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METS Newsletter July 2022

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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 July 2022 Newsletter

  • Fostering interoperability for Data Exchange across Health Information Systems in Uganda
    • The Viral Load (VL) exchange: VL test requests and results are exchanged between facility-based EMRs (UgandaEMR and ClinicMaster) and the VL information systems housed at the MoH Central Public Health Laboratories (CPHL).
    • The EMR-DHIS2 (NextGen reporting) exchange: Enables aggregated data from facility-based EMR to be exchanged with the national electronic health data reporting system (DHIS2).
    • HIV recency testing and case based surveillance: De-identified patient level data is sent from the facility EMR to a central database, where it is cleaned, and transformed and visualized on a dashboard.
    • EMR usage statistics exchange: As the rollout of UgandaEMR continues to increase through the implementation model of working with comprehensive implementing partners, there is a need to track the progress of new site setup, upgrade of existing sites and migration to Point of Care (PoC).
    • EMR- electronic TB Case Based Surveillance System (eCBSS) exchange: THis integration is a 2-way sync of patient level data between the two systems, UgandaEMR at health facility and eCBSS deployed and managed centrally.
  • METS applauded for supporting the Mid-Term Review of HMIS Tools
    • MoH with support from METS organized a 14-day retreat from 4 – 15 July 2022 at the Source of the Nile Hotel in Jinja. Several key stakeholders participated with over 130 representatives from the Ministry of Health/AIDS Control Program, Centers for Disease Control (CDC), USAID, METS, SITES, Uganda Cancer Institute, National Tuberculosis and Leprosy Program (NTLP), National Drug Authority, Regional Referral Hospitals, ARC, PATH, PEPFAR Implementing Partners such as Baylor Uganda, Rakai Health Sciences Program, TASO, Mildmay among others.
  • UgandaEMR an Open Source supporting Sustainable Development Goals (SDGs)
    • The Response Innovation Lab, in partnership with URIDU organized an innovation and networking event focusing on Open Source as a contribution towards SDGs focusing on Health, Education and Equity. This event was held on the 6th July 2022 at Fairway Hotel Kampala.
    • Discussions focused on use of Open Source and its contribution; possibilities of integration to optimize resources and access; scalability of it to across all health care points, building on top of UgandaEMR to meet the needs of public and private health care providers.
  • Using Single Page Application (SPA) in UgandaEMR to improve service delivery at Family Health clinic
    • Makerere University School of Public Health Monitoring and Evaluation Technical Support Programs (MakSPH-METS) in partnership with the stakeholders organized “Bootcamps” to develop and improve features in the UgandaEMR to cater to the needs of users while improving Family Health services delivery at public Health Facilities across the country.
    • At the end of the Bootcamps, the developers were able to achieve notable milestones;
      • MCH (Maternal and child health) Registers completed and integrated into the latest version of UgandaEMR
      • Added 3 more forms under Family Health Module (Child Health and Family Planning registers)
      • Created a design document draft for the requirements to be used in the development of SPA react based interface. SPA is single page application module embedded into OpenMRS
      • Completed the process of packaging UgandaEMR in OpenMRS 3.x frontend, ensuring that all the data entry tools/ forms are saving properly
      • Completed the migration of UgandaEMR concept management to OpenMRS
  • Lessons Learnt from Case Based Surveillance Pilot
    • The Makerere University School of Public Health (MakSPH), with funding from CDC piloted CBS to inform potential national scale-up.
    • This pilot was implemented in partnership with MoH, UCSF and the regional implementing partners. The CBS Pilot was implemented at high volume Health facilities in the districts of Kabarole, Bunyangabu, Kikuube and Hoima from 2016. The selection of pilot districts was informed by the high HIV prevalence rates in the selected districts at the time.
  • Annual Supply Chain Week
    • The Annual Health Supply Chain Week was a platform to showcase digitization innovations in the Health Supply Chain system. The digitization process is essential for improving performance, efficiency and strengthening data driven decision making across the health supply chain system.
    • The event was part of the several activities under the theme ‘Digitizing the Health Supply Chain, a key component in implementing the 10-year National Health Supply chain roadmap.

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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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