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From Silos to Systems: A Qualitative Analysis of Braiding Funds for HIV and Syndemic Service Delivery in the United States
From Silos to Systems: A Qualitative Analysis of Braiding Funds for HIV and Syndemic Service Delivery in the United States
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103106
- ISBN
- 9798315736073
- DDC
- 614
- 저자명
- Ruiz, Francisco.
- 서명/저자
- From Silos to Systems: A Qualitative Analysis of Braiding Funds for HIV and Syndemic Service Delivery in the United States
- 발행사항
- [Sl] : Harvard University, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 158 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: A.
- 주기사항
- Advisor: Koh, Howard.
- 학위논문주기
- Thesis (D.P.H.)--Harvard University, 2025.
- 초록/해제
- 요약This doctoral project explores the practice of braiding funds as a strategic approach to improving the coordination and integration of public health funding streams-specifically within the U.S. Centers for Disease Control and Prevention's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP). With growing attention to syndemic conditions that intersect with HIV, there is an urgent need to align categorical funding in ways that enhance service delivery, reduce fragmentation, and improve outcomes for disproportionately affected communities. Braiding funds offers a promising solution, allowing public health agencies to coordinate multiple funding sources while maintaining accountability to each.Using a qualitative design informed by implementation science, this study employed 19 key informant interviews with CDC officials and leaders from state and local health departments across the United States. A stratified purposive sampling approach was used to ensure geographic, epidemiological, and jurisdictional diversity. Data were analyzed using a hybrid coding framework, themes were identified to highlight facilitators, barriers, and opportunities in implementing braided funding. The project was guided by three conceptual frameworks: the EPIS (Exploration, Preparation, Implementation, Sustainment) framework, the Positive Deviance model, and Kotter's Eight Steps for Leading Change.Findings underscore the administrative complexity of managing multiple funding streams and the tension between flexibility and compliance. Participants identified both structural and cultural challenges, as well as innovative strategies used by jurisdictions to align resources. The study concludes with a set of targeted recommendations to strengthen braided funding efforts within CDC's NCHHSTP and lays the groundwork for broader adoption across federal public health initiatives.
- 일반주제명
- Public health
- 일반주제명
- Health sciences
- 일반주제명
- Finance
- 키워드
- Braiding funds
- 키워드
- Syndemics
- 기타저자
- Harvard University Public Health
- 기본자료저록
- Dissertations Abstracts International. 86-11A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798315736073
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■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aRuiz, Francisco.
■24510▼aFrom Silos to Systems: A Qualitative Analysis of Braiding Funds for HIV and Syndemic Service Delivery in the United States
■260 ▼a[Sl]▼bHarvard University▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a158 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: A.
■500 ▼aAdvisor: Koh, Howard.
■5021 ▼aThesis (D.P.H.)--Harvard University, 2025.
■520 ▼aThis doctoral project explores the practice of braiding funds as a strategic approach to improving the coordination and integration of public health funding streams-specifically within the U.S. Centers for Disease Control and Prevention's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP). With growing attention to syndemic conditions that intersect with HIV, there is an urgent need to align categorical funding in ways that enhance service delivery, reduce fragmentation, and improve outcomes for disproportionately affected communities. Braiding funds offers a promising solution, allowing public health agencies to coordinate multiple funding sources while maintaining accountability to each.Using a qualitative design informed by implementation science, this study employed 19 key informant interviews with CDC officials and leaders from state and local health departments across the United States. A stratified purposive sampling approach was used to ensure geographic, epidemiological, and jurisdictional diversity. Data were analyzed using a hybrid coding framework, themes were identified to highlight facilitators, barriers, and opportunities in implementing braided funding. The project was guided by three conceptual frameworks: the EPIS (Exploration, Preparation, Implementation, Sustainment) framework, the Positive Deviance model, and Kotter's Eight Steps for Leading Change.Findings underscore the administrative complexity of managing multiple funding streams and the tension between flexibility and compliance. Participants identified both structural and cultural challenges, as well as innovative strategies used by jurisdictions to align resources. The study concludes with a set of targeted recommendations to strengthen braided funding efforts within CDC's NCHHSTP and lays the groundwork for broader adoption across federal public health initiatives.
■590 ▼aSchool code: 0084.
■650 4▼aPublic health
■650 4▼aHealth sciences
■650 4▼aFinance
■653 ▼aAcquired Immunodeficiency Syndrome
■653 ▼aBraiding funds
■653 ▼aDisease Control and Prevention
■653 ▼aFunding strategies
■653 ▼aHuman Immunodeficiency Virus
■653 ▼aSyndemics
■690 ▼a0573
■690 ▼a0566
■690 ▼a0508
■690 ▼a0769
■71020▼aHarvard University▼bPublic Health.
■7730 ▼tDissertations Abstracts International▼g86-11A.
■790 ▼a0084
■791 ▼aD.P.H.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356954▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
