News

ATTACH study hosts a workshop to strategize improving pediatric to adult HIV care transition

This week, the “Transitioning from Pediatric to Adult HIV Care in Kenya (ATTACH)” study team held a workshop in Nairobi, Kenya to discuss strategies to improve transition of adolescents into adult HIV care.  Dr. Kristin Beima-Sofie, Global WACh co-investigator for ATTACH, traveled to Kenya with UW student researchers, Dr. Irene Njuguna and Danae Black.   Participants also included members from Kenya National AIDS and STD Control Programme (NASCOP), a unit established in 1987 to lead the Kenya Ministry of Health’s interventions in the fight against HIV and AIDS.  The multi-day workshop provided a forum for thoughtful, energizing conversations on ways to collaborate on this important issue.

As more HIV-infected children and adolescents survive into adulthood, maintaining successful and uninterrupted transitions into adult HIV care clinics have become a priority in the HIV/AIDS research community.  Adolescents having “grown up” under pediatric HIV care may experience deep loss of their support system and feel less prepared to assume responsibility for themselves in adult care.  The transition is a vulnerable point when adolescents are at risk of disengagement from HIV care altogether.  It is critical they maintain uninterrupted HIV care to stay healthy, maintain low viral load, and reduce further transmission.

ATTACH aims to evaluate co-factors of effective transitions and adapt, implement, and test two interventions to enhance successful transitions between care clinics.  Dr. Grace John-Stewart serves as the Principal Investigator, and collaborates with co-principal investigator, Dr. Dalton Walmalwa of Kenyatta National Hospital in Kenya.  ATTACH is currently in its second year and is anticipated to end in 2021.

Global WACh Attends 2018 AIDS Conference in Amsterdam

The International Aids Society hosted the 22nd International AIDS Conference (AIDS 2018) in Amsterdam from July 23-27, 2018.  This year, the conference objectives focused on advancing knowledge of HIV through research findings, promoting evidence-based HIV responses tailored to key populations, activating and galvanizing political commitment and accountability, addressing gaps in and highlighting the critical role of HIV prevention, as well as spotlighting the epidemic and HIV response in Eastern Europe and Central Asia.

Global WACh faculty, staff, student research assistants, and international collaborators had a strong presence at the conference to share and discuss a number of selected abstracts.  In total, 12 members attended, with four selected abstracts for oral presentations and seven poster abstracts at AIDS 2018.  Some members participated in the pre-conference event, the 10th Workshop on HIV Pediatrics from July 20-21, where eight selected poster abstracts were featured.

Global WACh researchers at the HIV Pediatrics Workshop, a pre-conference event to the International AIDS Conference in Amsterdam. Pictured from top left to right: Grace John-Stewart, Anjuli Wagner, Danae Black, Kristin Beima-Sofie, Irene Nujunga. From bottom left to right: Cyrus Mugo and Dr. Keshet Ronen

 

Researchers at the HIV Pediatrics Workshop Posterwalk:

Rabi Yunusa, MPH student, at the Pediatrics HIV Workshop posterwalk.

  • HIV-exposed uninfected children have poorer neurocognitive outcomes than HIV-unexposed children (Rabi Yunusa, MPH Student)
    This abstract compared neurocognitive outcomes in HIV-exposed uninfected (HEU) and HIV-unexposed uninfected (HUU) school-aged children in Kenya. The results show that HEU children had significantly lower processing speed, memory, and attention scores.

Danae Black, Epidemiology PhD student, at the Pediatrics HIV workshop.

  • Intensified case finding and tuberculosis preventive treatment among HIV-infected adolescents in Kenya (Danae Black, Epidemiology PhD student)
    Danae’s descriptive research methods aim to quantify tuberculosis (TB) symptom screening and isoniazid (an antiobiotic used to treat and prevent TB) preventative treatment use which is not well quantified in Kenya.
  • PrEP uptake among pregnant and postpartum women: results from a large implementation program (Dr. John Kinuthia, MBChB, Kenyatta National Hospital, Kenya)
    This abstract was also selected as an oral presentation at the IAS main stage (see summary below).
  • Newly diagnosed HIV-infected children: a unique index case to improve HIV diagnosis and linkage to care of parents (Jillian Neary, MPH, Study Coordinator)
    The abstract’s conclusions can inform interventions to improve testing, diagnosis, and linkage to HIV care for previously undiagonsed parents of newly diagnosed HIV-infected children.

