Developing/Testing a Multi-level Interventions (SHIELD & IWC)

0 B项目概要/摘要 赞比亚是世界上艾滋病毒感染率最高的国家之一， 由于社会和经济的脆弱性，青年妇女是一个特别受影响的群体。这种多样性 补充申请将建立在家长补助金，以检查AGYW的经验访问， 在赞比亚，妇女在怀孕期间和产后利用孕产妇保健服务。家长资助研究 研究小组正在收集研究AGYW和医疗保健服务使用中的怀孕信息， 未计划与寻求意外或计划护理的潜在障碍相关的具体正式分析 怀孕，也没有与这些怀孕有关的结果。在本拟议补编中，Alinda Young女士 （候选人）将探讨获得医疗保健和健康促进资源的障碍和促进因素， 导致最佳的妊娠结果和艾滋病毒结果。研究将收集补充资料。 通过采访AGYW获得的定量数据和简短的定性信息，AGYW报告了捐赠情况 在入组研究期间的最后12个月内出生。此外，该小组将进行焦点小组讨论， 与参加父母研究的AGYW的父母和照顾者，同行导航员，提供者， 和咨询委员会成员了解他们对AGYW寻求产妇保健的看法。的 补充研究将使用实施科学框架和方法，以确保拟议的 研究产生了可采取行动的数据，以确定适当的干预措施， 人口已查明的障碍还可能突出表明目前循证干预措施中存在的差距， 将为杨女士提供机会，提交一份提案，重点是创建新的或经过调整的 采取措施消除这些障碍。杨女士将接受指导和培训，以提高她的 研究技能和进展，成为一个独立的研究人员。她还将努力提交一份 F31补助金在计划的研究活动完成后发放。

0BPROJECT SUMMARY/ABSTRACT Zambia has one of the highest incidences of HIV in the world, and adolescent girls and young women (AGYW) are a particularly affected group because of their social and economic vulnerability. This diversity supplement application will build upon the parent grant to examine AGYW experiences accessing and utilizing maternal health services during pregnancy and postpartum in Zambia. The parent grant research team is collecting information on pregnancies among the study AGYW and health care service use but has not planned specific formal analysis related to potential barriers in seeking care for unintended or planned pregnancies, nor the outcomes related to these pregnancies. In this proposed supplement, Ms. Alinda Young (candidate) will explore barriers and facilitators to accessing health care and health-promoting resources that lead to optimal pregnancy outcomes and HIV outcomes. The proposed research will collect supplementary quantitative data and brief qualitative information through interviews with AGYW who have reported giving birth within the last 12 months while enrolled in the study. Furthermore, the team will conduct focus group discussions with parents and caregivers of AGYW enrolled in the parent study, peer navigators, providers, and advisory board members to understand their perspectives on AGYW seeking maternal health care. The supplemental study will use implementation science frameworks and approaches to ensure the proposed research yields actionable data to identify appropriate interventions to address barriers identified among this population. Barriers identified could also highlight a missing gap in current evidence-based interventions and would provide Ms. Young with the opportunity to submit a proposal focused on creating new or adapted interventions to address these barriers. Ms. Young will receive mentorship and training to improve her research skills and progress towards becoming an independent researcher. She will also work to submit an F31 grant after the completion of the planned research activities.