

Prof. Edwin van Teijlingen

Latest research and knowledge exchange news at Bournemouth University
Prof. Edwin van Teijlingen
The World Health Organization (WHO) suggests that in low and middle-income countries (LMICs) like Nepal, morbidity and mortality risks are greater per litre of pure alcohol consumed than in higher-income countries. This is largely due to poverty, poor nutrition, adverse living conditions, and poor access to care. These inequities are made worse by the dearth of understanding of the most appropriate and cost-effective approaches to reduce alcohol-related harm in LMICs. Our study aims to stimulate new thinking on how cultural and community assets could be integrated to co-designed alcohol interventions for future evaluation in LMICs, through scoping the breadth of cultural and community assets in relation to alcohol use and to exploring attitudes towards alcohol and people experiences with it.
The journal Perspectives in Public Health is published by SAGE and the paper will be Open Access when it appears online. My previous alcohol studies have focused on students [2], Nepalese migrants living in the UK [3], and Public Health measures to reduced alcohol misuse in Scotland [4].
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
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Late in 2022 we started a new interdisciplinary study funded by the UK National Institute for Health and Care Research (NIHR). The research aims to reduce the deaths of newly-mobile toddlers from drowning in rural Bangladesh. This project called Sonamoni is being co-ordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, the Poole-based Royal National Lifeboat Institution (RNLI) and the Centre for Injury Prevention and Research, Bangladesh (CIPRB).
In Bangladesh, drowning is the leading cause of death in children between one and two years old. This low-income country has one of the highest rates of drowning, especially among children in the world. The risk of drowning in rural areas is twice that in cities, because there are significant numbers of ponds and ditches, creating natural drowning hazards for very young children. CIPRB has implemented several effective drowning prevention solutions focused on children over the past 15 years, including a successful daycare model to keep young children safely away from water. However, enrollment and attendance rates for children under two years (those at the highest risk of accidental drowning) have been low.
The team will be working with communities to apply human-centred design techniques in Bangladesh. Together they will identify and prioritise potential solutions, develop prototype interventions, and assess the acceptability and usability of proposed interventions.
This research is an excellent example of BU’s FUSION. BU endeavours to bring together Research, Education and Practice to create something that is greater than the sum of its parts. FUSION is central to our Bangladesh project, the Research is focusing on social sciences and public health, the Education is around health education of people in rural communities as well as training of the research team members, whilst Practice will be the outcome of the human-centred design approach, when we test the best interventions.
The £1.6m project has been made possible thanks to a grant from the NIHR through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website. NIHR uses aid from the UK government to support global health research.
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
All research has its costs, we spend a lot of time as academics planning for and budgeting our studies. This starts with considering how much time each academic spends on preparing the grant application and finished with cost of dissemination of findings after the data have been analysed. We do risk assessments the try to reduce risk and mitigate unforeseen circumstances. My last two trips to Nepal both suffered from such unexpected events.
As part of this trip we had organised a one-day Systematic Review on Dementia Research Workshop on Sunday 29th May in at MMIHS in Kathmandu. This Global Challenges Research Fund (GCRF) funded workshop was highly successful, it attracted 75% more participants than budgeted for, namely 53 instead of 30. However, the extra cost this incurred in terms of workshop resources, refreshments and lunches was not a great issue compared to the fact that I had contracted COVID-19 a few days before the workshop and had tested positive on a PCR test two days before. Thanks to the hard work of our colleagues at MMIHS, the non-governmental organisation (NGO) Green Tara Nepal, and especially, Prof. Vanora Hundley, the workshop run very well. I even managed to make a guest appearance online from my hotel room 200 meters away from the workshop venue, albeit on a poorer quality internet connection than I would have had half way across the globe (at BU or at home).
This positive COVID-19 test also meant I could not travel on the India in early June due to COVID-19 travel restriction for entering India. There I had planned to meet Dr. Shanti Shanker from BU’s Psychology Department as part of our GCRF-funded project ‘Promoting dementia research in Nepal and India’. Again due to the presence of well organised colleagues the India part of the trip ran smoothly. Dr. Gayatri Kotbagi, who has works for us through the charity Sheetale Astitva, and Dr. Shanti Shanker managed to run the internal trip very well without me.
