DOCSLIB.ORG

JOINT CLINICAL RESEARCH CENTRE (JCRC) 2016 Annual Report

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
JOINT CLINICAL RESEARCH CENTRE (JCRC) 2016 Annual Report JOINT CLINICAL RESEARCH CENTRE (JCRC) 2016 Annual Report For Quality Health Care Services Table of Contents List of Acronymns……………………………………………………………………………..iii JCRC Patron ……………………………………………………………………………………iv JCRC Board Management structure……………………………………………………………v JCRC Senior Management structure……………………………………………………………vi Message from the JCRC Executive Director……………………………………………………ix Brief about JCRC………………………………………………………………………………..x JCRC Silver Jubilee Celebrations …………………………………………..………………1 Clinical Care services……………………………………………………………..……………5 Nursing……….…………………………………………………………..……………..6 Paediatric Clinic …………………………………………………………...…………...9 Private Clinic……………………………………………………………..…………….10 Laboratory Services……………………………………………………….…….…………….13 CWRU Collaborative Laboratory…………………………………………………...…14 Tuberculosis Laboratory………………………………………………….……………15 Research Services…………………………………………………………………………...…16 ACTG…………………………………………………………………………….…….22 Finance and Administration………….………………………………………………….........24 ICT…………………………………………………………….…………………….….24 Finance….………………………………………………………..…………….……….25 Human Resources………………………………………………………………………26 Stores………………………………………………………………..…..………………27 Projects…………………………………………………………………………….……………28 THALAS………………………………………………………………………………..28 ESP……………………………………………………………………………………..31 RCE ……..…………………………………………………………………………………......35 Pictorial representation of the JCRC Silver Jubilee………………………………..……….37 Staff Accomplishments of the year…………………………………………………………....43 RCE Contacts…………………………………………………………………………..………55 ii List of Acronyms EMTCT Elimination of Mother to Child Transmission RCE Regional Centre of Excellence ANC Anti natal care PLHIV People Living with HIV/AIDS TB Tuberculosis UNCHE Uganda National Council of Higher Education WHO World Health Organisation ICEA Integrated Clinical Enterprises Application LIMS Laboratory Information Management System SCIPHA Strengthening Civil Society for Improved HIV/AIDS and OVC service delivery PEP Post Exposure Prophylaxis FP Family Planning USAID United States Agency for International Development THALAS Targeted HIV/AIDS and Laboratory Sevices MOH Ministry of Health CWRU Case Western Reserve University CAP College of American Pathology IPs Implementing Partners OVC Orphans and Vulnerable Children IDI Infectious Disease Institute MUJHU Makerere University Johns Hopkins University DSDM Disseminated Service Delivery Model GCLP Good Clinical & Laboratory Practice CAB Community Advisory Board iii JCRC PATRON H.E. Yoweri Kaguta Museveni iv JCRC Board Management Structure Board Chairman: Prof. J. Epelu Opio Prof. Peter .N. Mugyenyi Mr. Ben Okello Prof. Nelson Dr. Jesse Kagimba (Executive Director –JCRC) Luwum Ssewankambo Hon. Ruth Jane Dr. James Makumbi Dr. Jessica Jita Mr. Richard Masereje Aceng (Board Secretary) v Prof. Manfred Dietrich Dr. Cissy Kityo (External Advisor) (ex-official) JCRC Senior Management Team Prof. Peter N. Mugyenyi FRCP ScD Executive Director JCRC Dr. Cissy Kityo Deputy Executive Director Dr. Francis Ssali Dr. Victor Musiime. Benson Ouma Director Clinical Incharge Directorate of Research Director Laboratory vi Dr. Henry Mugerwa Dr. William Tamale Dr. Iva Natukunda Sr. Deborah Masiira Head of Research Clinic Manager Head Pediatrics Head Nursing & Deputy Incharge Research Directorate Rose Byaruhanga Paul Ocitti Head Counseling Head Pharmacy Ameria Natukunda Collins Makanga Fred Byaruhanga Godfrey Kuboi Head HRM Finance Manager Business Dev’t Manager Chief Programmer Nsumba Lameck Annet Namara Nelson Kakande Boaz Wakabi Internal Auditor Head Stores Training Quality Head Procurement Assurance Specialist vii JCRC Regional Heads Dr. Abbas Lugemwa Dr.James Abach Dr. Allan Musinguzi