Congratulations to Lesley Milne, senior lecturer in midwifery, on the acceptance of her latest paper on maternity care in Nepal. This new paper ‘Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal’ will appear soon in the Open Access publication: Journal of Asian Midwives . This is the second publication from a qualitative research study undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff .
The study received financial support from Wellbeing of Women and the RCM (Royal College of Midwives) as Lesley won their first International Fellowship Award. The study was a collaboration led by Lesley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with two of FHSS’s Visiting Faculty, namely Prof. Padam Simkhada who is based at Liverpool John Moores University and Jillian Ireland, Professional Midwifery Advocate based at Poole NHS Hospitals Foundation Trust.
Profs. Vanora Hundley & Edwin van Teijlingen
- Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P.P. (2018) Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal, Journal of Asian Midwives (accepted).
- Milne, L., van Teijlingen, E., Hundley, V., Simkhada, P., Ireland, J. (2015) Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study BMC Pregnancy & Childbirth 15:142 www.biomedcentral.com/1471-2393/15/142 .
As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
- Ireland, J., van Teijlingen, E., Kemp, J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30.
- Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
- Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
This week 8-12 October is both Mental Health Week and Library Week, and both are celebrated widely at Bournemouth University. On Thursday Prof. Edwin van Teijlingen will present on research on mental health and maternity care in the Centre for Midwifery, Maternal and Perinatal Health (CMMPH) as part of in the BU Library Week celebrations.
The presentation includes some of the findings from out recently completed THET-funded study on a maternal mental health intervention in southern Nepal as well as some reflections on working and researching in the country. The slides for tomorrow’s presentation can be found at LinkedIn, click here!
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’  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)
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 Research & Knowledge Exchange Office (RKEO) are hosting collaborative research information sessions for the following regions:
China on 28th February 2018
South Asia on 4th April 2018
ASEAN on 2nd May 2018
At each of the sessions, you will find out about funding opportunities in each region and, subject to availability, hear from BU academics who have personal experience of working with relevant funders or collaborative partners in each region. You will also have the opportunity to converse with colleagues about how to develop your research with these regions in mind.
If you already have experience, please feel welcome to join us, to share your knowledge with your peers at BU.
Bookings are open, so please follow the links above to reserve your place.
Today the journal BMC Health Services Research accepted our scientific paper ‘The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study’ . FCHVs who form an integral part of community-based primary healthcare system of Nepal. Some 50,000 FCHVs working across the country distribute temporary contraception or refer for other methods of family planning in formal healthcare centres.
As the lowest level healthcare provider working in local communities, FCHVs deliver basic maternal healthcare services to pregnant women and mothers in rural communities. The paper concludes that no research to date has been able to demonstrate that the FCHVs roles themselves have an impact on maternal mortality or other health outcomes; quantitative studies are needed to do this.
The paper is based on Dr. Sarita Panday’s recently completed PhD at The University of Sheffield, Prof. Paul Bissell Dean of the School of Human and Health Sciences at the University of Huddersfield, Prof. Padam Simkhada, BU Visiting Faculty and Associate Dean for Global Engagement at Liverpool John Moores University and BU’s Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health.
- Panday, S., Bissell, P., van Teijlingen, E., Simkhada, P. (2017) The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study BMC Health Services Research (accepted August 2017).
INASP, an Oxford-based organisation, aims to improve access to, and production and use of, research information and knowledge for sustainable development. Part of their approach is the Journals Online project which increases the accessibility and visibility of developing-country research. The Journals Online project includes a set of journals published Open Access in Nepal, know as NepJOL. On of the journals in the stable of NepJOl is the SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS. Journals selected for inclusion on the Journals Online project must be:
- scholarly in content, and contain original research;
- peer reviewed and quality controlled;
- able to provide all necessary content in electronic format (tables of contents, abstracts and PDFs of full text);
- published, managed and developed within their respective country.
Yesterday INASP selected a paper published late last year and co-authored by two Bournemouth University academics for a special press release. The press release can be found here! This press release highlights our recently published paper in the SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS. Our paper ‘Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV’ argues that despite having generally a good knowledge and awareness of HIV and risk associated with migration and HIV; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and other sexually transmitted infections .
Dr. Pramod Regmi, Post-Doctoral Research in the Faculty of Health & Social Sciences is quoted in the press release as saying: “knowledge alone would not be sufficient to fight against the spread of HIV/STI among wives of migrant workers.” This paper is an addition to a range of papers on health and well-being of Nepali migrant workers produced by BU academics [2-6].
