Faculty of Medicine, Dentistry and Health Lecture Series – 6th Annual Pemberton Lecture

Gilmore

“Alcohol:  evidence-based policies and practical implementation – mind the gap”

Professor Sir Ian Gilmore

Monday 3 October 2016 at 17.30 followed by a wine reception

The University of Sheffield Students’ Union Auditorium

Western Bank, Sheffield, S10 2TG

Free admission, by ticket only:  Please register here

‘Alcohol has been part of human culture for more than five thousand years and remains a topic of continuing interest – everyone is an expert on why we drink and how much. There is now a wealth of scientific analysis of consumption and harm in populations that differ in ethnicity, gender, age, equity and other variables, and this has allowed a clear picture of what works and doesn’t work in optimising our troubled relationship with alcohol. However there are so many vested interests in our favourite drug that putting this evidence into practice has met with challenges that remain unresolved but infinitely fascinating.’

Professor Sir Ian Gilmore is an honorary consultant physician at the Royal Liverpool University Hospital and holds an honorary chair at the University of Liverpool. He is a past-president of the Royal College of Physicians (RCP) and the British Society of Gastroenterology. He is chairman of Liverpool Health Partners, created to promote an Academic Health Science System in the city and he chairs the UK Alcohol Health Alliance. He is also President of Alcohol Concern and is a member of the Climate and Health Council.

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ScHARR Inaugural Lecture: “Assessing the evidence: a NICE journey” – Professor Eva Kaltenthaler

EvaKaltenthalerPhoto

“Assessing the evidence: a NICE journey”

Professor Eva Kaltenthaler

Professor of Health Technology Assessment

Wednesday 21 September 2016

5.15pm-6.00pm (followed by a wine reception)

Lecture Theatre 4, The Diamond

In her inaugural lecture, Professor Eva Kaltenthaler will describe her work as a systematic reviewer undertaking technology appraisals for the National Institute for Health and Care Excellence (NICE), the process used to assess new treatments for use in the NHS. Professor Kaltenthaler will discuss changes to research methods in systematic reviewing as well as changes to the NICE technology appraisal process over the past 15 years. She will outline her involvement in a range of research projects exploring the methods used in technology appraisal.
Professor Kaltenthaler will also briefly outline her earlier work using mixed methods research to study hygiene behaviour.

Admission Free – Register to attend here

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Public Health Newsletter – Issue 2 September 2016

Welcome to the second edition of our Public Health Section newsletter. Other than the continual noise of workers sawing through stone it’s been a quiet summer here in ScHARR. I hope everybody has been able to get a break!
Even though July and August have been quiet, plenty of good things have happened since the last newsletter. People have taken on new roles, awards have been received and grants have been won.
In this edition of the newsletter the two main stories are from Sarita Panday, one of our PhD students from Nepal, and from Michelle, who discusses the work of the EVIDENT partnership.
We’ve also included a selection of recent publications (I’m sure there are many more that are not listed!).

Thanks again to Karen for putting the newsletter together, and please do let Karen know of any news that you would like to go in the next edition.

All the best for the coming semester.


News and Congratulations

Congratulations to Prof Liddy Goyder, who has been appointed Director of Research at the National Centre for Sport and Exercise Medicine (NCSEM) in Sheffield.

The NCSEM aims to improve the health and well being of the nation through physical activity and was established in 2012 as a legacy to the Olympic Games. The Sheffield-based NCSEM brings together researchers and institutions from across the city who are working to create a culture of physical activity in the region.

Read More


We have two new HEA Fellows through the Learning and Teaching Professional Recognition Scheme – Congratulations to Prof Sarah Salway, SFHEA (Personal Pathway) and Dr Liz Such, FHEA (Personal Pathway).


Dr Lindsay Blank has been elected as a staff member of the University Senate (for one year applicable from 1 Oct 2016 to 30 Sep 2017). The Senate is responsible for regulating and directing the academic work of the University and meets quarterly.


Congratulations to Louisa Shilton who now works for the Faculty based in the Medical School, Louisa passed her viva on 13 July with no corrections or amendments – well done!


Congratulations to Dr Kelly MacKenzie on her success in being offered a prestigious NIHR Fellowship. Kelly is delighted and looking forward to the new challenges ahead when she starts her Fellowship from 1 October 2016.


Prof Liddy Goyder and Dr Hannah Jordan were both selected in the Editor’s Picks for their respective  poster abstracts for the forthcoming Society for Social Medicine (SSM) Annual Scientific Meeting, which featured in the SSM’s Winter Newsletter Vol 7 Issue 3 August 2016.  Liddy‘s entitled  ‘‘Horses for courses’ or ‘One size fits all’? Developing appropriate methods of stakeholder involvement to inform evaluation of complex interventions in Europe’ and  Hannah’s entitled  ‘Wild at heart: A mixed method evaluation of a wildlife-related intervention for older people.’ Well done to both!