Dr. Keith Baleta Faith Balmoi Head Mbarara Head Gulu Head F/Portal RCE Head Mbale Head Kakira Project Heads Michael Kabugo Denis Akakimpa THALAS C.O.P ESP Project Manager James Rusoke Alfred Tumwesigye Incharge Estates Head Transport viii Message from the Executive Director I start by paying tribute to our patron H.E. Yoweri K. Museveni, the JCRC Board of trustees, our partners and all staff upon attaining 25 years of quality medical research, training and health care which was commemorated on 11th November, 2016. Collaborative networks continue to enhance research activities at JCRC with 14 studies successfully concluded in 2016, 15 presentations made at international conferences such as CROI and IAS, and 33 peer reviewed publications made in 2016. The laboratory capacity has been advanced with the completion of the Bio-safety Level III(BSL-3) facility at JCRC Lubowa. In addition, the centre is in the final stages of CAP accreditation expected to be completed in 2017. The center continues to maintain the highest quality standards in HIV/AIDS care and treatment services in the country with total of 15,643 patients receiving at least a clinical assessment (WHO staging) OR CD4 count OR viral load, By the end of the year, 15,402 patients were active on antiretroviral treatment, and 7.1% of these were children. The reduction in number of children newly enrolled in care is evidence to the successful implementation of Option B+ for elimination of mother to child transmission of HIV program at the clinic. As evidence of quality service delivery, one of JCRC clinic staff Ms. Florence Kintu was among the 5 candidates in the country that were recognized by USAID Uganda for her exceptional contribution towards patient care and treatment. As a way of JCRC staying afloat, the centre strengthened sustainability strategies that include strengthening provision of private clinical services at Lubowa with capacity to provide services such as; Consultations, Ultra sound, X-rays, Dental services, Non-communicable diseases, Rheumatic heart diseases, Diabetic services, admission services and pharmaceutical services strengthened. Once again, I congratulate the JCRC staff, the management team, the board of trustees and above all our patron H.E Yoweri K.Museveni for a successful year of implementation. Yours Sincerely, ……………………………. Prof. Peter .N. Mugyenyi Executive Director – JCRC ix Brief about JCRC The Joint Clinical Research Centre (JCRC) is an autonomous Organization established in 1991 as a limited liability not-for-profit company. It is a joint-venture between the Uganda Ministries of Health (MoH), Ministry of Defense and Makerere College of Health Sciences. The Centre was established in 1991 to respond and provide a scientific approach to the national HIV&AIDS crisis. Over the years, various institutions and organizations such as USAID, WHO, Case Western Reserve University (CWRU), FHI, NIH, European and Developing Countries Clinical Trials Partnership (EDCTP), Medical Research Council (MRC), have partnered with JCRC for medical Research Grants to study HIV, tuberculosis (TB), malaria and other tropical diseases. JCRC also competitively wins and implements HIV/AIDS projects and was the first recipient of PEPFAR funding in December 2013 for ART scale up across Uganda under the TREAT program. Between the period December 2003 to June 2010, JCRC established 52 ART sites and 25 outreaches across the country and became the largest provider of ART in Africa before transitioning these sites to MOH for mainstreaming into the national HIV/care network. A follow on 5 year project (THALAS) which has had 2 year extension was awarded. JCRC also implemented a community project across 19 districts of Uganda (SCIPHA) increasing the mobilization towards increased HIV/AIDS treatment in the country. Current JCRC Network Coverage: JCRC