Rachel C. Vreeman, MD, MS
Adjunct Associate Professor of Pediatrics
Dr. Vreeman is an Associate Professor of Pediatrics and the Joe and Sarah Ellen Scholar for Global Health Research at the Indiana University School of Medicine and Director of Research for the Indiana University Center for Global Health. She is also the North American Director of Research for the AMPATH Research Network in Kenya. The AMPATH partnership provides comprehensive HIV treatment for over 150,000 patients in Kenya and includes a broad research network with over 120 active research protocols in Kenya. Dr. Vreeman also chairs the Pediatric Working Group for the global IeDEA (International Epidemiologic Databases Evaluating AIDS) consortium, a global consortium of HIV care programs funded by the National Institutes of Health.
Dr. Vreeman’s research focuses on improving the provision of healthcare to children within resource-limited settings, focusing on supporting children’s adherence to HIV therapy, disclosure of HIV status, and other HIV-related health behavioral challenges for children and adolescents in sub-Saharan Africa.
Dr. Vreeman graduated summa cum laude with a Bachelor of Arts from Cornell University. She received her MD from Michigan State University College of Human Medicine, and completed her internship, residency, and a chief residency in pediatrics at the Indiana University School of Medicine. She also completed a fellowship in Children’s Health Services Research and a master's degree in clinical research at the Indiana University School of Medicine.
Ped-Inf Dis Global Health
Indiana University Center for Global Health 702 Rotary Circle, Suite RO 101
Indianapolis, IN 46202-5140
Dr. Vreeman's research program focuses on chronic disease management for HIV-infected children in resource-limited settings, with a focus on adherence to antiretroviral therapy (ART). She currently embarked on a series of projects to identify the most valid and useful strategy to measure pediatric ART adherence in sub-Saharan Africa. Dr. Vreeman also conducts research on how to optimize the disclosure of HIV status to HIV-infected children, whether clinical decision support strategies improve pediatric health care in resource-limited settings, and how the dosing of antiretroviral medicines should be altered for malnourished children.
International Epidemiologic Databases for the Evaluation of AIDS – IeDEA
Award Number U01 AI069911
Funding Agency: NIAID
PI: Kara Wools-Kaloustian; Co-investigator: Rachel Vreeman
Site: Eldoret, Kenya
Goal: To use epidemiologic databases of East Africa region HIV treatment programs to evaluate AIDS.
Patient-Centered Disclosure Intervention for HIV-Infected Children
Award Number: 5R01MH099747-04
Funding Agency: NIMH
PI: Rachel Vreeman
Dates: 08/09/12 – 05/31/16
Site: Eldoret, Kenya
Goal: The contribution of this study is expected to be a culturally appropriate, patient-oriented intervention to advance pediatric HIV disclosure within a resource-limited setting. The proposed research is significant because we must engage in disclosure to children that optimizes the long-term clinical management for HIV-infected children, preventing viral resistance and poor physical, emotional, or social outcomes.
A systematic review of measures of HIV/AIDS stigma in paediatric HIV-infected and HIV-affected populations.
'Why did you not tell me?': perspectives of caregivers and children on the social environment surrounding child HIV disclosure in Kenya.
The physical and psychological effects of HIV infection and its treatment on perinatally HIV-infected children.
Time Preferences Predict Mortality among HIV-Infected Adults Receiving Antiretroviral Therapy in Kenya.
Comprehensive evaluation of caregiver-reported antiretroviral therapy adherence for HIV-infected children.
Characteristics of HIV-infected adolescents enrolled in a disclosure intervention trial in western Kenya.
Impact of adherence and anthropometric characteristics on nevirapine pharmacokinetics and exposure among HIV-infected Kenyan children.
Impact of domestic care environment on trauma and posttraumatic stress disorder among orphans in western Kenya.
A Systematic Review of Nutritional Supplementation in HIV-Infected Children in Resource-Limited Settings.
HIV testing uptake and prevalence among adolescents and adults in a large home-based HIV testing program in Western Kenya.
Cognitive interviewing for cross-cultural adaptation of pediatric antiretroviral therapy adherence measurement items.
Nutritional status of orphaned and separated children and adolescents living in community and institutional environments in uasin gishu county, kenya.
Current strategies for improving access and adherence to antiretroviral therapies in resource-limited settings.
The vulnerabilities of orphaned children participating in research: a critical review and factors for consideration for participation in biomedical and behavioral research.
A systematic review of clinical diagnostic systems used in the diagnosis of tuberculosis in children.
Long-term impact of the Kenya postelection crisis on clinic attendance and medication adherence for HIV-infected children in western Kenya.
"Wamepotea" (they have become lost): outcomes of HIV-positive and HIV-exposed children lost to follow-up from a large HIV treatment program in western Kenya.
The perceived impact of disclosure of pediatric HIV status on pediatric antiretroviral therapy adherence, child well-being, and social relationships in a resource-limited setting.
Acceptance of HIV testing for children ages 18 months to 13 years identified through voluntary, home-based HIV counseling and testing in western Kenya.
Pediatric assent for a study of antiretroviral therapy dosing for children in Western Kenya: a case study in international research collaboration.
Impact of the Kenya post-election crisis on clinic attendance and medication adherence for HIV-infected children in western Kenya.
Association of antiretroviral and clinic adherence with orphan status among HIV-infected children in Western Kenya.
A systematic review of pediatric adherence to antiretroviral therapy in low- and middle-income countries.
To what extent do educational interventions impact medical trainees' attitudes and behaviors regarding industry-trainee and industry-physician relationships?
Founder of The Pocket Square Project, a non-profit initiative to provide counseling and support to children living with HIV.