Evidence: a clinical librarian has visited Boudhanath Stupa, the largest Buddhist Stupa in Nepal. Photos © Katie Barnard will be achieved through the following tasks:
l a systematic review of ANC interventions in Nepal
l a service evaluation of ANC at three Nepali hospitals
l focus groups with postnatal women and staff l interviews with stakeholders
l open meetings to agree future ANC work priorities.
Written into the project plan are several reciprocal visits between the UK-based and Nepal-based team members. Very unexpectedly, I was invited to be part of the first of these.
The team
Travelling with me from the UK were Dr Abi Merriel (principal investigator), Dr Miriam Toolan, and midwife Mary Lynch (being five
April-May 2019
months pregnant at the time, I was in very safe hands!). We were to spend a week in Kathmandu hosted by the MIRA team, where we would be working closely with Nashna Maharjan, research officer and Nepali lead on the project, as well as with the three data collectors who will be doing most of the fieldwork.
Partnership working During the week, we discussed and devel- oped the initial research plans with the MIRA team and worked together on the earlier stages of the project, notably the systematic review. Having conducted most of the planning and groundwork through email, teleconferencing and other electronic means, it was wonderful to finally meet the Nepali team in the flesh, and im- mensely productive having everyone in the same room.
Furthermore, the combination of our
different backgrounds and expertise made for a much richer work output, and both teams were able to learn a lot from each other. For us, the Nepali team’s cultural explanations and guid- ance were invaluable: we learned more about topics that had cropped up in the systematic review, such as how cash incentives for women to attend health facilities work in practice, or the role of Female Community Health Volunteers (FCHV) in delivering ANC. This helped us better understand what we had read in the literature. For our part, we de- livered several workshops between us around the systematic review process and the World Health Organisation (WHO) ANC guidelines. My session on search strategies for systematic reviews was well received, and I think helped the Nepali team understand my role a bit better.
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Antenatal Research
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