headquarters are located at Lubowa Complex, off Entebbe Road, Wakiso district, with a regional network of 6 Regional Centres of Excellence (RCEs) strategically located at Kakira, Mbale, Gulu, Fort Portal, Mbarara, and Kabale. Vision A vibrant self sustaining centre of excellence in medical research, training and health care services Mission To conduct quality medical research and training, provide equitable and sustainable HIV/AIDS care and other health care services in Uganda and other parts of Africa Core Values: Integrity, Confidentiality, Compassion, Mutual Respect, Teamwork, Accountability, Continuous Learning and Excellence x JCRC JUBILEE YEAR, 2016 The Joint Clinical Research Centre (JCRC) celebrated Silver Jubilee on 11th November, 2016 marking 25 years of existence since her inception in 1991. A remarkable achievement that saw JCRC take a lead in the fight against HIV/AIDS in Uganda and sub Saharan Africa, participating in ground breaking studies which have over the years informed national and international HIV/AIDS treatment guidelines and policies. The function was held at the new JCRC Lubowa campus on plot 101 off Entebbe Road and was graced by Rt.Hon. Ruhakana Rugunda who represented the JCRC Patron and President of Uganda H.E Yoweri K. Museveni. The Chief Guest Rt. Hon. Dr. Ruhakana Rugunda (second right) being ushered in by the JCRC Chairman Prof. Peter Epelu (extreme right) Prof. Peter Mugyenyi (Second left) and Prof. Dr. Mbonye (left) Rt. Hon. Dr. Ruhakana Rugunda plants a tree during the celebrations. Rt. Hon. Dr. Ruhakana Rugunda plants a tree during the celebrations. 2 The JCRC Board Chairman Prof. Opio Epelu (second left) Introduces some of the board members present. The JCRC Executive Director (Prof. Peter Mugyenyi) gives his speech during the Jubilee celebrations 3 Rt. Hon. Dr. Ruhakana Rugunda reads the President’s speech at the function 4 SELECTED ACHIEVEMENTS FOR THE YEAR 2016 1. CLINICAL SERVICES The directorate is well resourced under the leadership of the Director of Clinical
Load more

Recommended publications
  • Persistence of Traditional and Emergence of New Structural Drivers and Factors for the HIV Epidemic in Rural Uganda; a Qualitative Study
    RESEARCH ARTICLE Persistence of traditional and emergence of new structural drivers and factors for the HIV epidemic in rural Uganda; A qualitative study 1 2 2 2 Francis BajunirweID *, Denis Akakimpa , Flora P. Tumwebaze , George Abongomera , Peter N. Mugyenyi2, Cissy M. Kityo2 1 Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda, 2 Joint Clinical Research Center, Kampala, Uganda a1111111111 * [email protected] a1111111111 a1111111111 a1111111111 Abstract a1111111111 Background In Uganda, the HIV epidemic is now mature and generalized. Recently, there have been OPEN ACCESS reports of resurgence in the incidence of HIV after several years of successful control. The Citation: Bajunirwe F, Akakimpa D, Tumwebaze FP, causes for this resurgence are not clear but suspected to be driven by structural factors that Abongomera G, Mugyenyi PN, Kityo CM (2019) Persistence of traditional and emergence of new influence large groups of people rather than individuals. The aim of this study was to structural drivers and factors for the HIV epidemic describe the structural drivers of the HIV epidemic in high prevalence regions and inform the in rural Uganda; A qualitative study. PLoS ONE 14 next generation of interventions. (11): e0211084. https://doi.org/10.1371/journal. pone.0211084 Editor: Jerome T. Galea, University of South Methodology Florida, UNITED STATES We conducted a total of 35 focus group discussions in 11 districts in Uganda. Due to their Received: January 25, 2019 high HIV prevalence, the districts had been selected to implement a donor supported pro- Accepted: October 21, 2019 gram to scale up HIV prevention, care and treatment.
