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
Makerere University today joined the global community in marking the International Day of Persons with Disabilities, a moment dedicated to reflection on inclusion and shared responsibility. As the world pauses to honor the dignity and leadership of persons with disabilities, the University is using this year’s commemoration to reaffirm its commitment to building a campus where every individual is supported to thrive. The day is not only a celebration of resilience and contribution, but also a call to the wider community—students, staff, policymakers, and partners—to actively participate in shaping an environment where accessibility, understanding, and respect are woven into everyday practice. Through this observance, Makerere positions itself once again as a champion of inclusive education and a beacon for transformative change.
Tangible gains made
During her address at the event held in the Main Hall, the Chief Guest, Hon. Hellen Grace Asamo, Minister of State for Disability Affairs, paid tribute to Makerere University’s leadership, longtime advocates like Mrs. Safia Nalule, and the many individuals who have advanced disability rights from the early years of mere “talking” to the tangible gains seen today. Speaking candidly, she emphasized that disability is often shaped by societal attitudes rather than physical conditions alone, urging families, institutions, and communities to confront stigma at its roots. Drawing from her own educational journey and the barriers she faced—including inaccessible learning spaces, limited course options, and discriminatory hiring practices—she reminded the audience that inclusion must go beyond numbers to genuine opportunity.
Hon. Asamo’s message to persons with disabilities was equally empowering: visibility and assertiveness are essential in claiming space, shaping policy, and influencing resource allocation. With examples from government reforms, improvements in accessibility, and efforts to standardize sign language interpretation, she underscored that progress is possible when commitment meets intentional planning. Her remarks reinforced a powerful truth—disability inclusion is a right, not a favour—and institutions like Makerere must continue leading the way in creating environments where every individual can participate, contribute, and thrive.
The keynote speaker Hon. Safia Nalule Jjuuko, Chairperson of the Equal Opportunities Commission and a former Member of Parliament representing persons with disabilities for 15 years, delivered a keynote rich in personal testimony, institutional memory, and policy insight. She reflected on her own journey as a student—navigating inaccessible buildings, exhausting practical sessions, and discouraging attitudes—to illustrate how far the University and the country have come in strengthening inclusion. A proud alumna of Makerere, she celebrated the progress made, including improved infrastructure and increased representation of persons with disabilities in national leadership. She however highlighted that gaps remain, particularly the shortage of appropriately trained lecturers capable of supporting learners with disabilities across all levels of education.
Drawing from her work at the Equal Opportunities Commission, she emphasized the constitutional mandate to eliminate discrimination, promote affirmative action, and ensure a just and fair society for every Ugandan. Hon. Nalule unpacked the theme of the day by highlighting the global shift toward disability-inclusive development, stressing that concepts like intersectionality, “leaving no one behind,” and cross-cutting inclusion all speak to the same truth: inclusive planning is central to sustainable progress. She reminded the audience that disability is an evolving concept shaped by environmental barriers, negative attitudes, and lack of social support—and that participation, consultation, and awareness must always place persons with disabilities at the centre as experts of their own experiences.
Citing national statistics, policy frameworks, and ongoing reforms such as gender and equity budgeting, she challenged institutions like Makerere to engage actively in national planning processes, interrogate the cost of exclusion, and prepare graduates—especially those with disabilities—to benefit from Uganda’s development priorities in agriculture, manufacturing, tourism, and services. Her address was both a celebration of progress and a call to action: a reminder that meaningful inclusion requires attention to detail, responsive planning, and intentional investment so that every student, regardless of ability, can participate fully and contribute to national transformation.
Makerere upholds responsiveness
The Acting (Ag.) Vice Chancellor Prof. Sara Ssali reaffirmed Makerere University’s commitment to building an inclusive campus that models the kind of responsive institutions needed for social progress, stressing that inclusion requires both empowering marginalized people and adapting institutional structures so they no longer have to “fit in.” Drawing on Makerere’s long record of intentional policies—from improved physical accessibility and the Disability Support Centre to inclusive teaching practices, staff training, and collaborations—she highlighted practical steps the University has taken while acknowledging more work remains, especially around intersectionality and tailored support for diverse disabilities.
Prof. Ssali urged departments to mainstream disability concerns in planning and budgeting, praised the everyday care provided by wardens and support staff, and called for research, innovation and accountability so that students and staff with disabilities can fully participate and contribute. She closed by renewing Makerere’s pledge to remove barriers and nurture the next generation of inclusive leaders.
