1st RCQHC Board of Directors
The Makerere University Council at its 127th meeting held on 27th March 2013 approved the recommendation of Senate to incorporate the Regional Centre for Quality of Health Care (RCQHC) as a not-for-profit organization limited by guarantee with no share capital – a Company of Makerere University. To provide oversight and leadership to RCQHC, a Board of Directors consisting of eleven eminent individuals from the ECSA region was constituted. The inaugural RCQHC Board of Directors (BoD) meeting was held at the Imperial Botanical Beach Hotel Entebbe-Uganda from the 4th to 6th September 2013. During the meeting, John Snow International (JSI) facilitated a Board inauguration and an induction of the Board. During the Board of Directors meeting, four Board committees namely Executive committee, Resource Mobilization Committee, Technical Committee as well as Finance and Audit Committee were constituted to provide technical support to the Board.
The U.S. State Department led TechCamp Kenya, was held in Nairobi on September 9th and 10th 2013 in collaboration with the U.S. Embassy in Nairobi. This was a regional East Africa TechCamp, and the first one on the topic of “Health”. It was represented by around 90 participants, which included NGOs from Kenya, Uganda, Tanzania, Burundi, Rwanda, and Ethiopia; and technologists from all over the world. RCQHC sent two representatives, including the PO ID-HIV and the IT Assistant.
The Deputy Chief of Mission from the U.S. Embassy in Nairobi, Isiah Parnell, as well as the Permanent Secretary from the Government of Kenya’s Ministry of ICT, Mr. Bitange Ndemo opened the Camp. Participants interacted with representatives from reputed organizations like Facebook, Medic-mobile, Internews, and Ushahidi etc. Presentations were given on the use of low-cost, easy-to-use technological tools and concepts like crowdsourcing, SMS/Mobile technology, social media, data-visualization/mapping and crowdfunding. There followed two days of intense brainstorming, small group discussions, and interactive training sessions to find solutions to health problems using technology. Ideas generated included
- Reducing child mortality rates in children and adolescents in the context of HIV/AIDs and Malaria, using crowdsourcing or other tools.
- Creating an SMS strategy to notify patients about health related events and tasks like reminders, clinic visits and collect feedback from patients, beneficiaries and donors.
- Making use of real time data in order to influence and mobilize the government and other decisions makers to improve the quality and equality of healthcare.
- Digitizing data collection for OVCs, sex workers, fishermen, and other vulnerable groups to speed up reporting and intervention.
- Finding sustainable and alternate sources of funding for the NGOs.
- The use of social media like face book, youtube to reach different crowds
Revision of the Uganda Paediatric Nursing training
The RCQHC in collaboration with stakeholders in the region involved in pre-service curriculum development and training, developed an essential newborn care competency framework aimed at providing nurses and midwives with clear guidelines about their expected role, standards of performance, and the knowledge and skills required to achieve quality care pertaining to essential newborn care. Uganda was in the process of revising its Paediatric Nurses curricula at the time and expressed appreciation to RCQHC for taking lead in identifying ENC curricula gaps and developing the draft ENC pre-service competency framework and requested support to integrate the essential newborn care competency framework into the curriculum. In April 2013, RCQHC supported the Ministry of Education to integrate ENC competencies into course DPCHN 06: The normal child of the Uganda Paediatric Nurses Training curriculum. As a result, stakeholders recommended that the competency based approach be applied to the whole curriculum. In September 2013, RCQHC supported the integration of the ENC competencies were integrated into a second course DPCHN 11: Paediatric medical nursing of the Uganda Paediatric Nurses curriculum.
