grant
Integration of a collaborative care model for mental health services into HIV care for pregnant and postpartum women in Kenya (the Tunawiri Study)
Organization UNIVERSITY OF COLORADO DENVERLocation Aurora, UNITED STATESPosted 1 Aug 2023Deadline 31 May 2028
NIHUS FederalResearch GrantFY2025AIDS VirusAIDS preventionAcquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome VirusAddressAdoptedAfrica South of the SaharaAnxietyBehavioralCare ManagerCaringCase ManagerChronicClinicClinicalCommunitiesComplexComprehensive Health CareCost AnalysesCost AnalysisCost Effectiveness AnalysisCost effectiveness researchCountyDataData CollectionDrugsEconomic IncomeEconomical IncomeEducational workshopEffectivenessElectronicsEnsureEvidence based interventionExploration, Preparation, Implementation, and SustainabilityExploration, Preparation, Implementation, and SustainmentFailureFamilyFocus GroupsGestationGoalsGovernmentHIVHIV PreventionHIV diagnosisHIV/AIDS preventionHealthHealth CareHealth Care FacilityHealth Care SystemsHealth FacilitiesHealth systemHuman Immunodeficiency VirusesHybridsIncomeInfantInterventionInterviewKenyaLAV-HTLV-IIILMICLeadLinkLow-resource areaLow-resource communityLow-resource environmentLow-resource regionLow-resource settingLymphadenopathy-Associated VirusMaternal HealthMaternal and Child HealthMedicationMental DepressionMental HealthMental Health NurseMental Health NursingMental Health ServicesMental HygieneMental Hygiene ServicesMental disordersMental health disordersMentorsMethodsModelingMothersNIH RFANational Institutes of HealthNurse PsychotherapistOutcomePatientsPb elementPerinatalPerinatal CarePeripartumPharmaceutical PreparationsPoliciesPolicy MakerPost-partum WomenPostpartum PeriodPostpartum WomenPregnancyPregnancy OutcomePregnant WomenPrimary CarePrimary Health CareProbabilityProcessProtocolProtocols documentationProviderPsychiatric DiseasePsychiatric DisorderPsychiatric NursePsychiatric NursingPsychiatric/Mental Health NursingPsychiatristPsychological HealthPsychosocial Assessment and CareRecoveryRequest for ApplicationsResearchResource-constrained areaResource-constrained communityResource-constrained environmentResource-constrained regionResource-constrained settingResource-limited areaResource-limited communityResource-limited environmentResource-limited regionResource-limited settingResource-poor areaResource-poor communityResource-poor environmentResource-poor regionResource-poor settingRiskSelf EfficacyServicesSocial EnvironmentSpecialistSub-Saharan AfricaSubsaharan AfricaSymptomsSystemTechniquesTestingTrainingTranslatingUnited States National Institutes of HealthViralViral BurdenViral LoadViral Load resultVirus-HIVWomanWorkWorkshopacceptability and feasibilityantenatalantenatal careantepartumantiretroviral therapyantiretroviral treatmentanxiety symptomsanxious symptomassess costbarriers to implementationcare burdencare facilitiescare outcomesclinic readyclinical readycollaborative carecommon treatmentcomprehensive carecostcost assessmentcost effectivecost effectivenesscost efficient analysiscost evaluationcost-effective analysisdepressiondesigndesigningdissemination researchdrug/agenteffectiveness and implementation trialeffectiveness/implementation hybrid trialeffectiveness/implementation trialefficacious interventionefficacious therapyefficacious treatmentelectronicelectronic deviceevaluate costexamine costexpectant motherexpectant womenexpecting motherexpecting womenexperiencefemale outcomeshealth care outcomeshealth goalshealth service usehealth service utilizationheavy metal Pbheavy metal leadimplementation barriersimplementation challengesimplementation outcomesimplementation strategyimplementation studyimprovedincomesindividuals who are pregnantinformantinterdisciplinary approachintimate partner violencelow and middle-income countriesmeetingmeetingsmental health caremental illnessmodel buildingmultidisciplinary approachoutcomes among femalesoutcomes among womenoutcomes in femalesoutcomes in womenpeer coachingpeer instructionpeer led team learningpeer mentoringpeer teachingpeople who are pregnantperinatal mental healthpost-partumpost-partum carepostpartum carepostpartum healthpregnant femalespregnant motherspregnant peoplepregnant populationsproblem solving therapypsychiatric illnesspsychological disorderpsychosocial assessmentpsychosocial carepsychosocial studiespsychosocial supportscale upsocial climatesocial contextsocial determinantssocial health determinantssocial stigmasociodeterminantsocioenvironmentsocioenvironmentalstigmastrategies for implementationsupport toolsthose who are pregnantwomen who are pregnantwomen's outcomes
Description preview
Common mental disorders (CMD) of depression and anxiety are prevalent and largely untreated among Kenyan
pregnant and postpartum women living with HIV (PPWH). CMD lead to poor maternal and child health outcomes
and contribute to lack of HIV care engagement and virologic failure in PPWH. While efficacious treatments for
CMD exist, scaling treatment…
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