Investing in the Future: Annual Report Impacting Real Lives Infectious Diseases Institute College of Health Sciences, Makerere University Infectious Diseases Institute P.O Box 22418, Kampala, Uganda Tel: +256-414 307 000/312 307 000 Fax : +256 414 307 290 College of Health Sciences, Makerere University Email: [email protected] Website: http://idi.mak.ac.ug 1 1. Senior Management Team IDI Staff Pictures 2. Information Services Team 2 Annual Report 2012 Infectious Diseases Institute 2 Infectious Diseases Institute College Of Health Sciences Makerere University, Kampala, Uganda Infectious Diseases Institute Annual Report 2012 P.O Box 22418, Kampala, Uganda Tel: +256-414 307 000/312 307 000 Fax : +256 414 307 290 3 Email: [email protected] Website: http://idi.mak.ac.ug Vision: A Healthy Africa, free from the burden of Infectious Diseases Mission: To build capacity of health systems in Africa for the delivery of sustainable, high quality care and prevention of HIV/AIDS and related infectious diseases through training, research and advanced clinical services Values: Annual Report 2012 • Caring • Integrity • Excellence • Innovation • Teamwork • Accountability Editorial Team: Alex Coutinho, Angelina Twinomujuni and Diana Asiimwe Bena Photography: Hydrogen Studios Ltd. Design & Print: Nomad Advertising Ltd. Infectious Diseases Institute 4 Acronyms AIDS Acquired Immune Deficiency Syndrome ART Antiretroviral Therapy ATIC AIDS Treatment Information Center CAP College of American Pathologists CDC Center for Disease Control and prevention CNE Continuous Nursing Education CSF Civil Society Basket Fund EARNEST Europe-Africa Research network for Second-line Treatment FP Family Planning FM Flourescence Microscopy GIPA Greater Involvement of People Living with HIV/AIDS HIV Human Immunodeficiency Virus ICEA Integrated Clinic Enterprise Application IDCAP Integrated Infectious Disease Capacity Building Evaluation IDI Infectious Diseases Institute INTERACT Infectious Disease Network for Treatment and Research in Africa I-TECH International Training and Education Center on HIV JUMP Joint Uganda Malaria Training Programme KCCA Kampala Capital City Authority MJAP Mulago-Mbarara Teaching Hospitals’ Joint AIDS Programme MRS Medical Records System MOH Ministry of Health Infectious Diseases Institute MAKCHS Makerere University College of Health Sciences MU-JHU Makerere University - Johns Hopkins University Collaboration PEPFAR US President’s Emergency Plan for AIDS Relief PCT Prevention, Care and Treatment PLHAs People Living with HIV and AIDS PMTCT Prevention of Mother to Child Transmission RRH Regional Referral Hospital Annual Report 2012 SLIPTA Strengthening Laboratory Improvement Processes Towards Accreditation Approach SLMTA Strengthening Laboratory Management Towards Accreditation Approach STI Sexually Transmitted Infections TB Tuberculosis U.S.A United States of America USAID United States Agency for International Development US-DOD United States Department of Defense WHO World Health Organisation 5 Table of Contents Acronyms 5 Foreword by IDI Board Chair 6 Introduction by Executive Director 8 IDI By the Numbers 9 Prevention, Care and Treatment Overview 10 IDI as a Specialised ART Clinic 11 Civil Society Fund/Regional Referral Hospitals Project 11 ART Switch Meetings at IDI 12 GIPA Builds the Skills of Friends at IDI 12 Training Programme Overview 14 Training Overview 14 IDI makes the 10,000th trainee 16 Research Programme Overview 19 Transition in Leadership 20 Profile of Dr Andrew Kambugu and Dr Yuka Manabe 20 Ground-breaking Research Leads to Change in Coartem Label 23 IDI receives ANDI Award 24 Pfizer Global Health Fellows 24 Laboratory Services Programme Overview 25 MU-JHU Core Lab at IDI 25 Laboratory Training Programme 26 Laboratory Outreach Services 27 Outreach Programme Overview 29 Annual Report 2012 IDI-KCCA Capacity Building Collaboration 29 IDI-EKKP: Building Capacity for Scaling Up HIV/AIDS Services 30 Saving Mothers Giving Life (SMGL) Project 33 Awards and Scholarships at IDI 36 Development of IDI Funding Base 39 List of Publications 40 IDI Leadership 44 Infectious Diseases Institute IDI Staff Pictures 45 6 Foreword from the IDI Board Chair his year the College of year and wish them the very best laboratory at IDI for consistently Health Sciences as a part of in their new lives. providing world class laboratory TMakerere University (one of services that support the above Africa’s top ten universities) took I note with satisfaction the (clinical, research and training) part in commemorating 90 years many areas where IDI has made activities. Such quality is what is of the University’s existence. significant progress in the the required standard in all labs The University prides itself in immediate past year and I will throughout this country. In this the great strides that have been point out a few of them; The rapid respect the IDI programme to made in research and innovation evolution of the Prevention, Care support upcountry laboratories