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Makerere University Environmental Health Students Association
(MUEHSA)
7th Annual Scientific Conference
3rd and 4th May, 2010
Imperial Royale Hotel – Kampala, Uganda
Theme:
“Environmental Health Strategies towards Global Health Solutions”
CONFERENCE REPORT
ACKNOWLEDGEMENT
The success of this conference was as a result of unlimited physical and financial support from different individuals, organizations and institutions. It is on this note that MUEHSA forwards its cordial thanks to Makerere University School of Public Health (MUSPH) for the continuous support.
In a special way, we wish to recognize and thank DelPHE Project; Kigali Health Institute (KHI)-Rwanda who were the cardinal sponsors of this conference.
We also appreciate the support from;
The Head of Department and Staff from the Disease Control and Environmental Health Department –MUSPH,
Colleagues from Environmental Health Division-Ministry of Health (MoH) especially the Assistant Commissioner Ms. Kyomuhangi Juliana for the tireless support and advice that she offered us throughout the organization of this conference,
Local Government officials, Moi University Students -Kenya and students of MUSPH, other schools / Faculties in Makerere University as well as Mulago Paramedical Schools for their attendance and educative presentations and Civil society organizations including The Uganda Red Cross and UWASNET
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CONTENTS
ACKNOWLEDGEMENT................................................................................................................i
CONTENTS....................................................................................................................................ii
LIST OF ACRONYMS AND ABBREVIATIONS.......................................................................iii
CONFERENCE BACKGROUND..................................................................................................1
Introduction………………………………………………………………………………………1
MUEHSA……………………………………………………………………………………......
1
7th annual Scientific Conference………………………………………………………………...
1
Conference Theme……………………………………………………………………………….
1
Conference goal………………………………………………………………………………….
1
Conference Objectives…………………………………………………………………………...
1
Participation……………………………………………………………………………………...
2
CONFERENCE SCHEDULE.........................................................................................................3
CONFERENCE PROCEEDINGS...................................................................................................6
Key issues…………………………………………………………………………………..........
6
CONFERENCE RESOLUTIONS.................................................................................................19
ANNEXES.....................................................................................................................................20
Annex I: Conference Organizing Committee……………………………………………………
20
ii
Annex II: MUEHSA Executives…………………………………………………………………
21
Annex III: Exhibitors…………………………………………………………………………….
22
Annex IV: Conference Attendance………………………………………………………………
23
iii
LIST OF ACRONYMS AND ABBREVIATIONS
MUSPH Makerere University School of Public Health
MUEHSA Makerere University Environmental Health Students’ Association
KHI Kigali Health Institute
MUK Makerere University-Kampala
MoH Ministry of Health
EHD Environment Health Division
WHO World Health Organization
UWASNET Uganda Water and Sanitation NGO Network
URCS Uganda Red Cross Society
HR Human Resource
EPH Environmental Public Health
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CONFERENCE BACKGROUND
Introduction
Environmental Health problems are global, with low-income governments spending up to 9 percent of their annual gross domestic products-GDP (World Bank., 2008) towards solving these problems. This poses a challenge to the realization of the Millennium Development Goals (MDG’s) and thus need for a global approach in order to come up with successful control and prevention strategies.
MUEHSA
Makerere University Environmental Health Students Association (MUEHSA) holds annual scientific conferences to provide a forum for interaction amongst academicians, researchers, and other partners engaged in diverse fields of the Environment and Public Health for information sharing to enable a wide approach to Environmental Health challenges.
7th annual Scientific Conference
The 7th annual Scientific Conference aimed at generating scientific information from a multi-disciplinary range of fields including; statistics, epidemiology, engineering, geology, hydrology, medicine, nutrition, toxicology and regulatory as well as industrial communities.
Conference Theme
“Environmental Health Strategies towards Global Health Solutions”
Conference goal
“To create awareness and enhance universal dialogue so as to promote integrated approaches for dealing with environmental health challenges’’.
Conference Objectives
To
Provide a local and regional integrated network and build a common platform for dealing with environmental health problems.
Provide a forum for sharing the latest research findings and advances in this field.
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Translate Environmental health issues and opportunities for Public Health practitioners and Policy makers.
Participation
Participants included the following:
Officials from Ministry of Health, Uganda
Participants from academic institutions; KHI, Moi University, Makerere University-Kampala, Mountains of the Moon University (MMU), Mulago Paramedical School and School of Hygiene-Mbale.
Officials from Local Governments
Participants from Civil Society Organization (Red Cross)
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CONFERENCE SCHEDULE
The conference was held on 3rd and 4th May 2010 at Imperial Royale Hotel-Kampala and the program was as follows.
Time Activity Presenters
Day One: Monday 3rd May 2010.Chairperson: Mbaha Emmery Patrice
12:00 pm – 3:00pm Arrival and Registration Ms. Ahirirwe Rita Sherry
3:00pm – 3:15pm Welcome remarks by the C. Person conference organizing committee
Mr. Tayebwa Morris
3:15 pm– 3:25pm Remarks by the chairperson scientific committee
Mr. Kiconco Arthur
3:25pm – 3:40pm Key note address: Overview of Environmental Health Workers’ Association in Uganda.
Mr. Mwesigye Collins; National Programme Officer, Water and Sanitation-WHO
3:40pm – 3:50pm Implementation of the Public Health Act in Uganda.
Mr. Masaba Chris Eddix
Principal EHO
3:50pm – 4:00pm Overview of Environmental Health Workers’ Association in Uganda.
Mr. David Katwere S,
EHO- Kawempe Div, KCC
4:00pm – 4:15pm Challenges of HR development for Env. Health in Uganda.