    [Show full text]
  • Serena Hotel and Conference Centre Kampala, Uganda May 26–27, 2011 Table of Contents
    Program Serena Hotel and Conference Centre Kampala, Uganda MAY 26–27, 2011 Table of Contents Welcome Letter . 3 Acknowledgements . 4 General Information . 5 Agenda . 9 u Wednesday, May 25, 2011 . 9 u Thursday, May 26, 2011 . 9 u Friday, May 27, 2011 . .11 Conference Centre Floor Plan . 13 Abstracts . 14 Attendee List . 38 Attendee Collaboration Information . 47 SUB-SAHARAN AFRICA CFAR CONFERENCE 2011 1 Dear CFAR Colleagues and Partners! On behalf of the U .S . National Institutes of Health-sponsored Centers for AIDS Research, and Makerere University’s Infectious Diseases Institute, welcome to Kampala! It is our pleasure and honor to have you join us for the 2011 Sub-Saharan Africa CFAR Conference as we gather to feature some of the important research being conducted by African investigators collaborating with the 21 Centers for AIDS Research (CFARs) . Our Conference Steering Committee is planning an exciting program focusing on three priority themes: u Integrating Treatment and Prevention in HIV Care u HIV Comorbidities u HIV and Women Through a combination of plenary and poster presentations, panel discussions, and networking sessions, this meeting will present a unique opportunity for both scientific and information exchange . A special effort will be made to provide a platform for sharing information on existing scientific resources and infrastructure at leading African institutions that support AIDS research and training – a critical prerequisite for the exchange of scientific resources, capacity building, and the fostering of new collaborations among African institutions . The conference has already generated much energy and interest . We envision this momentum leading to the emergence of an African-led network that will build on existing collaborations and begin to explore potential synergies with new partners – including other CFARs, other complementary networks active in Africa, and in particular, South-South partnerships among African institutions – to strengthen the community of science on the continent .
    [Show full text]
  • Ten Teams Receive Grants Totaling $2 Million for Operations Research on AIDS Care and Treatment in Africa
    PRESS RELEASE For Immediate Release Contact: Cassie Toner ([email protected]) Medical Research Program Ten Teams Receive Grants Totaling $2 Million for Operations Research on AIDS Care and Treatment in Africa June 1, 2007, New York, NY – The Doris Duke Charitable Foundation announced today the results of its second Operations Research on AIDS Care and Treatment in Africa (ORACTA) competition. Ten teams of researchers from the United States and Kenya, Lesotho, Rwanda, South Africa, Uganda and Zambia received two-year grants of $200,000 each. See pages 2-4 for a complete list of the awardees. First awarded in 2005, the foundation’s ORACTA grants aim to improve the care and treatment of AIDS patients in resource-limited settings, inform antiretroviral therapy policy and practice, and improve outcomes of the roll-out and scale-up of antiretroviral therapy in Africa. For the 2007 competition, the foundation particularly encouraged the submission of proposals for research in three areas: the HIV-tuberculosis co-epidemic; HIV treatment adherence; and the integration of scaled-up AIDS care and treatment into public healthcare systems. The 2007 competition attracted 57 proposals from investigators or teams of investigators working with AIDS healthcare providers in 16 African countries. A panel of experts reviewed the proposals and recommended 10 outstanding teams for funding. “Operations research is critical to advancing the optimal delivery of care and treatment at the necessary scale for HIV and AIDS patients in Africa,” said Joan E. Spero, president of the foundation. “We are pleased to support these talented and dedicated teams of researchers and healthcare providers, who are working to fill important gaps in our knowledge base.” Including the 2007 grants, the foundation has awarded 30 ORACTA grants totaling $6 million to support research teams working in 10 African countries.
