General
Decentralisation – A Condition, Process or Mystery?
Decentralisation is a term that has been flung around governance circles so frequently that the last thing you would expect to find is an almost-packed Makerere University Main Hall in the midst the busy season of tests. On 4th November 2014, the University Forum on Governance (UNIFOG) in partnership with the Konrad-Adenauer-Stiftung (KAS) organized a panel discussion on Seventeen Years of Decentralisation: Opportunities, Challenges and Outlook for Uganda and at the close of the day, the audience left with a greater sense of appreciation of what they thought they knew but actually knew not.
“Konrad-Adenauer-Stiftung’s interest in decentralisation in Uganda stems from our own political background where Germany’s decentralised system of governance was established in 1949 by the Allied Forces after World War II. Nevertheless Federalism has turned out to be the most valuable assets to Germany for on the good side it has increased accountability but on the negative side, slowed down legislation” said Ms. Maike Messerschmidt, KAS’ Programme Officer for Uganda and South Sudan in her introductory remarks.
KAS’ activities in Uganda are focused on strengthening the multiparty democratic system through the promotion of good governance and leadership. Ms. Messerschmidt noted that decentralisation as a process of redistributing power from the centre plays a crucial role in the development of any country and hoped that the day’s panel discussion would greatly contribute to the ongoing debate on the same.
Any system that aspires to have nationwide impact ought to be supported in its operations by a cohesive force of both volunteers and societal leaders at all levels. As such, the Uganda Local Governments’ Association (ULGA) was established in 1994 as the National Association of Local Governments of Uganda; a private non-profit body. To review Uganda’s decentralisation framework as well as share challenges and opportunities the structures present, UNIFOG invited ULGA Secretary General Ms. Rose Gertrude Gamwera, whose presentation painted a vivid picture of the actual situation on the ground.
“Good afternoon Councilors” she greeted, with the audience reluctant to respond, thinking that maybe she was addressing the wrong forum. They would however soon learn that everyone above eighteen years is a Local Government Councilor and that the Village Council is the primary platform to promote citizen participation in democratic control and decision making, “you can see that you have already been given the opportunity at village level 1. It is time for you to take the reins and utilize that platform,” challenged Ms. Gamwera. She nevertheless noted that Decentralisation had empowered Local governments to build economic bases so as to become financially independent, “These structures have been empowered to come up with their own budgets, generate and collect more revenue and in addition to that, they receive a stipend through Central government transfers to run services, although I hasten to add that we are becoming more dependent on that.” Ms. Gamwera also noted that Local Government structures open up room for employment and provide an avenue for Government to conduct its oversight function on national programmes.
Decentralisation has however encountered its fair share of challenges, the biggest arising from the creation of new districts. “This resulted in increased Administrative costs and some local governments could just not be operationalised,” shared Ms. Gamwera. She also cited failure to effectively conduct elections due to high expenses associated with the process, low caliber of political leaders due to the absence of a minimum qualification limit, conflicts arising from different multiparty dispensations, and poor remuneration as challenges that continued to dog decentralisation. She however noted that Uganda’s decentralisation drive was progressing well despite these challenges “as long as we are committed, decisive and there is good will on the part of policy makers, decision makers and implementers, we can make it” she resolved.
With the audience now fully aware of what was on the ground, Dr. Yasin Olum, an Associate Professor of Political Science and Public Administration, CHUSS presented the academic side with the aim of providing possible policy options to improve the decentralisation system. Starting off with the concept and theory of decentralisation, Dr. Olum questioned “Is it a condition or a process? There are those that see it as a process and others as a condition, which presents us with an area for debate” said Dr. Olum. Touching on the forms of decentralisation, he also pondered which one was most suitable for Uganda, “is it De-concentration, Devolution, Delegation or even a fourth which is subject to contest-Privatization”
Dr. Olum further expounded on the three theories of decentralisation as; Liberal, Public Choice-the views of economists on decentralized state and Marxist-the analysis of the state at the local level. “From my assessment, Uganda seems to be unconsciously implementing decentralisation by applying either the liberal and partly the public choice and not the Marxist” he noted. He however suggested that the Marxist theory be used to understand and propose an alternative to Uganda’s decentralisation because the practices as shared by ULGA necessitated that decentralisation be located in a much wider economic and political setting in which Local Governments are situated.
