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Assoc. Prof. Annettee Nakimuli wins US$1M grant for Maternal Health Research

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Associate Professor Annettee Nakimuli, Dean – School of Medicine has been awarded US$1M grantfor Maternal Health Research from the Gates Foundation Calestous Juma Science Leadership Fellowship. The five-year grant, entitled “Enhancing prediction of adverse pregnancy outcomes in Africa through partnerships and innovation” will focus on Great Obstetrical Syndromes (GOS), such as pre-eclampsia, preterm birth, stillbirth, intrauterine growth restriction;to help develop context-relevant interventions for prevention and treatment.

This is a major research project because GOS is a major killer in sub-Saharan Africa accounting for 60% of the deaths of mothers. Maternal mortality in Uganda remains high in the region at 336/100,000 live births which is approximately a 14-seater bus of women dying per day.

Dr. Nakimuli, a graduate of Makerere University College of Health Sciences, is an internationally-recognized research leader in maternal health for Africa. Her work can be traced back to 2006 when she was appointed an Assistant Lecturer in the Department of Obstetrics and Gynaecology, Faculty of Medicine, Makerere University. She then enrolled for PhD in 2009 to investigate how KIR and HLA-C genetic variants contributed to the pre-eclamptic risk in Ugandans which was the first genetic case-control study of pre-eclampsia in indigenous Africans – despite African ancestry being a predisposing factor to pre-eclampsia. She concluded that African women are at greater risk of preeclampsia than other racial groups. Dr. Nakimuli has researched extensively on maternal health, mentored young scientists and supervised manymasters and PhD students.

She will establish a cohort study of 4000 healthy pregnant women at Mulago and Kawempe Hospitals in Kampala, Uganda will be conducted where detailed clinical, biological and demographic information from mothers throughout pregnancy and from their babies at the time of birth will be collected. The study has potential to shed light on determinants, mechanisms and solutions for the excess burden of maternal and perinatal morbidity and mortality in SSA and for women with African ancestry elsewhere in the world. This study builds on Dr. Nakimuli’s project where she is investigating predictors of pre-eclampsia in a cohort 1,500 healthy pregnant women; supported by the Future Leaders–African Independent Research (FLAIR) fellowship project funded by the Royal Society through the African Academy of Sciences.

Some of the products from the grant/study include: i) the biobank from this research will provide an important resource for future research studies. ii) build capacity for African scientists to solve problems of the Africa continent other than dependence on foreign experts iii) develop regional partnerships iv) multidisciplinary research where scientists from various areas work together.

Dr. Nakimuli expressed her appreciation for the opportunity given to her by the Gates Foundation to undertake the study as well as the support from colleagues at College of Health Sciences and Makerere University. She also highlighted the work accomplished through partnership with scientists at the Department of Obstetrics and Gynaecology, University of Cambridge, U.K headed by Prof. Gordon Smith.

Zaam Ssali is the Principal Communication Officer SoL & MakCHS

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Mak’s GMI Labs Authorized to Conduct DNA Paternity Testing

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Some of the equipment used to store samples at the Makerere University Biomedical Research Centre (MakBRC), College of Health Sciences (CHS). Kampala Uganda, East Africa.

The Genomics, Molecular, and Immunology Laboratories (GMI Labs), operating under the auspices of the Makerere University Biomedical Research Center (MakBRC), have achieved another significant milestone in their journey of diagnostic excellence. The labs, renowned for their pivotal role in infectious and non-infectious disease research, have received official approval from the Director General Health Services at the Ministry of Health (MoH), Uganda, to conduct DNA Paternity Tests.

Situated at the Dept of Immunology & Molecular Biology under the School of Biomedical Sciences at the College of Health Sciences, Makerere University, the GMI Labs have been at the forefront of cutting-edge research, diagnostic testing, and training initiatives. Their remarkable contributions during the COVID-19 pandemic, where they conducted nearly a million PCR tests, underscored their unwavering commitment to public health and scientific advancement. The labs’ exemplary performance and reliability were further highlighted by their successful management of two critical COVID-19 prevalence surveys. The findings of these surveys served as foundational data for crucial decisions guiding the country’s lockdown strategies and phased reopening, earning commendation from the President and the Ministry of Health.

This latest authorization from the Ministry of Health marks a significant expansion of the GMI Labs’ diagnostic capabilities. With the approval to conduct DNA Paternity Tests, the labs are now equipped to offer a crucial service addressing the need for accurate and reliable genetic testing for determining biological parentage. In a letter dated 22nd November 2023, the Director General Health Services emphasized the laboratory’s rigorous adherence to international standards, proficiency in molecular biology techniques, and their proven track record in delivering precise and credible results. This approval further solidifies the labs’ position as a trusted institution for advanced genetic diagnostics in Uganda.

Prof. Moses L Joloba, the Director of the GMI Labs, expressed immense pride in the team’s dedication and expertise that led to this authorization. He highlighted the labs’ commitment to upholding the highest standards of ethical practice, confidentiality, and accuracy in DNA paternity testing, ensuring the delivery of dependable results crucial for legal, personal, and familial purposes.

