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37 Makerere University students & faculty complete 2-month Erasmus + exchange programme at NTU, UK

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Makerere University students and staff participated in a two-month exchange programme at Nottingham Trent University (NTU) in the United Kingdom (UK). This was under the Erasmus + International Credit Mobility Programme between NTU and Makerere University. Makerere University has had a partnership with NTU for more than 10 years. The partnership which was initially between Makerere University School of Public Health (MakSPH) and NTU, and later expanded to include the rest other schools in the College of Health Science and other colleges within the university. In addition to MakSPH, the partnership currently involves the College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB), College of Agricultural & Environmental Sciences (CAES) and under College of Health Sciences (CHS) the Department of Medical Microbiology, Department of Pharmacy and Department of Nursing. The exchange programme aims at enabling exchange of knowledge and skills, personal development, capacity building, fostering new research collaborations, and cross-cultural learning between Uganda and UK for both students and faculty.

Some of the Makerere University students at the global lounge at NTU.
Some of the Makerere University students at the global lounge at NTU.

This year, a total of 27 undergraduate and post graduate students from Makerere University under the support supervision of10 faculty travelled to NTU for a 2-month exchange programme. These were from various disciplines such as public health, environmental health science, pharmacy, microbiology, nursing, veterinary medicine, forestry and geography.The students and faculty arrived in the UK on 29th May2022. While at NTU, they participated in several activities such as research seminars, conferences, writing workshops, and field trips. The microbiology and pharmacy students spent most of their time at the NTU Clifton campus where they engaged in microbiology laboratory related work.Students from forestry, geography and veterinary medicine spent most of their time at the Brackenhurst campus where they carried out GIS practicals, forest walks, and animal care activities among other learning activities. The public health and nursing students participated in activities such as hospital visits, research studies and lectures at the city campus.

Makerere University Pharmacy and microbiology students taking part in a practical session at the NTU, Clifton campus.
Makerere University Pharmacy and Microbiology students taking part in a practical session at the NTU, Clifton campus.

In addition, students and faculty from all the disciplines participated in joint activities such as writing retreats and cultural exchange sessions. Some students also participated in conferences such as the Glow Nursing conference in Birmingham where Ms. Phiona Nambi, an undergraduate nursing student participated in a nurses’ competition and won the second runner up position. 10 students from various health related disciplines also presented at the10thInternational Festival of Public Health conference (IFPH) at the University of Manchester where Ms. Prossy Nakito, a Masters of Public Health Student was awarded the best oral presenter.All students attended lectures on professionalism, as well as writing retreats which enabled many of them to start or finalise with their theses and manuscripts. Faculty were involved in knowledge exchange and sharing through the different seminars and research work at NTU. Their continuous engagements with fellow faculty members at NTU created a base for establishing several research and project activities. For example, Mr. Samuel Kyobe a Lecturer in the Department of Medical Microbiology teamed up with Dr. Jody Winter and other NTU microbiology staff and wrote a grant application on antimicrobial resistance.

Makerere University students carrying out a GIS practical session at the NTU Brackenhurst campus.
Makerere University students carrying out a GIS practical session at the NTU Brackenhurst campus.

At the end of the programme, a seminar which was titled “Connecting globally” was organised for all the mobility students to reflect and share their experiences while at NTU. This seminar was attended by students and staff from, NTU, Makerere University, Mt. Kenya University and Jomo Kenyatta University from Kenya.

Makerere University Erasmus + mobility students and staff pose for a photo with NTU Pro Vice Chancellor International, Professor Cillian Ryan (in white shirt) at the Connecting Globally Conference in Nottingham.
Makerere University Erasmus + mobility students and staff pose for a photo with NTU Pro Vice Chancellor International, Professor Cillian Ryan (in white shirt) at the Connecting Globally Conference in Nottingham.

Special thanks to the partnership leads, Dr. David Musoke a Senior Lecturer in the Department of Disease Control and Environmental Health at MakSPH and Prof. Linda Gibson a Professor of Public Health,School of Social Sciences at NTU for spearheading this mobility programme.