Examining the methodological issues of understanding decentralisation, Dr. Olum noted that the terms centralization and decentralisation had left nation like Uganda that practices a mix of both with no middle term to describe the present situation. He further noted that the absence of indices to measure the efficacy of certain practices presented a challenge. “How do you measure decentralized power? There is a tendency to compare two different countries simply because they are implementing decentralisation or indeed comparing one country based on a single time period as if these different eras at the time of comparison are the same. I think we need to be a little bit careful” he advised. He also noted a problem of differential deficiencies-the difficulty in differentiating the degrees of decentralisation within a single country at a given time. “Are the districts being compared the same in terms of resources or geographical size?” he pondered in a bid to further clarify his point.
In an analysis of the conditions for successful implementation of decentralisation, Dr. Olum asked participants to ponder whether the spaces created for citizen participation were actual or pseudo and furthermore reflect upon whether there was political and civil will for decentralisation at the various levels. “Do leaders have the commitment to participate simply because you have established the structures or would they rather engage in their own activities and not go to this forum?” asked Dr. Olum. He further warned all stakeholders not to “romanticize decentralisation as if it was the best thing that ever happened.” With regard to proposing possible policy option, Dr. Olum agitated for the political-economy approach that guaranteed a clear understanding of the local, national and international terrains in which decentralisation is supposed to operate.
He called for an examination of the ecological surroundings that addresses inequalities in urban and rural areas to enhance the construction of local democratic states. “We should also look at the political constraints that may affect the process of governance. We are in the era of corporatization and so we have to be very careful if we are to talk about decentralisation in a climate where the country is emphasizing marketization and corporatization.” He stressed the need to conduct empirical research on decentralisation of power with a view of unearthing whether it has led to a change in the behavior of actors rather than the formal organisational relationships. “We need to ask; has decentralisation made people better, has it changed their behavior or are they still living as the centralized?” pondered Dr. Olum.
The historical perspective of any matter always provides valuable input into any debate. Contributing to the discussion, Dr. Simba Kayunga Ssali, Lecturer-Department of Political Science, CHUSS noted that “When you look at the history of centre-local government relations, an interesting phase could be traced to the early 1940s when the British Government started the so-called indirect rule. Any good student of Uganda’s centre-local government relations will note that Uganda was operating a very detailed decentralized system of government between 1955 and 1965.” Dr. Simba decried the lack of willingness by the current policy makers and implementers to examine the challenges faced by decentralisation then so as to better implement it today.
He supported Dr. Olum’s proposal to use the Marxist theory to better evaluate the notion that the cause of underdevelopment is over-centralization Dr. Simba noted that “Decentralisation understood the causes of underdevelopment from an organisational perspective; that we were underdeveloped because of our internal crises, hence excluding the global factors which have led us into poverty” he said, further adding “And as long as we carry on with a development paradigm which excludes our global connections, that paradigm cannot lead us into economic transformation.” Dr. Simba however took difference to the earlier suggestion that low levels of education were a hindrance to effective service delivery. Quoting from the 17th Century French revolution, Dr. Simba observed that “’There is no correlation between high attainance of education and sensitivity to people’s needs.’ The fact that you are more educated does not mean that you are more sensitive to the needs of the people” summed up Dr. Simba.
The notion of decentralisation as an answer to underdevelopment once again resurfaced in the panel discussion when Dr. Sarah Ssali, Senior Lecturer-Department of Women and Gender Studies, CHUSS took to the podium. “Were the donors thinking the same thing when they pushed decentralisation as a conditionality for aid and as a way of reducing the powers of the state to impact on the local level?” she pondered. She also wondered whether the politicians and donors were posing these questions from the same source of inspiration and whether the eventual beneficiary community did not just see it as another opportunity to secure jobs for their children. “My considered opinion is that we are talking about different things although they are all thoughts about decentralisation as a system of governance” she added.
