Health
Responsive Culture, Partnerships, and Research Ethics Emphasized at CARTA’s APAS Workshop in Kampala
KAMPALA—Researchers in African Universities have been urged to cultivate a Responsive Culture, create, maintain, and strengthen collaborations, and uphold Research Ethics. In the CARTA programme, Participants explore the requirements for successful research in African universities, including researcher training based on global best practices. They also define and address knowledge management as the process of generating and sharing information; demonstrate the positive linkages between quality research and sustainable development in Africa.
These issues featured prominently at the CARTA’s APAS Workshop in Kampala, a week-long training for Academic, Professional, and Administration Staff (APAS) and Trainers of Trainers (ToTs). It is organized by Makerere University and the Consortium for Advanced Research Training in Africa (CARTA).
Dr. John Bosco Isunju, the CARTA Focal Person, and iCARTA Project lead at Makerere University, highlighted the Workshop’s Goal of fostering a responsive culture among Universities and Research Institutions Staff. By examining the efficiency of governance structures and processes that support research and graduate training in African Universities and Research Institutions. The CARTA programme seeks to create an environment conducive to the success of early-career and seasoned researchers.
Therefore, a total of 57 Participants and 14 Facilitators from across Africa are convening in Kampala to train on research systems, policies, and processes. The Participants are from Makerere University in Uganda; Moi University and University of Nairobi in Kenya; Obafemi Awolowo University and University of Ibadan, Nigeria; University of Rwanda, Rwanda; University of the Witwatersrand, South Africa; Kamuzu University of Health Sciences (KUHeS), Malawi. Further, Participants were drawn from Research Institutions including the African Population and Health Research Centre (APHRC), Kenya; Agincourt Health and Population Unit, South Africa; and Ifakara Health Institute, Tanzania.
The CARTA APAS Workshop was conducted in 3 days for all Participants; and an additional 2 days for the Training of Trainers (ToTs), from August 12th to 16th August 2024, at Makerere University, School of Public Health – ResilientAfrica Network (MakSPH-RAN), Plot 28, Upper Kololo Terrace, Kampala, Uganda. At the end of the training, Participants were awarded Certificates and urged to cascade the knowledge and skills acquired in their respective institutions.
At the opening session, Dr. Rhoda Wanyenze, a Professor and Dean of Makerere University School of Public Health (MakSPH), emphasized the importance of collaborations in research among African academics.
She noted that over the past five years, MakSPH has collaborated with partners across 25 African countries, indicating a vast network of research partnerships. Dr. Wanyenze also expressed hope that Participants will leave the training with new partnerships and networks, further emphasizing the goal of fostering collaboration among attendees.
“Partnership is very important and I hope as we are here, we will be networking so that at the end of the APAS training, as we leave we will maintain the partnerships and continue to forge networks with researchers we haven’t worked with before. That will hopefully be one of the outcomes of us working together during this APAS Training,” said Professor Wanyenze.
Over the years, Makerere University has enjoyed a long-standing partnership with APHRC. According to Dr. Wanyenze, there is a need to reduce bureaucratic bottlenecks that hinder productivity and collaboration in African Universities and Research Institutions needed to improve the university research ecosystem, with a key focus on students.
She further noted that; “Students are critical in the research ecosystem. They are smart; they have ideas, especially when we give them space and when they know that their views matter. We need to create an environment where students can communicate freely what they think works without feeling shy and thinking that you’re going to throw it back at them, and make them feel uncomfortable in our Universities.”
Dr. Anne Nangulu, a Professor of Economic History and Principal of Bomet University College (a Constituent College of Moi University) who is also the Focal Point for CARTA at Moi University, believes it is vital for university officials to be proactive and plan ahead of time to execute their academic and research related duties and responsibilities. Prof. Nangulu, re-echoed Prof. Wanyenze, encouraged faculty to delegate some of their duties to students; early career academic and administrative staff as part of mentorship especially at postgraduate level.
Prof. Nangulu further noted that; “We might be a little selfish when funds arrive in small amounts. You want to accomplish everything such as data collecting, analysis and dissemination. Think about collaborative research by incorporating early career staff as well. Also, please update your resume today, keep it online, and keep it current. It is part of leadership in promoting institutional and individual visibility in the global space.”
Dr. Joseph Gichuru Wang’ombe, a career development expert and Deputy Executive Director at APHRC, emphasized the need for greater participation in high-quality research and urged participants to actively develop research capacity.
“If you believe in something and put it into your mind and heart, it can be realized. The research and good quality research have to be done by more and more people, and that means that we are building capacity and enabling many others to do research.”
