Makchs 7Th Annual Scientific Conference Report Final.Pdf
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MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES 7th MakCHS ANNUAL SCIENTIFIC CONFERENCE, 19th UNACOH ANNUAL SCIENTIFIC CONFERENCE, 10th WHO DR. MATHEW LUKWIYA MEMORIAL LECTURE DATES: 20th – 22nd September 2011 VENUE: SPEKE RESORT MUNYONYO 1 Executive Summary The key note address was delivered by the Director General of The Makerere University College of Health Sciences 7th Annual Health Services in the Ministry of Health, Dr. Jane Ruth Acheng; Scientific Conference and 19th UNACOH annual scientific the opening ceremony was presided over by Minister of State for conference were collaboratively held between the 20th -23rd Health, Dr. Richard Nduhura, while the closing ceremony was September 2011, at Speke Resort Munyonyo, Kampala. The performed by the Permanent Secretary in the Ministry of Health conference focused on the theme “All for Health –One Health”. Dr. Asuman Lukwago. The sub themes were; • Health Systems, Health Policy & Healthcare Certificates of recognition were awarded to the best two presentations in both oral and poster categories, while general • Non Communicable Diseases certificates of participation were given out to all delegates. • Maternal & Child Health This report presents highlights of the conference proceedings. • Capacity Building, Health, and Environment • Infectious Diseases, Drug Resistance, and Emerging Tropical Diseases • Vaccines This conference also marked the UNACOH 19th Annual Scientific Conference and the WHO 10th Dr. Mathew Lukwiya Memorial Lecture, which was delivered by Hon Dr. Christopher Baryomunsi, MP The conference drew over 300 participants from within the country (Ministries, academia and programs) and foreign countries such as Ethiopia, Denmark and Nigeria among others. 2 Acronyms and Abbreviations ECG - Electrocardiography ECHO - echocardiogram AFENET – Africa Field Epidemiology Network FP - Family Planning AIDS - Acquired Immunodeficiency Syndrome GDP - Gross Domestic Product ANC – Antenatal Clinic GS - Gleason Score ARE - Androgen receptor expression HC II – Health Centre II ART – Antiretroviral Therapy HCT – HIV Counselling and Testing ASD - Atrial septal defect HCWM - Healthcare Waste Management CHS – College of Health Sciences HF – Health facility CMEs – Continuing Medical Education HHD – Health and Human Development COBES – Community Based Education and Service HIPS - Health Initiatives for the Private Sector CPR – Contarceptive Prevalence Rate HIV – Human Immune Virus CTCA – Centre for Tobacco Control in Africa HSR – Health Service Research CVDs – Cardiovascular Diseases HSSP II – Health Sector Strategic Plan II DPT – Diphtheria, Pertussis, Tetanus HSSPIII - Health Sector Strategic Plan III DM - Diabetes Mellitus HSV2 – Herpes simplex virus 2 DNA - Deoxyribonucleic acid HUMCs – Health Unit Management Committees 3 ICCM – Independent Community Care Management MIRU-VNTR – mycobacterial interspersed repetitive units- variable number of tandem repeats IDI – Infectious Diseases Institute MNH – Maternal and Newborn Health IHFAN - International Health Facility Assessment Network MoH – Ministry of Health IMCI –Integrated Management of Childhood Illnesses MRSA - Methicilin-resistant Staphylococcus aureus IMR – Infant Mortality Rate MUST – Mbarara University of Science and Technology KAP – Knowledge, Attitude, Practices MU-WRP –Makerere University Walter Reed Project KCR - Kampala Cancer Registry NCD – Non-Communicable Diseases KIU – Kampala International University NEJM – New England Journal of Medicine KS – Kaposi’s sarcoma NGOs – Non Governmental Organisations LIC – Low Income Countries NNRTI - Non-nucleoside reverse transcriptase inhibitors MakCHS – Makerere University College of Health Sciences RAMs - resistance-associated mutations MakSPH – Makerere University School of Public Health NY – New York MDGs – Millenium Development Goals OSH – Occupational safety and Health MDR – Multi-Drug Resistant PBL – Problem Based Learning MEPI- Medical Education Partnership Initiative PCR - polymerase chain reaction MESAU – Medical Education for Equitable Services for All Ugandans PDA - Patent ductus arteriosus PEPFAR- President's Emergency Plan For AIDS Relief 4 PHAs – Persons having HIV SURE – Supporting the Use of Research Evidence PI – Principal Investigator TB – Tuberculosis PMTCT – Prevention of Mother To Child Transmission UDHS – Uganda Demographic and Health Survey PNFP – Private–Not-For-Profit UK – United Kingdom PPP – Public-Private-Partnership UN – United Nations PTSD - Posttraumatic stress disorder UNCST – Uganda National Council for Science and Technology QA – Quality assurance UNFPA – United Nations Family and Population Agency RFLP - restriction fragment length polymorphism UPE/USE – Universal Primary