Evaluating the progresses and regresses as a result of decentralisation, Dr. Ssali noted that “All those who have looked at service sectors of health and education have come up with simple before and after study reports and no one is wondering where funding to put up these buildings is coming from! If you can find a building that has been put up by the district I think you will be very lucky” she challenged. She observed that most of the infrastructure had been developed as a result of conditional grants from government or partnerships with other donors. Still in line with finance and revenue, Dr. Ssali noted that “85% of district revenues come from the centre in form of conditional grants and no district; apart from Kampala can raise more than 5% of its revenue, implying that they are all dependent on the centre.” She therefore wondered whether we were talking about actual decentralisation as a country.
She also called for an evaluation of the distinct gap in knowledge and skills between the highly-educated technocrats who run the districts and lower qualified leaders who constitute the councils “And so you are promoting the elite capture from the urban to the rural areas. But elite capture is not just about educated people because we have the rural elite who are likely to secure the position by virtue of their family status. Will these then relate with people for purposes of self aggrandizement or will they work for public good?” she wondered out loud. She noted that this could lead to a perpetual source of disappointment between councilors and their electorate. In conclusion she noted that whereas decentralisation had created an opportunity for several players other than that state to contribute to political debate, it had also provided a way for donors to directly access the people thereby leading to a question of who actually owned and run the process.
The day’s moderator Mr. Maurice Mugisha-Nation Media Group (NMG) then opened up the debate to members of the audience. Contributors then raised issues ranging from; structures without actual power at decentralized levels, the high cost of public administration especially at newly created districts, political differences interfering service delivery due to lack of consensus, the absence of sound revenue bases implying that districts implemented very little of planned projects, all the way to lack of substantively appointed officials at the District level. In the responses that followed, Ms. Gamwera noted that ULGA and the government are coming up with statutory instruments to complement the Local Government framework and help implement devolution of power and capacity building for Local Government leaders. She also noted that interviews were ongoing to recruit Chief Administrative Officers to fill the vacant positions at Districts. Dr. Sarah Ssali noted that decentralisation had empowered people to demand for accountability despite the fact that their power to implement is hampered by delayed transfer of resources from the centre and lack of capacity to raise their own revenue.
With regard to the evaluating the level of decentralisation of power, Dr. Yasin Olum advised assessors to examine the extent of either De-concentration, Devolution or Delegation of power in the Financial, Political and Personnel aspects of governance. He urged participants not to look at either centralization or decentralisation as the cause of underdevelopment but rather consider other global factors. Regarding the complexities presented by multi-ethnic 
districts in that there was no unifying local language to guide debates, Dr. Simba Ssali noted that knowledge or lack of knowledge of the English language had no bearing whatsoever of one’s being knowledgeable or not; emphasizing that knowledge existed outside formal education systems. He urged Local Government Authorities to localize decentralisation concepts so as to prevent all attempts at programme implementation being shunned as elitist by rural populations.
At the conclusion of the session, UNIFOG’s Executive Secretary Mr. Bruce Kabaasa thanked all the panelists and participants for the lively debate, “I want to encourage you to pay as much attention as possible and also look forward to many such debates in the future in order to broaden your knowledge of the very issues that surround us in society,” he said. Mr. Kabaasa also thanked Konrad-Adenauer-Stiftung for not only going beyond their original scope and supporting more engagements than initially agreed upon but also promising to make future engagements more engaging. He prayed that all stakeholders would continue to find these panel discussions as valuable avenues of knowledge generation and sharing.
Article by Public Relations Office
General
Makerere University Hosts Ambassador Judyth Nsababera for Strategic Dialogue Advancing Uganda–China Engagement
Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera. The meeting brought together university leaders, innovators, students, and heads of departments and Units. Discussions centred on innovation, commercialisation, branding, and international collaboration, particularly with China, while also showcasing Makerere’s growing role as a national and continental engine for research, entrepreneurship, and transformative ideas.
This dialogue came at a symbolic moment as Makerere recently concluded its centenary celebrations, positioning the institution not just as a historical leader in higher education but as a forward-looking university ready to shape Africa’s place in global knowledge, trade, and innovation ecosystems.
Showcasing Innovation and Student Enterprise
The engagement highlighted the work of the University Centre for Entrepreneurship and Innovation, which champions student-led innovations, particularly from the Makerere Coffee Club. The Coffee Club, a student-led innovation focused on value addition to coffee, served their products during the top management meeting, demonstrating how academic training is being translated into real, market-ready solutions.
