Africa Centre for Systematic Reviews and Knowledge Translation “Africa Centre” Makerere University, KAMPALA, UGANDA Prof. SEWANKAMBO, Nelson (Principal Investigator) Dr. OBUKU, Ekwaro (Coordinator) 29 th September, 2014 Global Evidence Synthesis Initiative, 3 rd Global Symposium on Health Systems Research Cape Town International Convention Centre.
Project Goal: Building sustainable capacity for conducting & using systematic reviews; & developing a novel RRM for responding to policy makers needs in East Africa. The 6 objectives are: 1.Training reviewers (PY 1, 2) & curriculum (PY3) 2.Conducting reviews (PY 1, 2, 3) 3.Disseminating reviews (PY 2, 3) 4.How useful are reviews for RRM? (PY 2) 5.Evaluating RRM in four African countries* (PY 1) 6.Establishing the “Africa Centre” *RRM - Rapid Response Mechanism; PY – Project Year.
PHASE III 26 reviewers enrolled 20 (77%) Completed phase I 24 (92%) Completed phase II 8 (31%) Women scientists Active in phase III: 7 (27%) August 2013 – Feb =Kenya 1=Tanzania 1=Cameroun 1=Botswana 19=Uganda 28 applicants Rwanda Ethiopia Tanzania Kenya Uganda Botswana Nov 2014 – April 2016 Introduction to systematic reviews: MSc. CEB/CEU, MakCHS 27 th – 31 st October, 2014
Progress with conducting reviews I 1.Antimicrobial self medication: *burden, risk factors and effects 2.Breast Cancer in Africa *burden, risk factors, biology 3.Depression and Diabetes Mellitus: *burden, risk factors, screening interventions 4.Depression and HIV/AIDS: *Rx with anti-depressants 5.Primary Health Care: *Non-state actors, Fragile states 6.Tuberculosis: *Implementation considerations for same-day diagnosis
Progress with conducting reviews II All protocols registered in PROSPERO except *Cochrane Collaboration (SACC) & § EPPI-Centre REVIEW TOPICPROTSEARSELDABSSYNTWUP Antimicrobial self-medicationXXXXXX Breast Cancer in AfricaXXX TuberculosisXXXXXX Depression and DiabetesXXX *Depression and HIV/AIDSXX β Primary Health CareXX
Our capacity POTENTIAL PhD (2) Psychiatry Information Science PhD Students (6) MA Social Sciences MSc Clinical Epi. & Biostatistics MSc Clinical Trials MPH (2) MSc Pharmacology Others (2) MMED Surgery BA Information Science AVAILABLE PI Oversight PRN Coordinator Administration Reviewing 1.5 days a week Research Scientist Reviewing 1 day a week
Challenges Transforming course participants into reviewers Gabriel Rada’s Model* From Homo medicus; Homo evidence; Homo synthesis; to Homo Cochrane Building review teams At least 3 reviewers in 3 other universities in Uganda Priority setting Conducting reviews in line with policy makers needs *Rada G. Models for developing capacity: inside or out? Cochrane Colloquium 2014, Hyderabad, India
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