Makerere University Environmental Health Students Association

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


ACKNOWLEDGEMENT.................................................................................................. i CONTENTS..................................................................................................................ii LIST OF ACRONYMS AND ABBREVIATIONS.................................................................iv 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 ANNEXES.................................................................................................................. 18 Annex I: Conference Organizing Committee 18 Annex II: MUEHSA Executives 20 Annex III: Exhibitors


21 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……) 22


LIST OF ACRONYMS AND ABBREVIATIONS MUSPH MUEHSA KHI MUK MoH EHD WHO UWASNET URCS HR EPH Makerere University School of Public Health Makerere University Environmental Health Students’ Association Kigali Health Institute Makerere University-Kampala Ministry of Health Environment Health Division World Health Organization Uganda Water and Sanitation NGO Network Uganda Red Cross Society Human Resource Environmental Public Health


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 multidisciplinary 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.

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 HygieneMbale. Officials from Local Governments Participants from Civil Society Organization (Red Cross)


CONFERENCE SCHEDULE The conference was held on 3rd and 4th May 2010 at Imperial Royale Hotel-Kampala and the program was as follows.




Day One: Monday 3rd May 2010.Chairperson: Mbaha Emmery Patrice 12:00 pm – 3:00pm 3:00pm – 3:15pm 3:15 pm– 3:25pm 3:25pm – 3:40pm Arrival and Registration Welcome remarks by the C. Person conference organizing committee Remarks by the chairperson scientific committee Key note address: Overview of Environmental Health Workers’ Association in Uganda. Implementation of the Public Health Act in Uganda. Overview of Environmental Health Workers’ Association in Uganda. Ms. Ahirirwe Rita Sherry Mr. Tayebwa Morris Mr. Kiconco Arthur Mr. Mwesigye Collins; National Programme Officer, Water and Sanitation-WHO Mr. Masaba Chris Eddix Principal EHO Mr. David Katwere S, EHO- Kawempe Div, KCC

3:40pm – 3:50pm

3:50pm – 4:00pm

4:00pm – 4:15pm

Challenges of HR development for Env. Mr. Joseph Agondua, Health in Uganda. Principal Tutor School of Hygiene Mbale Initiatives to prepare EHO trainees for Community Work participation. Remarks and discussions Photography Session Evening Tea Break Mr. Tuhumwire Peter Ushers Mr. Kiconco Arthur BEHS III Student-MUSH

4:15 pm– 4:30pm

4:30pm – 5:00pm 5:00pm – 5:20pm 5:20 pm– 6:00pm

Day two: Tuesday 4th May 2010 Session two: Masters of ceremony (Mr. Owino Omedo Martin) 8:00am – 9:00am 9:00am – 9:15am Arrival and registration Recap of Day One presentations Ms. Ahirirwe Rita Sherry Ms. Auma Brenda

9:15am – 9:30am 9:30 am– 9:45am

Remarks by MUEHSA President Remarks from the Head of Department Disease Control and Environmental Health Address by the Dean School of Public Health Opening Remarks from the chief guest. Morning Tea break

Mr. Mangeni Mathias Dr. John Ssempebwa

9:45am – 10:00am

Dr. William Bazeyo M/s. Juliana Kyomuhangi Assistant Commissioner Environmental Health Division. MoH Ushers

10:00am – 10:15am 10:15am – 10:30am

Session three. Chairperson Mr. Onzima Donald Degason 10:30am – 10:45am Water Safety: Water quality of selected water sources in Wakiso District. Health risks related to Water and Sanitation practices in rural areas. Institutional water safety and public health: Reactions and discussion Mr. Musoke David, Department of Disease Control and Environmental health MUSPH Mr. Ouma Vincent / Ms. Susan Ontiri Moi University Kenya Mr. Chemisto, SNV-Uganda Country Office.

10:45am – 11:00am

11:00am – 11:15am

11:15am – 11:45am

Session four: Chairperson: Mr. Nyamutale Peter 11:45am – 12:00am 12:00noon -12:15pm Tunga penetrans( jiggers): A silent back to development; Sanitation Wealth tool- A new approach to Hygiene and Sanitation Promotion Disasters and new management strategies. Mr. Omondi Denis / Wanyana Nafula, Moi University-Kenya Mr. Joseph Agondua, Principal Tutor School of Hygiene Mbale Mr. Edward Mbonigaba, Department Environmental Health Kigali Health Institute

