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.................................................................iv
CONFERENCE BACKGROUND......................................................................................1
Introduction

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MUEHSA

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7th annual Scientific Conference

1
Conference Theme

1
Conference goal

1
Conference Objectives

1
Participation

2
CONFERENCE SCHEDULE............................................................................................3
CONFERENCE PROCEEDINGS......................................................................................6
Key issues

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ANNEXES.................................................................................................................. 18
Annex I: Conference Organizing Committee

18
Annex II: MUEHSA Executives

20
Annex III: Exhibitors

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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

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 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 Mr. Tayebwa Morris

conference organizing committee

3:15 pm– 3:25pm Remarks by the chairperson scientific Mr. Kiconco Arthur
committee

3:25pm – 3:40pm Key note address: Overview of Mr. Mwesigye Collins; National
Environmental Health Workers’ Programme Officer, Water and
Association in Uganda. Sanitation-WHO

3:40pm – 3:50pm Implementation of the Public Health Mr. Masaba Chris Eddix
Act in Uganda.
Principal EHO

3:50pm – 4:00pm Overview of Environmental Health Mr. David Katwere S,

Workers’ Association in Uganda.
EHO- Kawempe Div, KCC

4:00pm – 4:15pm Challenges of HR development for Env. Mr. Joseph Agondua,

Health in Uganda. Principal Tutor School of Hygiene
Mbale

4:15 pm– 4:30pm Initiatives to prepare EHO trainees for Mr. Kiconco Arthur
Community Work participation.
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)

8:00am – 9:00am Arrival and registration Ms. Ahirirwe Rita Sherry

9:00am – 9:15am Recap of Day One presentations Ms. Auma Brenda

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9:15am – 9:30am Remarks by MUEHSA President Mr. Mangeni Mathias

9:30 am– 9:45am Remarks from the Head of Dr. John Ssempebwa
Department Disease Control and
Environmental Health

9:45am – 10:00am Address by the Dean School of Dr. William Bazeyo

Public Health

Opening Remarks from the chief M/s. Juliana Kyomuhangi Assistant

guest. Commissioner Environmental Health
10:00am – 10:15am 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 Mr. Musoke David, Department of
selected water sources in Wakiso Disease Control and Environmental
District. health MUSPH

10:45am – 11:00am Health risks related to Water and Mr. Ouma Vincent / Ms. Susan Ontiri
Sanitation practices in rural areas.
Moi University Kenya

11:00am – 11:15am Institutional water safety and Mr. Chemisto,

public health:
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 Mr. Omondi Denis / Wanyana

silent back to development; Nafula, Moi University-Kenya

12:00noon -12:15pm Sanitation Wealth tool- A new Mr. Joseph Agondua,

approach to Hygiene and Sanitation
Promotion Principal Tutor School of Hygiene
Mbale

12:15pm – 12:30pm Disasters and new management Mr. Edward Mbonigaba, Department
strategies. Environmental Health Kigali Health
Institute

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12:30pm – 1:00pm Reactions and remarks

1:00pm – 2:30pm Lunch break

2:10 pm– 2:30pm Environmental health approaches Mr. Joseph Byonanebye,

and mountain Gorilla conservation.
Makerere University School of
Public Health

2:30pm– 2:45pm Environmental Health workforce Mr. Otai Justin

development.
MoH-Uganda

2:45pm – 3:00pm Reactions and discussion

Closing Session: Chairperson: Masters of Ceremony

3:00pm – 3:30pm Conference resolutions and Mr. Mbaha E. Patrice

conclusions

3:30pm – 4:30pm Swearing in of the Incoming Ms. Ahirirwe Rita Sherry, C/Person
MUEHSA executive committee Electoral Commission
members.

4:30pm – 4:45pm Remarks by the Patron and Dean Dr. William Bazeyo
School of Public Health.
Dean MUSPH/Patron MUEHSA

4:45pm – 5:00pm Official Closure and Issuing of Mr. Tayebwa Morris

certificates.