    [Show full text]
  • Just Die Quietly Domestic Violence and Women's Vulnerability to HIV In
    August 2003 Vol. 15, No. 15(A) JUST DIE QUIETLY: DOMESTIC VIOLENCE AND WOMEN’S VULNERABILITY TO HIV IN UGANDA TABLE OF CONTENTS Map of Uganda .............................................................................................................................................1 I. SUMMARY..............................................................................................................................................2 II. RECOMMENDATIONS ........................................................................................................................5 To the Government of Uganda .................................................................................................................5 To Donors and Regional and International Organizations: ......................................................................6 III. BACKGROUND ....................................................................................................................................8 Uganda: Historical, Political, and Economic Context ..............................................................................9 The Legal System, Education, and Health..............................................................................................11 HIV/AIDS in Uganda .............................................................................................................................14 Domestic Violence in Uganda................................................................................................................16 Women’s
    [Show full text]
  • MISSION: to Conduct Quality Medical Research and Ment for the New Staff
    Editorial Summary Members, welcome to our 2nd issue of staff quarterly newsletter. The issue takes you to what JCRC stands for as Mission Statement and what it aspires to achieve as Vision Statement. JCRC culture is embedded in values that we strongly believe in and that has been driving our team to Volume 1 Issue 2 DEC 2013 achieve a lot. It takes you through team building JOINT CLINIC RESEARCH CENTRE FACT FILE. activities, JCRC strides in research, health care services, community based HIV/AIDS prevention and care programs and psycho-social activities, JCRC SACCO study visit, RCEs and lastly, a welcome state- MISSION: To conduct Quality Medical Research and ment for the new staff. Training, provide equitable and sustainable HIV/AIDS Merry x-mas and happy new! Enjoy the reading. care and other health care services in Uganda and other From Editorial team parts of Africa. Mable B. Busingye Christine Matama Inside this issue: page VISION: A vibrant self-sustaining Centre of Mission, Vision 1 Excellence in Medical Research, Training and Healthcare Executive Summary 2 Staff Team Building 3-4 Services. ACTG 5-7 AIR FORCE TOUR 7 Ward 8 Research stud 9-10 TBRU 11-13 JCRC Values SCIPHA 14 Integrity, Confidentiality, Compassion, Mutual Respect, Team work , Accountability, Continuous Learning, KETOCONA- 15 RCEs 16-18 Innovation and Excellence. SACCO 19-20 JCRC 21 JCRC New staff 22 JCRC STAFF 23 Page 2 JCRC STAFF NEWS LETTER EXECUTIVE SUMMARY elcome to Joint Clinical Research Centre’s (JCRC) second issue of staff Newsletter. W JCRC was established in 1991 with a mission of conducting Quality Medical Research, Training and Health Care Services and has accumulated a team of highly qualified and competent staff who serve over 90,000 patients, diligently.
    [Show full text]
  • EDCTP Portfolio Clinical Trials and Integrated Projects
    EDCTP Portfolio Clinical Trials and Integrated Projects The EDCTP portfolio of funded projects on HIV/AIDS covers drugs, vaccines and microbicides as well as capacity building projects that do not involve testing of investigational products. 1.1 HIV/AIDS treatment clinical trials ........................................................................... - 3 - 1.1.1 CHAPAS-1 ........................................................................................................... - 6 - 1.1.2 CHAPAS-3 .......................................................................................................... - 10 - 1.1.3 MONOD ............................................................................................................. - 15 - 1.1.4 EARNEST ........................................................................................................... - 18 - 1.1.5 2LADY ............................................................................................................... - 22 - 1.1.6 NUSTART ........................................................................................................... - 25 - 1.1.7 PROMPT ............................................................................................................. - 28 - 1.1.8 RAFA ................................................................................................................. - 31 - 1.1.9 REMSTART ......................................................................................................... - 34 - 1.2 HIV/AIDS prevention and treatment
