The Makerere University School of Public Health (MakSPH), College of Health Sciences (CHS) invites you to a Seminar on Wednesday, 22nd May 2019 from 1:00 to 2:00pm.
Title: Exploring Attitudes towards HIV testing amongst wealthy men in Tanzania
Presenter: Dr. Kevin Deane, Queen Mary University of London, UK
Chair: Dr. David Musoke
Venue: Third Floor, Seminar Room (Room 317), MakSPH
Short summary
HIV has long been viewed as a disease of poverty in sub-Saharan Africa, despite evidence from Demographic Health Surveys (DHS) that shows that HIV prevalence rates are often highest in the wealthiest quintile for both men and women, especially in East Africa. However, for a range of reasons, this evidence has largely been ignored in policy making and academic circles, in part because it was assumed that the wealthiest would be the first to respond to the epidemic by changing their (sexual) behaviour. In relation to HIV testing, there is also an assumption that policy and programmes designed to encourage testing should focus on the poor. Whilst DHS data shows that self-reported testing rates are lower in poorer quintiles, there are still significant numbers of wealthy men who have not taken a HIV test. This has implications for the continued transmission of the virus, enhancing access to treatment, and importantly efforts to address the gendered nature of the epidemic. This presentation will reflect on findings from a recent qualitative research project conducted in Mwanza City, Tanzania, that aimed to understand attitudes towards HIV testing amongst wealthy men and the barriers to testing they face that are related to their wealth and status.
Brief profile
Dr. Kevin Deane is an interdisciplinary specialist in International Development and Global Health. His research interests focus on the political economy of health and development, primarily with an application to the HIV epidemic in Eastern and Southern Africa. Dr. Deane also has an interest in qualitative research methodology. He has significant undergraduate and postgraduate teaching experience, and is a Fellow of the Higher Education Academy.
For enquiries please contact
Agnes Namaganda,
Communications Officer, Makerere University School of Public Health-MakSPH,
Email: anamaganda[at]musph.ac.ug, agnes.namaganda[at]gmail.com,
Tel: +256-775 492 677 / +256-702 488 636
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When the next infectious disease outbreak strikes, the question for African researchers should not be whether they have the capacity to conduct the research, but how quickly they can begin.
That is the gap a new five-year research initiative, Advancing Clinical Trials and Epidemic Preparedness Research Capacity in Africa (ACT-PREP), is seeking to address.
The project will be officially launched in Uganda on September 28th, 2026, bringing together researchers and partners from universities and research institutions across Africa and Europe. The launch will be held at the Makerere University School of Public Health (MakSPH) Auditorium in Kampala.
Led by Makerere University School of Public Health, ACT-PREP is designed to strengthen Africa’s ability to conduct clinical trials and other research before and during infectious disease outbreaks.
Africa has repeatedly faced epidemics of diseases such as Marburg, Ebola, COVID-19 and other emerging infections. Yet when outbreaks occur, the capacity to quickly generate the evidence needed to guide treatment, prevention and public health decisions remains underdeveloped.
ACT-PREP aims to make research part of outbreak preparedness not something that begins only after an epidemic has already spread.
According to Prof Rhoda Wanyenze, the Principal Investigator on the project, “the initiative will establish a framework for more equitable collaboration among 10 African and two European institutions, working alongside Universities and the Africa Centres for Disease Control and Prevention (Africa CDC)”.
The consortium includes institutions from Uganda, Rwanda, Tanzania, the Democratic Republic of Congo, Somalia, South Sudan and Senegal, as well as European partners in Sweden and Germany. Africa CDC is also among the participating institutions.
For Uganda, the launch at Makerere University is significant. The university is taking the scientific lead on a programme that places African research institutions at the centre of efforts to prepare for future epidemics.
One of ACT-PREP’s central ambitions is to address the shortage of researchers and systems capable of rapidly conducting high-quality clinical research during emergencies.
The project will strengthen clinical research, ethics and regulatory capacity, while also supporting laboratory and disease surveillance systems. It will integrate training into PhD and postdoctoral programmes, with the consortium aiming to train at least 700 fellows at the end of the project.
“The idea is straightforward: Africa needs not only laboratories and equipment, but also people with the skills to use them when an outbreak begins” – Says Dr Steven Kabwama, ACT-PREP Project Manager.
Researchers will also be supported to share expertise, data, resources and technology across institutions and national borders.
ACT-PREP will further explore One Health approaches and artificial intelligence-supported systems to improve disease prediction, detection and rapid response. The project also seeks to support more streamlined regulatory processes so that clinical trials can be deployed and monitored more quickly when they are needed.
The experience of recent epidemics has shown that time is one of the most valuable resources in an outbreak.
Delays in detecting a pathogen, setting up research sites, securing ethical and regulatory approvals or generating reliable evidence can affect how quickly health authorities are able to respond.
ACT-PREP is built around the idea that many of these systems should already be in place before the next emergency.
That means having trained researchers, functioning laboratories, established regulatory pathways, surveillance systems and relationships between institutions that can be activated when an outbreak occurs.
It also means changing how research partnerships are built.