Prof. Edwin van Teijlingen
- Aryal, N., Regmi, P.R., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, G.K. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
- Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
- 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
- Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
- Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
We had the honour to speak to Parliamentarians (MPs) in Kathmandu today (December 29th) as part of workshop to promote evidence-based policy-making. The workshop was organised by a consortium of three UK universities: Liverpool John Moores University (LJMU), Bournemouth University and the University of Sheffield. Fund the Fund supported this Advocacy Workshop with Parliamentarians and Policy Experts on HV and AIDS (Discussion series IV) in the Himalayan Hotel in Lalitpur in Kathmandu Valley. The workshop was attended by some 30 MPs from all major parties and three or four former ministers. The drive to increase evidence-based policy-making in Nepal is led by Dr. Gangalal Tuladhar MP.
Prof. Padam Simkhada from LJMU and BU Visiting Professor addressed ‘key challenges on evidence-based health care delivery in Nepal’ and Prof. Edwin van Teijlingen from the Faculty of Health & Social Sciences compared selected different health-care systems in high-income countries.
Today saw the latest publication on our BU-led THET in Nepal. The paper ‘Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey’ was published the Journal of Manmohan Memorial Institute of Health Sciences . This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi District in the southern part of Nepal. The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.
This is the third publication linked to our mental health and maternity care project. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train maternity workers on issues around mental health. This latest paper and the previous two papers are all Open Access publications. The previous two papers raised the issue of women and suicide  and outlined the THET project in detail .
Prof. Edwin van Teijlingen
- Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
- Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
- van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007
Mr. Jib Acharya presented at The Nutrition Society Student Conference in Chester last week. He presented from his PhD work Healthy eating among mothers in Nepal: A qualitative exploration, which is supervised by Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen. His thesis found that mothers in Nepal misunderstand the role of healthy eating to combat nutritional problems in their children. Often their beliefs and attitudes can result in the improper feeding of young children which can lead to several complications, particularly in pre-school-aged children. There is a growing quantitative research on nutrition in Nepal but very little qualitative research. Therefore, as part of his mixed-methods study Jib explored food knowledge, beliefs and attitudes, and behaviour of mothers related to feeding preschool aged children and their perceptions of key barriers to healthier eating.
Using seven focus groups with four pharmacists, seven policy-makers, eleven health workers, five spiritual healers, seven Auxiliary Nurse midwives, seven mothers participating in a mothers’ group, and nine social workers. A thematic approach was performed for data analysis. Relevant quotes are presented. His qualitative thematic analysis revealed the following themes: poverty, education level, strong cultural beliefs, family size, household income, time and a growing preference for fast food. This particular presentation at the University of Chester highlighted the themes related to culture and societal behaviour.
Prof. Edwin van Teijlingen
At the National Workshop on Mental Health Education & Research in Kathmandu organised by Tribhuvan University, Bournemouth University and Liverpool John Moores University last week we had quite a few television camera crews and journalists present. Sabitri Dhakal, one of the journalists from The Himalayan Times an English-language daily newspaper in Nepal, wrote a nice feature length article. This piece was based on interviews with BU Visiting Faculty Padam Simkhada and Prof. Edwin van Teijlingen conducted at our workshop. Her article with the title ‘Understanding Mental Health’ is available online.
Mental health in pregnant women and new mothers is increasing recognised on the global health agenda. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train community-based maternity workers on issues around mental health. Thus far three groups of UK health and education experts have gone out to Nepal to train these communit maternity care providers, called Auxiliary Nurse Midwives (ANMs). ANMs, who are the key maternity service providers in rural birthing centres of Nepal, have received only 18 months of training and the training curriculum does not refer to dealing with mental health issues. The next group of volunteers is due to travel in September.
Prof. Edwin van Teijlingen
Today and yesterday Green Tara Nepal (GTN) staff spent discussing and planning their health promotion intervention in the district of Dhading. The sessions included feedback by the GTN on progress to-date as well as a discussion of their perceptions of the various relevant health needs in the community. BU has been working with GTN for over seven years.  Yesterday BU professor Edwin van Teijlingen gave an interactive workshop on communication skills. This morning BU’s Visiting Professor Padam Simkhada from Liverpool John Moores University (LJMU) outlined key health promotion concepts and theories to the fieldworkers.