What some students and faculty had to say:

“My time at NTU has been incredible and it will always be one of my most treasured memories. Studying while learning about various cultures was the most fruitful and enjoyable experience I’ve ever had. Most importantly, it has expanded my networks to support the development of my career. My professional, intellectual, and personal development have all benefited greatly from these priceless experiences. Mary Anne Radmacher said, I am not the same having seen the moon shine on the other side of the world.” Prossy Nakito, Masters of Public Health student

“The NTU Brackenhurst campus was a great centre for experiential learning, with fully equipped and easy to access facilities. It was a place of great comfort and bliss as we obtained hands-on experience with what we had known and didn’t know. Reptilian, rodent, feline and caprine husbandry all checked out despite some of the phobia we had to fight through. Special thanks to the volunteer program and management at the animal unit for they handled us like their own. We are certainly grateful” David Wagaba, Bachelor of Veterinary Medicine

“Through this exchange programme, I have been in position to continuously engage with other scholars at different levels as well as building peer support and networks. The academic benefits therefore are of great value in strengthening my academic career, of becoming an accomplished scholar and mentor of upcoming academics as well as establishing a platform for long term collaboration in research.” Faridah Nalwanga Ssendagire, Lecturer, School of Forestry, Environmental & Geographical Sciences

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MNCH e-Post Issue 122: Integrated Intervention Package Increases Health Facility Births – New Study

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Pregnant woman with midwife. Photo by Iwaria Inc. on Unsplash

By Joseph Odoi

In a significant stride towards improving maternal healthcare outcomes, a recent study conducted by researchers has shown that an integrated intervention consisting of peer support, mobile phone messaging, and provision of mama kits at the household level is successful in increasing the proportion of facility-based births. This groundbreaking research comes at a time when Uganda is still grappling with a very high maternal mortality ratio estimated at 336 deaths per 100,000 live births and neonatal mortality rate also at 22/1000 live births.

In the 2024 BMJ Published study titled “Can an integrated intervention package including peer support increase the proportion of health facility births? A cluster randomized controlled trial in Northern Uganda by researchers namely;  Dr. Victoria Nankabirwa and a team including David Mukunya, Grace Ndeezi, Beatrice Odongkara, Agnes A Arach, Vicentina Achora, Levi Mugenyi, Mohammad Boy Sebit, Julius N Wandabwa, Paul Waako, Thorkild Tylleskär, and James K Tumwine, sought to evaluate the effect of the integrated intervention package on increasing the proportion of health facility births compared to routine government health services. Read More

Click here to View the full MNCH e-Post Issue 122

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CALL for Applications for the SMART4TB Early-Stage Investigator (ESI) Scholar Program

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CALL for Applications for the SMART4TB Early-Stage Investigator (ESI) Scholar Program.

SMART4TB Early-Stage Investigator (ESI) Scholar Program
Cohort 2 Phase 1 Now Open for Applications
Applications Due March 14 2024
Call for applications

Supporting, Mobilizing, and Accelerating Research for Tuberculosis Elimination (SMART4TB) is an initiative made possible by the generous support of the American people through the United States Agency for International Development (USAID) that aims to transform TB prevention and care. SMART4TB has launched an important capacity strengthening activity, the Early-Stage Investigator (ESI) Training and Mentorship Program. The program’s main objective is to train and support young investigators to develop, implement, and lead their own studies aligned with their national and local TB research priorities.

Investigators within 10 years of receiving their most recent degree or who are new to TB research, based at an institution participating in SMART4TB studies, and supported by their local institutional leadership will be eligible for participation in the program. The program has 4 sequential phases, each with specific eligibility criteria and deliverables required before advancing to the next phase.

Completion of all 4 phases will require the ESI to commit to an intensive training curriculum that includes: 1) Specific courses focused on competencies required for the design, implementation, and analyses of TB research 2) Close 2:1 mentorship from both a local and a SMART4TB faculty research mentor; and 3) Access to technical support consultations from SMART4TB experts.

Progress from one Phase of training to the next Phase will be a competitive process and is not guaranteed. ESI who successfully complete all Phase 1 requirements (Scholars Program) will be eligible to apply and compete for Phase 2 (Fellowship Program). Phase 2 applicants that are approved by SMART4TB and USAID will be required to identify a local senior research mentor. ESI enrolled in Phase 2 will also be matched with a SMART4TB faculty co-mentor. The SMART4TB Training and Mentorship Committee (TMC) will monitor the ESI’s progress throughout the program and assess the quality of the training and mentorship provided to the ESI. In Phase 2, each SMART4TB Fellow will be mentored to develop a full research proposal for which they will serve as lead investigator. ESIs who receive approval and support to initiate their research project can apply for Phase 3 and Phase 4 of the program.

Prerequisite
Phase 1 Eligibility and Application Process ESI interested in applying for Phase 1 of this program must meet the following criteria:

  • Having a PhD as the most recent degree or are new to TB research; and
  • Be from a National TB Program (NTP) or institution/site participating in SMART4TB
  • USAID-approved studies; and
  • Have a letter of support from their local SMART4TB site/institutional leadership (signed on institutional letterhead).

All applications will be reviewed by the SMART4TB ESI Mentorship Advisory Committee. Final selection of Phase 1 participants will require USAID approval. Selected ESI will be notified by email.

The Secretariat, SMART4TB Early-Stage Investigator (ESI) Scholar Program Walimu
Unit 4, Plot 5-7, Coral Crescent
P.O Box 9924 Kampala-Uganda
Deadline for receiving applications: 14th March 2014 by 5pm.
Only short-listed candidates will be contacted.

