
Edwin Roland van TeijlingenBournemouth University | BU · Centre for Midwifery & Women's Health
Edwin Roland van Teijlingen
M.A.(Hon) ; M.Ed., Ph.D.
About
646
Publications
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Introduction
I am a sociologist conducting health promotion and health services research in Europe and South Asia.
Additional affiliations
April 2009 - May 2016
March 2009 - present
January 2012 - present
Education
September 1986 - January 1994
Publications
Publications (646)
Sexual health services are relatively rare in Nepal. Female sex workers (FSWs) do not use health services as much as would be desirable. A study was conducted to identify barriers to access of sexual health services by FSWs in Nepal. A mixed-method approach consisting of a 425 questionnaire-based survey and 15 in-depth interviews were conducted in...
This paper explores some of the key issues and challenges of government HIV/AIDS prevention and treatmentprogramme in Nepal. Providing HIV/AIDS prevention and treatment services in Nepal is associated with a number ofissues and challenges which are shaped mostly on cultural and managerial issues from grass root to policy level.Numerous efforts have...
Introduction and Objective: The lower physical activity levels in Black and Minority Ethnic (BME) groups as comparedwith general population in the United Kingdom (UK) could relate to barriers to engaging these groups in physicalactivity. Hence, the aim to conduct a review to examine UK primary studies reporting barriers to engaging BME groupsin phy...
One of the key characteristics of many developing countries compared to more developed countries is that theirpopulation is relatively young, and a proportion of those young people are becoming sexually active each year.The last two decades has seen a growing concern worldwide of the spread of HIV/AIDS, but, of course, youngpeople face a range of s...
_Aim_: Worldwide, the number of migrants is still increasing. Most research is focused on refugees and irregular migrants to high-income countries, with less focus on migrants moving between low and middle-income countries. As migrant health is a public health priority, there is a need for conducting quality research and gathering information on th...
Nepal Maternal Mortality Survey (NMMS) published in 2021 estimated the country's maternal mortality ratio to be 151 per 100,000 live births. The majority of maternal deaths in Nepal occur in the health facilities and on the way to a health facility. The major cause of maternal deaths is direct causes, many of which are preventable causes of deaths...
In South Asian countries like Nepal human trafficking, a form of modern slavery, is a common crime aggravated by factors such as poverty, political instability, illiteracy, unemployment, and climate change. Despite being a global problem, modern slavery is understudied and poorly understood. This article reflects on our collective experiences of ov...
There is limited evidence of research conducted on the health and well-being of Nepali migrants working abroad. This scoping review aims to summarise and synthesise the existing evidence available currently on the health and well-being of Nepali migrants working abroad. A scoping review was undertaken following the Preferred Reporting Items for Sys...
Introduction
The Nepal Family Cohort study uses a life course epidemiological approach to collect comprehensive data on children’s and their parents’ environmental, behavioural and metabolic risk factors. These factors can affect the overall development of children to adulthood and the onset of specific diseases. Among the many risk factors, exposu...
Nepal is prone to a range of natural disasters; earthquakes being the most widely recognised one. However, many people are at risk of drowning as the floodings in the autumn of 2024 showed, but this is not recognised enough as a serious public health risk in Nepal. Drowning relates to everyday activities such as bathing and swimming and should be t...
Background: Coronavirus pandemic (COVID-19) is a massive global health crisis. This paper aims to describe knowledge, attitude and practices (KAP) regarding Coronavirus pandemic among the community people residing in Kathmandu Valley. Methods: We have applied cross-sectional study design in which required data were collected from 312 sample househo...
Background
People’s wider culture plays a vital role in both dementia care and policy. This study aims to explore the cultural practice and policy influence around caring for People Living with Dementia (PLWD) in Nepal.
Methods
An exploratory qualitative study was designed to investigate dementia care in Nepal. The study comprised four in-depth in...