Mr. Joseph Agondua, Principal Tutor School of Hygiene Mbale
4:15 pm– 4:30pm Initiatives to prepare EHO trainees for Community Work participation.
Mr. Kiconco Arthur
BEHS III Student-MUSH
4:30pm – 5:00pm Remarks and discussions
5:00pm – 5:20pm Photography Session Mr. Tuhumwire Peter
5:20 pm– 6:00pm Evening Tea Break Ushers
Day two: Tuesday 4th May 2010
Session two: Masters of ceremony (Mr. Owino Omedo Martin)
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8:00am – 9:00am Arrival and registration Ms. Ahirirwe Rita Sherry
9:00am – 9:15am Recap of Day One presentations Ms. Auma Brenda
9:15am – 9:30am Remarks by MUEHSA President Mr. Mangeni Mathias
9:30 am– 9:45am Remarks from the Head of Department Disease Control and Environmental Health
Dr. John Ssempebwa
9:45am – 10:00am Address by the Dean School of Public Health
Dr. William Bazeyo
10:00am – 10:15am
Opening Remarks from the chief guest.
M/s. Juliana Kyomuhangi Assistant Commissioner Environmental Health Division. MoH
10:15am – 10:30am Morning Tea break Ushers
Session three. Chairperson Mr. Onzima Donald Degason
10:30am – 10:45am Water Safety: Water quality of selected water sources in Wakiso District.
Mr. Musoke David, Department of Disease Control and Environmental health MUSPH
10:45am – 11:00am Health risks related to Water and Sanitation practices in rural areas.
Mr. Ouma Vincent / Ms. Susan Ontiri
Moi University Kenya
11:00am – 11:15am Institutional water safety and public health:
Mr. Chemisto,
SNV-Uganda Country Office.
11:15am – 11:45am Reactions and discussion
Session four: Chairperson: Mr. Nyamutale Peter
11:45am – 12:00am Tunga penetrans( jiggers): A silent back to development;
Mr. Omondi Denis / Wanyana Nafula, Moi University-Kenya
12:00noon -12:15pm Sanitation Wealth tool- A new approach to Hygiene and Sanitation Promotion
Mr. Joseph Agondua,
Principal Tutor School of Hygiene Mbale
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12:15pm – 12:30pm Disasters and new management strategies.
Mr. Edward Mbonigaba, Department Environmental Health Kigali Health Institute
12:30pm – 1:00pm Reactions and remarks
1:00pm – 2:30pm Lunch break
2:10 pm– 2:30pm Environmental health approaches and mountain Gorilla conservation.
Mr. Joseph Byonanebye,
Makerere University School of Public Health
2:30pm– 2:45pm Environmental Health workforce development.
Mr. Otai Justin
MoH-Uganda
2:45pm – 3:00pm Reactions and discussion
Closing Session: Chairperson: Masters of Ceremony
3:00pm – 3:30pm Conference resolutions and conclusions
Mr. Mbaha E. Patrice
3:30pm – 4:30pm Swearing in of the Incoming MUEHSA executive committee members.
Ms. Ahirirwe Rita Sherry, C/Person Electoral Commission
4:30pm – 4:45pm Remarks by the Patron and Dean School of Public Health.
Dr. William Bazeyo
Dean MUSPH/Patron MUEHSA
4:45pm – 5:00pm Official Closure and Issuing of certificates.
Mr. Tayebwa Morris
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CONFERENCE PROCEEDINGS
Key issues
The table below summarizes the conference proceedings
Presenter and
Topic
Key issues emphasized
Implementation of
Public Health Act in
Uganda By Mr
Masaba Chris
Eddix, (3rd Year
BEH – MUSPH,
Principle EHO)
.
The PHA is an Act of the Parliament of Uganda and it goes through the normal
procedure of enacting an Act
We have PHA CAP 281 of 2000 which is in force with its Subsidiary Legislation
Generally implementation of the PHA is very poor in most Local Authorities
Challenges.
Environmental health staff are not effectively playing their professional role of
guiding their LAs to implement the PHA and rules made there-under; There is
apparent weak collaboration between some CAOs, Town Clerks, Prosecutors,
Magistrates, Politicians on one hand and EHWs on the other hand in
implementation of the PHA and weak enforcement framework by LAs
Way forward;
It is the professional and legal obligation and responsibility of Health workers to
implement and ensure implementation of the PHA without fail, fear or favour to
any body. It is the duty of all LAs to implement the PHA without fail or
preference for any thing else other than preservation and promotion of public
health of all persons in their area of jurisdiction so they must play their legal
obligation without fail. Engage the Minister to make rules to empower Local
Authorities more .
Initiative to prepare
EHO trainees for
Community work
Participation. By
Mr. Kiconco
Arthur,(BEHS III
Student, MUSPH)
Solutions to global Environmental health challenges require a multi-sectoral
approach. Efforts by institutions teaching EHS to produce high quality graduates
form a cornerstone for both local and Global Environmental Health improvement
Study trips organized by Department of disease control and environmental health
to expose students to the following areas: Environmental pollution, industrial
hygiene, safe water chain management
Students participated in the Kalerwe Community Sanitation Program-
collaboration between MUSPH and Church of Uganda.
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The students have been involved in several exhibitions including Makerere
University conference exhibition; National Council of Higher Education health
exhibition and Launch of the Makerere University College of Health Sciences.
This has endeavored students to interact with local leaders, administrators and
relevant stakeholders of different communities and institutions about different key
issues.
Q & A Q: How has the raising of the environmental Health Professionals profile been
done, if none has been in existence? Urged that we need to be innovative and
avoid bribes. How do you expect the environmental health professionals to be
organized out their? How do you encourage participation of stakeholders?
