Strengthening Implementation and Behavioural Social Sciences in HIV research
Local healthcare providers see the impact of HIV/AIDS, its associated comorbidities and stigma across different age spectrums daily. As research into the development of an HIV cure continues to advance globally, the field has expanded to include implementation science and behavioral social sciences research.
We know that HIV/AIDS is intricately interwoven with an individual’s behavior and social context. Therefore, addressing it solely through biomedical interventions such as drugs and vaccines would be falling short of bringing the epidemic under control. Involving aspects of behavioral and social sciences is critical in helping us to understand how health attitudes, social cognitions and personal habits shape one’s decisions and practices as regards HIV prevention and treatment.
Under the Makerere University Behavioral Social Sciences Research (BSSR) program, we are training a number of early career researchers in order to leverage on the benefits of BSSR to lower HIV incidence and increase treatment coverage rates. As reflected in the various stories shared in this newsletter, fellows research on issues such as the interplay between alcohol use and HIV care is helping to integrate evidence based social behavioral approaches into biomedical care.
Similarly, implementation science is an expanding field within HIV/AIDS research and public health practice. Through it, researchers aim to close the gap between theory and practice by addressing barriers that delay uptake of proven health interventions. Through the Makerere University Implementation Science (ImS) Program, more than 50 young scientists are being trained to optimize the public health impact of efficacious interventions such as test-and-treat and pre-exposure prophylaxis (PrEP) for eligible populations. In this newsletter, you’ll acquaint yourself with the ImS program aims, activities and fellows’ research.
As our fellows on the BSSR and ImS program continue to excel, we envision enhancing capacity for HIV research and care in Uganda and Africa at large. I am pleased to present to you the novel ImS/BSSR newsletter that brings you exhilarating insights into the programs’ activities and achievements. Enjoy your reading!
Highlights
Prof. Moses Kamya Awarded the Elise and Walter A. Haas International Award
Prof. Kamya was awarded for his outstanding contribution in the field of research and teaching infectious diseases with a particular interest in malaria and HIV. He is past chair of the Department of Medicine and past Dean of the Makerere University School of Medicine in Kampala, Uganda. He is a founding member of the Makerere University Joint AIDS Program (MJAP), the Infectious Diseases Institute (IDI), and the Infectious Diseases Research Collaboration (IDRC) in Uganda.
Building Implementation Science Capacity to Strengthen the Response to the HIV/AIDS Epidemic in Uganda
The Makerere University School of Medicine Implementation Science (Mak-ImS) Training program, funded by the United States National Institutes of Health-Fogarty International Center is a collaboration between Makerere University College of Health Sciences (MakCHS) and University of California San Francisco (UCSF)-USA. This program focuses and integrating ImS as a field of study at Makerere University; influencing HIV practices and enhancing the cascade of HIV care in Uganda.
ImS Program staff hold two-day training for Walter Reed Staff
On November 14 and 15 2022, Directors, Heads of Department and departmental staff of Makerere University Walter Reed Program (MUWRP) underwent an intense training in implementation science (ImS), a field of study that enables research uptake into practice. The training purposed to equip MUWRP staff with knowledge on various concepts of implementation science such as its principles, study designs and evaluation frameworks.
Dr. Geetha Bansal visits ImS fellows in Uganda
On Thursday 18 May 2023, fellows, mentors and mentees on the Implementation Science Program met and interacted with Dr. Geetha Bansal, Program Director, HIV Research and Training Programs at the National Institutes of Health.
Emerging researchers share exciting study projects
On Friday the 13th of October 2023, the Makerere-Implementation Science (MakImS) program conducted a trainees’ progress review meeting to track advancement of trainees’ PhD, masters and fellowship research projects. The review meeting attracted over 40 participants including trainees, principal investigators, university faculty and mentors.
Dr. Amadriyo presents abstract @ the 18th AOGU Conference
Dr. Emma Amadriyo, a master’s trainee on the ImS program presented her abstract titled, titled “Missed opportunities for eMTCT among mothers living with HIV whose infants seroconverted in Masaka Regional Referral Hospital – A retrospective cohort analysis” at the 18th annual scientific conference of the Association of Obstetricians and Gynaecologists of Uganda (AOGU)
Testimonials from ImS -Alumni
SSUNA BASHIR, postdoctoral fellow at Yale University and Makerere University
AHMED KATUMBA, Supply Chain Specialist in QED Group LLC.
