689 research outputs found
Knowledge and Attitudes towards Sickle Cell Disease Screening: A Study of Members of the UK Sickle Cell Society
No full textOver the past fifty years there has been an increase in the number of people in the UK who have a Sickle Cell Disorder (SCD) or are carriers. This increase has led to an expansion in research in this area; however one particular area that has not been researched rigorously is people’s knowledge, attitudes and behaviour towards SCD and genetic screening. Members of the Sickle Cell Society provided an ideal population for this exploratory study looking at people’s knowledge, attitudes and behaviours towards the SCD and genetic screening. This paper reports on the process and findings of this postal study
JAM – Winter 2018
No full textEditorial without an abstract. This editorial focuses on the medical/social model of childbirth as applied to (South) Asi
JAM – Summer 2022: One crisis after another….
No full textEditorial for latest Summer 2022 issue of Journal of Asian Midwive
Sexual health knowledge and risky sexual behaviour of Nepalese trekking guides
No full textTourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travelers and hosts. Previous studies have largely focused on sex workers and sex tourists. This study assesses sexual behavior, knowledge and condom use among male trekking guides in Nepal. A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-marital sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guides age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes
Nepal Urgently Needs a National Evidence Synthesis Centre
No full textEvidence synthesis is a powerful research process that allows researchers to combine and analyse all relevant data from multiple studies and draw conclusions based on the most up-to-date evidence available. The science to synthesize research evidence has developed considerably in recent years. Evidence-based health care has undergone a revolution over two decades. Several global organizations produce, support and use evidence synthesis, including: the Cochrane Collaboration, the Campbell Collaboration, the Health Evidence Network WHO, Evidence Synthesis International, and several others have been preparing high quality summaries of research about the effectiveness of drugs, interventions and health care in general.1 Many policymakers, clinicians and health managers are drawing on these reliable reviews in their decision making. There is increasing trend of scientific publications on health research in Nepal, therefore this is the right time to assess the quality of published articles and evidence synthesis for evidence-informed decision-making
Collaborative ‘science of science’ needed to ensure research and education make a difference to practice.
No full textZoë Sheppard, Vanora Hundley, Edwin van Teijlingen and Paul Thompson of Bournemouth University present the challenges of impact in healthcare recently discussed at a symposium held by the Centre of Postgraduate Medical Research and Education at Bournemouth University. Given the imminent results of the Research Excellence Framework 2014, the summarised findings and issues raised on the implementation of impact point to further collaborations needed on the impact agenda in healthcare and beyond
The health system in Nepal's unique federalisation experiment.
No full textNepal’s introduction of its federal system in the 2015 Constitution changed the way society, including its health system, was organised. It meant that political changes and health systems changes occurred in parallel. Prof. Edwin van Teijlingen explores the impact of federalisation on Nepal’s health system as part of an interdisciplinary mixed-methods study* called ‘The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’.
First, implementing a new federal system is a slow, resource intensive process. While building new federal structures is important, challenging the status quo through strategic “unlearning and undoing” of old tendencies is also essential, as this creates spaces for new approaches that are more in line with federalism. This requires attention to emotional and political spheres, and not just structural or technical ones.
Federalisation, generally, brought decision making, resources and service delivery closer to the people, yet the process remains challenging and incomplete. Importantly, at the same time as federalism was being introduced, Nepal’s health system had to respond to COVID-19, making it difficult to disentangle the effects of the pandemic from those of federalisation. The health system is also part of a broader, complex, and interdependent set of socio-political, economic, legal, and cultural systems.
We found that the impact of federalisation varied across the six WHO building blocks and pre-existing conditions, e.g. wealthier regions often benefit disproportionately, exacerbating inequities in health. Our study further highlighted: (a) the importance of leadership and governance, combined with financing mechanisms; (b) insufficient planning and misalignment between central and local levels resulting in inefficiencies; (c) weak health information systems hinder the ability to measure long-term effects. Overall, unlocking the full potential of federalism will require political will and commitment at all three levels of government.
• Funded by the UK Health Systems Research Initiative (Grant ref MR/T023554/1). Prof. van Teijlingen is part of the Nepal Federal Health System Team, see: https://www.nepalfederalhealthsystem.com/
Nepal: A focus of BU research
No full textA series of photographs that tell the story of BU research in Nepal. Using the camera as a research tool is well documented in anthropology and sociology, and can often uncover misconceptions. These photographs tell the story of conducting fieldwork among holy cows, sacrificial goats and cultural practices. Photographs are available for sale, with proceeds supporting Green Tara Trust Nepal’s work. No booking is required. Just turn up and enjoy at anytime! Run by: Sheetal Sharma, Edwin van Teijlingen and Alan Mercel-Sanc
Academic authorship: who, why and in what order?
No full textWe are frequently asked by our colleagues and students for advice on authorship for scientific articles. This short paper outlines some of the issues that we have experienced and the advice we usually provide. This editorial follows on from our work on submitting a paper1 and also on writing an academic paper for publication.2 We should like to start by noting that, in our view, there exist two separate, but related issues: (a) authorship and (b) order of authors. The issue of authorship centres on the notion of who can be an author, who should be an author and who definitely should not be an author, and this is partly discipline specific. The second issue, the order of authors, is usually dictated by the academic tradition from which the work comes. One can immediately envisage disagreements within a multi-disciplinary team of researchers where members of the team may have different approaches to authorship order
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