MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF PUBLIC HEALTH

MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF PUBLIC HEALTH

P.O. BOX 7072, KAMPALA, Uganda Tel: 0414 533 958/0392 764 328 Email: [email protected] Fax: 0414 533 957 Website: http://www.musphcdc.ac.ug

MakSPH - CDC FELLOWSHIP PROGRAM LONG-TERM FELLOWS 2011-2013 YEAR BOOK

LONG TERM FELLOWS 2011-2013 YEAR BOOK i ii LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 1 Table Of Contents

Foreword...... 2

Word from the Principal Investigator...... 3

Fellowship Program Brief...... 4

FELLOWS: MAY 2011 – FEBRUARY 2013...... 6

Maureen Kwikiriza...... 6 Gertrude Kalema Namazzi...... 10 Sarah Nakku...... 15 Abel Bizimana...... 19 Faridah Luyiga Mwanje ...... 23 Peter Mukobi...... 28 Susan Babirye...... 32 Patrick Komakech...... 37

Matthew Lukwiya Award...... 41

Alumni career updates...... 43

Program staff contacts...... 46

LONG TERM FELLOWS 2011-2013 YEAR BOOK 1 FOREWORD FOREWORD

Like in the previous years, many of the Fellows graduating today have been involved in program leadership and management at various levels within the institutions of placement, including institutionalizing open medical records system (open MRS) within the Uganda Police Force Medical Services, operations research to inform programs, improving health services delivery at district level through continuous quality improvement, and improving uptake of HIV and family planning services, among other initiatives.

I am pleased to note that the Fellowship Program has received funding from CDC, for the next five years, and this in itself is vote of confidence from the funders that we should be proud about. This funding will continue to support existing Fellowships as well as targeted graduate training. In this new phase we are exploring adjustments that will ensure relevance and continued contribution to the strengthening of leadership of health programs in Uganda, including stronger partnerships with the Public he past ten years (2002-2012) have been a Sector and new host institutions that accommodate period of growth, learning and expansion of the the expanding scope of training. On this note, let me Fellowship Program. The program has expanded thank our development partners, CDC in particular for Tnot only in terms of numbers trained but also in sustaining the effort; the Fellows who have made us terms of the focus areas, from being a disease-specific shine, the host institutions that we have worked with over program to encompass other health programs areas the years, well wishers and finally the MakSPH staff for including maternal and child health, health informatics, the work well done. malaria and tuberculosis, among others. Since inception, we have enrolled 85 Fellows, 81 of whom completed the Fellowship (including those graduating today), while 13 new Fellows were enrolled on the program in February 2013. Of those who completed, over 90% have taken on high-level leadership and management positions at national and international levels. This indicates a high degree of success in our primary objective of enhancing leadership and management capacity for health Assoc. Prof. William Bazeyo programs. Dean, Makerere University School of Public Health

2 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 3 Word From The Program Director

he year 2013 is special to the Fellowship program in many respects. This is the first year on our new grant for the third phase (2012-2017) but also, this Tyear comes pretty close to the end of the second five-year phase, which ended in September 2012. Indeed, the graduating Fellows were in the last cohort under the second phase of the program, and I am happy to inform you that Fellows for the first year of our third phase have been identified and are currently undergoing training at the School of Public Health.

The graduating Fellows were hosted in eight institutions namely: UNAIDS, Mildmay Uganda, Communication for Development Foundation Uganda (CDFU), UNFPA, Maternal and Newborn Study (MANEST), PREFA, Uganda AIDS Commission, and Family Health International 360 (FHI360). We would like to express our sincere gratitude to these host institutions for offering an opportunity to Fellows to learn how to manage and lead health programs from a practical point of view. We value the role of stakeholder involvement in the training of transformative leaders in Uganda, and therefore pledge to continue to work with different institutions to fulfil our mandate of training and nurturing future leader-managers Last but not least, we are grateful to the Dean, Makerere of health programs in Uganda. University School of Public Health, for his support to the program, and the CDC Project Officer (Dr Sam Malamba) We would like to thank the academic mentors for their and Activity Manager (Dr Anthony Mubiru) for guiding strong commitment and dedication towards the Fellowship program staff in not only doing the right things but also Program goals and objectives. Special regards go to: Dr doing them right. Elizabeth Nabiwemba, Dr Lynn Atuyambe, Dr Noerine Kaleeba, Dr Olico Okui, Dr Euzobia Mugisha, Dr Suzanne Kiwanuka, Dr Achilles Katamba, Dr Florence Baingana, and Dr Geoffrey Kabagambe for their time in inspiring and supporting Fellows. We would also like to thank Fellows for their dedication and commitment to program Prof David Serwadda and host institution goals. We are highly indebted to CDC Principal Investigator, for the technical and financial support rendered to the MakSPH-CDC Fellowship Program program and to the program staff for their dedication and enthusiasm to make this program a success.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 3 Fellowship Program Brief

akerere University support supervision). For each School of Public Health domain, a set of core competencies (MakSPH) with support Thirteen Fellows are has been specified. Core from Centers for competencies refer to the skills, M currently enrolled. Disease Control (CDC) implements a attitudes and practices that Fellows Fellowship training program known as should acquire during the course MakSPH-CDC Fellowship Program. Graduate Fellows of the Fellowship. Overall, 13 core The objective of this program is to have set up and/ competencies were identified for the enhance program leadership and six domains. Long-term Fellows are management capacity in Uganda. or strengthened attached to selected institutions for The areas of focus include HIV/ apprenticeship. The apprenticeship AIDS, maternal and child health, monitoring accounts for 75% of the training. The malaria, tuberculosis; public health remaining 25% is reserved for Fellows informatics, and other health-related and evaluation to attend multi-disciplinary short programs. The program, which systems at their courses at MakSPH to enhance their began in 2002, provides long-term academic competences. During the and medium-term Fellowships, and host institutions, apprenticeship, Fellows are placed short courses. under the guidance of a designated improved data host mentor. An academic mentor, Long-term Fellowships: The who is usually a member of staff long-term Fellowship is a 2-year, management from Makerere University College of non-degree fulltime program offered Health Sciences, is assigned to guide on a competitive basis to Ugandan systems, the Fellow through the academic nationals with a Master’s degree in contributed components of the Fellowship. Public Health, Medicine, Nursing, Monitoring and Evaluation, Maternal to fundraising Eighty five (85) Fellows have been and Child Health and other health- enrolled into the program since related disciplines. The Fellowship and resource inception in 2002. Of these, 81 aims at training transformative Fellows completed the Fellowship leaders in health who are analytical mobilization, and successfully. Thirteen Fellows are in thinking and can work effectively in initiated pilot health currently enrolled. Graduate Fellows multidisciplinary teams. The training have set up and/or strengthened methodology takes on a hands-on interventions that monitoring and evaluation systems at approach that is guided by a set their host institutions, improved data of six main domains (interpersonal have since been management systems, contributed and effective communication, to fundraising and resource strategic thinking, management replicated in other mobilization, and initiated pilot health and leadership, monitoring and parts of Uganda. interventions that have since been evaluation, information technology, replicated in other parts of Uganda. and mentorship, coaching and Seventy (70) institutions have hosted

4 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 5 Fellows since 2002. Our Fellows with their employment. Overall, 143 waiting time, improved performance continue to receive mentorship Fellows have been enrolled from 66 tracking and data management support and program leadership institutions since 2008. Of these, systems and increased enrolment of and management training at leading 120 (84%) Fellows completed their eligible ART patients into care and institutions in the country including Fellowship between 2008 and 2012, treatment. Additional information Uganda AIDS Commission, Ministry including 29 Fellows who completed about our medium-term Fellowship of Health, Joint UN Program on AIDS their Fellowship in March 2012. Some program can be obtained from our (UNAIDS) country office, PREFA, of the institutions supported include: program website. Mildmay Uganda, Communication Ministry of Gender, Labor and Social for Development Foundation Development, Ministry of Defense Short Courses: Off-site short Uganda, Communication for (Uganda People’s Defense Forces), courses are offered to mid and senior Development Foundation Uganda Uganda Prisons Service Medicines level managers and staff involved (CDFU), United Nations Population & Health Service Delivery Monitoring in HIV/AIDS activities at national, Fund (UNFPA), Maternal and Unit of State House, Population district, facility and community Newborn Study (MANEST), Family Secretariat, Jinja district health office, levels based on institutional training Health International 360 (FHI 360), Rakai district health office, Nakaseke needs. Short courses offered among other. Additional information district health office, Kabale regional include grants and proposal about our long-term Fellowship referral hospital, Mutolere Hospital writing, monitoring and evaluation, program can be obtained from our (Kisoro), Integrated Community- design and implementation of HIV/ website at: http://www.musphcdc. based Initiatives (ICOBI) in AIDS programs, behavior change ac.ug. Bushenyi, Children of the World communication, strategic leadership (COW) Foundation in Kitgum, and management, among others. Medium-term Fellowships: Action for Development (ACODEV) The main aim of these courses is Medium-term Fellowships are in Kasese district, Joint Clinical to improve institutional capacity in offered for a period of eight months Research Centre, Goal Uganda, identified areas of need. Training to in-service professionals working TASO, Medical Teams International, requests are normally initiated by the in organizations involved in health- Doctors with Africa CUAMM, among institutions. Over 3000 individuals related activities. The program offers others. have been supported through short two medium-term Fellowships in courses since 2002. Short courses Monitoring and Evaluation (M&E) Graduate Fellows have been held in several districts of health programs and Continuous including Bugiri, Namutumba, Quality Improvement (CQI). Up to 24 improved monitoring Hoima, Kitgum, Kasese, Luweero, Fellows are enrolled for each track. Kamuli, Iganga, Wakiso, Mbale, and The purpose of these Fellowships is and evaluation systems Mayuge, among others. We receive to build institutional capacity through at their places of work... applications for short courses training individuals in specialized throughout the year. Additional fields. The training methodology information about off-site short used is modular and work-based Graduate Fellows improved courses offered by the program in nature, allowing trainees to monitoring and evaluation systems at can be obtained from our program undertake courses while continuing their places of work, reduced patient website.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 5 Dr. Maureen Kwikiriza

ABOUT THE FELLOW

r. Maureen Kwikiriza is a medical doctor with a Master of Science in Epidemiology from the University of London and a Bachelor of DMedicine and Bachelor of Surgery from Mbarara University of Science and Technology. She has 7 years of experience in research and providing HIV/AIDS and reproductive health services in different settings of Uganda. She joined the Fellowship program in 2011 and was attached to Protecting Families Against HIV/AIDS (PREFA). PREFA is a local NGO formed to support the government of Uganda in developing and maintaining standards in capacity building, implementation, and monitoring for Prevention of Mother- to-Child Transmission (PMTCT) of HIV/AIDS services. Maureen’s career goal Tel: 0772607299/ 0702764596 is to become an effective leader in either HIV prevention or Maternal, Newborn Email: [email protected] and Child Health programs. Through the Fellowship, Maureen has learnt to be self-driven, gained experience in working with districts and improved Name of Host Mentor: her communication skills. In her own words, Maureen has this to say: “This Dr. David Serukka, Fellowship has been a great learning opportunity and worth the 2 years of my Executive Director, PREFA time. I am now a better leader and ready to contribute to better health service Dr. Francis Engwau, delivery in Uganda” Program Manager, PREFA

and linkages for PMTCT health services at the facility level Name of Academic Mentor: programs using village health • Trained health workers in Dr. Elizabeth Nabiwemba, teams (VHTs) to promote service PMTCT- Early Infant Diagnosis Lecturer, Makerere University, uptake at facility level. (EID) using Ministry of Health School of Public Health 3. Document and share best guidelines so that they are practices of the MNCH/PMTCT able to provide quality PMTCT KEY APPRENTICESHIP integration. services. • Led the assessment of health RESPONSIBILITIES SIGNIFICANT facilities in Wakiso district for readiness to implement PMTCT 1. Develop and implement an FELLOWSHIP Option B. This formed the basis integration plan for the Maternal, ACCOMPLISHMENTS for selection of participants Newborn and Child Health for the various option B+ (MNCH)/ Prevention of Mother- a) Developing and implementing trainings, mentorships in EID To-Child Transmission of HIV an integration plan for the services, logistics management (PMTCT) program at the facility MNCH/PMTCT program procurement and supply of level in Wakiso and Nakasongola medical equipment such as districts and to guide scale up in • Developed a plan for integrating blood pressure machines, other districts in Uganda. PMTCT interventions with weighing scales and 2. Improve community awareness maternal, newborn and child thermometers.