A: Implementation of activities is a big challenge to the executives. Lack of a
House /room for an office. EHO should become rich in a normal way. Writing
projects to control diseases can be funded by Insurance companies since they want
fewer people to get sick. Hence environmental health officers should be
innovative and make use of these opportunities.
Q: There have been no support supervisions from the EHD to local governments.
What don’t they do so? What can be done?
A: Need to involve the lawyers and politicians in the implementation of these
laws. Currency Units used to multiply the old small amounts to come up with
bigger amount. Lobby to have good relationship with others. Being consistent and
insisting on the environmental health issues. EHD working in the framework of
decentralization – center for quality assurance is concerned with this matter.
SAN- WEALTH
TOOL
Providing evidence
of prevention is
cheaper than cure
By Mr. Joseph
Agondua,
Principle Mbale
School of Hygiene
San – Wealth Tool is an innovative tool designed to promote better hygiene
through improved water and sanitation practices at household, community and
district levels. It builds on and uses other sanitation hygiene promotion tools such
as SARAR and PHAST which are tools that are already being used in the field
Community members are required to carry out a cost benefit analysis of
preventive and curative health interventions then come up with action plans to
address their health problems.
Steps followed in san – wealth tool include Assessing sanitation levels; Assessing
sanitation related diseases; Prioritising diseases identified; Measures taken to
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manage and control prioritised diseases; Deriving the costs of each of the
management and control measures; Adding up money likely to be spent on the
management and control of the disease; Measures to be take to prevent the
prioritised diseases and costs involved; Comparing costs of disease management
and control with costs of prevention and Action Planning
A 5 day residential workshop was organized with key environmental health
personnel in sunset hotel in Jinja to acquaint them with the tool. The workshop
recommended that the tool be taught to students.
- Importance of this tool in providing evidence of the common saying that
prevention is cheaper than curative interventions.
Recommendations: Plan for review and updating; Institutions to plan sensitization
seminars on San-wealth tool to various stakeholders; Conduct research on other
related fields to augment use of the san-wealth tool and Establish practical sites
for continued follow-up of implementation
Day Two: 4th May 2010
Opening Remarks
from Mr. Mangeni
Mathias, (Out going
President -
MUEHSA )
All protocols observed, welcomed all the participants to the second and final day
of the conference.
Thanked all the member for their contributions and deliberations. Also
acknowledged and recognized key partners who support both financial and
otherwise made the conference possible including MUSPH, KHI, and Delphe
Project. Also thanks participants from different Local Governments, NGOs,
CSOs and Moi University, for having sacrificed their resources to attend the
confrence.
Remarks from Dr.
David Guwatudde,
Deputy Dean-
MUSPH on behalf
of the Dean-
MUSPH
Thanked MUESHA for the invitation and greetings from the dean for the
MUESHA deliberation.
Challenges, current knowledge, policies on environmental health issues in Uganda
and world.
Glad for the invitations extended to universities in the neighboring countries.
The country will be looking forward to hear for scientific evidence to create a
fundamental change in the field of environmental health.
Tools for advocacy and influence changes in the environmental health policies in
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Uganda
MUSPH supports the MUESHA and it’s the most active
Expect new areas- research
They will continue to enhancing classroom lectures.
Continue to increase practical session trainings within the resources of the
association.
Appreciated the outgoing committee and urged them to continue guiding the new
executive.
Urged the New executive to be organizing therefore the conference early enough.
Thanked the support and assistance from M/S. Kyomuhangi Juliana; Assistant
Commissioner, EHD-MoH.
Special way thanked the KHI for being the funder for this
Remarks from M/S.
Kyomuhangi
Juliana; Assistant
Commissioner,
Environmnetal
Health Department
(EHD)-MoH
(Acting)
Welcomed every member to the conference
Notes that EHD greatly recognizes MUEHSA as a students’ body.
She said that conferences like this particular one should be used as a platform to
disseminate scientific information.
Echoed that the Ministry of Health appreciates the role of Environmental Health
however she said that many positions haven’t been filled and even those filled
haven’t been motivated.
With regard to recruitment, she said that they need to recruit according to wage
bill and working hard to put the house in order. She urged professionals to have
positive attitude and dress smartly.
Citing some statistics, she said the national latrine coverage is 67 %, and safe
water coverage is 65%. Also 75 % of the disease burden is due to sanitation
related diseases. 40% diarrheal diseases can be prevented by hand washing alone.
We need correct information for proper planning and budgeting, because we are
all ambassadors.
Said EHD is not well staffed, however, interviews have already been conducted.
She urged MUSPH to start the masters in Environmental Health.
Extended special thanks to Local Government officials for the support.
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Recommended that this partnership can be used to enhance the promotion of
environmental health problems at regional and country level.
Q: What is the Environmental Health Department doing to enhance the
implementation?
Q: What is the role of Allied Health Council is it possible to have a separate
council
A: The problem is interpretation of the public health act; this is because some
districts are doing better than others. Interpret, simplify it and enact ordinances
and by laws to be followed in the districts. Hence they are now going to train
people on how to enact ordinances and by laws.
Joining the systems. Poor structures in the districts however they are working on
it.
Water Quality of
selected water
sources in Wakiso
District.
Mr. David Musoke
Department of
Disease Control and
Environmental
Health
Makerere
University School
of Public Health
Kampala, Uganda
Poor water quality continues to pose a major threat to human health. Poor quality
of water is associated with waterborne diseases such as diarrhoea, typhoid and
cholera. Water related diseases constitute the biggest burden of all illnesses and
deaths in the developing world. Improved water supply significantly reduces
waterborne diseases.
Water related diseases responsible for 80% of all illnesses and deaths in
developing world. Poor water quality continues to pose a major threat to human
health. Microbiological hazards remain the primary concern on water quality
particularly in developing countries.
