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METS Newsletter July 2022



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.


Boy Children Report More Physical & Emotional Abuse



Men in the intervention group during the Parenting for Responsibility (PfR) project training session.

By George Kisetedde

On 3rd August, 2022, the CHDC (Child Health and Development Centre) disseminated study findings from one of the research studies carried out at the centre. These findings were presented under the title,“The Prevention of Violence against Children and Women: Baseline and Implementation Science Results from Parenting Cluster Randomised Trial.” Moderated by Dr. Anthony Batte, a lecturer at CHDC. Study findings were presented by Joseph Kahwa, the trial manager of the Parenting for Responsibility (PfR) project, under which this study falls.

Kahwa described PfR as a community based parenting programme delivered to both male and female parents. This programme aims to improve parenting skills, prevent violence against children, and to improve spousal relationships.

Findings from the study

Findings from this study showed that parents maltreat boy children more than girl children. The boys reported more emotional and physical violence than girls. Furthermore, the boy children reported that male caregivers specifically, maltreat them more. On the other hand, the girl children reported more sexual violence from caregivers than boys. On the whole, the children reported that female caregivers emotionally and physically abused them more compared to male caregivers.

More findings, according to Kahwa, showed that 46.5% of parents in Amuru can provide their children with soap to wash, 44.5% can provide school fees, 44.4% can provide school materials, 44.2% can provide new clothes, 43.3% can buy school uniform, and 35.9% can provide a pair of shoes.

How the research is conducted

The study is divided into 16 group sessions. The first 9 sessions are single sex, that is, male caregivers and female caregivers train separately. The next 7 sessions are mixed with male and female participants combined during training.

A mixed group parenting session for both men and women.
A mixed group parenting session for both men and women.

Kahwa explained that this programme was initiated to deal with VAC (violence against children) and IPV (intimate partner violence). These two vices are closely linked and have a significant impact on how children turn out.

Kahwa added that the PfR research programme aims at addressing the four major factors that may lead to VAC/IPV. These include; poor parental bonding, harsh parenting, unequal gender socialisation and spousal relationships.Poor parental bonding refers to the absence of a healthy close connection between a parent and their child. When a parent and child are not close, the parent may lack empathy for the child and the ability to perceive and respond to their child’s needs. When this bond is weak, a parent is unable to appreciate a child’s needs and can end up being unrealistically tough, which results in harsh parenting. Unequal gender socialisation generally refers to the different expectations that parents have of their children depending on their gender-male or female. The quality of the spousal relationship between parents also affects a child’s life. These four areas are what the parenting sessions concentrate on during the training.

The PfR study employed a cluster randomised controlled trial (RCT) design. Male and female caregivers were recruited from cluster villages in the Wakiso and Amuru districts in Uganda. One child aged 10 to 14 per household was randomly selected and assessed.

The caregivers were divided into two groups; the intervention group and the control group. The intervention group underwent all the 16 sessions of the training while the control group underwent a 2 session lecture on parenting. The impact of the PfR intervention was then ascertained by comparing baseline and endline results (or the before-and-after experiences of parents). The study participants were from 54 Villages selected in both Amuru and Wakiso districts. 108 caregiver groups (54 groups per intervention)were selected. This resulted in 2328 parents recruited and 886 children.

In conclusion, Mr. Kahwa said that maltreatment is still prevalent in the population. Generally, the PfR programme was well-received by parents and it had ad good attendance from parents. The programme also registered good male engagement. The peer facilitators who were recruited also had great potential in expanding the PfR programme at community level.

This study was conducted by Dr Siu Godfrey as the Principal Investigator. Other members of the team included Carolyn Namutebi, Richard Sekiwunga, Joseph Kahwa, Dr Betty Okot, and Martha Atuhaire. They were supported by the Director from CHDC, Dr. Herbert Muyinda and the CHDC Finance & Administration team. The team from Glasgow & Oxford Universities in the UK included, Prof Daniel Wight, Dr Jamie Lachman , Francisco Calderon and Dr Qing Han. On the other side, the team from the SOS Children’s Village from Gulu and Wakiso included, Rachel Kayaga, Sindy Auma Florence and Godfrey Otto.

Contact: George Kisetedde – | Edited by Agnes Namaganda –

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Makerere Medical Journal: Golden Jubilee Edition 2022



Cover Page of the Makerere Medical Journal Golden Jubilee Edition 2022.

It’s with great pleasure that I welcome you to the Golden Jubilee edition of this phenomenal journal. Yes, The Makerere Medical Journal marks 50 years of publication with this year’s edition and all this has been made possible by the endless efforts and contributions of the Makerere University College of Health Sciences Staff and students because without your research submissions and financial support, the journal wouldn’t have made it this far. To you reading this, thank you for contributing to the sustainability of this great project, year in year out.

Here’s a quote to ponder on as you delve into this year’s well-crafted articles and it’s by Zora Hurston (1891-1960), “Research is formalized curiosity. It is poking and prying with a purpose.” And doesn’t that just define our purpose as researchers?!

This edition’s articles cover pertinent topics ranging from Antimicrobial Stewardship, COVID-19 interventions, Oral Health amongst others. It also features student projects, write-ups on student-led organizations and societies that are making a difference in the life of a health sciences’ student and many more interesting writings. Featured in this issue are international manuscripts from countries like Nigeria and we were also honored to work with other universities within the country and feature some of their students’ articles.

I would like to extend my most sincere gratitude to my team of editors that engaged in a rigorous peer review process to ensure that the articles published are up to standard. As the editorial team, we are quite pleased to see the number of undergraduates involved in research steadily increasing and all the efforts that have been put in by the different stakeholders to see this happen are commendable.

With that said, I hope you enjoy every second of your read!!!


Research and Writers’ Club 2021-2022

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Call for Applications: HEPI Masters Support Fellowship



Panelists L-R: Professor Elsie Kiguli-Malwadde, Professor Francis Omaswa, Professor Jehu Iputo and Professor Joel Okullo at the HEPI-ACHEST Health Professions Education Symposium, 17th June 2022, Makerere University.

Applications are invited for the Health Professional Education Partnership Initiative (HEPI-SHSSU) Masters fellowship programme support from postgraduate students of:

  • Makerere University College of Health Sciences (MakCHS)
  • Kabale University School of Medicine
  • Clarke International University
  • Faculty of Health Sciences, Busitema University

The programme will support graduates in their final year of training leading to the award of a Masters degree on any of the Master’s graduate training programs at the stated University for a maximum of 19 successful candidates.

The closing date for the receipt of applications is 30th September 2022.

Inquiries and Applications must be submitted to

See attachment for more details 

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