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 CONFERENCE PROCEEDINGS
Key issues
The table below summarizes the conference proceedings

Presenter and Key issues emphasized

Topic
Implementation of The PHA is an Act of the Parliament of Uganda and it goes through the normal
Public Health Act in procedure of enacting an Act
Uganda By Mr We have PHA CAP 281 of 2000 which is in force with its Subsidiary Legislation
Masaba Chris Generally implementation of the PHA is very poor in most Local Authorities
Eddix, (3rd Year Challenges.
BEH – MUSPH, Environmental health staff are not effectively playing their professional role of
Principle EHO) 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 Solutions to global Environmental health challenges require a multi-sectoral
EHO trainees for approach. Efforts by institutions teaching EHS to produce high quality graduates
Community work form a cornerstone for both local and Global Environmental Health improvement
Participation. By Study trips organized by Department of disease control and environmental health
Mr. Kiconco to expose students to the following areas: Environmental pollution, industrial
Arthur,(BEHS III hygiene, safe water chain management
Student, MUSPH) Students participated in the Kalerwe Community Sanitation Program-
collaboration between MUSPH and Church of Uganda.
The students have been involved in several exhibitions including Makerere

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 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 San – Wealth Tool is an innovative tool designed to promote better hygiene
TOOL through improved water and sanitation practices at household, community and
Providing evidence district levels. It builds on and uses other sanitation hygiene promotion tools such
of prevention is as SARAR and PHAST which are tools that are already being used in the field
cheaper than cure Community members are required to carry out a cost benefit analysis of
By Mr. Joseph preventive and curative health interventions then come up with action plans to
Agondua, address their health problems.
Principle Mbale Steps followed in san – wealth tool include Assessing sanitation levels; Assessing
School of Hygiene 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

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 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 All protocols observed, welcomed all the participants to the second and final day
from Mr. Mangeni of the conference.
Mathias, (Out going Thanked all the member for their contributions and deliberations. Also
President - acknowledged and recognized key partners who support both financial and
MUEHSA ) 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. Thanked MUESHA for the invitation and greetings from the dean for the
David Guwatudde, MUESHA deliberation.
Deputy Dean- Challenges, current knowledge, policies on environmental health issues in Uganda
MUSPH on behalf and world.
of the Dean- Glad for the invitations extended to universities in the neighboring countries.
MUSPH 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

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 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. Welcomed every member to the conference

Kyomuhangi Notes that EHD greatly recognizes MUEHSA as a students’ body.
Juliana; Assistant She said that conferences like this particular one should be used as a platform to
Commissioner, disseminate scientific information.
Environmnetal Echoed that the Ministry of Health appreciates the role of Environmental Health
Health Department however she said that many positions haven’t been filled and even those filled
(EHD)-MoH haven’t been motivated.
(Acting) 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.

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 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 Poor water quality continues to pose a major threat to human health. Poor quality
selected water of water is associated with waterborne diseases such as diarrhoea, typhoid and
sources in Wakiso cholera. Water related diseases constitute the biggest burden of all illnesses and
District. deaths in the developing world. Improved water supply significantly reduces
Mr. David Musoke waterborne diseases.
Department of Water related diseases responsible for 80% of all illnesses and deaths in
Disease Control and developing world. Poor water quality continues to pose a major threat to human
Environmental health. Microbiological hazards remain the primary concern on water quality
Health particularly in developing countries.
Makerere Emerging issues: Only 1 water source (NWSC tap water) had a pH that was
University School within the recommended standards (6.5-8.5) Turbidity of all the sources was
of Public Health below 5 NTU although 4 of them had NTU above 0 (0 NTU being desirable).
Kampala, Uganda 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

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 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 Water and sanitation is one of the most precious gifts after life, and without which
to water and there would be no life. Lack of improved sanitation facilities predisposes one to all
sanitation practices sorts of infections that are otherwise avoidable. In Kilibwoni and Nambale
in rural areas divisions, various options and sources of water were used and health excreta
A case study of disposal methods.
Kilibwoni and Methodology: A total of 220 households responded by use of researcher
Nambale divisions administered questionnaires, interviews and observation. Chi-square test and bi-
Division in Kenya. variate correlations of the data were performed.
By Ouma M. Findings: Most (65%, N=143) of the residents (households) got their water from
Vincent and Susan unprotected wells and springs; a majority (75%, N=165) used traditional pit
K. ontiri latrines for excreta disposal, most (90%, N=198) of these latrines were found to be
Moi Universiry 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 Food safety is a scientific discipline describing handling, preparation, and storage
Rwanda of food in ways that prevent foodborne illness.
By GATETE Pascal Unsafe food causes many acute and life-long diseases, ranging from diarrhea
(KHI – Rwanda) 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–

