Strengthening Operational Research and Monitoring and ...
Transcript of Strengthening Operational Research and Monitoring and ...
Strengthening Operational Research and Monitoring and Evaluation at Mildmay
Uganda
Maria Kwesiga
Host Institution: Mildmay Uganda Host Mentors: Irene Kambonesa
Mary Odiit Academic Mentor: Dr. Elizabeth Nabiwemba
Final Dissemination Golf Course Hotel 4 th May 2012
Strengthening Operational Research and Monitoring and Evaluation at Mildmay
Uganda
Maria Kwesiga
Mildmay Uganda Irene Kambonesa Mary Odiit Dr. Elizabeth Nabiwemba
Final Dissemination Golf Course Hotel
May 2012
Presentation Outline
• Brief Description of Mildmay Uganda • Terms of Reference • Key Achievements and Activities • Programmatic Activity • Lessons Learned • Acknowledgements
Presentation Outline
Brief Description of Mildmay Uganda
Key Achievements and Activities
Mildmay Uganda
Mildmay Uganda’s Vision Statement: “A world in which everyone with HIV
can have life in all its fullness”
Mildmay Uganda
Terms of Reference
• Operations Research and Dissemination • Monitoring and Evaluation • Training • Proposal Writing for Resource Mobilization
Terms of Reference
Operations Research and Dissemination Monitoring and Evaluation
Proposal Writing for Resource
Key Achievements: Research
• Coordinated $40,000 Regional African Training Network Grant – Documenting Mildmay Uganda Training Models
• Supervised project implementation • Managed and mentored three research consultants
– Findings • All participants report major positive changes in their job status
Key Achievements: Research
Coordinated $40,000 Regional African Training
Documenting Mildmay Uganda Training Models Supervised project implementation Managed and mentored three research consultants
All participants report major positive changes in
Research Topic
Role Objective
Knowledge and Attitudes of the HPV Vaccine
PI To explore knowledge and attitudes of the HPV vaccine among HIV positive adolescent girls
Association between CD4 at Switch to 2 nd line and Outcomes
Co‐PI To explore if CD4 count at switch to second and subsequent clinical and immunological outcomes in children
Factors Influencing Persistent Non‐ Adherence
Co‐Inv To explore the psychosocial factors influencing persistent poor adherence/ART self termination among adolescents
Objective Progress to Date
xplore knowledge and attitudes of the HPV vaccine among HIV positive adolescent girls
• Data entry complete • 90 adolescents • 84 caretakers
To explore if CD4 count at switch to second‐line ART and subsequent clinical and immunological outcomes in
• Data collection • 59 chart reviews complete
To explore the psychosocial factors influencing persistent poor adherence/ART self‐ termination among
• Data collection to begin mid‐May
Key Achievements: Research
• Appointed member of Mildmay Uganda Research Ethics Committee (MUREC), Research Committee and Research Advisory Board (RAB) – Reviewed nearly 40 research proposals – Reviewed and updated MUREC and RAB SOPs – Contributed to creation of a new department, Grant and Business Development
Key Achievements: Research
Appointed member of Mildmay Uganda Research Ethics Committee (MUREC), Research Committee and Research Advisory
Reviewed nearly 40 research proposals Reviewed and updated MUREC and RAB SOPs Contributed to creation of a new department, Grant and Business Development
Key Activities: Monitoring and Evaluation
– Reviewed and revised M&E system for Mildmay Uganda
– Developed a method for tracking families for the Family Based Approach
– Report writing
Key Activities: Monitoring and Evaluation
Key Achievements: Training
• Co‐developed curriculum and facilitation of courses – Applied Research and Evaluation Methods module of Health Systems Approach to HIV/AIDS degree course
–Manuscript Writing Workshop • Staff Trainings
– Literature Review and Search, Referencing and Abstract writing (80 staff members)
Key Achievements: Training
developed curriculum and facilitation of
Applied Research and Evaluation Methods module of Health Systems Approach to HIV/AIDS degree course Manuscript Writing Workshop
Literature Review and Search, Referencing and Abstract writing (80 staff members)
Proposal Writing
• 7 proposals written – Waiting feedback from 2
• ‘Be a Hero!’ ‐ Support Mildmay Uganda’s Paediatric Inpatient Unit – Art Fair and auction Fundraiser
– 10 th June 2012!
