Self-service now available at LSHTM Library

We’re delighted to announce that we’ve just introduced a new self-service machine at the LSHTM Library.

If you’re a London-based student, you can use this straightaway! All you will need is your LSHTM ID card to borrow and return items. Library staff will also be on hand to assist.

The new D-Tech self-service machine
in the LSHTM Library foyer

Here are some top tips for using the machine:

  • If any of your items are damaged, please go to the desk 
  • Ask at the desk too if you encounter any error messages 
  • Please take any items which come up in red or yellow to the desk 
  • Wait until items show in green before completing the transaction 

If you would like to leave feedback, we’ve also just launched a brand new internal feedback form which you can use to give your views: LSHTM Library, Archive & Open Research Feedback (padlet.com)

As ever, do get in touch if you have any questions too. You’ll find our contact details here: Library, Archive & Open Research Services | Research and impact | LSHTM

Men who have sex with men: stigma within healthcare settings in Senegal

By Fanny Procureur (University College London)

Men who have sex with men (MSM) in Senegal face violent homophobia and a very challenging socio-legal context because homosexuality is still illegal in the country. MSM constantly live in fear of being denounced and taken by the police or beaten up. They are left with no choice but to either leave the country, or live hidden from society. In this context, access to healthcare for MSM including HIV testing and treatment may be impacted by MSM’s fear of stigmatising attitudes within health facilities. Our qualitative study describes relationships between health facility staff and MSM and analyses its effects on access to healthcare by MSM. The data used was collected through a field survey based on observations and qualitative interviews conducted in 2019 and 2020 with 16 MSM, 1 NGO staff and 9 health care providers in Dakar (the capital city) and Mbour (second biggest city on the West Coast) hospitals.

Key findings

Our study published in Health Policy and Planning found that MSM and health care providers have respectful relationships. On the one hand, health care providers are tied to their professional duty to care for MSM and recognise the right to health, even if they do not necessarily personally support homosexuality. On the other hand, trusting in health staff’s professionalism and medical confidentiality, MSM generally feel safe in their care pathway and appreciate being treated equally to other patients. This is quite surprising given that many other studies in similar contexts show that stigma was strong in healthcare settings and that it was the main reason for MSM not to seek care.

However, we did find that MSM identified many fears associated with their health facility visits, namely the following:

  1. Strong stigmatising attitudes from non-medical staff around the hospital (such as security guards and cleaners)
  2. Fear of meeting a relative when going in for HIV testing or care and thus risking being associated with the MSM community
  3. Fear of HIV status disclosure
  4. Fear of potential conflicts or tensions with other MSM communities

This study is unique as it is the first in Senegal to ever include security guards and cleaners in its respondents. Our study shows that according to MSM, hospitals are divided into several areas, based on the stigma they expect. It is important to differentiate felt or perceived stigma, meaning the expectation of discrimination and consequential shame and enacted stigma, referring to the experience of actual unfair treatment by others. Even if most stigma discussed by participants in this study is felt, it is important to map out MSM’s care trajectories and spaces in which they feel more or less comfortable as it has a direct impact on their health seeking behaviours. Understanding “smaller spaces” where stigma is enacted is also key to identify all types of stakeholders working within them, including non-medical staff.

Conclusion

This study demonstrates that even if health care providers have respectful care relationships with MSM, a lot of work still needs to be done on improving hospital environments for MSM, particularly around the hospital and in areas in common with the general public. This has some challenges given that having dedicated entrances and care areas for MSM could also constitute a potential stigmatising factor. We strongly recommend urgent training for non-medical staff in and around the hospital in stigma reduction interventions such as the LILO (Looking In, Looking Out), which has already been used in Senegal with health care providers and the police.  Indeed, even if non-medical staff are not strong in numbers, their attitudes strongly impact MSM’s trust and wellbeing in healthcare settings.


Image credit: Nio Far (2021). Unreleased documentary directed by A. Lepine, U. Paya and JN Senne.

Statistics and more statistics

Did you know that there have been over 8 million downloads from LSHTM Research Online since its inception in 2011 ! That is a lot of downloading !
In January 2022, there were 161,445 downloads alone, compared with 68,690
in January 2021.

If we look at download trends over the last six years, we can see there has been an enormous increase, particularly in 2019 and 2020. There was however a slight decrease in 2021. See Figure 1 below.

