingen E., Keen S. (2018) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant and Minority Health (First Online), https://link.springer.com/article/10.1007/s10903-018-0801-y
- 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.
- 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
Congratulations to Prof. Vanora Hundley of FHSS on the publication of her ‘Editorial midwifery special issue on education: A call to all the world’s midwife educators!’ in Midwifery (Elsevier). This editorial is co-authored by midwives Franka Cadée of the International Confederation of Midwives (ICM) and Mervi Jokinen of European Midwives Association (EMA). The editorial was written to accompany a Special Issue of the journal focussing on midwifery education. The Midwifery Special Issue addresses a wide range of topics from across the globe. Whilst the editorial explores the challenges for midwifery educators from three diﬀerent midwifery perspectives: (1) political; (2) academic ; and (3) professional association.
Congratulations to all three authors!
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- Hundley, V., Cadée, F., Jokinen, M. (2018) Editorial midwifery special issue on education: A call to all the world’s midwife educators!, Midwifery 64: 122-123
Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics. The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany. Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
Prof. Edwin van Teijlingen
In the first week of July Bournemouth University ran its second international midwifery education conference in the Executive Business Centre. This year’s conference was called ‘What works in midwifery education? A conference run by midwifery educators for midwifery educators.’ CMMPH (Centre for Midwifery, Maternal & Perinatal Health) brought together nearly 100 delegates on Thursday and Friday (July 5-6). There were presentations and posters from midwifery educators based in in all four countries of the UK, Germany, Belgium, Switzerland and Australia, resulting in lively stimulating debates.
The conference organisers has teamed up with the leading scientific journal in the field Midwifery (published by Elsevier). To coincide with BU’s conference Midwifery published this month its special issue on Midwifery Education. This special issue was introduced at the conference by Dutch midwife Dr. Ans Luyben, one of the special issue’s editors.
The conference awarded two prizes for the best poster. One prize was for the best academic poster and one voted by the conference audience. The former prize was won by a poster from NHS Education for Scotland. The public’s poster prize was won by a poster from the University of Bradford jointly produced by film students and student midwives.
The main conference organisers Dr. Catherine Angell and Dr. Sue Way from CMMPH said afterwards that the success of the conference means that CMMPH will organise a third midwifery education conference run for and by educators in three years’ time.
Congratulations to Faloshade Alloh (PhD student in Faculty of Health and Social Science), Dr. Pramod Regmi (Lecturer in International Health), Abe (Igoche) Onche (BU graduate MSc in Public Health) and Dr. Stephen Trenoweth (Principal Academic and Leaded for BU iWell Research Centre) on the timely publication of their paper on mental health in developing countries .
Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in poorer countries. The paper addresses mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. This exciting paper has 51 references including several linking to BU publications on research in Africa [2-3] and several papers related to South Asia [4-6], particularly highlighting the recently completed THET project that was led by BU [4-5].
The authors highlight that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. The authors suggest that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal and Perinatal Health (CMMPH)
Click here to view the full publication.
- Alloh, F.T., Regmi, P., Onche, I., van Teijlingen E., Trenoweth, S. (2018) Mental health in low- and middle income countries (LMICs): Going beyond the need for funding, Health Prospect 17 (1): 12-17.
- Alloh F, Regmi P, Hemingway A, Turner-Wilson A. (2018) Increasing suicide rates in Nigeria. African Health Journal [In Press].
- Alloh FT, Regmi PR. (2017) Effect of economic and security challenges on the Nigerian health sector. African Health Sciences. 17 (2):591-2.
- Acharya DR, Bell JS, Simkhada P, van Teijlingen ER, Regmi PR. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health. 7 (1):15.
- Simkhada B, Sharma G, Pradhan S, Van Teijlingen E, Ireland J, Simkhada P, et al. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey. Journal of Manmohan Memorial Institute of Health Sciences. 2:20-6.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. https://authors.elsevier.com/c/1Wu2axHa5G~S-
- Regmi PR, Alloh F, Pant PR, Simkhada P, van Teijlingen E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet. 389 (10072):904-5.
Last Saturday Festival of Learning highlighted BU’s research in the fields of health and migration in South Asia. BU Visiting Professor Padam Simkhada from Liverpool John Moores University (LJMU) presented selected studies with Dr. Pramod Regmi and Prof. Edwin van Teijlingen in the Create lecture theatre. Their work covers some of the recent research conducted in Nepal by staff from the Faculty of Health & Social Sciences. They highlighted two very interesting, but different, projects in particular.
The first one relates to Nepali migrant workers, since some 3.5 million Nepalese (14% of total population) are working abroad; primarily in Malaysia, the Middle East and India. One recent project is focusing on Nepali migrant workers in India. Working abroad is considered a livelihood strategy for many poor people and most Nepalese migrants are involved in semi/unskilled labour, mainly on building sites, in factories, and in domestic work.
