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METS Newsletter February 2023

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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 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
  • Regional Referral Hospital Performance Review Meetings
    • 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.

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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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