Prof. Sarah Ssali emphasized the importance of ensuring that innovation does not remain confined to laboratories or “junk” backrooms, but progresses into structured systems that support commercialization, intellectual property (IP) protection, and market penetration.
The presence of officers from the University Intellectual Property Office reinforced the need for stronger collaboration to safeguard student innovations and maximize their economic potential.
The university’s investment in barista training and coffee branding was cited as a model of practical, inclusive innovation, with training open not only to students but also to wider communities. This was further strengthened by the role of the Uganda Coffee Development Authority (UCDA), which donated a professional coffee machine to support student training and practical exposure within the Makerere Coffee Club, reinforcing the importance of national institutions in strengthening the coffee value chain.
The meeting highlighted the establishment of a Coffee Museum at the University, led by the School of Food Science, Nutrition and Bioengineering. The Museum will be the first of its kind in Uganda. Amb. Judyth Nsababero highlighted the fact that it would serve as an intellectual, cultural, and societal tool for preserving and elevating Uganda’s coffee heritage on the world stage. Beyond preservation, the museum was framed as a strategic branding platform that would connect Uganda’s coffee narrative to global audiences and align it with China’s fast-growing coffee consumption culture, positioning it as both a knowledge centre and a symbol of national identity.
Education, Language, and Capacity Building
The strategic engagement also underscored the need to strengthen the Chinese language teaching capacity at Makerere University.
Strong emphasis was placed on Chinese language acquisition as a tool for trade, diplomacy, and innovation. Prof. Mugaga Muwanga stressed that while Uganda remains focused on local languages, there is an urgent need to empower lecturers to become Chinese-trained educationists who can cascade this knowledge across the education system. Strong emphasis was placed on Chinese language acquisition as a tool for trade, diplomacy, and innovation. Prof. Mugaga Muwanga, Principal, CEES, Makerere University, underscored this need, stating:
“The language Chinese is becoming key in world trade. As educationists, we are still focused on teaching Ugandan languages. We need to be empowered to train Chinese-trained educationists. This value chain has to start with capacity building of the lecturers, who will teach the future teachers to roll out the language across various levels of education.”
His remarks reinforced the urgency of investing in structured capacity building for lecturers as the foundation for sustainable introduction of Chinese language education across Uganda’s learning system.
The Ambassador committed to supporting scholarships and training opportunities for staff and academicians, particularly at CEES, to build capacity in Chinese language and culture. This initiative will equip beneficiaries with the skills needed to teach Chinese and strengthen meaningful international engagement in key fields such as law, medicine, business, and technology.
Dr. Zahara Nampewo highlighted growing interest by Chinese students in studying law at Makerere University, opening opportunities for reciprocal exchange and joint legal training. The Ambassador also proposed training Ugandan lawyers to better understand the Chinese legal system to strengthen negotiation and international business competence.
Broader Strategic Partnerships
Ambassador Judyth Nsababera highlighted several strategic partnership opportunities aimed at strengthening Makerere University’s global engagement and innovation capacity. These include collaboration with UNDP, which is already supporting commercialisation, skilling, and capacity building, including benchmarking Ugandan enterprises with Chinese packaging companies to enhance product competitiveness and scale production.
She also referenced Yunnan University (China’s coffee province) as a critical academic partner, citing its pioneering coffee degree programme, integrated innovation model, and student-led branding system as a benchmark Makerere could learn from and engage with in developing its own coffee ecosystem and museum.
Additionally, the Ambassador pointed to Koti Coffee (China’s fastest-growing coffee chain) as a potential industry partner, noting its rapid expansion and influence in the global coffee market as an entry point for promoting Ugandan coffee and strengthening market linkages. She further encouraged exploration of collaboration with corporate entities such as Huawei, particularly in areas of student mobility, technological advancement, and academia-industry integration.
Together, these proposed partnerships represent strategic avenues for academic exchange, innovation transfer, market access, and international positioning, laying the groundwork for sustainable and mutually beneficial engagement between Makerere University and global institutions.
Strategic Engagement as a Pathway to Sustainable Partnerships
The engagement between Makerere University and Ambassador Judyth Nsababera marked a defining moment in advancing strategic dialogue and relationship-building as a foundation for future Uganda–China academic and innovation cooperation. It reinforced the need for structured branding systems, scalable production, commercialisation pathways, language capacity building, and strong university-industry linkages.