Rather than relying on external institutions to arrive when a crisis begins, the project seeks to strengthen African institutions themselves and create longer-term collaborations in which expertise, technology, data and resources can be shared across borders.
After 14 years of dedicated service, Claire Nakayiza, a familiar face and trusted custodian at the School of Public Health (SPH), has retired, leaving behind a legacy of hard work, commitment, kindness and service to the School community.
For many people at the School of Public Health, the sight of Claire arriving early in the morning, opening up the building and ensuring that everything was in order was simply part of the daily rhythm of life at the School.
For 14 years, Claire has been a constant presence at SPH. She has witnessed generations of staff, students, researchers and visitors walk through the School’s doors. She has seen colleagues join, grow and eventually move on, while she remained a dependable presence, quietly carrying out her responsibilities and ensuring that the School was ready to welcome everyone each day.
Her retirement was therefore more than a routine farewell. It was an opportunity for colleagues to celebrate a woman whose contribution, though often carried out behind the scenes, touched many lives and contributed significantly to the smooth running of the School.
Prof. Rhoda Wanyenze (R) and Claire Nakayiza (L).
At a farewell brunch organised by the Dean, School of Public Health, Prof. Rhoda Wanyenze, colleagues and friends described Claire in glowing terms. Words such as hardworking, kind, patient, resilient, dependable and caring repeatedly featured in the tributes.
For many, Claire was much more than a custodian. She was described as a mother figure, a counsellor and someone people could approach whenever they needed a listening ear, encouragement or simply a warm smile.
A commitment that went beyond the call of duty
One of the strongest themes to emerge during the farewell was Claire’s extraordinary commitment to her work.
Colleagues recalled how she would routinely open the School building as early as 6:00 a.m., ensuring that staff and students arriving for the day found the premises ready. Her working day could stretch well into the evening, with some days requiring her to remain at the School until 8:00 p.m. or even 10:00 p.m.
Despite the long hours and demanding nature of her responsibilities, colleagues said Claire rarely complained. Instead, she approached her work with patience and resilience, always focused on ensuring that the School was secure and that its operations could continue smoothly.
Her dedication was particularly evident in her contribution to improving the security of the School building. Over the years, Claire became a trusted custodian of the premises, helping to ensure that the building was opened and closed responsibly and that the environment remained secure for those who worked and studied there.
Speaking at the farewell, Prof. Wanyenze described Claire as someone who consistently worked beyond the call of duty.
Claire Nakayiza receives a plaque in appreciation of her service from the Dean and Leadership of SPH.
The Dean acknowledged that saying goodbye to Claire was an emotional moment, given the many years she had spent serving the School and the relationships she had built along the way.
However, Prof. Wanyenze said she had spoken to Claire and was assured that she was ready to embrace the next phase of her life.
She joined colleagues in wishing Claire good health, happiness and prosperity as she begins her retirement journey.
More than a custodian
Claire’s impact at SPH was not limited to the physical responsibilities associated with her job. To those who interacted with her regularly, her greatest contribution was perhaps the warmth and humanity she brought to the workplace.
Amos Ddembe, the Internal Auditor, described Claire as a joy to watch as she went about her work.
He particularly remembered her interactions with people when she was stationed at the reception area. Claire, he noted, was almost always smiling and welcoming to staff and visitors.
Her ability to make people feel comfortable, regardless of their position or role at the School, earned her the affection and respect of many colleagues.
Claire’s colleagues also remembered her as someone who was willing to listen and offer guidance. Her patience and calm demeanour meant that people could approach her with their concerns, knowing they would receive a sympathetic ear.
Over the years, these seemingly small interactions accumulated into meaningful relationships, helping to make Claire one of the most recognisable and trusted members of the SPH community.
A legacy of service
Fourteen years is a significant period in the life of any institution. During that time, Claire witnessed changes in leadership, staff, students, programmes and the physical environment of the School.
She remained a constant through these transitions.
Her service represents the important contribution made by members of the support staff whose work often happens quietly but is essential to the functioning of an institution.
From opening the building before sunrise to securing it late in the evening, welcoming people at reception, supporting the day-to-day operations of the School and contributing to the security of the premises, Claire’s work helped create an environment in which others could perform their own responsibilities.
Claire Nakayiza makes her remarks.
Her story is a reminder that the success of an institution is built not only through high-profile academic and research achievements, but also through the dedication of people who ensure that the institution functions every day.
A gesture of appreciation
As part of the farewell, the Department of Community Health and Behavioral Sciences also expressed its appreciation for Claire’s years of service.
Representing the Department, Dr. Christine Nalwadda presented Claire with a cash envelope on behalf of the staff as a token of appreciation for her commitment and contribution to the School.
A new chapter begins
As Claire leaves the School of Public Health, she takes with her the memories of 14 years of service and the goodwill of the many people she encountered along the way.
For the colleagues who gathered to celebrate her, the farewell was not simply about marking the end of employment. It was about celebrating a colleague who had become part of the fabric of the School.
As she begins this new chapter, the School of Public Health joins together in saying:
“Thank you, Claire, for 14 years of dedicated service. Thank you for the early mornings, the long evenings, the smiles, the patience and the unwavering commitment.
May retirement bring you the good health, peace, happiness and prosperity you so richly deserve.”