6 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 7 • Provided technical support to b) Improving community groups at their respective health health workers providing PMTCT awareness and linkages facilities. services through mentoring and support supervision • Trained VHTS in PMTCT-EID, c) Documenting best practices • Supported the District Health counseling skills, use of register for PMTCT / MNCH Officer (DHO) of Wakiso district and referral system Integration to integrate PMTCT activities into • Defined the specific roles of • Documented the best practices the district work plan VHTs with regard to PMTCT. for PMCTCT /MNCH integration • Coordinated the development of These roles were categorized at the health facilities. a national support supervision into community sensitization and These include; participatory tool for integrated PMTCT/ Mobilization, follow-up of mother assessment and monitoring MNCH services at facility level. baby pairs in the community and of integrated services; timely The tool has sections on Human referrals to health facility. dissemination of the new resource capacity, infrastructure, • Selected and trained key health guidelines, provide the data antenatal, labour and delivery, workers in the 7 districts of tools and orient health workers postnatal and HIV counseling central Uganda to mentor their on recording and exchange and testing. This tool currently in colleagues on how to establish learning visits for health workers. a draft form can be used by any and strengthen family support partner

Maureen, first on the right, mentoring health workers at one of the PREFA-supported health units on recording in the register

LONG TERM FELLOWS 2011-2013 YEAR BOOK 7 PRESENTATIONS AND OTHER ACHIEVEMENTS ii. “Quality postnatal care: An PUBLICATIONS opportunity to improve maternal, • Acted as a Program Officer for newborn and child health”, 1. Presentations: Kampala cluster for 3 months. Published in the New Vision of During this period, Maureen 28th November 2011 i. Maureen Kwikiriza, Richard organized HIV stakeholders and iii. “PREFA joins the fight against Ayebare, Geoffrey Waiswa, performance review meetings, malnutrition in children”, Francis Engwau and David coordinated joint support Published in the New Vision of Serukka: Early Infant Diagnosis, supervision visits to health 5th March 2012 an opportunity for timely facilities, provided technical iv. “Antenatal care will improve provision of effective care and support to district health pregnancy outcomes in treatment: PREFA experience team members on logistics Uganda”, Published in the New from PMTCT-EID program, management and brought one Vision of 11th June 2012. Wakiso district. Oral presentation health centre three facility on v. “The new PMTCT policy is at the 6th National paediatric board for PMTCT program. an opportunity for Uganda HIV/AIDS conference held at • Participated in the development to eliminate mother to child hotel Africana, Kampala-Uganda of PREFA strategic plan for 2011 transmission of HIV”, Published from 12th – 14th September to 2015. in the New Vision of 22nd 2012. (This abstract was also • Organised and coordinated October 2012. presented at the Joint Annual events to mark 2011 World AIDS Scientific Health conference at Day including a talk show on 3. submitted Manuscript: Silver Springs Hotel, Kampala- UBC television. Uganda from 26th-28th • Provided technical Support to Maureen Kwikiriza, Joseph KB September, 2012). Gender department to organize Matovu, Francis Engwau, David and make presentations for the Serukka, Elizabeth Nabiwemba: 2. Print media: Uganda Episcopal conference Readiness of Public Health Facilities about gender integration in HIV to Implement Integrated PMTCT and i. “Involving the community actively programs postnatal care in Uganda: Results towards virtual elimination of HIV • Wrote the literature review from a Facility Assessment Study Transmission from Mother to section of the protocol on “Birth- (Submitted to BMC Health Services child”. An advertorial written on weight Group and Age at Death Research) behalf of PREFA to supplement Boxes for an Intervention and the Uganda Pediatrics Evaluation System (BABIES)” Association conference and surveillance methodology written published in the New Vision of by Centres for Disease Control Wednesday 28th September and Prevention (CDC). 2011

8 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 9 PROGRAMMATIC ACTIVITY

Title: Integrating PMTCT with Postnatal Care Services assessment team visited the health facilities to monitor in Uganda: Process Documentation and Monitoring performance and extract data on key indicators from the Outputs registers. New targets were set according to previous month’s performance of selected PMTCT indicators. Background: To minimize missed opportunities for PMTCT interventions, the National PMTCT scale-up Program outcomes: Overall, there was increased plan (2010-2015) recommends integration of PMTCT uptake of PMTCT services during the period of project. with postnatal care (PNC) services. PREFA thus More mother-baby pairs were followed up in the community piloted integration of PMTCT and PNC in Wakiso and with an overall average of 15 per month compared to five Nakasongola districts. in the months of March and April before the pilot began. The number of HIV exposed infants tested with PCR to Objectives determine their HIV status also increased from less than 10 in April to 14 in June. As these babies were tested, 1. To document the processes leading to implementation they also received their results of integrated PMTCT and PNC services 2. To monitor progress of outputs following the Conclusion: Implementation of integrated PNC and implementation of integrated PMTCT and PNC PMCT services lead to increased uptake of PMTCT services services. However regular support supervisions are 3. To identify best practices for PMTCT and PNC needed for monitoring of these services. integration ABOUT PREFA Implementation Approach: The project was implemented at four health facilities from May to August Protecting Families Against HIV/AIDS (PREFA) is a local 2012. It involved three phases; (i) the assessment phase, Non-governmental Organization (NGO) formed in 2004. (ii) feedback and planning phase and (iii) implementation The vision of the founder members was to establish an and monitoring phase. The assessment was conducted indigenous NGO that could collaborate with the Ministry of in May 2012 by PREFA and district health teams to Health (MoH) in rolling out Prevention of Mother-To-Child inform the planning phase. This involved orienting Transmission (PMTCT) of HIV programs nationally. In district health team members and facility In-charges particular, PREFA was formed to support the government on the assessment framework and tools, assessment of Uganda to develop and maintain standards in capacity of facilities including interviews with health workers, building for PMTCT service provision, implementation observations and collection of routine PMTCT data from and monitoring of PMTCT services and, to identify service registers. During the feedback and planning phase, delivery gaps and seek solutions for them. To date the results from assessment were shared with health workers NGO has led the implementation of option B+, the 2012 who suggested ways for improvement. Targets were then PMTCT guidelines in seven districts of Central Uganda. set according to identified weaknesses. The health facility PREFA is funded by PEPFAR through CDC .PREFA In-charge and head of Maternal, newborn and child support includes capacity building - hiring and/or training health department coordinated the implementation of set of (additional) staff, infrastructure improvement and targets at their respective health units. Every month, the monitoring of facility based PMTCT service delivery.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 9 GERTRUDE KALEMA NAMAZZI

ABOUT THE FELLOW

ertrude Kalema Namazzi holds a Master’s Degree in Public Health (MPH) and a Bachelor’s Degree in Medicine and Surgery (MBChB) of Makerere University, Uganda. Gertrude has interest in maternal Gand child health; and was placed at Maternal and Newborn Study (MANEST) project for her apprenticeship. MANEST is a research project implemented by Makerere University School of Public Health (MakSPH) with funds from World Health Organization (WHO) and Department for International Development (DFID), in collaboration with Ministry of Health (MOH) and the districts of Iganga, Luuka and Buyende. The goal of MANEST is to bridge the implementation gap of maternal/newborn care interventions and document P.O.Box 16721, Kampala lessons learnt to inform policy and scale-up. The objectives of MANEST are Tel. 256 772 458835 to: (i) learn how to integrate and scale-up interventions aimed at increasing Email: [email protected] access to institutional deliveries and care of complications through vouchers, and (ii) improve newborn care and uptake of Prevention of Mother to Child Host mentor: Transmission (PMTCT) through home visits by community health workers, Dr. Peter Waiswa: within the existing health system in Uganda. During the Fellowship, Gertrude Principal Investigator; Maternal has had an opportunity of taking up leadership positions and enhanced her and Newborn Study (MANEST) skills in management and communication. Her career prospects include designing and management of maternal and child health interventions for Academic mentor: improved service delivery. In her own words, this is what she had to say: Dr. Florence Baingana: “The Fellowship has been a great transformational experience for me: I have Lecturer; Makerere University enhanced my leadership and management skills through coordinating and School of Public Health managing the MANEST project from the formative phase throughout the implementation phase. I have also had an opportunity to design interventions through writing successful grant proposals. In addition, I led and participated in the writing of a number of manuscripts for publications; some of which are KEY APPRENTICESHIP already published and others submitted to peer-reviewed journals. Furthermore, I have written several abstracts and made oral presentations at both national RESPONSIBILITIES OF and international conferences including the WHO consultative meeting in THE FELLOW Geneva, Switzerland and the Global Health Systems Research symposium in Beijing, China”. • Design Maternal Newborn Care interventions • Disseminate the intervention • Provide technical support in • Integrate the interventions in the findings at local, district and grants proposal writing routine district health systems national level • Publications: At least one • Provide leadership in monitoring • Supervise study staff and publication as the first author and evaluation of operational participate in their capacity and participate in others as need research building arises.

10 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 11 SIGNIFICANT FELLOWSHIP ACHIEVEMENTS

• Design maternal and and MANIFEST implementation which findings informed the newborn care interventions plans and supported district MANEST project. She also Gertrude coordinated the health teams to incorporate developed the data collection formative phase of the the plans in their work plans. tools and conducted the MANEST project and organized Gertrude also supported baseline evaluation of MANEST. stakeholder meetings at national, the districts in the project Preliminary analyses of the district and community levels to implementation (selection, baseline evaluation suggest gather stakeholders’ input which training and supervision of poor antenatal and postnatal was crucial in informing the final village health teams; VHTs). care practices. Mothers delay design of the project. She also to attend antenatal care and participated in the designing of • Provide leadership in a few attend the four times a second study named Maternal Monitoring and evaluation recommended by WHO. This and Newborn Implementation for of operational research. could be due to among others, Equitable Systems (MANIFEST) Gertrude developed the study poor quality health services at • Integration of the evaluation indicators and data the facilities; characterized by interventions in the routine collection tools and conducted limited availability of medicines, district health systems the Uganda Newborn Study supplies and absenteeism of Gertrude developed the MANEST (UNEST) end line evaluation service providers. After delivery

Fellow (standing in front, in green top) training CHWs/VHTs in Luuka District

LONG TERM FELLOWS 2011-2013 YEAR BOOK 11 mothers apply several harmful supportmainly in writing the conference organized by the substances like cow dung and Health Systems Strengthening Uganda Medical Association ash onto the cords of newborn component, and she developed that took place at hotel Africana, babies to hasten healing. the overall study implementation Kampala, Uganda: 23rd to 25th plan. The implementation phase June, 2011 • Dissemination of the is effective January 2013; intervention findings at Gertrude will provide technical ii) Strengthening Health Facilities local, district and national support for the health facility for Maternal and Newborn Care: level component and coordinate A Case study of Iganga/Mayuge Gertrude disseminated the the community component Districts. The Theme of the MANEST formative research (using VHTs to improve birth conference was ‘Innovations findings and UNEST evaluation preparedness). in Reproductive Health and findings through oral Revitalization of Family presentations at national, district • Publications (see Planning’. This was an oral and community level ‘Presentations and Publications’ presentation during the scientific below) conference of the Association of • Supervise study staff and Obstetricians and Gynecologists participate in their capacity ‘In general, during this Fellowship of Uganda (AOGU). It was held at building I have grown professionally and Protea hotel, Kampala, Uganda: Gertrude was the lead trainer for attained several Fellowship core 25th to 26th August, 2011 data collectors, provided support competencies. Taking lead in supervision, and mentored staff coordinating MANEST formative iii) Policy to action: Home visit in abstract and report writing, as as well as the implementation package and human resource well as budgeting phases has particularly management. The title of the enhanced my leadership and meeting was: ‘Provision • Participate in grants management skills’, says of Home-Based Care to proposal writing Gertrude. Mother and Child in the Gertrude was part of a team First Week after Birth’. that wrote a successful grant This was an oral presentation proposal to Comic Relief Ltd PRESENTATIONS AND Gertrude made during the WHO for over 5 billion Ushs (£1.5M) PUBLICATIONS consultative meeting held at for implementation of a new WHO headquarters in Geneva, intervention (MANIFEST) to a) Presentations Switzerland: 8th to 10th February improve maternal and newborn 2012. health in three districts of Kamuli, i) Introducing Care for High Risk Pallisa and Kibuku. This followed Babies in Rural Settings: A iv) Stakeholder Analysis for a yet another successful grant of Case Study of Iganga/Mayuge Maternal and Newborn Health initially £228,000 (Shs 860M) for Districts. This was an oral Project in Eastern Uganda: the design phase of MANIFEST. presentation during the scientific This was an oral presentation Gertrude provided technical

12 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 13 Gertrude made in the Second Kiracho E. Stakeholder Pariyo G, 2012: Identifying Global Health System Research Analysis for a Maternal and High Risk Babies Born in Symposium in Beijing, China: Newborn Health Project in the Community Using Foot 30th October to 3rd November Eastern Uganda (Accepted for Length Measurement in 2012 publication in BMC Pregnancy Uganda: Child: Care, Health and Childbirth) and Development journal. 2012, b) Print media: Jun 39(1):20-6 Gertrude wrote a newspaper Christine Nalwadda Kayemba, article entitled ‘Ease access David Guwatudde, Peter • Waiswa P, Peterson S, Namazzi to family planning to check Waiswa, Juliet Kiguli, Gertrude G, Ekirapa EK, Naikoba S, population’ which was published Namazzi, Sarah Namutumba, Byaruhanga R, Kiguli J, Kallander by The Daily Monitor on 7th July Göran Tomson, Stefan K, Tagoola A, Nakakeeto M, 2011 Peterson. Community Health Pariyo G; 2012: The Uganda Workers – A Resource for Newborn Study UNEST: c) manuscripts in preparation: Identification and Referral an effectiveness study on One Step at a time: Moving the of Sick Newborns in a improving newborn health agenda on health system facility Rural Ugandan Setting and survival in rural Uganda strengthening for maternal and (Under review). Journal: Tropical through a community- newborn care in rural Uganda Medicine and International based intervention linked Health to health facilities - study d) manuscripts submitted: protocol for a cluster e) Journal articles: randomized controlled trial’. Namazzi G, Kiwanuka S, Contemporary Clinical Trials Waiswa P, Bua J, OKui O, Nabiwemba E, Tanya M, Waiswa journal; 2012 Nov 15; 13(1):213 Allen K A , Hyder A A, Ekirapa- P, Namazzi G, Kadobera D,

Gertrude was part of a team that wrote a successful grant proposal to Comic Relief Ltd for over 5 billion Ushs (£1.5M) for implementation of a new intervention (MANIFEST) to improve maternal and newborn health in three districts of Kamuli, Pallisa and Kibuku.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 13 PROGRAMMATIC ACTIVITY

