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Govt called upon to Fund Research in NCDs: Diabetes can be Prevented and Effectively Managed

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“Non-communicable diseases (NCDs) are a rapidly growing health burden in Uganda, and many other low and middle income countries. I call upon the Government of Uganda to fund research in NCDs. Most people with NCDs do not know that they are suffering from NCDs such as diabetes, high blood pressure, cancer, or heart diseases. For diabetes, about half of the people with diabetes in Uganda do not know that they have it,” said Prof. Rhoda Wanyenze, Dean of Makerere University School of Public Health.

According to the World Health Organisation (WHO) report of 2016, deaths from NCDs were on the rise, with developing countries hit hardest. NCDs are the leading cause of death globally. In 2016, they caused 71% of all deaths (40.5 million) up from 60% in 2000.

Opening the SMART2D Research Dissemination Workshop to various stakeholders held on 21st March 2019, Prof. Wanyenze applauded researchers from Makerere University School of Public Health for teaming up with other partners to undertake a multi-country four year research project aimed at identifying strategies to better prevent and manage Type-2-Diabetes, one of the NCDs.

She commended the research team headed by the Uganda co-Principal Investigator, Prof. David Guwatudde for not only describing problems, but also providing prevention and management strategies for Type-2-Diabetes.

The Dean, School of Public Health, Prof. Rhoda Wanyenze applauded the SMART2D research team for undertaking the multi-country four year research project on NCDs

The co-Principal Investigator of SMART2D, Prof. David Guwatudde emphasized that the primary aim of the four year research was to strengthen capacity for both prevention and management of Type-2-Diabetes.

“Health systems in most parts of the world were struggling to diagnose and manage Type-2-Diabetes especially in low and middle income countries. More than 50% of people with diabetes in Uganda are undiagnosed. They are not aware that they have diabetes. Further in Uganda, only about 30% of people with diabetes have ever had their blood tested for high blood sugar,” he said.

Funded by the European Union (EU) and Government of Sweden through the Swedish International Development Cooperation Agency (Sida), the SMART2D research presents a people-centered approach through Self-Management and Reciprocal Learning for the Prevention and Management of Type-2-Diabetes.

Prof. Guwatudde revealed that Type-2-Diabetes is more of a lifestyle disease, which can be prevented if we modify our lifestyle and behaviour. The nutrition aspect is one of the factors leading people to get diabetes.

According to Dr. Juliet Kiguli, co-Investigator on the SMART2D, some of the factors putting one at the risk of getting diabetes included: consumption of unhealthy foods (eating sweet things, too much oil, alcohol); physical inactivity (not exercising); Worrying; and ignoring the advice from medical personnel.

L-R: Dr. Juliet Kiguli, Dr. Roy William Mayega and another member of the research team a the Workshop

With Dr. Elizabeth Ekirapa sharing statistics that diabetes wields a tremendous economic burden on society (to patients and the economy at large); and further revelation from Dr. Roy William Mayega that most of the patients the research team interviewed, could not afford the drugs and equipment to monitor their blood sugar, yet often there are stock-outs of these at Government health centers.  He emphasized that SMART2D advocates for strategies aimed at prevention and effective management of diabetes. “Prevention is better than cure. Since diabetes can be prevented and the prevalence of pre-diabetes is high, preventive efforts should be stepped up so as to save lives as well as resources that are going to be spent on treatment.”

For those living with diabetes, Prof. David Guwatudde emphasized that if they follow the advice of the medical personnel and take the prescribed medicines; they can live a normal life. “It is not true that when they diagnose you with diabetes you die soon. If you take the prescribed medicines and follow the advice from medical personnel, you will live with diabetes and still live a normal life.”

The SMART2D research team consists of the following researchers: Prof. David  Guwatudde, Dr. Juliet Kiguli, Dr. Roy William Mayega, Dr. Barbara Kirunda Tabusibwa, Dr. Elizabeth Ekirapa Kiracho, Dr. Francis Xavier Kasujja, Dr. Anthony Muyingo, Mrs. Max Walusimbi, Ms.  Gloria Naggayi, Mr. Edward Ikoona, and Mr. Kusolo Ronald.

Some of the challenges in the prevention and management of NCDs include: Inadequate prevention strategies; a large proportion of people with NCDs are undiagnosed; lack of funds to buy the recommended medicines; and poor retention into care.

Dr. Elizabeth Ekirapa shared statistics on the economic burden of diabetes on patients and the economy

To address the four challenges, the SMART2D research team came up with a set of Facility and Community interventions.