Emerging issues: Only 1 water source (NWSC tap water) had a pH that was
within the recommended standards (6.5-8.5) Turbidity of all the sources was
below 5 NTU although 4 of them had NTU above 0 (0 NTU being desirable).
These were: water pond – 4; Lake Victoria – 1; Abandoned cattle dip 1; and a
protected spring – 1. The worst contaminated source was the water pond with
2,640 CFU/100mls (Total coliforms) and 700 CFU/100mls (E. coli) followed by
Lake Victoria water with 1,980 CFU/100 mls (Total coliforms) and 380 CFU/100
mls (E. coli). The other sources including protected springs and boreholes were
significantly contaminated
Recommendations: Since most of the water sources used by the study community
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(and indeed many other sources in other parts of the country) were contaminated,
Environmental Health Officers and other stakeholders need to increase efforts of
ensuring the public treat their water before drinking; Local authorities (including
Water User Committees) and the communities using water sources should ensure
protected springs have good drainage from the source to prevent waste water
stagnating in the water collection area which can lead to contamination of water
Health risks related
to water and
sanitation practices
in rural areas
A case study of
Kilibwoni and
Nambale divisions
Division in Kenya.
By Ouma M.
Vincent and Susan
K. ontiri
Moi Universiry
Water and sanitation is one of the most precious gifts after life, and without which
there would be no life. Lack of improved sanitation facilities predisposes one to
all sorts of infections that are otherwise avoidable. In Kilibwoni and Nambale
divisions, various options and sources of water were used and health excreta
disposal methods.
Methodology: A total of 220 households responded by use of researcher
administered questionnaires, interviews and observation. Chi-square test and bi-
variate correlations of the data were performed.
Findings: Most (65%, N=143) of the residents (households) got their water from
unprotected wells and springs; a majority (75%, N=165) used traditional pit
latrines for excreta disposal, most (90%, N=198) of these latrines were found to be
poorly maintained; some (12%, N=26) households did not have an excreta
disposal unit; there were cases of excreta related diseases including diarrheal
infections which were most prevalent.
Conclusion: Waterborne diseases are prevalent in these regions due to lack of safe
water from unprotected wells and springs. Their presence has not yet had a
remarkable change in the health of the individuals. A lot still needs to be done to
enable us meet our Millennium development goals (MDG 1, 4 and 7).
Food Safety in
Rwanda
By GATETE Pascal
(KHI – Rwanda)
Food safety is a scientific discipline describing handling, preparation, and storage
of food in ways that prevent foodborne illness.
Unsafe food causes many acute and life-long diseases, ranging from diarrhea
diseases to various forms of cancer. Foodborne diseases and threats to food safety
constitute a growing public health problem and member States should strengthen
their programmes for improving the safety of food all the way from production to
final consumption (food chain).
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Rwanda is politically committed to achieve long term aspirations and targets in
sustainable socio-economic development. The related targets and principles are
defined in the development flagships including:- Vision 2020, EDPRS (2008–
2012), Environmental Health Policy (EHP), The National Agriculture Policy
(NAP), The codex Alimentarius
Present Food safety situation in Rwanda: the food safety issues do not concern
only one institution but rather taken over by different institutions such as:
MINISANTE, MINAGRI, RBS and MINICOM, as well as local Government
authorities. At the districts level, the food safety regulation is done by the
environment Health officer with regard to the inspection of food production line.
The inspectors and the users do not understand well the Hazard Analysis Critical
Control Point (HACCP). The economic operators in the field of the food safety
consider food safety as a legal requirement and not as factor which would
reinforce competitiveness and increase productivity
Challenges: no existence of food safety policy (establishment on going); The
consumers, are note aware of their roles and rights in ensuring food safety; the
inspectors and the users do not understand well the HACCP; the employees in
food establishments are not sufficiently trained on food safety; Insufficiency of
laboratories and sampling materials and analysis on ground; Establishments not
built or renovated for that purpose
Opportunities: Political commitment to ensure food safety; a number of
institutions involved in food safety; a number of laws and decree promulgated by
relevant institution; a number of standards on food safety set by Rwanda Bureau
of Standard; Food safety decentralization guideline; a Number of trainers in
Food safety at District level (more than 160 Environmental Health officers).
Tungiasis a silent
back to
development in
Kenya.
By Omondi O.
Denis and
Tungiasis is an ectoparasitic skin disease caused by the penetration of the female
sand flea - Tunga penetrans, into the epidermis of the host. It is endemic in
developing tropical countries esp where poverty and poor hygiene exist, like
South American nations, the Caribbean and sub-Saharan Africa
Tunga penetrans Lifestyle: Adults: agile, jumpy, crawl on ground till suitable host
(man) is located. Pigs, dogs, cats, cattle, sheep and Rattus rattus are important
12
Wanyama I. Nafula,
(3rd year B.Sc.
Environmental
Health students -
Moi University,
School of Public
Health - Kenya)
reservoirs. Fertilized females burrow into the host’s skin: Toes,soles and heels
(poor jumpers) – easily reached. Targets knees, fingers and elbows: Targets in
heavy infestation (soft)
About 3000 globally distributed species and subspecies exist ,94% of which
parasitize mammals while the rest are ornithophagic.
Study objectives: to highlight the factors leading to escalated jigger infestation
among local communities; establish the effects of jigger infestation on human
health and development and determine the control measures of Tunga penetrans.
Findings: identified factors include poor hygiene, poverty, fear of stigmatization,
and prolonged dry spell in the country.
Effects: Vicious cycle of poverty. sick cant work, Discomfort, Low education
standards, Low self esteem due to stigmatization, Civil right violation
Control Measures: Maintaining high standards of hygiene, Improved housing.
