Service Delivery Factors Influencing Contraceptive Use Dynamics in Developing Countries: A Mixed-Methods and Cross-Disciplinary Approach

影响发展中国家避孕药具使用动态的服务提供因素：混合方法和跨学科方法

• 批准号: 9533765
• 负责人: KATHERINE M TUMLINSON
• 金额: $ 24.9万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9533765
• 关键词: Absenteeism; Accountability; Address; Adoption; Africa South of the Sahara; Age; Applications Grants; Area; Award; Calendar; Child; Child Mortality; Chronic; Client; Competence; Contraception Behavior; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Data; Data Collection; Data Sources; Demographer; Demographic Survey; Developing Countries; Doctor of Philosophy; Economic Development; Elements; Ensure; Epidemiologist; Ethnography; Event; Exposure to; Face; Family Planning; Fee-for-Service Plans; Fees; Fertility; Fertility Rates; Focus Groups; Fostering; Frequencies; German population; Goals; Health; Health care facility; Health system; Human Resources; Individual; Infant Mortality; Interview; Investigation; Journals; Kenya; Life Cycle Stages; Link; Masks; Maternal Mortality; Maternal and Child Health; Measurement; Measures; Medical; Mentors; Methodology; Methods; North Carolina; Participant; Pathway interactions; Patients; Performance; Perinatal; Phase; Population; Population Research; Postdoctoral Fellow; Pregnancy; Privatization; Provider; Public Health; Qualitative Methods; Qualitative Research; Quality of Care; Reporting; Research; Research Design; Research Methodology; Research Personnel; Research Technics; Research Training; Sampling; Scientist; Services; Sociology; Supervision; Surveys; Techniques; Time; Training; United States National Institutes of Health; Universities; Update; Validity and Reliability; Visit; Woman; career; career development; design; follow-up; improved; innovation; instrument; interdisciplinary approach; longitudinal dataset; meetings; mid-career faculty; multidisciplinary; novel; novel strategies; population based; population health; professor; prospective; public health relevance; reproductive; sexually active adolescent; skills; social stigma; tool; unintended pregnancy; urban area; urban dwelling; young woman

 DESCRIPTION (provided by applicant): This is an NIH Pathway to Independence Award (K99/R00) grant proposal, intended to foster the career of Dr. Katherine Tumlinson, PhD, a post-doctoral research fellow at Princeton University's Office of Population Research (OPR), into a path of independent research. The Candidate is a trained epidemiologist with a significant track record of research in the field of family planning and population health. Her goal is to integrate her prior training in rigorous quantitative methodology with focused training in qualitative research methods and health systems to become a leader in the field of contraceptive research with the ability to apply a mixed- methods and interdisciplinary approach to reduce unintended fertility in developing countries. During the mentored K99 phase the Candidate will expand her quantitative and qualitative research skills and cross- disciplinary training by interacting with both ethnographic and statistical experts who are productive scientists in population and health research, engaging in formal didactics, attending multidisciplinary seminars, journal clubs, and scientific meetings, participating in study activitis with her mentors, and by leading a project that develops novel approaches to defining and assessing quality of care in the context of family planning service delivery in developing countries. These activities will be supervised by mentor Dr. Doug Massey PhD, Princeton's Henry G. Bryant Professor of Sociology and Public Affair and three co-mentors: Dr. German Rodriguez PhD, Senior Research Demographer at OPR; Dr. Sian Curtis PhD, Research Associate Professor in Maternal and Child Health at University of North Carolina; and Dr. Jeffrey Hammer PhD, Princeton's Charles and Marie Robertson Visiting Professor in Economic Development. In addition, a team of collaborators with complementary areas of expertise will supplement Dr. Tumlinson's training in specific areas. Together, the mentor, co-mentors, and collaborators are fully committed to assisting the Candidate reach her research training and career development goals and to ensuring the Candidate's successful transition from postdoctoral fellow to independent researcher. During the independent K99 award phase, the Candidate will obtain additional training in mixed methods research and developing country health systems and will use secondary data to assess the relationship between quality of care, as traditionally defined, and continued contraceptive use. During this time Dr. Tumlinson will also design and implement primary data collection activities in Western Kenya that integrate qualitative research techniques and health systems approaches. During the independent R00 award phase, the Candidate will apply the cross-disciplinary tools developed during the K99 component to assess critical service delivery barriers in Kenya. The proposed research is both novel and of major public health importance, with enormous relevance for reducing maternal, infant, and child mortality in developing country settings. The short-term benefits from this study will be a contribution to the understudied area of family planning service delivery barriers resulting from chronic absenteeism, bribery, and patient abuse.

 描述（由申请人提供）：这是一个美国国立卫生研究院独立之路奖（K99/R 00）赠款提案，旨在促进凯瑟琳图姆林森博士的职业生涯，博士，普林斯顿大学人口研究办公室（OPR）的博士后研究员，进入独立研究的道路。候选人是一名训练有素的流行病学家，在计划生育和人口健康领域有着重要的研究记录。她的目标是将她之前在严格的定量方法方面的培训与定性研究方法和卫生系统方面的重点培训相结合，成为避孕研究领域的领导者，能够应用混合方法和跨学科方法来减少发展中国家的意外生育。在辅导K99阶段，候选人将通过与人口和健康研究领域富有成效的科学家民族志和统计专家互动，参与正式教学，参加多学科研讨会，期刊俱乐部和科学会议，与导师一起参加研究活动，并领导一个项目，开发新的方法来定义和评估发展中国家计划生育服务提供方面的护理质量。这些活动将由导师道格梅西博士，普林斯顿大学的亨利G。布莱恩特社会学和公共事务教授和三位共同导师：OPR高级研究人口统计学家German Rodriguez博士;北卡罗来纳州大学妇幼保健研究副教授Sian Curtis博士;普林斯顿大学经济发展查尔斯和玛丽罗伯逊客座教授Jeffrey Hammer博士。此外，一个具有互补专业领域的合作者团队将补充Tumlinson博士在特定领域的培训。导师，共同导师和合作者共同致力于帮助候选人实现她的研究培训和职业发展目标，并确保候选人从博士后研究员成功过渡到独立研究员。在K99独立奖阶段，候选人将获得混合方法研究和发展中国家卫生系统方面的额外培训，并将使用二手数据评估传统定义的护理质量与继续使用避孕药具之间的关系。在此期间，Tumlinson博士还将在肯尼亚西部设计和实施整合定性研究技术和卫生系统方法的主要数据收集活动。在独立的R 00奖阶段，候选人将应用K99部分开发的跨学科工具来评估肯尼亚的关键服务提供障碍。拟议的研究既新颖又具有重大的公共卫生意义，对降低发展中国家的孕产妇、婴儿和儿童死亡率具有巨大的意义。这项研究的短期效益 将有助于解决长期缺勤、贿赂和虐待病人造成的计划生育服务提供障碍这一尚未充分研究的领域。