Tagged / public health

New CMMPH publication on health promotion in post-earthquake Nepal

international, open access, Publishing, Research news, Uncategorized, writing

Today saw the publication of a new paper from an international research team from the UK, Japan and Nepal.  Our research article ‘Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal’ has been published in the Open Access journal PLoS ONE [1]. 

The paper reminds us that natural disasters often disrupt health systems affecting the whole population, but especially vulnerable people such as pregnant women, new mothers and their babies. Despite the global progress in maternal, newborn and child health (MNCH) programmes over the years, emergency responses after a disaster are often poor. Post-disaster health promotion could play an important role in improving MNCH outcomes. However, evidence remains limited on the effect of post disaster health promotion activities in low-income countries such as Nepal.

The paper reports on an post-disaster intervention study aimed at women in Nepal following the 2015 earthquake. In total, 364 mothers were recruited in the pre-intervention group and 377 in the post-intervention group. The post-intervention group was more likely to have knowledge of at least three danger signs in pregnancy (AOR [Adjusted Odds Ratio] = 2.96, P<0.001), at least three danger signs in childbirth (AOR = 3.8, P<0.001), and at least five danger signs in newborns (AOR = 1.56, P<0.001) compared to the pre-intervention group. The mothers in the post-intervention group were also more likely to ever attend ANC (AOR = 7.18, P<0.001), attend a minimum of four ANC sessions (AOR = 5.09, P<0.001), and have institutional deliveries (AOR = 2.56, P<0.001).

Religious minority groups were less likely to have knowledge of all danger signs compared to the majority Hindu group. Mothers from poorer households were also less likely to attend four ANC sessions. Mothers with higher education were more likely to have knowledge of all the danger signs. Mothers whose husbands had achieved higher education were also more likely to have knowledge of danger signs and have institutional deliveries.  The paper concludes that the health promotion intervention helped the disaster-affected mothers in improving the knowledge and behaviours related to MNCH. However, the authors also comment that vulnerable populations need more support to benefit from such intervention.

 

Reference:

Dhital R, Silwal RC, Simkhada P, van Teijlingen E, Jimba M (2019) Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal. PLoS ONE 14(7): e0220191. https://doi.org/10.1371/journal.pone.0220191

BU PhD student PROSPERO publication

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Congratulations to BU PhD student Dimitrios Vlachos who had his PROSPERO protocol published [1].   Dimitrios working on a project promoting the Mediterranean-style diet in childbearing age, he is supervised across faculties by Dr. Fotini Tsofliou and Prof. Katherine Appleton.

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. Tsofliou, F., Appleton, K., Vlachos, D. (2018) Barriers and facilitators to following a Mediterranean style diet in adults: a systematic review of observational and qualitative studies. PROSPERO 2018 CRD42018116515

 

 

 

Congratulations to Denyse King

Centre for Excellence in Learning, Featured, international, PG research, Publishing, Research news, student research, Uncategorized, writing

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 [1].  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. 

Reference:

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 on timely editorial in Nepal

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Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal.  The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’ [1] was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st.  Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor.  He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal.  Bournemouth University has a long-standing research collaboration with MMIHS.

The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal.  Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process.  Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in.  Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc.  The paper argues that Public Health can easily disappear of the radar.  The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general.  Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.

The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.  The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

Simkhada, P., Teijlingen van, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.

The slow process from public health research to law

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We know that public health works and thinks long-term. We’ll typically see the population benefits of reducing health risks such as tobacco use, obesity and high alcohol intake in ten or twenty years’ time.  But we often forget that preceding public health research into the determinants of ill health and the possible public health solutions is also slow working.  Evidence-based public health solutions can be unpopular with voters, politicians or commercial companies (or all).  Hence these take time to get accepted by the various stakeholders and make their way into policies.

I was, therefore, glad to see that Scotland won the Supreme Court case today in favour of a minimum price for a unit of alcohol. As we know from the media, the court case took five years.  Before that the preparation and drafting of the legislation took years, and some of the original research took place long before that.  Together with colleagues at the Health Economic Research Unit at the University of Aberdeen, the University of York and Health Education Board for Scotland, we conducted a literature review on Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland as early as 2001 [1].  Some of the initial research was so long ago it was conducted for the Scottish Executive, before it was even renamed the Scottish Government.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Research started years ago! Ludbrook et al.(2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, HERU, Univ. of Aberdeen. [ISBN: 0755932803] http://www.gov.scot/Resource/Doc/1124/0052548.pdf

Denyse King’s Health Education England project ‘NoObesity’

BU research, Featured academics, Knowledge Transfer, policy, Uncategorized

NoObesity

The government’s key priority of reducing childhood obesity through adult education (as announced by Jeremy Hunt in Sept 2015), prompted BU’s Denyse King to write a proposal to Health Education England. Denyse is a Midwifery Lecturer / Public Health Practitioner in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) at Bournemouth University. The proposal outlined her wish to develop a stand-alone mobile learning resource for health workers who care for families of overweight or obese children, and for families who need to identify individual needs to facilitate behavioural changes.