Treatment of victims. Pesticide, Environmental sanitation, Health education.
Recommendations: Focal premise spraying, man and animal treatment should be
conducted simultaneously to prevent re – infection. The government should
allocate more funds for facilitation of anti-jigger campaigns in worst hit areas.
Suggestion for further research: use of Sodium bicarbonate (Magadi soda) in
jigger treatment and control.
Disasters and new
management
Preparedness/
Awareness
By Edward
Mbonigaba– KHI –
Rwanda
Disaster is serious disruption of the functioning of a community or a society
causing widespread human, material, economic or environmental losses which
exceed the ability of the affected community or society to cope using its own
resources. It is a global issue which has affected almost every country of the
world. Countries like Rwanda, Uganda and Haiti have been affected and this
calls for massive campaign for their population to be prepared for this
phenomenon . Disasters are either natural or Man made Natural.
Rwanda’s Case: Rwanda National police was in charge of disaster management
and response mechanism. In 2010 there was creation of Ministry in charge of
disaster managementtt and preparedness, Sensitisation about disatser is done from
local level to central level
There is need for Disaster rapid needs assessment through: Community disaster
13
awareness creation and gave communication tips on disaster awareness
messaging; Proper planning of public education; Partnership with stakeholders.
Conclusion: Disaster management and planning activities should be included in
school Curriculums. Disasters can’t be completely avoided but people should be
taught how to manage it.
Emergency
Preparedness
By Okot Paul Bitex
Programme Officer
– Emergency
Health
Uganda Red Cross
Society
Emergencies, conflicts, and disasters happen frequently, including natural
disasters, chemical or radiological incidents, complex emergencies, and deliberate
events. A substantial fraction of the disease burden derived from these events is
attributable to environmental risk factors
Involves: Preparedness; Response and Rehabilitation
Emergency management characteristics: Disaster cycle- relief, rehabilitation,
reconstruction, risk reduction, disaster preparedness.
Steps: Vulnerability and risk assessment; Prevention and mitigation. Emergency
preparedness Early warning systems.- (draw hazard maps)
Q & A Q: What are the Kenyan government and health workers doing to help those
suffering from Jiggers in Kenya? Can Jiggers infestation facilitate HIV spread?
A: Not much effort from the government but much of the support is provided by
NGOs. Yes through sharing of removal pins.
Q: What is the burden of jiggers in Kenya( prevalence and incidence)
A: no clear statistics on the burden of jiggers in Kenya
Q: Are there strategies developed to implement the conclusions drawn from their
studies?
A: Community based learning and experience- a program through which students
go out to educate members. Research being done by a student to determine if
magadi soda can cure jiggers.
Q: What is the average life span of fleas?
A: depends on the host
Q: How best can red cross assist young graduates from the public health?
A: For experiences services students can conduct red cross and they can be
involved in various activities.
Environmental About Mountain Gorillas Largest of the living primates and the last member of the
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Health Approaches
to Mountain Gorilla
Conservation
By Mr. Joseph
Byonanebye
ape family known to science. DNA of gorillas is 98.4% similar to man. Are next
closest living relatives to humans after the two chimpanzee subspecies. Only
about 720 of these individuals remain 320 gorillas in BINP
Economic importance of gorillas: 5-6bn of Uganda’s income through tourism
Threats to M. gorillas: diseases like Ebola, pneumonia, skin and diarrhea disease,
Habitat destruction through logging and forest clearance, climate change, hunting
for food and traditional medicine, unsustainable production of charcoal and
effects of armed conflicts.
CTPH Programs: Phe (public health environmental health program)
Community conservation programs such as; Hygiene and sanitation; Vaccination
Family planning, Health education. Other interventions: Wild life health
monitoring(Advocacy Climate change and adaptation strategies) country and town
planning; alternative sources of firewood
Outcome: Community volunteers identify themselves as Community Conservation
Health (CCH) Workers, four fold increase in new Family Planning Users in first
two years; 11 fold increase in number of TB suspects identified through the CCH
Volunteer network CCHWs are providing 78% of Depo injections- reducing
burden on government health centers and community hygiene is improving
Environmental
Health workforce
development
Principles
By Mr. Justin Otai-
SHE MOH/EHD
Environmental public health . . . touches everyone’s life every day.
As a result of proper sanitation, more than 80% of human disease has been
eliminated.
Necessity of workforce development: To support efforts already underway to
build capacity and infrastructure of the overall public health system, and more
specifically to support the goals that could have been outlined by the National
Strategy to Revitalize Environmental Public Health Services
Goals: To improve and increase Public Health services, Develop approaches to
research; encourage work force to promote prevention other than cure, Fostering
leadership; Communicating and marketing. Develop a system to improve
communication sharing(we are drowning in information yet searching for
wisdom); developing the work force through defining the scope of work and it’s
size, competencies of work force, and strategic partnership-to advance marketing
15
Anticipated outcomes: Significant increase in environmental public health
services capacity at the state, tribal, territorial, and local levels, Improved drinking
water safety from an improved understanding of how to protect unregulated or
under-regulated water supplies, Enhanced ability of the environmental public
health services workforce to address existing and emerging needs and to identify
environmental antecedents of disease outbreaks, Enhanced ability of state, tribal,
territorial, and local programs to anticipate, recognize and respond to
environmental threats
Conclusions: Need to provide support to develop the environmental public health
service workforce by enumeration, performance standards, training, recruitment,
and retention activities by enumerating the environmental public health service
workforce, defining environmental public health services performance standards,
defining the training and continuing education needs of the environmental public
health service workforce and expanding efforts to improve the recruitment and
retention of competent and effective practitioners in the field of environmental
public health services, with special emphasis on the recruitment and retention of
minorities
Challenges of
developing Human
Resources for
Environmental
Health
By Mr. Agondua
Joseph
Principle Mbale
School of Hygiene
Challenges at institutional level: inadequate staffing (School of
hygiene,Mbale.10;400 tutor; student ratio, Mulago 2:200)- large enrolments of
students.