Additional information
To apply for Phase 1 of this program,
please click: https://jhmi.co1.qualtrics.com/jfe/form/SV_0NiIqASiPJ92GRE
For details about the Phase 1 curriculum and the progress report from the first Cohort, please see the attachments.

For an overview of SMART4TB,
please click here: https://tbcenter.jhu.edu/smart4tb/
For more information about SMART4TB Capacity Strengthening Activities,
please click: https://tbcenter.jhu.edu/wp-content/uploads/2023/03/TA6 Overview.pdf

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Makerere University Research shows challenges facing Forcibly Displaced Persons (FDPs) with Chronic Disease in Northern Uganda

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Left to Right: Dr. Esther Nanfuka Kalule, a postdoc fellow on this study; Emma Ikwara, a researcher at CHDC; PhD student Onesmus Kamacooko at CHDC and Dr. Ritah Nakanjako interacting after the colloquium.

By Agnes Namaganda

Preliminary findings from a study by Child Health and Development Centre (CHDC) -Makerere University have revealed several challenges faced by Forcibly Displaced Persons (FDPs) with chronic diseases like diabetes, hypertension and cardiovascular diseases. This study is specifically looking at FDPs in northern Uganda. Accessing food, water, medicine, clothing, toilet facilities, privacy and support is a challenge for healthy FDPs but for those with chronic diseases, these provisions may mean the difference between life and death.

According to Drs, Ritah Nakanjako and Esther Nanfuka Kalule, who are post-doc fellows at Makerere University, FDPs with chronic diseases are unable to access facilities with medicines. Speaking at the February monthly colloquium of CHDC, Dr. Nanfuka said, “Medicines and medical forms are sometimes forgotten by these patients yet some do not know the names of their medicines. For others, these medicines get finished along the way due to the abrupt movements.” These disturbances in the continuity of care affects their health and wellbeing.

Left to Right: Dr. Esther Nanfuka, Dr. Ritah Nakanjako, Dr. Godfrey Siu who is giving the presenters feedback about their presentation and Dr. Aggrey Dhabangi.
Left to Right: Dr. Esther Nanfuka, Dr. Ritah Nakanjako, Dr. Godfrey Siu who is giving the presenters feedback about their presentation and Dr. Aggrey Dhabangi.

As an example, she referred to the constant need to monitor blood pressure or blood sugar for these FDPs. “Even when facilities are available, you may not have the money to refill medicines or you may not remember the name of the medicine.” She added that the stress and trauma of this kind of situation usually exacerbates these conditions.

Speaking about the rationale for doing this research, Dr. Nakanjako said that non-communicable diseases (NCDs) are largely unrecognized and inadequately addressed in humanitarian settings, something which the Red Cross calls ‘a neglected crisis’.  Yet, studies conducted among refugees and asylum seekers across the world report a high burden of NCDs. Uganda hosts over 1.5m refugees, the highest proportion in sub-Saharan Africa with the majority comeing from South Sydan.

“The objective of this study is to examine the experiences of FDPs- which will contribute to knowledge on innovative ways of chronic disease care. This will also contribute to the management of NCDs in humanitarian, low resource settings,” Dr. Nakanjako explained.

Dr. Godfrey Siu (Left) and Dr. David Kyaddondo who is the Principal Investigator of this project interacting with other members of CHDC after the CHDC monthly colloquium which takes place every last Wednesday of the month.
Dr. Godfrey Siu (Left) and Dr. David Kyaddondo who is the Principal Investigator of this project interacting with other members of CHDC after the CHDC monthly colloquium which takes place every last Wednesday of the month.

This 5-year study that started in 2022 will run till 2026 and is funded by the Novo Nordisk Foundation under the Mobility-Global Medicine and Research Fund. It is a collaboration between three institutions; Makerere University, the University of Copenhagen, Denmark and the Sudan Centre for Strategic and Policy Studies in South Sudan. This research is taking place in Nyumanzi Reception Center in Adjumani district; Nyumanzi Refugee Settlement also in Adjumani district; IDP Settlements in South Sudan; and the Bidi Bidi Refugee Settlement in Yumbe District.

Other challenges revealed by the FDPs with chronic diseases include the fear of drinking recommended amounts of water before or during travel to manage urine and to avoid stop-overs for security reasons.

After arrival at Nyumanzi Reception Centre in Uganda, these FDPs with chronic diseases do not receive any special care. It is only those with communicable diseases like TB. Cholera or Covid19 that get special care. Other challenges include; “a limited range of drugs, maintenance of cold chains for insulin, rationed water, lack of drinking water, lack of sanitary facilities and the congestion.

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