The second project focuses on the health and social issue of transgender and the use of hormones. To date there is little literature on hormone use experiences in transgender populations in Nepal, focusing on a study of male-to-female transgender (MTF) populations and the experiences of people using hormone therapy (oral or injection or other replacement therapies).
Festival of Learning event 2018 with an international flavour: exploring recent research projects undertaken in Nepal by staff from the Faculty of Health and Social Sciences. The event focuses on Nepali migrant workers in India, women and migration and explores the health and social issues of transgender and the use of hormone therapy in male-to-female transitioning populations in Nepal.
Fusion Building: Create Lecture Theatre, Bournemouth University on Saturday 16 June 2018 from 5.00-6.00PM
Free tickets can be found here!
Prof. Edwin van Teijlingen, Dr Pramod Regmi & Prof Padam Simkhada (BU Visiting Faculty)
The first review by a Bournemouth University academic in the prestigious journal American Anthropologist was published in its February issue. Dr. Sue Sudbury who is Principal Academic in Media Production reviewed the film ‘The Anthropologist’ . She wrote in this Open Access review that this film raises many interesting issues about the role of the anthropologist and deftly illustrates the divide that exists when different cultures come together. Her conclusion of the review is that ‘The Anthropologist’ is an intriguing and memorable film about environmental anthropologists and the important work they do collecting and telling the stories of people whose lives are being reshaped by climate change. It is also about the relationship between female anthropologists and their daughters. As such, it does an important job of introducing the subject and will no doubt generate discussion, but it is not an anthropological film and doesn’t claim to be.
The second one, a book review this time, appeared this week in the June issue. Prof. Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) reviewed the book Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by the American anthropologist Sheila Cosminsky . He reminds the reader that some of the work in this book work has previously been published in articles, as clearly stated in the acknowledgments (p. xii). He highlights that “on reading the book I remembered with joy snippets from some of the articles on Doña María I read nearly thirty years ago while working on my PhD thesis.” Cosminsky does a great job of bringing together a lifetime of anthropological (field)work in a comprehensive and easy‐to‐read book.
It is not often that we see reviews written by BU staff in this impressive journal, let alone two in subsequent issues.
- Sudbury S. (2018) The Anthropologist Seth Kramer, Daniel A. Miller, and Jeremy Newberger, dirs. 81 mins. English, Russian, Sakha, Kiribati, Spanish, and Quechua with English subtitles. New York: Ironbound Films, 2015, American Anthropologist 120(1): 169-170.
- van Teijlingen E. (2018) Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by Sheila Cosminsky, American Anthropologist 120(2): 369.
A new multidisciplinary project in South Asia, run between two of Bournemouth University’s Faculties, has recently been funded. The cross-faculty project “Scoping Study to understand the maternal health, ageing and wellness in rural India to develop a grass-root centre addressing these issues” has Dr Shanti Shanker (Psychology) as its principal investigator in collaboration with Prof Edwin van Teijlingen (Human Sciences & Public Health). These BU lead researchers have been working in India and Nepal for more than a decade.
This project was recently awarded £76k from the HEFCE GCRF (Higher Education Funding Council for England, Global Challenge Research Funds) Call, at Bournemouth University. The project will be running from 2017 to 2021 between Maharashtra, India, Nepal and the UK. This important research initiative aligns closely with Bournemouth University’s strategic plan around South Asia through Connect India. Connect India is BU’s hub of practice which focuses on the world’s most populated areas and a global region which is developing rapidly in many ways.
Congratulations to FHSS students Folashade Alloh and Igoche Onche who found out today that their ‘Mental health in low-and-middle-income countries (LMIC): Going beyond the need for funding’ has been accepted for publication by the editors of Health Prospect. The paper is co-authored by FHSS staff Dr Pramod Regmi, Prof Edwin van Teijlingen and Dr Steven Trenoweth. Health Prospect is an Open Access journal.
More than 70% of the global mental health burden occurs in many low-and middle-income countries (LMIC). The paper discusses mental health issues in LMIC under different themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for mental health sector. The paper highlights that mental health education and health care services in most LMIC is poorly resourced; however, there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMIC, there is a need for effort to address cultural and professional practices that contribute to poor mental health among individuals. The authors argue that mental health should be integrated into primary health care in LMIC. Creating awareness on impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease of discussing mental health issues in these countries which will contribute to reducing stigma faced by mental health patients.