Figure 1


It is also useful to look at who is downloading, or more accurately where downloading is taking place.  As we can see from Figure 2, the highest volume of downloads during Sept, Oct, Nov and Dec 2021 were in the United States, which totalled a whopping 40,492 for those four months, followed by the United Kingdom with 29, 487, China with 9,747, India with 5,919  and France fifth with 3,853.

Figure 2

The following graph shows the most popular downloads  within the last two months by author – are you listed  ?

Figure 3

And the following graph shows the five most popular articles downloaded within a similar period – can you see yours ?

Figure 4

Improving eye health essential to achieving Sustainable Development Goals

Testing intraocular pressure during community screening in Nigeria. Image: Gideon Okorie

Improving access to good quality eye health services globally is a key enabler to achieving the United Nations Sustainable Development Goals (SDGs), including those related to overall health, poverty, economic productivity, education and equality, according to a new study published in The Lancet Planetary Health.

The research, led by the International Centre for Eye Health (ICEH) at the London School of Hygiene & Tropical Medicine (LSHTM), found that improved eye health services are associated with moving closer to achieving the targets of at least seven SDGs.

In 2020, 1.1 billion people were living with untreated vision impairment, and this is expected to grow to 1.8 billion by 2050. Despite progress in recent years against certain infectious diseases, millions continue to live with impaired vision and blindness unnecessarily. 90% of people with these conditions live in low or middle-income countries, and vision impairment disproportionately affects women, rural populations, and ethnic minority groups.  

The study, carried out as part of the collaborative Lancet Global Health Commission on Global Eye Health, looked at 226 studies that reported the relationship between an eye health service and outcomes or pathways related to the SDGs. These services included cataract surgery, free cataract screening, provision of spectacles, trichiasis surgery, rehabilitation services, and rural community eye health volunteers.

Professor Matthew Burton, Director of ICEH, said: “Eye health is often overlooked, but it is an important factor for improving global health and quality of life. Our study, which is one of only two studies looking at the connections between improvements in a specific area of health and the SDGs, demonstrates that eye health is a powerful enabling tool for sustainable development, both directly and indirectly.

“Currently, eye health does not feature within any of the many targets and indicators of SDG monitoring. This study is part of a growing body of evidence that eye health policies should be embedded across education, the workplace and social services. Interventions, such as improved access to glasses and cataract surgery, need to be prioritised and receive the financial support that a challenge of this scale deserves.”

Improving eye health: solid green arrows indicate relationships with direct evidence of a beneficial effect, black arrows represent likely indirect effects and dashed green arrows represent hypothesised beneficial effects.

The authors found multiple direct connections between eye health services and one or more of seven SDGs, including:

  • Improved eye health reduces poverty (SDG 1) and improves productivity (SDG 8)

Several studies have shown increases in productivity, household expenditure and household income following access to eye health interventions. For example, in the Philippines, household per capita expenditure increased by 88% over one year in people who underwent cataract surgery.

  • Improved eye health advances general health and well-being (SDG 3)

Reviews complementary to this study undertaken for the Commission have shown associations between vision impairment and increased risk of mortality, falls, dementia, mental health challenges, cardiovascular disease, respiratory disease and cancer.

  • Improved eye health advances educational outcomes (SDG 4)

Good vision is associated with improved educational outcomes. The provision of spectacles can improve academic test scores, with one study in China showing that the provision of spectacles reduced the odds of failing a class by 44%.

  • Improved eye health advances equality (SDGs 5 & 10)

Interventions such as training rural community eye health volunteers and providing cataract surgery can reduce gender inequality in relation to attendance and treatment. Similarly, income equality has been shown to be improved through cataract surgery.

  • Improved eye health reduces road traffic accidents (SDG 11)

Cataract has been found to increase the odds of being involved in a collision by 2.5x. Studies have shown that cataract surgery can reduce driving-related difficulties and motor vehicle crashes.

Overall, 27 studies reported that eye health services had a positive effect on advancing one or more SDG targets, with indirect effects proposed for all further goals. Cataract surgery and spectacles were the interventions with the largest number of studies reporting beneficial effects on an SDG.

