(Jcrc) 2014 Annual Report
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Joint Clinical Research Center (JCRC) 2014 ANNUAL REPORT “For Quality Health Care Services” i Table of Contents Contents Table of Contents ............................................................................................................................ ii List of Tables ................................................................................................................................. iv List of Figures ................................................................................................................................. v List of Acronyms ........................................................................................................................... vi Foreword ........................................................................................................................................ ix Chairman Board of Directors ......................................................................................................... ix Executive Summary ........................................................................................................................ x JCRC Management Team ............................................................................................................. xii Brief about JCRC ......................................................................................................................... xiv JCRC Network Coverage: ....................................................................................................................... xiv Vision ...................................................................................................................................................... xiv Mission .................................................................................................................................................... xiv Core Values:............................................................................................................................................ xiv 1.0 Laboratory Services ............................................................................................................. 1 1.1 JCRC Tuberculosis Laboratory ....................................................................................................... 3 1.2 CFAR Laboratory ........................................................................................................................... 5 2.0 RESEARCH ......................................................................................................................... 5 3.0 Clinical Care: ....................................................................................................................... 9 3.1 Out Patient Services .......................................................................................................................... 12 3.2 Inpatient Services; ....................................................................................................................... 17 4.0 Training at JCRC: .............................................................................................................. 19 4.1. The International Clinical Operational and Health Services Research (COHRE) Training Program. 19 4.2. INTERNATIONAL EXTRAMURAL ASSOCIATES RESEARCH DEVELOPMENT AWARDS (IEARDA) ........ 19 5.0 Institutional Strengthening ................................................................................................. 24 5.1. Human Resources; ........................................................................................................................... 24 5.2. Stores .......................................................................................................................................... 24 5.3 Estates ......................................................................................................................................... 25 5.4 Information Technology: ............................................................................................................. 26 5.5. Business Development: .................................................................................................................... 27 5.6. Resource Mobilisation: .................................................................................................................... 28 6.0 JCRC Regional Centres of Excellence: ............................................................................. 31 6.1. Mbarara RCE .................................................................................................................................... 31 6.2 Fort-Portal ................................................................................................................................... 33 6.3 Kakira .......................................................................................................................................... 34 ii 6.4 Gulu ............................................................................................................................................. 35 6.5 Mbale RCE: .................................................................................................................................. 40 THALAS PROJECT ..................................................................................................................... 43 SCIPHA PROJECT ...................................................................................................................... 49 JCRC Plans for 2015:.................................................................................................................... 52 Ongoing Researches at JCRC ....................................................................................................... 53 JCRC Laboratory Coverage .......................................................................................................... 59 iii List of Tables Clinic Attendance for Kampala...........................................................................................10 Patients that picked ARVs for the Kampala site.................................................................10 SCIPHA Prevention activities in Gulu................................................................................37 SCIPHA Care activities in Gulu..........................................................................................37 SCIPHA Gulu Club assessment support..............................................................................38 THALAS project indicators based on PMP 2010-2015......................................................47 Research Studies at JCRC...................................................................................................53 iv List of Figures JCRC Kampala CD4 and Viral Load Performance…………… …………………..2 Laboratory tests for 2014…………………………………… …………………….3 JCRC Lubowa Clinical Attendance Patterns………………………………………9 Clients picking ARVs by age category…………………………………………….9 Clients picking ARVs by Regimen Category………………………………………11 Client picking ARVs by sex category……………………………………………...11 JCRC sources of Funds…………………………………………………… ……..29 Patients recruited for the REALITY study at Gulu…………………….………….32 SCIPHA III HIV prevention among key populations………………… . …………49 v List of Acronyms ANC Anti natal care PLHIV People Living with HIV/AIDS CSW Commercial Sex Workers EMTCT Elimination of Mother to Child Transmission TB Tuberculosis UNCHE Uganda National Council of Higher Education WHO World Health Organisation ICEA Integrated Clinical Enterprises Application SCIPHA Strengthening Civil Society for Improved HIV/AIDS and OVC service delivery IUD Intra-uterine Device PEP Post Exposure Prophylaxis RCE Regional Centre of Excellence FP Family Planning STAR-EC Strengthening TB and HIV & AIDS Responses in East-Central Uganda (STAR-EC) project STAR-SW Strengthening TB and HIV & AIDS Responses in South-West Uganda (STAR-SW) project USAID United States Agency for International Development TREAT Timetable for Regional Expansion of Anti-Retroviral Treatment/Therapy SUSTAIN Strengthening Uganda’s Right to Essential Medicines THALAS Targeted HIV/AIDS and Laboratory Sevices MOH Ministry of Health COHRE Collaboration with Health Services Research IARDA International Extramural Association Research Development CWRU Case Western Reserve University CAP College of American Pathology vi CFAR Centre for AIDS Research IPs Implementing Partners OVC Orphans and Vulnerable Children IDI Infectious Disease Institute MUJHU Makerere University Johns Hopkins University CHAPAS A Randomized Trial to determine the Pharmacokinetics of Ritonavir boosted lopinavir in Sprinkle and Tablet formulation in HIV infected Children in Africa DART Development of Anti Retroviral Therapy in Africa ARROW Anti Retroviral Therapy to Watoto vii PATRON Board of Trustees Chairman: Prof. J. Epelu Opio Prof. Peter .N. Mugyenyi Mr. Ben Okello Prof. Nelson Dr. Jesse Kagimba (Executive Director –JCRC) Luwum Ssewankambo Dr. Jane Aceng Dr. James Makumbi Dr. Jessica Jita Mr. Richard Masereje (Board Secretary) Prof. Manfred Dietrich Dr. Cissy Kityo Tom Barry (x-official (External Advisor) (ex-official) (ex-official) viii Foreword Chairman Board of Directors Prof. Opio Epelu: It is 23 years since Joint Clinical Research Center (JCRC) was founded more than two decades ago to serve as a national AIDS research Centre. Born as collaboration between Makerere University’s School of Medicine and Uganda’s Ministries of Health (MoH) and Defense, JCRC has continued