Tagged / social sciences

Inaugural research meeting for British Academy grant

Today we had the introductory meeting of our recently funded ‘British Academy Project on Evidence-Informed Policymaking in Nepal’, the project is coordinated by the University of Huddersfield by Prof. Padam Simkhada, who is also Visiting Professor in Bournemouth University’s (BU) Faculty of Health & Social Sciences.  The co-investigator at BU is Dr. Pramod Regmi (Principal Academic in International Health), with other co-applicants based at the Keele University, Canterbury Christ Church University, the University of Sheffield, the University of Chester, the Nepal Health Research Council (NHRC), Kathmandu University and the research-based charity Green Tara Nepal.

This one year grant is officially starting next month (1st June).  The plans for this project were laid some time ago, and expressed in our 2022 paper ‘Nepal urgently needs a National Evidence Synthesis Centre‘ [1].   Our funded project will focus on the activities of: (1) formative research; (b)  capacity building including evidence synthesis; (c) the establishment of a National Evidence Synthesis Centre; and (d) the evaluation of sustainability planningThe British Academy see this award also as providing a developmental opportunity, enabling award holders to build connections within the cohort and critically beyond that as well.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

  1. Simkhada, P., Dhimal, M., van Teijlingen, E., Gyanwali, P. (2022) Nepal Urgently Needs a National Evidence Synthesis Centre, Journal of Nepal Health Research Council, 20 (3): i-ii.

 

PhD supervision is good for you

Some people in academia (and many outside it) don’t appreciate the importance of PhD supervision .  An academic supervising PhD students is not merely for the educational purposes, or in other words, for the benefits of the postgraduate student.  The value of postgraduate supervision lies in pushing the boundaries of knowledge, about testing new ideas, new approaches or even new methods.

Interestingly, enough it means that PhD supervision for an academic is also about developing their own ideas, expanding one’s CV, and developing one’s career.  Whilst for the university it is also for the wider benefit of research for the wider society.  The latter means that PhD students help improve the REF (Research Excellence Framework) scores for a university, through metrics such as number and proportion of PhD completions, but also through papers based on PhD research co-authored with staff.  It always amazes me how some outsider regard PhD supervision as simply more of the same, i.e. not that different from supervising an undergraduate student.

Looking at my ow CV, some of my best papers have been co-written with PhD students, including my most cited paper on SCOPUS [1]. Moreover, as the graph of my h-index [checked SCOPUS for May 19th 2025] shows four of my top eight highest cited papers were co-authored with postgraduate students [1-4].  Papers that would not have been written without the postgraduate student conducting knowledge-advancing research!

Not surprisingly, three of the four former PhD students who co-authored these highly-cited papers are now in academic positions across the UK (the fourth one has retired).  These four highlighted papers are not just looking good on my CV, they are also highly ranked within their respective journals.  The first paper [1] is the 28th most cited paper in the Journal of Advanced Nursing, an impressive 28th position out of 12,762 articles ever published by this international journal.  Similarly, the paper ‘Women’s autonomy in decision-making for health care: Demographic study in Nepal’ [2] is the 10th most cited paper in Reproductive Health, whilst ‘ To tell or not to tell: Barriers and facilitators in family communication about genetic risk’ [3] is the 20th most article in Clinical Genetics.  Last, but not least, ‘Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care’ [4] is the 17th most cited article (out of 3,910) in the international journal Midwifery.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

References:

  1. Simkhada, B., van Teijlingen E., Porter, M., Simkhada, P. (2008) Factors affecting the utilisation of antenatal care in developing countries: a systematic review of the literature, Journal of Advanced Nursing 61(3): 244-260.
  2. Acharya, D.R., Bell, J., Simkhada, P., van Teijlingen, E, Regmi, P.R. (2010) Women’s autonomy in decision-making for health care: Demographic study in Nepal. Reproductive Health 9(15) reproductive-health-journal.com/content/pdf/1742-4755-7-15.pdf
  3. Forrest, K., Simpson, S., Wilson, B.J., van Teijlingen E, McKee L, Haites, N., Matthews E. (2003) To tell or not to tell: Barriers and facilitators in family communication about genetic risk,Clinical Genetics, 64: 317-26.
  4. MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.