The potential human impact of not including eye health as an SDG target could be vast, affecting not only individuals but communities and countries as a whole. Vision is a primary sense that enables people to live, work and contribute to societies to their full capacity. It is urgent that good vision is prioritised appropriately.

His Excellency, Dr Aubrey Webson, the Permanent Representative to the United Nations for Antigua and Barbuda and chair of the UN Friends of Vision group said: “No one should have to live with avoidable blindness or addressable visual impairment in the 21st century when we have proven low-cost solutions to address these conditions. The SDGs represent the highest ambition of the global community, and it is time that eye health is recognised as integral part of that.”

The authors acknowledge limitations of the study, including the exclusion of non-peer-reviewed literature such as government reports and policy papers, or papers where an SDG outcome was not mentioned within the abstract.

Publication

Justine H. Zhang et al. Advancing the Sustainable Development Goals through improving eye health: a scoping review. The Lancet Planetary Health. DOI: 10.1016/S2542-5196(21)00351-X

Resources

Access an infographic on Eye Health and the SDGs

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Online dual practice of public hospital doctors: the case of China

By Hongqiao Fu, PhD (School of Public Health, Peking University)

Background

Telemedicine and telehealth hold promise for reducing access barriers, improving quality, and containing health expenditure. As Internet companies enter the healthcare market, a rising number of online healthcare platforms have emerged worldwide. These platforms primarily use telephone and videoconferencing software to provide on-demand remote health care, giving patients fast and convenient access to doctors.

Like Teladoc in the United States, DocOnline in India, and Halodoc in Indonesia, a rising number of online healthcare platforms have emerged in China. The outbreak of the COVID-19 pandemic has further increased the demand for telehealth services on these platforms. A growing number of Chinese doctors are providing direct-to-consumer telemedicine services via these platforms; among them, the majority are full-time employees of Chinese public hospitals. This combination of public hospital doctors and privately funded online healthcare platforms creates a new form of dual practice: online dual practice. However, to the best of our knowledge, no studies have investigated online dual practice before.

Our recent article in Health Policy and Planning measures the prevalence of online dual practice by public hospital doctors in China, and examines how physicians allocate time for online work, and their motivations. We conduct this study by using web-crawled data from the four largest online healthcare platforms in China (Haodf.com, Wedoctor, Chunyu Doctor, Ping’an Doctor) and through interviews of public hospital doctors who are actively working on these platforms.

What did we find?

Throughout China, at least 16.5% of public hospital doctors were engaged in online service provision. The prevalence varied across physician seniority. Senior doctors were more likely to undertake online work as compared to their junior colleagues: no less than 33.5% of chief physicians and 21.5% of associate chief physicians rendered online healthcare services on at least one of the four leading platforms, compared with 14.8% of attending physicians and 8.0% of resident physicians. Moreover, we found that the prevalence of online dual practice in most of these hub cities was higher than the national average. For example, the estimated prevalence of online dual practice for chief physicians in Beijing, Shanghai, and Guangzhou was around 70%.

Most interviewed doctors said that they mainly used small pockets of time during working hours and after-hours to render services on the platforms. For example, an interviewed young ophthalmologist answered “I would check the apps between outpatient visits, when I am on the subway after work, or when I am at home on weekends.” The transaction data from Haodf.com confirms our findings from the interviews. 48.7% of the phone-call consultations on the platforms occurred between 6 pm and 11 pm. A larger share of phone-call consultations took place during the off-hours for senior doctors than it did for junior doctors.

The respondents gave five reasons for providing online services on third-party online healthcare platforms. “Efficiency improvement” was one motivation that was frequently mentioned by senior doctors. For example, they mention that they could inform their patients in advance by sending them guidance through the platforms and then doctors could save time on repetitive tasks and make the most of their working hours. “Personal control” was another word that was frequently mentioned by senior doctors. A doctor said “it brings us many complicated cases… I don’t want too many simple cases in outpatient visits; I would like complicated ones.

Junior doctors, however, cared more about career developments and financial rewards. Some doctors noted that they wanted to build their reputation by providing online services. Other junior respondents were candid about their pecuniary motivation. For example, an interviewee in Beijing talked about the excessively high housing price when explaining her motivations for online dual practice. Furthermore, more than two-thirds of respondents mentioned that they used online platforms to better serve patients.

What are the potential effects of online dual practice on health systems?