Education/Universal Secondary Education RH/FP /CS –Reproductive Health/Family Planning/ USA – United States of America RHD - Rabbit haemorrhagic disease USAID – US Agency for International Development RRH- Regional Referral Hospital USD – United States Dollar RRS – Rapid Response Service UVRI-IAVI - Uganda Virus Research Institute- International SCD - Sickle cell Disease AIDS Vaccine Initiative SDST - slide drug susceptibility test VSD - Ventricular septal defect SNPs - Single nucleotide polymorphisms VVF – Vesicovaginal Fistula STAR EC - Strengthening TB and HIV&AIDS Responses in East WHO/TFI – World Health Organisation/Tobacco Free Initiative Central X-DR _Extensively Drug Resistant STD – Sexually Transmitted Disease 5 Acknowledgements: Health, Dr. Asuman Lukwago and the Hon Dr. Christopher The organizing committee, on behalf of the College of Health Baryomunsi who delivered the Dr. Mathew Lukwiya Memorial Sciences, would like to thank all delegates that dedicated their Lecture. Thanks also go to our invited presenters who so time to attending and actively participating in the 7th MakCHS willingly shared their work and wisdom generated over the Annual Scientific Conference, the 19th UNACOH Annual Scientific course of their work. Conference and the 10th Dr. Mathew Lukwiya Memorial Lecture. Thanks go to our sponsors as listed in Annex 2. Without their The time, contribution to debates and the financial contributions financial commitment and support, the conference would have you all made, was the bedrock to the success of this conference. been difficulty to organise. The conference was organised by the Makerere University College of Health Sciences in collaboration with the Uganda National Council for Science & Technology (UNCST) to coincide with their Science week; the Uganda National Association of Community and Occupational Health (UNACOH) – to coincide with their 19th Annual Scientific Conference; and the 10th Dr. Mathew Lukwiya Memorial Lecture sponsored by the World Health Organization (WHO). In a special way, we would like to thank all those that delivered rousing key note addresses; the Director General of Health services, Dr. Jane Ruth Aceng, the Minister of State for Health, Dr. Richard Nduhura, the Permanent Secretary in the Ministry of 6 7.1 Parallel Oral Session A: Non-Communicable Diseases .............. 22 TABLE OF CONTENTS 7.2 Parallel Oral Session B_21: Capacity building, Health, and Environment .......................................................................................... 24 7.3 Parallel Oral Session C: Capacity Building, Health, and Executive Summary ..................................................................................... 2 Environment .......................................................................................... 27 Acronyms and Abbreviations ...................................................................... 3 8.0 Plenary 2_21: Health and Environment ........................................ 30 Acknowledgements:.................................................................................... 6 Thursday 22nd September 2011 ............................................................... 36 1.0 Introduction and Background: ........................................................ 8 9.1 Parallel Oral Session_1_22_A: Infectious Diseases & Drug Resistance ............................................................................................. 39 Tuesday 20th September 2011 ................................................................... 9 9.2 Parallel Oral Session 3_22 C: HIV, TB, Malaria, & Other IDs ..... 41 2.0 Plenary 1_20: ........................................................................................ 9 10.0 Plenary 2_22: Vaccines ................................................................. 42 2.1 Key note address: ........................................................................ 9 11.0 Plenary 3_22: Closing Ceremony .................................................. 44 3.0 Plenary 2_20: Health Systems, Health Policy & Healthcare I ....... 10 11.1 The 10th Dr. Mathew Lukwiya Memorial Lecture ...................... 44 4.0 Plenary 3: Official Opening Ceremony: ......................................... 14 11.2 Closing Speech by the Permanent Secretary Ministry of Health, 5.0 Plenary 4_20: Plenary Session 4_20: Health Systems, Health Dr. Asuman Lukwago ............................................................................ 45 Policy, & Health care II .............................................................................. 17 ANNEX 1: Conference Organising Committee .......................................... 46 6.0 Plenary 5_20: Health Systems, Health Policies and HealthCare Delivery III ................................................................................................