Dr Liz Such has been seconded to Public Health England to review the public health issues and knowledge gaps in the field of modern slavery. Early findings have identified the value of partnership working across all sectors plus the importance of senior strategic leadership in tackling modern slavery. A summary of findings will be published before the autumn; there will be a poster presentation at the PHE conference, and a full report planned for October to coincide with national anti-slavery day.
Category Archives: Uncategorized
This workshop isn’t a ScHARR Public Health event; it is presented by our colleagues at the Sheffield Institute for International Development. It features Professor Padam Simkhada who is an Honorary Senior Lecturer at ScHARR.
The massive earthquakes that struck Nepal in 2015 caused huge loss of life and widespread damage to property and infrastructure, from which the country is still recovering. This workshop brings together leading experts on Nepal to discuss the challenges that the country faced in the immediate aftermath of the earthquakes, and also the prospects for future resilience and development.
The morning sessions will be devoted to the presentation of papers. The afternoon will be made up of roundtable discussions on key issues in reconstruction, resilience and development.
10.00-10.10 Welcome from Dan Brockington, Director of the Sheffield Institute for International Development
10.10-10.30 Introduction and introductions. Simon Rushton
10.30-11.30 Panel 1:
Sapana Bista (Liverpool John Moores University) – ‘The disability sector’s experience of the Nepal earthquake during recovery, rehabilitation and reconstruction’
Sarah Galvin (PHASE Worldwide) and Jiban Karki (PHASE Nepal) – The experience of small NGOs
Padam Simkhada (Liverpool John Moores University) – Traumatised? I don’t think so! Mental health situation in Nepal after earthquake.
11.30-11.45 Coffee break
11.45-13.00 Panel 2:
Bibha Simkhada (Liverpool John Moores University) – Scope and importance of continuous professional development (CPD) training on risk reduction and disaster management in Nepal
Bhimsen Devkota (Tribhuvan University) – Education
Hanna Ruszczyk (Durham University) – The earthquake and ideas lying around.
Edwin van Teilingen (Bournemouth University) – Business as usual? Disasters, incompetency and corruption.
13.00-13.45 Lunch (provided)
13.45-14.45 Roundtable 1: Characteristics of resilient communities.
What made communities resilient (or not) through the earthquakes and reconstruction?
14.45-15.00 Coffee break
15.00-16.00 Roundtable 2: Developing resilient communities.
What are the challenges communities face today and in the future? What role can the national government and its international partners, as well as NGOs, play in mitigating these challenges?
We are recruiting a talented, effective social scientist with a strong interest in understanding and tackling the social determinants of health inequalities, particularly those linked to race/ethnicity and migration. Closing date 18.07.2017 Apply here.
Congratulations to Professor John Brazier, Dean of our School of Health and Related Research (ScHARR), who has been elected to the prestigious Fellowship of the Academy of Medical Sciences.
The Fellowship brings together world-leading scientists from across the UK to pioneer the research that will transform the future of public health.
Celebrated globally, their work is renowned for providing real benefits to society while breaking new academic ground.
Professor Brazier said: “I am delighted to be elected to such a prestigious Academy of medical and health scientists, and pleased for the recognition it brings to the research undertaken in ScHARR. The Academy is influential in the development of research policy in this country and I hope to lend by support for investment in the important areas of applied health services and public health research.”
Fellows are elected from across the spectrum of biomedical and health research. Representing the cutting edge of medical science, they are chosen for their outstanding contribution to research and society.
Professor Brazier has been distinguished for his widely celebrated research in the area of economic evaluation of healthcare interventions. After more than 25 years at the forefront of health research, he is best known his work in developing a preference-based measure of health for the SF-36 (SF-6D), a survey now used across the world to monitor healthcare outcomes for patients.
Professor Brazier was Director of the Economic Evaluation Policy Research Unit (EEPRU) until taking up his new position as Dean. A collaboration between our University and the University of York, the Unit undertakes applied and methodological research that informs health policy in England.
Professor Brazier is also a National Institute for Health Research (NIHR) Senior Investigator (Emeritus), and in 2016 was listed as a Thomson Reuters 2016 Highly Cited Researcher.
He is currently involved in several innovative projects, including an investigation into the value of self management support interventions for long-term conditions, What works well in wellbeing in the community and a Medical Research Council (MRC) project to develop a new measure that better takes into account of wellbeing for use in health technology assessment, public health and social care.