Introduction
Prenatal mental health problems are associated with morbidity for the pregnant person, and their infants are at long-term risk for poor health outcomes. We aim to explore how the SARS-CoV-2 pandemic affected the mental health of pregnant people in the United Kingdom (UK), and to further identify resilience factors which may have contri...
Current methodologies for ensuring AI technology safety and efficacy may be adequate for earlier AI iterations predating generative artificial intelligence (GAI). However, governing clinical GAI may necessitate the development of novel regulatory frameworks. As AI technology advances, researchers, academic institutions, funding bodies, and publishe...
Background
About 14,000 children die due to drowning in Bangladesh annually with lack of supervision cited as a major cause. Community day-care centres reduce the risk of drowning in children under 5 years by up to 84% but only 15% of enrolled children are aged 12–24 months. This is attributed to factors including cultural acceptability, accommodat...
Background
Drowning is a major reason of injury globally. In Bangladesh, drowning is the leading cause of deaths among children. The highest rate of drowning was observed in 1–4-year-old children which was 71.7 per 100,000 children/year. Though drowning prevention interventions (day-care centres, playpens, door barriers, safety messaging) have prov...
Background
In Bangladesh about 14500 children die due to drowning every year. There are proven and WHO recognized interventions in Bangladesh to prevent child drowning though specific intervention for under-2-year-old children is still missing. ‘Sonamoni’ project aimed to identify sustainable intervention/s for under-2 children in Bangladesh follow...
In recent years, international media and the scientific community have expressed concerns regarding rising kidney health-related risks among Nepalese labour migrants in Gulf countries and Malaysia. Previous studies have highlighted poor lifestyles and work conditions among Nepalese migrants, which could potentially impact their kidney health. This...
There are many different methods or approaches that can be applied to the evaluation of complex programmes. This paper describes the use of the Most Significant Change (MSC) participatory technique to monitor and evaluate programmatic effects. The MSC is a form of monitoring because it occurs throughout the programme cycle and provides information...
Background and Aims
Access to safe and sufficient drinking Water, Sanitation, and good Hygiene (WASH) facilities in schools play a crucial role in preventing students from numerous Neglected Tropical Diseases, improving the learning environment in schools, and creating resilient communities living in a healthy environment. This study aims to explor...
Background: Nepal has a long history of labour migration over the years. Migrants can experience a range of
problems in their destination countries, and women are more at risk than men. This paper is the first to explore
the problems faced by Nepalese women migrants while working abroad.
Methods: This study was conducted among 1,889 women who we...
Motivating Community Health Workers (CHWs)—many of whom are volunteers—is crucial for achieving Universal Healthcare Coverage (UHC) for Primary Healthcare (PHC) in resource-poor areas. In rural Nepal, PHC is mostly delivered by female CHWs, locally known as Female Community Health Volunteers (FCHVs), but little is known about them. This paper explo...
Pre-departure orientation training (PDOT) can help equip aspiring migrant workers with skills and knowledge to mitigate vulnerabilities throughout their migration journey, including health. In Nepal, PDOT has been mandatory since 2004 for migrant workers awaiting labour permits. The current PDOT programme includes country-specific information as we...
Qualitative researchers are required to be critically reflective and explain to readers their positionality on their work. This account can be relatively straightforward, but there are occasions when this process of reflection and outlining one’s positionality is much more complicated. This method-paper explains this process. It outlines, using exa...
Microplastics and Nano-particles ( MNP’s) surround the world around us, and are now not only found within the natural external environment but are also found within our very own internal environment (our tissues). As the world has entered the 21st century and as technology has advanced, the use of plastics predominantly single-use plastics (which a...
The past year saw an exponential growth in the use of machine learning using AI (artificial intelligence) and particularly Generative AI (GenAI) such as ChatGPT. The latter has seen a spectacular rise in the public debate and in the mass media. Those not involved in the development of AI were amazed by the capabilities of ChatGPT to produce text eq...