On a more personal note, congratulations also go to Kelly MacKenzie who recently had a surprise proposal whilst on holiday in Scotland and is now engaged to fiancé Kevin!
Congratulations to Katie Powell who also recently got engaged – must be something in the air!


ScHARR Research Stimulation Award – an update from Dr Katie Powell on how the money for her project has been used to good effect

The Research Stimulation prize was used to scope out the feasibility of a study on loneliness and isolation among minority ethnic groups. The funding was helpful in facilitating a scoping review of published literature and grey sources to assess whether a systematic review was possible. We assessed the volume and quality of published literature to develop realistic timelines for a literature review and used this to inform a proposal for funding. We also used the stimulation funds to map potential stakeholders and recruit them to a consultation group – informing the development of the bid.


Meet Sarita Panday, PhD student

Hi everyone – I’m Sarita Panday from Nepal. I recently submitted my PhD thesis in Public Health at ScHARR (Faculty Scholarships) and I am awaiting my viva in September. My PhD explored the role of female community health volunteers (FCHVs) in maternal healthcare provision in Nepal from the perspectives of health workers, service users and FCHVs themselves. FCHVs are one of the most utilised, yet underrepresented groups, therefore, my study explored about their services, including the strategies they use to deliver such services, and the factors that promote or hinder their service provision in two geographical regions of the country. I will be presenting these findings at the Fourth Global Symposium on Health System Research in Vancouver, Canada this year from 14-18 November under the theme of Implementing improvement and innovation in health services and systems Symposium’s ‘field-building dimensions.

My presentation title is “Female community health volunteers (FCHVs) providing maternal health services in Nepal: health system support and barriers.” I came to know about the conference from Julie Balen and I am very grateful to my supervisors, Paul Bissell and Mark Strong for their support and encouragement to attend this international conference. The conference will also be an opportunity to engage with colleagues from around the globe who share an interest and a passion for improving health systems of low and middle income countries.

Prior to coming to the UK, I completed a combined Masters in Public Health and Health Management in the University of New South Wales, Australia and I am an alumna of Australian Leadership Awards 2009/2010. I am also a trained nurse (BSc Nursing, Distinction).

I am glad that the University of Sheffield and my department of Public Health has supported me well to acquire and develop a sound theoretical and practical knowledge, skills and experiences to contribute to the populations whose health needs are unmet. I am passionate to work for the health improvement of the most vulnerable groups in real-life settings and now, I feel ready to offer different and rich perspectives in undertaking health care research in low-income countries.


Focus on nutrition in Africa

Each issue we hope to bring you articles of interest from different areas of our business.

Here, Prof Michelle Holdsworth gives us some insights into current work undertaken on nutrition in Africa.

The EVIDENT partnership

Prof Michelle Holdsworth, Dr Robert Akparibo and Dr Andrew Booth are all part of the EVIDENT (Evidence-informed Decision-making in Nutrition and Health) partnership.  EVIDENT is an international hub of North-South partners created to strengthen capacities to address the gap between what research tells us works and local needs in nutrition and health in Africa.  This is achieved by empowering stakeholders in local, national government and others to identify and prioritise their key nutrition concerns and, providing them with a platform where these can be addressed. The network provides reviews of evidence, locally-appropriate guidance, and facilitates the translation of evidence into policy. Pilot projects are now underway in Benin, Ethiopia, Ghana and South Africa. Unlike other initiatives that aim to help improve the use of evidence in decision making in health broadly, EVIDENT focuses on nutrition. EVIDENT encompasses all issues that are at the forefront of global nutrition and health policy: stunting, underweight, maternal and child health, micronutrient deficiencies, obesity and non-communicable diseases. This initiative is important as finite resources for research and ever-increasing research waste highlight an urgent need to prioritise research agendas, especially in resources-limited settings. For us in ScHARR, the EVIDENT partnership allows us to contribute our expertise in public health nutrition with that of different systematic review methodologies.


Robert discussing his ideas on realist evidence synthesis at a project meeting in Ethiopia.

You can find greater detail on the EVIDENT project website at: http://www.evident-network.org/

The programme co-ordinator of EVIDENT (Roos Verstraeten from the Nutrition team in the Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium) will be spending the month of September in ScHARR. Roos is a nutritionist  with a particular interest in review methodologies and diet related NCDs in low and middle income countries. You can contact Roos directly (rverstraeten@itg.be) or via Michelle (michelle.holdsworth@sheffield.ac.uk) if you would like to arrange to meet up with her whilst she is here.