Drs. Kristin Beima-Sofie and Irene Njunga discuss their poster, “Transitioning adolescents to adult HIV care: Health facility models of care and transition practices in Kenya” at the HIV Pediatrics Workshop.

  • Transitioning adolescents to adult HIV care: Health facility models of care and transition practices in Kenya (Dr. Irene Njuguna, MBChB, Kenyatta National Hospital; Epidemiology PhD Student)
    The abstract described the varying models of care and transition practices among health care facilities that serve adolescents moving to adult HIV care. Developing a consensus in uniform high quality care can help improve the health of this population and lower HIV transmission.
  • Cofactors of mortality among hospitalized HIV infected children newly initiating ART in Kenya (Dr. Irene Njuguna, MBChB, Kenyatta National Hospital; Epidemiology PhD Student)
    This abstract highlighted the need to rapidly identify HIV-infected children who are hospitalized for acute infectious diseases, such as pneumonia and tuberculosis, and initiate HIV treatment before symptoms of the disease worsen. This strategy can improve the chances of survival among this vulnerable population.
  • Adolescent-specific provider training and provision of services is associated with retention in Kenyan HIV clinics (Dr. Kate Wilson, PhD, Post-Doctoral Fellow, Global Health; with Cyrus Mugo, MBChB, University of Nairobi, Kenya
    This abstract was also featured at AIDS Conference (see summary below).

Dr. Keshet Ronen presents her poster at the Pediatrics HIV Workshop.

  • Youth perspectives on and access to a WhatsApp-based HIV treatment support tool in Nairobi, Kenya (Dr. Keshet Ronen, PhD, Research Scientist, Global Health)
    This abstract highlighted the desires among youth living with HIV for a free-form communication platform with peers to provide emotional, instrumental, and companionship support. This is a promising strategy to connect this population to health education, motivation and behavioral skills for ART adherence, and social support.

 

 

 

 

 

Oral presentations given by Global WACh researchers at AIDS 2018:

 

 

 

  • Dr. John Kinuthia, MBChB, a long-time collaborator from Kenyatta National Hospital in Nairobi, Kenya, also presented on the success of the PrIYA program in “PrEP uptake among pregnant and postpartum women: results from a large implementation program.” In total, they conducted 9,704 assessments among pregnant/postpartum clients for behavioral risk factors and willingness to consider PrEP.  1,856 (19%) of encounters led to PrEP initiation and PrEP initiators tended to be younger and more likely to have HIV risk factors than those who declined PrEP. 

     

 

 

Dr. Keshet Ronen presenting at AIDS 2018.

 

 

 

 

 

Selected abstract posters by Global WACh researchers at AIDS 2018:

Global WACh Researchers Head to 2018 AIDS Conference!

 

Several Global WACh researchers are heading to Amsterdam, Netherlands for the 22nd International AIDS Conference (AIDS 2018)!  Many are also attending the pre-conference Workshop on HIV Pediatrics. Whether attending as invited speakers or participants, we’re pleased that our researchers have a presence at IAS, the largest conference on any global health or development issue, and provides a unique forum for the intersection of science, advocacy, and human rights.  Global WACh is proud to support global leaders who are committed to positively impact the lives of women, adolescents, and children.  See the full list of selected abstracts here.

Dr. Brandon Guthrie receives award for mHealth intervention to improve transition from pediatric to adult HIV care

Congratulations to Dr. Brandon Guthrie, PhD, MPH, Assistant Professor of Global Health and Epidemiology, who received a NIH R34 Clinical Trial Planning Grant award to develop and test a mobile health technology (mHealth) based intervention to support youth transitioning from pediatric to adult HIV care in Kenya!  He is leading a team of researchers from the University of Washington, whoinclude Drs. Jennifer Unger, PhD (Assistant Professor, Obstetrics and Gynecology), Keshet Ronen, PhD (Research Scientist, Global Health), and Kristin Beima-Sofie, PhD (Research Scientist, Global Health). The team is also partnering with Dr. Megan Moreno, MD, from the University of Wisconsin School of Medicine and Public Health Pediatrics Department, and with long-time collaborators from Kenyatta National Hospital.

