Prof. Francis Omaswa SpeakingThe Health Systems Advocacy Partners (ACHEST, HAI, Amref Health Africa and Wemos) convened for the second annual Joint Action Planning Meeting in Kampala at Hotel Africana from 28th-30th November 2017. This meeting brings together the entire project implementing partnership team from all the eight contexts which include: Uganda, Kenya, Tanzania, Zambia, Malawi, the Africa Region, European Union and the Global Context.
The main objective of the Joint Action Planning meeting was to review the outcomes of 2017 and fine-tune plans for 2018, with a specific focus on strengthening thematic linkages within and across contexts.
The meeting was divided into three main sessions: Outcome harvesting where partners reflected on the outcomes for 2017 using the outcome harvesting methodology, planning for 2018 where partners reflected on how to strategically position themselves in 2018 to deliver the project and the joint advocacy efforts in which partners made reflections on advocacy efforts they could all contribute to and synergize given their unique niches and contributions to the programme.
During the meeting, partners presented Master Class sessions in which best practices were shared by all partners while Poster sessions gave all participants opportunities to appreciate how each partner implemented activities in 2017.

Every year all the Health Systems Advocacy Partners (HSAP) convene in a chosen country led by the Coordinating office in the Netherlands for a Joint Action Planning meeting. The meeting brings together all the implementing partners to share; work plans, strategies, successes, lessons learnt, challenges and opportunities for the past and coming implementation periods. The event gives an opportunity for all partners to meet and reflect on the year’s happenings while also shaping the plans for the next year into concrete actions.

The objectives of the Joint Action Planning meeting are:
• Review and reflect on results of 2017 implementation by partners, and Identify the contribution of some results by partners to outcomes in the ToC per HSA Context
• Present to partners and discuss our work plan for 2018 (Including policy advocacy strategies for 2018 according to thematic areas and contexts (Country, regional and global work agenda).
o Align advocacy strategies to thematic areas and harmonize across contexts
o Fine tune advocacy agenda and related advocacy messages for 2018
o Identify commonalities in the advocacy agenda with other partners for co-ordination
o Work plan for generation of new evidence and learning –our research agenda

After a successful kick-off of the inception phase of the Health Systems Advocacy (HSA) Partnership which concluded with a Joint Action Planning meeting in Nairobi in 2016, all HSA teams were energized and inspired to work along aligned and integrated work plans for the second year of the partnership. 2017 brings yet another opportunity for the second edition of the Joint Action Planning meeting.

This year’s Joint Planning meeting will bring together over 40 participants from all the contexts of; Uganda, Kenya, Tanzania, Zambia, Malawi, Regional and Global to Kampala, Uganda from 28 to 30 November 2017. During this session the different organizations will present posters depicting their in 2017 and a Masters Class program where they will share strategies they have successfully employed and lessons learnt. The event will also give an opportunity to discuss in detail the ToC for Tanzania and Malawi that are new entrants and work plans as well as agreeing on the learning agenda for the Partnership and the upcoming CSO Symposium in 2018.

 Compiled by Loice Epetiru,

Communications Specialist, African Centre for Global Health and Social Transformation (ACHEST)

The 4th Global forum on Human Resources for Health is an event that takes place every four years and brings together stakeholders from around the world to discuss the global Human Resources for Health (HRH) agenda with the aim of attaining universal health coverage, health security and achieving Sustainable Development Goals (SDGs). This year’s event was held from 13th to 17th November 2017, at the Royal Dublin Society in Ireland. The forum was premised on the theme: “Health Systems for the Future: 2030 and Beyond.” The event brought together more than 1000 delegates from over 90 countries from across sectors and institutions including representatives of: governments, UN Family, academia, civil society and youth and discussed all aspects of HRH.
The African Centre for Global Health and Social Transformation (ACHEST) was represented by a high level delegation of seven people who included; Francis Omaswa, Peter Eriki, Patrick Kadama, Elsie Kiguli-Malwadde, Vincent Ojoome, Robert Odedo and Loice Epetiru. Their participation was supported by the WHO except for one delegate who was sponsored by the HSA Partnership project.
During the Forum, ACHEST was; convener, speaker or chaired a number of track sessions, side events and plenary sessions as follows:
1. The Global Health Workforce Network Side Event – Speaker Francis Omaswa
2. Leadership Hub of GHWFN Side Event: Speaker Francis Omaswa
3. Brain Drain Brain Gain Side Event – Conveners and Speaker All and Hon Sarah Opendi
4. Reseau Vision Tokyo Side Event – Speaker Francis Omaswa
5. CSO Coalition on HRH Side Event, -Convener, Speaker All and Francis Omaswa
6. Making Partnerships Work for Workforce 2030 – Moderator Francis Omaswa, Speaker, Elsie, Kiguli-Malwadde
7. How Quality Improvement Empowers Health Workers to Improve Performance–Moderator Francis Omaswa, Speaker Vincent Ojoome.
8. The African HRH Platform Side Event : Convener and Speakers
9. Delivering Health in Rural Communities: Elsie Kiguli-Malwadde Speaker
10. How to Advance Political Will and Improve Accountability: Patrick Kadama Speaker
11. Governance and Accountability: Moderator Patrick Kadama
12. Closing Plenary : Speaker Francis Omaswa