Recent Publications

Barnes A, Brown Garrett W, Harman S. Understanding global health and development partnerships: Perspectives from African and global health system professionals. Journal of Social Science & Medicinedoi:10.1016/j.socscimed.2016.04.033
S. Moffatt, S. Lawson, R. Patterson, E. Holding, A. Dennison, S. Sowden, J. Brown. A qualitative study of the impact of the UK ‘bedroom tax’. Journal of Public Health
doi: 10.1093/pubmed/fdv031
Angie Clonan, Katharine E. Roberts, Michelle Holdsworth. Socioeconomic and demographic drivers of red and processed meat consumption: implications for health and environmental sustainability. Cambridge Journals, Proceedings of the Nutrition Society
doi:10.1017/S0029665116000100
Whittingham K, Barnes S, Dawson J.  Methodological challenges of a mixed methods study with a complex carer population. Nurse Researcher
doi:10.7748/nr.23.5.31.s7

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Knowledge mobilisation can improve equality impact assessments

Acas (the UK advisory, conciliation and arbitration service) describes an equality impact assessment (EIA) as “a practical tool to identify discrimination.”  Its managers’ guide to EIAs describes how carrying out an EIA can identify and reduce unintended discrimination and promote equality by removing barriers and improving participation.

Yet all too often an equality impact assessment ends up being a bureaucratic, box-ticking exercise that doesn’t lead to any change.  A quick google search just took me to newspaper articles decrying the waste of tax payers’ money on bureaucratic nonsense and box ticking along with government briefing papers and Local Authority guidance documents which aim to ensure that EIAs are not just about ticking boxes.

So the danger that carrying out an equality impact assessment won’t actually lead to improved services and reduced inequalities is well recognised but, in my experience at least, support to actually do EIAs better is a bit thin on the ground.

That’s why we’ve just produced a briefing paper on how thinking about an equality impact assessment as a process of gathering together what we know to:

  1. Describe an inequality
  2. Understand why the inequality has happened
  3. Prescribe action to tackle that inequality.

The briefing paper shows how our Evidence and Ethnicity in Commissioning knowledge mobilisation tools can help to generate knowledge not only to describe an inequality but also to understand it and to identify effective interventions.  They can also help to ensure an appropriate range of stakeholders are involved.

Do have a look at the briefing paper and if you’re interested in discussing anything in it and in learning with me about how to better move knowledge about ethnicity and health to action, please join my new Community-of-Practice

So what exactly is knowledge mobilisation and how can it help to reduce ethnic health inequalities?

To put it simply, knowledge mobilisation is about closing the gap between what we know and what we do.  In a health context, it aims to make sure that research evidence and other types of knowledge lead to benefits for patients and populations.

In my last blog post I wrote about what I learnt from being involved in the Evidence and Ethnicity in Commissioning research project.  It became clear to me that evidence generated through academic research, about any subject, often doesn’t make any difference to policy or practice or if it does, it can take a very long time.  Other sorts of knowledge like the experiences of people using services or of the staff providing them is also often not used to develop and improve those services.

I particularly like this definition of knowledge mobilisation that was coined in Canada:

“a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the healthcare system.”

Over the last year, I’ve looked at lots of different ways of describing the knowledge mobilisation process and the one the works best for me at the moment is Ian Graham’s map.

Graham's map

A piece of knowledge is created using the funnel process shown in the middle of the diagram and then that knowledge is applied or moved into action. The action cycle is similar to the plan, do, study, act cycle that you might already be familiar with.  This diagram is taken from Ian Graham’s paper which describes and brings together developments in the field of knowledge mobilisation.

In the Evidence and Ethnicity in Commissioning research project we used our findings to identify the key barriers to moving knowledge about ethnicity and health into action and developed some tools to help overcome those barriers.  Some of the tools can be used in a training workshop or by a team carrying out service improvement or commissioning work.  Others can be used by a team or individual while they are doing the service improvement work.

The tools are all available on our EEiC website and link to the different stages ofknowledge mobilisation as in this diagram.

During my fellowship I am going to try out some of the tools in different contexts – more on that in future blog posts and do get in touch if you think any of the tools could be useful in your work.  I’m happy to discuss and help if I can.

 

By Lynne Carter, NIHR knowledge mobilisation research fellow, ScHARR

Previously published at Evidence and Ethnicity in Commissioning

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Congratulations to our summer 2016 PhD Graduates!

Five ScHARR PGR students graduated on Monday 18th July at a ceremony held in the University’s Octagon Centre. Our five graduates were:

Emily Wood PhD – A clinical replication series to investigate if EMDR has the potential to treat clients with long term depression, its acceptability to them and possible mechanisms of change

Sarah Smith PhD – Exploring the potential of touch-screen computer technology in promoting enjoyable activities for people living with dementia: A visual ethnography

Milad Karimi PhD – A mixed methods investigation of methods of valuing health: are preferences over health states matters of taste, complete, and informed?