Dr. Guthrie’s award for the mPACT (mHealth strategies for the Pediatric to Adult HIV Care Transition) intervention will pilot a mHealth framework that uses a combination of group peer support and one-to-one communication with a healthcare provider specially trained in youth HIV care.  Youth (ages 10-24) represent a growing proportion of people living with HIV, and they are at high risk of disengagement during the transition of care.  For youth having grown up under the care of pediatric health care providers, they can feel reluctant to lose their relationship with providers.  Youth can also face challenges as they switch to an adult provider who is not knowledgeable about the unique care needs of adolescents living with HIV, nor have the flexibility to help facilitate the transition process.Lastly, youth may not feel prepared to assume independent responsibility for their health as needed in adult HIV care.  To keep youth linked to HIV care, it is important to find ways to provide adequate support that hinges on uninterrupted and successful transition to adult care.  Continuous HIV treatment not only improves the health of people living with HIV (PLWH) and their chances of survival, it is also a highly effective strategy to prevent HIV transmission to others.

mHealth is a promising approach to engage HIV-positive patients beyond the clinic as they are capable of sending medication reminders, educational messages, and opportunities for improved patient-provider communication through mobile devices.  These features have helped PLWH adhere to their treatment and care,and improve physical and psychological well-being.  Dr. Guthrie and his team hope the mPACT intervention will enable a high degree of engagement during the critical period of transition, and tailored communication that is responsive to the concerns of youth and their health care providers.

By April 2021, the team will develop messaging content and pilot mPACT to determine its effects on youth’s transition preparedness, antiretroviral therapy (ART) knowledge, and on psychosocial topics, like stigma, depression, and social and caregiver support.  The results from this project will help the team prepare for a larger trial to assess mPACT’s impact on successful transition and clinical outcomes.  We look forward to following their progress and sharing updates!

Global WACh Wishes Margaret Thompson, Pre-Award Grant Manager, a Happy Retirement!

 

With sadness but warmest wishes for her future, Global WACh announces Margaret Thompson’s retirement on August 1st.  She has supported the Center as the Pre-Award Grant Manager, helping faculty and trainees navigate the complex grant submission processes in pursuit of scientific discovery to benefit women, adolescents, and children around the world.  She also serves as the Program Manager of the Kenya Research & Training Center (KRTC), supporting the administrative and operational needs of the Center and its faculty members. She is a critical social presence in the workplace, assisting with the University’s Whole U “Raise The Bar” initiative last summer and hosting the annual holiday party in her home.

Margaret was hired in 2002 to work with Dr. Grace John-Stewart (the current Director of Global WACh) and the International AIDS Research and Training Program (IARTP).  Margaret played a crucial role in supporting Dr. John-Stewart as she began mentoring young researchers in training, such as Drs. Michael Chung, Carey Farquhar, Scott McClelland, and Judd Walson, who are all now lead investigators of their own large studies and mentor trainees!  Over the years, she has crossed paths with students and fellows who have grown within the Department and now hold faculty positions affiliated with Global WACh and KRTC: Drs. Sarah Benki-Nugent, Alison Drake, Susan Graham, Brandon Guthrie, Sylvia LaCourse, Patty Pavlinac, Barbra Richardson, Alison Roxby, Jennifer Slyker, and Jennifer Unger to name a few!

Throwback photo of Margaret (far left) with researchers who are now current DGH faculty members.

What’s next after retirement?  Margaret plans to enjoy her time off, travel, exercise, spend time with her family, and possibly explore a new career path.  Perhaps we might see Margaret again at UW, but for now, we honor her 16 years of service and contribution to the Department of Global Health.  We will miss her warm personality, stylish and colorful fashion flare, and dedication to the team in the workplace!