Challenges of developing HR for environmental health: inadequate materials
at field work level
Recommendations: Improving quality of training, Strengthening support
Supervision System
Q & A Q: Conservation team overplays the role of conservation at the expense of Human
beings yet rabies is spreading to humans. How can we draw a line?
A: EPE workers should health educate the community, Hopping to sign a
memorandum of understanding with Kisoro Local Government.
Q1. Are there indicators to Measure performance of Health Inspectors?
16
A1: Empowerment
Q2: What are the strategies?
A2: There is need to promote HR development.
Q3: How can we influence institutions to put up courses that favor EH?
A3. No, We should push for it. Pressure groups are responsible through
Partnerships with other Organizations.
Q4: Who should carry out support supervision and why don’t they do it?
A4: -Writing proposals that can attract funding for our course i.e, Out-sourcing,
we should prioritize.
Q5: Are the structures allowing for cadre of EHO?
A5: We should be pushing for Ministry of EH, Headed by a Minister.
CONFERENCE RESOLUTIONS
Issue Resolution Time frame Responsible person/body
Topics covered -We should have exposures to the students at their schools
2010/2011 MUEHSA/new president
Conference reports Key issues of the conference should be shared out to the participants and other key stake holders
Two months from now
The president of MUEHSA
Formalization of entry points to public service by environmental health graduates
-We need pressure groups, MUEHSA and EHWA to push for the entry points of EHO into the public service.
-By first quarter next year
General secretaries of the associations, MUEHSA, EHWA
Schedule of the conference
It should be two full days, not one and a half
By next conference
MUEHSA
People invited -Timely invitations.-Improve on the correspondence.Invitation of stake holders.
By next conference
Incoming regime
Enumeration of the qualified environmental health workers.
MUEHSA and Ministry of health should work out a data base of the qualified Environmental health workers.
By next conference
-Incoming publicity secretary MUEHSA, EHWA, --Mbale school of hygiene- Paramedical school of hygiene
Formation of a council A council should be put in place -MOH, EH Div-EHWA
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Revitalization of an EH strategies
MOH, EH Div
Sensitization -Next cabinet, MUEHSA
Networking Exchange of contactsFormation of associations
From end of the conference
The government and ourselves
How other people in the health profession marginalize environmental health workers
Formation of department of environmental health in the ministry of health.
-EHWA-MUEHSA
Proposal writing Use knowledgeable resource persons for assistance
ANNEXES
Annex I: Conference Organizing Committee
Chairperson: Tayebwa Morris
Vice Chair: Mangeni Mathias
Scientific comittee1. Kiconco Arthur2. Masaba Chris Eddix3. Tuhumwire Peter4. Kansiime Winnie
Finance Committee1. Drabo Kayi Martin 2. Bagonza Godffrey 3. Akumu Nancy4. Omedo Martin Owino
Publicity committee1. Kazibwe Joseph2. Kabangi Moses Mwigo
Conference Secretariat 1. Auma Brenda2. Mawa Ratib3. Tagoya Adrian4. Kimbo Henry5. Matsiko Brian
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Reception Committee1. Ahirirwe Rita Sherry2. Busingye Leticia3. Thungu Mable4. Namugenyi Rebecca
Ushers1. Mirembe Bernadette Basuta2. Nabahinda Patience3. Nakiwala Dorothy
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Annex II: MUEHSA Executives
MUEHSA Outgoing Committee (MUEHSA Executive 2009/10)
Name TitleMr. Mangeni Mathias PresidentMr. Tayebwa Morris Vice PresidentMs. Auma Brenda General SecretaryMr. Kiconco Arthur Secretary Academic AffairsMr. Drabo Kayi Martins Finance SecretaryMs. Busingye Leticia Organizing SecretaryMr.Kazibwe Joseph Publicity Secretary
Office of the speakerMr. Kabanji Moses SpeakerMr. Mande Sulait Deputy Speaker
MUEHSA Incoming Committee (MUEHSA Executive 2010/11)
Mr. Onzima Donald Degason PresidentMs. Mirembe Bernadette Basuta Vice PresidentMr. Mawa Ratib General SecretaryMr.Tugume Abdulaziz Secretary Academic AffairsMr.Tubenawe Lawrence Finance SecretaryMr.Tayebwa Morris Organising SecretaryMr.Nambale Derek Channel Publicity Secretary
Office of the SpeakerMs.Nabahinda Patience SpeakerMr. Sserwanja Rodney Deputy Speaker
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Annex III: Exhibitors
Uganda Red Cross Society
UWASNET
Conference finances
The conference has received generous support from the following organizations
Makerere University School of Public Health 1,000 US $
Kigali Health Institute (DelPHE Project) 6,900 US $
Individual contributions and conference collections: 2,285,000 UGX
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Annex IV: Conference Attendance (Note: All telephone contacts otherwise not preceded by a country code are Ugandan;