The positive impacts on access to public hospital care are straightforward. Given that doctors use small pockets of time during working hours and after-hours to render online services, it increases the total labor supply of physicians and thus improves healthcare access. Moreover, it enables patients to access remote healthcare providers and may reduce access barriers due to travel distance.

Online dual practice may also improve the efficiency of service delivery at public hospitals. The Internet enables doctors to serve patients with minor conditions and reduce unnecessary visits. Public hospitals can therefore reserve more resources for patients with severe conditions. It also contributes to alleviating the crowdedness and reducing waiting time at public hospitals. All these results would be conducive to improving the efficiency of public hospitals.

However, there are some scenarios in which online dual practice can potentially worsen equity in access to public hospital care. For example, patients who seek private online consultations first can secure appointment slots that are scarce at public hospitals. The payment for online consultation is equivalent to an informal payment that permits high-income patients to access public hospital care more easily. It may also result in a deterioration in quality of care at public hospitals if dual providers overuse the Internet tools and opportunistically manipulate the quality of care to direct patients into private hospitals.

Overall, the net effect of online dual practice on health system performance remains an open question. The benefits and costs of online dual practice may depend on the specific contexts of health systems and regulatory policies on it should be health-system specific. It is important to assess how it affects the health system performance, particularly on key domains such as access, efficiency, quality of care, and patient satisfaction. Rigorous monitoring and evaluations can inform any mid-course policy adjustments, ensuring that countries can achieve their stated goals of the health system.

New Equipment Guidelines for Blinding Child Disease Released

Retinopathy of prematurity (ROP) is a leading cause of preventable blindness in babies born prematurely. Infants born pre-term can experience disruption to the blood vessels at the back of the eye, leading to one in six babies with the condition developing severe vision loss. In some hospitals, a lack of adequate training can lead to the overuse of oxygen in premature children, which causes or worsens the conditions. This is becoming particularly pronounced in low resource settings.

Because of the severity of the disease, it is recommended that premature babies be screened for the condition, as early detection can lead to much better outcomes for children’s sight. Today a new equipment guide has been published, detailing the manufacturer requirements for a low-cost imaging camera which can be used for screening babies in low resource areas.

“The world is currently experiencing a third epidemic of blindness due to ROP,” says Clare Gilbert, an author on the guide and Professor at the International Centre for Eye Health. “We need to act now to prevent further babies from experiencing irreversible blindness”

The guide is part of a series of Target Product Profiles (TPP) developed by UNICEF that aim to improve newborn care in low-resource settings. The product profiles describe the minimal and optimal characteristics for tools that can be used to improve newborn care, with the aim of encouraging research and development of such devices.

Read the TPP for ROP here: https://www.unicef.org/supply/media/10896/file/TPP-ROP-Imaging-Device.pdf


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Focus on: Retinoblastoma Network

The news regularly reports amazing new cancer treatments, promising life-saving and life-changing results for those affected by the myriad of different forms of the disease. Yet millions around the world are unable to receive even the most basic level of care afforded to those in wealthy countries.

Today is World Cancer Day, and this year’s theme is “Close the Care Gap”, bringing awareness to the equity gap that exists globally between people living with cancer and the care that they need. At ICEH we are taking this opportunity to reflect on the inequalities inherent in retinoblastoma, the most common eye cancer in children.

A child diagnosed with retinoblastoma in Europe will nearly always survive, whereas in Africa 70% of those with the condition will die.[1]  Late presentation of children to health services, late diagnosis and a lack of appropriately trained staff all contribute to these outcomes in low and middle-income countries.

As part of the VISION 2020 LINKS programme, ICEH established the Retinoblastoma network (Rb-NET) in 2017, with the aim of improving outcomes for the disease in these countries. The network consists of 10 retinoblastoma treatment centres in six Sub-Saharan African countries, who are linked with experts from specialist centres in the UK India, Israel, Europe and the USA.

Together the network trains multi-disciplinary teams who develop and deliver improved, integrated care for retinoblastoma. The network focuses on planning and developing services, establishing referral pathways, training in equipment and coordinating research across the centres involved. The network also holds regular case study meetings in which the evaluation and management of children diagnosed with retinoblastoma are discussed. As the condition is generally rare, healthcare professionals may not have seen many cases. These discussions can help to improve network members’ ability to accurately diagnose the disease and provide appropriate treatment.