SCOPE trains community leaders and health workers as Maternal Health Advocates for FLAME study

In June, the SCOPE program held a training for their FLAME study in Gondar, Ethiopia. FLAME, which stands for Faith Leaders Advocating for Maternal Empowerment, is testing an intervention that brings communities together to improve access to antenatal and delivery care for women in rural Ethiopia. The training brought 122 community leaders and health workers from across the North Gondar region who will be change agents in their community and promote safe pregnancy and delivery. The study, led by Dr. Getahun Asres at the University of Gondar, will follow the work of these change agents, known as Maternal Health Advocates, over the next year to see if their outreach increases the use of lifesaving and free health services in Ethiopia.  Follow our graduate student fellows from the University of Washington on the SCOPE blog, SCOPE stories, as they work alongside our partners at the University of Gondar in implementing the program.

Dr. Getahun Asres, who is leading FLAME, speaks to community participants at the training in June.

FLAME brings in community faith leaders to serve as Maternal Health Advocates, and promote safe pregnancy and delivery.

Faith leaders, community members, and health care workers gathered to learn how to advocate for improved access to antenatal and delivery care for women.

A training participant shares her thoughts.

Current SCOPE Fellow and UW Doctor of Nursing Practice student, Rebekah Maldonado-Nofziger, pictured with Dr. Getahun Asres

Community members received a certificate for participating in the training.

Photo credit: Florian Dahms
Participants provided consent to being photographed.

Congratulations to Global WACh Certificate Students, Class of 2018

This year, Global WACh graduated its largest class ever of Certificate Program students. Nine students from the Schools of Nursing, Public Administration, Public Health, and Social Work presented their capstone project posters at the “Next Big Thing” annual year-end celebration in May at the UW HUB Lyceum.

Students strike a pose at Global WACh’s Next Big Thing event.

The students’ poster presentations marked the end of their academic journeys in the program.  As students completed coursework and attended monthly meetings, they received mentorship, a foundation of knowledge and skills, and hands-on practical experience in the field of global health related to women, adolescents, and children.  Each student also completed a capstone project on a topic related to woman, adolescent, and child health and created a poster to highlight the outcome of their work.  Through their capstone work, students made invaluable contributions to ongoing projects at Global WACh, local health organizations, and institutions around the world.

We wish them the best in their future endeavors and look forward to seeing how they serve as leaders in global woman, adolescent, and child health!  Read more about the students’ capstone projects below.

Alyssa Bosold, MPH, Maternal Child Health Track

“Assessing contraceptive discontinuation to inform design of a mobile health survey in Kenya”

Alyssa conducted preliminary research for Dr. Alison Drake’s Mobile Data Collection of Contraceptive Use, Behaviors, and Experiences (mCUBE) study, which aims to learn more about contraception discontinuation behaviors among women through short SMS surveys.  Alyssa reviewed existing data related to contraceptive satisfaction, discontinuation, initiation, and method switching.  Major reasons included negative side effects reported by women, such as irregular bleeding, headaches, cramping, vaginal discharge, and discomfort during sexual intercourse to name a few.  Women also reported forgetting to use contraceptives or feeling too inconvenienced by the method to take them (specific to pills and condoms); concern about effectiveness and their partner’s disapproval.  Alyssa’s findings helped informed the design of mCUBE’s SMS survey questions.

Yilin Chen, MPH, Global Health Track

“A cost analysis of Mobile WACh X study in Kenya”

Yilin estimated incremental costs associated with one-way and two-way SMS interventions in Dr. Jennifer Unger’s Mobile WACh X study, which evaluates an interactive human-computer hybrid SMS intervention to encourage pregnant women to continue antiretroviral therapy (ART) in Kenya.  ART can reduce mother-to-child HIV transmission (PMTCT).  Through a combination of interviews with health facility staff at two sites (in an urban and rural setting) and analysis of expense report data, Yilin found the average cost of the intervention per patient ranged between $29 and $45. Due to higher patient numbers, costs were cheaper in the urban health center compared to the rural center.  Yilin’s results showed that a larger share of total costs relates to system development and communication factors, such as internet costs and mobile phone minutes.  This suggests that as the Mobile WACh X model scales up, there are opportunities to lower the costs.

