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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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91st Electoral Commission Promises a free and fair Electoral Process

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By Nickson Maberi

The swearing-in-ceremony for the 91st Students’ Guild Electoral Commission was held on Friday 31st January 2025.  Mr. Joseph Murungi, a commissioner from the College of Health Sciences (CHS) was unanimously chosen as the chairperson of the commision.

Mr. Murungi thanked the good Lord and students for entrusting him with the position and promised to deliver a free and fair electoral process and head a commission that is impartial.

The Dean of Students, Dr. Winifred Kabumbuli urged the new commission to execute its duties in line with the Guild statute and Constitution.

“You must execute your duties in line with the Guild statute and Constitution, anything outside that is invalid. I wish you the best and I am looking forward to working with you,” she said.

Ms. Ruth Iteu, the Head of the Online voting team, urged the commission to avoid being caught on the wrong side of the law as it will lead to severe consequences.

Rev. Fr. Josephat Ddungu, the Chaplain of Makerere University St. Augustine Chapel said they will continue to pray for the commission to have a peaceful and successful.

“The Electoral Commission is a very important body and the success of the electoral process depends on you. Please concentrate on doing what is right before the Lord. As your spiritual leaders, our duty is to pray. We are therefore praying for you to have a peaceful and successful election,” he said.

Administrator who urged the commission to always do the right at the right time.

Mr.  Nickson Maberi encouraged the new commission to follow the law and avoid tarnishing the image of the university.

Mr. Joseph Murungi, Commissioner from the College of Health Sciences (CHS) swearing in as Chairperson of the Electoral Commission for the 91st Guild Elections.

“Makerere University elections attract national attention. Please follow the law and be people of integrity to avoid tarnishing the image of the university,” he guided.

Mr. Aston Tayebwa from the College of Natural Sciences was elected as the commission’s General Secretary while Ms Sharon Nyonyozi from the College of Humanities and Social Sciences was elected as the commission’s Vice Chairperson.

Other commissioners include: Mr. Ijoot William from the College of Engineering, Design, Art and Technology (CEDAT), Mr. Ntambi Moses from the College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Mr. Perez William Mwesigwa from the School of Law (SoL), Alyosius Mutagubya from the College of Computing and Information Science (CoCIS) and Mr. Mugisha Hamidu from the College of Agricultural and Environmental Sciences (CAES).

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KobWeb: RENU’s Community Magazine – 2024 Edition

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Cover page of KobWeb: RENU's Community Magazine, 2024 Edition. Makerere University, Kampala Uganda, East Africa.

The Research and Education Network for Uganda (RENU) is a community-driven, non-profit organization with a major focus on nurturing collaboration among member institutions (i.e. research and education institutions), and global partners. Founded in 2006, RENU has grown from a small National Research and Education Network (NREN) that focused on just connectivity needs of universities and research organisations, to a fast-growing specialized ICT solutions provider for the entire Research and Education (R&E) community including schools, colleges, other tertiary institutions, hospitals, and their end users. RENU is located at House No. 31, The Edge, Makerere University and on Plot 6B, Mabua Road, Kololo, Kampala.

Highlights from the 2024 Edition featuring Makerere:

  • Universities Launch Global Coalition to Support Refugee Education at Scale
    • 16 universities from across the globe have come together to improve and increase access to higher education for refugees and their communities, where they reside. Universities based in Africa, Europe, and North America formed the Global University Academy (GUA) following a workshop hosted by the University of Oslo in June 2024.
    • The GUA is currently looking into the possibility to pilot the initiative in Uganda. Key partners in this work are Makerere University and Gulu University, who are already actively engaged in providing access to higher education for refugees, and the Norwegian Refugee Council (NRC) Uganda.
  • Advancing Child Welfare The AfriChild Centre’s Inter-University Programme
    • The Inter-University Programme, spearheaded by the Centre of Excellence for the Study of the African Child (AfriChild Centre), is a landmark initiative focused on equipping researchers with the essential skills needed to conduct high-quality child-focused research. The success of the Inter-University Programme is built on the strong partnerships the AfriChild Centre has established with universities including Makerere University.
  • Liberate your Mind from the Present and Dream Big to Provide Meaningful ICT Solutions for Research and Education!
    • At the 2024 RENU ICT Directors Forum, Dr. Francis F. “Tusu” Tusubira, the Chief Guest, delivered an electrifying address urging ICT leaders to dream beyond the present and shape the future of research and education. Reflecting on his time at Makerere University, he shared his philosophy of granting autonomy to team members and supporting them unconditionally. “Allow your team to make decisions and mistakes, especially in the current environment, which presents opportunities for learning. Protect them when they make mistakes. Once you do this, your team will build your dream.”
  • Advancing Open Science and Open Access in Africa, with a Focus on Uganda
    • Open Science and Open Access have emerged as transformative movements in the global academic and research community. Their principles—sharing knowledge freely, fostering collaboration, and driving practical solutions to societal challenges—are especially resonant in Africa, where equitable access to resources and innovative solutions are essential for sustainable development. Institutions like Makerere University are driving Open Science efforts by encouraging researchers to adopt open frameworks.

Visit RENU to download full edition

Mark Wamai

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Press Statement: Clarification on Issues Raised During the Ongoing Conversations on the X Platform

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Front View of the reconstructed Main Building, Makerere University. Date Taken 8th November 2024. Kampala Uganda, East Africa.