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 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 Tungiasis is an ectoparasitic skin disease caused by the penetration of the female
back to sand flea - Tunga penetrans, into the epidermis of the host. It is endemic in
development in developing tropical countries esp where poverty and poor hygiene exist, like South
Kenya. American nations, the Caribbean and sub-Saharan Africa
By Omondi O. Tunga penetrans Lifestyle: Adults: agile, jumpy, crawl on ground till suitable host
Denis and (man) is located. Pigs, dogs, cats, cattle, sheep and Rattus rattus are important
Wanyama I. Nafula, reservoirs. Fertilized females burrow into the host’s skin: Toes,soles and heels
(3rd year B.Sc. (poor jumpers) – easily reached. Targets knees, fingers and elbows: Targets in
Environmental heavy infestation (soft)

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Health students - About 3000 globally distributed species and subspecies exist ,94% of which
Moi University, parasitize mammals while the rest are ornithophagic.
School of Public Study objectives: to highlight the factors leading to escalated jigger infestation
Health - Kenya) 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 Disaster is serious disruption of the functioning of a community or a society
management causing widespread human, material, economic or environmental losses which
Preparedness/Aware exceed the ability of the affected community or society to cope using its own
ness resources. It is a global issue which has affected almost every country of the
By Edward world. Countries like Rwanda, Uganda and Haiti have been affected and this
Mbonigaba– KHI – calls for massive campaign for their population to be prepared for this
Rwanda 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

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 school Curriculums. Disasters can’t be completely avoided but people should be
taught how to manage it.
Emergency Emergencies, conflicts, and disasters happen frequently, including natural
Preparedness disasters, chemical or radiological incidents, complex emergencies, and deliberate
By Okot Paul Bitex events. A substantial fraction of the disease burden derived from these events is
Programme Officer attributable to environmental risk factors
– Emergency Involves: Preparedness; Response and Rehabilitation
Health Emergency management characteristics: Disaster cycle- relief, rehabilitation,
Uganda Red Cross reconstruction, risk reduction, disaster preparedness.
Society 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
Health Approaches ape family known to science. DNA of gorillas is 98.4% similar to man. Are next
to Mountain Gorilla closest living relatives to humans after the two chimpanzee subspecies. Only about
Conservation 720 of these individuals remain 320 gorillas in BINP
By Mr. Joseph Economic importance of gorillas: 5-6bn of Uganda’s income through tourism

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Byonanebye 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 Environmental public health . . . touches everyone’s life every day.
Health workforce As a result of proper sanitation, more than 80% of human disease has been
development eliminated.
Principles Necessity of workforce development: To support efforts already underway to
By Mr. Justin Otai- build capacity and infrastructure of the overall public health system, and more
SHE MOH/EHD 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

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 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 Challenges at institutional level: inadequate staffing (School of
developing Human hygiene,Mbale.10;400 tutor; student ratio, Mulago 2:200)- large enrolments of
Resources for students.
Environmental Challenges of developing HR for environmental health: inadequate materials
Health at field work level
By Mr. Agondua Recommendations: Improving quality of training, Strengthening support
Joseph Supervision System
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

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 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 2010/2011 MUEHSA/new
students at their schools president
Conference reports Key issues of the conference should Two months The president of
be shared out to the participants and from now MUEHSA
other key stake holders
Formalization of entry -We need pressure groups, -By first General secretaries
points to public service MUEHSA and EHWA to push for quarter next of the associations,
by environmental health the entry points of EHO into the year MUEHSA,
graduates public service. EHWA
Schedule of the It should be two full days, not one By next MUEHSA
conference and a half conference
People invited -Timely invitations. By next Incoming regime
-Improve on the correspondence. conference
Invitation of stake holders.
Enumeration of the MUEHSA and Ministry of health By next -Incoming
qualified environmental should work out a data base of the conference publicity secretary
health workers. qualified Environmental health MUEHSA,
workers. EHWA, --Mbale
school of hygiene
- Paramedical
school of hygiene
Formation of a council A council should be put in place -MOH, EH Div
-EHWA
Revitalization of an EH MOH, EH Div
strategies
Sensitization -Next cabinet,
MUEHSA
Networking Exchange of contacts From end of The government
Formation of associations the and ourselves
conference
How other people in the Formation of department of -EHWA
health profession environmental health in the ministry -MUEHSA