 

 

 

NIHR Global Health Research Academy 2025

The 2025 NIHR Global Health Research Academy Member event will take place on Tuesday 13th and Wednesday 14th May.  The NIHR recognizes that career progression is a common challenge for early-career researchers. This year the event’s theme is ‘Empowering Early-Career Researchers: Navigating Careers in Global Health’. This two-day online event aims to equip participants from across the globe with the skills and knowledge to navigate and build a career in global health research.

Bournemouth University staff and students participating in the NIHR Research and Innovation for Global Health Transformation Call 4: Drowning Prevention for newly mobile infants under 2 years in Bangladesh programme have been invited.  This NIHR-funded project is called Sonamoni and BU’s student Md. Shafkat Hossain, whose PhD assessed the work in Bangladesh, is one the participants, as is our colleague from Bangladesh Notan Dutta.  In the afternoon BU’s Edwin van Teijlingen who will be chairing a session on ‘Funding & Grant Writing’.

Sonamoni is being coordinated by Bournemouth University in collaboration with the Centre for Injury Prevention and Research (CIPRB) in Bangladesh as well as the University of the West of England, Bristol, the University of Southampton, Design Without Borders (DWB) in Uganda, and the Royal National Lifeboat Institution (RNLI). This project, with Prof. Dr. Aminur Rahman (at CIPRB) as Bangladesh lead,  includes the above mentioned BU-based PhD project.  The interdisciplinary team at Bournemouth University covers three faculties through: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.

Nepal Family Cohort Study meeting in Bournemouth

Prof. Om Kurmi who leads the Nepal Family Cohort Study (NeFCoS) joined the Bournemouth University (BU) team today for a research planning meeting in Bournemouth today.  Dr. Om Kurmi, Associate Professor Research in the Centre for Healthcare and Communities at Coventry University.  The BU team comprises Dr. Pramod Regmi (Principal Academic-International Health), Prof. Carol Clark (Professor in Physiotherapy), Prof. Edwin van Teijlingen (Professor of Reproductive Health), Dr. Rebecca Neal (Principal Lecturer in Exercise Physiology) and Dr. Vanora Hundley (Professor of Midwifery).

The Nepal Family Cohort Study (NeFCoS) is a multidisciplinary cohort study into the prevalence, incidence, and determinants of various diseases from childhood to adulthood in children and their parents [1].  NeFCoS has just started to collect date for the first round of follow-up.

Today’s meeting was organised by Dr. Neal and supported by BU’s QR funds.

 

Reference:
  1. Kurmi, O.P., Chaudhary, N., Delanerolle, G., Bolton, C.E., Pant, P.R., Regmi, P., Gautam, S., Satia, I., Simkhada, P., Kyrou, I., Sigdel, T.K., Hundley, V., Dali, P.R., Lokke, A., Hubert Lam, K.B., Bennett, D., Custovic, A., van Teijlingen, E., Gill, P. Randeva, H., O’Byrne, P.M., and Nepal Family Cohort Collaborators Group, Nepal Family Cohort Study: A Study ProtocolBMJ Open 14:e088896. doi:10.1136/ bmjopen-2024-088896

Plenary talk by Dr Regmi on Hidden Health Burden of Nepalese Migrants

Last week, BU academic Dr. Pramod Regmi delivered a plenary talk on the struggles faced by Nepalese migrant workers from departure to return at the 22nd Britain-Nepal Academic Council (BNAC) Conference, held on 24–25 April in Liverpool. The session included two other panelists, including Prof. Padam Simkhada from the University of Huddersfield, he is also a BU Visiting Professor.