In August I traveled to Nepal again with two BU academics: Dr. Shovita Dhakal Adhikari, Lecturer in Criminology, Department of Sociology & Social Work, Dr. Pramod Regmi, Senior Lecturer in International Health (Department of Nursing Sciences) and a colleague from the University of Exeter Dr. Emma Pitchforth. The main purpose of this visit was to run two sets of three-day Academic Writing Workshop in two cities in Nepal, namely Kathmandu and Pokhara. These workshops were funded by the British Academy and supported by Dr. Rashmee Rajkarnikar from the Central Department of Economics at Tribhuvan University, Nepal’s oldest and largest university, the charity Green Tara Nepal and Social Science Baha. This time the trip itself went very well, both workshop were very well attended, and even made it into a newspaper in Nepal: The Rising Nepal.
The trouble started after we had left Nepal. Dr. Pitchforth and I helped both fell ill some five to eight days after returning to the UK. We both had flu-type symptoms, including sore joints, night sweats, feeling tired, coughing, etc., although these were not exactly the same, my symptoms were perhaps a bit more like COVID-19. Which is why I did three COVID-19 tests in one week (all negative). It was not until the blood test came back from the NHS lab last week that my family doctor could tell me that I had dengue fever. Dengue fever is on the rise in Nepal. The national English-language paper The Himalayan Times reported yesterday (27th Sept. 2022) that dengue fever “has afflicted almost 26,000 people in Nepal” In July in the capital Kathmandu “…35 people had contracted the mosquito-borne disease. The number increased to 727 in August and 8,132 in September.”
I’m looking forward to my next trip to Nepal, as we have loads of on-going project. I have been going there for nearly twenty years, and having two incidents in two decades is not a lot, pity these came in the same year and on subsequent trips.
Prof. Edwin van Teijlingen
CMMPH
Working in South Asia over the past two decades I have learnt to expect emails asking for help. Often from people I have met perhaps just once or twice or who are my friends on Facebook or LinkedIn. I tried to help if I can, but often I can’t. My friends and colleagues in Nepal, Pakistan, Bangladesh and India have a slightly different idea of how UK officialdom works. Perhaps they have a better and more realistic idea than I have, but that’s a different blog one day.
This week I wrote a reference for an employee of Green Tara Nepal, a charity we have been collaborating with for decades. This is someone I have had general dealing with, not someone who work on one of our projects. I have had interesting research discussions with her in Kathmandu, so I was happy to write her a reference. This morning I received a request via Facebook from someone from Nepal whom I have been advising on a number of job applications in Australia and the UK. On my advice, he had recently applied to a post at a university in London. Yesterday I asked me what to do as he had not heard from them. I advised him to email HR at that university and ask for an update. This morning his question was: “Can you ask them on my behalf, Sir”. I kindly replied: “Sorry, not my university”, not going into confidentiality issues, the data protection act, etc.
What I find fascinating as a sociologist is the ‘traditional society’ thinking behind these questions, which must be something along the lines of: “Edwin is in a senior position, he must be powerful, hence, he has influence in high places. I know him so he can help me achieve my goals.” The interesting other side of the coin is, of course, that if I do something, speak to someone on their behalf, write a reference or recommendation, etc. and the person is successful this success is (partly) attributed to me. And when I say that that’s not the way decision-making works in the UK, it is likely to be regarded as false modesty.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Yesterday the latest issue of the Nepal Journal of Epidemiology carried our paper ‘A survey of Post-Traumatic Stress Disorder, Anxiety and Depression among Flood Affected Populations in Kerala, India‘ [1]. This paper was co-authored by two Faculty of Health & Social Sciences (FHSS) Visiting Faculty, namely Prof. Padam Simkhada (in the School of Human & Health Sciences at the University of Huddersfield) and Dr. Brijesh Sathian (in the Geriatrics & Long-term Care Department at Rumailah Hospital, Qatar). This study is longer-term follow-up of the 2018 floods in Kerala. The authors conducted a cross-sectional household survey between November 2019 to January 2020 in one district of Kerala with adults who had been directly exposed to the 2018 flood. The paper concludes that the vast majority of respondents (92% of women & 87% of men) still showed sub-clinical psychiatric symptoms one year after the flood. An earlier paper had argues for further research in India to explore “the long-term sequelae of catastrophic floods on physical and mental trauma on disaster-affected populations” [2].
