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Sustaining AMR-Awareness in post National Conference Era: A Case study of Busitema University Dr. Joseph L. Mpagi Senior Lecturer Busitema University Faculty of Health Sciences March 2019 1 Busitema University, Eastern Uganda 2 Mbale

  1. Sustaining AMR-Awareness in post National Conference Era: A Case study of Busitema University Dr. Joseph L. Mpagi Senior Lecturer Busitema University Faculty of Health Sciences March 2019 1

  2. Busitema University, Eastern Uganda 2

  3. Mbale Regional Referral Hospital 3

  4. 1 st AMR-Conference, Mbale, E. Uganda: 21-22 nd Nov. 2016 MDR-TB Survivor Conference Delegates 4

  5. Strategies to sustain AMR campaign in post-conference era  During preparatory meetings of 1 st National AMR Conference: Involve staff & students in the conference i. ‘Coalition against Resistance to Pesticides and ii. Antimicrobials’ (CARPA )  CARPA Membership, local Universities teaching:  Human sciences  Agriculture sciences  Environment sciences  Veterinary sciences 5

  6. Participation of Staff and Students of Busitema Univ. Task Staff (Health & Students Animal Sciences) (Health Sciences) Preparatory Meetings 9 (11%) 0 Final Preparations 7 (8%) 5 (2.5%) Conference 12 (15%) 13 (6.5%) Organisation Conference Attendance 19 (23%) 37 (18.5%) Conference Report 4 (5%) 0 6

  7. Establishment of CARPA  Registered as legal entity, end of 2016  Secretariat  Bank account  Mandate:  Plan and organize future National AMR conferences  Provide a platform for various stakeholders to work together on containment of AMR 7

  8. Sustaining AMR-Awareness: Students  5 students attended 2 nd National AMR conf. 2017  Students presented 2 papers at 2 nd AMR Conf. 2017  Students published one AMR-paper; 2018  4 students attended 3 rd National AMR conf. 2018  Busitema University Research Association (BRA). 2018 8

  9. Sustaining AMR-Awareness: Staff  Document reviews on Curricula in BUFHS  Curricula for Medicine and Nursing Programs ‘silent’ on AMR  Brought to the attention of Deputy Dean, Academic affairs  Curricula review slated 2019/2020  Provisional instruction of students in AMR 9

  10. Provisional AMR-Instruction: Lecture  COURSE CODE: MED 3203  Academic year: 2017-2018  Course name: Infectious diseases  Course coordinator: Nuwasiima Doreck MONDAY 23/04/2018 Time Description Location Group Facilitator Genital infections: Gonorrhoea, Chlamydia, bacterial 8.00-9.00 am vaginosis, trichomoniasis, vaginal candidiasis Trinity MBChB-3 Dr. Waiswa 9:30-10.30am Antimicrobial resistance Trinity Mr. Iramiot Jacob -do- Students and 10.30-12noon SDL Library librarians 10

  11. Provisional AMR-Instruction: PBL for Year III Students, COBERS Title of PBL: ‘Endless’ visits to a Health facility Learning objectives (Tutors guide):  Describe the use of herbal medicines as a first resort in health care in rural Uganda  Explain the implications of widespread prescriptions by unqualified personnel  Explain merits and demerits of treatment without laboratory diagnostics  Describe the challenge of drug-resistance in Uganda 11

  12. Sustaining AMR-Awareness: Staff Holistic Approach To Unravel Antimicrobial i. Resistance (HATUA)  Year of start 2018  Investigate drivers of AMR in Uganda Mapping and Tracking Drivers of ii. Antimicrobial Resistance in Uganda  Year of start 2018  Maps patterns of antibiotic resistance in Uganda 12 2018-2019

  13. Sustaining AMR-Awareness: CARPA  Key role in selecting hosts and in organising:  The 2 nd National AMR-Conference (2017)  The 3 rd National AMR-Conference (2018)  Supported IDI in application to implement Fleming Fund Country Grant for Uganda  Selected to sit on the Uganda National AMR Committee (UNAMRC)-----NAP 13

  14. Conclusion  Embedded in first National AMR were strategies to sustain AMR-campaign.  2 years down, strategies have some fruits  Key Challenges:  Making national AMR conferences less dependent on foreign funding  Assessment of AMR instruction in other universities that have hosted AMR conferences 14

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