Congratulations to FHSS PhD students Preeti Mahato and Elizabeth Waithaka, FHSS academics Drs. Catherine Angell and Pramod Regmi and BU Visiting Faculty Prof. Padam Simkhada (Based at Liverpool John Moores University) on the publication of their latest paper: ‘ Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal’ . The paper appeared in Health Prospect: Journal of Public Health.
Mahato, P.K., Regmi, P.R., Waithaka, E., van Teijlingen, E., Simkhada, P., Angell, C. . Health Promotion opportunities for Auxiliary Nurse Midwives in Nepal. Health Prospect, 16 (2): pp. 13-17, May. 2018.
Available at: <https://www.nepjol.info/index.php/HPROSPECT/article/view/19903/16389>. Date accessed: 14 May. 2018. doi:http://dx.doi.org/10.3126/hprospect.v16i2.19903.
This week’s inaugural meeting of the Dorset Global Health Network was a great success. It was sold out on ‘Eventbrite’ long before day of the event (25th of April). The inaugural meeting held at Bournemouth University (BU) focused on Nepal. The evening was opened by Dr. Emer Forde who is GP Programme Director, Health Education Wessex (Dorset) and member of BU’s Centre for General Practice. She spoke of her and her son’s recent experience in her presentation ‘Voluntourism in Nepal : A lesson in the grey areas of global health.’
The second short presentation was by Prof. Edwin van Teijlingen for BU’s Centre for Midwifery, Maternal & Perintal Health (CMMPH). His presentation with the title ‘The challenge of perinatal mental health in Nepal’ covered issues around maternal mental health, auxiliary nurse-midwives and stigma and culture in southern Nepal. The project brought together academics, midwives, nurses, and other health workers in Nepal and the UK to help in the training of auxiliary nurse midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
The third speaker and final speaker Dr Ollie Ross, Consultant Anaesthetist at Southampton General Hospital, introduced the film ‘Hospital’. The film provides a portrait of a state-run hospital in one of the most remote and poor districts of Nepal and how individuals can make a difference to people’s lives. Dr Ross is also a consultant to the Nick Simons Foundation working in Nepal. According to The Nepali Times Nepal’s most accomplished documentary maker, Kesang Tseten, has a knack of bringing out in his films the best in people. He looks for the flower that grows amidst the squalour, and tries to spread a message of hope. His film, Hospital, returns to rural Nepal to portray a hospital in Kalikot where ordinary health workers accomplish extraordinary things.
The event was organised by the Dorset Primary Care Workforce Centre in collaboration with Bournemouth University and the Wessex Global Health Network.
This week saw the pre-publication of ‘Qualitative evaluation of mental health training of auxiliary nurse midwives in rural Nepal’ in the international journal Nurse Education Today (published by Elsevier). The paper is a report of an evaluation of a THET-funded projectwhich run from 2015 to 2017. Bournemouth University led a team comprising Liverpool John Moores University and Tribhuvan University (the oldest university in Nepal). These three universities worked together on a training project of Auxiliary Nurse Midwives in Nawalparasi focusing on key aspects of mental health and mental health promotion. The project was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).
Mental illness is increasingly recognized as a global health problem. However, in many countries, including Nepal, it is difficult to talk about mental health problems due to the stigma associated with it. Hence a training programme was developed to train auxiliary nurse midwives, who otherwise are not trained in mental health as part of their pre-registration training in rural Nepal, on issues related to maternal mental health. After the training programme a selection of auxiliary nurse midwives were interviewed to establish their views on the training, its usefulness and ways to improve it.
Preeti Mahato is a PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) who undertook an in-depth evaluation of our project as part of her PhD research. This qualitative study has three themes emerging: (1) issues related to training; (2) societal attitudes; and (3) support for women. The ‘training’ theme describes the benefits and limitations of training sessions. ‘Societal attitudes’ describes society’s attitude towards mental health which is largely negative. ‘Support’ describes the positive behaviour and attitude towards pregnant women and new mothers.
The paper concludes that there is a need for continued training for auxiliary nurse midwives who are based in the community. This gives them the opportunity to reach the whole community group and potentially have influence over reduction of stigma; offer support and diagnosis of mental ill-health. There is still stigma around giving birth to a female child which can lead to mental health problems. It is imperative to increase awareness and educate the general public regarding mental health illnesses especially involving family members of those who are affected.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
Dr. Pramod Regmi, FHSS Lecturer in International Health has been appointed as an Editorial Board Member for the Journal of Global Health Reports. This journal is affiliated with the Journal of Global Health (www.jogh.org). The Journal of Global Health Reports focuses on “Promoting local research to improve global health” It is open to all local, small-scale, context-specific studies in global health, both qualitative and quantitative, as long as they are conducted in a rigorous and replicable way and report their results properly.
Prof. Edwin van Teijlingen