In addition, he stated that workshops emphasize the value of a supportive network of research administrators, clear distinctions between functionaries, the need for funding, mainly from African governments, and technology transfer for the continent.
“To appreciate that it is more than simply the research; it is also about what happens in the library. It is what happens in the Registrar’s and bursar’s offices. We are very happy to see people from many sections of our universities come together. One of the most amazing things we have noticed with CARTA APAS programme is that personnel in Universities as well as research institutions can come from the same institution and not know each other. They meet for the first time but the silos are broken when they return, you’ll notice they’ve discovered new collaboration methods,” said Dr. Gichuru.
Dr. Akinyinka Omigbodun, a Professor of Obstetrics and Gynaecology at the University of Ibadan, believes that; Everyone in the university research ecosystem is essential and that institutions must try to use the multi-disciplinarity and expertise of their human resources to build better research environments.
He further emphasized that; “Let us all work as a group. If you observe soccer players, they are part of a team, but they also work in groups. You have the attackers, midfielders, and the defense. You will find that even defenders score goals. The attackers go back to defend when the team is under pressure. Thus, we all must learn to appreciate and do work as teams as well as groups; that way, we can achieve more in African Universities and Research Institutions.”
Started in 2007/2008, CARTA, a Consortium of eight African Partner Universities, four Research Institutions, and Eight non-African Partner Institutions has been led jointly by the African Population and Health Center, Kenya, and the University of the Witwatersrand, South Africa.
Every year, CARTA facilitates APAS Workshops to strengthen the capacity of institutional functionaries. The iCARTA Project at Makerere University (a NORHED II grant from NORAD), and the Global Science for Africa Foundation (SFA) through CARTA funded the Workshop. This programme seeks to inspire Participants to improve commitment to institutional systems and drive transformation to attain world-class research in African Universities and affiliated research institutions.
In sum, CARTA works as a collaborative arrangement to support sustainable development of a vibrant African Academy able to lead world-class multidisciplinary research that positively impacts public and population health.
Uganda has strengthened its ability to respond rapidly to Ebola and Marburg outbreaks once cases are confirmed, but delays in frontline detection, health worker exposure, emergency financing bottlenecks and incomplete implementation of lessons from previous outbreaks continue to undermine preparedness, a study has found.
The findings were presented today, October 6, 2026, during a country validation workshop convened by the Meeting Targets and Maintaining Epidemic Control (EPiC) project, to examine lessons from Uganda’s response to filovirus disease outbreaks. The study was undertaken by Makerere University School of Public Health and FHI 360.
Presented by Dr. Steven Kabwama, the synthesis examined Uganda’s experience with recurrent Ebola virus disease (EVD) and Marburg virus disease (MVD) outbreaks between 2000 and 2026, drawing particularly on After-Action Reviews from the 2017 Marburg outbreak and the 2019, 2022 and 2025 Ebola outbreaks. The work seeks to consolidate recurring strengths, weaknesses, innovations and lessons that had previously been documented separately.
Uganda has recorded 12 filovirus outbreaks over the 26-year period, including nine Ebola and three Marburg outbreaks, according to the research team. Among the four outbreaks examined closely were the 2017 Marburg outbreak in Kween and Kapchorwa, the cross-border Ebola outbreak in Kasese in 2019, the multi-district Sudan Ebola virus outbreak in 2022, and the 2025 outbreak whose index case was a health worker.
Strong systems after confirmation
Across the outbreaks reviewed, the synthesis found that Uganda has developed significant capacity to mobilise after laboratory confirmation. National and district task forces and technical response structures are activated quickly, supported by strong laboratory capacity, established coordination mechanisms and increasingly sophisticated surveillance systems.
The country has also built laboratory capacity around the Uganda Virus Research Institute, mobile laboratories, genomic sequencing, sample referral systems and the Results Dispatch System. Digital surveillance tools, Village Health Teams, survivor champions and established national and district coordination structures have further strengthened response capacity.
Detection remains a weak point
However, the findings point to a critical problem before confirmation: recognising a possible outbreak early enough.
For outbreaks originating within Uganda, the synthesis found that the period between a patient’s first presentation and confirmation ranged from nine to 27 days. This the study found is linked to low clinical suspicion and weaknesses in screening. Other recurring challenges included delayed access to emergency financing, infections among health workers, disruptions to essential health services, community mistrust and stigma, and limited follow-through on recommendations from previous After-Action Reviews.
Opening the workshop, the Dean, Prof. Rhoda Wanyenze, said understanding these delays requires going beyond identifying broad weaknesses to examining where response systems fail in practice.
