The aim of this $10 million grant from the Health Resources and Services Administration is to implement and evaluate interventions to reduce maternal morbidity and improve the quality of care in Maryland. The program is five-year partnership (2019 - 2024) between Johns Hopkins University, the Maryland Department of Health, the Maryland Patient Safety Center, and UMBC. Visit the program site at mdmom.org.
Through an NIH grant (2019 - 2021), I am studying the factors that influenced adoption of evidence-based practices to reduce cesarean deliveries through a quality improvement collaborative in Maryland. The study leverages a real world implementation of the cesarean bundle through the Maryland Perinatal Collaborative (MPC), which is one of the first state collaboratives to implement the bundle and includes 31 of the state’s 32 birthing hospitals. Our team will conduct a mixed-methods case study of bundle implementation at hospitals participating in the MPC. This is the first implementation study of the cesarean bundle, and will address important gaps in the literature on guideline implementation in obstetric care.
I'm collaborating with the Johns Hopkins Adherence Research Center (PI: Michelle Eakin) on an R01 grant to inform best practices for implementation of an asthma education program by 1) systematically evaluating the use of intervention mapping to develop a tailored implementation strategy in partnership with Head Start stakeholders, 2) examining both staff and organizational level determinants associated with implementation of MD ABC Asthma, and 3) evaluating the success of tailored implementation strategies on implementation outcomes and school absences and other health outcomes.
Under the USAID-funded MaMoni Health System Strengthening Program, we completed two implementation research studies. The first evaluated implementation outcomes, barriers, and facilitators for the national scale up of chlorhexidine cleansing of the umbilical cord. The second assessed the sustainability of the private community skilled birth attendant model for remote rural areas.
Between 2010 and 2013, the USAID-funded Maternal and Child Health Program supported the Ethiopia Federal Ministry of Health to develop and pilot community-based promotion of kangaroo mother care for low birthweight babies born outside of health facilities. Our team at Johns Hopkins Bloomberg School of Public Health, Jhpiego, and Save the Children, led an implementation-focused evaluation of this pilot program.