    [Show full text]
  • Jcrc Publications
    JCRC PUBLICATIONS Before 2000 1. Title: Relative reactivity of the V3 loop PND of HIV-1 subtypes A, B, C, D, and F with sera from selected Ugandan localities Type: Scientific. Publication Vol. No.: 140 Publication Issue Number: #8 Year of Publication: 1995, Authors and Description: Riley JP, Pestano GA, Hosford K, Francis C, Xie JM, Mugyenyi P, Kataaha P, Katongole-Mbidde E, Anokbonggo WW, Guyden J EXECUTIVE SUMMARY: Synthetic peptides comprising the predicted principal Neutralizing determinant (PND) in new African and North American HIV-1 clones were tested in ELISA for reactivity with ninety six serum samples from asymptomatic donors in six selected localities in Uganda. Irrespective of the geographical origin of the samples, the majority of the test sera cross- reacted at high intensities with the peptides derived from the North American clone, BRT3.6 (Group B), the Ugandan clone, CUG045, (Group C), and the Romanian clone, FRMA (Group F). The frequency of reactivity of the peptides from BRT3.6, CUG045, and FRMA were within the ranges of 57-100%, 50-100%, and 57-100%, respectively, for the sera collected from these disparate localities. In contrast to these findings, the V3 peptides derived from the other Ugandan isolates showed a more restricted pattern of reactivity with the same serum samples: AUG06c (1-63%), DUG23c (2%), and DUG044 (38-87%). The results from ELISA inhibition assay indicated that the V3 peptide from BRT 3.6, CUG045, and FRMA express closely related antigenic specificities quite distinct from those in AUG06c and DUG044. The residues comprising the PND in BRT 3.6, CUG045, and FRMA appear to be well conserved in the HIV-1 subtypes prevalent in the selected Ugandan locales.
    [Show full text]
  • Genocide by Denial How Profi Teering from HIV/AIDS Killed Millions
    Genocide by Denial How Profi teering from HIV/AIDS Killed Millions Peter Mugyenyi FOUNTAIN PUBLISHERS Kampala Fountain Publishers P. O. Box 488 Kampala - Uganda E-mail: [email protected] publishing@ fountainpublishers.co.ug Website: www.fountainpublishers.co.ug Distributed in Europe and Commonwealth countries outside Africa by: African Books Collective Ltd, P. O. Box 721, Oxford OX1 9EN, UK. Tel/Fax: +44(0) 1869 349110 E-mail: [email protected] Website: www.africanbookscollective.com Distributed in North America by: Michigan State University Press 1405 South Harrison Road 25 Manly Miles Building East Lansing, MI 48823-5245 E-mail: [email protected] Website: www.msupress.msu.edu © Peter Mugyenyi 2008 First published 2008 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. ISBN 978-9970-02-753-8 Cover photograph: Ugandan school children hold candles in memory of thousands of people who have died of HIV/AIDS. Privacy Policy Careful consideration has been given to safeguard individual privacy. Accordingly, unless the information was already in public domain or voluntary consent was fi rst obtained, no real names or specifi c identities of patients alive or dead have been used. Also, some details of events that may apparently lead to public exposure of individuals have been changed without altering the essential facts of the story. Dedication This book is dedicated to the memory of all people who died of AIDS. Singled out for special remembrance are millions of men, women and children who would have lived, but died simply because they were too poor to pay the price of the life-saving drugs.
    [Show full text]
  • Factors Influencing Availability, Access, and Utilization of HIV Services—A Qualitative Study in 19 Ugandan Districts
    Hindawi BioMed Research International Volume 2018, Article ID 9619684, 10 pages https://doi.org/10.1155/2018/9619684 Research Article Towards 90-90-90 Target: Factors Influencing Availability, Access, and Utilization of HIV Services—A Qualitative Study in 19 Ugandan Districts Francis Bajunirwe ,1 Flora Tumwebaze,2 Denis Akakimpa,2 Cissy Kityo,2 Peter Mugyenyi,2 and George Abongomera2 1 Department of Community Health, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda 2Joint Clinical Research Center, P.O. Box 10005, Kampala, Uganda Correspondence should be addressed to Francis Bajunirwe; [email protected] Received 3 December 2017; Accepted 13 February 2018; Published 21 March 2018 Academic Editor: Giulia Morsica Copyright © 2018 Francis Bajunirwe et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. UNAIDS has set a new target 90-90-90 by 2020. To achieve this target, current programs need to address challenges that limit access, availability, and utilization of HIV testing and treatment services. Terefore, the aim of this study was to identify the barriers that infuence access, availability, and utilization of HIV services in rural Uganda within the setting of a large donor funded program. Methods. Weconducted key informant interviews with stakeholders at the district level, staf of existing HIV/AIDS projects, and health facilities in 19 districts. Data were also collected from focus group discussions comprised of clients presenting for HIV care and treatment. Data were transcribed and analyzed using content analysis.Results.