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
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Congratulations to dr. Pramod Regmi on the publication today of our research article ‘Risk of Kidney health among returnee Nepali migrant workers: A survey of nephrologists‘ [1]. This paper was published today in the Asian Journal of Medical Sciences. It is co-authored with a clinician (a nephrologist) and a migration and health expert in Nepal. This paper reports on the Bournemouth University-led study with kidney specialists in Nepal which was reported in The Sunday Times under the heading ‘Qatar 2022: Dying for the World Cup‘ a fortnight ago.
Last Saturday Dr. Nirmal Aryal (now researcher at the Greater Manchester Mental Health NHS Foundation Trust and BU Visiting Faculty) and Dr. Regmi presented this research at a webinar in Nepal which was well attended and shown on Facebook Life.
Yesterday the Journal of Health Promotion published another Bournemouth University co-authored paper on health and migration with the title ‘Perceived threats towards COVID-19 pandemic among Nepali migrant workers returned from India’. Both paper are published Open Access and, as such, freely available across the globe to anyone with internet access!
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Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference]. This year for the first time, this international conference is held completely online. Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal. Sulochana has already published two papers from her on-going thesis research [1-2].
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Congratulations to Dr. Preeti Mahato, Dr. Nirmal Aryal and Dr. Pramod Regmi in the Faculty of Health & Social Sciences on their latest COVID-19 publication. Yesterday the Europasian Journal of Medical Sciences informed us of its acceptance of the article ‘Effects of COVID-19 during lockdown in Nepal’ [1]. The Europasian Journal of Medical Sciences is a peer-reviewed Open-Accessed journal which is published biannually online as well as in print version. It is an official publication of the Nirvana Psychosocial Care Center & Research Institute.
This is the fifth COVID-19 publication by our team since lock down began (in both the UK and Nepal). Previous publications with colleagues based in the UK and elsewhere across the globe focused on maternity care, public health, Nepal and the apparent effect of COVID-19 on people from ethnic minorities int he UK [2-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
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This is not the first Faculty of Health & Social Sciences (FHSS) health science publication on COVID-19, earlier this year saw the publication of a blog for the Healthy Newborn Network [2], a letter on the increased risk of COVID-19 to BAME (Black, Asian and Minority Ethnic) communities in the BMJ [3], and a paper on the public health implications of COVID-19 [4].
The Journal of Advanced Internal Medicine is Open Access and hence freely available to anyone with an internet access and it is part of Nepal Journals Online (NepJOL) which provides online publication of Nepalese journals.
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
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Our editorial today in the Nepal Journal of Epidemiology highlights some of the key issues related to COVID-19 related to a low-income country such as Nepal [1]. There are various Public Health challenges to preventing the spread of COVID-19 in South Asia including Nepal. Learning from the COVID-19 outbreak in China, there will be slowdown of economic activity with damaged supply chains which impact upon the public health systems in Nepal. Moreover, there is limited coordination among different stakeholders in healthcare management with few policies in place for infection prevention and control, shortage of testing kits and medical supplies (shortages of masks, gloves), and poor reporting are major challenges to be tackled in case of the COVID-19.
All South Asian countries are vulnerable to a mass outbreak with high population density in cities which is challenging to create social distancing, made worse by generally poor hygiene and often low (health) literacy. Additionally, some COVID-19 cases remain asymptomatic; so it is difficult to predict the epidemic outbreak that may introduces further difficulty in diagnosis of newer cases. Finally, healthcare workers across the globe were infected at high rates during the MERS and SARS outbreaks, so Nepal has to initiate health workers’ training including simulation exercises to provide health staff with a clearer picture of the complexities and challenges associated with COVID-19 and containing potential outbreaks.
