Health
MakCHS Student Innovation shines at HIHA 2021
A team of students led by Ms. Anna Maria Gwokyalya – 4th year student of Medicine and Surgery at the College of Health Sciences (MakCHS), Makerere University won the award of ‘Student Innovation of the Year’ at the Heroes in Health Awards (HIHA) held on the 12th November, 2021. Her innovation was a book “The Mugishas’ COVID-19 Tale” designed to help children be more involved in the fight against the Covid-19 pandemic.
Inaugurated in 2019, The Heroes in Health Awards (HIHA) is a public private initiative adopted by the Ministry of Health with the support of Xtraordinary Media to offer opportunity to members of the public to motivate Uganda’s excellent health sector players, recognize and encourage new innovations that will transform our health care system.
Anna Maria shares the experience of the team in an interview below:
Tell us more about your team
We are a team of five students who have worked on numerous research projects and online campaigns to increase awareness of Antimicrobial Resistance under ARSU (Antimicrobial Resistance Stewardship Uganda). Whereas I was the leader of this comic book project, it’s the brainchild of the entire team, an indicator of respect, mutuality and friendship.
Describe your innovation and what motivated you to work on it
This book entitled, “The Mugishas’ COVID-19 Tale” contains fascinating illustrations with simplified information on symptoms, transmission and prevention of COVID-19 that includes both observation of the standard operating procedures and vaccination.
The book is a means of creating awareness on COVID-19 disease and its prevention among children below 12 years, a vulnerable group that is not eligible for vaccination (as per Uganda’s Vaccination Guidelines) against this disease, we designed the book to help children be more involved in the fight against this disease.
Infection prevention and control is not only pertinent to fighting Antimicrobial Resistance but also to promotion of health and wellbeing of the people. Writing this book is our contribution to controlling of infection as well as prevention, an important aspect of primary health care.
What is the impact of the book from your perspective?
Since the comic book is very illustrative and appealing to the eye, we anticipate that the children will gain knowledge on COVID-19 as they enjoy the illustrations. We also hope that they will be agents of change through sharing this knowledge with their peers both at home and at school, protecting them against the disease in the long run.
What is your advice to others about new ideas and innovations?
My advice is drawn from two quotes;
Quote 1: “Find something you’re passionate about and keep tremendously interested in it.” – Anonymous
Quote 2: “Teamwork is the secret that makes common people achieve uncommon results” –Ifeanyi Enoch Onucha
Innovations by MakCHS Research teams were exhibited at the HIHA Awards as well. These included:
VITEX (Medical Assistance Tool): Vitex is an integrated system that utilizes antimicrobial and affordable 3D plastics made out of 80% waste plastic, making it eco-friendly. The device sterilises wards up to 99.9%, thus preventing nosocomial infections by employing powerful pulsating U.V engine and spots latest in artificial intelligence to improve patient care and practitioner assistance.
Vitex is intended to improve health professionals’ quality of work by reducing workload and deters transmission of highly contagious infections such as COVID-19. It also improves access to vital medical literature, facilitates electronic consultation, service delivery in the medical environment, including carrying out consistent patient monitoring and reducing prescription/medication errors.
The device spots a Powerful Artificial Intelligence package that incorporates Intel RealSense, auto-follow, video capture, touch & voice control, playful expressions, and personality to keep patients in a cheerful mood. Vitex includes over-the-air updates making it viable for endless integration, including providing seamless data access for important time-sensitive decision-making through elaborate integrations.
Team: Dr. Justine Nnakate Bukenya (PI), Ainembabazi Samantha, Joeltta Nabungye, Kiirya Arnold, Mugisha Gift Arnold
The Early Preeclampsia Detection Strip (EPED Strip): The Early Preeclampsia Detection (EPED) Strip is a urine-based point-of-care detection strip for preeclampsia that pregnant women can use at home to self-screen for the condition. Preeclampsia is a maternal condition characterized by high blood pressure of 140/90mmHg and proteinuria after 20 weeks of pregnancy. Worldwide the condition is responsible for over 500,000 infant deaths and 70,000 maternal deaths annually. By seeking medical care at the early onset of preeclampsia, the condition can be appropriately monitored and controlled, thereby reducing the detrimental health impacts of undiagnosed preeclampsia which is a health burden to LMICs. Thus, the EPED strip is being designed to diagnose this condition early and functions very similar to a pregnancy test where urine is applied to one end of the strip, and pulled across it by capillary attraction to where antibodies specific to the biomarkers are immobilized. In the reaction matrix there are two lines, a test line and a control line. The presence or absence of the control and test lines indicates the presence or absence of the captured conjugates. This is designed with adaptation from the existing lateral flow assay (LFA) technology. While the primary goal of the EPED strip is to be a home-based early detection tool, the EPED strip can also be used to assist the diagnosis of preeclampsia in a clinical setting from large-scale national hospitals to remote health clinics.
