Dartmouth Pediatric Program

inside_dpp2The DarDar Pediatric Program (DPP) was established in 2006 – structured as a collaborative clinical program for the care of HIV-infected and exposed children in greater Dar es Salaam. DPP supports large-scale HIV care and treatment, Prevention of Mother to Child Transmission of HIV (PMTCT), HIV early infant diagnosis (HEID), broad educational opportunities, and a growing portfolio of research activities. Founded as a collaborative program between Dartmouth Medical School (DMS) and Muhimbili University of Health and Allied Sciences (MUHAS), DPP was the recipient of construction and operational funding from the Foundation for the Treatment of Children with AIDS (FTCA – see associated article). Additional operational support continues through the PEPFAR program (President’s Emergency Program for AIDS Relief) and from numerous research grants. Following the initial occupation of a temporary clinic facility in April 2006, DPP moved into its new clinic located at the Infectious Disease Center (IDC) in central Dar es Salaam, built with FTCA funding, in June 2007.

DPP is a unique clinic in Tanzania in that it primarily features HIV prevention and care for the pediatric population. Engagement of pediatric HIV care globally has generally lagged behind care for adults in the large treatment roll-out programs to date. DPP’s dedicated HIV clinic for children with its pediatric-trained staff has attracted considerable interest in Tanzania as a model and an effective strategy to help address pediatric implementation deficits.

DPP provides HIV and TB diagnostic evaluation and treatment for children from the newborn period through 14 years of age. Over 1,300 children have received care at DPP since opening in 2006. Of these, 550 receive ongoing care for HIV infection with 400 eligible for and receiving specific HIV medication (by Tanzanian national guidelines). In addition, DPP also offers care and treatment for HIV-infected parents of children in its program – now totaling 226 adults (primarily mothers) who receive comprehensive HIV/ AIDS care and treatment. This has resulted in a family-centered care option featuring pediatric index cases.

DPP is the only pediatric-specific clinic for HIV care in Dar es Salaam, serving as a model and educational resource for other programs and their clinical staff. DPP is also a popular destination for student and training internships supporting a wide range of scholars including undergraduates, graduates, medical students, and faculty from both Tanzania and the Dartmouth community. In addition, DPP is the site of numerous research activities.

DPP has a professional, experienced, pediatric-focused staff which provides comprehensive care. Leadership is provided in Dar es Salaam by Dr. Helga Naburi (Medical Director) and Dr. Goodluck Lyatuu (Clinic Medical Director) and from Dartmouth by Dr. Lisa Adams (Director) and Dr. Paul Palumbo (Executive Director). DPP staff is comprised of physicians, nurses, pharmacists, and data managers and other support staff. This leadership and staff are committed to high quality pediatric care and the associated goals of education and research.