Global Pediatrics Program
Faculty Working with the Global Pediatrics Program
Senior Associate in Medicine, Children’s Hospital Boston;
Director, Children’s Global Pediatrics Program, CHB;
T. Berry Brazelton Professor of Pediatrics, Harvard Medical School;
Professor, Department of Society, Human Development, and Health, Harvard School of Public Health;
Professor of Global Health and Social Medicine, HMS;
Judith Palfrey, MD, Senior Associate in Medicine Director of Children’s Global Pediatric Center at Children’s Hospital Boston, has devoted her career to shaping the health system to meet the needs of under children with special needs, especially those from challenging backgrounds. A nationally renowned child advocate and leader in community care, Dr. Palfrey developed universally accepted medical home based approaches and school guidelines to enable families and children achieve greater functional capacity. As a national leader in child health, she was one of the initial authors of Bright Futures, the preventive guidelines which are now incorporated into the Affordable Care Act.
Dr. Palfrey founded Project School Care, an innovative outreach program to study the needs of children assisted by medical technology and to enable them to attend school. She also developed the Pediatric Alliance for Coordinated Care, a clinical service model that delivered community-based, family-centered primary care to Medicaid-enrolled children with disabilities. She has served as the Principal Investigator on Opening Doors, an NIDRR funded national center that seeks to improve services to children from traditionally underserved communities.
Dr. Palfrey was the 2010-2011 President of the American Academy of Pediatrics. She was a strong advocate for the passage of the Affordable Care Act. During her tenure as President of the American Academy of Pediatrics, she worked to ensure that full access to a medical home was in reach for all children. She also championed the outreach of the AAP to form more powerful partnerships with community organizations and parents.
In addition to writing more than 100 articles and chapters to improve child health systems, she has authored five books, including Child Health in America: Making a Difference Through Advocacy (2006) and Community Child Health: An Action Plan for Today (1995).
Dr. Palfrey received her medical degree from Columbia University College of Physicians and Surgeons. She completed residency at the Albert Einstein College of Medicine and a fellowship in Community Child Health at Children’s Hospital Boston. Dr. Palfrey is the T. Berry Brazelton Professor of Pediatrics at Harvard Medical School and a professor at the Harvard School of Public Health. She was Chief of Children’s Division of General Pediatrics from 1986 to 2008.
Associate Director of the Global Pediatrics Program, Boston Children's Hospital;
Assistant Professor at Harvard Medical School
Dr. Wilson’s work has focused on improving health care for under-served populations domestically and internationally. In Boston, Dr. Wilson has combined clinical care to underserved families with implementation of programs to improve health for children with chronic illness. Her international work grew from her clinical pediatric practice in Boston working with transnational families from the Dominican Republic. Internationally, Dr. Wilson lead a maternal and neonatal training and quality improvement program at hospital facilities in the Dominican Republic. Her current research applies the technology of mhealth to quality improvement, using cell phone based protocols as decision aids to improve newborn health care in Tanzania. Dr. Wilson teaches at Harvard Medical School and School of Public Health with a focus on global maternal child health and social determinants of disease. In addition, she developed and directs the Global Pediatric Fellows Program at Children’s Hospital Boston, with pediatric fellows working in Haiti and Rwanda.
Director of Global Health Residency Training
Instructor in Pediatrics, Boston Children's Hospital
Dr. Russ is a pediatric hospitalist who graduated from Washington University in St. Louis as a systems science engineer and subsequently trained in medicine at the University of Tennessee, Memphis. She completed her residency training in pediatrics in 2007 at the Boston Combined Residency Program at Children’s Hospital, Boston.
In her first year out of training Dr. Russ spent 6 months in western Kenya and Uganda, working with staff in two rural hospitals to improve pediatric care. This experience solidified her dedication to advancing pediatric care in resource limited settings, and her conviction that education and partnership with medical staff and primary caregivers of children is the key to reducing child mortality. Upon her return she was hired by the newly formed Children’s Hospital Boston Pediatric Global Health Program and dedicates her non-clinical time to global health education.
Dr. Russ is the rotation director for the Boston Combined Residency Program (BCRP) Pediatric Global Health Rotations. She has worked to formalize processes and evaluations for overseas rotations. In 2009-10 she completed the Rabkin Fellowship in Medical Education, and developed an elective global health curriculum for pediatric residents seeking to prepare for clinical work in global health. She continues to work with Harvard partners on curriculum development for medical students, residents and fellows who plan to work in global health settings.
She has networked with other pediatric resident global health educators across the country, and together with them is forming a Global Health Educators group in the American Pediatric Program Directors with a goal of improving curriculum and scholarship about global health education. She has also partnered with colleagues in the Global Health Education Consortium and American Academy of Pediatrics to develop an online, interactive global health curriculum.