BACKGROUND People with diabetes commonly experience diabetes distress which is associated with adverse health outcomes. Although diabetes distress assessment tools are available, the condition is underdiagnosed in primary and specialised clinical settings. OBJECTIVES The systematic review aimed to identify and analyse barriers that clinicians encou...
The past decade has seen a significant increase in aging research, driven by scientific breakthroughs and the need created by a growing global aging population. Clinical trials have made remarkable progress in providing insights into the underlying mechanisms of aging and exploring new treatments. However, it is crucial to recognize that human agin...
This qualitative study maps the process of drafting and consulting on Nepal’s mental health legislation from 2006 to 2017. Fourteen people were interviewed, and interviews were analysed thematically. These themes were subsequently interpreted in light of Shiffman and Smith’s policy analysis framework, as the process was found to be at the agenda-se...
The nursing and midwifery profession needs to stay up to date with the latest developments. In this Viewpoint, we shall be referring to 'nurses' and 'nursing' to mean 'nurses and midwives' and 'nursing and midwifery' respectively. Nurses must continue to update their skills and competences to meet changing future population health needs effectively...
Schools with Water, Sanitation, and Hygiene (WASH) facilities can contribute to the well-being and educational achievements of pupils. The study aims to assess whether introducing WASH facilities in schools influences the educational achievements of pupils in Nepal. This research utilized a controlled before-and-after study with a quantitative, cau...
Background
There is some evidence to suggest that the human immunodeficiency virus (HIV) prevalence may be lower in Muslim-majority countries and among Muslims in general. The low prevalence is usually accredited to Islam’s influence on the behaviours that affect transmission of HIV. Reports of HIV epidemics, predominately among injection drug user...
Thousands of Nepali migrant workers returned home from India due to the impact of the COVID-19 pandemic. This cross-sectional study examines the association between risk perception and protective behaviour regarding COVID-19 in returnee migrant workers. The study used opportunistic sampling and 384 participants, based in a quarantine center on retu...
Introduction
This article offers insights into the process of selecting representative study sites and participants in a longitudinal study in Nepal. As part of the research design process, the selection of representative areas in a large-scale study requires both intellectual and practical considerations.
Methods
We briefly introduce our study in...
Nepal Maternal Mortality Survey (NMMS) published in 2021 estimated the country's maternal mortality ratio to be 151 per 100,000 live births. The majority of maternal deaths in Nepal occur in the health facilities and on the way to a health facility. The major cause of maternal deaths is direct causes, many of which are preventable causes of deaths...
Background
Participatory policy analysis (PPA) as a method in health policy and system research remains underexplored. Using our experiences of conducting PPA workshops in Nepal to explore the impact of the country’s move to federalism on its health system, we reflect on the method’s strengths and challenges. We provide an account of the study cont...
The human reference genome assembly has been available for two decades, and advancements in sequencing technology have enabled rapid whole-genome sequencing in single institutes. WGS (whole-genome sequencing) data analysis applications will enable large-scale data analysis on multi-clouds, integrate datasets with a population scale, and ensure the...
International migration shows an increasing trend around the world. The majority of labor migrants, particularly low/semi-skilled migrants from low- and middle-income countries, immigrate to destination countries leaving their family members behind, leading to an increasing number of transnational families. While non-migrating spouses often receive...
Systematic reviews that are out-of-date delay policymaking, create controversy, and can erode trust in research. To avoid this issue, it is preferable to keep summaries of the study evidence. Living evidence is a synthesis approach that provides up-to-date rigorous research evidence summaries to decision-makers. This strategy is particularly useful...
Background
Decentralisation is a common mechanism for health system reform; yet, evidence of how it impacts health systems remains fragmented. Despite published findings from primary and secondary research illustrating range of impacts, a comprehensive and clear understanding is currently lacking. This review synthesised the existing evidence to as...
Introduction
Nepal’s move to a federal system was a major constitutional and political change, with significant devolution of power and resources from the central government to seven newly created provinces and 753 local governments. Nepal’s health system is in the process of adapting to federalism, which is a challenging, yet potentially rewarding...
