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HIV Risk and Access to Health Care Among Mobile Populations

Award Number: R01HD046886
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/13/2007
PERIOD OF PERFORMANCE END DATE: 05/31/2025

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HIV Risk and Access to Health Care Among Mobile Populations - PROJECT SUMMARY Mexican migrants traveling through the U.S.-Mexico border region represent a large, highly mobile, and socially vulnerable subset of Mexican nationals. Population-level health data for this group is hard to obtain given their geographic dispersion, mobility, and largely undocumented status. Over the last 9 years, we have adopted a unique migration framework and novel methodological approach to characterize disease burden, health behaviors, and exposure to protective and risk factors among these migrants. We have implemented probability surveys of Mexican migrant flows in Tijuana, Mexico, producing population-level health estimates for migrants in the premigration, transit, destination, interception/deportation, and return phases. To date, we have examined two health areas: HIV risk and access to health care. Findings from our previous phase have propelled the establishment of free prevention clinics in five deportation stations along the Mexican border with funding from the Mexican Secretariat of Health. Over the next 5 years, we propose to continue and expand this work by (a) extending the survey east to two additional border cities in order to reach migrants traveling from, through, and to other regions; and (b) examining additional health areas to obtain a more complete picture of Mexican migrant health. We will conduct 3 probability surveys of migrant flows in Tijuana, Nogales, and Nuevo Laredo (N=1,200 ea.). In addition to data on health status and health care access, each survey will have a special focus: 1) HIV and Sexual/Reproductive Health; 2) Non-communicable Disease; and 3) Mental Health and Substance Use. Interview and biometric data will be obtained to produce population-level estimates of health care access and health status, investigate variations in access and outcomes across migration phases, and explore the impact of health care and immigration policies on migrants' health. Ninety survey respondents will be enrolled in a pilot longitudinal study to test the feasibility of adding a longitudinal dimension to our methods. This project will consolidate a binational observatory at the Mexico – U.S. border and will generate critical data on migrant health. The data will become an important resource for migrant health scholars and will inform policy and programmatic responses to increase access to health care and improve the health status of migrants in sending, transit, and receiving 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: 2026 ( Subtotal = -$66,610 )
2026	2023	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	14	1/7/2026	NON-COMPETING CONTINUATION	-$66,610
														Subtotal = -$66,610

Issue Date FY: 2023 ( Subtotal = $669,716 )
2023	2023	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	14	6/1/2023	NON-COMPETING CONTINUATION	$669,716
														Subtotal = $669,716

Issue Date FY: 2022 ( Subtotal = $648,411 )
2022	2022	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	13	6/22/2022	NON-COMPETING CONTINUATION	$648,411
														Subtotal = $648,411

Issue Date FY: 2021 ( Subtotal = $649,220 )
2021	2021	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	001	12	8/27/2021	NON-COMPETING CONTINUATION	$12,984
2021	2021	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	12	6/7/2021	NON-COMPETING CONTINUATION	$636,236
														Subtotal = $649,220

Issue Date FY: 2020 ( Subtotal = $652,868 )
2020	2020	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	11	6/3/2020	NON-COMPETING CONTINUATION	$652,868
														Subtotal = $652,868

Issue Date FY: 2019 ( Subtotal = $737,621 )
2019	2019	DREXEL UNIVERSITY	3141 CHESTNUT ST	PHILADELPHIA	PA	19104	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	10	6/13/2019	COMPETING CONTINUATION	$737,621
														Subtotal = $737,621

Issue Date FY: 2017 ( Subtotal = -$38,738 )
2017	2015	UNIVERSITY OF WISCONSIN SYSTEM	21 N PARK ST STE 6401	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	9	3/24/2017	NON-COMPETING CONTINUATION	-$38,738
														Subtotal = -$38,738

Issue Date FY: 2015 ( Subtotal = $111,398 )
2015	2015	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	9	6/26/2015	NON-COMPETING CONTINUATION	$111,398
2015	2015	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 NORTH PARK STREET	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	001	9	9/25/2015	NON-COMPETING CONTINUATION	$0
														Subtotal = $111,398

Issue Date FY: 2014 ( Subtotal = $370,174 )
2014	2014	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	8	6/20/2014	NON-COMPETING CONTINUATION	$370,174
														Subtotal = $370,174

Issue Date FY: 2013 ( Subtotal = $391,643 )
2013	2013	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	7	7/1/2013	NON-COMPETING CONTINUATION	$391,643
														Subtotal = $391,643

Issue Date FY: 2012 ( Subtotal = $388,667 )
2012	2012	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	6	6/21/2012	NON-COMPETING CONTINUATION	$388,667
														Subtotal = $388,667

Issue Date FY: 2011 ( Subtotal = $385,341 )
2011	2011	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	001	5	9/16/2011	NON-COMPETING CONTINUATION	$385,341
2011	2010	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 NORTH PARK STREET	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	4	9/13/2011	NON-COMPETING CONTINUATION	$0
														Subtotal = $385,341

Issue Date FY: 2010 ( Subtotal = $165,135 )
2010	2010	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Child Health and Human Development Extramural Research	000	4	9/1/2010	NON-COMPETING CONTINUATION	$165,135
														Subtotal = $165,135

Issue Date FY: 2009 ( Subtotal = $453,713 )
2009	2009	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 N PARK ST	MADISON	WI	53715	DANE	USA	Population Research	000	3	8/17/2009	NON-COMPETING CONTINUATION	$453,713
														Subtotal = $453,713

Issue Date FY: 2008 ( Subtotal = $515,290 )
2008	2008	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 NORTH PARK STREET	MADISON	WI	53715	DANE	USA	Population Research	000	2	7/29/2008	NON-COMPETING CONTINUATION	$515,290
														Subtotal = $515,290

Issue Date FY: 2007 ( Subtotal = $456,702 )
2007	2007	UNIVERSITY OF WISCONSIN SYSTEM/BOARD OF REGENTS	21 NORTH PARK STREET	MADISON	WI	53715	DANE	USA	Population Research	000	1	9/12/2007	NEW	$456,702
														Subtotal = $456,702

Grand Total All Awards = $6,490,551

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HIV Risk and Access to Health Care Among Mobile Populations

Award Number: R01HD046886

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/13/2007

PERIOD OF PERFORMANCE END DATE: 05/31/2025

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