In ScHARR, we are tremendously proud of the achievements of all our PhD students who have recently completed their degrees, five of whom attended today’s degree ceremony to celebrate.

PROFESSOR PETRA MEIER, DIRECTOR OF POSTGRADUATE RESEARCH

Yagya Bhurtyal PhD – Effects of Male International Migration on Wives Left Behind in Nepal

Ros Haddrill PhD – Understanding delayed access to antenatal care: a qualitative study

Professor Petra Meier (ScHARR’s Director of Postgraduate Research) said, “Not only is a doctoral degree a great personal achievement that involves a fair amount of persistence and sacrifice, our newest alumni have between them contributed to impactful research on topics that range from the effects of international migration to the care for those with depression or dementia and from the valuation of health to access to antenatal services. Well done everyone, all the best for your next steps and we hope you stay in touch!”

Graduation July 2016

Pictured left to right are: Professor Mike Campbell (supervisor and former Chair of the Postgraduate Research Committee), Professor Jon Nicholl (Dean of ScHARR), Emily Wood PhD, Sarah Smith PhD, Milad Karimi PhD, Yagya Bhurtyal PhD, Professor Padam Simkhada (former member of ScHARR staff and supervisor), Professor Petra Meier (current Chair of the Postgraduate Research Committee) and Ros Haddrill PhD.

Well done to all our PhD graduates! To read more about PGR studies at ScHARR, click here.

Click here to watch a live stream of the University of Sheffield graduation ceremonies taking place this week.

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QALYS in public health: what are they?


The National Health Service (NHS), costs incurred by the health system and the need to undertake ‘cost-cutting’ in the NHS are frequent news stories… just currently over-shadowed by the EU referendum! Public health plays an obvious role in maintaining population health and reducing the demands on the health care system. But what evidence is required to support decision-making in the context of competing needs? Economic evaluation provides a framework to compare costs and effectiveness of different interventions in order to aid decision making.

The question then is how decision-makers compare outcomes from medical technologies with public health policies or interventions? The National Institute for Health and Care Excellence (NICE) recommends the use of the quality adjusted life year (QALY) as a key outcome measure in economic evaluations of public health interventions. Jurisdictions outside the UK will frequently report the disability adjusted life year (DALY) which is similar in some respects to the QALY. What is the QALY (or DALY) and why is it a useful measure?

Katherine Stevens, Clara Mukuria and other colleagues  in the Health Economics and Decision Science section of ScHARR have developed a free online course which outlines what the QALY is over 3 weeks from 11th July 2016. The course is an introductory level course that is suitable for anyone with an interest in public health. For more information and to register see: https://www.futurelearn.com/courses/valuing-health #FLValuingHealth #QALYs

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Trends in alcohol consumption and deaths – Must what comes down go back up?

New blog by John Holmes: Is a rise in alcohol-related deaths inevitable as the economy recovers and alcohol duties are cut?

Source: Trends in alcohol consumption and deaths – Must what comes down go back up?

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Public Health Section Newsletter

Welcome to the first of our Public Health Section newsletters. Each edition we will focus on an aspect of what we do in the section, and introduce new members of staff. There will also be space for news and congratulations.
This edition highlights some of the excellent Global Health work that is taking place, along with an introduction to two of our newer members of staff, Mary Crowder and Collette Kearney. You can also read about Kelly’s amazing London Marathon feat, and Carolyn Auma’s beautiful poem that she shared at our recent away day.
Thanks to Karen for all her work in putting the newsletter together. Enjoy reading!

Public Health Away Day

For those of you that were unable to join us at our recent away day on 4th April 2016 held at Inox Dine, we had an enjoyable and productive day. A stand out moment for quite a few of us was the poem that Carolyn Auma, one of our PhD students shared with us for the session “I wish I had known….”.
Looking back at the day Carolyn says “…I am not sure what made me share my poem – maybe it was the open, warm and friendly atmosphere at INOX Dine during the event, or it was just a way for me to reflect on the first six months of my PhD journey“. You can read Carolyn’s heartfelt poem here.