Dr. Regmi’s talk highlighted the health burden experienced by Nepali migrants throughout their migration journey. Labour migration from Nepal poses significant risks at all stages. Many aspiring migrants lack access to accurate information and support, while those from lower socioeconomic backgrounds face high documentation costs and illegal recruitment fees, affecting their mental health and placing strain on their families. Abroad, migrants often suffer exploitation, unsafe working conditions, overcrowded and unsanitary housing, limited access to healthcare, and high medical expenses. Female migrants face additional risks such as sexual violence, unintended pregnancy, exploitation, and unemployment. Upon return, especially for those who experienced abuse or trafficking, reintegration is hindered by social stigma and a lack of support services. Nepal’s weak economy further limits their ability to utilise skills gained abroad.

This presentation was informed by a long history of BU research into the health and well-being of Nepalese migrant workers, led by Dr. Regmi, Dr. Nirmal Aryal, Dr. Orlanda Harvey, Prof. Edwin van Teijlingen, and current PhD students Yagya Adhikari and Anjana Regmi Paudyal in the Faculty of Health & Social Sciences.

A round table discussion after the session focused on four questions:

  1. How can we better inform migrants during the pre-migration stage?
  2. How can we reduce the health vulnerabilities of Nepali labour migrant workers abroad?
  3. What are the barriers to, and opportunities for, reintegration when migrants return?
  4. How can we facilitate increased research collaboration in destination countries engaging local academic institutions?

Bournemouth University also contributed to two other presentations related to a project studying the impact of federalisation on Nepal’s health system. This study was funded by the UK Health Systems Research Initiative to examine the consequences of Nepal’s transition from a centralised political system to a federal structure in 2015. These two papers were presented by BU collaborators Prof. Julie Balen (Canterbury Christ Church University) and Ms. Amshu Dhakal (Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal).

BU’s Dr. Regmi, Prof Edwin van Teijlingen and Dr Nirmal collectively have over 40 publications on Nepalese migrants’ health and well-being issues. Their recent publications on the topic include studies on modern slavery [1], kidney disease [2–4], pre-departure training of aspiring migrant workers in Nepal [5], moral panic and societal fears around migrant workers and COVID-19 [6–7], Nepalese migrant workers in Malaysia [8–9], left-behind families of migrant workers [10], migrant workers and the 2022 FIFA Men’s World Cup [11–12], Nepalese migrants in the UK [13], as well as a comprehensive literature review [14]. They are also a founder members of Health Research Network for Migrant Workers in Asia: www.hearmigrants.org 

 

References:

  1. Paudyal, A. R., Harvey, O., Teijlingen, E. van, Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion12(1), 125–132. https://doi.org/10.3126/jhp.v12i1.72713
  2. Aryal, N., Sedhain, A., Regmi, P.R., 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. https://doi.org/10.3126/ajms.v12i12.39027
  3. 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 20(1):15-7
  4. Regmi, P.Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
  5. Regmi, P.Aryal, N.van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
  6. Aryal, N.Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
  7. Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
  8. Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P.Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
  9. Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P.Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
  10. Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
  11. Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
  12. Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
  13. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
  14. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699

 

European Migration Research and Impact – Invitation to a Roundtable Discussion

Date: Wednesday, 7th May, 10am-12pm

Venue: K101 Talbot Campus

Ticket booking: European Migration Research & Impact – Invitation to Roundtable Discussion Tickets, Wed 7 May 2025 at 10:00 | Eventbrite

As part of our recently awarded, British Council-funded “Springboard” project, titled ‘Between vulnerability and resilience: gendering anti-migrant nationalism and migrant responses’, we would like to invite colleagues and PGRs from across BU and AUB with related research interest to a Roundtable discussion on European Migration Research & Impact on 7th May, from 10am to 12pm.