Title: Missed opportunities for modern family planning [from 23.2% to 38.5% (p=0.004), and 22.8% to 40.7% services among women attending child health clinics in (p=0.001)] respectively. Access to FP information posters Iganga/Mayuge Demographic Surveillance Site did not improve FP uptake (p=0.5) due to the limited information they carried. Although modern methods were Introduction: While access to health units was good available in most of the facilities, health workers had and sensitization of communities was carried out, the limited skills for effective FP service provision. The fear of contraceptive prevalence rate remained low in Iganga side effects of modern methods, and failure to discuss FP District, like in many parts of the country. This study was issues with spouses aggravated the missed opportunities conducted to assess client and health facility factors that to FP uptake among clients. contribute to missed opportunities for modern family planning service use among women attending child health Conclusion: The low rate of counseling during child clinics in Iganga/Mayuge Demographic Surveillance Site health clinics and immediately after delivery, and the limited in order to inform policy and design of interventions that skills of service providers lead to missed opportunities can improve uptake. for FP uptake. Integration of FP in Maternal and Child health services, and enhancement of health workers’ Methods: A facility-based cross sectional study was competences is critical for effective service delivery and conducted in Iganga/Mayuge DSS using quantitative and improved uptake. qualitative methods of data collection. Exit interviews were conducted among 371 mothers attending child health Policy and Public Health Implication of my programmatic clinics in six health facilities. The mothers were interviewed activity: Integration of postpartum family planning in on their exposure to family planning information, maternal child health services will improve uptake of FP counseling during pregnancy, childbirth and postnatal methods which has stagnated in Uganda for decades. period, and their socio-economic backgrounds. The semi This will result in reduced maternal and child morbidity structured interviews were carried out among two district and mortality, and enhance attainment of the Millennium health team members, six health providers in charge of Development Goals 4 and 5 in the country. child health clinics and family planning services, and two men attending child health clinics. Quantitative data were ABOUT MANEST analyzed using EpiData version 3.1. Chi square, odds ratios, 95% confidence intervals and p-value set at 0.05 MANEST (Maternal and Newborn Study) is a research were used to determine the statistical significance of the project implemented by Makerere University School associations between independent variables and family of Public Health (MakSPH) with funds from WHO and planning uptake since birth of the last baby. Qualitative DFID, in collaboration with Ministry of Health (MOH) and data were transcribed, coded and analyzed using content the districts of Iganga, Luuka and Buyende. The goal of thematic analysis MANEST is to bridge the implementation gap of maternal/ newborn care interventions and document lessons learnt Results: Uptake of family planning by mothers attending to inform policy and scale-up. The objectives of MANEST child health clinics was only 27% for all methods. However, are to: (i) learn how to integrate and scale-up interventions majority of mothers (71.7%) were interested in using family aimed at increasing access to institutional deliveries and planning methods in future. The low uptake mainly resulted care of complications through vouchers, and (ii) improve from low rate of counseling of mothers on FP services. newborn care and uptake of PMTCT through home visits Only 23.2% of the mothers were counseled at the time of by community health workers, within the existing health discharge after delivery and less than a third (24.5%) of system in Uganda. The study is a three year project which the women attending child health clinics were counseled began in July 2011 with three intervention and two control about family planning. These forms of exposures to FP health sub-districts. information were associated with improved FP uptake

14 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 15 SARAH NAKKU

ABOUT THE FELLOW

arah Nakku holds a Master’s degree in Development Studies of Uganda Marty’s University Nkozi and a Bachelor’s degree in Education of Makerere University. Before joining the fellowship, Sarah Shad 8 years of experience in coordinating training and psychosocial programs, with non-governmental and faith-based organisations. As a fellow, she was attached to the Joint United Nations Program on HIV and AIDS (UNAIDS) where she spearheaded gender mainstreaming in HIV programs. Part of her key outputs included coordinating the development of a National Action Plan for women, girls, gender equality and HIV (NAP-WGGH). In an effort to support the implementation of the NAP-WGGH, she also spear P.O. Box 746, Kampala – Uganda headed the development of a national training guide integrating gender in HIV Mobile: (+256) 077290422 programs. She has innovatively engaged cultural leaders in HIV, gender and Email: [email protected] maternal health programming, supported the development of cultural leaders’ Strategic and Action Plans on maternal health, gender based violence and Name of Host Mentor: HIV. In an effort to support cultural institutional programming, she mobilized Musa Bungudu – resources to support the implementation of cultural leaders’ Action Plans. UNAIDS Country Coordinator Her apprenticeship with UNAIDS has enhanced her skills in program design, networking, negotiation, social mobilisation, strategic communication, Name of Academic Mentor: high level advocacy and strategic leadership and management. In her own Dr Lynn Atuyambe – words, Sarah says, “Joining the fellowship program has been the best and Lecturer - Makerere University most rewarding step taken in my career life. Other than improving on program College of Health Sciences management skills, I have also strengthened my leadership and networking skills and this has transformed me from the level of coordinating community Name of Academic Mentor: based interventions to the national and international level. I am confident that I Dr Euzobia Baine - can now coordinate national programs”. Head of Quality Assurance Department - Makerere University • Support Uganda AIDS Commission (UAC) and Ministry Joining the of Gender, Labor and Social KEY APPRENTICESHIP fellowship program Development (MoGLSD )in RESPONSIBILITIES OF national HIV/Gender planning THE FELLOW has been the best processes and most rewarding • Contribute to gender equality • Support the development, advocacy and lobbying efforts at launching and Implementation step taken in my the national level of the National Action Plan for career life • Contribute to key UNAIDS women, girls, gender equality planning and meetings and HIV.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 15 Gender and UNAIDS, sensitized SIGNIFICANT FELLOWSHIP ACCOMPLISHMENTS over 100 cultural and district leaders in Mayuge, Gulu and Rakai districts on HIV Prevention a) National Action Plan for Action Plan for women, girls, Strategy, National Strategic Plan Women and Girls gender equality and HIV. The and National Action Plan in order • Coordinated the development guide is owned by the Ministry to improve planning at a sector of the National Action Plan for of Gender Labour and Social level. For the first time in 30 years women, girls, gender equality Development (MoGLSD) and of addressing HIV prevention, and HIV there are resources to support cultural institutions have been • Successfully secured 58million national training of trainers in six fully integrated into the national Uganda Shillings to support districts using this guide. HIV prevention activities. printing and launching of the • Coordinated the travel plan of National Action Plan for Women, b) HIV and Gender Planning, the Minister of State for Gender Girls and HIV. The plan has Advocacy and Lobbying and Minister of State Finance now been printed, waiting to be Efforts to attend the high level global launched on 8th March 2013 • Coordinated the review and power meeting about women, and thereafter dissemination will finalization of the 5-year girls and HIV that took place in happen at the district level. Strategic Plan for the forum of Zimbabwe. • Coordinated the development kings and the 2-year Action Plan • Developed a power point of a national training guide for 17 cultural institutions on HIV, presentation about Uganda’s integrating gender in HIV maternal health and gender- status on elimination of mother to programs; this guide is a based violence. child transmission of HIV that was contribution towards the • In consortium with Uganda presented by the Nnabagereka implementation of the National AIDS Commission, Ministry of (Queen of Buganda) during the high level global meeting on women and girls in Zimbabwe- May 2012. As a result of this global meeting, the Nnabagereka initiated the idea of African Queens’ Network on gender equality and HIV which aims at bringing together all African queens to advocate for HIV prevention among their communities. The African Queens network will hold

Sarah reviewing the National action Plan for women, girls, gender equality and HIV with a team from Ministry of Gender, Labour and Social Development

16 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 17 its first global meeting in Uganda prevent gender based violence, PRESENTATIONS AND in May 2013. maternal mortality and HIV. PUBLICATIONS • In joint effort with the office of the First Lady, resources were a) Presentation secured from UNCIEF and OTHER ACHIEVEMENTS Nakku Sarah et al. Cultural UNAIDS to support the national Norms, Values and Practices campaign on revitalization of Poster development that Impact on Maternal Health: elimination of mother to child Developed a poster to guide A case study of Buganda transmission of HIV which communities in Mayuge, Kaliro, Region. Presented at 8th Annual took place at Serena on 21st Iganga, Jinja, Namutumba, Kamuli Scientific Conference, Kampala of August 2012. As a follow and Bugiri on using informal – Uganda: 27th September 2012 up on this national event, structures to respond to gender- Ministry of health has formed a based violence. The poster is b) Print / Electronic consortium with national and currently in use in the above i) Male involvement in antenatal traditional leaders to spear mentioned districts. care: New vision 17th October head community interventions 2011 of mobilizing women at the Resource Mobilization ii) Abaami: okuwerekera community level to access and Developed 4 proposals for UNAIDS ab’embuto mu ddwaliro tekimala utilize eMTCT services. partners including ministries, [Men: Escorting pregnant • Participated and represented CSO’s and cultural leaders and women to the health facilities UNAIDS at high level meetings secured 32 million shillings to is not enough] (Bukedde, 17th with ambassadors, ministers, support revitalization of elimination May 2012). development agencies, of mother to child transmission of cultural leaders, town mayors HIV (eMTCT) national campaign for c) Radio Talk-show and executive director, non- the Organization of the African First Hosted on Record TV – Health governmental organization and Lady (OAFLA), 69 million shillings to platform to discuss why HIV district leaders. support eMTCT interventions at the infection rates were on the community level in Kyankwazi district, increase and what can be done to c) Training and Capacity 28 million shillings to support Bunyoro avert the situation. The program Building kitara kingdom HIV prevention was hosted on 10th October • Enhanced Bunyoro Kitara and interventions and 16 million shillings 2012 from 1:00pm – 2:00pm. My Acholi cultural ministers’ skills to support EMTCT interventions role was to inform the audience to develop proposals soliciting among HIV positive mothers. of the possible reasons leading for funds which in turn led to to HIV incidences. securing of resources from ‘The fellowship has enriched Uganda Aids Commission (UAC) my career path with a wealth of d) manuscript submitted to support implementation of knowledge and skills in strategic Sarah Nakku, Euzobia Mugisha community based projects in communication, program design Baine, Joseph KB Matovu. Hoima district. and implementation, strategic Integrating gender in HIV • In partnership with Ministry leadership, high level advocacy and and AIDS programs: Health of Gender, trained over 60 networking with AIDS development workers’ perceptions in Uganda cultural leaders from Lira, Gulu, partners, UN family, government, (Submitted to BMC Intrernational Oyam and Mbale districts on cultural institutions and civil society Health and Human Rights engaging with communities organisations’, says Sarah. using community dialogues to LONG TERM FELLOWS 2011-2013 YEAR BOOK 17 PROGRAMMATIC ACTIVITY

Title: Development of a National Training Guide Project outcome: A national training guide was Integrating Gender in HIV and AIDS Programs developed encompassing modules on gender and HIV. The guide provides information on gender awareness, Background: Gender concerns are gaining increasing analysis and integration in HIV programs. It is a practical importance because of the primary mode of HIV/AIDS guide for trainers of trainers and it will support HIV transmission is sexual; gender norms shape attitudes management team to demonstrate how gender can be towards sexuality, sexual risk taking and information integrated in HIV programs. sharing on sex. It is thus critical for HIV programs to stress gender mainstreamed policies, plans and interventions. About UNAIDS

Objectives: To develop a national training guide to UNAIDS was founded in 1994 to lead and inspire the support strengthening of the capacity of district HIV world in achieving universal access to HIV prevention, management teams to integrate gender in HIV programs. treatment, care plus support. Headquartered in Geneva, Switzerland, UNAIDS is an amalgamation of all HIV Implementation approach: The idea of developing programs in the UN system, consequently drawing this training guide grew out of UNAIDS’ global plan of funds from UN agencies to conduct and coordinate its accelerating Country Action Plans for women, girls, activities. Its majorly funded by UNHCR, UNICEF, WFP, gender equality and HIV. On domesticating this plan, a UNDP, UNFPA, UNODC, ILO, UNESCO, WHO and the WB National Action Plan for Women, Girls, Gender Equality who are the core sponsors although it’s activities stretch and HIV was developed by the Ministry of Gender Labour to FAO , IOM, UN Women and UNHR. UNAIDS works as and Social Development as a road map for accelerating a secretariat, coordinating the activities of this ‘Joint team’ and institutionalising gender into HIV programming. under an agreed Division of Labour while ‘Delivering as In an effort to support implementation of the National one UN on AIDS’. UNAIDS focuses on leadership and Action Plan for women, girls, gender equality and HIV, advocacy for effective action on the epidemic through a national training guide integrating gender in HIV strategic information and technical support to guide programs was developed. The process of developing the efforts against AIDS worldwide; tracking, monitoring and training guide was participatory; studies about gender evaluation of the epidemic and of responses to it; civil and HIV integration were reviewed and this facilitated the society engagement and the development of strategic development of a tool that was used to conduct a national partnerships and mobilization of resources to support an stake holder’s analysis. Results from the stake holders’ effective response. With the 2011-2015 UNAIDS Strategy analysis indicated that majority of the respondents had of ‘Getting to Zero new infections’ Zero discrimination and limited knowledge about gender. Others emphasised the Zero AIDS related Deaths, the organization is continuing need of national guidelines and training about gender to champion advocacy on zero transmission of Mother and it’s relation to HIV and AIDS as first step towards To Child Transmission, positive prevention, treatment for integrating gender in HIV programs. Such statements prevention, universal access by addressing stigma and together with the literature reviewed facilitated the zero discrimination against People Living with HIV and development of the national training guide integrating AIDS, MSMs, CSWs, IDUs; plus safe male circumcision gender in HIV programs. all coined in one phrase: ‘the Prevention Revolution’. The strategy aims at revolutionizing HIV Prevention, catalyzing the next phase of treatment, care and support and advancing human rights and gender equality.

