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

开发/测试多层次干预措施（SHIELD

• 批准号: 10621050
• 负责人: SUJHA SUBRAMANIAN
• 金额: $ 5.58万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10621050
• 关键词: AIDS prevention; Address; Affect; Birth; Caregivers; Data; Economics; Enrollment; Ensure; Evidence based intervention; Female Adolescents; Focus Groups; Grant; HIV; Health Promotion; Incidence; Intervention; Interview; Lead; Maternal Health Services; Mentorship; Outcome; Parents; Planned Pregnancy; Population; Postpartum Period; Pregnancy; Pregnancy Outcome; Provider; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Resources; Service delivery model; Testing; Training; Work; Zambia; care seeking; career; experience; health care availability; health care service utilization; implementation framework; improved; member; parent grant; peer; skills; social; unintended pregnancy; young woman

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.

0B项目概要/摘要 赞比亚是世界上艾滋病毒发病率最高的国家之一，少女和年轻妇女 由于社会和经济脆弱性，AGYW 是受影响特别严重的群体。这种多样性 补充申请将建立在家长补助金的基础上，以审查 AGYW 获取和 在赞比亚怀孕期间和产后利用孕产妇保健服务。家长补助金研究 团队正在 AGYW 研究和医疗保健服务使用中收集有关怀孕的信息，但 未计划 与意外或计划寻求护理的潜在障碍相关的具体正式分析 怀孕，以及与这些怀孕相关的结果。在这份拟议的补充文件中，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，这些资源 导致最佳妊娠结局和艾滋病毒结局。拟议的研究将收集补充 通过对 AGYW 的采访获得定量数据和简短的定性信息，AGYW 报告了捐赠情况 参加研究期间过去 12 个月内出生。此外，团队还将开展焦点小组 与参加家长研究的 AGYW 家长和照顾者、同伴导航员、提供者进行讨论， 和咨询委员会成员了解他们对 AGYW 寻求孕产妇保健的看法。这 补充研究将使用实施科学框架和方法来确保拟议的 研究产生可操作的数据，以确定适当的干预措施，以解决其中发现的障碍 人口。查明的障碍还可能凸显当前循证干预措施中缺失的差距和 将为 Young 女士提供提交提案的机会，该提案的重点是创建新的或改编的 采取干预措施来解决这些障碍。杨女士将接受指导和培训以提高她的水平 研究技能和成为独立研究员的进展。她还将努力提交一份 F31在完成计划的研究活动后授予。

项目成果

Family Support for Adolescent Girls and Young Women Living With HIV in Zambia: Benefits, Challenges, and Recommendations for Intervention Development.

• DOI: 10.1097/jnc.0000000000000225
• 发表时间: 2021-03-01
• 期刊: The Journal of the Association of Nurses in AIDS Care : JANAC
• 作者: Roberts ST;Edwards P;Mulenga D;Chelwa N;Nyblade L;Brander C;Musheke M;Mbizvo M;Subramanian S
• 通讯作者: Subramanian S

Perspectives of Adolescent Girls and Young Women on Optimizing Youth-Friendly HIV and Sexual and Reproductive Health Care in Zambia.

• DOI: 10.3389/fgwh.2021.723620
• 发表时间: 2021
• 期刊: Frontiers in global women's health
• 作者: Edwards PV;Roberts ST;Chelwa N;Phiri L;Nyblade L;Mulenga D;Brander C;Musheke M;Mbizvo M;Subramanian S
• 通讯作者: Subramanian S

Integrated Health Care Delivery for Adolescents Living with and at Risk of HIV Infection: A Review of Models and Actions for Implementation.

• DOI: 10.1007/s10461-022-03787-2
• 发表时间: 2023-05
• 期刊: AIDS AND BEHAVIOR
• 影响因子: 4.4
• 作者: Subramanian, Sujha;Namusoke-Magongo, Eleanor;Edwards, Patrick;Atujuna, Millicent;Chimulwa, Teddy;Dow, Dorothy;Jalil, Emilia;Torbunde, Nguavese;Agot, Kawango;Arinaitwe, Ivan;Beizer, Jenny;Chelwa, Nachela;Mbalinda, Scovia Nalugo;Miti, Sam;Mwangwa, Florence
• 通讯作者: Mwangwa, Florence

Integrated Care Delivery for HIV Prevention and Treatment in Adolescent Girls and Young Women in Zambia: Protocol for a Cluster-Randomized Controlled Trial.

赞比亚少女和年轻妇女艾滋病毒预防和治疗的综合护理服务：整群随机对照试验方案。

• DOI: 10.2196/15314
• 发表时间: 2019
• 期刊: JMIR research protocols
• 影响因子: 1.7
• 作者: Subramanian,Sujha;Edwards,Patrick;Roberts,SarahT;Musheke,Maurice;Mbizvo,Michael
• 通讯作者: Mbizvo,Michael