Proposal Writing
Publications • Abstracts‐ 4 Oral & 6 Poster Accepted
– International AIDS Society Conference • Washington DC, July 2012
– International Conference on AIDS and STIs in Africa • Addis Ababa, Ethiopia, December 2011
– Uganda Pediatric Association Conference • Kampala, Aug 2011
– East African Regional Physiotherapy Conference • Kampala, November 2011
– National Quality Improvement Conference • Kampala, February 2012
Publications 4 Oral & 6 Poster Accepted
International AIDS Society Conference
International Conference on AIDS and STIs in
Addis Ababa, Ethiopia, December 2011
Uganda Pediatric Association Conference
East African Regional Physiotherapy Conference
National Quality Improvement Conference
Publications • Print Media:
– “Elderly Forgotten in the HIV Fight New Vision Newspaper, 16 th January, 2012
–Makerere College of Health Sciences Quarterly Newsletters
• Manuscript: – Strengthening Pediatric HIV and OVC Service Delivery through Community‐Based Service Provider Linkages
Publications
“Elderly Forgotten in the HIV Newspaper,
Makerere College of Health
Strengthening Pediatric HIV and OVC Service Delivery
Based Service Provider Linkages
Programmatic Activity
Developing a Health Research Strategy For Mildmay Uganda
Programmatic Activity
Developing a Health Research Strategy For Mildmay Uganda
Developing a Health Research Strategy For Mildmay Uganda
• Objective: To create the Mildmay Uganda Research Strategy
• Rationale: Next step in expansion of research –Wealth of information gathered, yet not used –Must become more strategically focused
• Methods: – Rapid appraisal including a SWOT analysis – Interviews and meetings
Developing a Health Research Strategy For Mildmay Uganda
Objective: To create the Mildmay Uganda
Rationale: Next step in expansion of research Wealth of information gathered, yet not used Must become more strategically focused
Rapid appraisal including a SWOT analysis Interviews and meetings
Developing a Health Research Strategy For Mildmay Uganda
• Research Strategy Outputs –Research past, present and future aspirations
–More clearly defined Research Division •Mission, Vision and Core Principals • Goals, Objectives, Key actions
–Research priorities
Developing a Health Research Strategy For Mildmay Uganda
Research Strategy Outputs Research past, present and future
More clearly defined Research Division Mission, Vision and Core Principals Goals, Objectives, Key actions
Developing a Health Research Strategy For Mildmay Uganda
• Recommendations: – Strategy should be used to guide future research endeavours
– Research Strategy should be in MUg Strategic Plan – Need to further analyze routinely collected data – Staff training and sensitization/Need for collaborations
Research must remain a priority for Mildmay
Developing a Health Research Strategy For Mildmay Uganda
Strategy should be used to guide future research
Research Strategy should be in MUg Strategic Plan Need to further analyze routinely collected data Staff training and sensitization/Need for
Research must remain a priority for Mildmay
Lessons Learned
• Research and writing take time! • Be more proactive and assertive • Teamwork is key • Multi‐tasking is essential • Time management and priority setting • PATIENCE
Lessons Learned
Research and writing take time! Be more proactive and assertive
tasking is essential Time management and priority setting
Acknowledgements
• Irene Kambonesa and Mary Odiit, Dr. Emmanuel Luyirika, Dr. Ekiria Kikule, and Joyce Achan Mentors
• Dr. Elizabeth Nabiwemba • MakSPH‐CDC Fellowship Staff • Mildmay Uganda Staff • Fellow fellows
Acknowledgements
Irene Kambonesa and Mary Odiit, Dr. Emmanuel Luyirika, Dr. Ekiria Kikule, and Joyce Achan ‐ Host
Dr. Elizabeth Nabiwemba‐ Academic Mentor CDC Fellowship Staff