18 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 19 ABEL BIZIMANA

ABOUT THE FELLOW

Abel Bizimana holds a Master of Science degree in Health Services Management of Uganda Martyrs University; a Diploma in Health Promotion and Education and a Diploma in Clinical Medicine and Community Health both of which were awarded by the Ministry of Health (Uganda). Abel is a community-based clinician, a professional health manager and educator with rich experience in health systems management, advocacy, social mobilization and behavior change communication. For the last 14 years, Abel has managed health facilities, directed community-based programs, conducted operations studies and coordinated implementing partners Tel. +256 774 998 125; with Kisoro District Local Government, especially in strategic planning and +256 704 436 310 mass health campaigns. As an HIV/AIDS and Maternal and Child Health Email: [email protected] (MCH) Fellowship apprentice, Abel was hosted at Mildmay Uganda (MUg), a Christian-based organization that supports 16 districts in central Uganda Name of Host Mentor: to offer family-centered, comprehensive and integrated HIV prevention, care Dr. Yvonne Karamagi, Director and treatment services. The fellow led the site set-up & establishment of the Clinical Services, Mild may electronic information management system in 10 cervical cancer screening Uganda; sites in Uganda; he enhanced capacity of staff & leaders to generate, Ms Mary Odiit, Director Quality disseminate, use & follow-up on strategic information using population-based Assurance, Mild may Uganda data for performance measurement of HIV/AIDS and MCH programs. The fellow contributed to improved capacity of Faith-Based Organisations (FBO) Name of Academic Mentor: to mobilise resources for HIV services & deliver effective pastoral palliative Dr. Geoffrey Kabagambe, care. Abel intends to pursue a career in implementation science, collecting Program Manager, One Health and using evidence to influence policy and practice focusing on mothers and Central and Eastern Africa children. In his words, Abel says: “the fellowship training has shifted my point of view about what I perceived to be difficult: I am more knowledgeable, better in critical and creative thinking. I never knew that my own work could attract KEY APPRENTICESHIP the attention of a conference of international level. It happened when I made RESPONSIBILITIES an oral presentation at the 2nd Global Maternal Health Conference in January 2013 at Arusha International Conference Center in Tanzania!” While at Mildmay, Abel’s mentorship was guided by three terms of reference: through working with technical the fellowship training • Support the M&E department support teams to support to generate, analyze and providers at MUg and supported has shifted my point disseminate strategic districts; and of view about what information for decision making; • Contribute to program I perceived to be • Contribute to Health System development through research Strengthening project goals and resource mobilization difficult...

LONG TERM FELLOWS 2011-2013 YEAR BOOK 19 KEY ACCOMPLISHMENTS a. Support to the M&E developing strategies for staff of maternal and newborn care in department capacity improvement, retention Mityana as a baseline to initiate and motivation. quality improvement drive in the • Improved Health System • Abel was co-opted by MUg’s services mentioned. The results Strengthening (HSS) project training team to facilitate at the were shared by the stakeholders focus through review of project regional training workshops, at the hospital and district level. targets and indicators. The fellow training District Interfaith The findings were used to reviewed and refined indicators Committees to advocate for inform his programmatic activity of the HSS strengthening project resource mobilization to support planning. Two abstracts from this in order to improve measurement HIV service delivery. work were accepted as poster of project results. • Abel presided over the launch of and oral presentation at National • Strengthened district health combination prevention of HIV in Pediatric Conference (Uganda) system leadership and Kabalore district focusing on tea and Global Maternal Health partnerships through integrated plantation communities. Major Conference in Arusha, Tanzania strategic planning and by activities included dissemination respectively. working with District Health of the 2011 HIV indicator Management Teams (DHMTs) survey results to Kabalore Abel feels he has improved in and District Technical Planning district stakeholders, HCT and M&E planning and management, Committee (DTPC) members community sensitization. data use, human resource and development partners. capacity building, quality • Strengthened the capacity of c. Contribution to program improvement and research. health managers to develop development through and sustain quality improvement research and resource Abel presided projects. mobilization • Led the team that facilitated 6 over the launch ART health facilities in Wakiso • Established task-shifting district to identify and reduce practices in central Uganda of combination gaps in completion and use of to inform design of effective HIV/ART card. models for scaling up HIV service prevention of delivery. He led a team that b. Contribute to Health System developed a 600 Million Shillings HIV in Kabalore Strengthening project goals proposal, to support most-at- district focusing risk communities to combat HIV • Abel contributed to human infection and mitigate its effects on tea plantation resource capacity improvement in Wakiso district. The proposal at MUg and led the oriention of is in final stages of funding. communities. district and facility leaders on • Established the status of quality

20 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 21 PRESENTATIONS AND PUBLICATIONS leaders. The fellow presented at the invitation of the program manager as a dependable source of information. a) Presentations January 2013, Arusha International Conference Center (Tanzania) c) Print media Poster presentation on “Status • Community groups helping to of Maternal and Newborn care In b) Radio Talk-show save mothers in Kigezi Region; Public Hospitals: A case of Mityana The Monitor, July 7th 2011 Hospital” with focus on infection Two Radio talk-shows (Rufumbira • Raising HIV/AIDS hurts economy. prevention at health facilities during Program) on Uganda Broadcasting New Vision, July 12th, 2012 and after delivery. The event took Cooperation: one on HIV current • Uganda deserves a better place at the 6th National Paediatric trends and another on prevention managed health system. New HIV/AIDS Conference on12th-14th and management of cervical cancer. Vision, August 30th 2012 September 2012 The purpose of the talk shows was • Treat maternal death as a security to share the current trends of HIV matter. New Vision September Oral presentation on “Status of the and AIDS and the need to mobilize 25th, 2012 quality of delivery and newborn targeted women for cervical cancer • Employ professional Health care in public hospitals in Uganda: screening and management. Abel Counselors. New Vision, October A case study of Mityana hospital” highlighted government response 18th, 2012 The event took place at the Global in the two programs and what • Plan for blind, deaf on HIV Maternal Health Conference on 15th is expected from the public and prevention; The New Vision, December 10th 2012

d) submitted Manuscript

Bizimana A, Matovu J, and Kabagambe G. Assessing the quality of childbirth services at Mityana District Hospital, Central Uganda (Submitted to: BMC Pregnancy and Childbirth)

Abel (standing) presenting at the Arusha (Tanzania) International Conference Center Global Maternal Health Conference on 15th January 2013

LONG TERM FELLOWS 2011-2013 YEAR BOOK 21 PROGRAMMATIC ACTIVITY

Title: ‘Improving the Quality of Maternal Delivery and Newborn formed to plan response interventions. Priority interventions were Care Services through Staff Redeployment and Capacity Building identifying and redeploying at least 6 more midwives to maternity at Mityana Hospital’ and training all maternity staff in basic and emergency obstetric and newborn care based on WHO standards. Through internal Background: Although evidence shows that medical attention deployment processes and with support from district leaders, and hygienic conditions during delivery can reduce most life- six midwives were added to those working within the maternity threatening conditions of newborns and mothers, the quality of ward. This increased the number of mid-wives from 18 to 24. All maternal delivery and newborn care services remains poorly the 24 midwives were trained in quality improvement principles rated especially in developing countries. Poor quality care affects and their application to improve service delivery. Training results demand for and utilization of health services leading to increased show an increase in knowledge in basic and emergency obstetric morbidity and mortality. As more mothers deliver in health facilities, and newborn care: the average pretest score was 49% (range: 31- we need to increasingly critique the quality of services they get at 67%) while the average posttest score was 80.5% (range: 57-98%). the time of delivery and thereafter. Two months after training, all partographs were completely filled, depicting improvement in pregnancy monitoring. The CQI team Objectives: continues to observe trends in postpartum hemorrhage, neonatal • Determine the quality of maternal delivery and newborn care sepsis and fresh stillbirths to see whether they will reduce after services offered in Mityana hospital focusing on staff availability training, improvement of lighting, repair of equipments support & knowledge, infection prevention, functional resuscitation supervision. equipment, medical supplies and reliable utilities (light, water) • To respond to quality gaps using quality improvement Lessons learnt: Quality improvement is possible when leaders technique and staff work together to reflect on the performance. After the assessment, it was a surprise to some managers that some Implementation approach: Mityana Hospital is one of the of quality gaps existed. This led to recommitment to scale health facilities partnering with Mildmay Uganda in offering up supervision. Information collected and disseminated to integrated and comprehensive HIV and AIDS prevention, care stakeholders can generate additional resources to improve service and treatment services. Under this partnership, the fellow sought delivery; after disseminating results to stakeholders, the hospital to institutionalize quality improvement in the hospital, beginning got four additional health workers to support maternity services. with maternity services. To do this, we conducted an assessment of the quality of delivery and newborn care services, focusing on Recommendations: We recommend deploying more midwives staff availability and skills; medical supplies, infection prevention to maternity and training them in standard labour management. practices and opportunities and presence of functional equipment Routine training needs assessment should be carried out to and essential utilities such as water and light. We interviewed 17 identify and solve knowledge and skill gaps to promote quality out of 38 midwives employed by the hospital; reviewed data from service delivery. The hospital supervisory team should regularize maternity register for the year 2011; held 2 focus group discussions support supervision with standard tools to identify key quality gaps. with post-delivery mothers and made observations on infection Alternative light to hydroelectricity, running water, and repairing prevention practices and general status of infrastructure. Findings resuscitation equipment should be a priority. from the assessment revealed that the established midwifery posts at the hospital were 38 exceeding the norm of 25 midwives. About Mildmay Uganda However, many of these midwives compensated for the shortage of nurses because out of the 47 established posts for nurses Mildmay Uganda has a vision stated as “Communities equipped only 29 were filled. A number of midwives were assigned duties to effectively respond to HIV & other priority health issues” and on general wards causing inadequate staffing in maternity ward. mission of providing quality, sustainable comprehensive & family- The process related barriers include poor management of labor as centered HIV/AIDS services, training and research. It is a center reflected by inadequate knowledge of Active Management of Third of excellence in HIV/AIDS care and treatment and is currently Stage Labour (AMTSL). Out of 17 midwives who were interviewed, implementing Health System Strengthening (HSS) in 16 districts only 3 (17.5%) had ever heard about AMTSL. Waste material from of Central Uganda that runs from 2010 to 2015. The project aims maternity ward was poorly disposed of. Infrastructure-related at supporting district health systems to scale up HIV and AIDS barriers included poor lighting and inadequate running water. We services. The institution has just concluded establishment and found that the resuscitation equipment had broken down fictionalizing 10 cervical cancer sites in Uganda. A new project has been initiated in 16 districts of central Uganda to improve Project outcome: As part of our intervention to improve the district health systems’ capacity to Eliminate of Maternal-To-Child situation, we initiated a Continuous Quality Improvement (CQI) Transmission (EMTCT) of HIV. project within the maternity ward. Through this process, a team was

22 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 23 FARIDAH LUYIGA MWANJE

ABOUT THE FELLOW

uyiga Faridah Mwanje is a graduate of Mass Communication with over five years’ experience in print journalism accumulated at the Daily Monitor newspaper. She holds a Masters of Business Administration Ldegree from Makerere University. At the Daily Monitor, she progressed through the ranks from a reporter to the level of a Health Editor. While working as a Health Editor, she initiated and edited a variety of magazines that focused on health issues, including the health of women and children. This was in line with her passion to advocate for maternal and child health programs in Uganda. She left the Daily Monitor to enrol for the MakSPH-CDC Fellowship Program in 2011. Her intention of joining the Fellowship was to enhance her Luyiga Faridah Mwanje skills in development communication, advocacy and public health issues. P.O. Box 30227 Kampala. The fellowship has provided her an opportunity to learn strategic health Mobile: +256 772 968685 communication, leadership and management among other areas. She was Email: [email protected] placed at Communication for Development Foundation Uganda (CDFU), an NGO that specialises in Behaviour Change Communication (BCC). During her Name of Host Mentor: time there, she worked with different teams to document the institution’s work Ms Nankunda Allen, and increase the visibility of the organisation using various channels. She also Executive Director (Technical undertook a knowledge, attitudes and practices (KAP) survey in a selected Assistance)- Communication rural community in Mukono to help guide BCC interventions targeted towards for Development Foundation malaria prevention and control within the community. While undertaking these Uganda (CDFU) activities, she learnt first-hand what it takes to plan and perform operations research studies meant to inform programming as well as document and Name of Academic Mentor: disseminate research findings. Faridah has special interest in maternal and Dr. Noerine Kaleeba, Mentor child health and she is passionate about helping mothers and children by - MakSPH-CDC Fellowship leveraging her communication and advocacy skills. In her own words, Faridah Program; Founder and Patron - says: “The fellowship has been an enriching experience for me. I have a The AIDS Support Organisation good appreciation of what it takes and why it is important to package content (TASO Uganda); Chair-AMREF differently depending on the target audience. The programme has enriched my International Board of Directors. knowledge in strategic health communication”