17
marginalize of health.
environmental health
workers
Proposal writing 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

18
2. Nabahinda Patience
3. Nakiwala Dorothy

19
Annex II: MUEHSA Executives
MUEHSA Outgoing Committee (MUEHSA Executive 2009/10)

Name Title
Mr. Mangeni Mathias President
Mr. Tayebwa Morris Vice President
Ms. Auma Brenda General Secretary
Mr. Kiconco Arthur Secretary Academic Affairs
Mr. Drabo Kayi Martins Finance Secretary
Ms. Busingye Leticia Organizing Secretary
Mr.Kazibwe Joseph Publicity Secretary

Office of the speaker

Mr. Kabanji Moses Speaker
Mr. Mande Sulait Deputy Speaker

MUEHSA Incoming Committee (MUEHSA Executive 2010/11)

Mr. Onzima Donald Degason President

Ms. Mirembe Bernadette Basuta Vice President
Mr. Mawa Ratib General Secretary
Mr.Tugume Abdulaziz Secretary Academic Affairs
Mr.Tubenawe Lawrence Finance Secretary
Mr.Tayebwa Morris Organising Secretary
Mr.Nambale Derek Channel Publicity Secretary

Office of the Speaker

Ms.Nabahinda Patience Speaker
Mr. Sserwanja Rodney Deputy Speaker

20
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

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……)
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 ritahirirwe@gmail.com 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 jacqueane@yahoo.com SPH

22
9. Ariho D Franco Red Cross 0782614316 francoariho@yahoo.com RED CROSS

10. Atia Samuel Baker “ 0775711537 MPS

11. Atim Beatrice E.H.O 0784767349 LDLG

12. Atuhaire Brian Student 0702318832 brianatu@gmail.com MUSPH

13. Auma Brenda Student 0775294234 abrendajustine@yahoo.com MUSPH

14. Ayat Rose E.H.O 0782416626 KDLG

15. Bagonza Godfrey Student 0782239890 godfreybagonza@gmail.com MUSPH

16. Bagonza Musitafa Student 0774383110

17. Bahizi Rutabagisha Paul Student 0784040204 paulbahizi@yahoo.com MUSPH

18. Baliku Joseph Mbanyi Student 0774379579 MULAGO

PARAMEDICAL

19. Basiimwa Babra EHO barbiebasiimwa@yahoo.com MUSPH

20. Besekezi James Student 0715392893

23
21. Brian Mayanja The New Vision 0782868563 brianmayanja@gmail.com VISION GROUP

22. Businge Herbert Student 0783253692 busherbert@yahoo.com “

23. Busingye Leticia Student 0715566291 bricialeti@yahoo.com MUSPH

24. Busingye Sistal Hames Student 0773045457 sises88@yahoo.com MUSPH

25. Bwambale Kastori Student 0782749102 MUSPH

26. Byamukama Acleo Student 0786465280 MUSPH

27. Byarugaba Pascal Student 0773262556 bpasqo7711@yahoo.com MUSPH

28. Cecilia Okoth New Vision O774304499 NEW VISION

GROUP

29. David Katwere Ssemwanga EHO 0772507113 dssemwanga@yahoo.com KCC, Lubaga Div.

30. Dr.Yayi Alfred Student 0772535450 yayialf@yahoo.co.uk

31. Drani Grace Komaa Student 0774265817 MPS

24
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 felixwaa@hotmail.com MUSPH