Her global work remains based in Eastern Africa, with a focus on improving health in under-resourced areas through medical education in hospitals and clinics, and community education for the families that they serve. In Maseno Kenya, she has partnered with Vanderbilt University and Great Lakes University Kisumu to develop and evaluate videos targeted at caregivers waiting at the hospital and teaching about child health topics. She is a master trainer for the AAP Helping Babies Breathe program, and has partnered with Millennium Villages Project and Millennium Cities to facilitate the spread of quality neonatal resuscitation techniques at their sites.
Dr. Russ is the assistant medical director and hospitalist in the Intermediate Care Program. This is an inpatient unit at Children’s Hospital Boston with intensive nursing that cares for patients with severe, acute illness who do not require technologies specific to the ICU, or patients with acute on chronic illness who require intensive nursing. In addition to her clinical role she oversees quality improvement initiatives in the unit.
Sara Stulac, MD, MPH
Partners In Health, Department of Pediatrics and Oncology;
Harvard Medical School, Division of Global Health and Social Medicine;
Brigham and Women’s Hospital, Division of Global Health Equity.
Sara N. Stulac, MD, MPH, is the Director of Pediatrics and Oncology Programs for Partners In Health, supporting programs in Rwanda, Haiti, Lesotho, and Malawi. She lived and worked in Rwanda from 2005 to 2011 as PIH-Rwanda’s Clinical Director, collaborating with Rwanda’s Ministry of Health to develop primary health care infrastructure and community-based HIV care in three rural health districts. Her areas of clinical focus have included pediatric HIV prevention and treatment, malnutrition care, inpatient pediatrics, and pediatric oncology and other non-communicable disease treatment. Dr. Stulac holds faculty positions in the Division of Global Health Equity at Brigham and Women’s Hospital, at Children’s Hospital Boston, and at Harvard Medical School. She received her MD and MPH from Tufts University School of Medicine, and completed her residency in pediatrics at Dartmouth-Hitchcock Medical Center.
Chris Duggan, MD, MPH
Institution and Department: CHB, Division of GI/Nutrition; HSPH, Department of Nutrition
Christopher Duggan, M.D., M.P.H. is a graduate of Dartmouth College and the Johns Hopkins University School of Medicine. He is currently Associate Professor of Pediatrics at Harvard Medical School and an Associate Professor in the Department of Nutrition at Harvard School of Public Health. He is a pediatric gastroenterologist and nutrition physician at Children's Hospital, Boston where he directs the Clinical Nutrition Service and is Medical Director of the Center for Advanced Intestinal Rehabilitation. His research interests include the nutritional management of acute and persistent diarrhea, clinical trials of micronutrient supplementation, and general aspects of nutritional support in catabolism. He leads NIH-funded trials of micronutrient supplementation in Dar es Salaam, Tanzania and Bangalore, India.
Michelle Niescierenko, MD
Pediatric Emergency Medicine and International Pediatric Emergency Medicine Fellow, Children’s Hospital Boston and Brigham & Women’s Hospital
Michelle Niescierenko, MD, completed her pediatric residency in the Boston Combined Residency Program (BCRP) at Children’s Hospital Boston and Boston Medical Center. She is now a clinical fellow in Pediatric Emergency Medicine and International Pediatric Emergency Medicine at Children’s Hospital Boston and Brigham & Women’s Hospital. Over her training and career she has worked clinically in China, Bolivia, Lesotho, Guatemala and Liberia.
Dr. Niescierenko is now focused on the provision of emergency care for children, the development of emergency care systems for children as well as the role of children in humanitarian crisis she works primarily in Monrovia, Liberia. Her work in Liberia is part of the academic consortium and NGO HEARTT (Health Education and Relief Through Teaching). HEARTT provides clinical care, medical education and implements projects to improve the quality of pediatric care provided. Dr. Niescierenko directs the involvement of residents and faculty from Childrens Hospital Boston in Liberian and works on the development on new projects in the area of pediatric emergency medicine.
Courtesy Staff in Department of Medicine
Hema Magge’s career focus is in children’s health and human rights and global health delivery. After graduating with a B.A. in Government in 2001 from Harvard University, she received the Radcliffe Elizabeth Cary Agassiz Fellowshipto support her work with the Child Accident Prevention Foundation of Southern Africa, an organization focused on poverty-related violence and injury prevention in Cape Town, South Africa. She went on to pursue her M.D. from University of Pennsylvania School of Medicine, graduating in 2006. During medical school, she co-founded the University of Pennsylvania's medical student global health program through a community partnership with an HIV/AIDS hospice in Gaborone, Botswana, and conducted research examining high-risk sexual behaviors among at-risk adolescents. In 2009, she completed her residency in pediatrics at the University of California, San Francisco, as a Global Health Sciences Clinical Scholar.