District. The main activity was the Monitoring and Evaluation KEY APPRENTICESHIP conducting knowledge, attitudes department. RESPONSIBILITIES OF and practices (KAP) survey which 3. Provide technical support in the THE FELLOW was meant to inform the design documentation of CDFU’s work of a community intervention including success stories. 1. Take a lead in the design of aimed at malaria prevention and 4. Take lead in the development of a community intervention in control in Nsabwa village. the CDFU internal and external Nsaabwa village, Mukono 2. Provide technical support to newsletters.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 23 SIGNIFICANT FELLOWSHIP ACCOMPLISHMENTS 3. Participate in documentation 1. Take a lead on a CDFU of an M&E plan for CDFU and of CDFU’s work including community intervention in reviewed the organization success stories Nsaabwa village; Mukono strategic plan to help inform the • Ensured coverage of host District. development of the M&E plan. institution events such as • Farida planned and conducted CDFU implements many projects campaign launches, anniversary a Knowledge, Attitudes and and each of them has an M&E celebrations and profiles in Practices survey on malaria plan. The organization M&E plan newspapers, radio and TV prevention and control in was aimed at incorporating all • Published stories and opinions Nsaabwa Village, Mukono the project M&E plans into one about the host institution work in District, Uganda. overall plan. newspapers. The articles helped • Monitored host institution increase the visibility of the host 2. Provide technical support projects through field site visits, institution since it was the main to the Monitoring and audited activities and prepared implementing partner. Evaluation department and submitted monitoring • Wrote media releases for host • Participated in development reports to various stakeholders. institution campaigns and

Faridah conducts a Focus Group Discussion for a KAP survey on malaria prevention and control in Nsaabwa Village, Mukono District

24 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 25 other activities. Some of them • “Behaviour Change included one about the launch OTHER Communication can fight HIV of the Violence Against Women ACCOMPLISHMENTS among youth,” published in campaign, another about the the New Vision newspaper Rocks Awards, another about the • Coordinated the launch of the (November 30, 2012) launch of the Healthy Choices UNFPA Healthy Choices Radio radio program among others. Programs in 8 districts. CDFU The Fellow wrote nine articles These were aimed at alerting the is implementing the Healthy targeted for publication in the media and other stakeholders Choices program in the UNFPA Malaria Bulletin on World Malaria about the activities. grant-receiving districts of Day this year (April 25, 2013). The • Generated content for the host Kanungu, Mubende, Katakwi, nine articles are: institution’s website. This was Moroto, Kotido, Kaabong, Oyam in form of stories about activities and Yumbe. • A decade of fighting malaria in the host institution engaged in. Uganda This information was posted • Treatment of malaria during onto the CDFU website. Farida PUBLICATIONS pregnancy also continuously updated • Case management of malaria is the information on the CDFU crucial a) Print media: website. • Vector Control: Keeping • Wrote success stories; mosquitoes at bay • “Your blood donation could save interviewed beneficiaries of • Malaria control: The role of a mother’s life,” published in the the host institution projects advocacy and social mobilisation Daily Monitor ( (July 14, 2011) who shared their stories. The • Management the supply chain of • “Mothers deserve a conducive stories highlighted the impact anti-malarials office environment,” published of the CDFU interventions in the • World Malaria Day: Sustain in the Daily Monitor (August 5, communities. gains, save lives, invest in 2011) • Got media publicity for host malaria • “Access to maternal healthcare is institution work; engaged • Music: A fun way to deliver a basic human right,” published reporters from different media malaria messages in the New Vision (September houses to cover CDFU events • 3 interviews with malaria control 26, 2011) programme managers • “Real men protect their partners 4. Take a lead in the initiation against HIV and Violence” of the CDFU internal and b) manuscripts submitted published in the New Vision external newsletters Knowledge, attitudes and newspaper on World AIDS Day. • Started a monthly internal practices on malaria prevention (December 1, 2011) newsletter called The CDFU and control in Nsaabwa village, • “UNFPA orients village health Billboardand mentored a staff Uganda (Submitted to Malaria Teams on Healthy Choices,” member to take on the newsletter Journal) published in the Daily Monitor to ensure sustainability. (April 5, 2012) • Produced draft of the CDFU bi- annual external newsletter.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 25 PROGRAMMATIC ACTIVITY

Title: Knowledge, attitudes and susceptibility, seriousness and threat control was fair, it did not translate practices on malaria prevention and of malaria while practices towards into good practice behaviours. control in Uganda. A case study of malaria prevention and control In addition, while residents were Nsaabwa Village, Mukono District were defined as routine activities aware of the risks associated with and actions of individual or group suffering from malaria, they also Background: A clear understanding for prevention of malaria. These had a lax attitude towards preventive of the knowledge, attitudes and include the use of insecticide treated and control behaviour. Interventions practices of a particular community mosquito nets, using insecticides should reinforce good behaviour can inform the design of Behaviour to spray and control/clear mosquito and demystify the myths and Change Communication (BCC) breeding places. Quantitative data misconceptions held by residents campaigns to influence acceptance were analysed using STATA 12 and about malaria prevention and and use of any malaria control Microsoft Excel while qualitative data control. measures. Operational research to were analysed manually using a clearly determine what interventions thematic framework approach. Program and public health to carry out has not been undertaken implications in some areas such as Nsaabwa Results: Sixty one per cent Village in Mukono District. of respondents had “medium” Most of the respondents recognize knowledge about malaria prevention malaria as a threat to their lives and Objective: To assess knowledge, and control, scoring either 5 or 6 out community, thus malaria prevention attitudes and practices on malaria of a maximum 7 points (Mean score programs would be welcome. The prevention and control in Nsaabwa = 5.46 points, SD = 1.17). On the challenge is how to empower the village, Mukono District, Uganda. whole, respondents did recognise residents of Nsaabwa to positively the threat posed by malaria with modify their behaviour and practices Methods: A cross-sectional study majority of the participants (97.1%) towards malaria prevention and was conducted in June 2012 in agreeing with the statement: “I control. Improving people’s Nsaabwa Village. Quantitative think that malaria is a serious and knowledge about malaria and data were collected by means of a life-threatening disease”. Seventy closing the gap between knowledge structured questionnaire covering six percent of the respondents had and good practices is a challenge 140 households while qualitative “poor” practices towards malaria that a good BCC intervention can data were collected through four prevention and control. Despite most address. Besides informing BCC Focus Group Discussions (FGDs) households owning mosquito nets interventions, the results of this and 10 Key Informant Interviews (79%), participants of focus group KAP study can used to design and (KIIs). This study defined knowledge discussions confirmed that some improve the national malaria control of malaria as the ability of a person people do not use bed nets because programme. to have correct understanding they associate them with breathing of malaria in terms of causative difficulties. ABOUT CDFU agent, mode of transmission, signs and symptoms, treatment Conclusion/Recommendation: Communication for Development and prevention. Attitudes towards In general, although knowledge Foundation Uganda (CDFU) is a malaria were defined as beliefs on about malaria prevention and Non-Governmental Organization

26 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 27 that provides strategic/Behaviour • Uganda Indoor Residual Change Communication (BCC) Spraying (IRS) focusing on services aimed at improving people’s Sixty one per cent malaria prevention well-being. CDFU utilizes world- • Stop Malaria Project (SMP) proven evidence-based approaches of respondents addressing malaria prevention that emphasize participation of had “medium” • Healthy Choices (population stakeholders to influence social and development, reproductive and individual behaviour change. knowledge about health and gender) The services offered include • Adolescent Sexual Reproductive development of communication malaria prevention Health (ASRH) project focusing strategies and Information, on sexual reproductive health Education and Communication and control, scoring rights, early pregnancy, and (IEC) materials as well as capacity gender-based violence building in BCC and community either 5 or 6 out • Community Connector (nutrition, mobilization. The organization’s of a maximum 7 agriculture, gender, food security, focus areas include reproductive livelihood and promoting positive health, control of malaria, prevention, points (Mean score social and individual behaviour) care & support for HIV&AIDS, child • Northern Uganda- Health health, nutrition as well as financial = 5.46 points, SD Integration to Enhance Services education. The organization has (NU-HITES) project addressing wide experience in developing = 1.17). On the HIV, malaria and child health, interventions that utilize interpersonal whole, respondents productive health/ family & group communication, community planning and nutrition mobilization, advocacy, enter- did recognise the education as well as mass media CDFU also implements short- to reach out to people in need. threat posed by term projects in the areas of Long term projects where CDFU is communication, training and a partner providing BCC, IEC and/ malaria with majority capacity building, monitoring and or Community Mobilization support of the participants evaluation as well as research. In include: 2012, the organisation celebrated 10 (97.1%) agreeing years of existence under the theme; • STRIDES for Family Health “10 years of empowering individuals project (Reproductive health, with the statement:” and communities.” CDFU’s vision family planning and child is; “Empowered communities taking survival) I think that malaria action to improve their wellbeing.” • Strengthening TB and HIV&AIDS Responses in East, Central is a serious and life Uganda (STAR-EC) for HIV/AIDS treatening disease” and TB control

LONG TERM FELLOWS 2011-2013 YEAR BOOK 27 PETER MUKOBI

ABOUT THE FELLOW

r Peter Mukobi has a Master of Public Health and Bachelor of Dental Surgery from Makerere University, Kampala. He also possesses a post-graduate diploma in project planning and management Dfrom Uganda Management Institute. He has over eight years’ experience in decentralised health services management. He joined the Makerere University School of Public Health – Centres for Disease Control (MakSPH-CDC) Fellowship program in 2011 and was hosted at Uganda AIDS Commission (UAC). While at UAC, Peter built his competencies in strategic HIV/AIDS programming, capacity building, effective communication, Telephone contact: +256-774- advocacy for national priorities, mentoring at the national level and organising 408-225 HIV/AIDS research projects. Peter’s aspiration is to be a strategic leader in Email: [email protected] the public health and HIV/AIDS sectors with ability to influence management decisions at national and international levels. In his own words, Peter says, Host mentor: “The attributes attained through the fellowship program including strategic Dr. Zepher Karyabakabo; programming; advocacy and wide networking as well as ability to research and Director Policy, Research and communicate as a leader shall act as my launch pad into my career ambitions” Programming; Uganda AIDS Commission (UAC), Kampala (U) AIDS documents at UAC partnership framework including Academic mentor: • Participate in UAC coordination the National prevention Prof David Serwadda; activities like monitoring and committee, the partnership Department of Disease evaluation and organising committee, technical working Control and Environmental national advocacy events groups of the HIV/AIDS Health, MakSPH and Principal • Lead the identification processes partnership, the combination HIV Investigator, MakSPH-CDC for national HIV/AIDS research prevention committee, cultural Fellowship Program, Makerere priorities and programs at UAC leaders’ task force and Joint University, Kampala (U) • Offer support to working Annual AIDS Review committees committees of the HIV/AIDS

SIGNIFICANT FELLOWSHIP ACCOMPLISHMENTS KEY APPRENTICESHIP RESPONSIBILITIES OF a) Technical support to Prevention Strategy (NPS) 2011- THE FELLOW development of strategic 2015, the National HIV/AIDS HIV/AIDS documents Strategic Plan (NSP) 2011/12- • Contributed to refining strategies, 2014/15 and the National • Offer technical support towards reviewing of literature and final Monitoring and Evaluation plan development of strategic HIV/ editing of the National HIV (2011/12-2014/15).

28 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 29 • Drafted impact evaluation regions of Uganda through which c) Lead identification of HIV/ protocol and operational manual strengths and weaknesses in AIDS research priorities in for the intensified combination the coordination mechanisms in Uganda HIV prevention program in districts were identified • Through concept and strategy Uganda. • Was a lead facilitator during development, participated in the • Drafted concept for ongoing orientation of cultural leaders in revitalization of the National AIDS reinvigorated HIV prevention Busoga region and at the Inter- documentation and information communication campaign Religious Council of Uganda center at UAC as well as the (2013-14). (IRCU) regional meetings in monitoring and evaluation HIV/ • Initiated concept for an HIV/AIDS Uganda AIDS database. stakeholder mapping to lead • Was a lead facilitator at national • Through a desk review, compiled into an interactive stakeholder’s and regional dissemination an abstracted national inventory database in Uganda. By workshops for the NSP, NPS, of HIV/AIDS research in Uganda completion of fellowship, the National priority action plans 2009-2011 that is awaiting activity was still ongoing. (2011-13) and national HIV/AIDS finalization upon consensus • Developed a UAC HIV/AIDS M&E plans 2011-2015. building with selected workplace policy, which was • Participated during development stakeholders. incorporated in the revised UAC of advocacy materials like the • As a National Lot Quality human resource manual 2012. UAC bulletin, calendars, diaries Assurance Sampling (LQAS) b) Participate in UAC and HIV/AIDS fact sheets. facilitator, trained data collectors coordination activities • Participated in development of training materials and co- facilitated training of 10 districts (in northern and east-central regions of Uganda) in monitoring and evaluation of the national HIV response.

