Afrosafe presentation on the just ended Pacori 2019 held in Accra-Ghana.

1. Michael Kawooya (Uganda) , Rose Nyabanda
(Kenya), Gladys Mwango (Kenya).
AFROSAFE FROM LAUNCH AT
PACORI 2015 TO DATE 2019

2. What is AFROSAFE
A radiation-safety campaign
developed by the Pan African
Congress of Radiology and
Imaging (PACORI) and radiation
health workers in Africa.
Under umbrella of ASR.

3. Process of establishment of
AFROSAFE
Launched on
17th
February
2015, at
Laico Hotel
in Nairobi,
Kenya
during the
8th scientific
congress of
PACORI.

4. Genesis for AFROSAFE
 A result of the Joint Position Statement by the IAEA and WHO
known as the “Bonn Call-for-action”, -December 2012.
 Support from IAEA, WHO, EuroSafe, Image Gently, ISR, PACORI

5. Objectives
Unite the stakeholders with a
common goal, to identify and
address issues arising from
radiation safety in medicine in
Africa.

6. Goal
Encourage adherence to
standards, policies, strategies
and activities for the promotion of
radiation safety and for
maximization of benefits from
radiological medical procedures.

7. Strategies
1. Strengthen radiation protection of patients, health workers and public
2. Promote safe and appropriate use of ionizing radiation in medicine.
(justification and optimization)
3. Foster improvement of the benefit-risk dialogue with patients and the
public.
4. Enhance the safety and quality of radiological procedures in
medicine.
5. Promote research in radiation protection and safety.
6. Network with other radiation safety campaigns and professional
societies to enable adoption and adaption of radiation safety
strategies and tools ( esp Royal College of Radiologists, French
Society of Radiology referral guidelines)
7. Encourage individual African countries to expedite DRL development
and the use of clinical referral guidelines.

8. SUCCESSES

9. Achievements
 These will be listed as per strategy

10. Strategy1 :
Strengthen radiation protection of
patients, health workers and public
 The first activity towards this strategy was laughing the
AFROSAFE implementation tool
 Second activity is to launch National and regional
AFROSAFE chapters
 The second activity has been awareness creation

11. AFROSAFE IMPEMENTATION TOOL
Tool launched
on 5th Nov 2015
during radiation
safety week:
Nairobi, Kenya

12. Launch of AFROSAFE
Chapters
AFROSAFE operates through its different
“Chapters” in regions and countries
Kenya chapter 2015
Uganda chapter 2015
African French-speaking Countries’
chapter 2016
Tanzanian Chapter 2017
South Africa Chapter April 2018

13. PACORI 2017
RADIATION SAFETY AND
IMAGING REFERRAL
GUIDELINES
Launch of Tanzania Chapter

14. KENYA CHAPTER AND LAUNCH OF THE
IMPLEMENTATION TOOL 5TH NOV 2015

15. UGANDA
COMMISIONE
MINISTRY OF
HEALTH
LAUNCHES
UGANDA CHAPTER
AFROSAFE
7TH NOV 2015
UGANDA CHAPTER 7TH NOV 2015

16. French AFROSAFE_RAD Chapter
 In January 2016, at the
Maghrebine Congress of
Radiology held in Algiers, Algeria,
the integration of French Speaking
Africa into AFROSAFE was
inducted. committee. Integration
was further consolidated in
October 2016, in Paris at the
French Society meeting.

17. In-country Radiation Safety Awareness
Talks

18. WEBSITE

19. AFROSAFE WEBSITE :
• OUTREACH MATERIAL ON CIG
• TEACHING MATERIAL-POWERPOIONT ON CIG
• POSTERS FOR RADIOLOGISTS, RADIOGRAPHERS, PATIENTS AND
PUBLIC
• LINKS TO OTHER IMAGING CAMPAIGN SITES
• ESSENTIAL STATISTICS FOR IMPLEMENTATION
• PUBLICATIONS AND OTHER RELEVANT RESOURCES

20. Uganda

21. Referral Guidelines Awareness:
Mengo Hospital Uganda

22. Patient engagement through Patient for
Patient Safety
Justification should be “ patient centered”
Uganda 2015.

23. "Introduction to
clinical imaging
guidelines: A
practical tool for
enhancing
appropriate pediatric
computerized
tomography
imaging"
Harriet Kisembo.
August 10th –
11th ,2017 in
Kampala (U) at Hotel
Africana.

