I have over 7 years of experience conducting research, including fieldwork investigating HIV services in South African communities as well as clinical outcomes among HIV-infected United States Veterans in care. My skills with demographic and epidemiological methods in addition to an interest for computer programming make me uniquely suited for this project.
The aim of my PhD research is to examine factors associated with successfully navigating the HIV care continuum in a rural community in Tanzania so that modifiable mediators of service uptake might be effectively targeted by interventions to improve accessibility. In order to achieve this goal, I will first develop, pilot, and implement real-time record linkage software to link existing health facility data with demographic and serological surveillance data in the community. Using these linked data, I will analyse the characteristics of both users and non-users of health facility services following through the pathways they used to navigate the HIV care continuum and quantifying delays and suboptimal service use. Finally, I will model the errors associated with probabilistic record linkage (based on differences between real-time choices and the algorithmic ranking of likely matches) and use these results to estimate error bounds on analyses in settings that cannot benefit from real-time linkage methods.
Tanzanian National Institute of Medical Research