• Supervised the decentralized implementation of HIV/AIDS programs in the west Nile, northern and north eastern

Fellow (standing) facilitating M&E training workshop for participants from Mayuge, Jinja and Buikwe districts, in Jinja municipality

LONG TERM FELLOWS 2011-2013 YEAR BOOK 29 and supervised Health Facility PRESENTATIONS AND b) Print media: Assessment (HFA) processes in PUBLICATIONS • ‘Let us make more blood Kween, Kapchorwa and Budaka available’, The New Vision districts. a) Presentations: newspaper, 13th June 2011 • P. Mukobi, Z. Karyabakabo, • ‘HIV infections in children can d) Support technical working J. Matovu, R. Wanyenze; be tackled by taking services committees of UAC ‘Community and Service nearer’, The New Vision • Supported the Partnership providers perspectives of newspaper, 1st September 2011 Committee (PC) and National HIV male involvement in PMTCT • ‘Take that HIV test with your Prevention Committee (including in Uganda’, presented at the partner’, The New Vision their technical working groups one health conference 2013, newspaper, 2nd December 2011 and sub committees) in drawing Kampala, Uganda, February strategies, rapporteuring and 14th – 16th, 2013 c) manuscripts submitted: implementation of programs. • P. Mukobi, Z. Karyabakabo, • P. Mukobi, Z. Karyabakabo, • Supported the Joint AIDS J. Matovu, S.B. Kayongo, R. J. Matovu, S.B. Kayongo, R. Review and partnership forum Wanyenze; ‘Community and Wanyenze; ‘Service providers conferences in 2011 and 2012 Service providers perspectives and community perspectives (as a conference rapporteur and of male involvement in PMTCT on male involvement in PMTCT convener of selected thematic in Uganda: A qualitative in Uganda’ (Draft submitted to areas) research study’, submitted to BioMed Central Health Services • Represented UAC at the launch the International AIDS Society Research journal) of the safe male circumcision conference 2013, Kuala Lumpur, and elimination of mother to child Malaysia, June 30th – July 3rd, d) Journal articles: transmission of HIV campaign 2013 (under review) Karen P Neil, Samir V Sodha, Luswa in Kasese (as a member of the • P. Mukobi and Z. Karyabakabo; Lukwago, Shikanga O-Tipo,Matthew combination HIV prevention task ‘First year performance review of Mikoleit, Sherricka D Simington, team) the implementation of a National Peter Mukobi, Stephen Balinandi, • Participated in overall Strategic plan (2011/12-2014/15) Samuel Majalija, Joseph Ayers, planning, mobilizing resources, in a multi-sectoral HIV/AIDS Atek Kagirita, Edward Wefula, Frank developing advocacy materials response in Uganda’, submitted Asiimwe, Vianney Kweyamba, and commemorating of national to the International AIDS Society Deborah Talkington, Wun-Ju Shieh, advocacy events (as a member conference 2013, Kuala Lumpur, Patricia Adem, Brigid C Batten, of the national organizing Malaysia, June 30th – July 3rd, Sherif R Zaki and Eric Mintz. 2012. committees for the world AIDS 2013 (under review) A large outbreak of typhoid fever day (2011 and 2012), the associated with a high rate of Philly Lutaaya day (2012) and intestinal perforation in Kasese the candlelight memorial day District, Uganda, 2008-2009. Clinical (2012)). Infectious Diseases, 54(8):1091-9

30 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 31 PROGRAMMATIC ACTIVITY

Title: Assessing the approaches to male partner harmonization for effective male involvement in PMTCT. involvement in PMTCT in Uganda Policy and public health implications: This study Introduction: The call for involving men in Prevention will inform future development of an overarching national of Mother-to-Child Transmission (PMTCT) of HIV is part definition and policy priorities on male involvement in HIV/ of national and international policy guidelines. However, AIDS interventions. there is limited documentation of what constitutes ‘male involvement’ and approaches used to promote it. ABOUT UGANDA AIDS COMMISSION

Objectives: To describe service providers and Uganda AIDS Commission (UAC) was established by community members’ understanding and document a 1992 Act of the Parliament. As leader for the national existing approaches of ‘male involvement’ in PMTCT HIV and AIDS response in Uganda, the organisation programs in Uganda. envisions a population free of HIV and its’ effects and is mandated to coordinate strategic planning, resource Methods: This descriptive cross-sectional study was mobilisation, advocacy, information management, conducted in three districts (Kasese, Mayuge and Rakai) policy and research guidance as well as monitoring and in Uganda in May – November 2012. Overall, a total of evaluation of the multi sectoral HIV/AIDS response in the 89 out of 93 purposively selected service providers and country. Through a multi-sectoral approach for the control community members participated. They included 42 of HIV/AIDS, UAC led the country in reducing the national male respondents. In total, 11 key informant interviews, HIV prevalence amongst the general population from six in-depth interviews and six focus group discussions over 18% in the early 1990s to 7.3% in 2012. This was were conducted. Data collected included understanding, achieved through ensuring that harmony existed during approaches and obstacles to male involvement in planning and implementation for all HIV/AIDS programs. PMTCT. Information obtained was analyzed thematically Coordination of the response was effected through an using Atlas Ti software. all-inclusive partnership mechanism, which was instituted at national and decentralised levels. In order to ensure Results: Male involvement in PMTCT was generally that stakeholders at all levels aligned their resources described as men: a) accompanying their spouses; b) and interventions to national priorities, UAC has over the providing material and financial support; and c) using years guided the national HIV/AIDS response through family planning and HIV prevention measures. The leadership in the development and implementation of commonly cited approaches at community and service key strategic documents such as the HIV/AIDS policy, provision levels were men escorting spouses and couple National Prevention Strategy, National HIV/AIDS Strategic orientated services, respectively. While service providers plans and National Monitoring and Evaluation plans for the promoted male involvement through incentives and country. Using effective and efficient ways of mobilising education for men, community members utilized HIV and utilising resources, the commission plans to ensure prevention measures and provided material as well as that domestic HIV/AIDS spending is gradually increased. financial support to their spouses. Weak enforcement This will promote sustainability of sexual behaviour was cited by participants as a major obstacle to change interventions, attainment of the desired coverage promoting male involvement. Other commonly mentioned of essential biomedical HIV prevention interventions such challenges included the men’s stigma, fear of disclosure as PMTCT and antiretroviral treatment for persons living of HIV status and resistance to condom use. with HIV as well as promote a favourable environment that mitigates HIV/AIDS and its effects. All in all, UAC is Conclusion: The approaches to male involvement prepared to lead the country towards achieving zero new in PMTCT in Uganda are influenced by variations in HIV infections and related deaths as well as zero HIV/ understanding of the concept. Existing variations need AIDS related stigma and discrimination. LONG TERM FELLOWS 2011-2013 YEAR BOOK 31 SUSAN BABIRYE KAYONGO

ABOUT THE FELLOW

Susan Babirye Kayongo holds a Master’s Degree in Public Health Leadership from Uganda Christian University and a Bachelor of Mass Communication from Kampala International University. Susan also received additional training in development of youth programs from Radio Netherland Training Center. Susan has extensive experience in social and behavioral interventions with a concentration in health and development communication and community- based health service delivery. Susan’s specialized areas of interest include: family planning, adolescent sexual and reproductive health, and maternal and child health. Susan was attached to FHI360 during her Fellowship. FHI360 is P.O BOX 755, MUKONO a global development organization with rigorous, evidence based approach TEL: +256 712 210002 or dedicated to improving lives through a highly diversified program in health, +256 712 200048 nutrition, education, economic development, civil society, environment and EMAIL: [email protected] research. While at FHI360, Susan supported two community-based family SKYPE: susanbabiryekayongo planning/HIV counseling & testing service delivery projects. This exposure enabled her to interface with several local governments, Ministry of Health and Host Mentor: its stakeholders both at national and local levels. Susan also acquired and Dr. Angela Akol, enhanced her skills in program leadership and management, communication Country Director, FHI360 and research. Susan’s aspiration is to pursue a senior management role in programming and to obtain a PhD in order to consolidate her work. In her Academic Mentor: own words, Susan had this to say: “The fellowship has made a very big Dr. Suzanne N Kiwanuka, transformation in my career and if I could go back in time, no doubt I would still Senior Lecturer, Makerere apply for it. I thank God for this opportunity, for the professional growth and for University School of Public all the other opportunities that came with the fellowship”. Health based family planning services for the Program Research for in 2 districts. Strengthening Service Delivery KEY APPRENTICESHIP 3. Develop and implement a (PROGRESS) project. community mobilization strategy RESPONSIBILITIES OF THE FELLOW SIGNIFICANT FELLOWSHIP ACCOMPLISHMENTS 1. Lead on the interventions related to the Community-Based 1. Lead on the interventions and monitoring of the community Delivery of Integrated Family related to the Community- based family planning/HIV Planning/HIV Counseling & Based Delivery of counseling and testing (FP/HTC) Testing services study. Integrated Family Planning/ study intervention in two districts 2. Lead the set up and HIV Counseling & Testing of Uganda. implementation of community services study. • Assisted in coordination of • Lead the set-up, implementation the FP/HTC study approval

32 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 33 application processes. 2. Lead the set up and • Developed IEC materials (FP flier • Finalized the FP/HTC study implementation of and poster) for the PROGRESS Quality Assurance mechanism community based family project. with the Central Public Health planning services in 2 • Participated in the reviewing of Laboratories and Uganda Virus districts. the VHT client register (M&E Research Institute Laboratory. • Lead the PROGRESS project tool). • Coordinated and facilitated at scale up of technical assistance • Oriented health center staffs in two stakeholders’ meetings on for community based family Kanungu and Busia on the new FP/HTC study intervention in planning project from 3 to 11 VHT data collection tool. Busia and Kanungu. districts. • Calculated descriptive statistics • Coordinated the processes for • Participated (interviewed) in the of VHT client’s data to input in the development of the training recruitment of two project staff, the project quarterly reports curriculum for the FPHCT oriented and supervised these and also interpreted this data study and also developed and project staffs on the PROGRESS to inform subsequent project reviewed 3 modules. project. performance. • Developed an integrated FP/ • Coordinated and facilitated • Documented best practices HTC flipchart to facilitate VHTMs at two district stakeholders’ and success stories for the while offering the integrated meetings on the scale up of PROGRESS project. services. community-based distribution • Compiled the quarterly • Coordinated two (2) trainings of contraceptives in Busia and PROGRESS project report of VHTMs on the provision of Kayunga. submitted to the donor. integrated family planning and • Coordinated ten (10) trainings HIV testing and counseling of VHTs on the provision of short 3. Develop and implement services at community level (40 term FP methods and counseling Program Research for VHTs trained). services at community level (over Strengthening Service • Supported the two study districts 200 VHTs trained). Delivery (PROGRESS) to strengthen management • Supported the CBDFP project specific community systems for community-based implementing districts to mobilization strategy FP/HCT. strengthen management • Conducted a formative • Supported VHTs to raise FP/HCT systems for community-based assessment to identify family awareness through community F P. planning stakeholders, meetings. • Mentored Health Center staffs information needs and gaps as • Mentored Health Center staffs in Kanungu and Busia on the well as popular and influential in Kanungu and Busia on the supervision of VHTs. communication channels at supervision of VHTMs. • Provided quarterly joint support community level. This informed • Provided quarterly joint support supervision to the project the development of a community supervision to the study districts districts and health facilities. mobilization strategy. and health facilities. • Supported VHTs to raise FP • Developed the PROGRESS awareness through community project community mobilization meetings. strategy.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 33 Fellow (standing) facilitating discussions during one of the CBDFP quarterly support supervision visits in Busia

OTHER ACHIEVEMENTS:

• Developed a concept paper for a communication and advocacy campaign aimed at enhancing community confidence in family planning services and improving engagement of the district health team in the community-based FP project in Nakaseke district. • Led the conceptualization (proposal writing) and exposed me to research work and 20th – 22nd 2011. implementation of an operations working with virtue teams and this research on the uptake of further improved my interpersonal 2. Susan Babirye Kayongo. modern contraceptives among communication, analytical skills as Reaching young people with young people aged 15 to 24 well as use of information technology sexual and reproductive health years in Busia district. applications. information through a magazine • Wrote and submitted four radio programme: experiences conference abstracts and from Straight Talk Foundation in two were accepted for oral PRESENTATIONS AND Uganda. Oral presentation at the presentation. PUBLICATIONS 5th International Entertainment Education Conference, New In brief, the fellowship experience a) Presentations Delhi, India. November 17th – enhanced my leadership, analytical, 1. Susan Babirye Kayongo. 20th 2011. communication, negotiation and Exploring cultural practices networking skills, specifically during the postpartum among b) Print media around working with new partners, mothers of Buwaiswa community maintaining old partners and in Mayuge District of Uganda. 1) Susan Babirye. Budget 2011: negotiating with different audiences. Oral presentation at the MakCHS How much is set for Maternal It also challenged me with multiple 7th Annual Scientific Conference, Health. The New Vision. June 1, deadlines, thereby teaching me to Kampala, Uganda. September 2011 multi task. My fellowship placement

34 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 35 2) Susan Babirye. Responsible despite the low staffing. The Daily providers on access to fatherhood is pathway to safe Monitor. May 31, 2012. contraceptives among young motherhood. The New Vision. 7) Susan Kayongo. Make people in rural eastern Uganda. June 19, 2011 contraceptive delivery to BMC Health Services Research 3) Susan Babirye-Kayongo. youth friendly. The New Vision. Journal (under review) Breastfeeding interventions September 26, 2012 should focus on community 8) Susan B. Kayongo. Let us focus d) manuscripts in preparation: approaches. The New Vision. on strategies for young people August 1, 2011. to reduce the HIV epidemic. The Kayongo SB at el: Do 4) Susan Babirye. Save women Daily Monitor. December 1, 2012. community-based distributors by taking contraceptives closer 9) Susan Babirye Kayongo. Young of contraceptives reach young to them. The New Vision. people should be priority on people and what are young September 30, 2011 Uganda’s HIV/AIDS Agenda. The people’s perspectives of their 5) Susan B. Kayongo. Health sector New Vision. December 3, 2012. services? To be submitted to the can improve service delivery International Perspectives on despite the low staffing. The New c) manuscripts submitted: Sexual and Reproductive Health Vision. May 28, 2012 Journal 6) Susan B. Kayongo. Health sector Kayongo SB at el: The can improve service delivery perspectives of clients and

Susan developed a concept paper for a communication and advocacy campaign aimed at enhancing community confidence in family planning services and improving engagement of the district health team in the community-based FP project in Nakaseke district.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 35 PROGRAMMATIC ACTIVITY

