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

摘要/摘要 这一多样性补充的候选人是克里斯蒂娜M。帕切科，法学博士，公共卫生硕士，美国印第安人（切罗基 拉丁裔（来自玻利维亚），堪萨斯大学研究员和教员 医疗中心（KUMC）。作为一个早期的职业调查员，长期的职业目标是成为一个 在公共卫生研究完全独立的调查员，获得终身教职，并继续 她通过对公共卫生作出重大贡献，努力解决全球人口中的卫生不平等问题。 具体而言，她的目标是制定、实施和评估符合文化特点的干预措施/战略， 解决造成卫生不平等的个人、社会、政治、文化和环境因素， 我们的目标是，帮助全球得不到充分服务/历史上具有复原力的人口，并将这些成果转化为对卫生政策的支持。 本补充材料的目的是让帕切科女士1）接受与实施科学相关的培训 与设计战略有关的理论和方法，以促进健康干预的吸收， 可持续性，2。增加她对全球因素（社会/文化，政治，环境等）的了解 影响到在不同级别、不同地区实施经证明具有成本效益的干预措施， 资源设置，以及3.建立学术出版物的跟踪记录，并提高她的赠款写作， 她可以针对全球服务不足/历史上有弹性的人群展开独立的研究生涯。她 我将在Sarah Finocchario Kessler博士、艾德Ellerbeck博士和May女士的指导下实现这些目标 Maloba和加入美国和肯尼亚研究人员对父母R 01的研究小组， 母赠款范围内的子项目，完成正式课程和研讨会，出版 她的工作，并在全国会议上提出，以建立她的技能和研究网络。 该多样性补充的拟议研究经验将是母公司R 01的一个组成部分， 评估艾滋病毒婴儿跟踪系统（HIT系统）2.1的有效性，以增加完整的 通过遵守准则的服务预防母婴传播，并增加病毒载量 抑制和适当的临床行动，通过产后6个月的延长期。女士 帕切科的子研究将建立在家长补助金的理解的实施HITT系统 成本效益。本补编的研究目的是： 1.与国家（n=4）、县（n=6）和医院一级的关键利益相关者进行34次访谈 （n=24）收集关于HIT系统扩展实施考虑因素的反馈。 2.根据与主要利益相关者访谈的数据，制定并完善3-4项实施战略 (e.g.,使用诊所冠军，激励使用HIT系统等）不同的资源设置。 将使用德尔菲方法进行优化。

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.