Dr. Magge is currently a board-certified pediatrician and completed a General Academic Pediatrics Fellowship at Boston Medical Center. She is completing a Masters of Science in Health Services Research at Boston University School of Public Health with a focus on global health delivery and immigrant/refugee health. Dr. Magge’s domestic research focuses health care access for low-income children and malnutrition among low-income and refugee children. Globally, Dr. Magge has worked as a research fellow and technical advisor with Partners in Health/Inshuti Mu Buzima (PIH/IMB) to improve the quality of pediatric care in rural health centers in Rwanda and will begin as their Director of Pediatrics with a focus on providing high quality, comprehensive, and innovative care for children in partnership with the Rwandan Ministry of Health.
Instructor, Global Health and Social Medicine, Harvard Medical School;
Attending Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston;
Director, The Program in Newborn Health and Social Change, Department of Global Health and Social Medicine, HMS;
Director of the Responsible Conduct of Research Educational Program, HMS
Dr. Sayeed’s primary scholarly interests involve the broad evaluation of the determinants of newborn human survival and death globally. He works on several projects examining those determinants from operational, sociological, ethical, anthropological, legal, and historical perspectives. He is also the co-founder and director of the International Pediatric Outreach Project, a service-oriented non-profit organized to improve the delivery of children’s health care in Africa and India.
He is a graduate of Dartmouth College, the University of Michigan Law School, and The University of Iowa College of Medicine. Prior to joining Harvard’s faculty, Dr. Sayeed was on faculty at the University of California, San Francisco where he completed residency and fellowship training in pediatrics and neonatal medicine. While in the Bay Area, he was a visiting scholar and subsequently an adjunct faculty member at the University of California Berkeley School of Law.
MaryCatherine Arbour, MD, MPH,
Associate Physician, Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital;
Senior Research Associate, Center on the Developing Child, Harvard Medical School;
Dr. Arbour performs global health research aimed at designing and evaluating interdisciplinary, community-based interventions in resource-poor settings with the goal of reducing inequities and a special interest in child development. She directs the health component of Un Buen Comienzo, a cluster-randomized controlled trial of a preschool health and education intervention in Santiago, Chile. She leads the integration of continuous quality improvement methods into the expansion of UBC to the rural VI Region.
Dr. Arbour also performs interventions and research in post-disaster settings, including post-tsunami Indonesia (2005), post-earthquake Haiti (2010),and post-earthquake Chile (2010). Dr. Arbour holds a BA in Biological Anthropology from Swarthmore College, an MD from Harvard Medical School and an MPH from the Harvard School of Public Health.
Anne Hansen, MD, MPH
NICU Medical Director, Newborn Medicine, Children’s Hospital Boston
Associate Professor, Harvard Medical School
Dr. Hansen’s current global health work is focused on developing and implementing a newborn medicine package in Rwanda. Along with other members of the CHB NICU staff, she and her team spent the last several years in an iterative process of adapting the accepted standard of care practice in the level II Special Care Nursery Setting in the United States to local conditions in Rwanda. The final protocol and medical record/order set was accepted by the Rwandan ministry of health as the national standard for neonatal care and we are now transitioning to the phase of organizing more robust in-country support and national trainings. Their eventual goal is to scale this model to multiple sites and create a virtual annex of the NICU at CHB for global consultation.
In addition to her efforts in global health, she works to improve the care of newborns seriously ill with medical and surgical conditions. She has authored both original research papers and manuals for neonatologists, surgeons and pediatricians, developed multiple guidelines for the CHB NICU, and collaborated with numerous investigators on medical and technical improvements to care.
For surgicalpatients, she co-edited The Manual of Neonatal Surgical Intensive Care, and has written multiple guidelines for pre and post operative management. She currently works on a novel approach to minimize post operative stricture formation after esophageal atresia repair. She was a lead investigator in a study of Donation after Cardiac Death (DCD) in the NICU that resulted in offering this option in the CHB NICU.
For medical patients, she has examined innovative approaches to the treatment of neonatal conditions including intraventricular urokinase for the prevention of posthemorrhagic hydrocephalus, once daily gentamicin dosing in infants, substitution of cord for infant blood in peri-natal sepsis evaluations, and inhaled racemic epinephrine for the treatment of TTN. In collaboration with her neurology colleagues, she helped develop and implement the first therapeutic hypothermia program in New England and is collaborating on studies of pharmacokinetics and sophisticated MRI and NIRS technology to better assess neurologic function and outcome.