Team:Prof Paul Kiondo (PI), Brian Matovu, Zoe Ssekyonda, Calvin Abonga, Olivia Peace Nabuuma, Dr. Robert Ssekitoleko
The Maternal PPH Wrap: The maternal PPH wrap; a wearable device strapped around the mother’s waist; affordable compared to the other devices that is able to carry out external compression of the uterus through the abdominal wall in order to stimulate myometrium contraction. The design is based on already used bimanual uterine compression techniques which are manually done by qualified and skilled personnel.
Despite the number of interventions, postpartum haemorrhage still remains the leading cause of maternal death globally. Most of the interventions that are recommended under standard clinical practical guidelines such as uterotonic drugs, therapeutic devices or even surgery are unavailable in the communities of low and middle income countries including Uganda simply because they are unaffordable and most times require qualified/skilled personnel and highly sterile environments.
The device will rely on an inflatable rubber bag to provide the pressure to do the sustained compression. The inflation will be done using a bulb similar to the one used by a sphygmomanometer. This is way less labour intensive than the procedure of bimanual uterine compression. The overall aim Is to create an efficient device that is affordable in Uganda and all developing countries’ healthcare markets as a leading lifesaver of mothers.
Team: Owen Muhimbisa, Kiwanuka Martin, Arinda Beryl, Maureen Etuket, Denis Mukiibi, Robert Ssekitoleko.
Zaam Ssali is the Principal Communication Officer SoL & MakCHS
Agriculture & Environment
Makerere Hosts Inaugural Falling Walls Lab Competition as Innovators Pitch Solutions to National Challenges
Students and researchers from Makerere University and other institutions pitched 12 innovations addressing challenges in healthcare, clean energy, agriculture, waste management and community resilience during the inaugural Falling Walls Lab Kampala, held at the School of Public Health Auditorium, Makerere University.
The competition brought together emerging innovators to present solutions to practical challenges through a three minute pitch, followed by questions from a panel of judges.
Modelled on the Falling Walls format that originated in Berlin, the event required each participant to identify a “wall” a problem or barrier, and demonstrate how their innovation seeks to break it down.
Mudhasi wins with newborn jaundice screening device
Andrew Mudhasi of Makerere University emerged as the overall winner with a score of 90 per cent for a low cost medical device designed to improve newborn jaundice screening across different skin tones.
Mudhasi explained that the device uses optical sensor technology and a skin tone targeting algorithm to provide a rapid reading, with the aim of helping nurses and clinicians identify jaundice more efficiently.
During questions from the jury, Mudhasi said the device had not yet been tested on actual babies but had undergone laboratory testing using simulated skin tones.
He reported an accuracy rate of 94 per cent when the device was compared with laboratory spectrophotometers.
The innovation is intended initially for use in clinics and hospitals, with Mudhasi saying the team is also considering a version that could eventually allow mothers to screen babies at home.
Mudhasi’s innovation has previously received recognition at the African Business Concept Challenge and the iF Design Student Award, according to his presentation.
Rhonda’s innovation tackles diaper waste
Rhoda John of the University of Nairobi emerged in second place with 89.6 per cent for an innovation addressing the problem of used diaper waste.
Under the theme “Breaking the wall of diaper waste and drug soils,” Rhonda explained that her team extracts sodium polyacrylate, the absorbent polymer found in diapers, and replaces the sodium with potassium.
The resulting potassium based superabsorbent material is designed to act as a “water battery” in soil by absorbing and retaining water for plants during dry periods.
John said testing showed a 99 per cent increase in germination and a 23 per cent increase in drought resistance.
The innovation also seeks to reduce the amount of used diapers ending up in landfills and the environmental effects associated with their decomposition.
During the question and answer session, John explained that her team was working with government environmental officials in Nairobi on a pilot collection system to address the challenge of gathering used diapers at scale.