Therefore country code is +256 replacing 0 e.g +256773…..for 0773……)
MUEHSA 7TH ANNUAL SCIENTIFIC CONFERENCE HELD ON MONDAY 3RD – TUESDAY 4TH OF MAY 2010, IMPERIAL ROYALE HOTEL, KAMPALA
No Name Designation Telephone E-mail Address Institution
1. Adriko Pontius Pilate Student 0779915573 PARAMEDICAL
2. Aguma Nicholas Student 0784336576 PARAMEDICAL
3. Aheebwa J. Charity Student 0774319369 PARAMEDICAL
4. Ahirirwe Rita Sherry Student 0773141459 [email protected] MUSPH
5. Ajok Robinah Student 0775927978 MUSPH
6. Akuma Salim Student 0782401446 PARAMEDICAL
7. Ambaruga Gabriel.U. Student 0782469616 PARAMEDICAL
8. Anena Jacqueline Student 0781538321 [email protected] SPH
9. Ariho D Franco Red Cross 0782614316 [email protected] RED CROSS
10. Atia Samuel Baker “ 0775711537 MPS
11. Atim Beatrice E.H.O 0784767349 LDLG
12. Atuhaire Brian Student 0702318832 [email protected] MUSPH
13. Auma Brenda Student 0775294234 [email protected] MUSPH
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14. Ayat Rose E.H.O 0782416626 KDLG
15. Bagonza Godfrey Student 0782239890 [email protected] MUSPH
16. Bagonza Musitafa Student 0774383110
17. Bahizi Rutabagisha Paul Student 0784040204 [email protected] MUSPH
18. Baliku Joseph Mbanyi Student 0774379579 MULAGO PARAMEDICAL
19. Basiimwa Babra EHO [email protected] MUSPH
20. Besekezi James Student 0715392893
21. Brian Mayanja The New Vision 0782868563 [email protected] VISION GROUP
22. Businge Herbert Student 0783253692 [email protected] “
23. Busingye Leticia Student 0715566291 [email protected] MUSPH
24. Busingye Sistal Hames Student 0773045457 [email protected] MUSPH
25. Bwambale Kastori Student 0782749102 MUSPH
26. Byamukama Acleo Student 0786465280 MUSPH
27. Byarugaba Pascal Student 0773262556 [email protected] MUSPH
28. Cecilia Okoth New Vision O774304499 NEW VISION GROUP
29. David Katwere Ssemwanga EHO 0772507113 [email protected] KCC, Lubaga Div.
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30. Dr.Yayi Alfred Student 0772535450 [email protected]
31. Drani Grace Komaa Student 0774265817 MPS
32. Echodu Tom.M Student 0772555002 MUSPH
33. Ewechu Charles D.H.I 0782332394 LAWIWO
34. Ezama Solomon Student 0777455610 MULAGO
35. Felix Walyawula EHO 0772822607 [email protected] MUSPH
36. Franco Zacharia Student +2556832171513
MUSPH
37. Gatete Pascal Student +250788899072 [email protected] K.H.I
38. Gideon Mutyaba Student 0777096104 [email protected]
39. Gune Florence Student 0776394479 [email protected] IHSU
40. Hassan Yakuba Journalist 0774414855 [email protected] UDL
41. Hindu Nakagezi Student 0777006031 [email protected] UDL
42. Joseph Agondua Student 0782574840 [email protected] UDL
43. Kabuye Wahis UJA 0771889904 UJA
44. Karachi Aminah Student 0779538806 [email protected] MPS
45. Kareo Rhina E.H.O 0782837317 KDLG
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46. Kasaija Nelson Pho Mmu 0782970397 FIELD
47. Katende Samuel Student 0775935222 [email protected] MUSPH
48. Kerubo Georgina Student +254716799145 [email protected] MUSPH
49. Kiconco Arthur Student 0782026973 [email protected] MUSPH
50. Kimbo Henry Student 0774621665 [email protected] MUSPH
51. Kirya Ronald Student 0782403364 MUSPH
52. Kuteesa Evelyn Student 0755666648 MUSPH
53. Lokwiy Paul Student 0774847256 MUK
54. Mabonga Kitts Reporter 0772663083 [email protected]
55. Madrara George Student 0782429202 [email protected] IUIU
56. Majwala Herbert Student 0779254483 [email protected]
IUIU
57. Mangeni Mahias Student 0772648129 [email protected] IUIU
58. Masaba Chris Eddix Student 0702507788 [email protected] IUIU
59. Masereka Wilson Student 0782897038 [email protected] MPTS
60. Matsiko Brian Student 0782291686 [email protected] MUSPH
61. Mawa Ratib Student 0782960524 MUSPH
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62. Mayanja Ernest Student 07879894O2 MUSPH
63. Mbomgeya Edward Tutorial Ass. +250788891446 [email protected] K.H.I
64. Mirembe Bernadette Basuta Student 0714145627 [email protected] MUSPH
65. Misagga Harold Student 0714438629 [email protected] MUSPH
66. Mr. Angunda Collins Health Worker 0772993626 YDLG
67. Mujjahi Martin Mukama Student 0772998975 YDLG
68. Mukama Trasias Student 0701817225 [email protected] MUSPH
69. Mugano Felix Fortunate Student 0772513574 MUSPH
70. Mutaawe Ibrahim Student 0772605057 [email protected] MUSPH
71. Nabahinda Patience Student 0779105135 [email protected] MUSPH
72. Nabirye Julie Student 0774044334 j/[email protected] MUSPH
73. Nabweteme Diana Student 0777821534 [email protected] MUSPH
74. Nagasha Olive Student 0773267015 MUSPH
75. Nakitto Nuulu Ismail Student 0774655468 MUSPH
76. Nalwanga Eva EHO 0782194317 [email protected] MUSPH
77. Namalwa Catherine Student 0782061624 [email protected] MUSPH
78. Nambale D. Channel Student O777500395 [email protected] MUSPH
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79. Nambale Godfrey Tutor 0794235356 [email protected] MBALE SoH
80. Nambuya Safinah Student 0712340402