As Makerere continues to evolve as a national engine of innovation, research, and thought leadership, this visit provided a clear roadmap for how the institution can assert its rightful place within China’s expanding academic, technological, and economic ecosystem, transforming Uganda’s heritage, creativity, and intellectual capital into global influence.
Caroline Kainomugisha is the Alumni and Partnerships Communications Officer, Advancement Office, Makerere University.
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Makerere Students share experiences, connections and inspiration at inaugural For Youth, By Youth Conference in Turkey
On 16 November 2025, six students from Makerere University travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity. The two-day conference was organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation.
During the Conference, held between 17 and 18 November, students participated in a variety of activities, including panel discussions, presentations, and the drafting of the For Youth, By Youth Movement Charter and the Talloires Declaration, the first of its kind to be drafted entirely by students. For many of the students, this experience was the beginning of their journey of global impact and a rare platform to openly share their experiences, ideas and aspirations.
Student reflections after the conference
Naomi Ayebale, a Master of Science in Clinical Psychology student at Makerere University, who took part in the panel discussion “Struggles for Justice and Peace in Our World,” shared: “Attending this event felt like stepping into a space where every voice truly mattered. It was a reminder that no single, beautifully crafted story can ever capture what all our stories hold when woven together. Everyone came with their own truth, their own lens, and their own hope, and somehow it all fit.
“Being part of this movement fills me with a sense of joy, not just because of the cause itself, but because I get to stand alongside people who are not only demanding change but actively working to build it,” she said. “It’s energizing, but it also comes with a deep sense of responsibility. For me, being part of the For Youth, By Youth movement isn’t about how long I’ve lived; it’s about the experiences I carry and the problems I’ve witnessed firsthand. Those experiences have taught me not only what needs to change, but also how meaningful that change can be.”
Tyobo Harriet Yake, a final-year student at Makerere University pursuing a BSc in Biomedical Engineering and one of the inaugural cohort participants of the For Youth, By Youth movement, remarked: “For me, it was amazing and exciting to meet young people from different countries who share similar beliefs and ambitions,’ she said. “Conversations like these created a safe space where victims of injustice could share their stories openly. It inspired me to return to my community and continue doing whatever I can, however small, to make life better for those facing similar circumstances.
“I felt a strong sense of unity, and the words of the famous song ‘Different colors, one people’ truly came to life. I loved trying foods I couldn’t even pronounce but absolutely enjoyed. It was a full package of rich experiences in just a few days” she added.
“As I move forward, I’m reminded of John F. Kennedy’s quote ‘leadership and learning are inseparable.’ A leader learns through listening to the loud and silent voices of the community. It’s this conscious leadership that sparks transformation and fuels collective growth. This is the leadership I embrace in this journey” Harriet concluded.
Sandrah Naikambo, a third-year student pursuing a Bachelor of Information Systems and Technology, shared her reflections:
“From my experience at the conference and the movement in general, I learned that change isn’t just spoken about—it’s built. I witnessed young people who weren’t waiting for permission but using their own lived experiences to create real solutions. In that space, every voice mattered and every story had room to breathe. I walked away feeling seen, inspired, and connected with a purpose bigger than myself. This experience showed me that the youth are not the future, they are the present!”
Namwase Rinah Marion, a final year student at Makerere University pursuing a Bachelor of Social Work and Social Administration, and a former Guild Minister for Students with Disabilities in the 89th Guild remarked:
“It was exciting to meet young leaders from across the world who had ambitions towards change in their respective communities and universities,” she said. “The international conference did not only expose me to fellow determined leaders but also inspired me to push hard for success as I got to know there is nothing without us. We are the leaders of tomorrow, and the program entrusted us; so, we are the change makers of today and tomorrow. Young leaders for a better world.”
The For Youth, By Youth movement was born from the vision of 36 Next Generation Leaders from 18 countries, including Makerere’s Harunah Damba and Patrovas Okidi, who, at the height of the COVID-19 pandemic, worked together to stitch the threads that would later give rise to the movement. They organized local community and campus events, engaging directly with young people, communities, and universities to identify the issues that mattered most to them.