On 29th September 2017, the African Centre for Global Health and Social Transformation (ACHEST) together with CSOs working on the health agenda in Uganda; in partnership with the Uganda Parliamentary Forum on Quality of Health Care held the First National Presidential Dialogue on Quality of Health Care at Collin Hotel in Mukono.
The dialogue that was premised on the theme: Improving Health Service Delivery to Ensure Quality Care for all brought together more than 800 participants from: Civil Society Organizations, Religious Institutions, Government line ministries, Members of parliament, students, academia and the media.

pic1In 2015 Trinidad and Tobago came close to reaching a deal with the Ugandan government to allow its health personnel migrate to work in the duo countries in a bilateral agreement before this opportunity was intercepted by activists’ protestation and court cases suing the government for this action.On Friday, 25th August 2017 at Imperial Royale hotel in Kampala when ACHEST was closing a three year project; Brain Drain to Brain Gain that was funded by the European Union through WHO; Prof. Francis Omaswa, the Executive Director of African Centre for Global Health and Social Transformation (ACHEST) noted that it was a missed opportunity on Uganda’s part to have declined the Trinidad and Tobago opportunity citing the many medical graduates who are languishing in unemployment as the government struggles to absorb many of the graduates into the public facilities.
Dr. Patrick Kadama. Director Health Policy at ACHEST advised that Uganda should tweak its policy instruments to ensure that our unemployed people in Uganda are taken care of in other countries to the benefit of the country.

26 Civil Society Organizations working on Maternal health, Child health, Adolescents health, HIV/AIDs and Human Rights related issues were trained by the African Centre for Global Health and Social Transformation (ACHEST) on policy lobby and advocacy.

The four days training held from 7th- 10th August 2017 in Entebbe, Uganda hinged on one of the major Health Systems Advocacy Partnership project components that is aimed at building capacity of indigenous civil society organizations to be able to engage effectively with governments, the private sector and other stakeholders accountable for health systems to deliver; equitable, accessible and high-quality SRHR and services.

“Wanting to become agents of change should be the drive for every individual to work hard. The lobby and advocacy skills acquired from the training will go a long way in bringing the change that we want to see.” Prof. Francis Omaswa, the Executive Director of ACHEST noted whole speaking at the training.
He advised the coalition members to create a lot of awareness around reproductive health like it was done around HIV AIDS being cognizant of the fact that maternal health is one indicator that did not perform well during the Millennium Development Goal era.

“We may build roads to go to the hospital which is a good thing, but building better humanParticipants at the Lobby and Advocacy meeting in Entebbe capital of healthy people who can build road s to go to the hospital is key to achieving a country’s development.”
Dr. Patrick Kadama, Director of Health Policy at African Centre for Global Health and Social Transformation (ACHEST) made this remark on Monday 7th August 2017 while opening a four days training organized by ACHEST for the Civil Society Organization coalition on Reproductive Maternal Neonatal Child and Adolescent Health (RMNCAH) and ACHEST staff.
The training that ran from 7th- 10th of August 2017 at Garuga Country Lake Resort in Entebbe hinged on one of the major Health Systems Advocacy Partnership project components of capacity building to strengthen civil society to engage effectively with governments, the private sector and other stakeholders accountable for health systems to deliver; equitable, accessible and high-quality SRHR and services.
The training objectives were to: impart knowledge and skills base; and develop materials, tools and plans to drive advocacy agenda in Sexual Reproductive Health Rights specific to Human Resources for Health, Leadership and Governance.
35 members from 26 Civil Society Organizations working on Maternal health, Child health, Adolescents health, HIV/AIDs and Human Rights related issues were trained on: definitions of concepts used in advocacy and lobbying, advocacy and lobbying cycle, media advocacy, advocacy monitoring and evaluation, social accountability tools and advocacy monitoring and evaluation.

