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Interventions to Increase Compliance Levels Around COVID-19 In Refugee Communities

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By Joseph Odoi

Uganda’s open-door policy on refugee-hosting has been internationally acclaimed as “the world’s most compassionate”. And while Uganda is among the world’s top three refugee-hosting nations, possibly the first in Africa, refugee communities continue to be disadvantaged on many fronts with poor socioeconomic and health outcomes.

Refugee settings are already besieged with a socially disrupted existence, and the COVID-19 experience could have catastrophic consequences in their context. Yet the extent to which refugee communities are aware of Covid-19, have complied, and are coping with the related preventive measures, remains largely unknown.

Moved mainly by three issues: 1) Uganda’s open-door policy on refugee hosting; 2) COVID-19; and 3) the knowledge gap on COVID-19 impact in refugee communities,  Makerere University researchers in partnership with different institutions in academia, policy and practice have commenced on a study contributing to increased compliance with the Ministry of Health’s Covid-19 prevention guidelines under the project  entitled “Refugee Lived Experiences, Compliance, and Thinking” (REFLECT) in Covid-19.

According to Dr. Gloria Seruwagi, the Principal Investigator, study findings will contribute to filling gaps in knowledge, policy by designing programmes to increase understanding and compliance levels around COVID-19 and refugee communities:

“Little is known about how refugee communities have complied with the Ministry’s guidelines like social distancing, wearing masks, sanitizing or frequent washing of hands with soap. Yet it is widely known that their living arrangements in crowded spaces with massive WASH (Water, Sanitation and Hygiene) challenges have been a long-standing challenge, even before the Covid-19 pandemic. To address this knowledge gap the Ministry of Health has partnered (as a Co-Investigator) with our study team which also comprises other Co-Investigators from Gulu University, ACORD and Lutheran World Federation which are implementing partners in refugee settlements.” explained Dr. Seruwagi

‘’This mixed methods research has a sample size of ~1,500 participants evenly distributed across three study sites in Central, West Nile and South Western refugee settlements. Similarly, there was fairly even distribution across nationalities with Congolese (30%), Somalis (33%) and South Sudanese (33%). Overall, the majority of participants were aged between 25-34 years (35%), of female gender (68%), of Moslem (30%) or Protestant (36%) religious denomination, uneducated (40%) and earned less than UGX 50,000 weekly (57%). In addition, the overwhelming majority neither smoked (97%) nor drunk alcohol (92%).  Except for age and gender, there were variations in demographic and behavioral characteristics across the three study sites’’ she added.

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Health

MakSPH, Partners Commended for supporting Antimicrobial Stewardship in Uganda

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A screenshot of the Public Health England Antibiotic Guardian Awards recognizing MakSPH’s exceptional performance in Promoting Antimicrobial Stewardship through improved Infection Prevention and Control in Uganda.

By Davidson Ndyabahika

Public Health England, an executive agency of the Department of Health and Social Care in the United Kingdom has given an award for exceptional performance to Makerere University School of Public Health—MakSPH for its outstanding role in strengthening antimicrobial stewardship in Uganda.

The award was in recognition for the collaborative work on antimicrobial stewardship with Nottingham Trent University, Buckinghamshire NHS Healthcare Trust and other partners. This recognition was received at the Antibiotic Guardian Shared Learning and Awards 2020 (UK) under the category of Multi-Country Collaboration held late last month via zoom.

Delivering a certificate of recognition to Dr. David Musoke, the Uganda project lead, Dr Diane Ashiru-Oredope while representing the Antibiotic Guardian Shared Learning & Awards Planning Group observed that it was a highly competitive contest but MakSPH demonstrated great performance, hence the honour for its commitment to promotion of responsible use of antimicrobials to prevent antimicrobial resistance.

“We received the highest number of entries ever this year and so your award is an achievement to be proud of,” said Dr. Diane Ashiru-Oredope.