Title: Uptake of Modern 20 years. A big proportion (62%) of interventions. Contraception among Youths (15-24) sexually active youths reported using • Capacity building interventions At Community Level in Busia District, modern contraception. Condom was are urgently needed to target drug Uganda the most used method at 71.7%, shop operators for their safety followed by Depo-Provera at 31.8%. and that of their clients. This Introduction: High fertility among Sex and marital status were found to should be followed by processes youths aged 15-24 years is a public significantly influence condom use of revisiting Uganda’s regulatory health concern in Uganda with [sex: OR =2.74; 95% CI = 1.61-4.66; and policy environment on drug teenage pregnancies constituting marital status OR =2.27; 95% CI = shop services, after all evidence 25% of all pregnancies. Despite 1.11-4.65] whereas, age and marital shows that even Village Health a conducive policy environment status had a statistical significance Team members with limited and several contraception delivery with use of Depo-Provera [age: training, can safely administer the approaches, a large proportion of OR=0.43, 95%CI= 0.21-0.87; marital injectable contraceptive. sexually active Ugandan youths have status: OR=0.13, 95%CI= 0.06-0.31, never used contraceptives. respectively]. Qualitative data showed ABOUT FHI 360 gaps such as limited contraceptive Objectives: The purpose of this options, inconsistent supply and, FHI360 is a global, non-profit study was to assess the uptake absence of counseling from drug organization dedicated to improving of modern contraceptives and the shop operators. IDI’s revealed that lives by advancing integrated, factors that influence uptake among providers had misconceptions locally driven solutions to human youths (15-24) in Busia, Uganda. about contraceptives, negative development. FHI360 was created attitudes towards the provision of in 2011 when the teams of experts Methods: This was a descriptive contraceptives to young ones and from Family Health International cross sectional study conducted unmarried young people. and the Academy for Educational between May and August, 2012. Development came together into one It consisted of a mix of qualitative Conclusion: Majority of the sexually organization. Together, FHI360 offers and quantitative methods i.e. a active youths used contraceptives and a unique mix of capabilities to address community survey, four Focus uptake of a given method was mainly the inter-related areas of human Group Discussions (FGDs) with 48 influenced by age and marital status. development for example; health, sexually active youths (24 users and Therefore, to improve contraceptive education, economic development, 24 non-users of contraceptives) and uptake among young people, age civil society, environment, gender eight in-depth (IDIs) interviews with and marital status of targeted youths and youth. FHI 360 operates from contraceptive providers. Quantitative should be put into consideration and 60 offices with 4,400 staff in the data were analyzed using SPSS dispensing contraceptives should U.S. and around the world. FHI360’s while qualitative data analyzed be accompanied by adequate commitment to partnerships at manually using a thematic framework information to facilitate continuity. every level and her multidisciplinary approach. approach enables her to have Policy and public health implications: lasting impact on the individuals, Results: A total of 323 sexually • Different groups of youths have communities and countries its serves active young people participated individual uniqueness and thus improving lives of millions. FHI in the survey. Female respondents different needs. Therefore efforts 360 envisions a world in which all constituted the biggest proportion to promote contraceptive use individuals and communities have (62%) of the survey respondents among youths should focus on the opportunity to reach their highest where as 13% (43/323) of all the survey specific subgroups of young potential. respondents were married and below people rather than generalized

36 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 37 PATRICK KOMAKECH

ABOUT THE FELLOW

atrick Komakech holds a tropEd European Masters of Science in International Health and a Bachelor of Medicine and Bachelor of Surgery degree from Makerere University. Before joining the Pfellowship Patrick had held positions as a clinician and research physician, positions that had did not give him an in depth grasp of program management. Patrick joined the fellowship program in May 2011 and was attached to United Nations Population Fund (UNFPA). UNFPA is a United Nations agency whose goals are achieving universal access to sexual and reproductive health (including family planning), promoting reproductive rights, reducing maternal mortality and accelerating progress on the International Email: [email protected] Conference on Population and Development (ICPD) agenda and Millennium Tel: +256 782 378 980 Development Goal 5. UNFPA also focuses on improving the lives of youths and P.O.Box 31841 Clock Tower, women by advocating for human rights and gender equality and by promoting Kampala. the understanding of population dynamics. At UNFPA I have ably supported the combination HIV program, set up an electronic health information system Name of Host Mentors: for the Uganda Police Force and provided technical support in developing Ms Rosemary Kindyomunda, reproductive health service delivery models for sex workers. In his own words, National Program Officer HIV/ Patrick says, “The fellowship program has not only given me an opportunity AIDs, UNFPA to put into practice the program management skills learnt in a classroom environment, but has exposed me to processes of national strategy and policy Dr Wilfred Ochan, Assistant formulation. I have polished my communication skills through the conference Representative, UNFPA presentations made, newspaper article written and journal manuscript written. I leave the fellowship a different person and look forward to use the knowledge Name of Academic Mentor: and skills attained during the two years to position myself in a leading role for Dr Achilles Katamba, Lecturer, Uganda’s HIV prevention response.” School of Medicine, Makerere University College of Health review UNFPA supported studies electronic Health information Sciences 3. Support the UPMS to set up an System

KEY APPRENTICESHIP SIGNIFICANT FELLOWSHIP ACCOMPLISHMENTS RESPONSIBILITIES OF THE FELLOW a) support the combination HIV process. The baseline assessment prevention program was to inform combination • Drafted terms of reference for HIV prevention programming 1. Support the combination HIV the combination HIV prevention and development of planning prevention program. baseline assessment in 6 frameworks in the focus districts. 2. Support the development of focus districts and successfully UNFPA annexed the terms of service delivery models and managed the proposal evaluation reference to the contracts signed

LONG TERM FELLOWS 2011-2013 YEAR BOOK 37 by the consulting team. Through provide technical oversight to to develop feasible approaches this activity, my analytical skills, the CHP programmatic baseline through which districts would team management coordination assessment. This gave me an the process of service delivery skills were improved. I also learnt opportunity to enhance my written to FSWs and come up with a how to manage procurement communication skills workable model for SRH/HIV/MH processes • Developed the concept note integrated delivery at district level. • Developed the budget for the and Tor for development of a These models are currently being combination HIV Prevention leadership advocacy strategy piloted. (CHP) baseline assessment and for the National HIV Prevention • Provided technical support for orientation of district and national Strategy 2011-2015. This study on Cultural Norms, Values stakeholders. Through this I learnt was a joint activity between and Practices that impact on how to budget and financially UNFPA and Uganda AIDS HIV/AIDS, Maternal Health and manage multi-million shilling Commission that gave me an Gender Based Violence in the (UGX 450M) programs opportunity to improve my written cultural institutions of Buganda, • Developed monitoring communication skills and at the Acholi, Teso, Lugbara and Lango. &evaluation (M&E) indicators and same time an opportunity to learn The purpose of this study was to framework for the CHP program institutional collaborations document the impact of cultural and through this I enhanced my • Reviewed inception reports and norms on AIDS, marternal Health M&E skills the study protocol of the CHP and Gender Based Violence and • Represented UNFPA in evaluation baseline assessment in the six to establish ways of supporting of concept papers and proposals focus districts. This offered me the cultural institutions to address for structural and behavioural an opportunity to improve my the negative norms interventions under Civil Society analytical skills • Developed a concept note for a Fund (CSF). This gave me the • Co-investigator of the CHP study on the impact of HIV/SRH opportunity to sharpen analytical programmatic baseline integration on maternal health and appraisal skills assessment. As a co-investigator and for condom use among • Led the process of evaluating I took part in the study protocol circumcised UPDF men. This proposals for undertaking development process and the study is planned for this year the programmatic baseline training of research assistants. • Coordinated the peer review assessment studies by designing This enhanced my writing and process of the Uganda Peoples the evaluation tools, coordinating research skills Defense Forces HIV/AIDS the evaluation team and writing Knowledge Attitudes and Practice the final evaluation report. I b) support the development of study and Ministry of Gender also participated in contract service delivery models and Labor and Social Development management of the study teams. review UNFPA supported cultural studies. This task included Through this process my skills in studies selecting peer reviewers, chairing leading and managing teams was • Provided technical support in the a peer review meeting and writing enhanced development of HIV/SRH service a peer review report. • Drafted the terms of reference for delivery models for Female the Technical Review Panel (TRP) Sex workers (FSWs) in Arua c) support the Uganda Police for the programmatic baseline and Kalangala and SRH/HIV/ Medical Service (UPMS) to assessment studies. The TRP is MH integrated service delivery set up an electronic Health a panel set up by AIDS Control model for Katakwi district. The information System Program-Ministry of Health to purpose of these models was • Wrote concept note and

38 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 39 proposal for an electronic health A cross sectional study. Oral A cross sectional study. Oral information system for Uganda presentation at the Makerere presentation at the 8th Annual Police Medical Services University Medical Students Scientific Conference of Makerere • Reviewed the indicators and data Association International Child University College of Health collection tools. We reviewed Health Conference. Kabira Sciences. Silver Springs Hotel, the HMIS form 081 and the M&E country club, Kampala. 18th to Kampala. 26th – 28th September framework for the Uganda Police 19th November, 2011. 2012. Force HIV prevention strategy • Komakech Patrick, Kindyomunda and realigned the indicators with Rosemary and Wilfred Ochan. b) Print media the data collection tools. Access to SRH/HIV services by • “HIV fight: Couple antenatal • Trained 6 UPMS health workers Female Sex Workers in Kampala attendance is the way to go.” The in data management and use of district: A cross sectional study. New Vision newspaper 15th June the electronic health information Oral presentation at the 8th 2011. system Annual Scientific Conference of • Installed, pretested and Makerere University College of c) manuscript submitted commissioned an electronic Health Sciences. Silver Springs • Komakech Patrick, Kindyomunda health information system based Hotel, Kampala. 26th – 28th Rosemary and Wilfred Ochan. on the OpenMRS platform September 2012. Pregnancy rates and pregnancy • Komakech Patrick, Kindyomunda outcomes among Female Sex In summary the above activities have Rosemary and Wilfred Ochan. Workers in Kampala district: A enabled me gain competencies in the Pregnancy rates and pregnancy cross sectional study. Submitted domains of (1)information technology outcomes among Female Sex to BMC pregnancy and childbirth. for leadership, (2)mentoring, coaching Workers in Kampala district: and support supervision in leadership, (3) management and leadership, and (4) Interpersonal and effective communication in leadership.

PRESENTATIONS AND PUBLICATIONS a) Presentations • Komakech Patrick. The impact of child domestic work on the health of child domestic workers:

Patrick making a clarification during the data management training for Uganda Police Medical Services staff

LONG TERM FELLOWS 2011-2013 YEAR BOOK 39 PROGRAMMATIC ACTIVITY

Title: Establishing an integrated the HMIS form 081 and the M&E with minimal IT knowledge can electronic Health Information System framework for the Uganda Police be trained on job and perform for the Uganda Police Medical Force HIV prevention strategy and the basic tasks of managing an Services made adjustments to the indicators electronic HIS to align with the data collection tools. Background: Health information is This was followed by training of 6 Recommendations: We vital for decision making across all the UPMS staff in data management recommend that this system be rolled health system building blocks. The and use of the OpenMRS system. out to other Uganda Police Medical Uganda Police Medical Services uses We customisized the OpenMRS Services health units so as to fully a paper based health information system used by ACP-MoH for UPMS, attain the goal of this programmatic system based on the ministry of piloted the system and later on activity and improve information health reporting tools. The current commissioned after addressing the management and use. system faces untimely, incomplete short falls identified in the pilot. and inaccurate reporting. United Policy and public health implications: Nations Population Fund supported Project Outcome: An electronic The limited computer knowledge Uganda Police to set up an electronic health information system based among most of the public health health Information System (eHIS) at on the OpenMRS platform was workers should not act as a hindrance the Uganda Police Kibuli ART clinic. established. The key attributes of the to rolling out electronic health system are that it supports data entry, information systems. Objectives data export, cohort management, To general objective was to strengthen reporting generation, has a concept ABOUT UNFPA technical and institutional capacity dictionary and data security features for data management and use in the among others. The system can work UNFPA, the United Nations Uganda Police Medical services. The as a standalone workstation or can Population Fund, is a United Nations specific objectives were to: support multiple workstations linked agency that promotes the right of 1) Establish an electronic Health through a server. We have for the every woman, man and child to enjoy Information System for the start set up a standalone workstation. a life of health and equal opportunity. Uganda Police medical services The system has improved patient UNFPA supports countries in using Kibuli ART clinic by September management in terms of tracking population data for policies and 2012, patient progress on treatment programs to reduce poverty and (2) Improve the, timeliness, and flagging of patients that are to ensure that every pregnancy is completeness and accuracy of not performing well on treatment. wanted, every birth is safe, every reports submitted from Kibuli ART Additionally clinic reports are now young person is free of HIV/AIDS, clinic to the UPMS headquarters generated at a click of a button and every girl and woman is treated and Ministry of Health and (3) to and data easily analyzed to inform with dignity and respect. UNFPA improve data management skills programming. is currently implementing its 7th of 6 Police personnel in Kibuli GoU country program 2010 – 2014 ART clinic by September 2012. Lessons Learned: focusing on three main components i.e. Reproductive Health, Population Implementation Approach: The • We learnt that, for staff to embrace and Development and Gender eHIS was set up at Uganda Police a program/system, they have to equality. UNFPA works through Kibuli ART clinc and implemented be fully involved in all stages of its government ministries and agencies, using both modular and pilot and implementation. 8 districts and a number of national scale-up approach. We reviewed • We also learnt that health workers NGOs to implement the program.