The panel will feature European and BU colleagues actively involved in researching migration across the continent and in the UK, bringing together both internal and international, cross-disciplinary expertise and experience of how to build impact into their projects from scratch. It will also benefit from specialised RDS/REF insights on building research impact. We plan to critically explore different types of potential impact, how to develop impactful research, and discuss both opportunities as well as limitations in achieving meaningful impact through migration research. We hope this panel will aid, inform, and inspire both early and advanced academics interested in migration research, including and beyond Europe, and we welcome lively contributions and discussions. The event will also provide an opportunity for academics across disciplines, working on or interested in related topics, to network with colleagues within and beyond the university.

The Springboard grant awarded by the British Council aims at deepening, specifically, German-UK academic collaborations and developing research projects together. The project is led by Stephanie Schwandner-Sievers (PI), Dilvin Dilara Usta and Anna Wimbledon (Co-Is), all of BU’s Centre for Seldom Heard Voices (CSHV). Beyond British Council funding, project development has kindly been supported by BU’s Global Engagement, RDS, and the FHSS faculty teams as well as the CSHV. Our current international partners include (international lead team only) Carolin Leutloff-Grandits from the B/Orders in Motion research centre at the European University Viadrina (EUV), Frankfurt (Oder), Germany; our long-term partner Linda Gusia of the Sociology Institute and Gender Studies Programme of the University of Prishtina, Kosovo; and Emma Shercliff of the Arts University Bournemouth.

This international team, including further senior researchers, ECRs and PGRs from all the involved partners, is coming together in early May for a dedicated workshop to develop its collaborations, links, and future project plans. (To avoid confusion: the Springboard project and workshop is both complementary to and separate from, Dilvin’s and Anna’s current British Academy-funded project on Crimmigration, which runs in parallel and aims at building collaborative networks, specifically, amongst UK-ECRs and with local non-academic partners; see recent announcement for this associated event, taking place on 16th May).

International Springboard team members Carolin Leutloff-Grandits, co-editor of Migrating Borders and Moving Times (2017) and author of Translocal Care Across Kosovo’s Borders; and Dr Marija Grujić, currently co-leading a project on Gendering asylum infrastructures in Germany and the UK, both of the B/Orders in Motion research centre at EUV, Frankfurt (Oder), Germany, have kindly agreed to speak on the European Migration Research & Impact roundtable. Furthermore, we are delighted to welcome Dr Ingrida Kerusauskaite-Palmer of the Lithuanian Centre for Social Sciences (Institute of Law), Vilnius, on the panel, who recently completed policy-relevant research on the local, societal impact of Ukrainian migration to Central Europe, and who also is a Visiting Fellow at FHSS. Finally, we are particularly pleased to confirm attendance of BU academics and migration experts, Alina Dolea (who has studied and advised on Romanian migrations) and Nicola De Martini Ugolotti (who has worked with migrants, refugees and asylum seekers in Italy and the UK), as well as of RDS impact manager, Amanda Edwards, as panellists. Stephanie Schwandner-Sievers will chair the panel discussion who, herself, has a long history in studying, specifically, Albanian migrations and societal responses.

Paper on Nepal reaching 5,000 readers

Today ResearchGate informed us that our 2010 paper ‘Women’s autonomy in household decision-making: A demographic study in Nepal[1] has been read 5,000 times.  This academic paper published in the international journal Reproductive Health is Open Access, hence available to anybody globally with internet access. The study explored the links between women’s household position in Nepal and their autonomy in decision making.  Using existing data (n = 8,257)  from the Nepal Demographic Health Survey (NDHS) 2006 we (Dr. Pramod Regmi and Prof. Edwin van Teijlingen with colleagues from other UK universities) focused on four types of household decision making: (1) women’s own health care; (2) making major household purchases; (3) making purchase for daily household needs; and (4) visits to her family or relatives.

We found that women’s autonomy in decision making is positively associated with their age, employment and number of living children. Women from rural area and Terai region (the southern part of Nepal bordering India) have less autonomy in decision making in all four types of outcome measure. There is a mixed variation in women’s autonomy in the development region across all outcome measures. Western women are more likely to make decision in own health care (1.2-1.6), while they are less likely to purchase daily household needs (0.6-0.9). Women’s increased education is positively associated with autonomy in own health care decision making (p < 0.01), however their more schooling (school-leaving certificate and above) shows non-significance with other outcome measures. Interestingly, rich women are less likely to have autonomy to make decision in own healthcare.