This editorial has a very different time span between submission and publication than the one highlighted last week on the BU Research Blog (see details here!). This COVID-19 editorial took exactly one month between submission and publication, the one mentioned last week took three-and-a-half years between submission and publication.
Prof. Edwin van Teijlingen
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Congratulations on the latest paper published yesterday by Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Reproductive Health (CMMPH) and colleagues. This paper ‘Factors associated with contraceptive use in rural Nepal: Gender and decision-making’ [1], is freely available for the next 49 days through our personalized link: click here!
This research paper in the journal Sexual and Reproductive Healthcare reports on a secondary analysis of pas a quantitative cross-sectional study in four villages of a hilly district in Nepal. This authors found that gender was associated with current/ever use of contraceptives but decision-making was not found associated with current/eve use of contraceptives. And, as perhaps was to be expected, socio-economic factors such as husband’s and wife’s education; and indicators showing sharing of childcare responsibilities were found to be associated with contraceptive use. the paper concludes that educational, health promotional and family planning programmes involving husbands are needed to promote use of contraceptives.
Preeti’s co-authors are based at Dorset County Hospital in Dorchester, at CMMPH and at Singapore Clinical Research Institute/Duke-NUS Graduate Medical School, Singapore.
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In the last month we had several FHSS-Psychology success stories. The first one was a recently accepted joint publication between Mr. Paul Fairbairn and Dr. Fotini Tsofliou in the Department of Rehabilitation and Sport Sciences, Dr. Andrew Johnson in BU’s Department of Psychology. The joint paper is called ‘Effects of a high DHA multi-nutrient supplement and exercise on mobility and cognition in older women (MOBILE): A randomised semi-blinded placebo controlled study” in the British Journal of Nutrition [1].
Secondly, Dr. Sarah Collard in the Department of Psychology, Dr. Pramod Regmi in the Department of Nursing Science and FHSS Visiting Professor Katherine Barnard-Kelly are to be congratulated on their publication: ‘Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes’ [2].
And last, but not least, Dr. Bibha Simkhada in the Department of Nursing Science together with FHSS colleagues Dr. Michele Board and Prof. Edwin van Teijlingen and Dr. Shanti Shanker in the Department of Psychology were awarded £17,180 in the most recent internal GCRF call. Their proposed project ‘The key issues in Dementia in South Asia’ will run from 2020-2021. Both Dr. Simkhada and Dr. Shanker are Global Engagement Lead (GEL) in their respective departments.
Good to see so many great cross-BU collaborations!
Professor Edwin van Teijlingen
CMMPH
References:
Fairbairn, P., Tsofliou, F., Johnson, A., Dyall, S.C. (2010) Effects of a high DHA multi-nutrient supplement and exercise on mobility and cognition in older women (MOBILE): A randomised semi-blinded placebo controlled study, British Journal of Nutrition (accepted).
Collard, S.S., Regmi, P.R., Hood, K.K., Laffel, L., Weissberg-Benchell, J., Naranjo, D., Barnard-Kelly, K. (2020) Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes, Practical Diabetes 2020; 37(1): 19–23.
Congratulation to FHSS PhD student Sulochana Dhakal Rai who just published her latest article in the Journal of Asian Midwives. The paper ‘Caesarean Section rates in South Asian cities: Can midwifery help stem the rise?‘ [1] is highly topical in this Year of the Nurse and Midwife (see Bournemouth University’s earlier event on YouTube).
This paper is co-authored by Dr. Juliet Wood and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Pramod Regmi Lecturer in International Health in the Department of Nursing Science, Dr. Amudha Poobalan at the University of Aberdeen, Dr. Malin Bogren at the University of Gothenburg in Sweden, Prof. Rafat Jan at the Aga Khan University in Pakistan and Dr. Ganesh Dangal at Kathmandu Model Hospital in Nepal and Dr.Keshar Bahadur Dhakal based at Karnali Academy of Health Science also in Nepal. This is Sulochana’s second PhD paper, her first paper was published last year [2].