Congratulations

On Sunday 24th April 2016, our very own Dr Kelly MacKenzie lined up with over 39,000 other runners to take part in her first ever London Marathon.
Running to raise money for a cause close to her heart, Epilepsy Action, you can read more about Kelly’s amazing London Marathon experience here.
Viola Cassetti, a former Europubhealth student in ScHARR, has won one of the prestigious University Prize Scholarships for Doctoral Research and will be joining us as a PhD student in September. She will be supervised by Dr Tom Sanders and Dr Katie Powell.
Luke Miller, on being awarded the Senior Fellowship of the Higher Education Authority (SFHEA). The HEA Senior Fellowship recognises staff who lead and manage teaching programmes or modules, mentor and support colleagues who teach (formally or informally), or have advisory responsibilities around learning and teaching more broadly in their department, faculty or professional service.
Joe Clark on recently passing his PhD viva on Global Palliative Care Policy subject to minor corrections. His work is a mixed methods study which explores the scope of existing international research and policy in palliative care, explores policy response to the growing challenges of palliative care, and examines the contribution of key factors in global policy. Joe was supervised by Dr Amy Barnes, Dr Clare Gardinerand Prof Mike Campbell.

Meet two of our recent new starters in Public Health

Mary Crowder joined us in December last year as a Research Associate to work on the SPHR evaluation of a Domestic Abuse Perpetrator programme.

This is a new area of research for me, although for the past 2 years I have worked as a volunteer supporting a peer-research project, led by young people who have been affected by domestic abuse, into the strengths and gaps in domestic abuse services for young people in Sheffield.
I have lived in Sheffield since 1988 when I came here to train as an occupational psychologist with the Manpower Services Commission and complete my masters in occupational psychology at the (then) Social and Applied Psychology Unit here at the University of Sheffield. On completing my training I set up as a self-employed research consultant, trading as ‘Minds at Work’. For over 25 years I have been providing research and evaluation services, primarily to public sector clients but also to private and third sector organisations.  My work as a self-employed researcher has been varied; I have led research projects aimed at understanding learner motivation, evaluated a diverse range of local and national employment and training initiatives for adults and young people, developed training and assessment materials, and  evaluated selection, recruitment and appraisal systems.  I continue to operate as Minds at Work alongside my part-time employment in ScHARR and am currently working on the evaluation of a Lottery funded initiative being delivered by voluntary sector providers in Sheffield. When I am not at work you are most likely to find me on the allotment and, with the exception of the ‘hungry-gap’ in May/June, my partner and I are now pretty much self-sufficient in fruit and veg –an important part of our efforts towards a sustainable lifestyle. I am also proud to be a volunteer with Chilypep – a local children and young people’s participation project that does fantastic work to empower disadvantaged young people to influence decisions that impact on their lives.

Colette Kearney
I completed my undergraduate degree in psychology at the University of Glasgow in 2011. Since then I have worked in Moscow with pre-school children and in the UK with children and young adults with learning disabilities. In September 2015 I graduated with a Masters in Human Nutrition at the University of Sheffield. As part of this I collaborated with the Children’s Food Trust to look at the effectiveness of online training for improving childminder’s provision of food to children in the early years. I began my role as a Public Health researcher in March to pursue my interest in nutrition, appetite and eating habits in young children.

Focus on Global Health

Each issue we hope to bring you articles of interest from different areas of our business.
Here, Dr Julie Balen and Dr Muhammad Saddiq give us some interesting insights into recent work undertaken in Nepal, the Gambia and Nigeria.

Nepal
Dr Simon Rushton (Dept of Politics) and Dr Julie Balen, Public Health, ScHARR recently visited Nepal for their Sheffield Institute of International Development (SIID) funded study on health impacts of the 2015 Gorkha earthquake. They were joined by three other team members: Olivia Crane (ScHARR MPH student 2015-16) who was collecting data for her research attachment, and Nepalese colleagues Prof. Bhimsen Devkota and Ms. Sudha Ghimire (Tribhuvan University). The devastating earthquake that struck parts of Nepal in April last year highlighted major weaknesses in the country’s preparedness policies and also in the government and its partners’ ability to rapidly respond to humanitarian crises. Now, one year later, as reconstruction efforts gear up with the aim of “building back better”, researchers and policy makers are looking backwards to the immediate relief and response phases, as well as forwards towards long-term reconstruction, with the aim of formulating key lessons learnt from this tragic disaster. The Sheffield-Nepal team is exploring the lived experiences of individuals and communities in Gorkha District (the epicentre) in order to provide bottom-up views of health system resilience to the earthquake, and subsequent reconstruction efforts, and to triangulate these with the perspectives of government, NGOs and international agencies. The overall aim is to better understand and incorporate community-level perspectives into future health policy making and implementation at all levels. It is hoped that this will add to current ‘top-down’ policy discussions which appear to fall short on providing a good understanding of what, from the perspective of individuals and communities, makes public health systems more (or less) ‘resilient’ in the face of disaster. Whilst in Nepal the team of researchers conducted 27 in-depth interviews, 3 focus group discussions and an elite-level stakeholder meeting; data analysis is ongoing. This is a pilot study with results feeding into a larger project proposal.  For the first of a series of blog posts detailing the research, see our ScHARR blog.
The Gambia