Collectively, the Rb-NET, and other initiatives like it, are helping to close the care gap in cancers globally, reducing unnecessary suffering and deaths from treatable diseases.

Find out more about the Rb-NET here.


[1] Kivelä, T. (2009). The epidemiological challenge of the most frequent eye cancer: Retinoblastoma, an issue of birth and death. British Journal of Ophthalmology93(9), 1129–1131. https://doi.org/10.1136/bjo.2008.150292

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Observations on Smallpox by the 9th Century Persian Physician Rhazes (865-925) : LSHTM Rare Books Blog series No. 3.

Figure 1: Rhazes, Princeton University Chapel c. 1924–1928 (Picture by David Keddie – licensed under CC BY-SA 4.0)

Rhazes (full-name: Muhammad ibn Zakariyā al-Rāzī) made notable contributions to many areas of medicine. His manuscripts, carefully preserved down the centuries, were among the first medical books printed in Europe in the 15th century. After translation into Latin Rhazes’s writings became widely disseminated and were to influence the future direction of modern medicine.  

Rhazes wrote the first known medical description of smallpox in about 910 AD. He described the symptoms, proposed a theory for the pathology and gave directions for the treatment of the condition. He stated that survival from smallpox infection prevented an individual from acquiring the disease again. His explanation is the first theory of acquired immunity.1 The LSHTM Library holds copies of four books by Rhazes on smallpox.  

John Channing (c1703-1775), an English pharmacist, published the first edition of the Arabic text with a parallel Latin translation under the title: De variolis et morbillis  in 1766.

Figure 2: Channing’s translation of Rhazes De variolis et morbillis. 1766. Eg pp 32-33, 18-19 – any showing parallel Latin/Arabic text.

Earlier, Richard Mead (1673-1754), physician, in 1747 issued a treatise on smallpox: De variolis et morbillis liber that included a Latin translation of Rhazes’s work. The following year, 1748, a translation into English was published, and a second edition in 1755 (Mead, 1755).

Figure 3: Title page of Mead 1747

In 1848 the Sydenham Society, a society set up to promote the accessibility of medical literature by reprinting classical medical texts, commissioning translations of European medical works and by the issue of new titles, published a new edition of Rhazes translated into English from the Arabic by William Alexander Greenhill (1814-1894). Greenhill was a physician and sanitary reformer who had studied Arabic and Greek and was well qualified to edit a new edition under the title A treatise on the smallpox and measles. This scholarly book reviews the history of the publications of Rhazes on smallpox from the 15th century.

Figure 4: The Sydenham Society’s original binding of Rhazes’s A treatise on the smallpox and measles published in 1848. (A distinctive green cloth binding with blind-stamped design and gilt emblem of the Sydenham Society on front and back covers. The emblem design is after the coat of arms of the Sydenham family. Thomas Sydenham (1624-1689), English physician, gave his name to the Society).

Notes

  1. Garrison & Morton 2527.99; 5404; also 5417, 5441 online (viewed 5/1/2022).

References

BEHBEHANI, Abbas M., 1984. Rhazes : the original portrayer of smallpox. JAMA 252 (No. 22) : 3156-3159. Available online:  file:///C:/Users/alibadat/Downloads/jama_252_22_033%20(2).pdf

GARRISON, Fielding H. & MORTON, Leslie T.  History of Medicine and the Life Sciences database. Usually referred to as Garrison and Morton which can be searched at https:/www.historyofmedicine.com/

MEAD, Richard, 1747. De variolis et morbillis liber. … Rhazis, medici inter Arabas celeberrimi, de iisdem morbis Commentarius. Londini : Joannes Brindley. xvi, 197 pages. (Reece Collection 1747); available online https://archive.org/details/b30545584_0002/page/n6

MEAD, Richard, 1755. A discourse on the small pox and measles. … To which is annexed A treatise on the same diseases, by the celebrated Arabian physician Abu-Beker Rhazes. The whole translated into English, under the Author’s inspection, by Thomas Stack. Second edition. London : J. Brindley. xvi, 204 pages. (Reece Collection 1755).

