Group discussion on Continuation of Treatment, Prevention & Sub-Groups and Health Systems Strengthening at the
PEPFAR stakeholders meeting, February 22-23, 2023, Mestil Hotel, Kampala Uganda. Photo: METS.
The Monitoring and Evaluation Technical Support (METS) Program is a 5-year CDC-supported collaboration of Makerere UniversitySchool of Public Health (MakSPH), the University of California San Francisco (UCSF) and Health Information Systems Program (HISP Uganda).
Highlights of the METS February 2023 Newsletter
Roll-out of ‘UgandaEMR Mobile’ Application to TASO-Supported Facilities
UgandaEMR is currently operational at over 1900 ART facilities countrywide and facilitates HIV /AIDS data capture at various service delivery points at the health facility either in real-time or retrospectively.
Between 16th and 20th January 2023, METS embarked on supporting the rollout of the UgandaEMR Mobile App to several TASO-supported health facilities in the districts of Gulu, Mbarara, and Masaka.
Supporting Electronic Medical Records (EMR) Functionality at Regional Referral Hospitals (RRHs)
In January 2023, two Regional Referral Hospitals – Mubende and Soroti experienced challenges in management of their electronic data. As a result, the hospitals were unable to prepare routine program reports. The Ministry of Health established that the problem was due to non-functional servers and requested METS to intervene.
With funding from PEPFAR, METS was able to procure new servers to support the functionality of UgandaEMR in the ART clinics at the two hospitals. The METS support team spent three days providing technical assistance in installing Operations Systems (Windows Server OS), UgandaEMR System, and migrating data from the old servers.
Improving Services to Orphans and other Vulnerable Children
In November 2022, the METS team working together with Ministry of Gender, Labor and Social Development, USAID’s Strategic Information Technical Support (SITES) and other stakeholders conducted a follow-on Orphans and other Vulnerable Children (OVC) program service quality assessment to assess satisfaction among the beneficiaries of the program services provided between October 2021 and March 2022.
Overall, the assessment revealed that the quality of OVC service offered in the Rwenzori region was adequate and met expectations at 86% on average under the sections of Economic Strengthening & Stability, Education & Development, Care & Protection and Survival and Health.
Site-readiness Assessment for Safe Male Circumcision (SMC)
METS in collaboration with the three new Implementing Partners (Uganda Catholic Medical Bureau, Uganda Protestant Medical Bureau and Kampala Capital City Authority) conducted an inter-agency service quality assessment for SMC site readiness at 13 supported sites.
Four sites obtained low scores (below 60%) mainly due to suboptimal availability of key items for the SMC services indicating a low level of readiness. Four sites had a high score (at least 90%) indicating a high level of readiness. The remaining 5 sites had acceptable level of readiness (60-89%) for SMC service provision with minimal need for improvement. Only 46% of the sites had the required information, education and communication materials.
Distribution of HIS Hardware equipment
Over the last 3 years PEPFAR, through the METS program, has procured computer and networking equipment for distribution to health facilities. This equipment is intended to support the Ministry of Health digitization project, improve electronic medical (EMR) coverage, and accelerate the implementation of Point of Care (PoC).
This has been a phased process that began in January 2022 with distribution to over 600 health facilities. The current distribution phase is data capture devices which include mini servers, desktops, laptops, tablets, and fingerprint scanners to 26 implementing partners across the country.
Pictorial: PEPFAR Partners and Stakeholders Strategy Meeting
METS was part of a meeting held on 22-23 February 2023 at Mestil Hotel to review partners’ progress and discuss the strategy of 95% of all people living with HIV knowing their status, 95% of all people with diagnosed HIV infection receiving antiretroviral treatment, and 95% of all people receiving treatment having viral suppression by 2030.
PEPFAR Science Summit
METS was part of the annual PEPFAR Science Summit, a U.S. Uganda Mission-led platform that brings together U.S. government researchers and scholars and partners (IPs) in Uganda to share new scientific research to inform the implementation of HIV and TB programs and related policies.
METS made two presentations on Measurement of Regional Referral Hospitals Health Systems Capacity: Application of Progression Model by Dr. Simon Muhumuza and Improving the Quality of Cervical Cancer Services in Uganda: Onsite Mentorship and Coaching Approach by Connie Ninisiima
METS provided technical assistance to the Ministry of Health (MoH) during a Joint Technical Supportive Supervision and Performance Review exercise for 9 Regional Referral Hospitals (RRH) across the country from February 20-24, 2023.
