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Engaging providers, community members, and young women to adapt and pilot a youth-friendly sexual and reproductive health package in low-income communities in India

Award Number: K01TW011480
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

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Project summary/abstract Impoverished adolescent girls and young women (ages 15-25 years) in low- and middle-income countries (LMICs) face inequitable gender norms that limit their educational opportunities, social support, and healthcare access. These inequities also place them at higher risk for maternal morbidity and mortality, psychological trauma, violence, and STIs/HIV. Consistent with these patterns, many young women in India marry early and face similar sexual and reproductive health and rights (SRHR) challenges. Adolescent services in India are unequally distributed leaving marginalized adolescents, including those not in school, without services or access. In 2013, India launched the “Rashtriya Kishor Swasthya Karyakam” (National Adolescent Health Program) framework for improved adolescent health services and education to be provided in the healthcare system and community through adolescent health clubs and adolescent-friendly health clinics. However, implementation of the framework has been uneven, with poor fidelity in the adaptation of programs to make them youth-centered. In this proposal, I will adapt and pilot an integrated community and facility intervention to improve uptake of adolescent-friendly services for married and unmarried AGYW (ages 15-25) in a low-income area with a population of 600,000 in Mumbai, India. Formative research will characterize the SRHR landscape in the study area and adapt the intervention using the systematic ADAPT-ITT approach. The community component will adapt a health curriculum for the peer adolescent health clubs to incorporate participatory activities to build AGYW’s resources and agency, promote use of newly available adolescent services, and obtain participants’ viewpoints and preferences. The facility component consists of adapted sensitization training on adolescent- friendly care for health providers and staff at both public and private clinics in the study area. This hybrid pilot study will assess both implementation outcomes and a pilot set of health/behavioral outcomes including clinic service uptake, contraceptive use, mental health, gender norms/agency, and health knowledge. My longstanding commitment to global health research with adolescent girls and young women has led me to pursue training opportunities to gain experience in international collaborative research projects. This K award builds on my doctoral and post-doctoral training in medical anthropology and adolescent SRHR, and the relationships I have developed with multidisciplinary mentors and organizations in the United States and Mumbai, India. This proposal extends my previous training and K12 work on youth-centered approaches to SRHR communication in the U.S. by providing training in adolescent health quality improvement, implementation science, and advanced quantitative methods in an international context. This K01 award also facilitates my development into an independent global health researcher focused on improving adolescent girls’ health and well-being in low-income communities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $132,316 )
2023	2023	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, THE	7000 FANNIN ST	HOUSTON	TX	77030	HARRIS	USA	International Research and Research Training	000	5	5/19/2023	NON-COMPETING CONTINUATION	$132,316
														Subtotal = $132,316

Issue Date FY: 2022 ( Subtotal = $129,407 )
2022	2022	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, THE	7000 FANNIN ST	HOUSTON	TX	77030	HARRIS	USA	International Research and Research Training	003	4	5/2/2022	NON-COMPETING CONTINUATION	$129,407
2022	2021	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, THE	7000 FANNIN ST	HOUSTON	TX	77030	HARRIS	USA	International Research and Research Training	007	3	7/15/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$147,330
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	006	2	7/15/2022	SUPPLEMENT FOR EXPANSION	-$78,504
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	005	2	7/15/2022	NON-COMPETING CONTINUATION	-$20,059
2022	2021	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, THE	7000 FANNIN ST	HOUSTON	TX	77030	HARRIS	USA	International Research and Research Training	002	3	12/13/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$106,521
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	001	2	12/9/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	000	2	12/9/2021	NON-COMPETING CONTINUATION	-$106,521
2022	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	004	1	7/15/2022	NEW	-$48,767
														Subtotal = $129,407

Issue Date FY: 2021 ( Subtotal = $205,084 )
2021	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	000	2	6/4/2021	NON-COMPETING CONTINUATION	$126,580
2021	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	001	2	7/22/2021	SUPPLEMENT FOR EXPANSION	$78,504
														Subtotal = $205,084

Issue Date FY: 2020 ( Subtotal = $123,833 )
2020	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	NEW HAVEN	USA	International Research and Research Training	000	1	9/3/2020	NEW	$123,833
														Subtotal = $123,833

Grand Total All Awards = $590,640

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Engaging providers, community members, and young women to adapt and pilot a youth-friendly sexual and reproductive health package in low-income communities in India

Award Number: K01TW011480

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

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