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Uganda’s Swedish Embassy Celebrates Karolinska-Makerere 20-year Research Cooperation

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Kampala, May 5, 2022—On May 4, more than 100 research and innovation stakeholders were hosted by the Swedish Ambassador to Uganda to mark the two-decade-long research partnership of the Karolinska Institute and Makerere University.

The teams from Makerere University led Professor Rhoda Wanyenze, the Rector Benadir University Professor Mohamed Mohamud Bidey, and President, Karolinska Institute Professor Ole Petter Ottersen were ushered into at the Swedish Ambassador’s Residence located along Elizabeth Avenue in Kololo, Kampala where the team held cordial discussions.

Adam Kahasai Rudebeck, the Deputy Head of Development at the Embassy speaking on behalf of the Ambassador H.E Maria Hakansson who is currently away on official duties back home said Sweden capacity strengthing, (at the level of individuals as well as institutions) and networking with Swedish universities/ institutes has always been at the center of the mission’s objective with a long-term commitment and a scientific cooperation on equal footing as important cornerstones.

“As we are all aware, with the emergence of the ‘knowledge economies’, nations and regions respond the new challenges that affect choices in the development of higher education, research and innovation systems,” he said.

Mr. Rudebeck said the Swedish Government has identified support to higher education and research as one important area of Swedish development cooperation. Over the years, in terms of monetary terms, the total Swedish support amounts to 120million USD.

L-R: Azadeh Alian-Söderqvist First Secretary Head of Political, Economic and Commercial Affairs Section, dam Kahasai Rudebeck, the Deputy Head of Development at the Embassy and Dr. Gity Behravan, Senior Research Advisor, Swedish Embassy. Photo -Davidson Ndyabahika
L-R: Azadeh Alian-Söderqvist First Secretary Head of Political, Economic and Commercial Affairs Section, dam Kahasai Rudebeck, the Deputy Head of Development at the Embassy and Dr. Gity Behravan, Senior Research Advisor, Swedish Embassy. Photo -Davidson Ndyabahika

“The production, accumulation, transfer and application of knowledge are all central factors in socio-economic development and are increasingly found essential to national and regional development strategies. And while access to local and international scientifically based knowledge is crucial to the development in all countries, it is critical in developing countries,” said Mr. Rudebeck.

These celebrations coincide with Makerere University’s 100 anniversary. Speaking at the event, Professor Ole Otterson said he was excited that the more than 20 years research collaboration gave birth to Karolinska Institute’s international flagship project — the virtual Centre of Excellence for Sustainable Health (CESH), a collaboration between Makerere University and Karolinska Institutet. He proposed a toast for the first 100 years of Makerere University citing that the collaboration has shown potential for sustainability and reciprocity.

“Not only do we celebrate 100 years since the foundation of 100 years of Makerere University, but we celebrate at least 22 years of the collaboration between Makerere University and Karolinska institute,” said Prof. Ottersen.

CESH seeks to develop capacity and mobilise actions to drive the agenda for sustainable health and the philosophy of the collaboration and the Centre is permeated by the 2030 Agenda and the 17 Sustainable Development Goals.

Professor Ottersen says SDGs casts a responsibility on everyone to ensure we achieve the target three (3) of Good Health and Wellbeing for all, at all ages. “We all know that we have these goals, that we should reach within 8years from now, the sustainability development goals. Quite an ambition. But sustainability has a special meaning when it comes to collaboration and in particular academic collaboration,” he said.

“Sustainability means that we must have a special mindset. Whatever we do in terms of research, should have a long-term perspective. So not only should we in our collaborative research think ahead to the day that the publication is out with our findings… that is just a step. The very essence of sustainability is that we should think, one step further,” Professor Ottersen explains.

He urged researchers to be self critical and ensure they embrace value, and the importance and the necessity of reciprocity. “More often, we have been blind when we move into collaborative projects across continents. We have done this, perhaps, not having this open mind that there could be reciprocity.  It means that we should have an open mind; that we should learn from each other in a reciprocal fashion; and this will make a difference when it comes to the health of the future generations,” Professor Ottersen.