Chantal Donahue, MPH, Global Health Track

“Multi-level correlates influencing provider deviations from established pediatric treatment and guidelines: A systematic review and meta-analysis”

The global research network, Childhood Acute Illness and Nutrition Network (CHAIN), led by Dr. Judd Walson as the UW Site Principal Investigator, learned through household surveys conducted in 39 countries that many acutely ill children aren’t provided with evidence-based interventions when they arrive at health care facilities.  Chantal teamed up with the UW CHAIN staff to screen over 2,800 abstracts and narrow down 57 eligible publications to lay the context for writing a new manuscript.  The literature review aimed to identify factors that influence provider behaviors and how far the behavior strays from pediatric care guidelines.  Chantal helped identify 18 correlating factors, with provider training, perceived disease severity, and patient age emerging as the most commonly studied.  This summer, Chantal is hired as a research assistant to help complete the review, which will help the team conduct a meta-analysis (a statistical analysis that combines the results of multiple scientific studies) to write a manuscript for publication.

Christina DuJardin, MSW, MPH, Global Health Track

“Human trafficking in Washington State: A demographic landscape”

As a dual Public Health and Social Work graduate student, Christina viewed a global issue through a local lens.  The International Labour Organization estimates that nearly 21 million people are trapped in forced labor and forced sexual exploitation.  WA State is considered an ideal location for human trafficking due to its shared international border with Canada, abundant seaports, rural areas, and economic centers.  Christina collected national and state data to create a demographic landscape.  She found 163 human trafficking cases reported in 10 counties across WA State, with more cases likely unreported.  Christina’s finding suggests the need for a single reporting system to better collect data, and inform strategies to intervene and prevent human trafficking practices on a local and global scale.

Sheldon Halsted, MPH, Global Health Track

“Situational analysis of infant feeding and religious fasting in North Gondar, Ethiopia”

As a Strengthening Care and Opportunities in Partnership in Ethiopia (SCOPE) Fellow last Fall, Sheldon explored the intersection between infant breastfeeding and religious fasting.  Religious fasting is an integral component of the Ethiopian Orthodox tradition, with over 200 fasting days per year, which poses a risk for poor health implications for mother and baby.  From a combination of literature reviews on religious practices related to breastfeeding, research on the Ethiopian infant feeding guidelines, and interviews with religious leaders and health care workers, Sheldon concluded that an intervention that advises pregnant and lactating women to change their fasting practices is not feasible.  Instead, the intervention could focus on the importance of a nutritional diet while fasting.

Elizabeth Karman, MPH, Global Health Track

“Teaching and Assessing Communication and Interpersonal Skills for Health Care Workers: A Video Analysis and Literature Review”

In Kenya, adolescents and young adults often report poor provider-patient interaction as a barrier to HIV care linkage and retention. The Simulated Patient Encounters to promote Early Detection (SPEED) study, led by Dr. Pamela Kohler, used a novel video-recorded standardized patient training intervention to improve communication skills and quality of care by using actors to portray young patients living with HIV.  Elizabeth reviewed the simulated videos and conducted literature review to identify other existing relevant assessment tools.  She compiled a list describing 23 commonly used tools to address the assessment gap.  Her findings included frequent mismatch between skills taught and skills assessed, and that many communication skills measured were not correlated with desired outcomes (such as increased patient satisfaction or perception of empathy).  There were no tools for communication and interpersonal skills specifically for the unique challenges (i.e. cultural differences, health system capacity, and provider training curriculum) in low-to-middle income countries.  Elizabeth shared several strong recommendations that can help SPEED and other studies improve patient-provider communication.  For example, if a health system is using an existing assessment tool, consider the level of validity and standardization for reliability, and use the tool in an appropriate context.

Wamaitha Kiarie, MPA, and Kellie List, MPA

“PATH Self-injection of DMPA-SC in Uganda: Evaluating best practices for introduction and scale-up”

Wamaitha and Kellie teamed up to assist PATH’s Self-Injections Best Practices project, which focuses on how a self-injection contraception (called DMPA-SC) model can scale up nationally in Uganda.  The project previously conducted five evaluation phases of self-injection best practices.  Based on the evaluation results, Wamaitha and Kellie offered suggestions on how to best design and effectively implement self-injection programs through various family planning service delivery channels.  Their suggestions included identifying partner organizations as stakeholders and involving them in the program planning and design, offering additional time to train health educators and providers about DMPA-SC, and including feedback from adolescents (who are a primary targeted population for this program) regarding the user-face design.