and is committed to expanding and Treatment (PCT) programme should continue to be supported its role of training the region’s into a specialist programme that in the best way possible. The human resource. As a part of the supports other hospitals and idea of being mindful of the College of Health Sciences, IDI clinics in Uganda’s capital city, need to lower the cost of in- has played a significant role in Kampala and the rest of the service training of health workers enabling the University achieve country. This has contributed without compromising standards its mission and contribute to its greatly to the continuing through identification and legacy. transformation of the standard implementation of cost-efficient of AIDS care services in Uganda methods should translate into On my own behalf and on including the provision of second more health workers benefiting behalf of the IDI Board I wish line anti-retroviral treatment from this service in the long run. to extend my great appreciation (ART). Equally important is the This is one of many examples as Infectious Diseases Institute to the leadership of IDI and the development of models of care to how IDI is making major efforts entire staff for yet again having that support the public health to be socially accountable. performed so well in the last year approach to HIV care not only at that is covered by this annual the IDI central clinic but to the Globally these are times of report. Success would not many clinics around the country. austerity measures because of have been easy to achieve if it Efforts to provide life skills to an unstable world economy. wasn’t for the wonderful support the patients (Friends) attending Therefore as we begin another which has been extended to the IDI clinic is highly commendable year of anticipated high institution by many partners and as this helps individuals to enjoy productivity we must be mindful funders including the Uganda a much better quality of life. more than ever before of the Government. We cannot take value we get for every shilling Annual Report 2012 such generous support for It is a great pleasure and joy spent. granted and we must strive hard to see IDI become increasing to ensure that in the coming recognized nationally, regionally years we continue to work hard and globally as a center of and ensure great returns on this excellence in research and as investment. The Board welcomes a training base for doctoral the new staff who have joined IDI students and in the past year IDI at whatever level and wish them has graduated 6 PhD scholars a very enjoyable and productive who are already been recognized Nelson Sewankambo stay. We also extend our thanks globally for their scholarship Principal, College of Health to those staff whose service to and publications. I must also Sciences Makerere University IDI ended in the course of last pay tribute to the MUH-JHU Board Chairman, IDI 7 Introduction from the IDI Executive Director DI is proud to present this In the end though all that we do 2012 report to its founders, is about people and the report Ibeneficiaries, partners and provides stories and perspectives staff. The report documents the from our beneficiaries, from our continued growth and diversity scholars and from our partners. of IDI programs and highlights The organizational culture of the return on investments made; IDI has “infected” so many like the 6 PhD scholars who other individuals and we present have been part of our Research some of these “heroes from the Capacity building program frontline”. for the past 5 years. IDI is an innovative part of Makerere As we go to press IDI has for “In the end though, University and the College of the past few months worked all that we do is about Health Sciences and one of our with Kibaale District, MOH, primary obligations is to build WHO, MSF, Uganda Red cross people and the report intellectual capital for Uganda and other partners to control provides stories and and Africa. This report highlights an Ebola epidemic. IDI staff perspectives from our the growing number of academic were very much at the frontline peer reviewed papers published and putting their lives at risk to beneficiaries, from by the IDI family as well as the help protect fellow Ugandans. our scholars and from diverse nature of our capacity This is the spirit of who we are our partners. The building programs which this at IDI – working in partnership, year recorded the 10,000th responding to challenges, organizational culture trainee. innovating solutions and helping of IDI has “infected” so to build and improve systems. many other individuals In the past 4 years there has been a deliberate effort to take IDI I thank Makerere University, and we present some of excellence and systems building the IDI Board, the IDI donors, Annual Report 2012 these “heroes from the approaches out to the frontlines; the IDI staff and volunteers frontline”.” in the districts and smaller health and all our beneficiaries for facilities.