81. Namugenyi Rebecca Student [email protected] MUSPH
82. Namuswe Winifred Student 0777584277 [email protected] MUSPH
83. Nanfuka Mary Immaculate Sihi 0772934186 [email protected] MUSPH
84. Nantongo Claire Student 0714773703 MUSPH
85. Nanyanzi Faridah Student 0773432111 MUSPH
86. Nassanga Hasifa Student 0772056717 PARAMEDICAL
87. Nsengiyunva Confidence Health Inspector 0782319635
88. Nsubuga Bewedig Student 0712300320 PARAMEDICAL
89. Nyamutale Peter E.H.O 0772406631 [email protected] FORTPORTAL
90. Nyashwo Emily Student 0774651145 PARAMEDICAL
91. Obonyo Philip Student 0712673449 MUSPH
92. Odongo Godwil Student 0773577047 MUSPH
93. Ogaba.F.E Jockon Sihi 0782845349 KPLS-K.T.C
94. Ogentho Judith E.H.O 0781556133 LG
95. Ojjo Zuber Student 0772991433 [email protected] MUSPH
27
96. Okot Paul Bitex Presenter 0772407715 [email protected] RED CROSS SOCIETY
97. Omedo Owino.M. Student +254727163905 RED CROSS SOCIETY
98. Ondoma George Student 0777386429 MUSPH
99. Onen Vivienne Student 0773203171 [email protected] MUSPH
100. Ongom Robert Phi 0774541543 [email protected] AMC
101. Onono Charles Student 0772530873 [email protected] AMC
102. Opio John Nelson Adho.Eh 0772870510 LIRA DISTRICT
103. Ouma .M .Vincent Student +25424883391 [email protected] MOI UNIVERSITY
104. Sekyewa Ronald Student 0771674702 [email protected] MUSPH
105. Senyimba .G. Robert Student 0772550395 MBALE SCHOOL OF HYGIENE
106. Ssebuwufu William Student 0779222196 [email protected] MUK
107. Ssemuddu Bashir E.H.O 0773264221 LG
108. Ssenkuba Joseph Student 0782043391 IHSU
109. Sserwanja Rodney Student 0775044409 [email protected] IHSU
110. Ssewanyana Derrick Student 0774864375 [email protected] IHSU
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111. Susan Ontiri Student 0722605160 MOI UNIVERSITY
112. Talire Bashir H. Inspector 0772308147 KINYARA SUGAR
113. Tayebwa Morris Student 0773864581 [email protected] MUSPH
114. Thungu Meble Student 0774780016 [email protected] MUSPH
115. Tubenawe Lawrence Student 0703621159 [email protected] MUSPH
116. Tugume Abdulaziz Student O718394228 MUSPH
117. Tuhumwire Peter Student 0712271754 [email protected] MUSPH
118. Tukahirirwa Rugigama Devs Student 0782932147 MULAGO PARAMEDICAL
119. Twinomugisha Daniel Student 0774676829 PARAMEDICAL
120. Violet N. Mukisa Journalist 0772688797 [email protected] VISION VOICE
121. Wamala Maria The New Vision 0774380948 [email protected] VISION GROUP
122. Wandera Doreen Executive Director UWASNET
0776367888 UWASNET
123. Wandera Fred Health Inspector 0774999968 [email protected] MASINDI TOWN COUNCIL
124. Wanyama I. Nafula Student 0729378599 MOI UNIVERSITY
125. Wanyama Wafula .I. Student 0729378599 MOI.UNIVERSITY
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Mr. Ssemwanga David (R)and Mr. Abdullah Ali Halage at the opening Ceremony on 3rd April 2010
Mr. Ssemwanga David giving the key note address at the Confrence opening ceremony on 3rd April 2010
Mr. Kiconco Arthur (BEHS Year III-MUSPH) making a presentation on 3rd May, 2010
A participant responding to the presentation on 3rd May, 2010
31
Mr. Ssemwanga David responding to the participants’ questions on 3rd
May, 2010Mr. Agondua Joseph (Principal School Of Hygiene – Mbale) making a presentation on 3rd May, 2010
32
Some conference participants and presenters on 3rd May, 2010 Conference participants having a tea break at the end of Day one on 3rd May, 2010
The starting panelists on Day Two of the Conference (R – L ) Mr. Onzima, Ms. Julian Kyomuhangi, Dr. David Guwatudde and Mr. Mangeni Mathias
MUSPH Deputy Dean Dr. Guwatudde David giving a Speech on 4th
May, 2010
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(Standing) Ms. Julian Kyomuhangi giving a speech on 4th May, 2010. Conference participants having a tea break on 4th May, 2010
34
Second Session presenters on 4th May, 2010 Mr. Musoke David making a presentation on 4th May, 2010
35
Exhibition by the Uganda Red Cross Society at the conference on 4th May, 2010
Mr. Omondi O. Denis (Seated) and Ms. Wanyama I. Nafula (standing) (3rd year B.Sc. Environmental Health students - Moi
University, School of Public Health - Kenya) making a presentation on 4th May, 2010
36
Conference percipients on 4th May, 2010 Mr. GATETE Pascal (KHI - Rwanda) making a presentation on 4th
May, 2010
37
Mr. Vincent Ouma (Moi University) responding to questions on 4th May, 2010
Mr. GATETE Pascal (KHI - Rwanda) responding to questions on 4th
May, 2010
38
Mr. Edward MBONIGABA (KHI –Rwanda) Making a presentation on 4th
May, 2010Mr. Onzima Donald Degason incoming MUEHS president
giving remarks on 4th May, 2010
39
Conference participants having a lunch break at Imperial Royale Hotel on 4th May, 2010
Conference participants having a lunch break at Imperial Royale Hotel on 4th May, 2010
40
Final presentations Session presenters on 4th May, 2010 Mr. Justin Otai (SHE MOH/EHD) making the final presentation of the conference on 4th May, 2010
41