Carlie Sulpizio, MPH

“Surveillance of Zika-related microcephaly in sub-Saharan Africa and Asia”

For six months, Carlie served as an intern at the Pasteur Institute in Paris, France, where she assisted the surveillance of Zika-related health complications in Sub-saharan Africa and Asia.  Her capstone projected explored whether Zika is responsible for a neurological complication, microcephaly.  Carlie developed a manual to offer researchers an overview of the global incidence of microcephaly, and a description of the clinical, laboratory, and imaging characteristics of infants with Zika-related microcephaly.  She also translated REDCap survey questionnaires from English to French, in which the Pasteur Institute planned to conduct at several health facilities this summer.

Dr. Jillian Pintye receives award to measure antiretroviral exposure in mothers and infants using hair samples

Dr. Jillian Pintye, PhD, RN, MPH, Senior Fellow and Trainee with Global WACh and the Department of Global Health, is a recipient of a NIH R21 Exploratory/Developmental Research Grant Award!  Her project entitled “Assessing Mother and Infant Antiretroviral Exposure Using Hair Measures” is a two-year grant that will begin in the coming weeks and end during summer 2020.  She is serving as one of two Primary Investigators with Dr. Monica Gandhi from the University of California, San Francisco (UCSF), who is a leader in the field of HIV and women, and biomarkers for antiretroviral therapy exposure.

Together, they are working with Dr. Deborah Kacanek from the Harvard School of Public Health (HSPH) to learn more about antiretroviral exposures from pregnant women to their babies.  Although antiretroviral (ARV) medication is a key strategy to prevent maternal-to-child HIV transmission (PMTCT), there is less research around the degree of transfer of ARV from mother to baby during pregnancy.  How much of the medication actually transfers to babies in utero?

To answer this question, Dr. Pintye and her team will analyze ARV concentrations from 700 hair samples collected from the NIH-funded “Surveillance Monitoring for ART Toxicities Study in HIV-uninfected Children Born to HIV-infected Women (SMARTT)” study cohort.  Some ARVs can be harmful to mothers and babies, and the adverse health outcomes varies from drug to drug.  By measuring hair concentrations, the team can find patterns of drug exposure and toxicity levels, and assess which HIV regimens are safe and effective.  ARV toxicity is a concern because it is associated with adverse birth outcomes, manifesting as stillbirths, low birth weight, or birth defects.  Lower toxicity to babies in utero reduces adverse pregnancy or other infant outcomes.

The results of this study will help inform researchers and health care providers on which regimens HIV-positive mothers should take during pregnancy.  Selecting the right medication can maximize protection for PMTCT, while minimizing toxicity to the infant and saving their lives.

Congratulations to Dr. Pintye and her colleagues for their award!  We look forward to learning what their research reveals.

The mCUBE study, funded by Grand Challenges Explorations, seeks to understand women’s contraceptive preferences and behaviors in Kenya

Written by Alison Drake, Assistant Professor of Global Health, and Claire Rothschild, Epidemiology PhD student and mCUBE Research Assistant

As mobile phone ownership is rapidly growing around the world, crowdsourcing – asking questions to solicit information from large groups of people – is an increasingly attractive way to conduct global health research. In Kenya, nearly 90% of the population has access to a mobile phone,[1] and capturing data through mobile phones may provide a low-cost and effective solution for tracking health outcomes over time.

In 2017, Global WACh’s Dr. Alison Drake, Assistant Professor of Global Health, was awarded a Gates Grand Challenges Explorations grant to explore this idea – how mobile phones might be used to understand Kenyan women’s experience using family planning over time. Women and girls face major challenges using family planning, including side effects, stigma, cost, and barriers to access. Overall, 1 in 3 women starting a modern method of contraception stop using it within 1 year, and over half stop within 2 years.[2] This phenomenon is called the “leaking bucket”[3]  in family planning coverage, making efforts to achieve universal access to family planning worldwide extremely difficult.

In partnership with PATH-Kenya, the Mobile Data Collection of Contraceptive Use, Behaviors, and Experiences (mCUBE) study is collecting information from Kenyan women using family planning in real-time through surveys distributed directly to their phone via short message system (SMS). The survey technology, developed by the Kenya-based mobile technology firm mSurvey, allows SMS questions to be personalized based on language, family planning method, and prior SMS responses.

