The THET (Tropical Health & Education Trust)-funded project ‘Mental Health Training for Rural Community-based Maternity Care Workers in Nepal‘ , led by Bournemouth University, has been showcased on the webpages of Public Health England (PHE). PHE hosts the WHO (World Health Organization) Collaborating Centre for Public Health Nursing and Midwifery. A WHO collaborating centre is an institution designated by the Director-General of the WHO to form part of an international collaborative network set up by WHO in support of its programme at the country, intercountry, regional, interregional and global levels. In line with the WHO policy and strategy of technical cooperation, a WHO collaborating centre also participates in the strengthening of country resources, in terms of information, services, research and training, in support of national health development.
This THET project was organised by Tribhuvan University in collaboration with Bournemouth University and Liverpool John Moores University (LJMU). Mental health is high on the global agenda and this project raised the importance of the issue in Nepal. The three universities collaborated on an education intervention training Auxiliary Nurse Midwives in Nawalparasi on mental health issues and mental health promotion. The project was supported by Green Tara Nepal, an Non-Governmental Organisation (NGO) with whom BU has been working for over a decade. More details on this exciting project can be found in previous BU Research Blogs written in 2016 (see here) and 2017 (see here) and 2018 (see here)! The project has resulted in several academic publications including Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Catherine Angell (CMMPH), Dr. Bibha Simkhada (formerly BU lecturer in Nursing) and FHSS Visiting Faculty Prof. Padam Simkhada and Jillian Ireland. Jillian is Professional Midwifery Advocate at University Hospitals Dorset NHS Foundation Trust. [2-6].
- Mackay, S. (2021) Maternal mental health training in rural Nepal, World Health Organisation Collaborating Centre – Evidence Based Public Health Nursing, Midwifery and Allied Health Professions into Practice, Public Health England
- 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
- Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
- Ireland, J., Havelock, D., Lawrie, A., Ghimire, S. (2021) Facilitating Learning for Auxiliary Nurse Midwives around Maternal Mental Health in Southern Nepal, Journal of Midwifery Association of Nepal (JMAN) 2(1): 105-108.
Congratulations to Prof. Vanora Hundley who co-authored an important commentary ‘WHO next generation partograph: revolutionary steps towards individualised labour care’ in the international journal BJOG . The authors comment on the partograph which is widely used across the globe as part of the assessment of labour progress. It was recommended by the World Health Organization (WHO) in the early 1990s as a routine tool for displaying the progress of labour. Despite its global acceptance, utilization and correct completion rates as low as 31% and 3% respectively, have been reported.
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
Hofmeyr, GJ, Bernitz S, Bonet M, Bucagu M, Dao B, Downe S, Galadanci H, Homer CSE, Hundley V, et al. (2021) WHO next generation partograph: revolutionary steps towards individualised labour care (Commentary), BJOG An International Journal of Obstetrics & Gynaecology, First published: 8 March 2021
Last week the Regional Office for South East Asia of the WHO (World Health Organization) published its strategy for strengthening midwifery . The report highlights how Bangladesh, India and Nepal have recently introduced midwifery education. They joined DPR Korea, Myanmar, Sri Lanka and TimorLeste in establishing midwives as an independent cadre of the health workforce.
This report cited our 2015 paper on midwifery developments in Nepal which appeared in the Journal of Asian Midwives . The lead author Jillian Ireland is a Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Professional Midwifery Advocate at Poole Hospital NHS Foundation Trust, my other co-author, Joy Kemp, is Global Professional Adviser at the Royal College of Midwives (RCM). The paper reflects on the RCM Global Midwifery Twinning Project in Nepal. The paper argues that the presence of a strong professional association of midwives in a country yields double benefits. On one side, the association provides inputs into framing policies and developing standards of care, and on the other, it ensures quality services by continuously updating its members with information and evidence for practice.
Bournemouth University’s work in Nepal is ongoing with a project run by CMMPH helping to develop midwifery education and training the trainers funded by the German aid organisation GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit).
- World Health Organization. Regional Office for South-East Asia (2020) Regional Strategic Directions for strengthening Midwifery in the South-East Asia Region 2020–2024, Delhi: World Health Organization. Regional Office for South-East Asia.
- 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. http://ecommons.aku.edu/jam/vol2/iss1/5/
Congratulations to Dr. Nirmal Aryal and Dr. Pramod Regmi in BU’s Faculty of Health & Social Sciences on the acceptance of their latest paper ‘Adolescents left behind by migrant workers: Call for community-based mental health interventions in Nepal’ . This paper has just been accepted by WHO South East Asia Journal of Public Health. This academic journal is Open Access and published by the Regional Office for South-East Asia of the World Health Organization (WHO) in Delhi, India. Co-authors of this scientific paper are: Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH); BU Visiting Prof. Padam Simkhada (based at Liverpool John Moores University);and Dr. Pashupati Mahat from CMC-Nepal (Center for Mental Health & Counselling- Nepal).
The paper argues that there exists an increased risk of mental health problems in Nepali adolescents, especially those left-behind by migrant workers. There is a paucity of research on mental health intervention among adolescents in low and middle income countries (LMICs) such as Nepal. The paper calls for more and better community-based mental health intervention in Nepali adolescents including the special group of left-behind adolescents. Doing this work in Nepal, a country with a very high proportion of its population working abroad will have a broader implication for a other low-and middle-income countries. This article is a welcome addition to BU’s growing publications on migrant workers and health in Nepal [2-11].
- Aryal, N., Regmi, P. van Teijlingen, E., Simkhada, P & Mahat, P. (2019) Adolescents left behind by migrant workers: Call for community-based mental health interventions in Nepal, WHO South East Asia J Public Health (forthcoming).
- Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(1):4.
- Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10
- Simkhada, P, Regmi, P., van Teijlingen E., Aryal, N. (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
- Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
- Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
- Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
- Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
- van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
- Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC International Health & Human Rights, 8(6).