Compiled by Loice Epetiru,
Communications Specialist, African Centre for Global Health and Social Transformation (ACHEST)

Prof. Francis Omaswa the Executive Director of ACHEST giving a meeting overview at MPs and CSOs meetingAfrican Centre for Global Health and Social Transformation (ACHEST) in partnership with the Civil Society Coalition on Maternal Neonatal, Child and Adolescent Health (RMNCH) put together a two days meeting for the members of the coalition and Members of Parliament to dialogue on advocacy on Sexual Reproductive Health; Human Resources for Health, Financing; Governance and Commodities.
The two days meeting brought together 17 members of parliament from committees on: Health, Legal, Human Rights and members of the Uganda parliamentary forum on quality of care; and 45 members of the Civil Society from 32 Civil Society organizations working on; youth, children, SRH, policy, HIV/AIDS and Human Resources for Health related issues.
The agenda of the two days meeting that ran from 6th-7th June 2017 at Imperial Royale Hotel, Kampala hinged on the Health Systems Advocacy Project that seeks to enable communities realize their right to the highest attainable sexual, reproductive health and rights services (SRHR) by creating space for a strong civil society to engage effectively with governments, the private sector and other stakeholders accountable for health systems, to deliver equitable, accessible and high-quality SRHR services and commodities funded by the Ministry for Foreign Trade and Development Cooperation.

Ms. Lauren a 22 year old woman and her husband were eagerly expecting their first born, like any other couple would.

During one of their antenatal visits at 6 months, everything went well and the couple was told they were expecting twins. This got them really thrilled, but this excitement was short lived.

A few days after, Lauren started feeling pains that were not exactly explained, then swollen feet and swollen body. When she went to a higher level health facility, she was diagnosed with preeclampsia, preeclampsia is a serious disease related to high blood pressure that can strike fast –“eclampsia” which is the Greek word for lightning. She was later referred to Mulago hospital where the fetus was removed to save her life, seven days after the baby died due to breathing related complications.

When further tests were run on Lauren, it was found that her kidneys were damaged.

Lauren is not alone; “10-40 % of the maternal deaths in Uganda are due to preeclampsia. Many women in Uganda die and lose their babies to preeclampsia due to ignorance about the disease which is the second cause of death among pregnant women, second to hemorrhage.”Participants pause for a photo during the press briefing in Kampala
Dr. Annet Nakimuli, a senior Gynecologist and Obstetrician at Mulago Hospital told the press during a press briefing organized by Health Systems Advocacy Partners that include: African Centre for Global Health and Social Transformation (ACHEST); Amref Health Africa and Coalition for Health Promotion and Social Development (HEPS) during the Inaugural World Preeclampsia Day held at the Golf Course Hotel on 22nd May 2017 under the theme: “Take the Preeclampsia Pledge – Know the symptoms. Spread the word.

Dr. Nakimuli noted that during the antenatal visits, women find when Blood Pressure machines in some health facilities are non-functional and their conditions never get to be diagnosed at an early stage where the condition is manageable, coupled with the challenge of stock out of Magnesium Sulphate, used in the management of the condition.

The objective of the press briefing was to raise awareness of preeclampsia and its country wide impact on the lives of mothers, babies, and families.

Dr. Jesca Nsungwa Sabiti, Commissioner Planning at Ministry of Health giving the position of government on the available services, space, policies and guidelines for handling preeclampsia noted that preeclampsia is a neglected disease among women and there isn’t any comprehensive data available on preeclampsia, but the ministry of health is working with National Identification and Registration Authority to establish figures.

She recognized the key role played by CSOs in raising awareness and called CSOs to continue with their concerted effort in raising awareness that is geared towards ending the pandemic in Uganda.