RHAZES, 1766. De variolis et morbillis, arabice et latine; … cura et impensis Johannis Channing. Londini : Guilielmus Bowyer. xiv, [2], 276 pages. (Reece Collection 1766).

RHAZES, 1848. A treatise on the small-pox and measles. Translated from the original Arabic by William Alexander Greenhill. London : Sydenham Society.  viii, 212 pages.  Includes a ‘List of the officers and members of the Sydenham Society’.  (Reece Collection 1848); digital facsimile : https://iiif.wellcomecollection.org/pdf/b21301943 (viewed 19/1/2022)

MEAD on smallpox. King’s College, London. Special Collections Exhibitions. Online exhibitions. The great leveller : humanity’s struggle against infectious disease.  Mead on smallpox: https://kingscollections.org/exhibitions/specialcollections/great-leveller/smallpox/mead-on-smallpox

Some copies of Rhazes’s books were acquired with the Reece Collection – a collection of books and pamphlets on smallpox and vaccination built up by Dr. Richard James Reece (1862-1924), a medical inspector with the Local Government Board. Part of the collection was sold to LSHTM in 1925. In 1930 Dr Hugh Macewan donated the remainder.  The collection consists of 381 books, 30 volumes of pamphlets, 53 volumes of press cuttings (1881-1902) and eight boxes of pamphlets. 

LSHTM Library Rare Books Collection Blogs is an occasional posting highlighting books that are landmarks in the understanding of tropical medicine and public health.  The Rare Books Collection  was initiated by Cyril Cuthbert Barnard (1894-1959), the first Librarian, from donations and purchases, assisted with grants from the Carnegie United Kingdom Trust. There are approximately 1600 historically important rare and antiquarian books in the Rare Books Collection.      

Many of the LSHTM Library’s rare books were digitized as part of the UK Medical Heritage Library. This provides high-quality copyright-free downloads of over 200,000 books and pamphlets for the 19th and early 20th century. To help preserve the rare books, please consult the digital copy in the first instance.

If the book has not been digitized or if you need to consult the physical object, please request access on the Library’s Discover search service. Use the search function to find the book you would like to view. Click the title to view more information and then click ‘Request’. You can also email library @lshtm.ac.uk with details of the item you wish to view. A librarian will get in touch to arrange a time  for you to view the  item.

Researchers wishing to view the physical rare books must abide by the Guidelines for using the archives and complete and sign a registration form which signifies their agreement to abide by the archive rules. More information is available on the Visiting Archives webpage.

Coming soon: UKRI’s new Open Access policy!

UKRI logo

It’s what we’ve been waiting for – news on UKRI’s new open access policy, and their take on Plan S!*

The new policy applies to:

  • peer-reviewed research articles submitted for publication on or after 1 April 2022.
  • monographs, book chapters and edited collections published on or after 1 January 2024.

What follows is a quick reminder of what this will mean to researchers at LSHTM, what you need to know, and some handy tools to help you out. I’m going to focus on research articles as those changes are round the corner. Questions about other publication types? Get in touch!

What do you need to know?

Any research articles submitted after 1 April 2022 will need to comply with Plan S rules. Scratching your head wondering what on earth Plan S could be? Never fear – see below for a quick summary!

What is it, in short?
  • An initiative for full and immediate open access.
  • This means that all UKRI-funded outputs submitted after 1 April 2022 must be made open access immediately, either by publishing gold open access or green open access with a CC BY licence and no embargo.
How does it work?
How can I work out which option to use?
  • The Journal Checker Tool is a good place to start. Select your journal, funder and affiliation and see all your available options. Please note that this is quite a new tool and we do recommend that you double-check your information – contact us if you’d like help with this.
  • Get your personalised publication instructions with our Publication Pathway Generator! (Coming soon)
  • Or prefer to see all the pathways in one place? Check out our instruction flowcharts for UKRI-funded, Wellcome Trust-funded or unfunded authors.
Thinking this all looks very familiar?

For the last 5 years (ish) we have been restricting the use of LSHTM funds to fully open access journals only. Why?

  • Our funding allocation has often been depleted midway through the year even with this measure.
  • Hybrid journals have always had the option of green open access, so complying with funder requirements and making outputs publicly available.
  • The open access landscape has been moving in this direction for a while (as demonstrated by the development of Plan S). Hybrid journals have been seen by many as a bit of a smokescreen in the open access world, offering an option for open access without having to rethink their own structures.