As part of ongoing collaborative research in The Gambia, West Africa, Dr Julie Balen, Public Health, ScHARR has recently visited in-country partners (MRC Gambia, and Gambia Ministry of Health and Social Welfare) for a new project focussing on reducing malaria transmission in the country. The project is funded by the MRC, Wellcome Trust and DfID Joint Global Health Trials scheme (2015-2019; PI Prof. Umberto d’Alessandro). It is a cluster-randomised trial of a novel community-based approach for controlling malaria in low-transmission settings. The aim of the research is to determine whether treating all household members of clinical malaria cases can reduce parasite carriage and possibly also reduce malaria transmission. In the study intervention arm, malaria patients will be treated according to standard treatment protocols and, in addition, will be given sufficient dihydroartemisinin-piperaquine (DHAPQ) to treat all their household members, who are likely asymptomatic carriers. Primary study outcomes will include incidence of clinical malaria during the transmission season and malaria prevalence at the end of the transmission season. This research project has strong community involvement and draws on the existing health system, particularly during the first year, which is dedicated to formative research relating to the trial. The intervention’s impact, incremental cost and cost-effectiveness will also be determined in order to assess feasibility of scale-up.

Malaria in The Gambia remains a crucial public health issue, despite significant reductions in prevalence over the last decade. A range of control approaches have been pursued, including increased availability and access to long-lasting insecticide-treated bed nets (LLINs), integrated vector control interventions such as indoor residual spraying (IRS), strengthened case management with rapid diagnostic tests (RDTs) and artemisinin combination therapy (ACT), but these have not yet succeeded in interrupting the highly seasonal transmission patterns of malaria in The Gambia. It is hoped that this novel intervention may help move The Gambia closer to the pre-elimination phase.  For more information on the recent visit see our ScHARR blog and for a recent publication in Malaria Journal see Jaiteh et al., 2016.

Nigeria
Patient safety depends on multidisciplinary team of doctors, nurses, pharmacists, laboratory scientists and other clinical and non-clinical staff working as a team. The picture is from a team building workshop facilitated by Dr Muhammad Saddiq, Public Health, ScHARR, and 3 NHS consultants from 3 different hospitals across the UK working in partnership to strengthen preventative capacity in two teaching hospitals in Northern Nigeria. Patient safety has come to the top of the agenda in global health as a consequences of the recent outbreaks of Ebola, Lassa and Zika virus infections. The two partner hospitals for this THET funded project are Aminu Kano and Federal Teaching Hospitals, Gombe.”
Recent Publications
Barnes A, Brown Garrett W, Harman S. Understanding global health and development partnerships: Perspectives from African and global health system professionals. Journal of Social Science & Medicinedoi:10.1016/j.socscimed.2016.04.033
Bissell P, Peacock M, Blackburn J, Smith C. The discordant pleasures of everyday eating: Reflections on the social gradient in obesity under neo-liberalism
doi.org/10.1016/j.socscimed.2016.04.026
Boote J, Newsome R, Reddington M, Cole A, Dimairo M. Physiotherapy for Patients with Sciatica Awaiting Lumbar Micro-discectomy Surgery: A Nested, Qualitative Study of Patients’ Views and Experiences
doi:10.1002/pri.1665/full
Jaiteh F, Dierickx S, Gryseels C, O’Neill S, D’Alessandro U, Scott S, Balen J and Grietens K P. Some anti‑malarials are too strong for your body, they will harm you.’ Socio‑cultural factors influencing pregnant women’s adherence to anti‑malarial treatment in rural Gambia
doi:10.1186/s12936-016-1255-0
Meier P S, Holmes J, Angus C, Ally A K, Meng Y, Brennan A. Estimated Effects of Different Alcohol Taxation and Price Policies on Health Inequalities: A Mathematical Modelling Study
doi.org/10.1371/journal.pmed.1001963
Hassen W S, Castetbon K, Cardon P, Enaux C, Nicolaou M, Lien N, Terragni L9,Holdsworth M,  Stronks K, Hercberg S, Méjean C. Socioeconomic Indicators Are Independently Associated with Nutrient Intake in French Adults: A DEDIPAC Study
doi: 0.3390/nu8030158
Fox N J, Health sociology from post-structuralism to the new materialisms
doi: 10.1177/1363459315615393
Relton C, Strong M, Renfrew M J, Thomas K, Burrows J, Whelan B, Whitford H M , Scott E, Fox-Rushby J, Anoyke N, Sanghera S, Johnson M, Easton Sue, Walters S. Cluster randomised controlled trial of a financial incentive for mothers to improve breast feeding in areas with low breastfeeding rates: the NOSH study protocol
doi: 10.1177/1363459315615393
McLean S M, Booth A, Gee M, Salway S, Cobb M, Bhanbhro S, Nancarrow S A.
Appointment reminder systems are effective but not optimal: results of a systematic review and evidence synthesis employing realist principles
doi.org/10.2147/PPA.S93046
Salway S, Mir G, Turner D, Ellison G T H, Carter L, Gerrish K. Obstacles to “race equality” in the English National Health Service: Insights from the healthcare commissioning arena
doi:10.1016/j.socscimed.2016.01.031
Salway S, Chowbey P, Such E, Ferguson B. Researching health inequalities with
Community Researchers: practical, methodological and ethical challenges of an ‘inclusive’ research approach
doi: 10.1186/s40900-015-0009-4
Glogowska M, Simmonds R, McLachlan S, Cramer H, Sanders T, Johnson R,
Kadam U T, Lasserson D S, Purdy S.  “Sometimes we can’t fix things”: a qualitative study of health care professionals’ perceptions of end of life care for patients with heart failure
doi: 10.1186/s12904-016-0074-y
Sanders T, Ong B N, Roberts D & Corbett M. Health maintenance, meaning, and disrupted illness trajectories in people with low back pain: a qualitative study
doi.org/10.1080/14461242.2014.999399