In recognition of the university’s support and as a gesture to strengthen ties with university leadership, Harunah and Patrovas presented a plaque to Vice Chancellor Professor Barnabas Nawangwe, honouring Makerere University’s support for the Next Generation Leaders Program in December 2023.
Reflecting on their experience, Harunah, now a Makerere University alumnus, said: “It was such an honour for me to be part of the inaugural For Youth, By Youth conference. Seeing the fruits of our hard work finally come to life is something that sits very close to my heart. I can’t think of any work that would be more rewarding, more encouraging, or more inspiring than this.”
Patrovas, a Master of Science in Bioinformatics student at Makerere University, said: “The For Youth, By Youth movement is a testament of what young people can do when organised, from its birth to the very first international conference, it has been led by youth and for the youth who are guided by values of respect, humility, kindness, impact, solidarity, hope, levity, collaboration, and inclusivity. The conference echoed one clear message I would love to pass on to everyone out there, our movement is a values-based civic infrastructure of engaged universities and a nimble network of virtual spaces. To solve multiple intersecting crises, education must evolve into regenerative, living systems rooted in community. Universities should represent all members of society, and be able to speak truth to power, and to centre empathy as the heart of learning and belonging. Youth must be co-creators in solving global challenges, while universities steward safe spaces for critical discourse and shared learning.”
He added “Echoing the voice of Lorlene Hoyt and others: For Youth, By Youth… it’s not a program — it’s a movement. Look out 2045, we’re just getting started. – this is our sense of belonging.”
General
In Honor of the Life and Legacy of Mr. Francis Seletze Ngabirano-A Steady Hand through the Storms
When the history of public health training in Uganda is told — honestly, fully, and with the respect it deserves, the name Francis Seletze Ngabirano must stand at the center of that story. For 32 years, he was one of the most consistent figures at Makerere’s Department of Preventive Medicine, now the Institute (and later, School) of Public Health. Through leadership transitions, political upheavals, and moments when the institution teetered on collapse, he carried with him a quiet, steady force, one that helped keep the wheels turning and the vision alive.
Thirteen years after Makerere University was established, a boy was born in the rolling hills of Kigezi on 18 November 1935. His parents named him Francis Seletze Ngabirano. At that time, no one could have imagined that this young boy would one day dedicate his life to Uganda’s premier and oldest university. Guided by his parents’ commitment to discipline and service, Francis began school in 1945 at the age of ten. He completed his primary education in 1950 before proceeding to secondary school from 1951 to 1956.
By the late 1950s, long before the Makerere University Institute of Public Health was conceived, he was already doing the work that would define his life, administration in health settings. From Kilembe Mines Hospital, where he managed medical records and supervised clerical staff from 1957 to 1960, to the Ross Institute of Tropical Hygiene (East Africa Branch) from 1961 to 1963, where he served as Technical Assistant to the Principal Officer and helped set up regional health research operations across Kenya, Uganda, Tanzania, Malawi, and Zambia, his career was expanding beyond borders. Even as a young man, he had already become someone institutions could trust.
During this same period, he also served as Assistant Chief Health Educator with the African Medical and Research Foundation (AMREF), then a fast-growing regional health organization headquartered in Nairobi. His work took him directly into communities, organizing health education courses in schools and villages, gathering and analysing sickness data from local industries, and supervising the support staff who kept these outreach operations running. It was practical, people-focused work that demanded both empathy and discipline, qualities he carried throughout his career.
He strengthened his skills through further training in health education and public health administration at Kenyatta National Hospital, at the Hebrew University–Hadassah Medical School in Israel, and later at the University of Thessaloniki in Greece. These experiences gave him both global exposure and a strong command of public health systems, qualifications few Ugandans had at the time.
So, when he joined Makerere on 1 November 1968 as an Epidemiology Office Assistant, a role created specifically to accommodate his expertise, he arrived not as a beginner, but as a professional already shaped by years of responsibility.