36. Franco Zacharia Student +255683217151 MUSPH

3

37. Gatete Pascal Student +250788899072 gatdep@yahoo.com K.H.I

38. Gideon Mutyaba Student 0777096104 mutyabagideon@yahoo.com

39. Gune Florence Student 0776394479 ggune60@yahoo.co.uk IHSU

40. Hassan Yakuba Journalist 0774414855 lnyakub_hssn@yahoo.com UDL

41. Hindu Nakagezi Student 0777006031 hindupaulo@yahoo.com UDL

42. Joseph Agondua E.H.O 0782574840 agonduaaka@yahoo.co.uk UDL

43. Kabuye Wahis UJA 0771889904 UJA

25
44. Karachi Aminah Student 0779538806 karina@yahoo.com MPS

45. Kareo Rhina E.H.O 0782837317 KDLG

46. Kasaija Nelson Pho Mmu 0782970397 FIELD

47. Katende Samuel Student 0775935222 samuelkatende@yahoo.com MUSPH

48. Kerubo Georgina Student +254716799145 kanigroeg@yahoo.com MUSPH

49. Kiconco Arthur Student 0782026973 arthur@moviefan.com MUSPH

50. Kimbo Henry Student 0774621665 kimhank006@yahoo.co.uk MUSPH

51. Kirya Ronald Student 0782403364 MUSPH

52. Kuteesa Evelyn Student 0755666648 MUSPH

53. Lokwiy Paul Student 0774847256 MUK

54. Mabonga Kitts Reporter 0772663083 damabonga@yahoo.co.uk

26
55. Madrara George Student 0782429202 madrageorge@yahoo.com IUIU

56. Majwala Herbert Student 0779254483 stanley_herbert@rocketmail.c IUIU

om

57. Mangeni Mahias Student 0772648129 mangenin@yahoo.com IUIU

58. Masaba Chris Eddix Student 0702507788 chrismasaba@yahoo.co.uk IUIU

59. Masereka Wilson Student 0782897038 wilson@yahoo.com MPTS

60. Matsiko Brian Student 0782291686 makryan77@gmail.com MUSPH

61. Mawa Ratib Student 0782960524 MUSPH

62. Mayanja Ernest Student 07879894O2 MUSPH

63. Mbomgeya Edward Tutorial Ass. +250788891446 mbonied@yahoo.co.uk K.H.I

64. Mirembe Bernadette Basuta Student 0714145627 esinedspears@yahoo.com MUSPH

65. Misagga Harold Student 0714438629 haroldmisagga@yahoo.co.uk MUSPH

66. Mr. Angunda Collins Health Worker 0772993626 YDLG

27
67. Mujjahi Martin Mukama Student 0772998975 YDLG

68. Mukama Trasias Student 0701817225 mtrasias@yahoo.com MUSPH

69. Mugano Felix Fortunate Student 0772513574 MUSPH

70. Mutaawe Ibrahim Student 0772605057 mutaawe.ibra@yahoo.com MUSPH

71. Nabahinda Patience Student 0779105135 patienab@yahoo.com MUSPH

72. Nabirye Julie Student 0774044334 j/nabirye@yahoo.com MUSPH

73. Nabweteme Diana Student 0777821534 dianamartha200@yahoo.com MUSPH

74. Nagasha Olive Student 0773267015 MUSPH

75. Nakitto Nuulu Ismail Student 0774655468 MUSPH

76. Nalwanga Eva EHO 0782194317 lwevas@yahoo.com MUSPH

77. Namalwa Catherine Student 0782061624 cathylusaggi@yahoo.com MUSPH

28
78. Nambale D. Channel Student O777500395 nderekchannel@gmail.com MUSPH

79. Nambale Godfrey Tutor 0794235356 gnambale@gmail.com MBALE SoH

80. Nambuya Safinah Student 0712340402

81. Namugenyi Rebecca Student beckymks@yahoo.co.uk MUSPH

82. Namuswe Winifred Student 0777584277 namuswew@yahoo.com MUSPH

83. Nanfuka Mary Immaculate Sihi 0772934186 nanfukamary@yahoo.com 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 nyamutalepeter@yahoo.com FORTPORTAL

29
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 ojjozuber@yahoo.com MUSPH

96. Okot Paul Bitex Presenter 0772407715 pokot@redcrossug.org RED CROSS

SOCIETY

97. Omedo Owino.M. Student +254727163905 RED CROSS

SOCIETY

98. Ondoma George Student 0777386429 MUSPH

99. Onen Vivienne Student 0773203171 vivienne.onen@yahoo.co.uk MUSPH

10 Ongom Robert Phi 0774541543 ongomrob@yahoo.co.uk AMC

0.

30
10 Onono Charles Student 0772530873 charlesonono@yahoo.com AMC
1.

10 Opio John Nelson Adho.Eh 0772870510 LIRA DISTRICT

2.

10 Ouma .M .Vincent Student +25424883391 vincelon@gmail.com MOI UNIVERSITY

3.

10 Sekyewa Ronald Student 0771674702 ronaldsekyewa@yahoo.co.uk MUSPH

4.