The exercise was an opportunity to assess how far along the facilities were implementing their work plans, review their performance targets as well as identifying implementation challenges of the RRH mechanism that was introduced by MoH.
Key Population and Pre-Exposure Prophylaxis (KP/PrEP) Tracker training
The Peace Corps requested METS to support its partners to conduct KP tracker training and an orientation on data collecting tools for community outreaches. Key populations are defined groups who, due to specific higher-risk behaviors, are at increased risk of HIV.
Makerere University School of Public Health invites applications for a PhD fellowship under the Wellcome Trust-supported NETOMA study, which examines the coexistence of health worker shortages and unemployment among qualified health professionals in Africa.
The successful candidate will undertake doctoral research involving ethnographic fieldwork and qualitative analysis of health workers’ professional identities, employment experiences and livelihoods. Applicants should hold a Master’s degree in Anthropology, Sociology, Development Studies, Political Economy or a closely related discipline, with training in qualitative research methods.
Through a European Union (EU) funded initiative, Makerere University and Mulago Hospital are hosting a German oncology reconstruction specialist Professor Dr. Thiha AUNG. AUNG is a surgeon, trainer at the Deggendorf Institute of Technology (THD), and researcher on cancer from the Deggendorf Institute of Technology (DIT), Germany.
With his international expertise in oncology and medical management roles at his home institution, his visit is a valuable addition to Uganda’s capacity building efforts in medical advancement.
Prof. Aung who arrived in Uganda in late September 2026 and has since then conducted free identified patient specialised surgeries and training for locals. These are expected to span two weeks. For the period, his service intersects medical expertise and humanitarian efforts.
This is not Prof. Aung’s first time in the country; his first major visit was in 2023, when he performed life-changing free surgeries on early patients. He then made medical history in June 2024 when he arrived to perform Africa’s first-ever lymph node transplant at Mulago Hospital.
It was against this background that the Makerere Public Relations Office engaged him in an exclusive interview to share his philosophy on medical service, his experiences in oncology reconstruction, and his unwavering belief that passion and dedication rather than just resources are the true drivers of sustainable medical progress.
Transforming Lives Through Oncology Reconstruction
At the heart of his mission through the ERASMUS – Oncology/Lymphedema project, is the treatment of lymphedema, a condition often referred to as elephantiasis.
In Europe, such surgeries can cost between 80,000 and 100,000 euros, making them inaccessible to many.
Thankfully, Professor and his team, including some of his post graduate students like Anna Friedrich (B.Sc) and Sophia Waser (B.Sc., PA) from the Institute of Medical Science and Engineering, have once again brought this specialised care to Uganda pro bono.
Professor AUNG with the article author.
He highlights the story of a teacher who, after receiving surgery, regained her quality of life and returned to the classroom. For him, the impact is exponential. “You change one life, but this person changes a lot in the community.”
This shift from individual surgery to the long-term wellbeing of the community, reinforces the local impact of these services.
Professor AUNG’s Personal Conviction
The professor confessed that inherently, he commands himself that beyond knowledge, true progress is driven by passion and will rather than resources.
He does not agree with those that think money and resources are the sole prerequisite for change in the medical world, stating, “you cannot change with money only.” Rather, he upholds the importance of personal decision and commitment.
When discussing the challenges of working in resource-limited settings, he maintains a simple, direct explanation “it’s always beyond the money.”
Ultimately, the Professor believes that if he can provide the spark, his students and patients can carry through with the same flame for significant change.
Motivation to Serve in Uganda
When asked about his inspiration for entering the field and now volunteering to work in Uganda, he explained that his primary goal was always to serve others. “That’s why I finished my medical school to help as many people as possible with my skills.”
Professor AUNG gestures during the interview.
He views his medical expertise not as a tool for the privileged, but as a universal resource., “People are all the same, their anatomy is the same. So, I can help all these people pretty well,” Prof AUNG remarked.
His approach is motivated by a pay it forward dogma where treating a single patient creates a broader societal benefit. He illustrates this through his work with patients who, after surgery, are able to return to their professions like the teacher earlier mentioned.
Tips for Medical Professionals working in Uganda
As a foundation for professional growth, the Professor advised medical professionals working in Uganda to prioritise genuine interest in their work because he believes it is “the most important…” for “if you are interested, you will go far in the profession.”