SUSAN NAKUBULWA, applying ImS Frameworks in research and the utilization of Community Engaged Research to enable smoother translation of evidence into practice
JOAN NANGENDO, Training Coordinator, Mak-ImS program
DR. NELSON KALEMA, mentoring and supporting scientists towards the application of implementation science approaches
DR. LILLIAN TUGUME, used knowledge and skills to complete Mmed dissertation that explored the willingness of serodiscordant couples to accept pre-exposure prophylaxis
Strengthening Behavioral and Social science Research capacity to address evolving challenges in HIV care and prevention in Uganda
Spearheaded by Professors Moses Kamya, Anne Ruhweza Katahoire and Carol Suzanne Camlin, MakBSSR leverages on existing collaborations among social, behavioral, and biomedical scientists at Makerere University and its HIV programs, and the University of California, San Francisco (UCSF). Currently, five PhD candidates, 14 masters’ fellows and eight fellowship candidates are being supported by the project.
Q&A With Dr. Namisi Charles Patrick
Dr. Namisi’s PhD study, funded by the Behavioral Social Science Research (BSSR) Program of Makerere University, seeks to develop and validate a stigma mastery model for PLHIV. He is the acting Dean of the Mother Kevin Post Graduate Medical School of Uganda Martyrs University, Nkozi.
Musanje aims to develop a customized mindfulness intervention for adolescents living with HIV
This research aims to culturally adapt a mindfulness and acceptance therapy in Uganda; explore acceptability of a Mindfulness and Acceptance Based Interventions (MABI) among adolescents (15-19 years) in Uganda; evaluate the effectiveness of a MABI on improving mental health among ALHIV and evaluate the effectiveness of a MABI on improving adherence to antiretroviral treatment among ALHIV. The research was conducted at Kisenyi Health Centre IV and Kitebi Health Centre III.
Regina Ndagire credits the BSSR Program for equipping her for the working world
She is applying the research skills obtained on the program in her current role as a research officer at Clarke International University. Here, she supports students and faculty in research; conducts research training; supervises research and engages in the writing of research policy documents and grants.
Using virtual support groups to improve ART adherence among adolescents – Kiirya’s Journey
Her study seeks to explore the acceptability, feasibility and effectiveness of online peer support groups to improve adherence among YLHIVA in Kampala. It is being conducted among 402 youths attached to Kisenyi and Kawaala Health Centre IVs and Kiswa and Komamboga Health Centre IIIs.
Lived experiences, perceptions & HIV care outcomes among young people living with HIV in South Western Uganda
Dr. Raymond Felix Odokonyero is psychiatrist at Mulago National Referral Hospital and lecturer at Makerere University’s College of Health Sciences. His research interests lie in understanding the interplay between alcohol use and HIV care among young people living with HIV (YPLHIV).
Nante Rachel Wangi
Wangi interested herself in studying Assisted Partner Notification (APN) among people who have severe mental illness (SMI), who are living with HIV (PLHIV) at Butabika National Referral Mental Hospital. She conducted a mixed methods study, quantitatively examining 125 medical files of PLHIV with a diagnosis of SMI between 2018 and 2021. Additionally, ten in-depth interviews with patients and six key informant interviews with health workers were conducted to determine socio-cultural barriers to APN uptake.
The Makerere University College of Health Sciences (MakCHS), College of Natural Sciences, and College of Business and Management Sciences presented graduands for conferment of degrees on the 14th January, 2025 which was the day 2 of the 75th Graduation Ceremony of Makerere University that commenced on Monday 13th January 2025.
MakCHS presented a total of 886 graduands including (23) Doctor of Philosophy (PhD), (456) Masters and (407) Bachelors. For the second year, MakCHS produced the researcher with the biggest number of publications, Prof. Moses Kamya and he received an award for the achievement.
Speaking to the congregation, Professor Barnabas Nawangwe – Vice Chancellor, Makerere University welcomed everyone to Makerere University’s 75th Graduation. He congratulated the 13,658 graduates, including 143 PhD recipients, 53% female graduates and 47% male graduands who will be awarded degrees through the graduation week. He commended the efforts of staff, parents, and sponsors in supporting the students’ journeys. Professor Nawangwe praised the achievements of Makerere’s Colleges and Schools, he commended MakCHS for the leadership in research and innovation flying the Makerere flag globally. He noted, ‘The College of Health Sciences is our flagship college for research and community engagement. This college accounts for 50% of all research grants won and also 50% of all the publications by the University. The College celebrated 100 years last year, making it the oldest college at Makerere University’.
