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The 2020 COVID-19 Non-Pharmaceutical Containment Measures – Adherence and Impact on Livelihoods in Rural Uganda

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By Dr. Dan Kajungu and MUCHAP/IMHDSS Team

Uganda is currently experiencing a second wave of the COVID-19 pandemic with an upsurge of cases. The country registered an 81% increase in the number of COVID-19 cases between March and April 2021, which indicates resurgence or another wave in the pandemic. From 200 cases per day in April, now the country is recording over 500 cases per day. The vaccines uptake has improved only recently, and the population has ignored the Ministry of Health (MoH) Standard Operating Procedures (SOPs) meant to contain transmission. Since March 2021, when the COVID-19 AstraZeneca vaccine was introduced, about 541,569 persons have so far been vaccinated.

On 6th June, new control measures were announced to mitigate the transmission. The Makerere University Centre for Health and Population Research (MUCHAP) which runs a longitudinal population-based cohort of Iganga and Mayuge districts (Iganga Mayuge Health and Demographic Surveillance Site) conducted a community survey to understand how citizens responded to the non-pharmaceutical interventional measures, and the impact on their livelihood. This survey was part of the routine community surveys that a typical health and demographic surveillance site conducts to understand the population dynamics in population cohorts. The hybrid survey involved about 2,000 households in rural and peri-urban settings using a questionnaire that adopted some questions from the Wellcome Trust COVID-19 tool. It was a hybrid of on-phone and physical interviews conducted between July and August 2020 right after the relaxation of restriction in Uganda. Community based surveys provide information on what to expect when piloting and implementing interventions in populations. In addition to the demographic and household characteristics, questions sought to understand the extent of community adherence to COVID-19 control measures and probed about the impact on socio-economic and access to health services.

Adherence to preventive measures: The survey found that 94% of the respondents adhered to COVID-19 non-medical control measures that were enforceable by security personnel. It was different for non-pharmaceutical measures that were largely dependent on individual enforcement or discipline and this averaged at 43% of the respondents. Six in ten respondents reported doing most of their work from home and half (50%) avoided seeking medical care at health facilities during lockdown.

The non-pharmaceutical guidelines included using preventive actions like social-distancing, hand washing with soap, the use of alcohol-based hand sanitizing gels as well as wearing of face masks. Citizens were encouraged to stay at home with the exception of essential workers who rendered critical services. Some community members could not adhere, not because they do not take it as a priority but because of the cost implications.

Socio-economic impact: There was change in the living arrangement in 12% of the households mostly because someone moved out or into the household. Community members reported a reduction (64%) in the income for household members with some experiencing a complete stop in earnings (6%). Residents in rural settings reported more reduction in income compared to Peri-urban residents (78% vs 74%). There are seemingly unique circumstances that need to be considered as interventions and decisions are made. For instance, it should not be surprising that a household cannot afford to have a bar of soap, a face mask, an alcohol-based hand sanitizing gel and social distance because of the living structures. In some cases, even accessing water is a luxury for some homes. There are some homesteads that are unable to grow food or earn an income from selling cash crops because they leased their pieces of land for large scale sugarcane growing 3 or 4 years ago, with just a house and a few feet of compound to spare. Unfortunately, such individuals have no access to social media where they can express their predicament.

The survey further found out that during the 2020 lockdown period, there was a general increase in violence against men, children, and women. There were cases of child neglect as well as marital problems. The survey found that 53% of the respondents reported increase in marital problems, while violence against women during the lockdown was reported by 51% of the respondents and was more common among rural residents compared to their Peri-urban counterparts. Residents could not access what they considered essential needs like transport and education services, which were directly affected by government directives and other community services. Communication was the most affected essential service reported.

Access to Health Services: 26% of the interviewed community members who were on daily medication due to a chronic or long-term condition reported running out of drugs during lockdown. Non-affordability due to the cost was the main reason in 54% of respondents, while 19% reported cases of stock-outs at both public and private health facilities and 10% were restricted by lockdown measures.

In another review of the immunisation records at Busowubi Health Centre III in Iganga district, it was clear that during the lockdown, utilisation of immunization services was severely affected (manuscript is undergoing peer review). Children did not complete their scheduled vaccine doses which calls for catch up vaccination drives. People could not go to health facilities because of fear of acquiring infection and restricted movements of boda-boda.

