Currently, I manage a multi-country NIH-funded study to develop a model for systematic assessment and improvement of the prevention of mother-to-child transmission (pMTCT) of HIV. For this project, I am collaborating with researchers from Mozambique, Cote d’Ivoire and Kenya to design and evaluate a tool and associated approach to enable nurse managers to better understand inefficiencies in their system’s performance, identify appropriate changes to address barriers to high quality pMTCT services and synthesize best practices and salient implementation science factors for dissemination. I am PI on behalf of Health Alliance International for the Mozambique portion of a 4-year prospective global evaluation of the GAVI Alliance, managed through the Institute of Health Metrics and Evaluation which seeks to understand and quantify the barriers to, and drivers of, immunization program improvement, including the contribution of the GAVI Alliance. I am PI on a NIH-funded study which is developing and piloting the use of tablet-based, on-the-job training for nurses providing pMTCT in Mozambique, specifically the new "Option B+" regimen where HIV+ women immediately initiate lifelong AIDS treatment. Onboarding, is the Gates Foundation-funded Access, Bottlenecks, Costs, and Equity (ABCE), which is a multi-country and multi-pronged study designed to provide an evidence base for improving the equity and cost-effectiveness of health systems, which I will lead in Mozambique in 2015.
For the 2014-2015 academic year I will be teaching NURS 201/Care Across the Lifespan where we explore human growth and development throughout the life span emphasizing influence of growth and development theory and research on achievement of health and health promotional efforts directed toward persons of various ages and life styles.
Practice, Service, Community Involvement
I am part of the Global Health envisioning workgroup, the BSN Envisioning committee, the Research Envisioning committee and the dTC Visioning Services and Partnerships workgroup. In addition to UW-based service, I cofounded the Global Health Nursing interest group (GHNing, https://ghning.wordpress.com), which is bringing together nurses and nursing students from all realms (academic, clinical practice, NGOs, foundations, etc.) to discuss the future of global health nursing and identify priorities for nursing advocacy in the global health space. The attached video also highlights some of the work nurses are doing in global health across the university and the world. http://globalhealth.washington.edu/media/gallery/9796
- Gimbel S, Voss J, Rustagi A, Mercer MA, Zierler B, Gloyd S, Coutinho M, Cuembelo M, Sherr K, What does high and low have to do with it? Exploring performance classification as a means of identifying health system factors associated with effective prevention of mother-to-child transmission of HIV delivery in central Mozambique. Journal of the International AIDS Society. 2014; 17:18828.
- Gimbel S, Voss J, Mercer MA, Zierler B, Gloyd S, Coutinho M, Floriano F, Cuembelo M, Einberg J, Sherr K. The prevention of mother-to-child transmission of HIV cascade analysis tool (PCAT): Supporting health managers to improve facility-level service delivery. BMC Research Notes. 2014 Oct 21;7:743.
- Gimbel S, Voss J, Rustagi A, et al. What does high and low have to do with it? Performance classification to identify health system factors associated with effective prevention of mother-to-child transmission of HIV delivery in Mozambique. Journal of the International AIDS Society. 2014; 17:18828.
- Sherr K, Cuembelo F, Michel C, et al. Strengthening integrated primary health care in Sofala, Mozambique. BMC Health Services Research. 2013;13 Suppl 2:S4.
- Sherr K, Gimbel S, Rustagi A, et al. Systems analysis and improvement to optimize pMTCT (SAIA): a cluster randomized trial. Implementation Science. 2014; 9:55.
- Wagenaar BH, Gimbel S, Hoek R, et al. Stock-outs of essential health products in Mozambique - longitudinal analyses from 2011 to 2013. Tropical Medicine & International Health. 2014; 19:791-801.
Current Research Projects
- April -December 2015 Access, Bottlenecks, Costs and Equity/Mozambique. Funder: BMGF/IHME Role: PI
- June 2014-May 2015 Assessing a tablet-based clinical training approach for nurses providing Option B+ services. Funder: NIH/NIAID. Role: PI.
- Jun 2013-May 2015 Main Phase Evaluation of GAVI Alliance in Mozambique, Year 1&2 Funder: GAVI/IHME Role:PI.
- Sept 2012 – Aug 2014 Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial NIH/NICHD (1R01HD075057-01) Role: Program Manager
- Apr 2011-June 2015 Early ART Initiation among HIV-positive Pregnant Women in Central Mozambique R01 award through the NIH/NICHD Role: Key Personnel.
- Aug 2009 – Jul 2016 Strengthening Integrated Primary Health Care in Sofala Province, Mozambique The Doris Duke Charitable Foundation Role: Key Personnel. Video - Pathways to Global Health: Nursing