10 Senyimba .G. Robert Student 0772550395 MBALE SCHOOL

5. OF HYGIENE

10 Ssebuwufu William Student 0779222196 wssebuwufu@yahoo.com MUK

6.

10 Ssemuddu Bashir E.H.O 0773264221 LG

7.

10 Ssenkuba Joseph Student 0782043391 IHSU

8.

31
10 Sserwanja Rodney Student 0775044409 rsserwanja@yahoo.com IHSU
9.

11 Ssewanyana Derrick Student 0774864375 sewaday@yahoo.com IHSU

0.

11 Susan Ontiri Student 0722605160 MOI UNIVERSITY

1.

11 Talire Bashir H. Inspector 0772308147 KINYARA SUGAR

2.

11 Tayebwa Morris Student 0773864581 morlyf@yahoo.com MUSPH

3.

11 Thungu Meble Student 0774780016 ibrahmah@yahoo.com MUSPH

4.

11 Tubenawe Lawrence Student 0703621159 thawinto@gmail.com MUSPH

5.

11 Tugume Abdulaziz Student O718394228 MUSPH

6.

32
11 Tuhumwire Peter Student 0712271754 ptuhumwire@gmail.com MUSPH
7.

11 Tukahirirwa Rugigama Devs Student 0782932147 MULAGO

8. PARAMEDICAL

11 Twinomugisha Daniel Student 0774676829 PARAMEDICAL

9.

12 Violet N. Mukisa Journalist 0772688797 nviolet2001@yahoo.com VISION VOICE

0.

12 Wamala Maria The New Vision 0774380948 mwamala@newvision.co.ug VISION GROUP

1.

12 Wandera Doreen Executive Director 0776367888 UWASNET

2. UWASNET

12 Wandera Fred Health Inspector 0774999968 fredwandera48@yahoo.com MASINDI TOWN

3. COUNCIL

12 Wanyama I. Nafula Student 0729378599 MOI UNIVERSITY

4.

33
 12 Wanyama Wafula .I. Student 0729378599 MOI.UNIVERSITY
5.

12 Were Edward Student 0782153219 ewere@yahoo.com MUK

6.

Annex Photos

34
Mr. Ssemwanga David (R)and Mr. Abdullah Ali Halage at the opening Mr. Ssemwanga David giving the key note address at the Confrence
Ceremony on 3rd April 2010 opening ceremony on 3rd April 2010

35
Mr. Kiconco Arthur (BEHS Year III-MUSPH) making a presentation on A participant responding to the presentation on 3rd May, 2010
3rd May, 2010

36
Mr. Ssemwanga David responding to the participants’ questions on 3rd Mr. Agondua Joseph (Principal School Of Hygiene – Mbale) making
May, 2010 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

37
 3rd May, 2010

The starting panelists on Day Two of the Conference (R – L ) Mr. Onzima, MUSPH Deputy Dean Dr. Guwatudde David giving a Speech on 4th
Ms. Julian Kyomuhangi, Dr. David Guwatudde and Mr. Mangeni Mathias May, 2010

38
(Standing) Ms. Julian Kyomuhangi giving a speech on 4th May, 2010. Conference participants having a tea break on 4th May, 2010

39
Second Session presenters on 4th May, 2010 Mr. Musoke David making a presentation on 4th May, 2010

40
Exhibition by the Uganda Red Cross Society at the conference on 4th May, Mr. Omondi O. Denis (Seated) and Ms. Wanyama I. Nafula
2010 (standing) (3rd year B.Sc. Environmental Health students - Moi
University, School of Public Health - Kenya) making a presentation
on 4th May, 2010

41
Conference percipients on 4th May, 2010 Mr. GATETE Pascal (KHI - Rwanda) making a presentation on 4th
May, 2010

42
Mr. Vincent Ouma (Moi University) responding to questions on 4th May, Mr. GATETE Pascal (KHI - Rwanda) responding to questions on 4th
2010 May, 2010

43
Mr. Edward MBONIGABA (KHI –Rwanda) Making a presentation on 4th Mr. Onzima Donald Degason incoming MUEHS president
May, 2010 giving remarks on 4th May, 2010

44
Conference participants having a lunch break at Imperial Royale Hotel on Conference participants having a lunch break at Imperial Royale
4th May, 2010 Hotel on 4th May, 2010

45
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

46