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Engineering, Art & Tech

Innovations using low cost locally available materials for point of use water treatment system unveiled

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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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Engineering, Art & Tech

Apac District gains from CEDAT’s Research on Piloting a Rural Broadband Connectivity Model and Efficacious patient management system

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The School of Engineering at the College of Engineering, Design, Art and Technology (CEDAT) shared findings of research that was conducted in Apac Districts through two projects namely Piloting a Rural Broadband Connectivity Model (RCBM) and Efficacious patient management system (EPMS).

The findings of the research sponsored by the Government of Uganda through the Makerere University research and Innovation Fund(MakRIF) were disseminated during a dissemination seminar held in the College on Friday 24th November 2023, where it was revealed that  Apac the host District greatly benefited from the services that not only led to the increased uptake of internet services but also gained through other socio economic areas.

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Agriculture & Environment

Soybean Breeders Deliberate Strategies for Improving Productivity

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Soybean breeders with the Principal of CAES, Prof. Gorettie Nabanoga (4th R); Deputy Principal, Prof. Yazidhi Bamutaze (3rd R); and the Dean SAS, Dr John Baptist Tumuhairwe (2nd R) during their meeting at Makerere. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.

The breeders from USA, Brazil and across Africa, including scientists from CGIAR met at Makerere University on 28th November-1st December 2023 to share experiences, best practices and ideas on collaboration, and to brainstorm on ways of improving productivity.

Overview

Soybean (Glycine max) serves as one of the most valuable crops in the world, not only as an oil seed crop and feed for livestock and aquaculture, but also as a good and cheap source of protein for human diet and as a biofuel feedstock.  The protein content of soybean is the highest among legume crops, averaging 40% on a dry matter basis. Soy-foods are generally considered to be nutritious and healthy based on their nutrient composition which includes protein, fat, carbohydrates, dietary fibres as well as minerals and phytoestrogens (or isoflavones). Due to its nutritional superiority, soybean-based foods are highly recommended for children under 5 years, expectant mothers, and HIV/AIDS patients. Impact studies have shown that regular soy food consumption can reduce the risk of heart disease by lowering serum cholesterol by about 33%. It can also reduce the risk of rectal cancer by 80%, mammary tumour by 40%, and breast cancer by 50%.

The Principal of CAES, Prof. Gorettie Nabanoga appreciated the breeders for leading soybean development initiatives. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The Principal of CAES, Prof. Gorettie Nabanoga appreciated the breeders for leading soybean development initiatives.

Economic viability

Production of soybean stands at 264 million MT worldwide, with United States of America (USA), Brazil and Argentina being the largest producers. In Africa, Nigeria, South Africa, Zambia and Uganda are the largest producers, with annual volumes estimated at 1.5 million metric tonnes (FAO, 2017). The Soybean Market size is estimated to reach $259 billion by 2030 (IndustryARC – Soybean Market Forecast 2023-2028).

Prof. Phinehas Tukamuhabwa, Principal Investigator for the Soybean Breeding and Seed Systems at Makerere briefs participants about the activities of MAKCSID. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Phinehas Tukamuhabwa, Principal Investigator for the Soybean Breeding and Seed Systems at Makerere briefs participants about the activities of MAKCSID.

The economic viability of soy production is determined by the commercial utilization of both its sub-products, meal and oil, which, respectively, account for about two thirds and one third of the crop’s economic value. Soymeal accounts for over 60% of world output of vegetable and animal meals and occupies a prominent position among protein feedstuffs used in the production of feed concentrates, while soybean oil is the single most important vegetable oil, accounting for 20% of global vegetable oil production. The widespread use of soybean oil in particular as edible oil is mainly due to (i) its plentiful and dependable supplies, (ii) its competitive price, (iii) its neutral flavour, and its stability in both unhydrogenated and partially hydrogenated form. Indirectly, the rapid rise in the demand for compound feed has contributed considerably to the rise in soybean and soyoil production. Soybean contributes significantly to the total value added by the agricultural sector in the major producing countries and particularly so in Brazil, Argentina, Paraguay and the USA. In these countries, soybean and its two main sub-products also occupy an important position in export earnings from agriculture as well as in terms of total merchandise exports (FAO). In Uganda, soybean is number one income earner crop in Northern and Eastern Uganda. Farmers in the region earn at least UGX1,200,000 per hectare per season.

Prof. Brian Diers from the University of Illinois sharing updates from SIL. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Brian Diers from the University of Illinois sharing updates from SIL.