Welcome to the latest issue of the ScHARR Public Health newsletter. In this issue we are very proud to be reporting that one of our recent PhD graduates, Sarita Panday, is off to Stanford to do a post-doc fellowship – well done Sarita! We also have other good news to report – Rebecca Pradeilles, who was with us as a Research Fellow until a year ago, is back. Rebecca will be working with Michelle Holdsworth, Hibbah Saeed and others on projects relating to dietary transitions in African cities.
We’ve won some interesting new grants – in particular Clare Relton’s project “Fresh Street”, which will explore the feasibility of using targeted cash incentives to increase fruit and veg consumption within neighbourhoods with high levels of socio-economic deprivation and low fruit and veg consumption.
As you can see, a bit of a nutrition theme at the moment – I’m doing my bit by trying to ensure both cake and fruit are at each section meeting…..
Public Health PhD graduate off to Stanford University
One of our recent PhD graduates, Sarita Panday has been selected for the Postdoctoral Fellowship in Developing Asia Health Policy for 2017-18 at Stanford Asia Health Policy Program and the Asia Pacific Observatory on Health Systems and Policy (APO) at Stanford University in the USA.
This is a fantastic opportunity for Sarita and we extend our best wishes and good luck for the fellowship which will start at the end of September 2017 and extend for 10 months.
You can read more about Sarita’s story here.
The FRESH Street Project
Our ScHARR based team (in collaboration with Dr Megan Blake from Geography) have been awarded MRC PHIND funding (£149,000) to develop an area (street) based cash transfer scheme to promote healthy eating in areas of high deprivation. During this 18 month project we will work with key stakeholders in Barnsley to develop and then feasibility test a scheme which will target individuals of all ages (children, adults and older adults) in areas with low fresh fruit and vegetable and high processed food consumption and high social and economic deprivation.
This innovative public health intervention aims to:
(ii) encourage new purchasing, food preparation and eating patterns in the short term; and in the longer term
(iii) reduce food poverty and improve health outcomesIf successful, this intervention is likely to increase social cohesion and strengthen the resilience of local sustainable food systems and the food choice architecture.
Welcoming new staff
Rebecca Pradeilles, a familiar face to some of us having worked in Public Health section previously and also as an Honorary, will be back from 1 May as a Research Fellow working alongside Michelle and Hibbah.
Goodbye and good luck
Mel Rimmer is taking the ‘Big Walk 2017’
Mel will be taking part in the forthcoming Big Walk, which takes place 30 June to 1 July 2017. Walking 50 miles in 24 hours to raise money for the Sheffield Scanner. Mel would really appreciate your sponsorship – you can find Mel’s justgiving page here or you can text “MELR51 £5” (or any other amount) to 70070- a ‘big’ thank you from Mel.
Good luck to you Mel!
Julie Balen on achieving recognition as a Senior Fellow of the Higher Education Academy through the Learning and Teaching Professional Recognition Scheme.
Julie Dickinson has been elected to staff membership of the Senate for the period 1 October 2017 to 30 September 2020. The Senate’s role is to oversee the teaching and research of the University and the admission and regulation of students.
Hosting the Nigeria Patient Safety Conference in Lagos
The THET (Tropical Health Education Trust) project is a Health Partnership between ScHARR (the University of Sheffield), The Health Education Trust (THET) in the UK, Bayero University, Aminu Kano Teaching Hospital and Federal Teaching Hospital Gombe.
Muhammad Saddiq through (THET) patient safety project successfully hosted the first ever Nigeria Patient Safety Conference in Lagos on 14 March 2017. The conference brought together 100 of the top leadership from health institutions across Nigeria to disseminate the experience of implementing changes aimed at improving patient safety culture in the two partner hospitals. Leadership of health institutions across the country were targeted because of their role in leading change in their respective organisations and also in educating the healthcare workforce. An important outcome of the conference is the celebrations among participants to set up a Nigeria Patient Safety Forum which will serve as an advocacy platform to government and practitioners towards actions aimed at accelerating the improvement in patient safety culture in the country.
Speakers at the Conference
Clare Relton was recently invited to give a talk at Kings College, London entitled Trials within Cohorts (TwiCs) What are they and how are they being used? as part of the Cancer Epidemiology Population and Global Health Programme Seminar Series.