Mahera takes third place with herbal peptic ulcer treatment
Stuart Mahera of Makerere University finished third with 86.2 per cent for a herbal formulation targeting peptic ulcers.
Presenting under the theme “Breaking the wall of Nature and Modern Medicine,” Mahera argued that conventional treatment for peptic ulcers can involve multiple medicines and may be associated with side effects and antimicrobial resistance.
His proposed formulation, MARAC capsules, is intended as a monotherapy, combining properties required for peptic-ulcer treatment in a single capsule.
Mahera said his team had carried out quality control work, including characterisation and dose quantification, and had conducted preclinical trials on laboratory mice.
He also told the jury that an application had been submitted to the National Drug Authority as the team awaits the next stage of the regulatory process.
According to Mahera, the proposed seven day treatment would cost about Shs21,000, compared with the existing 14 day treatment approach.
Innovators present solutions to practical challenges
The remaining presentations covered a wide range of challenges.
Esther Nakungu of Utamu University presented Agri-Track, a digital record keeping solution intended to improve visibility, accountability and management of farm operations and financial information.
Dr. Jimmy Chachiga, a Makerere University participant, presented a solar photovoltaic cooker with a heat storage system designed to provide a cleaner and more reliable cooking option during both sunny and non sunny periods.
His presentation focused on reducing dependence on biomass fuels and addressing the challenges associated with intermittent solar energy.
Abdul Noor Luttamaguzi, a PhD student and senior government fisheries officer, presented a mobile application aimed at helping fish farmers and extension officers report, track and manage disease outbreaks.
Henry Duke Tamale presented a herbal cream targeting antibiotic resistant biofilm infections associated with diabetic foot ulcers.
Marvin Seruwu proposed adapting existing near infrared brain monitoring technology to help detect extra-axial brain bleeds in health facilities where access to CT and MRI equipment is limited.
His proposal seeks to repurpose existing technology towards a diagnostic need that could be particularly important in settings where advanced imaging facilities are not readily available.
Kennedy Kisame presented a poultry alert and diagnosis system combining satellite weather information with computer vision disease detection. The proposed system could be accessed through a smartphone application, SMS or USSD, making it potentially usable by farmers with limited internet access.
Frank Atwiine proposed a solar powered mobile diagnostic van designed to bring ultrasound and other diagnostic services closer to rural communities.
Johnson Makmot, a software and blockchain developer, presented a platform that combines GPS tracking and blockchain-based tokens to incentivise and verify plastic-waste collection in Kampala.
Dr. Nelson Ndugu, from a partner university, presented an artificial intelligence tool designed to translate agricultural research publications into local Ugandan languages and generate voice notes for radio-based extension delivery.
The final presentation came from Dr. Juliet Akola, a Ugandan post doctoral researcher at Mangosuthu University of Technology in South Africa.
Akola presented a community digital resilience initiative focused on mapping risks in Kampala’s informal settlements, including flooding, fire, poor sanitation, waste management and inadequate infrastructure.
Her proposal seeks to combine local community knowledge with geographical information systems and link identified risks to action plans involving municipalities and other stakeholders.
Nawangwe calls for more investment in innovation
Closing the event, Prof. Nawangwe congratulated all the participants and described their presentations as an important beginning for Makerere University, Uganda and the wider region.
Drawing on his experience attending the Falling Walls conference in Berlin, the Vice Chancellor said initiatives of this nature are important because innovation will play a major role in determining the future of countries.
He encouraged participants to make their pitches more precise by clearly identifying the problem they are addressing, explaining their proposed solution and demonstrating what they have already achieved.
Prof. Nawangwe also welcomed the participation of innovators from other universities and countries, noting that the Kampala event had attracted participants beyond Makerere.
He thanked the Africa Office of the Falling Walls Foundation for its role in bringing the initiative to Makerere and encouraged continued support for innovation.
The Vice Chancellor further linked innovation to Uganda’s growing youth population and the need to develop home-grown solutions to address challenges such as youth unemployment.
The inaugural Falling Walls Lab Kampala ultimately provided a platform for innovators to move ideas beyond the classroom and laboratory and demonstrate how research, technology and creativity can be applied to challenges affecting communities.
| Position | Winner | Institution | Score |
| 1st | Andrew Mudhasi | Makerere University | 90% |
| 2nd | Rhoda John | University of Nairobi | 89.6% |
| 3rd | Stuart Mahera | Makerere University | 86.2% |
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