12:15pm – 12:30pm


12:30pm – 1:00pm 1:00pm – 2:30pm 2:10 pm– 2:30pm

Reactions and remarks Lunch break Environmental health approaches and mountain Gorilla conservation. Mr. Joseph Byonanebye, Makerere University School of Public Health Mr. Otai Justin MoH-Uganda

2:30pm– 2:45pm

Environmental Health workforce development. Reactions and discussion

2:45pm – 3:00pm

Closing Session: Chairperson: Masters of Ceremony 3:00pm – 3:30pm 3:30pm – 4:30pm Conference resolutions and conclusions Swearing in of the Incoming MUEHSA executive committee members. Remarks by the Patron and Dean School of Public Health. Official Closure and Issuing of certificates. Mr. Mbaha E. Patrice Ms. Ahirirwe Rita Sherry, C/Person Electoral Commission Dr. William Bazeyo Dean MUSPH/Patron MUEHSA Mr. Tayebwa Morris

4:30pm – 4:45pm

4:45pm – 5:00pm


The table below summarizes the conference proceedings

Presenter and Topic Implementation of Uganda By Mr Masaba Chris Eddix, (3rd Year BEH – MUSPH, Principle EHO) .

Key issues emphasized The PHA is an Act of the Parliament of Uganda and it goes through the normal 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 . 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 Programcollaboration between MUSPH and Church of Uganda. The students have been involved in several exhibitions including Makerere

Public Health Act in procedure of enacting an Act

Initiative to prepare EHO trainees for Community work Participation. By Mr. Kiconco Arthur,(BEHS III Student, MUSPH)

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 Q&A issues. 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 SAN- WEALTH TOOL Providing evidence of prevention is cheaper than cure By Mr. Joseph Agondua, Principle Mbale School of Hygiene decentralization – center for quality assurance is concerned with this matter. 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 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 Remarks from Dr. David Guwatudde, Deputy DeanMUSPH on behalf of the DeanMUSPH confrence. 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 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. 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 (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 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 stagnating in the water collection area which can lead to contamination of water 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 bivariate 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 Food Safety in Rwanda By GATETE Pascal (KHI – Rwanda) enable us meet our Millennium development goals (MDG 1, 4 and 7). 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). 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 Tungiasis a silent back to development in Kenya. By Omondi O. Denis and Wanyama I. Nafula, (3rd year B.Sc. Environmental Standard; Food safety decentralization guideline; a Number of trainers in Food safety at District level (more than 160 Environmental Health officers). 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 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)


Health students Moi University, School of Public Health - Kenya)

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. Disaster is serious disruption of the functioning of a community or a society causing widespread human, material, economic or environmental losses which 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 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

Disasters and new management ness By Edward Mbonigaba– KHI – Rwanda

Preparedness/Aware exceed the ability of the affected community or society to cope using its own


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 Q&A 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: 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 Environmental Health Approaches to Mountain Gorilla Conservation By Mr. Joseph involved in various activities. About Mountain Gorillas Largest of the living primates and the last member of the 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 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 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

Environmental Health workforce development Principles By Mr. Justin OtaiSHE MOH/EHD


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 Challenges of developing Human Resources for Environmental Health By Mr. Agondua Joseph Principle Mbale School of Hygiene 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? 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

minorities 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

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.

Issue Topics covered


Time frame 2010/2011 Two months from now -By first quarter next year By next conference By next conference By next conference

-We should have exposures to the students at their schools Conference reports Key issues of the conference should be shared out to the participants and other key stake holders Formalization of entry -We need pressure groups, points to public service MUEHSA and EHWA to push for by environmental health the entry points of EHO into the graduates public service. Schedule of the It should be two full days, not one conference and a half People invited -Timely invitations. -Improve on the correspondence. Invitation of stake holders. Enumeration of the MUEHSA and Ministry of health qualified environmental should work out a data base of the health workers. qualified Environmental health workers.