Minimal improvements in organization of facility-based care significantly improved the percentage of patients with diabetes that are retained into care by over 30%. It also improved control of the disease in the patients by over 10%, and prevented the development of diabetes among people at high risk by over 50%.

In line with WHO report published in 2002 titled Innovative Care for Chronic Conditions: Building Blocks for Action which noted that a community has a crucial role to play in chronic care, Dr. Francis Xavier Kasujja reiterated that peer groups were instrumental in the ongoing support to diabetes patients in Iganga and Mayuge communities.

Delivering a personal testimony, one of the patients with diabetes said that they significantly benefited from the engagement and trainings received during the SMART2D project.
However, with the end of the project, most of the patients were worried because they cannot afford the cost of treatment for management of diabetes.

Dr. Francis Xavier Kasujja shared the importance of peer groups in supporting diabetes patients in the Iganga-Mayuge communities

Presenting the implications of their findings on policy, Dr. Roy William Mayega highlighted the following recommendations:

•    Health Centres from level III+ should be supported to establish diabetes care and prevention services and accredited in a phased way
•    Roll-out of a minimum package of equipment, and essential drugs from Health Centre III and above, supported by a regular supply, inclusive of hypertension medicines
•    Need to roll out lean clinical guidelines and a care algorithm to all facilities
•    Scaled training (pre- and -in-service), supervision and clinical mentorship of nurses and clinical staff on care and prevention
•    Strengthen the information system for chronic care including appointments, clinical records and follow-up
•    A simple health education and coaching approach and manuals should be rolled out to facilities targeting patients and people at high risk
•    A task shifting approach should be scaled up where stable patients are managed by nurses
•    Need to strengthen self-care so that patients can manage themselves

Representing the Ministry of Health, Dr. Gerald Mutungi the Senior Medical Officer in Charge on Non-Communicable Diseases shared with workshop participants some of the strategies being undertaken:  The Ministry of Health has a technical working group on NCDs; ongoing research aimed at studying the effectiveness of the integration of HIV/AIDS and NCDs into the chronic care clinic; and Government entering into a strategic partnership with Novartis, an NCD drugs manufacturer, to ensure that drugs for NCDs are available at all Government health facilities.

Dr. Roy William Mayega's presentation revealed that most patients could not afford the drugs and equipment to monitor their blood sugar

Some of the key stakeholders who attended the SMART2D Research Dissemination workshop include: Dr. Gity Behravan,1st Secretary and Senior Research Advisor, Swedish Embassy- Kampala,  Dr. Fred Makumbi-Deputy Dean of Mak School of Public Health, Dr. Esther Buregyeya, Dr. Noah Kiwanuka and officials from the World Health Organisation, Ministry of Health, NCD platforms, diabetic associations, lung and heart institutions, district health workers, patients from Iganga and Mayuge, Makerere University Directorate of  Research and Graduate Training, and among others.

Written by:  Ritah Namisango, Mak Public Relations Office

Mark Wamai

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Special Exam Results -Diploma in Performing Arts 2025/26

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The results for the 2025/2026 special entry examination for the Diploma in Performing Arts held on Saturday 17th May, 2025. Candidates who scored a final mark of 50% and above passed the Examination and have been recommended to the university’s Admissions Committee for consideration.

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Mature Age Scheme Exam Results for 2025/2026

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The Office of Academic Registrar, Makerere University has released full results for the Mature Age Entry Scheme Examinations for the Academic Year 2025/2026 held on Saturday 14th December, 2024.

The Candidates who scored a final mark of 50% and above passed the examination and have been recommended by the Pre-Entry & Mature Age Committee to the University’s Admissions Board for Consideration.

The Aptitude Exam  Results for 2025/2026 Academic Year released in February 2025 can be found here.

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Call for Application: 2025 SNRM session 4 Summer School

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Participants in focused group discussions. Leiden-Delft-Erasmus East Africa Research Network (LEARN) in collaboration with the Urban Action Lab at Makerere University a workshop to deliberate strategies for mitigating the impacts of climate change in urban centres in the East African Region, Theme: “Resilient Urban Futures: Adapting Livelihoods to Climate Change”, 4th-5th September 2024, School of Public Health Auditorium, Kampala Uganda.

Context:
Natural resources in Africa are being depleted at an alarming rate due to several factors, including unsustainable human activities, climate change, and population growth. A primary condition of sustainable development is to ensure that the pressures do not exceed the environmental limits, and that demand for the resources does not exceed levels that can be sustainably provided by nature. Therefore, there is a pressing need for transformative, systems-thinking approaches and tools that can tackle the diverse challenges facing these systems. In Africa, this need is compounded by a lack of data and monitoring, which significantly hinders sustainable decision-making.