This methods paper explores the issue of the researcher’s positionality and its potential impact on the overall qualitative research process. After defining positionality this paper outlines its potential influences on the research process and findings. In order to illustrate the concept of positionality in a real-world example a case study approac...
In line with major changes in medical education over the last decade, Health and Illness in the Community stresses the importance of the community and the health of the population which play an integral part in becoming a good doctor. Through the use of case histories, summary panels, bullet lists the book looks at the context within which illness...
There has been a significant improvement in maternal and neonatal health in the last two decades around the world. However, many women still die during pregnancy and childbirth. Nepal is one of the United Nations (UN) Member States which is committed to achieving the Sustainable Development Goals (SDGs) to reduce maternal mortality Ratio (MMR) and...
There is a distinct difference between methodology and methods in research. However, too many students, researchers, and authors of academic papers do not seem to pay attention to the crucial difference. This is true not only in education research but also in many other academic disciplines. In simple terms, the term methods refers to the research...
Academic and Industry Partnership Research Grants have a huge potential to improve healthcare in the UK and elsewhere. This potent partnership between academia and business can hasten medical innovation, strengthen patient-centered research, and close the gap between theoretical understanding and real-world implementations. We can make sure that th...
The world is rapidly becoming a smaller place with globalisation occurring everywhere. The process of internationalising higher education institutions through partnerships like ours, brings benefits to both MMIHS and BU and to both staff and students. For the latter, it offers new ideas, alternative ways of thinking, insights in the other people’s...
One of the new ideas in health and social care research in the UK is around involving patients and the general public in all aspects of research. This paper led by seven MSc students from Manmohan Memorial Institute of Health Sciences in Nepal. They attended Bournemouth University modules as part of the Erasmus+ exchange programme in 2022 and worke...
Problem:
Knowing how to help staff thrive and remain in practice in maternity services.
Background:
A chronic shortage of staff in maternity services in the United Kingdom and high levels of stress and burnout in midwifery and medical staff.
Purpose:
To understand how to support and enhance the wellbeing of staff in a small UK maternity servic...
Globally, international and internal labour migration are common phenomena. In LMICs, labour migration, particularly international migration, typically means the men migrate while their wives/partners remain at home to take care of their family. Little attention has been paid to the impact of men’s migration on non-migrating partner’s health. There...
Aims:
To scope the breadth of existing cultural and community assets and how alcohol drinkers and community health workers perceived them in relation to reducing alcohol-related harm.
Methods:
The study was conducted in Chitwan, south-central Nepal, which has considerable alcohol problems. Participatory asset mapping was conducted using field no...
Background
The Middle East and North Africa (MENA) region continues to have the lowest prevalence of HIV (human immunodeficiency virus) in the world, less than 0.1%, yet new transmissions are increasing. Consistent condom use can reduce the probability of transmission by 90–95%, and its use remains as the staple prevention method; however, this isn...
International migration is in an increasing trend globally; internal migration is also very common, particularly in low- and middle- income countries (LMICs). Little attention has been paid to the impact of men’s migration on non-migrating women’s health. Therefore, we undertook a systematic review to examine the impact of men's migration on the he...
The Journal of Asian Midwives accepted for inclusion by Scopus
Scopus, which is owned by the publishing house Elsevier, is the world’s largest electronic database of peer-reviewed literature. The Scopus assessors of our application made some very nice comments about the Journal of Asian Midwives, for example, that it:
“consistently includes artic...
Background
The COVID-19 virus is still with us, and in resource-limited countries, like Nepal, resurgence of a new variant is still a threat. In this pandemic, low-income countries struggle to provide essential public health services, including family planning. This study was conducted to explore what sorts of barriers are faced by women needing fa...
Background: The literature has identified gaps in adolescent health literacy (AHL) measurements, as well as how the health literacy (HL) level is related to health promotion (HP) aspects. This study aimed to examine the tools used to measure HL and determine its relation with HP among adolescents.
Methods: Three online databases (HINARI, PubMed, a...