President, Karolinska Institute Professor Ole Petter Ottersen speaking at the Swedish Ambassador’s Residence. Photo: Sabina Bossi
President, Karolinska Institute Professor Ole Petter Ottersen speaking at the Swedish Ambassador’s Residence. Photo: Sabina Bossi

 Since 2000, Sweden has maintained bilateral research cooperation with Uganda with support particularly in research in the country through thematic regional programs.

The overriding rationale for this move according to the ambassador was that Uganda needed at least one research university that was able to produce graduates, with qualified analytical skills for the country at large.

“Against this background, it was decided to focus the contribution towards strengthening the capacity for research, and training to the country’s major university, Makerere University in Kampala. Since then, the Swedish research funding to Uganda has included components of institutional support that is organically linked to support for graduate training, institution-building, postgraduate training, and the existence of an environment that is conducive for research and research training are all part of one single effort,” he said.

In addition to supporting the Makerere University Library, Labs, ICT, GIS, Gender mainstreaming and cross-cutting PhD course among others, Sweden entered cooperation with four other public universities including Kyambogo, Busitema, Gulu and Mbarara University of Science and Technology from 2010,

According to the Ambassador, Uganda’s prosperity is important, both as a source of global growth and to promote an inclusive sustainable globalization. Further citing that effective, balanced international partnerships between Swedish and Ugandan Universities and in the region are essential for continuing to tackle the global challenges laid out in the SDGs.

“Your current 5 years agreement of the establishment of the Center of Excellence for Sustainable Health will not only capitalize on the exciting partnership between the two institutions but is also an important next step in the long-standing collaboration and a significant contribution in the efforts to reach the Sustainable Development Goals,” said the representative to the Ambassador.

Professor Rhoda Wanyenze, the Dean, School of Public HealthMakerere University while speaking on behalf of the Vice Chancellor Professor Barnabas Nawangwe said the Swedish government and Karolinska Institute have truly been great partners to Makerere and a great part of the 100 hundred years.

“You did not give us the fish. You taught us how to fish. And you went beyond that in terms of the support for our systems for research. You supported the ecosystem for that research. So many years down the road, we have so many PhDs smart young people across generations that have used the knowledge and the skills that they picked from this support to be able to grow networks across Africa. We are doing so much work across Africa because of the skills and the capacity that we picked from this collaboration,” Prof. Rhoda said.

She also noted that the partnership needs to demonstrate that growth by helping others citing that true leadership means supporting and uplifting those that might not have had the same privilege and bring them along.

“The world has become so small although we continue to draw boundaries. The problems do not have boundaries and we now need to transcend those boundaries so that we can speak about the issues that move the world to the next level. I am really looking forward to the Centre of Excellence for Sustainable Health being that nucleus that can activate that change so that we can make this world a better place,” says Prof. Wanyenze.

Prof. Rhoda Wanyenze, representing the VC-Makerere University. Photo -Sabina Bossi
Prof. Rhoda Wanyenze, representing the VC-Makerere University. Photo -Sabina Bossi

She thanked the Swedish government for giving Makerere University an opportunity build capacity and continue inspiring other institutions across the region including Somalia, the DRC and the globe.

“To the Swedish government through the Embassy, there has been so much impact out of the investment which you have done. So, when you count the investment, it’s not just about the number of people that were trained. A lot of the networks that we have today, a lot of work what we are doing with colleagues in Somalia and in DRC, and so much more is as a result of the investment that you chose to do. To invest in us and that we can also invest in others so that this is sustainable. Thank you so much for contributing to the 100 years of Makerere and as our motto says we build for the future, so we are building for the next 100 years and more and professor peter and the team, colleagues from Somalia, it’s exciting to know that you are going to be part of the next 100 years as we build for the future,” Prof. Wanyenze said.

The Swedish government support through SIDA was built on establishing a partnership between Ugandan and Swedish Universities, and during the years, it has developed to a partnership between more than 17 Swedish universities/ institutions and 5 Ugandan universities that are also linked to several regional and international networks.