“We can identify a broad challenge such as delayed detection from the literature, but your experience on the ground can help us understand the specific factors that create that challenge,” Prof. Wanyenze said while addressing district health officials from across the country.
“When we begin looking for solutions, we need to be able to target the actual problems rather than simply identifying broad challenges.”
The workshop brought together partners and colleagues from districts, including people directly involved in outbreak response, to validate the synthesis against frontline experience. Prof. Wanyenze noted that published literature, scientific papers and response reports cannot capture every operational reality, making practitioner experience essential to understanding where delays occur and what interventions have worked. Remarks validation workshop
Turning outbreak experience into continuous readiness
Among the priority actions proposed are stronger screening and alert systems for earlier detection; ring-fenced emergency financing and more reliable responder payment systems; routine infection prevention and control training; stronger occupational protection for health workers; continued investment in laboratories and genomic sequencing; and preparedness extending beyond districts traditionally considered outbreak hotspots. The study also recommends stronger community engagement and a formal mechanism to track and finance implementation of recommendations from After-Action Reviews.
Dr. Andrew Acero, Director of the EPiC project at FHI 360’s Uganda Office said the central challenge is ensuring that experience accumulated during successive outbreaks translates into lasting institutional capacity.
“The real value lies in ensuring that what we learn changes what we do. Our findings should inform policy, shape guidelines and training, strengthen systems and ultimately improve practice.”
He noted that preparedness cannot begin only after an emergency has been declared, but must be built through sustained relationships, systems and capacity before outbreaks occur. Remarks validation workshop
The EPiC project is led by FHI 360 with core partners including Right to Care, Palladium and Population Services International.
Uganda’s latest national HIV survey reveals lower viral suppression among adolescents and young adults living with HIV than among older adults, even as the country records substantial improvements in controlling the virus. The findings come from Uganda Population-Based HIV Impact Assessment (UPHIA 2025), a national household survey examining HIV prevalence and whether people living with the virus know their status, receive treatment, and achieve viral suppression.
Releasing the preliminary UPHIA 2025 findings at the Uganda Media Centre on 1 October 2026, Minister of Health Hon. Dr. Chris Baryomunsi called for earlier prevention and testing, particularly among adolescent girls and young women, alongside support for treatment adherence. “We must reach out to the young people, ensure that they have information, they test, take treatment, and adhere to the treatment guidance,” he urged.
Hon. Baryomunsi recalled how fear had discouraged testing during his university years: “I remember when we were at university, we went for testing at the university hospital. We sat there for three hours. Some of us left without even testing because it was scary.” Today, he explained, “even if you test HIV positive, you can be initiated on treatment, and you live normally like the rest of those who don’t have HIV.”
UPHIA 2025 was locally led under the Ministry of Health’s overall leadership, with Makerere University School of Public Health serving as the prime implementer, a role ICAP at Columbia University held in the previous two surveys. The Uganda Bureau of Statistics led sampling, while the Uganda Virus Research Institute and National Health Laboratory and Diagnostic Services led laboratory operations. Regional referral hospitals and local governments supported implementation, and the U.S. government provided US$10 million through PEPFAR, along with technical assistance from the U.S. CDC.
UPHIA collected data from July to September 2025 among people aged 15 and above, including those outside routine treatment services. Of 6,283 eligible households, 94.4% completed interviews. Researchers interviewed 13,801 people and tested 13,477 for HIV.
Testing followed Uganda’s national algorithm, with laboratory confirmation of positive samples, viral-load measurement, and checks for antiretroviral medicines to establish treatment use. Researchers weighted the estimates to account for the sampling design. Participants received counselling and results, and those who tested positive were referred for treatment.
Hon. Baryomunsi thanked participants and their families for welcoming survey staff and contributing their time, information and samples, without which the national evidence would not have been available.
National progress and the youth gap
The survey estimated HIV prevalence, which means the proportion of people living with HIV, at 5.9% among those aged 15 and above, corresponding to about 1.496 million people in this age group nationwide. Prevalence was 7.3% among women and 4.1% among men, ranging from 1.3% in Karamoja to 8% in the South Western region.
Among people aged 15 and above living with HIV, 86% had achieved viral suppression, meaning a low amount of HIV in the blood, measured in UPHIA as fewer than 1,000 copies per millilitre. Suppression stood at 69.3% among adolescents and young adults aged 15–24 living with HIV, compared with 89.9% among those aged 50 and above. These estimates cover people living with HIV regardless of whether they know their status or receive treatment.
