“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 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.
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.
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.
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.
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
Ambassador of Sweden to Uganda calls for full involvement of men and boys in achieving Gender Equality
The Ambassador of Sweden to Uganda Her Excellence Maria Håkansson has emphasized the need to fully engage men and boys in all the initiatives geared towards achieving Gender Equality in Uganda and other parts of the world. She said this on 28th November 2023 at a press conference organized by the Embassy of Sweden in close collaboration with Makerere University Gender Mainstreaming Directorate, UN Women and United Nations Population Fund (UNFPA) to unveil the National Orange Pledge campaign and officially launch the 16 Days of Activism against Gender-Based Violence.
The press conference was headlined by a Ugandan rapper and record producer Daniel Lubwama Kigozi, popularly known by his stage name Navio and his fellow from Sweden Jason Michael Bosak Diakité popularly known as Timbuktu. Over 200 students both male and female from Makerere University and other institutions of higher learning attended the press conference at Makerere University Rugby Grounds.
According to Her Excellence Maria Håkansson, Gender Equality cannot be achieved without involving men and boys to take their responsibilities and be the drivers of change. “For real change to happen, we need to change attitudes and norms that might cause Gender Based Violence, one of the social ills in Uganda and an extreme of gender inequality that occurs at all levels of society,” she said.
Referring to the national survey conducted in 2020, the Ambassador was concerned about the escalating burden of gender based violence in Uganda when she said, “the Survey highlighted that 95% of women and girls experience physical or sexual violence since the age of 15.”
She therefore emphasized the Global 16 Days of Activism as key international movement to increase awareness and advocate for an end to Gender Based Violence. The Ambassador also mentioned that preventing and responding to Gender Based Violence is a cornerstone for Sweden’s commitment to promote democracy, human rights and gender equality and this is done as an investment in a society that upholds the principles of equality, dignity and justice.
She acknowledged the full participation of university students in all campaigns and activities geared towards achieving gender equality as well as ending Gender Based Violence when she said, “You are the leaders of tomorrow and you have an opportunity to build a future where everyone can thrive. So please use today to take an active stand against Gender Based Violence.”
Every year Uganda joins the rest of the world to enhance the global campaigns on 16 Days of Activism against Gender-Based Violence and also add a voice to the call for an end to violence against women and girls. These campaigns run from 25th November (the International Day for the Elimination of Violence against Women) until 10th December of the Human Rights Day.
The United Nations Secretary-General’s UNiTE by 2030 initiative calls for global action to increase awareness, galvanize advocacy efforts and share knowledge and innovations to help end all types of violence against women and girls. This year 2023, the UNiTE campaign theme is; Invest to Prevent Violence against Women & Girls.
Over the years, Makerere University through its Gender Mainstreaming Directorate and School of Women and Gender in partnership with UN Women and many other partners have been at the fore front to support the campaign on 16 Days of Activism against Gender Based Violence in Uganda. This has been done through debates, theatre forums, student dialogues, thematic artistic presentations, media exposures, drama and music skits presentation, and student peer led discussions and quarterly competitions.
This year 2023, the University in partnership with the Embassy of Sweden, UN Women and United Nations Population Fund (UNFPA) unveiled the Orange Pledge. According to Eric Tumwesigye the Senior Gender Specialist at Makerere University Gender Mainstreaming Directorate, this campaign calls upon government, policymakers, activists, civil societies, academicians, students and all members of community from all parts of the country to make their heartfelt pledges towards ending Gender Based Violence in Uganda and the rest of the world.
The UN Women Country Representative Paulina Chiwangu recognized the investment Makerere University, the Embassy of Sweden and UNFPA have made to end violence against women and girls. “Thanks to our collective efforts, the silence that used to shroud violence against women has now been broken” said.
In the same spirit, she acknowledged the progress Makerere University has made in establishing and implementation of the University’s Policy and Regulations against Sexual Harassment to protect students and staff from potential abuses of power and conflict of interest. She also applauded the increased support and training for students and the strengthened mechanisms for investigations that allow students and staff to anonymously report sexual misconduct.
“We are however, aware that despite this, sexual harassment is still happening in the university and that not many students report to the authorities when they experience it. It is therefore, our humble appeal to the university leadership to continue monitoring the implementation of the Policy and Regulations Against Sexual Harassment, take all allegations of sexual harassment and violence seriously, ensure that all personnel have information on available support services and take action to ensure that perpetrators are held accountable.”