40 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 41 MATTHEW LUKWIYA AWARD

working at Lacor Hospital at the he commented before he died that time of the Ebola epidemic in he would “continue fighting Ebola 2000. Dr Lukwiya not only showed alone if necessary until the virus is remarkable outbreak investigation beaten or until I am dead”. Tragically, skills by recognizing the clinical his willingness to continue caring for manifestations of Ebola infection and patients and leading his health care having specimens tested to confirm team also led to his death by Ebola the infection, but also outstanding acquired while caring for a patient leadership by running the Lacor with the illness. clinical team Dr Lukwiya understood the risks that he and his colleagues MakSPH instituted an award to honor were taking while caring for patients Dr Matthew Lukwiya, to be given out during the epidemic. At the funeral of to any long-term Fellow who has an Italian nun on 7 November 2000, demonstrated personal sacrifice, Background to the he attempted to rally the morale of devotion, and leadership in carrying Award his workers: “It is our vocation to out professional responsibilities save life. It involves risk, but when during his/her apprenticeship at a he Matthew Lukwiya Award we serve with love, that is when the host institution. Dr Matthew Lukwiya is given in recognition of the risk does not matter so much. When exhibited the following qualities outstanding commitment we believe our mission is to save which are considered in selecting Tand dedication exhibited lives, we have got to do our work.” the Matthew Lukwiya Award winners: by Dr Matthew Lukwiya during However, despite instituting risk • Leadership the treatment of Ebola-infected minimization procedures, including • Dedication to career patients. He died in the process. Dr wearing of robes, multiple gloves, • Commitment Matthew Lukwiya was a physician surgical masks and goggles, • Professionalism who obtained his Masters of Public hospital workers continued to fall • Innovativeness Health at Makerere University ill. But he was dedicated to his • Productivity School of Public Health. He was patients and to public health and • Selflessness

MakSPH instituted an award to honor Dr Matthew Lukwiya, to be given out to any long-term Fellow who has demonstrated personal sacrifice, devotion, and leadership in carrying out professional responsibilities during his/her apprenticeship at a host institution.

LONG TERM FELLOWS 2011-2013 YEAR BOOK 41 Matthew Lukwiya Award recipients

Eight Fellows – one per intake – have received the Matthew Lukwiya Award since the Fellowship Program was initiated. The table below shows the different Matthew Lukwiya Award recipients since 2002.

Name of Fellow Intake Date Award Given Awarded by Mr Timothy Wakabi March 2002-2004 April 25th, 2003 Mr Jimmy Kolker, US Ambassador to Waiswa Uganda Ms Gloria Katusiime October 2002-2004 December 18th, 2003 Mr Sam Ngobi, Academic Registrar, Makerere University Dr George Didi Bhoka October 2003-2005 December 2nd, 2005 Prof Livingstone Luboobi, Vice Chancellor, Makerere University Dr Stella Alamo October 2004-2006 January 19th, 2007 Dr Emmanuel Otaala, Hon. Minister of State for Primary Health Care Ms Evelyn Akello October 2005-2007 November 2nd, 2007 Mr. Andrew Chritton, Charge D’Affaires, US Embassy Kampala Dr Alfred Geoffrey Okiria April 2008 - 2010 March 26th, 2010 Prof Venansius Baryamureeba, Vice Chancellor, Makerere University Mr Jotham Mubangizi May 2009 - 2011 May 10th, 2011 Dr Tadesse Wuhib, Director, CDC Uganda Mr Ediau Michael April 2010 - 2012 May 4th, 2012 Dr Tadesse Wuhib, Director, CDC Uganda

CURRENT EMPLOYMENT STATUS OF THE MATTHEW LUKWIYA AWARD WINNERS

Name of Fellow Intake Current Position/Organization Mr Timothy Wakabi Waiswa March 2002-2004 M&E Officer, One Health East and Central Africa (OHCEA), MakSPH Ms Gloria Katusiime October 2002-2004 Independent Consultant Dr George Didi Bhoka October 2003-2005 Country Director, AMREF, Southern Sudan Dr Stella Alamo October 2004-2006 Executive Director, Reach Out Mbuya HIV/AIDS Initiative, Kampala Ms Evelyn Akello October 2005-2007 Senior Hospital Administrator & Finance and Administration Manager, Murchison Bay Hospital, Luzira & CDC-Uganda Prisons Service Collaborative Project Dr Alfred Geoffrey Okiria April 2008 - 2010 Independent Consultant Mr Jotham Mubangizi May 2009 - 2011 Coordinator, UNAIDS Country Office, Uganda Mr Ediau Michael April 2010 – 2012 Project Coordinator (HIV&AIDS, Maternal & Child Health), ChildFund Uganda

42 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 43 CURRENT EMPLOYMENT STATUS OF ALUMNI FELLOWS – MARCH 05, 2013 INTAKE 1 – MARCH 2002 – 2004 Name Job Title Organisation 1. Dr Christine Nabiryo Executive Director TASO 2. Mr Erasmus Otolok Tanga Chief of Party, SPEAR Project USAID, RTI and World Vision collaboration 3. Ms Jennifer Frances Bakyawa Independent Consultant 4. Dr Jim Arinaitwe Global Fund Coordinator Ministry of Health, Uganda 5. Ms Linda Kavuma Luyiga Independent Consultant 6. Dr Primo Madra National Program Officer/ Emergency UNFPA, Kampala 7. Mr Timothy Waiswa Wakabi Monitoring & Evaluation Officer, OHCEA MakSPH Project INTAKE 2: OCTOBER 2002 -2004 1. Dr Gideon Amanyire Program Manager Makerere University Joint AIDS Program (MJAP) Mbarara area 2. Dr Henry Barigye Head of Department, Department of Kampala International University Pediatrics 3. Dr Moses Bateganya HIV Care & Support Team Lead, HIV Care Division of Global HIV/AIDS, Centers for & Treatment Branch Disease Control & Prevention, Atlanta, Georgia, USA 4. Ms Gloria Katusiime Independent Consultant - 5. Dr Charles Mugizi Clinical Advisor International Center for AIDS Care and Treatment Programs (ICAP), Lesotho. 6. Dr Cecilia Nawavvu Program Manager Makerere University Joint AIDS Program (MJAP) Kampala area 7. Ms Irene Kambonesa Independent Consultant African Palliative Care Association (APCA) Tumuhirwe 8. Rhoda Wanyenze Program Director, MakSPH-CDC MakSPH Fellowship Program INTAKE 3 – OCTOBER 2003 – 2005 1. Mr Bob Edrisa Mutebi Public HIV Health Specialist State of California, USA 2. Dr Enid Mbabazi Mugisha Chief of Party, USAID REACH-U Project MJAP, Kampala 3. Dr George Didi Bhoka Country Director AMREF, South Sudan 4. Dr. Hizaamu Rhamadhan Executive Director Harnessing Indigenous Potentials – Africa, Uganda 5. Mr. Ibrahim Musa Lutalo Data Management Consultant IDI-Infectious Diseases Institute, CSF-Civil Society Fund and RRH-Regional Referral Hospitals Project 6. Ms Joan Mugenzi Health &HIV M&E Specialist World Vision International, East Africa region 7. Ms Juliet Kanyesigye Research Fellow Center for Basic Research, Kampala, Uganda 8. Dr Sarah Asiimwe Short-term Technical Advisor National AIDS Control Program, Liberia 9. Mr Robert Kamoga Independent consultant

LONG TERM FELLOWS 2011-2013 YEAR BOOK 43 INTAKE 4 – OCTOBER 2004 – 2006 Name Job Title Organisation 1. Ms Sharon Ajedra Amacha Community-based Treatment Services Institute of Human Virology of the University of Advisor Maryland, School of Medicine Program 2. Dr Vincent Bagambe Kamishani Quality Assurance Manager, Global Fund Ministry of Health, Uganda 3. Dr Edrine Namayanja Deputy Chief of Party, USAID REACH-U MJAP Kampala Kamugisha Project 4. Dr Solome Nampewo National Program Manager, Health and Swedish Embassy HIV/AIDS 5. Dr Nkoyooyo Abdallah Director of Programs and Planning AIDS Information Center 6. Dr Innocent Bright Nuwagira Medical Officer, Monitoring and Evaluation World Health Organization Regional Office for Inter-country Support Team for East and Africa, Harare, Zimbabwe Southern Africa 7. Mrs Julianne Etima-Ongom Deputy Director, Programs Makerere University Johns Hopkins Research Collaboration 8. Mrs Esther Nabukeera Sempiira National Coordinator and Deputy Director, Management Sciences for Health, Uganda STAR-E LQAS Project 9. Mr Elly Ssebyatika M&E Advisor Medical Access Uganda Ltd 10. Dr Stella Alamo – Talisuna Executive Director Reach Out Mbuya Parish HIV/AIDS Initiative 11. Mrs Penninah Kyoyagala- National Program Officer (Mbarara Office) UNFPA Tomusange INTAKE 5 – OCTOBER 2005 – 2007 1. Ms Evelyn Akello Senior Hospital Administrator & Murchison Bay Hospital, Luzira/ Finance and Administration Manager CDC-Uganda Prisons Service Collaborative Project 2. Dr Francis Mulekya Bwambale Monitoring & Evaluation Specialist Makerere University Regional Center for Quality of Health Care 3. Ms Kellen Namusisi Monitoring & Evaluation Specialist Center for Tobacco Control in Africa 4. Ms Mbabazi Kiiza Gorretti Independent Consultant 5. Ms Proscovia Nabasinga Miria Specialist, Database Management STAR-E LQAS Project, Management Sciences for Health, Kampala, Uganda 6. Dr Muramuzi Bangizi Emmy Deputy Chief, Epidemiology Branch CDC Uganda 7. Ms Nakayima Flavia Director Learning, Monitoring and Harnessing Indigenous Potentials – Africa, Evaluation Uganda 8. Dr Nakinsige Anne Senior HIV&AIDS Officer East African Community 9. Mr Robert Kisembo Lecturer Nkumba University 10. Ms Sheila Byirigiro Gashishiri Communications Associate World Bank Country Office, Uganda INTAKE 6 – APRIL 2008 – MARCH 2010 Dr Alfred Geoffrey Okiria Independent Consultant - Ms Mary Dutki M&E Technical Advisor META Project, MakSPH Ms Rose Baryamutuma M&E Technical Advisor META Project, MakSPH Dr Proscovia Namuwenge Short-term Technical Assistant (HIV Care & Civil Society Fund Uganda Treatment)

44 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 45 Name Job Title Organisation Mr David Wanalobi Regional Project Officer, Media Agency for PANOS East Africa Child Protection Ms Karen Apophia Kyampaire Nutrition Program Manager Baylor Uganda Ms Milly Nattimba Communications Officer Makerere University College of Health Sciences Merian Natukwatsa Monitoring & Evaluation Specialist Uganda Network of AIDS Service Organizations Apophia Agiresaasi Independent Consultant - INTAKE 7 – MAY 2009 – APRIL 2011 1. Kakaire Ayub Kirunda Communications Officer, Future Health Makerere University School of Public Health Systems Research Consortium 2. Florence Tushemerirwe Assistant Lecturer Makerere University School of Public Health 3. Medard Kiheemu Muhwezi Team Leader (Uganda) Ipas Africa Alliance Abortion/Reproductive Health multi-country study 4. Jotham Mubangizi Coordinator UNAIDS Country Office, Uganda 5. Victoria Kajja Program Manager Partners for Health Initiative, Kampala, Uganda 6. Eric Tabusibwa Short-term Consultant, Liverpool Associates STAR-E LQAS Project, Management in Tropical Health (LATH) Sciences for Health 7. Solome Mukwaya Research Consultant African Centre for Global Health and Social Transformation (ACHEST), Kampala 8. Scaret Mubokyi Independent Consultant 9. Florence Kebirungi Independent Consultant Okalo Paul M&E Advisor MJAP, Kampala INTAKE 8 – APRIL 2010 – MARCH 2012 Joseph Abisa Research Officer SNV Uganda Michael Ediau Project Coordinator (HIV&AIDS, Maternal & ChildFund Uganda Child Health) Jane Namuddu Research and Evidence Coordinator, Ministry of Gender, Labor and Social Expanding Social Protection in Uganda Development Lillian Ayebale Institutional Capacity Building Specialist SPEAR Project, World Vision Sam Ocen Fortunate Monitoring and Evaluation Officer, RAC Reproductive Health Uganda USAID Project Rebecca Kivumbi Independent Consultant - Irene Edith Nabusoba Communications and Outreach Officer Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), Mbarara Office Maria Kwesiga Knowledge Management Consultant Knowledge Management & Communications Initiative Gilbert Awekofua Independent Consultant

LONG TERM FELLOWS 2011-2013 YEAR BOOK 45 Prof. David Serwadda Principal Investigator Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 772 769 089 Email: [email protected]

Dr. Rhoda Wanyenze Program Director Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 772 419 762 Email: [email protected]

Mr. Joseph Matovu Training Manager Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 772 972 330 Email: [email protected]

Ms. Susan Mawemuko Grants & Administration Manager Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 78 2785 374 Email: [email protected]

Ms Stella Ongorok Training Officer Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 77 2477 047 Email: [email protected]

Ms. Faridah Mbambu Administration/Management Assistant Off. +256 41 4533 958 +256 39 2764 328 Mob: +256 772 441 720 Email: [email protected]

Program Drivers Edward Bagonza Benon Ndaula

Compiled & edited by: Mr Joseph KB Matovu, Ms Susan Mawemuko & Dr Rhoda Wanyenze

46 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK 47 LONG TERM FELLOWS 2011-2013 YEAR BOOK 47 MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF PUBLIC HEALTH

MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF PUBLIC HEALTH

P.O. BOX 7072, KAMPALA, Uganda Tel: 0414 533 958/0392 764 328 Email: [email protected] Fax: 0414 533 957 Website: http://www.musphcdc.ac.ug

MakSPH - CDC FELLOWSHIP PROGRAM LONG-TERM FELLOWS 2011-2013 YEAR BOOK

48 LONG TERM FELLOWS 2011-2013 YEAR BOOK LONG TERM FELLOWS 2011-2013 YEAR BOOK PB