Investing in young scientists who are committed to take lead in sustainable management of Africa’s natural resources is very important. Capacity building of young scientists will enhance their knowledge and skill on sustainable natural resources and their involvement for implementation of the sustainable development goals (SDG’s) in Africa. To this effect, SNRM summer schools have been implemented in three sessions in 2019, 2020, and 2022 with support from Volkswagen Foundation; to build a critical mass of skilled and competent young natural resource scientists in Africa through training, capacity building and mentorship. Session 4 (2025) will target competent young scientists (MSc and PhD students) in Africa and Germany to further develop their knowledge and skills in systems thinking, advanced data collection and analysis, and application of emerging digital technologies such as Artificial Intelligence (AI), machine learning (ML), internet of things (IoT), and embracing transdisciplinary approaches. In addition, we include an ideation workshop where students can work on real problems to come up with solutions for sustainable transformations in natural resource use.

Organizers: Leibniz Universität – Hannover (Germany), University of Antananarivo, University of Abomey Calavi (Benin), Makerere University (Uganda), University of Ghana (Ghana), University of Parakou (Benin), The Technical University of Kenya, with financial support from the Volkswagen Foundation (Germany).

Venue and dates: Nairobi, Kenya, 16-28 November 2025

Target: MSc and PhD students, early in the program of less than 35 years of age from any university/research institution in either sub-Saharan Africa or Germany with an interest in natural resources management.

Participants and Scholarships: The course is fully funded and open to 20 MSc and PhD students from Africa, and 5 from Germany. Funding will cover the costs of air ticket, accommodation, meals, visa, and transportation. However, participants will cover the cost of their travel health insurance.

Topics

SNRM Summer School Session 4: Transformative pathways in biodiversity management and conservation.
This summer school is designed to deliver four modules over a two-week period. The modules are designed to enable the students to acquire new ways of designing data collection protocols and analysis for transformative sustainable natural resources management.

Module 4.1: Data collection I
Skills in data collection for a transformative and sustainable management of natural resources (water, wildlife, forest, land, livestock, crops) monitoring and data collection techniques; remote monitoring tools, earth observation system data, e.g. satellite data sources, LIDAR, and UAV aerial images. Collect and analyse In-situ data on biotic and abiotic parameters, map and analyse data using R or Google Earth Engine, field data collection and retrieving data from online databases.

Module 4.2 Data management and processing
Introduction to tools and methods of managing large and diverse data sets of natural resources such as time series, spatial, directional, and multivariate data. Practicals will include data storage, organization and conversion into various formats using databases such as PostgreSQL and statistical programming software such as R and Python; scripts.

Module 4.3 Ecological monitoring, modelling and management
This module aims to teach participants how to anticipate and validate trends that can be observed in various ecosystems. Lectures include ecological monitoring and its design; population monitoring studies; metrics in population monitoring; methods for monitoring and assessing marine ecosystems; human ecology to socio-ecological systems; climate change impact of ecosystems; suitability assessments; overview of the principles underlying wildlife monitoring and prediction systems for climate change adaptation. Practicals will include field data collection (individual and group); ecological data analysis using R or PAST; modelling and experiencing the behaviour of complex systems using Vensim.

Module 4.4 Natural habitat restoration ideation lab
This module is designed to spur students’ innovation and creativity, and to help students comprehensively identify interdependencies across the 17 SDG goals. Participants will be trained on ideation processes for solutions and intervention for transformative natural resource management. They will work collaboratively in small groups on case studies and develop pathways of transformative sustainable natural resource management. Examples of projects include forest (mangrove) ecosystem and habitat restoration, improved technologies for agricultural production, nature-based solutions for improving water quality, and reversing land degradation.

Language: The course will be delivered in English. Participants are expected to be fluent in writing and speaking the English language.

How to apply

Applicants are kindly requested to fill in the application form available from https://snrmafrica.com/ and submit the following documents in English through the system.

  • a curriculum vitae (maximum 2 pages)
  • a letter of motivation (maximum 1 page)
  • a confirmation of university enrolment
  • a reference letter from the academic supervisor
  • project summary of MSc/ PhD project (1 page including objectives, methodology
    and key findings or expected outcomes).

Important dates
Application deadline: 30th June 2025.
Announcement of accepted applicants: 15th August 2025.
Confirmation of attendance by selected participants: 12th Sept 2025.
Summer school held: 16 – 28 Nov 2025.

Further information is available from

The secretariat info@snrmafrica.com
Dr Lydia Olaka lydiaolaka@tukenya.ac.ke
Prof. Dr. Hartmut Stuetzel stuetzel@gem.uni-hannover.de

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