President, Karolinska Institute Professor Ole Petter Ottersen presents a copy of CESH achievements.
President, Karolinska Institute Professor Ole Petter Ottersen presents a copy of CESH achievements.

Health

METS Newsletter March 2024

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A team documenting the background and other governance structure requirements in the EMR Implementation Guidelines during the stakeholder workshop held from 26th February to 1st March 2024. Makerere University School of Public Health (MakSPH), METS Program, 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 March 2024 Newsletter

  • Development of National Electronic Medical Records (EMR) Implementation Guidelines
    • To date, multiple Electronic Medical Records (EMR) systems have been rolled out to health facilities without implementation guidelines to inform the standard EMR process/clinical workflows within a typical health facility, minimum requirements for various EMRs to integrate and exchange patient information, insurance and billing workflows, human resources management, among others.
    • METS Program and USAID/SITES organized a five-day stakeholder workshop on 26th February to 1st March 2024, to develop and validate the EMR Implementation Guidelines for Uganda.
  • Improving the Quality of Voluntary Medical Male Circumcision
    • In February 2024, the METS Program, in collaboration with the Ministry of Health (MoH), Centers for Disease Control and Prevention (CDC), and Implementing Partners (IMs), conducted targeted onsite mentorship across 56 safe male circumcision sites in CDC-supported regions of Uganda.
    • Key findings highlighted the overall facility performance score of 78%, with 5 out of 8 thematic areas scoring above 80%. Notably, 99% of circumcised males had received Tetanus vaccines.
  • Innovation To Strengthen National Health Care Quality Improvement
    • The 10th National Health Care Quality Improvement (QI) conference brought together health service providers from various parts of the country to share experiences and what they are doing to improve service delivery to patients.
    • The Minister of Health, Hon. Dr. Jane Ruth Aceng, called for solutions that will provide answers especially in areas of governance and leadership, health workforce, information systems, service delivery, financing, special groups, and health products.
    • METS made a presentation on improved service delivery models focusing on empowering young women to stay HIV-free with the help of the Determined Resilient Empowered AIDS-free Mentored and Safe (DREAMS) initiative.
  • Gallery
    • Makerere University School of Public Health (MakSPH) launches state-of-the-art auditorium
    • Deploying latest EMR Version at Hoima RRH
    • Training of KCCA staff on use of Point of Care (POC) EMR
    • Stakeholder Workshop on Development of EMR Implementation Guidelines

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New Study Reveals Breastfeeding Mothers Embrace Nutrient-Rich Dish for Health Benefits

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Climbing beans on stakes in one of the gardens visited during the Efd-Mak Kabale District Sensitization in November 2021. Makerere University, Kampala Uganda, East Africa.

A study whose results were recently published in Food Science Nutrition, a peer-reviewed journal for rapid dissemination of research in all areas of food science and nutrition has revealed that there is a growing preference for wholesome meals, highlighting its numerous health benefits.

Titled; Lactating mothers’ perceptions and sensory acceptability of a provitamin A carotenoid–iron-rich composite dish prepared from iron-biofortified common bean and orange-fleshed sweet potato in rural western Uganda,” this study was conducted among pregnant and breastfeeding mothers seeking care at Bwera General Hospital, in Kasese district, western Uganda, between 4th and 15th of August 2023.

Researchers in a 2019 study published in BMC Pregnancy and Childbirth among pregnant and breastfeeding women in Northwest Ethiopia discovered that pregnant and breastfeeding women bear the highest burden of this deficiency due to heightened physiological demands for iron and vitamin A. These demands increase significantly during pregnancy to meet fetal needs and continue during lactation to support breastfeeding.

The 2020 report on Developments in Nutrition among 204 countries and territories for 30 years since 1990 highlights the substantial impact of dietary iron deficiency and vitamin A deficiency on women of reproductive age in low- and middle-income countries across Africa and Asia. These micronutrient deficiencies are of paramount concern in public health nutrition due to their adverse effects.

A 2022 study published in The Lancet Global Health reveals that progress in addressing anemia among women of reproductive age (15–49 years) is inadequate to achieve the World Health Assembly’s global nutrition target of reducing anemia prevalence by 50% by 2030 in low- and middle-income countries, including Uganda.