She hailed the Ugandan team for the “incredible work to keep antibiotics working” and urged them to submit more of this “great work for next year’s shared learning and awards.”

For ten years now, the MakSPH and Nottingham Trent University (NTU), UK have through this partnership supported efforts aimed at strengthening community health systems particularly supporting village health teams (VHTs) in Uganda and largely focusing on Wakiso district.

During its implementation, the project, titled, “Strengthening Antimicrobial Stewardship in Wakiso district using a One Health approach, has trained a total of 86 health practitioners, including animal health workers, and 227 community health workers on antimicrobial stewardship.

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Mak-UiB-Karolinska-Padua Paper Published in New England Journal of Medicine

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The collaborative paper’s key authors L-R: Dr. Thorkild Tylleskär, Dr. Susanna Myrnerts-Höök, Dr. Josaphat Byamugisha, Dr. Jolly Nankunda, Dr. Nicolas J. Pejovic, Dr. Clare Lubulwa and Hadija Nalubwama (Trial manager). Photo credit: Dr. Thorkild Tylleskär

Results from the Neonatal Supraglottic Airway (NeoSupra) Trial on neonatal resuscitation conducted at the Labour Wards of Mulago National Referral Hospital and Kawempe Specialised National Referral Hospital have been published in the prestigious New England Journal of Medicine (NEJM). The paper was co-authored by Makerere University’s Dr. Josaphat Byamugisha, Dr. Jolly Nankunda and Dr. Clare Lubulwa, the University of Bergen (UiB)’s Dr. Nicolas J. Pejovic and Dr. Thorkild Tylleskär, Karolinska Institutet (KI)’s Dr. Susanna Myrnerts Höök, Dr. Tobias Alfvén, Dr. Mats Blennow as well as other authors from the University of Padua (Italy).

The collaborative paper published on 26th November 2020 concluded that in neonates (newborns) with asphyxia (deficient supply of oxygen to their bodies), the Laryngeal Mask Airway (LMA) was safe in the hands of midwives but was not superior to face-mask ventilation with respect to early neonatal death and moderate-to-severe hypoxic–ischemic encephalopathy.

Please see Downloads for the paper. It may also be retrieved from the NEJM webpage at the link below: https://www.nejm.org/doi/full/10.1056/NEJMoa2005333

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Business & Management

UAPS 8th African Population Conference Report 2019

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The Vice President, H.E. Edward Kiwanuka Ssekandi launches the book “Uganda and its Demography” at the opening ceremony of the 8th African Population Conference held from 18th – 22nd November 2019, Imperial Resort Beach Hotel, Entebbe, Uganda. Photo credit: UAPS2019

During African Population Conferences, a day is always dedicated to the Host Country to organise events with emphasis on thematic areas of relevance to the country and other African countries. The Uganda Day events took place on Wednesday, 20 November 2019. The day’s events commenced with an opening ceremony which featured welcome remarks from the Vice Chancellor of Makerere University, Prof. Barnabas Nawangwe as well as the Chairperson of the National Organising Committee of the 8th APC and Director General of Uganda’s National Population Council, Dr. Jotham Musinguzi. The Hon. Minister of State for Finance, Planning and Economic Development, David Bahati and the Right. Hon. Speaker of Parliament of Uganda, Rebecca Alitwala Kadaga presented the opening statements. The keynote address was presented by the Minister of State for Lands, Housing and Urban Development, Chris Baryomunsi while Dr. Fred Wabire-Mangen of Makerere University was the chair of the opening ceremony programmes. Three other sessions organised on this day focused on thematic areas of Population and Development, Young People, and Statistics. A Uganda Day debate panel titled Harnessing Youth Development Potential in Africa: Have We Failed? was the last session for the Uganda Day programme of events. The Uganda Day events took place from 9:00am to 4:00pm while other conference sessions for the day started at 2:00pm. Uganda Day culminated in a well-attended official reception/dinner gala which featured diverse Ugandan cuisine and exciting performances by dance troupes.

Read the Full Report here

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