The Dimock Center, a private, non-profit agency has been in continuous use as a health facility since its establishment in 1862 as the New England Hospital for Women and Children. Dimock is Boston’s largest minority-owned, comprehensive community health and human services agency designated as a federally qualified health center caring for a primarily minority, low-income population.
Boston Pediatric and Family AIDS Program (BPFAP) was established in 1988. BPFAP offers an integrated network of care focusing on HIV infected women, infants, children and youth (WICY) by contracting five partner organizations: one community health center (Dimock 02119); two programs at Children’s Hospital (Children’s Hospital AIDS Program/CHAP and HIV Adolescent Provider and Peer Education Network for Services/HAPPENS 02115), a large tertiary teaching institute (Brigham and Women’s Hospital/BWH 02115) and a regional hospital network (Cambridge Health Alliance/CHA 02139).
The target area is the neighborhoods of Roxbury, Dorchester, Mattapan, and Jamaica Plain in the City of Boston and in Cambridge. These areas represent 45% of the cumulative totals of People Living with HIV/AIDS (PLWHA) yet comprise only 39% of Boston’s residents. The majority of BPFAP’s patients are nonwhite: 46% are African-American and 37% are Hispanic. Women living here represent 59% of HIV female cases and 64% of AIDS female cases in Boston. Exposure categories are largely those with substance use disorders and their heterosexual partners. BPFAP reflects the ethnic and cultural diversity of the target population and has in depth experience in the target area.
The network provides an array of key services for adult and pediatric populations including primary medical care, OB/Gyn services, mental health/social work counseling, family planning, eye/dental care, hepatitis services, adult/pediatric/adolescent HIV screening and specialty care, medical case management, peer advocacy and peer support groups, addiction services, pre-exposure prophylaxis services, intimate partner violence screening and counseling, transportation and child care assistance. The quality measures include but are not limited to evaluations of retention and viral load suppression rates. These among other measures gauge HIV care continuum as well as to evaluate and improve clinical effectiveness.
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