Prof. Nawangwe reiterated Makerere’s transformation to a research-led institution supported by the government funded Makerere UniversityResearch and Innovations Fund (Mak-RIF). “We are addressing national priorities, such as improving the Parish Development Model and advancing e-governance,” he stated. The Vice Chancellor also congratulated Dr. Crispus Kiyonga on his appointment as Chancellor and urged graduates to leverage their education to create solutions for societal challenges.
Professor Nawangwe advised the graduands thus, ‘We have equipped you with the knowledge and skills that will make you employable or to create your own businesses and employ others. Do not despair if you cannot find employment, instead reflect on the immense opportunities around you and raise them as an entrepreneur.’
Professor Puleng LenkaBula, Principal and Vice-Chancellor of the University of South Africa (UNISA) delivered the commencement speech where she called on the graduands to remain resilient and emancipate Africa’s people. Her address titled “The Power of Resilience – African Woman, Find Your Generational Mission and Redefine Your Worth”, Professor LenkaBula highlighted the critical role of African women in shaping the continent’s destiny.
Professor LenkaBula expressed gratitude for being invited to such a significant occasion and extended greetings from South Africa, including from UNISA’s Chancellor, former South African President Dr. Thabo Mbeki. She praised Makerere University for its legacy of academic excellence and contributions to the African continent, emphasizing its role in anti-colonial struggles, post-colonial development, and its steadfast commitment to African unity. She called for a renewed focus on gender equity in academia and leadership, noting the disproportionate burdens faced by women in society. Citing the achievements of Makerere University in gender mainstreaming, she expressed optimism about the role of young leaders in dismantling patriarchal systems and fostering inclusive development.
Professor LenkaBula concluded her address to graduands with a call to action: “Your graduation is not merely a personal achievement but a contribution to Africa’s collective progress. History has thrust upon you the task of creating a future defined by resilience, innovation, and equality.”
In his remarks, Dr. Crispus Kiyonga – Chancellor, Makerere University congratulated graduands upon making it to the 75th Graduation Ceremony of Makerere University. Dr. Suruma expressed his appreciation of His Excellency the President and First Lady/Minister of Education and Sports for giving him the opportunity to serve Uganda and for the continuous support extended to Makerere University, requesting the congregation to join him and give them a warm applause. Dr. Kiyonga reiterated President Museveni’s directive to Makerere University to integrate the teaching of political economy across all courses to enhance students’ understanding of the country’s socioeconomic conditions. The directive, welcomed by the university’s top management, will be incorporated into the curriculum to align education with the needs of the people and the nation.
He expressed appreciation that the government has pledged to bolster Makerere’s research funding and he encouraged the University to strengthen partnerships with the private sector to commercialize innovations developed at the institution.
The new Chancellor pledged support to the University management in saving its land and urged that an agro-industrial park be established. “This park would serve three purposes: teaching, generating income, and acting as a demonstration site for communities across the country,” Dr. Kiyonga noted. He also emphasized the urgency of addressing Uganda’s food insecurity, highlighting that 40% of children in the Rwenzori region are stunted, with malnutrition affecting most regions of the country.
Dr. Kiyonga also pointed out Africa’s underperformance despite its vast resources, describing it as a contradiction. “It is our responsibility to change the conditions of our people and ensure Africa rises to its potential,” he urged.
The ceremony was graced by Hon. Joyce Moriku Kaducu, Minister of State for Primary Education, who represented the First Lady and Minister of Education and Sports, Hon. Janet Kataaha Museveni. Other dignitaries included members of Parliament, the judiciary, the diplomatic corps, and academics.
The Minister lauded Makerere University for its dedication to academic excellence and innovation. “Today reflects the resilience, hard work, and commitment of our graduates, supported by the university staff, management, and parents,” she said. The Minister commended the Vice Chancellor and management for fostering research and innovation while urging them to maintain robust quality control systems to uphold the institution’s integrity.
She also reflected on Makerere’s recent milestones, including the commissioning of a new the launch of the School of Graduate Studies and Research. “Your achievements stem from hard work, transparency, and accountability. They set Makerere apart as a leader in higher education,” she noted. Addressing the graduates, Hon. Kaducu encouraged them to apply their skills to solve societal challenges. “Makerere has equipped you with critical thinking and creativity. Use this to seize opportunities, make a difference, and shine wherever you go,” she concluded. During the 75th graduation ceremony held from the 13th -17th January, 2025, a total of 13,658 graduands were awarded degrees and diplomas in various disciplines. Of these, 143 received PhDs, 1,813 Masters Degrees, 243 postgraduate Diplomas, and 11,454 Bachelor’s Degrees. 53% of the graduands are female and 47% are male. 44% of the PhD graduands are female. A total of 491 graduands received first class degrees.