Afbeeldingsresultaat voor childhood obesity statistics uk, 2016

The development of this project pivoted on putting patients and the public in the centre of the process. Patients and the public were engaged through focus groups where insights were gathered to identify the challenges and issues to the problem. A series of online focus groups were undertaken with service users and professionals to understand the key challenges and issues respondents came across when trying to prevent/manage overweight and obesity. Key themes from the focus groups were:

  • Empowering – the solution needs to recognise the experiences people bring and therefore the tools need to be empowering in supporting families to address obesity.
  • Parenting tips – to address challenges with encouraging positive health behaviours with children.
  • Responding to barriers – from parent/carers who are being supported by health professionals.
  • Obesity isn’t a quick fix – recognising that sustained behaviour change takes time and support to overcoming barriers is vital.
  • Healthy snacks and activities – provide easy and simple ideas to support parents/carers and professionals to identify quick ways to support healthier eating and increase activity.
  • Portion size – understanding that portion size is important in addition to eating healthily.

Topic experts were identified and invited to join the project steering group where they provided the governance and steer of the overall development of this project whilst Denyse King wrote the content. The following Apps have been developed as a result and will be available to all as free download in IOS and Android platforms from late September 2017:

  • NoObesity Family Focused App – After consultation with a healthcare worker, families set health goals, identify potential barriers and strategies to overcome them, record their progress towards their goals, earning points and awards as they go. Families are encouraged to link accounts to healthcare professional accounts (see below). The tool also includes parenting tips, games and useful links.
  • NoObesity Professional Focused App– Healthcare professionals can see the goals, barriers, strategies, progress, points and awards of linked families, making them better able to provide tailored advice to the families, to help them achieve their goals. This is based on research findings that ‘one-size- fits-all’ health advice simply doesn’t work for most families. The tool also includes the Wessex MECC-based guidance on how to best support families, how to handle common objections, games and useful links.

Denyse would like to thank Dr. Joanne Newton project proposal support, Felicity Hargreaves and Helen Bingham for approval of the final project proposall. Thanks to all those who contributed to answering the research questions, as well as those who tested and fed back on the prototype, and also to Bournemouth University, University of Southampton, and NHS England for their support of this project.

 

List of the members of the steering group

Name Job Title Organisation Steering Group Role
Em Rahman Head of Public Health Workforce Development Programmes Health Education England (Wessex) Steering Group Chair
Alison Potter Technology Enhanced Learning Lead (South) Health Education England (South) Deputy-Chair
Dr. Jenny Godson (MBE) National Lead for Oral Health Improvement Public Health England Dental and dental aspects of nutrition
Prof. Edwin van Teijingen Professor – Centre for Midwifery, Maternal & Perinatal Health Bournemouth University Research supervision and education governance
Dr. Juliet McGrattan General Practitioner Cumbria Medical Chambers GP role governance
Kate King-Hicks Health and Wellbeing Programme Lead Public Health England (South East) Obesity governance
Tony Hewett Intervention Manager and behaviour change specialist Miltoncross Academy School staff role governance
Dr. Jo Walker Consultant Paediatrician Portsmouth Hospitals Trust Consultant doctors role governance
Dr. Wendy Marsh Lead Midwife for Safeguarding Portsmouth Hospitals Trust Safeguarding governance
Kate Lees Consultant in Public Health and Dietitian Lees & Latouze Nutrition governance
Denyse King Lecturer in Midwifery and Public Health Practitioner Bournemouth University Content author and governance

New BU publication in Public Health

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This week the Oxford Encyclopaedia published our contribution on religious organisations and health promotion [1].  The paper in question ‘Faith Communities and the Potential for Health Promotion’ is co-authored by scholars based in England, Scotland and Canada. This new publication is part of a growing number of publications at Bournemouth University on the contribution of faith communities to public health.