UKRI’s policy means one big change for LSHTM authors: if you’re going green open access (depositing your accepted manuscript in Research Online via Elements) you need a CC BY licence and no embargo. Remember to use the Rights Retention Strategy statement in your submission.

This research was funded in whole or in part by [Funder] [Grant number]. For the purpose of Open Access, the author has applied a CC BY public copyright licence to any Author Accepted Manuscript (AAM) version arising from this submission.”

Deeply inspired by a great blog post from University of Plymouth, http://blogs.plymouth.ac.uk/research/2021/09/14/ukri-release-new-open-access-policy-information-for-researchers/

Read more blog posts about Plan S and other open access topics:

And remember, any questions, contact us at any time: Contact us on ServiceDesk.

*Just a quick note to say, yes, we have UKRI’s new policy. However, we don’t know every detail or implication. We don’t know how much money we will be allocated for 2022-23. We don’t know if the new policy will mean that there are other lesser-known changes to what we can and cannot fund (at the moment institutions are given some discretion but it is unclear whether this will continue). As soon as we know any more details, we will get them out to you. As it stands, this post reflects the information as it stands. Get in touch with any questions!

2021: A Year in DEPTH

DEPTH team members planning 2022 research

2021 was a busy year, for DEPTH and for researchers and communities worldwide. Here are some numbers that summarise our in-DEPTH work in 2021…


New research project, Routes: new ways to talk about Covid for better health. Focus on Gypsy Roma and Traveller communities, and migrant workers in precarious jobs. This participatory research is funded by the NIHR Public Health Policy Research Unit. The project responds to the Health and Security Agency need for urgent information on barriers and opportunities for improving health services relating to COVID-19 community prevention and response. Check out our brand-new webpage for more information. 


137 

Number of organisations and individuals contacted as part of our Routes project work, across mapping conversations, interviews, dialogue sessions and stakeholder conversations. 


Major funders for our participatory DEPTH research: UK Government FCDO (ACCESS: Approaches in Complex and Challenging Environments for Sustainable SRHR), NIHR (This Sickle Cell Life) and UK Government NIHR/DHSC (Routes: new ways to talk about Covid for better health. Focus on Gypsy Roma and Traveller communities, and migrant workers in precarious jobs). Across these projects, we are working in dialogue with communities as well as with policymakers, researchers and advocates. 


14 

Points in our preliminary guidelines for equitable academic authorship in collaborative health research. We built on good-practice guidelines from the International Committee of Medical Journal Editors (ICMJE), the British Sociological Association (BSA) and Committee on Publication Ethics (COPE) to recognise the specific needs of authors in co-production contexts, including research conducted with non-academic collaborators. You can read our guidelines, for free, here


Finalist nominations for the Royal College of Paediatrics and Child Health &Us ‘Voice Champion Award’. Dr Alicia Renedo and Dr Sam Miles were shortlisted for their work with children and young people, ‘championing their voices to inspire students and health workers at the London School of Hygiene & Tropical Medicine’. The nominations and shortlisting were run by young people. You can read more on our blog


Talented research degree students undertaking doctorates with DEPTH staff: Prima AlamCasey-Lynn CrowJulia FortierWeiqi HanErin HartmanMary MbuoMarthe Le Prevost (recently completed) and Maritza Lara Villota.  


1,278 

Total number of followers of our @DEPTH_LSHTM and our @ThisSCLife Twitter accounts. Check out our feeds out if you’re not signed up for daily updates, news articles and research findings. 


90 

Number of days we had to wind up a huge consortium project. ACCESS (Approaches in Complex and Challenging Environments for Sustainable SRHR) was axed without warning by the government in spring 2021. We nevertheless developed exciting outputs to share from our consortium work, available here. You can also read a summary of the project from our partners at IPPF (International Planned Parenthood Federation), here


2 

Strategy days to practice teamwork initiatives, discuss DEPTH priorities and plan our research strategy.  


5 

Total number of canine DEPTH team members. Gus and Ziggy are Sam and Laura’s puppies, while Bertie, Colin and Pepa are honorary doggie members!

Ziggy and Gus

We hope you enjoyed reading our ‘Year in 2021’. Watch this space for new developments in 2022…