Thursday, 06 February 2025

Makerere University Management has been keenly following the concerns raised on the X platform. As a public institution, we value constructive criticism and feedback as these present an opportunity to clarify issues and, in the process, enhance service delivery. However, the University Management has noticed several instances of disinformation and outright blackmail towards various University officers and would like to offer the following clarifications:

  1. Allegations of Solicitation of a Bribe by a Member of the University Council

The University Management received an audio recording in which a staff member is allegedly heard soliciting a bribe from colleagues to assist them in accessing higher positions during the recently concluded salary harmonization process. While the staff member in question is an elected representative of the support staff to the governing University Council, he is neither a member of the Appointments Board nor wields influence on its decisions.

Given the severity of the alleged offence and the position of the staff member, the University initiated immediate investigations and interdicted the staff member on Thursday 30th January 2025 to facilitate the investigation process. The staff member will be given an opportunity to present his case through a fair hearing before the Appointments Board.

  1. Appointment of Substantive Deputy Vice Chancellors

The Deputy Vice-Chancellor, Finance and Administration (DVC F&A) position became vacant after a legal challenge overturned the initial appointment and halted subsequent searches. After the appellant withdrew the cases, the University Council initiated a new search through the Senate. However, a contestant later petitioned, citing non-compliance with guidelines. The University Council referred the matter back to the Senate, which reviewed it on 12th December 2024. The revised report will be considered at the University Council meeting on 11th February 2025.

  1. The Deputy Vice-Chancellor, Academic Affairs (DVC AA)

The Deputy Vice-Chancellor, Academic Affairs (DVC AA) position became vacant on 30th November 2023 upon the end of the incumbent’s tenure. While the University Council was conducting an appraisal for possible reappointment, the DVC AA was appointed in an acting capacity. However, before the process concluded, a member of staff challenged the appraisal in court, making the matter sub judice. Consequently, the University Council deferred further consideration until the court resolves the case.

  1. Promotion Requirements for Associate Professors and Professors.

Academic staff promotions at Makerere University follow the Human Resources Manual (HRM), last amended in 2022. Policy changes are initiated by the Senate and take effect upon Council approval. Promotions are based on the criteria in place at the time, as recorded by the Senate and Council. All Associate Professors and Professors undergo rigorous assessment, including mandatory internal and external vetting by internationally recognized subject experts.

  1. Retirement of Associate Professors and Professors Post-60 Years

Makerere University mandates retirement at 60 in accordance with Ugandan law. To retain highly skilled talent, the University Council introduced a post-retirement contract policy under the Universities and Other Tertiary Institutions Act (UOTIA). The Appointments Board grants or renews these contracts based on outstanding performance in teaching, research, grants, and mentorship, subject to available vacancies and wage funds. Before approval, the University Management assesses the impact on staff promotions, ensuring no disadvantage to qualifying staff within a particular Department.

  1. Membership and Leadership of the University Council and its Committees

The University Council membership is constituted in accordance with Section 38(1) of the Universities and Other Tertiary Institutions Act (UOTIA), which outlines the criteria for appointing representatives from various constituencies, including the Government, staff, students, Kampala Capital City Authority (KCCA), persons with disabilities, and Council appointees.

The constituents are responsible for managing the selection process for their respective representatives. University Council members serve four-year terms, which can be renewed by the respective constituents in accordance with Section 38(3) of the UOTIA. It is important to note that no Council member, current or former, has ever served beyond the period specified by law.

The University Council elects its Chairperson and Vice Chairperson in accordance with Section 39 of the UOTIA. Additionally, the Council establishes the Appointments Board and all its Committees in compliance with Section 43 of the UOTIA and Section 38 of the Council Charter.

  1. Recent Policy Reforms at the University

The University Council has implemented key reforms to enhance service delivery and staff accountability. These include a biometric staff attendance system and the digitalization of student services such as application, admission, registration, fee payment, exam records, and graduation. These measures have improved lecture attendance, expedited transcript issuance, and strengthened student support. University Management and the Appointments Board actively monitor staff performance to reward outstanding performance and ensure compliance.

  1. Disciplinary Processes and Actions Involving Some Staff Members

Makerere University enforces disciplinary policies in line with the Human Resources Manual, Public Service Standing Orders, and Ugandan law. Staff who violate these policies face sanctions such as warnings, suspensions, interdictions, and investigations, all conducted with due process before an Appointments Board hearing. Recently, two senior staff members—one a Council member and the other a School Dean were interdicted over allegations of corruption and non-performance. Their interdiction ensures independent investigations without undue influence.

  1. State of the University Infrastructure

With substantial support from the Government, Makerere University has made significant strides in enhancing its critical infrastructure for teaching, research, and student residences/welfare, alongside initiating new infrastructure projects.

Following the phased approach to renovate student halls of residence, the University Management is pleased to report that the renovation of Lumumba Hall was completed in 2024, while that of Mary Stuart Hall is ongoing. On completion of the renovation of Mary Stuart Hall, the Contractors will proceed to Complex Hall.

The University has constructed two (2) new buildings for the School of Law and School of Dentistry. The Main Building was reconstructed and commissioned by His Excellency the President on 2nd October 2024.

In addition, two (2) structures are currently under construction namely the School of Public Health and the vertical extension of the School of Women and Gender Studies. In addition to Government support, we continue to receive support from our partners for infrastructure enhancement.

We Build for the Future

Mak Editor

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