The partners presented a joint statement that had clear cut recommendations that include among others: Encourage additional research funding into preeclampsia and related disorders;
Prioritize education, training, and access to medical resources for healthcare providers; Encourage collaboration and partnerships between public and private sector organizations to support and advance these goals; bring the fight nearer to the communities and Join advocacy for adequacy of budgets.

Compiled by Loice Epetiru,
Communications Specialist, African Centre for Global Health and Social Transformation (ACHEST)

Press Statement

Think SDG Network Panel. 8th May, 2017. Montreal, Canada.

Introduction:
Prof. Francis Omaswa Executive Director ACHEST Second Left seated in a panel during the World Health SummitI come from Uganda and have been active in the African Region especially the East, Central and Southern Africa part of the continent as well as globally for some time. I am currently the Executive Director of the African Centre for Global Health and Social Transformation (ACHEST) with head office in Kampala, Uganda that works at country, continental and global level to build capacity and synergy for health systems in Africa. Our focused areas of work are health systems leadership and governance and health workforce.
With respect to SDGs, I am proud to remind you that the Minister of Foreign Affairs from Uganda, Hon. Kutesa presided over the 69 session of UN General Assembly during which the formulation of the SDGs was finalized. He was gracious enough to send Ambassador Kafeero who was his Chief of Staff during his tenure as President of the UNGA to the Eastern African SDG HPTT Consultation in Kampala last October 2016. His message was:

Photo2The African Platform on Human Resources for Health held the 5th African Health Workforce forum at the Commonwealth Resort, Munyonyo in Kampala from 19th to 21st April 2017.
The three days high level forum that was premised on the theme: Positioning the African Health Workforce for Sustainable Development that expounded the Human Resources for Health Implications for Universal Health Coverage, the challenges posed by the African context of high population growth with escalating levels of poverty among other challenges in Africa.
The forum that brought together delegates from more than 10 countries from within and without Africa was conducted through; plenary sessions, breakout sessions and discussions under the following thematic streams: Health Workforce education and training; Preparing the African HWF for universal Health Coverage; Leadership for HWF Development Management and Regulation; Nursing and Community Health Workers; and HWF Migration.

African HRH Platform, Kampala Communiqué.

Dr. Kiguli-Malwadde with the Students Network Organization executive and the Board of Directors of the NetworkDr. Elsie Kiguli-Malwadde, Director Health Workforce Education and Development represented African Centre for Global Health and Social Transformation (ACHEST) at the World Summit on Social Accountability in health organized by the International French- Speaking Network for Social Accountability in Health (RIFRSS), the Tunis Medical faculty and the Network Towards Unity for Health (TUFH) from 8th to 12th April 2017.
The summit that brought together more than 400 participants from more than 50 countries held in Hammamet, Tunis was premised on the theme: “Improving the impact of education institutions on people’s health. The theme was expounded through subthemes that included: leadership, accreditation, competencies and partnerships among others.
At the conference key note speeches were presented as well as 200 relevant posters, papers and workshops.
Dr. Kiguli MaIwadde who was part of the organizing committee for the conference and the vice secretary General for the Network TUFH presented a poster entitled: “Growing partnerships: Leveraging the power of collaboration between Universities”
As a way forward, the conference came up with a Tunis declaration on Social accountability in health.

African Centre for Global Health and Social Transformation (ACHES T) was represented at the 6th East African Health and Scientific Conference and International Health Exhibition and Trade fair by Dr. Peter Eriki, Director Health Systems together with Dr. Elsie Kiguli-Malwadde, Director Health Workforce Education and Development represented from 29th to 31st March 2017 in Bunjumbura, Burundi.
The three days conference was held at Ecole Technique Professionally and coordinated by the East African Health and Research Commission ( EAHRC) and was premised on the theme: “Preparedness for and control of disease outbreaks, epidemics and pandemics in the context of Climate change, globalization and gaps in the health System.
The subthemes of the conference included; emerging, re-merging, zoonotic diseases, vaccines, diagnostics and antimicrobial agents in control of communicable diseases, antimicrobial resistance, health systems and social mobilization in control of outbreaks, epidemics and pandemics and occupational health, safety and climate change.
During the meeting, Dr. Eriki chaired a panel on Maternal and Child Health while Dr. Kiguli-Malwadde participated in a panel in health professions training in East Africa.
The meeting had very high attendance by participants from the East African region.