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Evaluating the HITSystem to Improve PMTCT Retention and Maternal Viral Suppression in Kenya

评估 HIT 系统以改善肯尼亚 PMTCT 保留和母体病毒抑制

基本信息

批准号：
10729715
负责人：
SARAH Finocchario KESSLER
金额：
$ 13.83万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-12-18 至 2024-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10729715
关键词：
Address American American Indians Bolivia Cherokee Indian Clinic Clinical County Data Environmental Risk Factor Faculty Feedback Funding Goals Grant Guidelines HIV Health Health Policy Hospitals Individual Infant International Intervention Interview Kansas Kenya Knowledge Latina Lead Medical center Mentors Mentorship Methods National Institute of Mental Health Parents Politics Population Positioning Attribute Postpartum Period Prevention Public Health Publications Publishing Quechua Research Research Personnel Resources Scientist Services System Training Translating Universities Vertical Disease Transmission Viral Viral Load result Work Writing career cost effective intervention cost effectiveness design efficacy evaluation experience health inequalities implementation science implementation strategy improved member parent grant public health research resilience scale up skills social symposium tenure track theories uptake

项目摘要

Summary/Abstract The candidate for this diversity supplement is Christina M. Pacheco, JD, MPH, an American Indian (Cherokee and Quechua) - Latina (heritage from Bolivia) researcher and faculty member at The University of Kansas Medical Center (KUMC). As an early career investigator, long-term career goal is to become a fully independent investigator in public health research, obtaining a tenure track faculty position, and continuing her efforts to address health inequities among global populations by making major contributions to public health. Specifically, her goal is to develop, implement and evaluate culturally tailored interventions/strategies that address individual, social, political, cultural and environmental factors that contribute to health inequities among global underserved/historically resilient populations and to translate those results into support for health policies. The goals of this supplement are for Ms. Pacheco to 1) Receive training in implementation science as it relates to the theories and methods relevant to design strategies to facilitate health intervention uptake and sustainability, 2. Increase her knowledge about the global factors (social/cultural, political, environmental, etc.) impacting implementation of proven cost-effective interventions at different stake-holder levels, in varied resource settings, and 3. Establish a track record of scholarly publications and enhance her grant writing so that she can launch an independent research career with global underserved/ historically resilient populations. She will accomplish these goals under the mentorship of Drs. Sarah Finocchario Kessler, Ed Ellerbeck and Ms. May Maloba and by joining the team of American and Kenyan researchers on the parent R01, taking the lead on a sub-project contained within the scope of the parent grant, completing formal courses and seminars, publishing her work, and presenting at national conferences to build her skills and research network. The proposed research experience of this diversity supplement will be an integral component of the parent R01, which evaluates the efficacy of the HIV Infant Tracking System (HITSystem) 2.1 to increase the complete prevention of mother-to-child transmission retention with guideline-adherent services and to increase viral load suppression and appropriate clinical action through the extended period of 6 months postpartum. Ms. Pacheco’s sub-study will build on the parent grant’s understanding of the implementation of the HITT System cost-effectiveness. The research aims of this supplement are to: 1. Conduct 34 interviews with key stakeholders at the national (n=4), county (n=6), and hospital- level (n=24) to gather feedback on implementation considerations for HITSystem scale up. 2. Based on data from key stakeholder interviews, develop and refine 3-4 implementation strategies (e.g., use of a clinic champion, incentivizing use of HITSystem, etc.) for varied resource settings. Refinement will be done using a Delphi method.

摘要/文摘