Angus C, Holmes J, Maheswaran R, Green MA, Meier P, Brennan A. Mapping patterns and trends in the spatial availability of alcohol using low-level geographic data: A case study in England 2003-2013 International Journal of Environmental Research in Public Health, 14(4), 404
Gavens L, Holmes J, Buehringer G, McLeod J, Neumann M, Lingford-Hughes A, Hock ES, Meier PS. Interdisciplinary working in public health research: a proposed good practice checklist, Journal of Public Health
Li J, Lovatt M, Eadie D, Dobbie F, Meier P, Holmes J, Hastings G, MacKintosh AM. Public attitudes towards alcohol control policies in Scotland and England: Results from a mixed-methods study, Social Science & Medicine
Horton P, S Banwart, G Brown, R Bruce, D Cameron, M Holdsworth, L Koh, J Ton, P Jackson. An agenda for integrated system-wide interdisciplinary agri-food research. Food Security 1-16.
Vedio, A, Liu, EZH, Lee, ACK, Salway, S. Improving access to health care for chronic hepatitis B among migrant Chinese populations: A systematic mixed methods review of barriers and enablers Journal of Viral Hepatitis
Such, E, Walton,E, Delaney,B, Harris, J, Salway, S. Adapting primary care for new migrants: a formative assessment BJGP Open, BJGP-2016-0620
Simkhada R, Wasti SP, Vijay GC, Lee A. Prevalence of depressive symptoms and its associated factors in older adults: A cross-sectional study in Kathmandu, Nepal. Aging & Mental Health
Akparibo R, Booth A, Lee A. Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review. Oxfam Humanitarian Evidence Programme
Hall ML, Lee ACK, Cartwright C, Maharatta S, Karki J, Simkhada P. The 2015 Nepal earthquake disaster: lessons learned one year on. Public Health 2017; 145:39-44
Lee A, Sim F, Mackie P. Ethical public health: more than just numbers (Editorial). Public Health, 2017;144:A1-2
Fox, N. J. and Alldred, P. (2016) Sociology, environment and health: a materialist approach. Public Health, 141: 287-293
Fox, N.J. and Alldred, P. (2017) Sociology and the New Materialism
Hobbs M, Green M, Griffiths C, Jordan H, McKenna J. How different data sources and definitions of neighbourhood influence the association between food outlet availability and body mass index: a cross-sectional study. Perspectives in Public Health
Alldred, P. and Fox, N.J. Materialism and micropolitics in sexualities education research. In: Allen, L. and Rasmussen, M.L. (eds.) The Palgrave Handbook of Sexuality Education. London: Palgrave.
Alldred, P. and Fox, N.J.Young bodies, power and resistance: a new materialist perspective. Journal of Youth Studies
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 one of a series of blog posts and journal articles published by the team.
This April 25th marks two years since two major earthquakes and almost 500 aftershocks struck Nepal with the epicentre in Gorkha district, some 150km west of Kathmandu. The impact of this disaster was staggering, with an estimated 9000 lives lost, 22,000 people injured and 700,000 houses damaged or destroyed. Moreover, thousands of public service buildings and vast infrastructure – schools, health centres, offices, bridges, roads, agriculture, irrigation and water supply systems and telecommunication networks – were impacted, many of which remain damaged. With so many lives lost and so many livelihoods disrupted, two years later the official response still appears to be “too little, too late”. Why have the victims of the earthquake been left, primarily, to fend for themselves through two wet monsoon seasons and two icy cold winters? And how will such an inadequate disaster response from the government impact upon Nepal’s emerging political landscape?
A total of 14 districts were severely affected by the disaster, with an additional 17 districts experiencing some degree of damage. The Nepalese Government set up the Prime Minister’s Disaster Relief Fund and established a National Emergency Operation Centre, through which new sources of aid were routed, within approximately one week of the first earthquake. However, the National Reconstruction Authority took nine months to become active and the government response was, overall, widely criticized for being too slow. International donors played an essential role, as did parts of the growing Nepali private sector and, by necessity, its citizens.
Relief and support was offered by many countries: India, China, Japan, UK, USA, and Germany were among those that provided the largest contributions, though search and rescue teams from 34 different countries were involved overall. Likewise, regional and international agencies such as the Asian Development Bank, World Bank, European Union and International Monetary Fund were among the highest supra-national donors. Besides these however it was the countless international, national and sub-national non-governmental organizations (NGOs) and civil society organisations, together with so many affected local communities and family networks, that were critical in responding in which ever way possible.