The inclusion of DNA Paternity Testing within the GMI Labs’ list of services aligns with their overarching goal of advancing healthcare through state-of-the-art diagnostics, research, and education. This milestone represents not only a significant achievement for the labs but also a valuable resource for individuals seeking reliable and comprehensive genetic testing services. As the GMI Labs continue their unwavering commitment to excellence in healthcare and research, this new capability reaffirms their pivotal role in advancing the frontiers of molecular diagnostics and genetic testing in Uganda, working closely with reputable institutions such as Makerere University Hospital and other top-notch health facilities.

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MNCH e-Post Issue 121: Learning from Nsambya Hospital Human Milk Bank to inform national scale-up & save preterm babies

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A Screenshot of Prof. Peter Waiswa during his interview with NTV. MNCH e-Post Issue No. 121, MakSPH, Makerere University, Kampala Uganda, East Africa.

Welcome to this exclusive interview with Prof. Peter Waiswa, lead expert from the Makerere University Centre of Excellence for Maternal, Newborn, and Child Health. Dr. Victoria Nakibuuka from St. Francis Nsambya Hospital, and Dr. Jesca Nsungwa from Ministry of Health Uganda. In this video, they discuss a groundbreaking innovation in Uganda’s healthcare landscape: the country’s first-ever human milk bank at St. Francis Hospital Nsambya. This initiative represents a significant stride towards improving the survival rates of premature and vulnerable infants by ensuring access to essential breast milk, even when mothers are unable to produce enough. Watch Video

Click here to View the full MNCH e-Post Issue 121

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METS Newsletter October 2023

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Front Row (Left to Right): The hosts - Dr. Alice Namale and Ms. Evelyn Akello with Commissioner Allan Muruta and representatives from US Centers for Disease Control and Prevention (CDC) and Makerere University School of Public Health (MakSPH) enjoy a photo moment on 5th October 2023. Photo: METS. Plot 20A Kawalya Kaggwa Close, Kololo Kampala Uganda, East Africa.

The Monitoring and Evaluation Technical Support (METS) Program is a 5-year CDC-supported collaboration of Makerere University School of Public Health (MakSPH), the University of California San Francisco (UCSF) and Health Information Systems Program (HISP Uganda).

Highlights of the METS October 2023 Newsletter

  • Strategies for Enhanced Disease Surveillance and Public Health Response in Uganda
    • The MoH Department of Integrated Epidemiology Surveillance & Public Health Emergencies (IES&PHE) Head, Commissioner Allan Muruta (Dr) visited METS to acquaint himself with the various surveillance activities supported by the Program.
    • Commissioner Muruta emphasized the need to build the capacity of districts and regions to conduct surveillance activities by training the relevant staff and establishing surveillance focal points at health facility levels.
    • He further emphasized the importance of linking laboratory data to the District Health Information System (DHIS2) and ensuring that different systems are interoperable.
  • Improving quality of data for HIV testing services (HTS) through regular assessments
    • MoH has been conducting Data Quality Assessments and Improvement (DQAI) activities to inform program planning, monitoring, and performance management. HIV testing services (HTS) inter was conducted in 16 regions, 81 districts, and 111 health facilities in partnership with 26 Implementing partners.
    • The HTS DQA has improved data management, infrastructure, and understanding of indicators. Specific staff assignment at each HTS entry point has proven effective, and use of the UgandaEMR system for reporting has yielded positive results.
  • Shaping Uganda’s Healthcare Data Landscape
    • METS has maintained a strong collaboration with the Ministry of Health (MoH) providing invaluable technical support in developing various strategic guidelines for the country. These guidelines include the Uganda Health Information Exchange and Interoperability (HIE) Guidelines, the Uganda Health Data Protection and Confidentiality (HDPC) Guidelines, and the Uganda Health Data Sharing, Access, and Use Guidelines.
    • HIE and HDPC guidelines have received the endorsement of the Health Information, Innovation and Research (HIIRE) Technical Working Group (TWG), awaiting presentation to the senior management team at the MoH for final approval.
  • Empowering Health Professionals: PrEP Training in Hoima District
    • MakSPH-METS has taken a proactive stance in supporting Monitoring and Evaluation (M&E) for key populations through the development, management, and conducting trainings on the use of the PrEP tracker system across various agencies.
    • METS conducted a 5-day training on the KP/PrEP Tracker system in Hoima district. Moving forward, facility staff will be able to enter data on PrEP services into the system in a timely manner, analyze the data, and use it for program improvement.
  • Gallery
    • HIV testing services (HTS) Data Quality Assessments and Improvement DQAIs
    • Interagency cervical cancer on-site mentorships
    • Orientation in KP tracker-Soroti
    • TDY from CDC headquarters visit to METS
    • M&E orientation meetings for new Implementing Partners
    • Planning meeting for Cross Border Data Sharing-Busia

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