Responsible person/body MUEHSA/new president The president of MUEHSA General secretaries of the associations, MUEHSA, EHWA MUEHSA Incoming regime -Incoming publicity secretary MUEHSA, EHWA, --Mbale school of hygiene - Paramedical school of hygiene -MOH, EH Div -EHWA MOH, EH Div -Next cabinet, MUEHSA The government and ourselves -EHWA -MUEHSA

Formation of a council Revitalization of an EH strategies Sensitization Networking How other people in the health profession

A council should be put in place

Exchange of contacts Formation of associations Formation of department of environmental health in the ministry

From end of the conference

marginalize environmental health workers Proposal writing

of health. Use knowledgeable resource persons for assistance

ANNEXES Annex I: Conference Organizing Committee Chairperson: Tayebwa Morris Vice Chair: Mangeni Mathias Scientific comittee 1. Kiconco Arthur 2. Masaba Chris Eddix 3. Tuhumwire Peter 4. Kansiime Winnie Finance Committee 1. Drabo Kayi Martin 2. Bagonza Godffrey 3. Akumu Nancy 4. Omedo Martin Owino Publicity committee 1. Kazibwe Joseph 2. Kabangi Moses Mwigo Conference Secretariat 1. Auma Brenda 2. Mawa Ratib 3. Tagoya Adrian 4. Kimbo Henry 5. Matsiko Brian Reception Committee 1. Ahirirwe Rita Sherry 2. Busingye Leticia 3. Thungu Mable 4. Namugenyi Rebecca Ushers 1. Mirembe Bernadette Basuta

2. Nabahinda Patience 3. Nakiwala Dorothy


Annex II: MUEHSA Executives MUEHSA Outgoing Committee (MUEHSA Executive 2009/10) Name Mr. Mangeni Mathias Mr. Tayebwa Morris Ms. Auma Brenda Mr. Kiconco Arthur Mr. Drabo Kayi Martins Ms. Busingye Leticia Mr.Kazibwe Joseph Office of the speaker Mr. Kabanji Moses Mr. Mande Sulait Title President Vice President General Secretary Secretary Academic Affairs Finance Secretary Organizing Secretary Publicity Secretary Speaker Deputy Speaker

MUEHSA Incoming Committee (MUEHSA Executive 2010/11) Mr. Onzima Donald Degason Ms. Mirembe Bernadette Basuta Mr. Mawa Ratib Mr.Tugume Abdulaziz Mr.Tubenawe Lawrence Mr.Tayebwa Morris Mr.Nambale Derek Channel Office of the Speaker Ms.Nabahinda Patience Mr. Sserwanja Rodney President Vice President General Secretary Secretary Academic Affairs Finance Secretary Organising Secretary Publicity Secretary Speaker Deputy Speaker


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 Kigali Health Institute (DelPHE Project) Individual contributions and conference collections: 1,000 US $ 6,900 US $ 2,285,000 UGX


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 1. 2. 3. 4. 5. 6. 7. 8. Name Adriko Pontius Pilate Aguma Nicholas Aheebwa J. Charity Ahirirwe Rita Sherry Ajok Robinah Akuma Salim Ambaruga Gabriel.U. Anena Jacqueline Designation Student Student Student Student Student Student Student Student Telephone 0779915573 0784336576 0774319369 0773141459 0775927978 0782401446 0782469616 0781538321 E-mail Address Institution PARAMEDICAL PARAMEDICAL PARAMEDICAL MUSPH MUSPH PARAMEDICAL PARAMEDICAL SPH


9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

Ariho D Franco Atia Samuel Baker Atim Beatrice Atuhaire Brian Auma Brenda Ayat Rose Bagonza Godfrey Bagonza Musitafa Bahizi Rutabagisha Paul Baliku Joseph Mbanyi Basiimwa Babra Besekezi James

Red Cross “ E.H.O Student Student E.H.O Student Student Student Student EHO Student

0782614316 0775711537 0784767349 0702318832 0775294234 0782416626 0782239890 0774383110 0784040204 0774379579







21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31.

Brian Mayanja Businge Herbert Busingye Leticia Busingye Sistal Hames Bwambale Kastori Byamukama Acleo Byarugaba Pascal Cecilia Okoth David Katwere Ssemwanga Dr.Yayi Alfred Drani Grace Komaa

The New Vision Student Student Student Student Student Student New Vision EHO Student Student

0782868563 0783253692 0715566291 0773045457 0782749102 0786465280 0773262556 O774304499 0772507113 0772535450 0774265817



KCC, Lubaga Div.



32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43.

Echodu Tom.M Ewechu Charles Ezama Solomon Felix Walyawula Franco Zacharia Gatete Pascal Gideon Mutyaba Gune Florence Hassan Yakuba Hindu Nakagezi Joseph Agondua Kabuye Wahis

Student D.H.I Student EHO Student Student Student Student Journalist Student E.H.O UJA

0772555002 0782332394 0777455610 0772822607 +255683217151 3 +250788899072 0777096104 0776394479 0774414855 0777006031 0782574840 0771889904




44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54.