Challenges undermining productivity

Despite the significant strides registered by soybean growing countries, and the health and economic benefits that the crop presents, a number of challenges still undermine productivity.  These include; pests and diseases, prolonged droughts and prolonged rains, poor agronomic practices, inaccessibility to good seed by farmers, drudgery in the production chain (Planting and harvesting) and market price fluctuations, as well as mismatches in supply and demand. Surging input costs, supply disruptions of fertilizers and alternative crops caused by Russia’s invasion of Ukraine and lingering COVID-19 effects have added more uncertainty and volatility to the soybeans market, driving up the prices. Home grown technologies, local seed business approach, and addressing the whole value chain, are envisaged as some of the strategies to overcome the challenges. Adapting crop management, conserving and improving soil conditions by minimizing tilling, increasing crop diversification, protecting soil from erosion, as well as the development of drought-tolerant varieties, will be key to withstand the emerging climate challenges.

Participants following Prof. Diers' presentation during the meeting. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Participants following Prof. Diers’ presentation during the meeting.

Soybean Breeders meeting at Makerere

Soybean breeders from USA, Brazil, and across Africa including scientists from CGIAR on 28th November 2023 met at Makerere University to share experiences, best practices, and ideas on collaboration, and to brainstorm on ways of improving soybean productivity. The meeting held at the School of Agricultural Sciences (SAS), College of Agricultural and Environmental Sciences (CAES) was organized by the Makerere University Centre for Soybean Improvement and Development (MAKCSID) and the Soybean Innovation Lab (SIL) of the University of Illinois with support from USAID. It was coordinated by Prof. Phinehas Tukamuhabwa, Principal Investigator for the Soybean Breeding and Seed Systems at Makerere, and Prof. Brian Diers from SIL, University of Illinois. It was graced by the Principal of CAES, Prof. Gorettie Nabanoga, the Deputy Principal, Prof. Yazidhi Bamutaze, and the Dean, SAS, Dr John Baptist Tumuhairwe. During the meeting, participants shared progress reports of their respective institutions, highlighting the achievements registered in soybean breeding and seed systems, best practices, challenges undermining productivity, and strategies for improvement. In his presentation, Prof. Diers briefed participants on SIL breeding efforts, indicating that 20 varieties had been developed between 2019-2022 up from the 7 developed between 2013-2018. He also shared updates on the renewed funding from USAID, and the support extended towards new breeding programmes at IITA in Nigeria, IITA in Zambia, EIAR in Ethiopia, Makerere University, and SARI in Ghana.

Dr. Godfrey Chigeza from IITA, Zambia (Standing) responds to queries from Prof. Tukamuhabwa about his presentation. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Dr. Godfrey Chigeza from IITA, Zambia (Standing) responds to queries from Prof. Tukamuhabwa about his presentation.

Delivering a presentation on soybean research in Uganda, Prof. Tukamuhabwa noted that the country had registered significant strides with the production of six high yielding varieties namely; Maksoy IN, Maksoy 2N, Maksoy 3N, Maksoy 4N; Maksoy 5N, Maksoy 6N. Recent impact studies indicated that the new varieties developed by MAKCSID were the most planted and accounted for 93% of the soybean varieties grown by Ugandan farmers. Currently, Maksoy 1N is the most widely adopted variety by farmers, while Maksoy 3N has the largest quantities of foundation seed disseminated by the Centre. According to Prof. Tukamuhabwa, the Centre also established a state-of-the-art seed storage facility for early generation seed (Breeders and Foundation seed) and soybean germplasm used for breeding other varieties. Other facilities are soybean processing equipment (soycow) and Soybean roaster that are used to add value to soybeans. The growth of the soybean sub-sector in Uganda is mainly attributed to the availability of a wide range of improved varieties, government investment in soybean research, and increased private sector investment along the soybean value chain. Despite the achievements, Prof. Tukamuhabwa outlined a number of factors undermining soybean seed systems in Uganda including; the presumed high cost of seed by farmers, counterfeit seed in the market, limited interest in self-pollinating crops by most private seed companies, weak seed policy enforcement, limited access to seed, and unpredictable weather conditions. He expressed gratitude to all development partners that have supported the growth of the MAKCSID programme including; USAID through SIL, the Government of Uganda through the Ministry of Agriculture, Animal Industry and Fisheries (MAAIF VODP), NARO, NAcRRI, RUFORUM, AATF, AGRA, Soybean Africa Limited, NAADS, Smart Foods, ISSD Uganda, IITA, and all local soybean stakeholders.

Abush Tesfaye from IITA, Nigeria delivers a presentation about their programme. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Abush Tesfaye from IITA, Nigeria delivers a presentation about their programme.