Dr. Alison Drake and the mCUBE research team at a January 2018 training in Kisumu, Kenya

The team developed short and simple SMS surveys in four languages (English, Swahili, Luo, and Kisii) that could easily be completed in 5-10 minutes, and could capture important information on women’s experiences and challenges using family planning methods. This task was challenging, as SMS questions need to be clear and straightforward enough to ensure women can complete surveys on their own, but within a 160 character count limit. In some instances, when text is translated from one language to another, the length of the translated text can differ. The team consulted with members of the Global WACh Family Planning Working Group and staff from Global WACh’s collaborating institution, UW-Kenya, to further simplify questions as much as possible.  The mCUBE study team enrolled participants from February 2018 to April 2018 from 10 public facilities across 5 counties in Western Kenya. A total of 1,270 women were enrolled, including 12% who didn’t have their phones at the time of enrollment and completed SMS registration remotely.

mCUBE Kenya Study Coordinator, Peninah Kithao, (right) meets with research assistant, Benard Otieno (left)

Once enrolled in the study and the SMS system, women receive weekly SMS surveys about their experience using family planning over the next 6 months.  mCUBE is also using SMS to collect information about the health facilities where women and girls are seeking their family planning care. Together, this information can be connected to individual participants, providing insight into the quality of family planning services and the impact quality may have on family planning use and satisfaction.

We look forward to seeing the results of the study, with completion of follow-up anticipated in October 2018!


[1] http://www.ca.go.ke/index.php/what-we-do/94-news/366-kenya-s-mobile-penetration-hits-88-per-cent
[2] Castle S, Askew I. Contraceptive discontinuation: reasons, challenges, and solutions. FP2020, Population Council. 2016 [cited 12 September 2017]. Available from: <http://www.familyplanning2020.org/microsite/contraceptivediscontinuation>
[3] Jain AK. Fertility reduction and the quality of family planning services. Stud Fam Plann. 1989;20(1):1-16.

 

You’re invited to Global WACh’s annual end-of-year celebration!

THURSDAY, MAY 17TH 
4 – 6 PM
University of Washington Husky Union Building Lyceum
4001 Stevens Way NE, Seattle, WA 98115

Kindly RSVP your attendance: https://goo.gl/forms/w6c26tU9S4HJ1kri2 

Join us in celebrating our achievements this year in research, training, and service!  Dr. Amita Gupta, MD, MHS of Johns Hopkins University will present the keynote address for our exciting one-hour program featuring speakers leading in the field of preventing mother-to-child pathogenic transmission.  Following the program, come network with Global WACh researchers and community members at our reception and poster session.  We are pleased to feature capstone projects of graduating students from the Global WACh Certificate Program.  Light refreshments will be served.

Welcome Address

Dr. Grace John-Stewart, MD, PhD, MPH
Director, Global WACh
Professor, UW Epidemiology, Global Health, Medicine, and Pediatrics

 

 

Keynote: Inclusion of pregnant women in therapeutic trials for prevention and treatment of infectious diseases. Why it really matters!

Dr. Amita Gupta, MD, MHS
Deputy Director, Johns Hopkins Center for Clinical Global Health Education
Associate Professor, Johns Hopkins School of Medicine Infectious Diseases Division

 

Caregivers as a potential source for Cryptosprodium infection in Kenyan children

Dr. Patricia Pavlinac, PhD, MSc
Assistant Professor, UW Global Health

 

 

Preventing HIV acquisition among mothers during pregnancy

Dr. Jillian Pintye, PhD, RN, MPH
Senior Fellow, UW Global Health

 

 

Herpesviruses and HIV-infection in women and their children: Emerging opportunities for intervention

Dr. Jennifer Slyker, PhD, MS
Assistant Professor, UW Global Health
Adjunct Assistant Professor, UW Epidemiology

 

 

An exoskeleton to improve walking in children with neuromuscular disorders

Jessica Zistatsis, ME
Graduate Researcher, UW Steele Ability & Innovation Lab

 

 

 

Planning to drive to the event?  Parking is available in  Pedelford Garage, which is conveniently located near the Husky Union Building (HUB).