HIV prevalence among people aged 15–24 was 1.5%, including 2% among young women and 1% among young men. Among young women, prevalence was 1.3% at ages 15–19 and 2.8% at ages 20–24. These differences support attention to earlier prevention and testing, although they do not establish when infections occurred.
The highest prevalence estimates occurred among middle-aged adults: 15.7% among women aged 40–44 and 11.7% among men aged 45–49. Lower suppression among young people therefore requires attention alongside the higher HIV prevalence among middle-aged adults. Comparing the same age group across both surveys, viral suppression among people aged 15–64 increased from 74.9% in 2020–21 to 86.1% in 2025, while HIV prevalence remained at 5.9%.
Diagnosis and the path to 2030
The treatment results identify diagnosis as the main national gap. Among people aged 15 and above living with HIV, 85.3% knew their status. Of those aware, 99.1% were receiving treatment; among those receiving treatment, 96.5% had achieved suppression.
The 95-95-95 targets aimed for 95% of people living with HIV to know their status, 95% of those diagnosed to receive treatment, and 95% of those receiving treatment to achieve viral suppression by 2025. Among people aged 15 and above, Uganda exceeded the treatment and suppression targets, while diagnosis remained below target. UNAIDS’s Global AIDS Strategy 2026–2031 retains these targets towards ending AIDS as a public health threat by 2030.
According to WHO, viral suppression protects health and helps prevent HIV transmission. Uncontrolled HIV weakens the immune system, increasing the risk of serious illness. With continued treatment as prescribed, sexual transmission risk is negligible when HIV remains suppressed but detectable, and zero when undetectable. The Uganda AIDS Commission estimated over 34,000 new HIV infections in 2025, underscoring the importance of early diagnosis, timely treatment, and sustained suppression alongside other prevention measures.
The demographic stakes are substantial. People aged 15–24 constituted 21.2% of Uganda’s population in the 2024 census. The country’s Fourth National Development Plan, covering 2025–2030, prioritises a healthy, knowledgeable, skilled and productive population and reducing HIV through primary health care. Protecting young people’s health, therefore, supports their participation in education, work, and national development; UPHIA helps identify where services need greater attention.
Turning evidence into action
The study’s conclusions identify three priorities: sustain treatment outcomes, find people unaware of their status, and improve suppression among younger people. Permanent Secretary Dr. Diana Atwine connected the findings to the Ministry’s planning.
“We do believe that these results are a true reflection of what is happening in our country as far as the HIV status is concerned, and we do believe that it will give us a very clear direction and the roadmap that we are going to take in the next five years to target and to get our targets achieved.”
Acting on these priorities requires funding for services and research. Hon. Baryomunsi outlined plans to target resources where needs are greatest, strengthen district services and align partner support with government priorities. Responding to journalists’ questions, he noted the government’s intention to increase domestic funding for the HIV response, including research.
“The HIV/AIDS response, including research and surveys such as this one, has largely been funded by partners in the past. The government of Uganda is committed to allocating more resources from our domestic budget to support the response and research,” he noted.
For the first time in the UPHIA series, the survey assessed selected noncommunicable disease indicators among people aged 15 and above: 15.5% had elevated blood pressure, 24.8% were overweight or obese, and 0.9% had raised random blood glucose. These screening findings align with the Ministry’s integration agenda and Hon. Baryomunsi’s call to bring HIV and chronic care services together to address people’s wider health needs.
Speaking at the release of the preliminary results, U.S. Embassy Chargé d’Affaires Mikael (Mika) Cleverley described UPHIA 2025 as the first Population-Based HIV Impact Assessment worldwide fully led and implemented by the country itself.
“The study was led by Ugandan scientists, Ugandan managers, Ugandan public servants, Ugandan field teams, from design to data collection to analysis. And this is what two decades of focused strategic U.S. foreign investments in the public health sector was meant to produce, is to reinforce Ugandan leadership and Ugandan-led efforts.”
At the survey launch on 29 May 2025, MakSPH Dean Prof. Rhoda Wanyenze highlighted the partnership’s contribution: “The partnership between Makerere University and CDC has not only helped build national capacity in surveillance and epidemiology, but has also strengthened our ability to lead high-quality, large-scale national surveys.”
The Dean added: “After two decades of joint work, we are proud that UPHIA is now a fully Ugandan-led effort. This is critical to the sustainability of the skills and knowledge generation to inform our local response.”
UPHIA 2025 shows how far Uganda’s HIV response has advanced and where gaps remain. As the country works towards ending AIDS as a public health threat by 2030, reaching young people with testing, treatment, and continued care will be essential to extending those gains.
Read the full UPHIA 2025 summary results here:
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