Complex Innovative Trial Design (CID) offers several potential benefits for clinical research, including the use of novel statistical techniques such as adaptive designs and Bayesian methods that require computer simulation to determine operating characteristics. By leveraging these techniques, CID has the potential to increase the probability of s...
The editorial strongly urges Nepal to set up its own Evidence-Based Research Centre to be able to assess high quality published evidence in the context of a resource-poor country such as Nepal.
Burgeoning morbidity and mortality due to COVID-19 pandemic including the peaks in outbreaks due to different variants have attracted global attention. Although the development and rolling out of vaccines have been impressive, low- and middle-income countries suffer from a double burden: (1) lack of adequate vaccines; and (2) low vaccine uptake (va...
Online communication tools are increasingly being used by qualitative researchers; hence it is timely to reflect on the differences when using a broad range of data collection methods. Using a case study with a potentially hard-to-reach substance-using population who are often distrustful of researchers, this article explores the use of a variety o...
Aim:
This study explores perceptions of Continuing Professional Development (CPD) opportunities among stakeholders in the profession of nursing in Nepal.
Design:
Qualitative study using focus group discussions (FGDs).
Methods:
Eight FGDs were conducted in three major cities of Nepal with nursing stakeholders including nurse managers, matrons a...
Reflection refers to having an interactive dialogue with oneself. It is a process in which we ask ourselves questions about the research process, our decisions, conduct and biases. We consider what we can learn from the challenges or mistakes and how we can adapt our approach or improve our skills to ensure our research is of the highest possible q...
Applying for a research grant is one of the skills new researchers need to learn. Writing a grant application can be an intimidating process. Most research funders have either an online application system or a standard application form that can be emailed to the funder. Although the length and layout of a grant application can vary between funding...
Fieldwork is often a crucial part of community-based public health studies. However, few researchers write about this, often challenging, process. This paper highlights various occasions where fieldwork in the area of public health, health promotion or community health was more difficult than expected or did not go as planned. Our reflections on wo...
Over the past decade, young people’s use of the social media has increased steadily in many countries including Nepal. Studies in other countries suggest that social media platforms can play an important role in facilitating sexual communication and relationships. This qualitative study comprising focus group discussions (FGDs), intends to explore:...
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This article addresses some of the key Public Health approaches around the ongoing federalisation of the state of Nepal and the associated decentralisation processes in its health system. We start by outlining the main roles of the discipline of Public Health and the contribution it can make to the reform process. Then the next section introduces o...
Getting a PhD is the highest possible education qualification which only a small proportion of all students achieve. As a consequence, examining PhD research in the form of a doctoral thesis is specialist work. This paper highlights the different options that are available for PhD examiners. There are four general options: (1) pass, (2) rewrite and...
Background: The novel coronavirus disease 2019 (COVID-19) outbreak, caused by the pathogenic severe acute respiratory syndrome-2 (SARS-CoV-2) virus, is exponentially spreading across the globe. [1,2,3]
Purpose: There is a dearth of published data, the possible susceptibility of pregnancy towards COVID-19 infection or the potential risk of miscarria...
Purpose of review:
This paper reviews the mixed-methods studies from the last 2 years (2021-2022) into androgen use to highlight the most relevant developments within the field (see video, http://links.lww.com/COE/A35).
Recent findings:
The literature review found seven papers from 2021 to 2022. These seven cover a range of important considerati...
The COVID19 pandemic which started in early 2020 has a major socioeconomic impact through both the burden of the diseases as well as the consequences of lock down and travel restrictions. The pandemic has also exposed serious inequities in access to health care facilities and delivery of services, especially for poorer and marginalised communities....
The paper explores how COVID-19-related moral panics have led to fear and othering practices among returnee Nepalese migrants from India and Muslims living in Nepal. This qualitative study included in-depth interviews with 15 returnee migrants, 15 Muslims from Kapilvastu and Banke districts of Nepal, and eight interviews with media and health profe...