In Barpak village, Gorkha, where we conducted our research 1 year ago, residents spoke of Nepali and Indian government helicopters and support during that early critical period. Triaging and emergency healthcare in the village was supplied by a private pharmacist, who trained youths to provide basic first aid support and used meagre resources from her family-owned pharmacy business; the government health centre was damaged and key health personnel were absent on the day of the earthquake (a Saturday) – a pattern that was seen across many rural health posts on that day.
Barpak village, April 2016 – one year after the earthquake many families lived in dangerous buildings or temporary shelters; Photo credit: Julie Balen
Two years on, and many of these same communities and citizens feel let down, forgotten and deserted. Far too many have not yet received any – and certainly not adequate – assistance or support, and have been left instead to, survive the traumatic events of 2015 and rebuild their homes, lives and communities primarily without external assistance. The most disadvantaged among them are those who were already marginalised in some way prior to the disaster; the extreme poor, the “lower” casts, the elderly, the disabled, the women. This is likely to widen disparities in the population, leading to poorer health outcomes.
Younger and older women – often with migrant husbands, fathers or sons – bore a large burden from the disaster; Photo credit: Sudha Gimire
In May 2017 local elections will be held for the first time in 20 years*. These upcoming elections are a key moment in the country’s fraught transition to democracy and it is expected that the local polls will pave the way for provincial and then national elections later in the year. The impact of the formal response to the earthquake on voting patters and outcomes remains to be seen. Have actions taken (or not taken) been a missed opportunity to grow support for Nepal’s leading party, and will earthquake-affected areas vote, instead, in favour of the Unified Marxist-Leninist (UML) party representatives?
At present, we can only speculate whether the national elections will indeed take place this year, and what impact the staggering earthquake, and by comparison the vastly deficient government response, will have on Nepal’s politics. One certainty however is that Nepal continues to be disaster prone, and any elected government will have to do a better job of preparedness and response in future.
* Nepal emerged from a brutal decade-long civil war in 2006, which brought the end of the 240-year-old monarchy and transformed it into a republic.
Article reproduced with permission from The Sheffield Institute for International Development (SIID) blog
by Matt Watson
Home after my first time as leader of my department’s Nepal field class, and its been great. Leading a group of two dozen Masters students from around the world to visit first Kathmandu then rural Dhading district, with excellent teams of staff from Sheffield and from Nepal, makes for a challenging but deeply rewarding experience.
Nepal is a great place to take a field class oriented towards equipping Masters graduates with skills for research and for taking actions to make things better in development situations. Nepal remains a relatively poor country facing fundamental challenges for the livelihoods and well being of its people; yet it is also changing fast and with many examples of creative, proactive initiatives engaging communities to work together for collective improvement.
The country’s dramatic terrain is part of the story of those challenges; but the class also get to enjoy its beauty – beauty which, through tourism, could help in enabling more and more diverse livelihoods, as well as providing extensive potential for hydroelectric development.
Perhaps most significant for the students’ experience, though, is the openness and hospitality of the people we work with in Nepal. It never ceases to amaze me how effortlessly villagers take in their stride a group of 4 students from around the world with a Nepali colleague – and occasionally a member of academic staff in tow – showing up to talk about their lives and experiences. Rush mats get spread out on the front porch, tea is offered, and all settle into the strange social situation of a multilingual international interview.
We were able to visit examples of some of those creative initiatives, with partner NGOs Green Tara and Focus Nepal. Green Tara took us to Daxinkali where a long term project focused around reproductive health has not only seen improvements in key relevant indicators; still more compelling was the ways in which modes of engagement around reproductive health had enabled processes of female empowerment and cooperation, leading to development of women’s collective capacity to effect much broader changes. This was just one of the many things done for us by Green Tara, whose contribution to the field class cannot be over-stated.
Focus Nepal took us to an initiative on our route out from Kathmandu to Dhadingbesi, where we were met by the farmers participating in another long term initiative. Through equipping farmers with new knowledge, based on Integrated Pest Management but extending to sustainable intensification and the establishment of new crops, land has been brought back into productivity and the collective has been able to produce enough harvest to open up new routes to market, enabling the initiative then to spread up the valley.