As recorded in handwritten notes by Professor Suleiman Jabir Farsey on May 13, 1974:
“Mr. Ngabirano joined the Department in November 1968, and was appointed ‘Epidemiology Office Assistant.’ The records available in the Department indicate that Mr. Ngabirano was recruited for administrative duties, but because there was no provision in the establishment for such a post at the time, the post of Public Health Nursing Instructor was altered to one of Epidemiology Office Assistant,” wrote Professor Farsey, then Head of the Department of Preventive Medicine (1968–1975).
Becoming the Institutional Backbone
The early Institute of Public Health (IPH) was a small but ambitious unit within the Faculty of Medicine. It was led by Prof. Jabir Farsey as a Department of Preventive Medicine and supported by pioneering Ugandans such as Dr. Josephine Namboze, Dr. V. L. Ongom, Mr. S. K. Lwanga, Dr. M. L. Kakande, and Dr. B. Baitera. Behind this frontline of academics was a steady force, administrators like Mr. Ngabirano, making sure that teaching, research, and community outreach worked without disruption.
It is worth noting that Mr. Ngabirano witnessed the birth and transformation of the Department of Preventive Medicine into the first Institute of Public Health in Sub-Saharan Africa on 1 July 1975. The Institute was still under the Faculty of Medicine, then headed by Professor Joseph Lutwama, with Professor Jabir Farsey as its first head. Ngabirano also saw the construction of the four-story building that now houses MakSPH, completed in January 1971, along with the installation of furniture and essential facilities.
From his personal account, the idea of establishing an Institute had been conceived as early as 1967. However, the rise of Idi Amin delayed these plans and triggered the departure of remaining expatriates, including Dr. George Saxton, an American who had directed Kasangati Health Centre and taught in an honorary capacity in the Department of Preventive Medicine. Dr. Saxton, after a brief visit to Europe, returned with an aid package secured from the governments of Denmark and Norway, the funding that ultimately made the current MakSPH building possible. Saxton understood that creating an Institute required space, as staff and students had been cramped in the Clinical Research Building.
All these years, Ngabirano managed everything: financial records, planning epidemiological field tours, supervising personnel, coordinating WHO projects, handling stores and vehicles, and doing so with a thoroughness colleagues would later describe as his trademark.
Over the years, five heads of the Institute came and went: Prof. Jabir Farsey (1968-1975), Prof. Capt. Dr. Virginio Lachora Ongom (1975-1979), Prof. Josephine Namboze (1979-1988), Prof. John Tuhe Kakitahi (1988-1991), and Prof. Gilbert Bukenya (1991-1994), later replaced by Prof. Frederick Wabwire-Mangen (1995-2003). Directors changed, structures shifted, crises erupted… but Ngabirano remained.
His desk was where continuity lived.
A Witness and Chronicler of Turbulent Decades
Many people who lived through Uganda’s chaotic 1970s chose silence. But Mr. Ngabirano documented. His unpublished 1995 manuscript, The Institute of Public Health Through Idi Amin’s Rule, is one of the most significant historical accounts of Makerere’s public health training during a time when institutional memory was at risk of disappearing.
His writing describes:
The early Amin years saw a mass departure of academic staff. Prof. Farsey resigned in 1975, and Prof. Ongom died suddenly in 1979. Tragic losses of colleagues, Dr. Baitera, Dr. Kakande, and Mr. Asaba, further strained morale. Low salaries and dwindling staff eventually led to the discontinuation of the Diploma in Public Health in 1988.
These were not just institutional events; they shaped people’s lives. They tested loyalty, purpose, and endurance. Through all this, the Institute survived because of administrators who refused to let the vision fade. Few stood more firmly in that resolve than Mr. Ngabirano.
The Administrator Who Kept People First
His influence is most vividly remembered in the 1990s with the introduction of the two-year Master of Public Health (MPH) Degree Full-time Programme based on the concept of a Public Health Schools Without Walls (PHSWOW).
With support from the Rockefeller Foundation, this innovative model took training into district health systems; Rakai, Hoima, Fort Portal, Arua, Karamoja, Mukono, immersing students in real public health challenges. Administration for such a programme required: diplomacy, logistical mastery, pastoral care, financial stewardship, and calm leadership across diverse teams. Mr. Ngabirano excelled in every one.
Prof. Fred Wabwire-Mangen, then Director of IPH, remembers him as:
“A focused and organised administrator… the typical administrator of the olden days. He documented every detail clearly and ensured medical student fieldwork ran smoothly.”