Reaffirming the University’s position in fighting GBV and particularly sexual harassment, the Vice Chancellor of Makerere University Prof. Barnabas Nawangwe was highlighted the various measures Makerere University has put in place to prevent and respond to Gender Based Violence. To him, the Policy and Regulations against Sexual Harassment; the appointment and capacity building for the Vice Chancellor’s Roster of 100 eminent people from the various colleges and administrative units; recruitment and training of the Gender Mainstreaming Programme Student Peer Trainers and setting up Sexual Harassment Investigation Committees are bigger milestones to celebrate.
He appreciated the move by the Gender Mainstreaming Directorate and all the partners to embrace entertainment and artistry as a critical advocacy and awareness tool to reach several communities especially the youth.
“We firmly believe in the transformative power of music and the arts in promoting social change. Music and art does serve as a powerful medium to advocate for the world free from violence especially violence against women,” said to Mr. Dainel Alemu, the UNFPA Deputy Country Representative.
“It is heartening to see artists like Navio taking a stand and using their influence to challenge harmful norms. As we revel in the beats and melodies, let us not forget he underlying message that everyone , regardless of gender, has a role to play in fostering a world where everyone is free from shackles of gender based violence,” he added.
Speaking at the Press Conference at Makerere University Rugby Grounds, Navio said that for the 20 years he has been an activist of Gender Based Violence, he has faced the reality of many young girls and women in Uganda being victims of sex and physical abuse. He therefore sent a huge condemnation to men especially artists that who are perpetrators of Gender Based Violence and called for serious government action and clear policies and laws against such injustices.
Navio applauded the women and men who have stood tall over the years to fight against Gender Based Violence in Uganda when he said, “ As we launch the 16 days activism in Uganda and through these pledges we are making, let us be accountable for our actions. For long in our cultures, men have considered force and violence as power and protection. They have been tough to their children hence instilling fear to the extent that the children cannot freely interact with them on serious matters such as abuse and torture.”
He applauded all families that have adopted the new parenting model of free conversations and interaction hence encouraging children to freely open up whenever they have challenges. Navio also acknowledged the role of his mother Mrs Maggie Kigozi as a human rights activist and a champion in fighting against Gender Based Violence in Uganda.
Jason Michael Bosak Diakité popularly known as Timbuktu from Sweden appreciated the wider platform provided by the music industry globally for artists to act as role models and champion of change. The rapper highlighted the need to respect women for their roles and support towards community development.
“I am a son and it is extremely important for me to respect my mother and all women. Also being a father to a beautiful daughter, I am always eager and looking forward to seeing the best future for her. I want daught to grow up in the world where she is able to feel safe and be allowed to freely associate without being discriminated or threatened because of her gender,” he said.
Scholars & Alumni of Mastercard Foundation light up Achukudu Community, Napak District
By Bernard Buteera
On Saturday 2nd December 2023, all roads led to Achukudu Community Primary School in Napak District, Karamoja sub-region, as the Scholars and Alumni of Mastercard Foundation at Makerere University commemorated their Scholars’ Annual Day of Community Service (Giveback). The 2023 Scholars Annual Day of Community Service was held at Achukudu Community Primary School, Napak District in the Karamoja sub-region. Established in 2013, Achukudu Community School serves two ethnic communities—The Iteso and Karamojong.
With a total population of 1,097 pupils only three government-paid teachers, and nine community-paid teachers, the School faces a plethora of challenges. Key among the challenges is the lack of Classrooms, decent Ventilated Pit Latrines, and Desks. Therefore when the Scholars identified the School as one that deserved to be given a gift of a classroom block, it was a befitting choice!
The Scholars with support from the alumni, the Program Team, Members of the Steering Committee, and partners of the Scholars Program at Makerere University intervened by constructing a two-classroom block, which was supervised by one of the alumni who is an Engineer. Alongside the classroom block, the Scholars also provided 40 desks, helping the school meet UNEB Center eligibility criteria.
While presiding over the event, the area member of Parliament, Hon. John Bosco Ngoya, thanked the Scholars and alumni community at Makerere University for supporting the young pupils of Achukudu Primary School and the entire community by gifting them with a two-classroom block.
“Thank you Scholars and alumni of Mastercard Foundation at Makerere University for the Christmas gift of a classroom block to the young people and the entire community of Achukudu. This classroom block will go a long way in improving the learning environment of the young children of Achukudu primary school.” Hon. Ngoya pointed out.