Karachi Aminah Kareo Rhina Kasaija Nelson Katende Samuel Kerubo Georgina Kiconco Arthur Kimbo Henry Kirya Ronald Kuteesa Evelyn Lokwiy Paul Mabonga Kitts

Student E.H.O Pho Mmu Student Student Student Student Student Student Student Reporter

0779538806 0782837317 0782970397 0775935222 +254716799145 0782026973 0774621665 0782403364 0755666648 0774847256 0772663083




55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66.

Madrara George Majwala Herbert Mangeni Mahias Masaba Chris Eddix Masereka Wilson Matsiko Brian Mawa Ratib Mayanja Ernest Mbomgeya Edward Mirembe Bernadette Basuta Misagga Harold Mr. Angunda Collins

Student Student Student Student Student Student Student Student Tutorial Ass. Student Student Health Worker

0782429202 0779254483 0772648129 0702507788 0782897038 0782291686 0782960524 07879894O2 +250788891446 0714145627 0714438629 0772993626




67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77.

Mujjahi Martin Mukama Mukama Trasias Mugano Felix Fortunate Mutaawe Ibrahim Nabahinda Patience Nabirye Julie Nabweteme Diana Nagasha Olive Nakitto Nuulu Ismail Nalwanga Eva Namalwa Catherine

Student Student Student Student Student Student Student Student Student EHO Student

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78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89.

Nambale D. Channel Nambale Godfrey Nambuya Safinah Namugenyi Rebecca Namuswe Winifred Nanfuka Mary Immaculate Nantongo Claire Nanyanzi Faridah Nassanga Hasifa Nsengiyunva Confidence Nsubuga Bewedig Nyamutale Peter

Student Tutor Student Student Student Sihi Student Student Student Health Inspector Student E.H.O

O777500395 0794235356 0712340402

MUSPH MBALE SoH 0777584277 0772934186 0714773703 0773432111 0772056717 0782319635 0712300320 0772406631




90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 10 0.

Nyashwo Emily Obonyo Philip Odongo Godwil Ogaba.F.E Jockon Ogentho Judith Ojjo Zuber Okot Paul Bitex Omedo Owino.M. Ondoma George Onen Vivienne Ongom Robert

Student Student Student Sihi E.H.O Student Presenter Student Student Student Phi

0774651145 0712673449 0773577047 0782845349 0781556133 0772991433 0772407715 +254727163905 0777386429 0773203171 0774541543



10 1. 10 2. 10 3. 10 4. 10 5. 10 6. 10 7. 10 8.

Onono Charles




Opio John Nelson




Ouma .M .Vincent




Sekyewa Ronald




Senyimba .G. Robert




Ssebuwufu William



Ssemuddu Bashir




Ssenkuba Joseph





10 9. 11 0. 11 1. 11 2. 11 3. 11 4. 11 5. 11 6.

Sserwanja Rodney




Ssewanyana Derrick




Susan Ontiri




Talire Bashir

H. Inspector



Tayebwa Morris




Thungu Meble




Tubenawe Lawrence




Tugume Abdulaziz





11 7. 11 8. 11 9. 12 0. 12 1. 12 2. 12 3. 12 4.

Tuhumwire Peter




Tukahirirwa Rugigama Devs




Twinomugisha Daniel



Violet N. Mukisa




Wamala Maria

The New Vision



Wandera Doreen

Executive Director UWASNET Health Inspector



Wandera Fred



Wanyama I. Nafula




12 5. 12 6.

Wanyama Wafula .I.




Were Edward




Annex Photos


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


Mr. Ssemwanga David responding to the participants’ questions on 3rd May, 2010

Mr. Agondua Joseph (Principal School Of Hygiene – Mbale) making a presentation on 3rd May, 2010

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


(Standing) Ms. Julian Kyomuhangi giving a speech on 4th May, 2010.

Conference participants having a tea break on 4th May, 2010


Second Session presenters on 4th May, 2010

Mr. Musoke David making a presentation on 4th May, 2010


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


Conference percipients on 4th May, 2010

Mr. GATETE Pascal (KHI - Rwanda) making a presentation on 4th May, 2010


Mr. Vincent Ouma (Moi University) responding to questions on 4th May, 2010

Mr. GATETE Pascal (KHI - Rwanda) responding to questions on 4th May, 2010


Mr. Edward MBONIGABA (KHI –Rwanda) Making a presentation on 4th May, 2010

Mr. Onzima Donald Degason incoming MUEHS president giving remarks on 4th May, 2010


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


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


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