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Public health champion to lead exercise revolution

  • Leading public health expert joins pioneering national sport and exercise medicine centre
  • Initiative will support people in UK to lead more active and healthier lifestyles
  • Research will identify how exercise and physical activity can improve wellbeing of people with chronic health conditions

One of the UK’s leading public health experts is set to help people across the country lead more active and healthier lives as part of a new role at a pioneering national sport and exercise medicine centre based in Sheffield.

Professor Elizabeth Goyder, Professor of Public Health at the University of Sheffield’s School of Health and Related Research (ScHARR), has been appointed Director of Research at the National Centre for Sport and Exercise Medicine (NCSEM) in Sheffield.

The NCSEM aims to improve the health and wellbeing of the nation through physical activity and was established in 2012 as a legacy to the Olympic Games. The Sheffield-based NCSEM brings together researchers and institutions from across the city who are working to create a culture of physical activity in the region.

Man on exercise bikeThe centre is also aiming to address the chronic burden of disease caused by a lack of physical activity.

The NCSEM is the result of a partnership involving:

  • Sheffield Teaching Hospitals NHS Foundation Trust
  • Sheffield City Council
  • NHS Sheffield Clinical Commissioning Group
  • Sheffield Hallam University
  • University of Sheffield
  • Sheffield International Venues
  • Voluntary Action Sheffield
  • Sheffield Chamber of Commerce and Industry
  • English Institute of Sport
  • Sheffield Health and Social Care NHS Foundation Trust
  • Sheffield Children’s Hospital NHS Foundation Trust

Professor Elizabeth Goyder from ScHARR at the University of Sheffield said: “I’m delighted to be appointed Director of Research at such a ground-breaking initiative that is trying to make a huge positive impact on people’s lives in Sheffield and across the country.

“A lack of physical activity can have a significant effect on our health and wellbeing but we need to do more as a nation to help people become more active.

“Sheffield’s two universities have a unique breadth of expertise that can support innovative research into how best to ensure that everyone benefits from more active lives. We know a lot about the benefits of physical activity for our health and wellbeing, but not enough about how best to support individuals and communities to lead more active lives.”

As part of her new role, Professor Goyder will work with world class researchers from both the University of Sheffield and Sheffield Hallam University to explore innovative and effective ways to help communities become more active.

The position will also help researchers identify how exercise and physical activity can improve the wellbeing of people with chronic health conditions.

Sir Andrew Cash, Chief Executive of Sheffield Teaching Hospitals NHS Foundation Trust said:
“Our aim is to make Sheffield one of the healthiest cities in the UK and as one of the largest NHS organisations we are committed to exploring all opportunities to integrate physical activity into health prevention, delivery and rehabilitation.

“We also want to have a healthy workforce in the city and the work of the NCSEM will provide the research and evidence to help us achieve this. Professor Goyder’s appointment is another important step in our journey.”
Steve Haake, Head of Sheffield Hallam University’s Advanced Wellbeing Research Centre and former Director of Research at the NCSEM, said: “The city of Sheffield, in partnership with the NCSEM, is committed to transforming Sheffield into the most active city in the UK by 2020. Our research looks at how we can make it easier for everyone living in Sheffield to be physically active as part of everyday life.
“We are already well on the way to achieving this through the Move More campaign which seeks to encourage involvement in mass-participation events and I’m looking forward to seeing our work come to fruition under Liddy Goyder’s leadership.”

