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 also the 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 across 5 countries (Bangladesh, India, Mozambique, Uganda and Zambia). A new onboarding NIH-funded study will develop and pilot 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.
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. I will also teach the Transitions to Professional Practice course for graduating BSNs in the spring.
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 (GHNIG), 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 highlights some of the work nurses are doing in global health across the university and the world. http://globalhealth.washington.edu/media/gallery/9796
- Gerdts SE, Wagenaar BH, Micek MA, et al. Linkage to HIV care and antiretroviral therapy by HIV testing service type in Central Mozambique: a retrospective cohort study. Journal of acquired immune deficiency syndromes 2014;66:e37-44.
- 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 : IS 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 : TM & IH 2014;19:791-801.
Current Research Projects
- June 2014-May 2015 Assessing a tablet-based clinical training approach for nurses providing Option B+ services. Funder: NIH/NIAID. Role: co-PI. Funding amount: $428,324
- Jun 2013-May 2015 Main Phase Evaluation of GAVI Alliance in Mozambique, Year 1&2 Funder: GAVI/IHME Role:PI. Funding amount: $850,000
- Sept 2012 – Aug 2014 Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial NIH/NICHD (1R01HD075057-01) Role: Program Manager Funding amount: $899,000
- Apr 2011-Mar 2014 Early ART Initiation among HIV-positive Pregnant Women in Central Mozambique R01 award through the NIH/NICHD Role: Key Personnel. Funding amount: $1,648,138
- Aug 2009 – Jul 2016 Strengthening Integrated Primary Health Care in Sofala Province, Mozambique The Doris Duke Charitable Foundation Role: Key Personnel. Funding amount: $10,500,000