 

Reference:

  1. Acharya, D.R., Bell, J.S., Simkhada, P., van Teijlingen, E., Regmi, P. (2010) Women’s autonomy in household decision-making: a demographic study in NepalReproductive Health 7, 15   https://doi.org/10.1186/1742-4755-7-15

Promoting Human-Centred Design in Drowning Prevention

The Department of Design and Engineering at Bournemouth University has a reputation for its Human-Centred Design (HCD) work.  In our interdisciplinary Sonamoni project we have HCD at its centre.  The Sonamoni project is coordinated by Bournemouth University in collaboration with the University of the West of England (Bristol), the University of Southampton, and the Royal National Lifeboat Institution (RNLI), Design Without Border (DWB) in Uganda and Centre for Injury Prevention and Research, Bangladesh (CIPRB). The interdisciplinary team at Bournemouth University covers three faculties and six academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.

Last month two staff from CIPRB, Notan Chandra Dutta and Mirza Shibat Rowshan visited DBW in Uganda, as part of so-called South-South learning. Their objective was to share (1) knowledge and experience of using HCD techniques and (2) best practices of drowning prevention in both countries. Utilizing HCD techniques, Sonamoni is working to identify and prioritize potential solutions, develop prototypes, and assess the acceptability of the interventions to reduce drowning deaths among old children under two in Bangladesh.

During the visit, Notan and Shibat participated a four-day ideation workshop with the fisher community near Lake Victoria, organized by DWB. In the workshop, different HCD tools were used along with other group activities to generate and refine ideas for the solutions. The generated ideas were recorded by visualization tools. Notan and Shibat also attended a session on the principles of creative facilitation of HCD, including the need to understand the problem, role of the facilitator and other stakeholders.  Various visualization tools were discussed, e.g.  ‘journey maps’, ‘stakeholder map’, ‘context map’ and different types of sketches.  Notan shared CIPRB’s experiences of managing the best drowning prevention practices and its challenges from Bangladesh context.

This international project funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme, also includes a BU-based PhD student, Mr. Md. Shafkat Hossein.  Last week Shafkat presented our Sonamoni project in lecture to BU Engineering students at Talbot campus.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Presenting HSRI results at Nepal Dialogue UK

Today, Saturday morning, BU Visiting Professor Padam Simkhada from the University of Huddersfield was guest speaker at the third Nepal Dialogue UK webinar series of the Centre for Nepal Studies UK (CNSIK).   His presentation was titled Is Nepal’s Health System fit for Purpose? Reflections on Transformations, Maladies and Future Needs.  He outlined the state of health (epidemiology) as well as that of the health system.  He presented a lot of change in the health of the population, in the health system, as well as issues around human resources, including the high rate of migration of health workers.  He highlight that there is in Nepal insufficient investment in health, unethical practices,

He introduced some the key findings from our recently completed study on the effects of the federalisation process on Nepal’s health system.  Padam was one of the co-applications on this study together with academics from the University of  Sheffield, Canterbury Christ Church University and Bournemouth University in the UK, and colleagues in Nepal from Manmohan Memorial Institute of Health Sciences (MMIHS) and PHASE Nepal.  The project was funded by the UK Health Systems Research Initiative (Grant ref MR/T023554/1). For more information on the Nepal Federal Health System Team, see: https://www.nepalfederalhealthsystem.com/.  This interdisciplinary study has been disseminated in the form of eight published papers [1-8].

 

Prof. Edwin van Teijlingen

CMWH

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
  5. Wasti, S.P., van Teijlingen, E.Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117https://doi.org/10.1186/s12961-023-01033-2
  6. Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
  7. Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences (3): 1-11.
  8. Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146