TOT workshop on the implementation and evaluation
The Regional Centre for Quality of Health Care (RCQHC) with support from USAID/EA organized a training of trainers workshop on the implementation and evaluation of the desk guide for diagnosis and management of TB in children in Entebbe, from 24th-25thSeptember 2013. The objectives of the training of trainers workshop were to:
$11. Train trainers and mentors in facilitating training of health workers using the ‘Training Material for Diagnosis and Management of TB in Children in Primary Health Careand outpatientSettings‘ manual
$12. Pilot the training materials
The targeted trainers and mentors were District, Zonal TB and HIV supervisors, health care professionals working with lower health facilities and implementing partners operating at the facilities where the evaluation of the effect of the developed training material on paediatric TB will be implemented.
The outputs of this meeting were:
$1· 22 Trainers and mentors for the implementation of the desk guide in place; 14 males and 8 females. The average pre test score was 55% and 84 % for the post test.
$1· Training materials for the diagnosis and management of TB in children in primary health care and out patients’ settings. These include; Facilitators and health workers manuals, diagnostic algorithm, contact management algorithm, child TB treatment monitoring card, treatment chart and regimens, quality improvement performance support supervision tool, SOPs and IEC messages on child TB care.
Development of Fio Protocol
Development of Fio protocols and customization of forms
The use of new technologies, such as the Fionet System, can help implementation of large-scale RDT programs by minimizing errors in diagnosis, providing expedited reporting of all diagnostic events, including those performed at remote point of care locations, and allowing close monitoring of quality performance in the field. The technology also enables increased completeness and accuracy of data routinely recorded in the DHIS and other reporting mechanisms as well as reduce the overall cost of quality assurance and monitoring and evaluation.
Regional Centre for Quality of Health Care (RCQHC), with core funding support from USAID/EA, in collaboration with Fio Corporation and Ministry of Health - Uganda plan to conduct a pilot in 10 peripheral health centres to assess the feasibility of using Fionet in field conditions in a bid to improve the performance of health centres and programs that utilize rapid diagnostic tests (RDTs). Fionet is an innovative universal RDT reader and data capture system developed by Fio Corporation capable of giving automated interpretation of RDTs by means of image and data analysis software.
In preparation for this pilot, as well as expanding Fionet usage within the East African region, RCQHC and Fio Corp held a Regional Fionet and Deployment Planning Workshop in Entebbe, Uganda from the 5th to 7th August 2013. Workshop participants were drawn from key personnel of HIV, Malaria and M&E divisions in Ministries of Health as well as Research Institutions involved in infectious diseases in Uganda, Rwanda, Kenya and Tanzania. The objective of the workshop was to;
- Introduce participants to the Fionet System and train them in its use
- Demonstrate Fionet use in a clinical setting
- Disseminate experiences and lessons from two previous pilots within the region
- Develop country plans for introduction and scale up of Fionet use
- Finalize Protocols and customize tools for adaptation by Fionet System (for Uganda team)
A total of nineteen persons, five of them females, from four different countries were trained in Fionet use. Participants were introduced to the Fionet concept and then underwent hands-on training in Entebbe Grade B hospital, initially on themselves and then with live patients.
By the end of the workshop;
- Participants had gained competency in use of the Fionet System.
- Countries (Uganda, Rwanda, Tanzania and Kenya) had developed plans for introduction and scale up of Fionet use.
- Uganda team had finalized protocols and customized tool for adaptation by the Fionet System in preparation for pilot.
PPH Symposium at the Annual Conference
The annual AOGU conference was held at Hotel Africana, Kampala and run from the 26th to 27th of September 2013. RCQHC organized a PPH symposium at the event and presentations were made by the Maternal Health RCQHC team on the global evidence on the use of misoprostol for the prevention and management of PPH followed by a presentation on the evidence generated from Uganda through RCQHC misoprostol study as well as other studies done within the country.
Following the presentations made during the Symposium, the following recommendation was made by AOGU in Unison – “In view of the evidence generated from Uganda, we are convinced that Misoprostol can safely be used at the community level for the prevention of PPH”. In addition the society leadership and its members expressed their commitment to advancing the Misoprostol recommendation to policy and implementation. Members of the society plan to have a press release in the near future to make the recommendation known to other stakeholders and the general public as a step towards policy change.