At the meeting, participants including Godfree Chigeza from IITA, Zambia; Abush Tesfaye (IITA, Nigeria), Masresha Yirga (EIAR, Ethiopia), Harun Murithi (SIL), Andrew Scaboo (University of Missouri), Elizabeth De Meyer (University of Missouri), and Carrie Miranda (North Dakota State University) delivered presentations on the progress of their breeding and research programmes.

Left to Right: Participants - Dr Harun Murithi, Dr. Jenipher Bisikwa, Dr Tony Obua, and Dr Godfree Chigeza keenly following the presentations. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Left to Right: Participants – Dr Harun Murithi, Dr. Jenipher Bisikwa, Dr Tony Obua, and Dr Godfree Chigeza keenly following the presentations.

A major concern arising from the meeting was the increasing threat of rust. Through efforts of the Centre for Soybean Improvement and Development (MAKCSID), the soybean rust pandemic was brought under control, through breeding and dissemination of superior varieties to the farming communities.

Participants following the proceedings. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Participants following the proceedings.

Going forward, participants emphasized the need to set up a rust reference centre, early warning systems, and disease nurseries – potential lines for monitoring virulence. They also called for an increase in germplasm acquisition, capacity building for germplasm storage and utilization, introduction of bruchid tolerant genotypes, introduction of soybean genotypes suitable for mechanical harvest, mechanization of production processes, leveraging the scarce research infrastructure, and the development of necessary skills amongst scientists and staff. 

Masresha Yirga from EIAR, Ethiopia delivering his presentation. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Masresha Yirga from EIAR, Ethiopia delivering his presentation.

In her remarks, the Principal of CAES, Prof. Gorettie Nabanoga expressed gratitude to participants for leading soybean development initiatives. She also appreciated the development partners for supporting the programme. Commenting on the significance of the crop, she said under NDPIII, soybean had been identified as a game changer and one of the crops to improve the country’s food systems. “The crop has been targeted for its oils and nutritional benefits. It is therefore important that we move it to the next level in terms of resistance to diseases, adaption to climate change, and development of fast growing varieties.” She specifically thanked the breeding team led by Prof. Tukamuhabwa for making Makerere the leading Centre in quality soybean seed production and distribution in the country. During their four-day visit, the soybean breeders visited the screen houses, soybean fields, and the Early Generation Seed Unit at MUARIK where they provided enriching insights for improvement. The team also toured Nakabango/Jinja trials as well as the Bugi ZARDI highland soybean trials.



More photos from the meeting

The Dean, SAS, Dr Johh Baptist Tumuhairwe addressing participants. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The Dean, SAS, Dr Johh Baptist Tumuhairwe addressing participants.
Some of the students on the soybean breeding programme. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Some of the students on the soybean breeding programme.
The visitors touring the soybean fields at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The visitors touring the soybean fields at MUARIK.
One of the soybean fields at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
One of the soybean fields at MUARIK.
Prof. Tukamuhabwa (2nd Left) talks to the breeders in one of the soybean fields at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Tukamuhabwa (2nd Left) talks to the breeders in one of the soybean fields at MUARIK.
Prof. Tukamuhabwa responding to an inquiry from Dr Chigeza. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Tukamuhabwa responding to an inquiry from Dr Chigeza.
Prof. Brian Diers (Right) and Andrew Scaboo (Left) assessing the crops in the soybean field at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Brian Diers (Right) and Andrew Scaboo (Left) assessing the crops in the soybean field at MUARIK.
Harun Murithi (Right) conducting an assessment in the field at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Harun Murithi (Right) conducting an assessment in the field at MUARIK.
Prof. Tukamuhabwa responds to inquiries about the soybean field. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Tukamuhabwa responds to inquiries about the soybean field.
The breeders team after touring the soybean field at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The breeders team after touring the soybean field at MUARIK.
The team at the solar irrigation facility at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The team at the solar irrigation facility at MUARIK.
Prof. Tukamuhabwa explaining how the solar irrigation facility works. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
Prof. Tukamuhabwa explaining how the solar irrigation facility works.
The breeders touring the screen houses at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The breeders touring the screen houses at MUARIK.
The breeders at the soybean seed storage facility at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The breeders at the soybean seed storage facility at MUARIK.
One of the soybean seed storage facilities at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
One of the soybean seed storage facilities at MUARIK.
The breeders touring the Early Generation Seed Unit at MUARIK. Africa Soybean Breeders Meeting, 28th November to 1st December 2023, Makerere University, MUARIK, Kampala Uganda, East Africa.
The breeders touring the Early Generation Seed Unit at MUARIK.

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