The core of the field class though is the students’ research with communities and stakeholders on the slopes of Siddalekh, in Dhading district. Groups of students pursued research projects, each group with a common topic developed themselves, with each student pursuing a specific question within that topic. This year’s projects covered mental health, reproductive health, mobile technology and migration. Over just five days, they not only gathered and analysed data but developed that analysis to the point of being able to present key findings.
On our final day in the field area, we ran a dissemination event with guests including representatives of local women’s networks and community forestry groups, as well as a range of key people from the District capital of Dhadingbesi, including the Assistant Chief Executive of the District.
The event was held at Shreeban, which has been the field class residential centre since the class began in 2013. It is an excellent location for us, a real haven with sufficient accommodation, good food and very hospitable and relaxed staff. The dining room was converted into a presentation space. However, uncertainty pervaded the students final preparations of their presentations. A very dramatic thunderstorm two days earlier had knocked out the electricity supply to Shreeban and although restored earlier that day it had remained intermittent. So, students prepared not only powerpoint slides, but also backups of flipchart paper with key points in Nepalese. As the event started the electricity was indeed off, and the first group did a great job of presenting clearly without the prop of the slides. During their presentation though, the power came back and the rest of the groups had slides to talk to. Each presentation was re-presented in Nepalese by the group’s Nepali colleague.
From the short time in the field and the difficulties of finally preparing their presentations, the students did an incredible job of presenting compelling findings and credible policy recommendations which were well received by the audience.
Its quite something to be lead of such a team. Great colleagues from Sheffield – Julie Balen from ScHARR and Johan Oldekop from Geography, as well as invaluable additional support from Bhimsen Devkota from Tribhuvan University.
A great team of Nepali staff – drivers of the 4x4s that got us around the field; Rajes and Dipak whose local knowledge, empathy and commitment means the students could find respondents; and our fantastic team of Nepali researchers. Pratima, Rama, Sabina, Ganga, Shiwani, led by Pratiksha Basnet are instrumental to the field class, enabled student groups to communicate with local residents across language barriers as key members of the team also contributing to data interpretation and analysis – as well as to the friendship and collaboration which underpins the groups’ work.
Then the students. This time 24 students from the department’s range of International Development Masters programmes joined us, representing 10 different nationalities from 5 different continents. That the department’s Masters programmes is able to attract such excellent students is both foundational to the strength of the programmes, and a matter of pride for the department. They were thrown together into small groups of students from across nations – some groups with no students for whom English is a first language – working on an intensive few days of qualitative field research working with a Nepali colleague to interview local people in Dhading district. All of the groups, and the class as a whole, worked with dedication, intelligence, patience and cooperation to achieve great results and, together, to make a fantastic experience involving learning on so many levels.
Early during the period in Dhading, Julie, most of this year’s students and myself were guests of honour at the opening of a nearby village water scheme, funded by donations gathered by the University of Sheffield Friends of Nepal group – there’s an account of this here.
Originally published at https://mattwatson.blog/2017/04/07/international-development-masters-field-class-to-nepal/ Reproduced with permission
The National Institute for Health Research (NIHR) has today (5 April 2017) reaffirmed the University of Sheffield’s position as a member of its School for Public Health Research (SPHR).
The School was established in April 2012 to bring together leading academic centres in England demonstrating excellence in public health research and to complement other NIHR funding streams.
It aims to build the evidence base for effective public health practice including what works practically to improve population health and reduce health inequalities and can be applied across the country to better meet the needs of policymakers, practitioners and the public.
The focus of the School is to continue to have a positive impact on public health, policy and capacity building. It will also continue to integrate with the public health landscape including Public Health England. Funding of £20.5 million – over five years is available to support the School.
Following an open competition, the membership of the School from 1 April 2017 until 30 March 2022 is :
- University of Bristol
- University of Cambridge
- Fuse – Research collaboration between Newcastle University, Durham University, Northumbria University, University of Sunderland and Teesside University
- Imperial College London
- LiLaC – Research collaboration between the University of Liverpool and University of Lancaster
- London School of Hygiene and Tropical Medicine
- University of Sheffield
- University College London (UCL)
Professor Liddy Goyder, Deputy Dean of the School of Health and Related Research (ScHARR) and School for Public Health Research (SPHR) lead at the University of Sheffield, said: “We are delighted that the University of Sheffield will to continue to contribute as a member of this important national public health research collaboration.”