    [Show full text]
  • Persistence of Traditional and Emergence of New Structural Drivers and Factors for the HIV Epidemic in Rural Uganda
    bioRxiv preprint doi: https://doi.org/10.1101/516054; this version posted January 9, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY 4.0 International license. 1 Persistence of traditional and emergence of new structural drivers and 2 factors for the HIV epidemic in rural Uganda; a qualitative study 3 4 5 6 Francis Bajunirwe1, Denis Akakimpa2, Flora P.Tumwebaze2, George Abongomera2 , 7 Peter N. Mugyenyi2, Cissy M. Kityo2 8 9 10 11 1. Department of Community Health, Mbarara University of Science and 12 Technology, P.O.BOX 1410, Mbarara Uganda Email: [email protected] Tel:+256 13 772 576 396 14 2. Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 15 16 Francis Bajunirwe, Mbarara University of Science and Technology, P.O.BOX 1410, 17 Mbarara, Uganda Email: [email protected] 18 Denis Akakimpa, Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 19 [email protected] 20 Flora P. Tumwebaze, Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 21 [email protected] 22 George Abongomera, Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 23 [email protected] 24 Peter N. Mugyenyi, Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 25 [email protected] 26 Cissy M. Kityo, Joint Clinical Research Center, P.O.BOX 10005, Kampala, Uganda 27 [email protected] 28 29 30 31 32 Corresponding author: 33 Francis Bajunirwe 34 Department of Community Health 35 P/O.
    [Show full text]
  • Access to Antiretroviral Therapy in Uganda Kampala, June 2002
    Access to Antiretroviral Therapy in Uganda Kampala, June 2002 Prepared for Oxfam GB by: Astrid Martínez-Jones Independent Consultant, Project Planning and Evaluation Norbert Anyama Pharmacist, Teaching Assistant at the Department of Pharmacy, Faculty of Medicine, Makerere University The research project was coordinated by Dr. Mohga Kamal Smith and Dereje Wordofa Oxfam GB Executive Summary Recent (2002) estimates place the number of HIV-infected Ugandans at between 1.5 and 2 million. According to the United Nations AIDS Programme (UNAIDS), between 5,000 and 10,000 HIV-infected people are currently on antiretroviral therapy, which includes patients on both branded and generic drugs. In an effort to increase access to antiretrovirals (ARVs) and to improve the quality of care and treatment of HIV-infected patients, the United Nations has introduced two initiatives in Uganda: the Drug Access Initiative (DAI) in 1998 and the Accelerating Access Initiative (AAI) in 2000. The latter emerged out of an agreement in May 2000 between the UN and five pharmaceutical companies to rapidly increase access to ARVs in developing countries, primarily through price reductions. Significant price reductions, however, were not observed in Uganda until the importation of generic ARVs in October 2000 by the Joint Clinical Research Centre (JCRC). JCRC is the largest provider of ARVs in Uganda (it dispenses approximately 40-70 per cent of all ARVs administered, both branded and generic), and has approximately 3,400 active patients. In 2001, shortly after generics were introduced, the number of patients accessing ARVs at JCRC increased from 962 to 3,000; this represented an increase of 200 per cent.
    [Show full text]