Professor Goyder added: “Sheffield is in a unique position with the NCSEM as it brings together key partners who can lead a city-wide campaign to encourage people to be physically active.

“Sheffield City Council, the Universities, the NHS, the Sheffield Chamber of Commerce, industry, community organisations and service providers are all committed to ensuring Sheffield is an active city with all the benefits that brings to local communities and the local and regional economy.

“We already have some fantastic community organisations and schemes in Sheffield helping people to be active. The NCSEM is developing some great facilities, at Concorde, Graves and North Active, so I am looking forward to bringing these together to maximise the impact we can have on wellbeing through physical activity for the whole community.”

Professor Goyder is taking over from the previous Director of Research, Professor Steve Haake from Sheffield Hallam University, Professor of Sports Engineering, who is now the Director of the Advanced Wellbeing Research Centre, which is being established in the Don Valley.

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Rebuilding Barpak: resilience and the difficult transition from emergency relief to long-term reconstruction

Simon Rushton, Julie Balen and Olivia Crane from the University of Sheffield were in Barpak with Professor Bhimsen Devkota and Sudha Ghimire, working on a SIID-funded project examining the resilience and reconstruction of the health system following the Nepal earthquake. This is the first of a series of blog posts that the team will be publishing in the coming weeks.

 

On April 25th it was one year since the earthquake that devastated large areas of Nepal. In the village of Barpak in Gorkha District, the village closest to the epicenter of the earthquake, there are signs that the transition from emergency relief to more permanent reconstruction is finally starting. But many difficulties lie ahead.

Almost every house in Barpak was destroyed – over 1200 in total. The historic houses built of local stone and mud ‘cement’ quickly crumbled under the 7.8 magnitude earthquake. 72 people in the village died, crushed in the rubble. Over 200 were injured. Everyone has lost someone they were close to.

In some ways, despite the devastation, Barpak was ‘lucky’ in terms of the post-earthquake relief it received. It was a well-known village before the quake, and its relative accessibility (by Nepali standards, that is: it is a grueling 5-hour journey up a rough dirt road from the District capital) meant that outside help arrived relatively quickly, and in quantity.

A year on, some families are still living under canvas. The vast majority, meanwhile, have built temporary shelters from corrugated iron, erected amongst the rubble of their former homes. After surviving the freezing winter at 2,500m with no insulation, before long they will again be in the heat of the summer.

“Build back better and safer” is the Nepali government’s motto – and that of the international donors. Many of the officials we have spoken to have repeated the refrain that earthquakes don’t kill people – badly constructed buildings do. There are good reasons, then, to encourage people to rebuild their homes to be more earthquake resilient.

The National Reconstruction Authority (NRA) has worked with engineers to develop seventeen standard designs for earthquake resilient housing of various sizes and costs. A government grant of Rs.200,000 (approximately £1350) will be available to those who follow those plans. International and local NGOs are providing training to communities on how to rebuild. An engineer will soon be appointed in each village to provide advice on rebuilding, and to monitor who has rebuilt in a way that makes them eligible for the government grant.

 

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In Barpak, people are already busy rebuilding. But most are not building earthquake resilient houses: they are rebuilding in mud and stone, just as before. Women and girls as young as four or five carry heavy rocks on their backs, and then sit breaking them into gravel while the men and boys construct the walls. Day by day the houses grow. But it is not an earthquake-proof village that is rising from the rubble.

A lot of the people we spoke to in Barpak have simply given up waiting. The NRA has taken almost a year to publish the earthquake resilient housing designs. Many believe that the long-promised Rs.200,000 will never actually arrive. Even if it does, it would not be enough to build a house – and there is uncertainty about the rules for who will qualify. So rather than spend more months living under their temporary shelters, those with the resources to do so are going ahead in their own way, ignoring the exhortations to build back safer.

Resilience is the mot de jour in the disaster and development community. But what do we learn about resilience from the people of Barpak?

 

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If by ‘resilience’ we mean merely the capacity to cope in the face of adversity, then the people of Barpak are – and have always been – highly resilient. This is an independent and community-minded village whose residents work together to survive and, to the best of their ability, thrive despite the unpromising geography and high levels of poverty. They have lived through the trauma of the earthquake and are now rebuilding their village, mostly without external assistance. A community accustomed to self-reliance, many are deliberately choosing not to wait for government help but are taking matters into their own hands and rebuilding their former homes in their own way.

Yet this very same spirit of independence and self-reliance is undermining a different aspect of ‘resilience’ – the physical resilience of these buildings against future disasters. The community may be strong, but many of the houses we saw people putting up are noticeably weak, calling into question the future safety of those in the village.

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– Originally posted at: http://siid.group.shef.ac.uk/blog/rebuilding-barreconstruction/#sthash.MPFJlJvm.dpuf

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