Breastfeeding mothers require a higher intake of iron, ranging from 10–30 mg/day, compared to 8 mg/day for adult males. To help meet this increased need, the World Health Organization (WHO) recommends iron supplementation programs during the postpartum period, starting immediately after delivery and continuing for the first 6 weeks.

On the other hand, the WHO advises against vitamin A supplementation during the postpartum period, as it offers no noticeable health benefits to either the mother or the infant. Instead, it encourages breastfeeding mothers to maintain a diversified diet that includes vitamin A-rich foods. However, it’s important to highlight that supplementing with vitamin A and iron during this time could enhance the content of these nutrients in breast milk.

In rural Uganda, breastfeeding mothers often face deficiencies in vital nutrients particularly vitamin A and iron. This is as a result of over reliance on plant-based local foods, like sweet potato and non-iron biofortified common bean like Nambale, which lack sufficient amounts of provitamin A and iron, respectively.

To improve vitamin A and iron intake among breastfeeding mothers, Uganda’s government, in collaboration with HarvestPlus, a global program dedicated to ending hunger through providing nutrient-rich foods launched biofortification programs. These initiatives introduced orange-fleshed sweet potato rich in provitamin A and iron-biofortified common bean as staple food in Uganda.

As part of his postdoctoral study, Dr. Edward Buzigi, a Nutritionist and Food security expert, at University of Kwa-Zulu Natal, South Africa, evaluated the perceptions and sensory acceptability of a dish made from a combination of orange-fleshed sweet potato and iron-biofortified common bean, known for their high levels of provitamin A carotenoids and iron.

The aim was to determine whether the test food could replace the traditional white-fleshed sweet potato and non-iron biofortified common beans, which lacks these essential nutrients.

Ninety-four breastfeeding mothers took part in the study comparing two foods. Participants assessed the taste, color, aroma, texture, and overall acceptability of both the test and control foods using a five-point scale. Ratings ranged from “dislike very much” to “like very much,” with attributes deemed acceptable if participants rated them as “like” or “like very much.”

Also, focus group discussions were held to explore participants’ thoughts on future consumption of the test food alongside statistical analysis done using the chi-square test to compare sensory attributes between the two food options, while the qualitative data from focus group discussions were analyzed using thematic analysis.

Findings revealed that taste, color, and aroma were satisfactory to the mothers and showed no significant difference between test food and control food. Mothers had favorable views of the taste, aroma, and color of orange-fleshed sweet potato and iron-biofortified common bean but expressed concerns about the soft texture of orange-fleshed sweet potato. Despite this, breastfeeding mothers expressed positive attitudes towards consuming orange-fleshed sweet potato and iron-biofortified common bean, as long as it was accessible, affordable, and easy to prepare.

Dr. Buzigi lecturers at the Department of Community Health and Behavioural Sciences at Makerere University School of Public Health in Uganda.

Read the scientific article here;  https://onlinelibrary.wiley.com/doi/full/10.1002/fsn3.4053

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Call for Applications: AWE Change Masters fellowship programme support

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L-R: The Departments of Family Medicine (School of Medicine) and Human Anatomy (School of Biomedical Sciences) Buildings, College of Health Sciences (CHS), Mulago Hill, Makerere University, Kampala Uganda, East Africa.

Makerere University College of Health Sciences in collaboration with Duke University, USA are conducting a national collaborative research study on Epilepsy with local leading researchers in the fields of neurology and psychology in Uganda and international experts in the field of neurology and neurosurgery in the USA. The study aims to investigate the panorama of epilepsy in Uganda across the life span by clinically characterizing its features, comorbidities, and risk factors among the general population, with a focus on stigma among adolescents.

Applications are invited for the AWE Change Masters fellowship programme support from postgraduate students of:

  • Makerere University College of Health Sciences
  • Mbarara University of Science and Technology
  • Gulu University

The closing date for the receipt of applications is 22nd May 2024.

Submit all Enquiries and Applications to awechangeproject@gmail.com

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