Prof. Nazarius Mbona Tumwesigye, who joined when Ngabirano was already a pillar of the Institute, offers this reflection:
“He served the School diligently. The administrator was the engine of the Institute. Directors often travelled, but he ensured day-to-day affairs continued uninterrupted. He sustained this place when salaries were meagre and conditions extremely difficult.”
To young staff, he was not just a supervisor; he was guidance, stability, and care.
In 1993, a new graduate student, Professor Christopher Garimoi Orach, joined Makerere, encouraged by Prof. Gilbert Bukenya to pursue the Master of Medicine in Public Health (MMED PH). That programme would later evolve into the modern two-year MPH. One of the first people he encountered was Mr. Ngabirano.
Prof. Orach remembers him vividly and eulogises him:
“Francis Ngabirano worked with great dedication, commitment, and distinction at the Institute of Public Health. He was passionate about his work as an Administrator, humorous, smart, and ever-present. He interacted easily with faculty and students, always supportive. Rest thee well, Francis. You rendered your service admirably, with great love, passion, and honor. Rest now with the Creator, the giver and taker, in tranquility, in a place well prepared for you eternally.”
These words reflect the admiration of countless others whose paths he helped establish. To others, Ngabirano was a fatherly guide to future leaders. When Dr. Lynn Atuyambe arrived at the Institute in 1994, he was not yet the senior academic we know today but just a young researcher seeking footing.
He found in Ngabirano a mentor who understood people, not only processes.
“He participated in student welfare, was very kind and approachable. He allocated field vehicles, ensured our welfare, organised workshops, and kept strong links with our training centres. He had an art of storytelling with clarity and great detail, I will miss that.”
Dr. Atuyambe particularly remembers a life-changing personal moment:
“The first laptop in my life, he delivered it to me in the field and showed me how to use it. It was 1996. He was friendly and fatherly. May his soul rest in peace.”
These are not merely memories; they are bridges between generations. They tell the truth: the foundations of public health capacity building in Uganda were built not only by professors publishing papers but also by administrators who made classrooms, vehicles, housing, and field learning possible.
During the “MPH at 25” celebration on Oct. 16, 2019, he received a certificate from Vice Chancellor Prof. Barnabas Nawangwe recognizing his role in shaping 25 years of MPH training at Makerere University, an honour that followed his earlier Long Service Award from the University Council in 1995.
In 2024, Makerere University School of Public Health marked 70 years of existence. For almost half that history, 32 years, the institution was shaped, steadied, and propelled forward by Mr. Francis Ngabirano’s resolve.
Ngabirano’s legacy is woven into the School’s Story. He lived the mission before it became slogans; taking health training to communities, nurturing the next generation of public health leaders, staying when others left, building systems where none existed, documenting history so no one would forget. He is the man who didn’t seek applause. But his contribution is visible in every graduate who navigated the Schools without walls programme, in every field team he deployed safely, in every archived record that tells us where we started and how far we have come.
His retirement in the late 1990s closed an amazing chapter, yet he left behind structures still functioning, and people still carrying his values forward.
In institutions, some people shine in celebration. Others shine in crisis. Mr. Ngabirano shone in both and in his demise, the School of Public Health revere him as a gentleman who kept the School alive when it was hardest to stay.
He stood for diligence when resources were scarce, for continuity when the institution trembled, for service not as a role, but as a calling. We remember him not simply for what he did, but for who we became because he was here. He was the history-keeper, the stabiliser and the quiet guardian of a mission that outlived the hardest years.
And today, as we honor him, we also honor the courage it took to stay when leaving was easier.
To his family, his wife, Jane Ngabirano, and the children, Nina, Victoria, Justus, and Kenneth, thank you for sharing him with us. To his colleagues, thank you for walking the journey with him. To the generations he supported, your success is part of his legacy.
Mr. Francis Seletze Ngabirano’s life reminds us that greatness is not always loud. Sometimes, it is found in punctual footsteps, a carefully kept file, a well-organised field trip, a story told at just the right moment, and the choice, every morning, to keep serving.
May he rest in peace, knowing that his work mattered.
And may the institution he helped carry forward always carry his name in its story.
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