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: 9368932
• 负责人: KATHERINE M TUMLINSON
• 金额: $ 6.72万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9368932
• 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 Set; 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; Life Cycle Stages; Link; Masks; Maternal Mortality; Maternal and Child Health; Measurement; Measures; Medical; Mentors; Methodology; Methods; North Carolina; Participant; Pathway interactions; Patients; Performance; Phase; Population; Population Research; Postdoctoral Fellow; Pregnancy; 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; Surveys; Techniques; Time; Training; United States National Institutes of Health; Universities; Update; Validity and Reliability; Visit; Woman; base; career; career development; design; follow-up; improved; instrument; interdisciplinary approach; meetings; mid-career faculty; multidisciplinary; novel; novel strategies; population based; population health; professor; reproductive; sexually active adolescent; skills; social stigma; tool; unintended pregnancy; urban area; 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 NIH 独立之路奖 (K99/R00) 拨款提案，旨在促进普林斯顿大学人口研究办公室博士后研究员 Katherine Tumlinson 博士的职业生涯（候选人是一名流行病学家，在计划生育和人口健康领域拥有丰富的研究记录，她的目标是将她之前的培训与严格的培训结合起来。在定性研究方法和卫生系统方面进行重点培训，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。在指导的 K99 阶段，候选人将扩大范围。她的定量和定性研究技能以及与人种学和统计专家进行互动的跨学科培训，这些专家是人口和健康研究方面多产的科学家，参与正式的教学，参加多学科研讨会、期刊俱乐部和科学会议，参与研究活动与她的导师一起，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的护理质量。这些活动将由导师 Doug Massey 博士、普林斯顿大学的 Henry G. Bryant 监督。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、北卡罗来纳大学妇幼健康研究副教授 Sian Curtis 博士和 Jeffrey Hammer 博士； ,此外，普林斯顿大学查尔斯·罗伯逊和玛丽·罗伯逊经济发展客座教授还将组建一个具有互补专业领域的合作者团队，以补充图姆林森博士在特定领域的培训。候选人达到她的研究培训和职业发展目标，并成功从博士后研究员过渡到独立研究员。在独立 K99 授予阶段，候选人将获得混合方法研究和发展中国家的额外培训。在此期间，图姆林森博士还将在肯尼亚西部设计和实施主要数据收集活动，将定性研究技术与健康相结合。在独立的 R00 授予阶段，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。减少孕产妇、婴儿和儿童这项研究的短期效益。 将为长期缺勤、贿赂和虐待患者造成的计划生育服务提供障碍这一尚未充分研究的领域做出贡献。