Faith communities often have multiple resources, existing networks and an infrastructure that can be applied to health promotion programmes for their own membership or as an outreach to the wider community. Health programmes in a faith community in high-income countries may include targeted initiatives, ranging from walking groups or weight checks, health events, or health assessments, to diabetes self-management. These activities can be organised by charities and NHS organisation and held at local churches, synagogues or mosques which is referred to as faith-placed health promotion.  If the health promotion is part of the ministry of the religious organisation it is referred to as faith-based health promotion.

On top of this encyclopaedia entry, the Open Access journal African Health Sciences [Impact Factor 0.66] accepted our paper in the same field a few weeks ago.  This  paper ‘Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review’ formed part of the first author’s M.Sc. in Public Health [2]. Our previous papers reported on a study of faith-based and faith-placed health promotion in and around Dundee [3-4].

 

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Prenatal Health

 

References

  1. Kiger, A., Fagan, D., van Teijlingen, E. (2017) Faith Communities and the Potential for Health Promotion. In: Encyclopedia of Health and Risk Message Design & Processing, Parrott, R. (ed.) New York, Oxford University Press. (http://communication.oxfordre.com/).
  2. Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences (accepted June).
  3. Fagan, D., Kiger, A., van Teijlingen E. (2010) A survey of faith leaders concerning health promotion and the level of healthy living activities occurring in faith communities in Scotland. Global Health Promotion 17(4): 15-23.
  4. Fagan, D., Kiger, A., van Teijlingen, E. (2012) Faith communities and their assets for health promotion: The views from health professionals and faith leaders in Dundee, Scotland, Global Health Promotion 19(2): 27-36.

Public lecture on ‘Getting the message across about Zika’

BU research, PG research, Research news

Public Lecture by Professor Jane Noyes, Bangor University

Date: Friday 12 May 2017
Time: 10.50 -12:00
Venue: B321, Bournemouth House

Getting the message across about Zika: using qualitative evidence to inform the global WHO risk communication guidelines for public health emergencies, and lessons learned for intervention development.

Jane is the Professor of Health and Social Services Research and Child Health at Bangor University. She specialises in child health and social care research. She is also an expert in methodology, including complex intervention development and evaluation, and qualitative and mixed method systematic review methodology.  Jane is Lead Convenor of the Cochrane Qualitative and Implementation Methods Group and Editor of the Journal of Advanced Nursing.

Jane’s talk will be followed by a short lecture by of Queen’s University Belfast on ‘Social technology solutions to postnatal care in Brazil’.

Fiona is a Lecturer in the School of Nursing and Midwifery and the Centre for Evidence and Social Innovation, Queen’s University Belfast. Her research focuses on enhancing maternal and child health and wellbeing. Her expertise includes conducting economic evaluations alongside intervention-based studies.

Complimentary lunch will be served at 12.30pm

Please RSVP to Sam Porter at porters@bournemouth.ac.uk

This lecture is part of the ‘Social technology solutions to postnatal care in Brazil’ project funded by the British Council through the Newton Fund.

Please share with your networks, this Flyer is available to send out.

MRC-AHRC Global Public Health: Partnership Awards Call

Funding opportunities

Closing date: 08 Jun 2017 16:00 GMT+1

The Global Challenges Research Fund (GCRF) offers a unique opportunity for the Arts and Humanities Research Council (AHRC) and the Medical Research Council (MRC) to launch a global public health initiative that responds to the challenge of bringing together expertise in medical science and health interventions in developing countries, with an understanding of local knowledge and history, cultural dynamics, community engagement, and trust.

The overarching driver of this partnership building activity is to develop inter-disciplinary research capacity and capability in both the UK and developing countries, jointly and collaboratively and across career stages. The aim is to generate reciprocal benefits through integrating understanding of cultures and histories into medical and public health challenges in a global context and to equip the next generation of researchers to work collaboratively and blend scientific, cultural and policy research.

The activity should catalyse the creation of sustainable, balanced relationships between UK based research organisations and researchers with those in developing countries. Learning and knowledge exchange should be reciprocal with clear mutuality of benefit for all collaborators.

This call is designed to complement previous GCRF foundational awards calls, including the cross-Council calls led by MRC on Global Infections and Non Communicable Diseases (NCD) and by ESRC on Anti-microbial Resistance (AMR). It seeks to add distinctive value to those calls through focusing on the development of inter-disciplinary research capability and innovation which combines expertise in the medical and health sciences with research in the arts and humanities and which strengthens international collaboration and partnerships.  This call is part of two consecutive partnership award calls that will run in 2017 with the second  opening in Autumn 2017.

Click here for further information about the scope, eligible activities, funding available, and the application process.

If you are interested in applying, please contact the RKEO Funding Development Team.