He further reinforced the human capacity point, noting, “no matter what kind of equipment you have… it all depends on the people operating them and the patient.”
Professor AUNG concluded by encouraging doctors to overcome resource fears through action, stating, “If you want to create impact or change, you do.”
Dr. AUNG is part of the Lymphoedema Warriors Association (LWAU) in Uganda. He describes it as a grassroots organisation and commends them for “leveling the grond”. He reiterated his commitment to work with the organisation in reviewing patient reports to determine the best course of treatment.
Makerere University’s School of Public Health (MakSPH) showcased research, training and international partnerships supported through European Union funding during the EU Uganda Research and Study Fair 2026 held at Makerere University.
The fair brought together students, researchers, academics, government representatives and development partners to explore opportunities in education, research, innovation and international collaboration, while celebrating 50 years of partnership between Uganda and the European Union.
Through its exhibition, MakSPH highlighted research and capacity building initiatives addressing public health challenges including infectious diseases, non communicable diseases, health systems, climate change and pandemic preparedness.
18 EU funded projects supported at MakSPH
Prof. Rhoda Wanyenze, Dean of Students, School of Public Health, said the School has benefited from 18 EU funded projects over the past five years, supporting research and training across several areas of public health.
Prof. Rhoda Wanyenze explains MakSPH research projects to Acting Minister of Education and Sports Dr John Chrysostom Muyingo during a tour of exhibition stands at the EU Uganda Research and Study Fair.
She said the projects have contributed to the training of PhD researchers and the development of research addressing infectious diseases and prevention, non communicable diseases, health systems, climate change and health.
Prof. Wanyenze also highlighted a new five year programme which started in 2021 that is aiming at strengthening capacity for research on pandemic preparedness and response, including outbreaks such as Ebola.
Stella Kakeeto interacts with students during the EU Uganda Research and Study Fair
Another programme being undertaken with the Ministry of Health and Karolinska Institute focuses on improving maternal health while also addressing adolescent pregnancy and the health of mothers and children.
She described partnerships as critical to advancing science and innovation, noting that collaboration allows researchers in Africa and Europe to share knowledge and strengthen the impact of research on communities.
Research partnerships strengthen innovation
Prof. Robert Wamala, Director of the Directorate of Research, Innovation and Partnerships at Makerere University, said the exhibition provided an opportunity to showcase EU funded projects across the University.
He noted that the School of Public Health alone has more than 18 such projects, while other colleges also have several EU supported initiatives.
Prof. Julius Okuni
One of the projects showcased was PREPARE TID, a partnership aimed at developing rapid diagnostic technologies for emerging and re emerging infectious diseases.
Prof. Julius Okuni, Associate Professor of Veterinary Pathobiology and Molecular Diagnostics at Makerere University, said the project brings together universities, industries and other organisations from Africa and Europe.
The project is working to develop technologies that can quickly identify pathogens responsible for outbreaks such as Ebola, Rift Valley fever and Crimean Congo haemorrhagic fever.
According to Prof. Okuni, Makerere is involved in field and laboratory work to test and refine the technologies before they can be delivered to end users.
Fair provides platform for research visibility
For researchers at MakSPH, the fair also provided an opportunity to increase the visibility of ongoing research and create new connections with researchers, policymakers and potential funders.
Dr. Raymond Tweheyo, Honorary Lecturer and Senior Research Fellow in the Department of Health Policy, Planning and Management, said such exhibitions allow researchers to share their work and identify others working on related challenges.
Dr. Raymond Tweheyo and Assoc. Prof. Angelina Kakooza Mwesigye at the exhibition
He cited the CONNECT for Health project, which focuses on transforming non-communicable disease care in Uganda through collaboration with partners across several countries.
Dr. Tweheyo said exhibitions can help researchers connect with policymakers, civil society organisations and other partners who can contribute to translating research into practical solutions.
Assoc. Prof. Angelina Kakooza Mwesigye, Associate Professor and Child Neurologist at Makerere University College of Health Sciences, also emphasised the importance of exposing young people to international research opportunities.
She said the long standing Uganda Europe partnership provides opportunities for the next generation of researchers to learn, build networks and prepare for future research collaborations.
The School of Public Health’s participation highlighted the role of international partnerships in strengthening research capacity, supporting innovation and developing evidence based responses to Uganda’s public health challenges.