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Last week FHSS’s Prof. Edwin van Teijlingen held a workshop on ‘academic publishing and writing’ with BU Visiting Professor Padam Simkhada. This event took place at Tribhuvan University, Nepal’s oldest and largest university. The capacity building workshop was organised by HEAN and the Health and Population Education Department at the Central Department of Education at Tribhuvan University. The local charity Green Tara Nepal acted as a facilitator. Bournemouth University has been collaborating with Green Tara Nepal for over a decade!
This capacity building workshop is part of Bournemouth University’s GCRF-funded project called “Sheetal Asthitva” covering India and Nepal. Sheetal Asthitva is the brain child of Dr. Shanti Shanker in the Department of Psychology.
Congratulations to Dr. Pramod Regmi and Dr. Nirmal Aryal, both in the Faculty of Health & Social Sciences (FHSS), who co-authored of our latest health and migration paper which was accepted this week. This paper called “Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study” will appear in the Journal of Immigrant & Minority Health [1]. This is the sixth paper published this year by this FHSS team of researchers on migration and health research about Nepal and the twelfth paper in total on the topic [2-12].
This important health and migration research in Nepal and about Nepali migrant workers is also the foundation of a Bournemouth University REF 2021 Impact Case Study.
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The Government of Nepal is trying to expand and improve the quality of maternal and neonatal health service delivery in more remote areas of the country. However, relatively little is known about the preparedness of maternity care facilities to providing Emergency Obstetric Care (EmOC) in remote and rural areas. In order to achieve improvement maternal health services in one remote district to help achieve the sustainable development goals (SDGs). Our study assesses what birthing centres exist and how ready these are to provide EmOC services in Taplejung District.
Centre for Midwifery, Maternal & Perinatal Health
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Yesterday saw the latest publication based on Bournemouth University (BU) migration research. The international journal BMC Public Health published our quantitative paper ‘Psychological morbidity in Nepali cross-border migrants in India: a community based cross-sectional study’ [1]. This scientific article highlights that since Nepali migrants can freely cross the border with India and hence work and stay there, they are largely undocumented. The majority of these Nepali migrant workers is involved in semi-skilled or unskilled jobs with limited labour rights and social security, which predisposes them to psychological distress. The paper assessed the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India.
Just a few days ago the UN Migration Agency in Nepal IOM (International Organization for Migration) published ‘Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal‘, an online report to which BU academics (Aryal, Regmi & van Teijlingen) had contributed [2]. Just recently we had published the qualitative sister paper on Nepali migrants working and living in India. [3]. Whilst Dr. Nirmal Aryal was the lead author on a paper highlighting the need for more research specifically focusing on adolescents left behind by migrant workers [4]. Earlier this year BU PhD graduate Dr. Pratik Adhikary published his latest paper from his thesis, the paper is called ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ and was published in the Journal of Immigrant & Minority Health [5].
Last year was also a very good year for BU migration research, including a systematic review on sex trafficking (perhaps the worst kind of migrant workers) [6], an earlier research paper by Dr. Adhikary with his PhD supervisors [7], and one paper on Nepali female migrants workers in the Middle-East & Malaysia [8]. Earlier BU academics published on general health issues and accidents among Nepali migrant workers in Malaysia, Qatar & Saudi Arabia [9-10], Nepali migrants in the UK [11-12] , other papers included: a call for action on Public Health [13]; a systematic review [14]; a paper on migrant workers’ spouses [15]; migrant health workers in the UK [16-17]; migration and tourism industry [18-20]; migrants and space in Italy [21-22]; an anthropological perspective on migration [23]; a media studies’ perspective [24]; and archaeological perspective [25]; and a socio-economic perspective [26]. No doubt there are several other publications I have forgotten or I am simply unaware missed in this list.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
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