24. Kenya

25. SENSITIZATION OF THE PUBLIC NAIROBI
CITY RADIATION SAFETY WALK 5TH NOV
2015 2015

26. Advocacy for pediatric safety though AFSPI,
spearheaded by WFPI and Image Gently

27. Tunisia

28. RADIATION SAFETY
AND IMAGING
REFERRAL GUIDELINES

29. Kenya

30. RADIATION SAFETY AND IMAGING
REFERRAL GUIDELINES

31. S. AFRICA

32. Radiation safety is beginning to take first priority
in scientific meetings and congresses in Africa
Keynote Address at the South Africa Imaging
Conference Durban Oct. 2017:
“Africa’s progress towards the Bonn call for action “

33. African region : AFSPI

34. Strategy 2 : Promote safe and
appropriate use of ionizing
radiation in medicine. (justification
and optimization)
Strategy 2 is being handled
together with strategy 7:
Encourage individual African
countries to expedite DRL
development and the use of
clinical referral guidelines

35. Promote research in radiation protection
and safety.

36. ADOPTING AND ADAPTING
CLINICAL IMAGING GUIDELINES
 Implement clinical imaging referral guidelines in Africa with
Support from the IAEA 2015-2019

37. IAEA African Regional Workshops on
Imaging Referral Guidelines
Organized by IAEA Technical Cooperation regional project,
RAF9053
 Six countries: Algeria, Cameroon, Cote D’voire , Egypt,
Kenya and Uganda
 Dec 6th to 7th 2015m Cairo; Egypt; representatives from 17
member states and 5 experts
 Vienna in September 2016
 Cairo Feb 2017
OUT COME; AFRICAN PROJECT FOR ADOPTING AND
ADAPTING CLINICAL IMAGING GUIDELINES ; FRENCH
GUIDELINES AND RCR iRefer

38. Uganda has started a
pilot project
in adopting the ESR
IGUIDE in 2 hospitals
Using the IGUIDE, 59%
Requisitions were
inappropriate
We have now started the
intervention of training
referrers to use the
IGUIDE. We shall
reassess after 3 months

39. Development of Facility and National
DRLs

40. IAEA workshop on rad.protection in pead.
Imaging 9-13 Nov 2015. Nairobi, Kenya

41. RESEARCH FOR DEVELOPING NATIONAL CT DRLS IN UGANDA

42. Strategy 3: Foster improvement of
the benefit-risk dialogue with
patients and the public.

43. TARGET USERS
• Pediatricians.
• Health-care providers involved in
imaging procedures in children.
• Decision-makers, health authorities.
• Medical and dental school.

44. Strategy 5:Promote research in radiation
protection and safety.
This has been done through:
 Encourage students to undertake research in radiation
protection for their dissertations and thesis
 Encourage individual researchers to undertake research in
radiation protection
 Undertake collaborative/joint research activities in Africa

46. RESEARCH FOR DEVELOPING NATIONAL CT DRLS IN UGANDA

47. M. Kawooya; Dina Husseiny; Boudjema Mansouri; Gladys Mwango; Dr. Rose
Nyabanda; Fozy Peer; Sam Ali
Radiation-Protection
Education-Capacity in
African Academic
Institutions for Impacting
Future Generations

48. Strategy 6: Network with other
radiation safety campaigns and
professional societies
 AFROSAFE’s membership to the ICRQS
 Collaboration with other campaign platforms
 Partnership with global agencies and organizations : IAEA,
WHO

49. AFROSAFE is a member of the
International Committee for Radiation
Quality and Safety (ICRQS), a
committee of the ISR

50. OTHER SAFETY CAMPAINGS

51. Vienna; March 2015:
L. Donoso (ESR President, G. Frija
(EuroSafe Imaging Steering
Committee Chair), M. Kawooya
(AFROSAFE Coordinator),
EuroSafe support to
AFROSAFE

52. AFROSAFE AND ARABSAFE
COLLABORATION IS STRENGTH

53. WHA 68-SIDE EVENT
SPONSORED BY GOVTS OF KENYA, UGANDA, MALAYSIA AND SPAIN

56. ECR 2019 ECR MEETS AFRICA
27TH FEB-3RD MARCH

57. Other issues to be handles

58. CHALLENGES AND SOLUTIONS
 Lack of awareness for several countries: Spread the
message throughout the whole of the
AFRICAN continent; Launch National
chapters
 Other competing demands for imaging professionals and
governments: Remain focused and determined
on achieving the goals and objectives:
 Fragmented efforts: Strengthen networking and
collaboration “Collaboration is strength’ .

59. Spreading AFROSAFE throughout
AFRICA
Launch GHANA
AFROSAFE
CHAPTER

60. SUMMARY AND WAY FORWARD
 AFROSAFE through with limited resources has managed to
embark on achieving its 7 strategies
 The mail challenge is to spread the message throughout the
whole of AFRICA and to remain focused on achieving the
goals and objectives.

61. T hank You