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: 9247239
• 负责人: KATHERINE M TUMLINSON
• 金额: $ 12.07万
• 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 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9247239
• 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（由适用提供）：这是NIH独立奖（K99/R00）的赠款提案，旨在促进普林斯顿大学人口研究办公室（OPR）博士后研究员凯瑟琳·图姆林森（Katherine Tumlinson）博士的职业，成为一项独立研究之路。该候选人是一名受过训练的流行病学家，在计划生育和人口健康领域具有重要的研究记录。她的目标是将她先前的严格定量方法培训与定性研究方法和卫生系统中的重点培训相结合，以成为避孕研究领域的领导者，并能够采用混合方法和跨学科方法，以减少发展中国家无意的生育。 During the mendored 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 product scientists in population and health research, engaging in formal didactics, attending multidisciplinary semiars, journal clubs, and scientific meetings, participating in study activities with her mentors, and by leading a project that develops novel approaches to defining and assessing quality of care in the context of发展中国家的计划生育服务提供。这些活动将由普林斯顿的亨利·G·布莱恩特社会学和公共事务教授以及三位联合官员的导师道格·梅西博士（Doug Massey Phd）进行监督：德国Rodriguez博士博士，OPR的高级研究员；北卡罗来纳大学孕产妇和儿童健康研究副教授Sian Curtis博士博士；普林斯顿的查尔斯和玛丽·罗伯逊（Marie Robertson）的经济发展教授杰弗里·哈默（Jeffrey Hammer）博士博士。此外，拥有专业知识互补领域的合作者团队将补充Tumlinson博士在特定领域的培训。共同致力于协助候选人达到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到独立研究员的成功过渡。在独立的K99奖励阶段，候选人将在混合方法研究和发展中国家卫生系统中获得额外的培训，并将使用二级数据来评估传统上定义的护理质量和持续避孕药的关系。在此期间，Tumlinson博士还将在肯尼亚西部设计和实施主要的数据收集活动，以整合定性研究技术和卫生系统方法。在独立R00奖励阶段，候选人将应用K99组件中开发的跨学科工具来评估肯尼亚的关键服务输送障碍。拟议的研究既新颖又具有重要的公共卫生重要性，并且与降低发展中国家环境中的孕产妇，婴儿和儿童死亡率相关。这项研究的短期收益 将是针对因长期旷工，贿赂和虐待患者而导致的计划生育服务提供障碍的知识领域的贡献。