Hon. Ngoya called upon other people to emulate the Scholars and alumni of the Mastercard Foundation in embracing the spirit of giving back to the vulnerable people in the community. On his part, he donated One Million Five hundred shillings (1,500,000/=) to help the School purchase more desks, and he had earlier contributed One million shillings (1,000,000/=) towards the construction of the classroom block.
The District Education Officer (DEO) for Napak District, Ms. Joyce Nakoya, praised the Scholars Community for embracing and practicing the spirit of giving back to other people at an early age.
“Thank you Scholars and alumni of the Mastercard Foundation at Makerere for embracing the spirit of giving back to other people at such an early age. If all people gave back to the less privileged in our communities, we would have a better world for everyone.” Ms. Nakoya pointed out.
Ms. Nakoya further pointed out every child deserves to study in a decent environment, therefore it was a befitting cause for the Scholars to construct a classroom block for the young pupils of Achukudu community primary school, who were studying in open grass thatched classrooms.
The Program Manager of the Mastercard Foundation Scholars Program at Makerere University, Ms. Jolly Okumu who led the team of Scholars, alumni, and staff to Karamoja thanked the community of Achukudu for supporting the Scholars to deliver the class block by contributing to the construction sand.
“We come here today to join with you as a community driven by a shared commitment to education, empowerment, and ethos of giving back. Today is a historic occasion as we celebrate the completion and commissioning of the classroom block, which is a remarkable testament to the transformative power of education and our unwavering spirit of community service.” Ms. Jolly remarked.
The President of the Scholars Association, Mr. Godfrey Okello, thanked all the Scholars and alumni, and all stakeholders who contributed to the construction of the classroom block, which was a dream that became a reality.
“I would like to thank my colleagues and people of goodwill who supported us to realize our dream of constructing this classroom for our young brothers and sisters of Achukudu Primary School. Together we can make a difference in the lives of our fellow young people in Uganda and Africa as a whole.” Mr. Okello remarked.
The Headteacher of the School, Mr. Eryebu Raymond, who was visibly very excited was full of praises for Scholars and alumni of the Mastercard Foundation, for what he termed as an iconic classroom block they had gifted to his School.
“This day is very special to us, we will not see this day again. We are delighted to receive the Scholars and alumni of Mastercard Foundation from Makerere University, thank you for considering supporting our School” Mr. Eryebu excitedly remarked.
The Headteacher revealed that one of the major challenges the school was facing was an acute shortage of classrooms for his 1,097 pupils. He was therefore grateful to Mastercard Foundation Scholars for choosing to construct a two-class block for the School.
“This donation of a classroom block and Desks is a testament to your commitment to education and empowering the lives of the vulnerable people in the community. This classroom block and desks will go a long way in improving the quality of teaching and learning at our school.” Mr. Eryebu further remarked.
The 2023 Scholars Annual Day of Community Service (Giveback) was punctuated with a lot of joy, pomp, and fanfare, as the pupils and the entire community of Achukudu danced and ululated at the commissioning of the classroom block. The construction of the classroom block and purchase of desks for Achukudu Community Primary School was made possible by generous contributions by the Scholars, alumni, the Program Team, and members of the Steering Committee.
Among the Partners who made financial contributions towards the class block construction included; DFCU Bank, Post Bank, URA, Katumba Estates, Footsteps Furniture Ltd, and Sion Travels Ltd.
The Scholars and Alumni Day of Community Service (Give back) is an annual event, where Scholars and alumni of the Mastercard Foundation go out into the community to give back by providing solutions to challenges that a particular community is facing. Over the years Scholars have given back to the communities in numerous ways that range from offering professional services and erecting major projects like classroom blocks.
Bernard Buteera is the Communications and Public Relations Officer of the Mastercard Foundation Scholars Program at Makerere University.
Innovations using low cost locally available materials for point of use water treatment system unveiled
The College of Engineering, Design, Art and Technology (CEDAT) conducted a Research Dissemination of two studies aimed at the Development of Materials for point of use water treatment systems.
The investigations were conducted by a team of researchers comprised of P. W. Olupot, H. M. Kalibbala, E. Menya, G.M. Wangi, J. Jjagwe, J. Wakatuntu, M. Turyasingura, R. Walozi, C. Kanyesigye and R. N. Kulabako.
The dissemination event held on Wednesday 29th November 2023 follows the successful completion of two MakRIF supported Research projects namely; Development of rice husk based granular activated carbon for point-of-use water treatment systems and Development of zeolite-based nanocomposite filters for drinking water treatment.
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