This particular post-disaster health promotion project grew out of years of research-based interventions run by GTN and the needs seen in areas affected by last years’ serious earthquakes in Nepal. The project has received support from various funding agencies, including Green Tara Trust, a London-based Buddhist charity. The training is being held in Dhadingbesi, about four hours drive away from the capital Kathmandu. The various photos with this blog show the results of a social mapping exercise. These included some beautifully hand-drawn maps of the individual wards in the area, indicating where the health post is situated, but more importantly the house of currently pregnant women.
Several GTN project have been, or ar currently, evaluated by FHSS Ph.D. students. The GTN project in Pharping has been evaluated by Sheetal Sharma, who has published several papers from this research.[2-4] The GTN project in Nawalparasi is currently being studied by Preeti Mahato, who has also already published from her thesis research despite being less than halfway through.  Prof. Padam Simkhada is external supervisor for both these BU Ph.D students.
Prof. Edwin van Teijlingen
- van Teijlingen, E., Simkhada, P, Stephen J, Simkhada B, Woodes Rogers S, Sharma S. (2012) Making the best use of all resources: developing a health promotion intervention in rural Nepal. Health Renaissance 10(3): 229-235. healthrenaissance.org.np/uploads/7141_24852_1_PB.pdf
- Sharma, S., van Teijlingen, E., Hundley, V., Angell, C., Simkhada, P. (2016) Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal BMC Pregnancy & Childbirth 16: 147 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0938-4
- Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144
- Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. healthprospect.org/archives/15/1/3.pdf
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30. http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1033&context=jam
- Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/11579
This week we had our latest planning meeting for the BU-led and THET-funded project in Nepal. The project has been running for over a year (following a six-month delay due to the terrible 2015 earthquake in Nepal). The project brings highly experienced UK health volunteers to train local community-based maternity care practitioners about the key mental health issues in pregnancy and after birth. The Centre for Midwifery & Maternal Health (CMMPH) works in collaboration with Liverpool John Moores University (LJMU), the Department of Health, Physical and Population Education at Nepal’s largest university Tribhuvan University’s (TU). Our project is part of the Health Partnership Scheme (HPS), which funds health partnerships to carry out capacity-building projects in low-income countries, including Nepal. HPS itself is funded by the UK Department for International Development and managed by THET.
Halfway through the project we had an update meeting at Tribhuvan University in Kathmandu to discuss and plan the second half of the project which runs until the spring in 2017. The maternal mental health project is a good example of BU’s FUSION approach as it combines Education (through the training of Auxiliary Nurse-Midwives) by UK volunteers (representing the Practice-element of FUSION) in an intervention that is Research-based in both its design and evaluation. The next group of UK volunteers is due to go out to southern Nepal in September 2016. The photo on the top shows one of the UK volunteers (a midwife from Aberdeen) in action with the aid of a Nepali translator during the latest training session in Nawalparasi in May 2016.
Prof. Edwin van Teijlingen (CMMPH) and Prof. Padam Simkhada (LJMU & BU Visiting Faculty)
Prof. Padam Simkhada (Visiting Faculty at FHSS) brought together a group of like-minded health researchers from South Asia and Africa at Liverpool John Moores University (LJMU). The overseas’ researchers came from India (Datta Meghe Institute of Medical Sciences), Bangladesh (ICDDR,B), Nepal (Green Tara Trust) and Nigeria (Bayero University, Kano). They were joined by UK researchers based at the University of Oxford, the University of the West of England, LJMU and Bournemouth University, who are engaged in the field of health and development research.
Prof. Edwin van Teijlingen
Diabetes prevention and management in South Asia: A call for action
Today the International Journal of Food, Nutrition and Public Health accepted our paper Diabetes prevention and management in South Asia: A call for action for publication . The Public Health paper argues that is an urgent need to reduce the diabetes prevalence in South Asia through evidence-based interventions ranging from prevention and early detection to appropriate treatment and care. The authors suggest that a multi-sectorial collaboration across all stakeholders is necessary to raise awareness about diabetes, its prevention, treatment and care in the region. The paper, with Dr. Pramod Regmi as lead author, is co-authored with colleagues at the University of Oxford, the University of Otago (NZ), University of the West of England, and, Bournemouth University, including BU PhD student Folashade Alloh.
- Regmi, P.R., Kurmi, O., Aryal, N., Pant P.R., Banstola, A., Alloh, F., van Teijlingen, E. Diabetes prevention and management in South Asia: A call for action International Journal of Food Nutrition and Public Health (forthcoming).