The course is intended to strengthen the capacity of practicing workers to successfully identify and manage Water, Sanitation and Hygiene (WASH) opportunities and problems by facilitating the acquisition of adequate knowledge, development of skills and attitudes through understanding and use of the 6 essential services of WASH. These are to:
Monitor WASH status to identify and solve community environmental health problems.
Diagnose and investigate WASH problems and health hazards in the community.
Inform, educate and empower people about WASH issues.
Mobilise community partnerships and actions to identify and solve WASH problems.
Evaluate effectiveness, accessibility and quality of personal and population-based WASH services.
Research for new insights and innovative solutions to WASH problems.
Course Structure
The course is an 8-weeks programme of study. Participants will spend 3 weeks (full-time) at Makerere University School of Public Health (MakSPH) while 4 weeks will be spent at suitable workplaces / field sites. The final week of the course will be spent at MakSPH for presentation of project / field work, final examination, and the certificate awarding ceremony. This is a day programme and will run from 26th May to 18th July 2025.
Course Modules
Water Resources Management
Environmental Sanitation
Hygiene Promotion
WASH Policy, Planning and Financing
Field / Project Work
Mode of delivery of the course includes lectures, tutorials, seminars, practicals and field work.
Dates
26th May to 18th July 2025
Fees
Ugandans
Internationals
UGX 900,000
USD 500
Dates and Fees for the Certificate in Water, Sanitation and Hygiene 2025
Who should apply?
Practicing officers in the WASH sector including those working in local government, non governmental organizations (NGOs) or the private sector.
Environmental Health workers who wish to broaden their knowledge and skills as a form of Continuous Professional Development (CPD) so as to be better equipped to implement WASH activities.
Entry requirements for admission to the course are Uganda Advanced Certificate of Education (UACE) or its equivalent with at least 1 year working experience in WASH.
The deadline for receiving applications is Wednesday 26th March 2025.
For further details, contact:
Course Administrator Ms. Irene Nassazi Makerere University School of Public Health New Mulago Hospital Complex E-mail: inassazi@musph.ac.ug Tel. +256771671354
Course Coordinator Dr. David Musoke Makerere University School of Public Health New Mulago Hospital Complex E-mail: dmusoke@musph.ac.ug Tel. +256788572129
Co-Course Coordinator Mr. Allan Ssembuusi Makerere University School of Public Health New Mulago Hospital Complex E-mail: assembuusi@musph.ac.ug Tel. +256759955067
On 2nd December 2024, Assoc. Professor Bruce Kirenga officially took over as Principal of the College of Health Sciences, Makerere University (MakCHS) in a handover ceremony held in the College Board Room. Dr. Kirenga succeeds Professor Damalie Nakanjako, who successfully completed her four-year term.
The ceremony was attended by members of the MakCHS Administrative Board and key university leaders, including Ag. Deputy Vice Chancellor (Finance and Administration) Professor Henry Alinaitwe, Chief of Human Resources, Mr. Deus Tayari Mujuni, & Deputy University Secretary Mr. Simon Kizito, among others.
In her remarks, Professor Nakanjako reflected on her time in office with gratitude and pride since she assumed office in December 2020. She expressed her full support for MakCHS in contributing towards training and research in Makerere University.
Professor Nakanjako thanked the university top management for the support rendered to during her term of office as Principal. I thank family, friends and colleagues who supported and allowed me share my time with the college, especially beyond official hours.
Dr. Kirenga, a pulmonologist, researcher, and founding director of the Makerere University Lung Institute, expressed his heartfelt gratitude to the Makerere leadership and the search committee for entrusting him with the responsibility of steering the college. He noted; “It’s a true honour to have been entrusted with this role. The search process was rigorous, but I learned so much from the ideas shared by my colleagues—it was a truly honourable competition.”
With a vision for collaboration and growth, Dr. Kirenga outlined his priorities, including improving staffing, improving relationships with teaching hospitals, and addressing infrastructure needs. He emphasized a leadership style rooted in inclusivity and teamwork, saying, “Let’s create a common vision through consultation and work together. I’ll visit every unit in the college to hear directly from staff about their challenges, needs, and ideas for moving forward.”
Dr. Kirenga also shared plans to establish a forum of past leaders to harness their collective wisdom and ensure continuity in leadership.