Mr. Amon Muteganda, who represents staff living with disabilities on the University Council, reaffirmed Makerere’s identity as an inclusive institution, noting that whenever disability-related concerns are raised in Council, members listen attentively and respond with genuine commitment. He expressed appreciation to University Management for consistently acting on issues brought forward, highlighting recent improvements such as the introduction of dedicated transport for students and staff with disabilities—a proposal he and colleagues championed and which has now come to fruition. He highlighted the importance of representation at multiple levels of the institution, demonstrating that Makerere’s inclusivity efforts are not symbolic but actively shaping policy, practice, and everyday experiences for persons with disabilities.
Dr. Winifred Kabumbuli, the Dean of Students, highlighted Makerere University’s deliberate efforts to foster a campus where every learner feels supported and able to thrive. She spoke about the active implementation of the University’s policy for persons with disabilities, alongside the safeguarding policy, both aimed at ensuring the welfare and dignity of all students. Dr. Kabumbuli pointed to the expanding range of accessible accommodation—such as designated halls for students with disabilities and the newly refurbished Mary Stuart Hall equipped with an elevator—as well as campus-wide additions like ramps, elevators, and accessible pathways.
She also emphasized the growing availability of assistive devices, including wheelchairs, Braille materials, and white canes, together with academic support measures such as extra time and readers during examinations. Her remarks captured Makerere’s intentional approach to inclusion, one that enables students with disabilities to navigate university life with comfort, confidence, and equal opportunity.
A student speaks out
First-year architecture student Sabiri Mungufeni shared a heartfelt account of his transition into university life, describing both his initial worries and the encouragement he found upon arriving at Makerere. He recalled fearing how his disability would fit within the demanding academic environment of the College of Engineering, Design, Art and Technology, especially when he discovered that much of the work in architecture is still done manually. Yet through determination and the support of staff and peers, he quickly realized he could excel. Sabiri noted that seeing other students with disabilities walking confidently across campus inspired him to believe he, too, belonged. He expressed hope that, as inclusion continues to deepen, students with disabilities will be able to pursue a wider range of academic programs beyond the usual pathways, demonstrating—like many trailblazers before him—that ability is not defined by limitation but by opportunity and support.
Personal accounts urge sustained momentum
The event also featured a dynamic panel discussion moderated by Dr. Diana Ateenyi Ahumuza, offering a blend of academic, experiential, and advocacy-based perspectives on disability inclusion. The panel brought together Dr. Naboth Rwakazwaire, founder of Hope for People with Disabilities; Prof. Anthony Mugagga, Principal of the College of Education and External Studies (CEES); Lord Councillor Peace Sserunkuma; and Ms. Catherine Nakibuuka, a second-year law student. Their conversation explored practical solutions, policy gaps, personal experiences, and the role of institutions like Makerere in shaping a more inclusive society.
Prof. Frank Norbert Mwiine, the Ag. Deputy Vice Chancellor (Finance and Administration) and Principal of the College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB), delivered the closing remarks by thanking all participants for their thoughtful contributions and the spirit of unity shown throughout the commemoration. He emphasized that inclusion is not a one-day event but an ongoing responsibility that requires empathy, patience, and deliberate action from every member of the Makerere community.
Drawing from personal experience and lifelong lessons of compassion, he encouraged staff and students to cultivate genuine sensitivity toward the needs of persons with disabilities and to champion inclusion in both mindset and practice. Prof. Mwine acknowledged the progress made—including accessible infrastructure, strengthened policies, and dedicated support services—while urging continued investment, collaboration, and accountability to ensure that Makerere becomes a place where all individuals can thrive without barriers. He ended by calling on the University to sustain the momentum built during the commemoration and to work together in building a more inclusive Makerere and Uganda.
Excitement filled the air on Friday evening as Makerere University’s student and staff Safeguarding Champions gathered at the serene Makerere Institute of Social Research (MISR) Gardens for a memorable celebration of their Semester One achievements.
The event, which blended elegance with purpose, brought together Champions from across the University community to honour their hard work, dedication and shared commitment to building a safer campus for all.
The gardens came alive with warm conversations, laughter and energizing music as Champions checked in and made new friends.
The dinner was more than just a celebratory moment, it became an important space for learning, networking and strengthening collaboration. Champions shared experiences from the semester, discussed challenges they had faced while supporting peers and colleagues, and exchanged new ideas to improve safeguarding awareness across the University.
Addressing the champions, Dr. Rodney Rugyema, the Acting Principal Warden who represented the Dean of Students, Dr Winifred Kabumbuli, emphasized that the efforts of Safeguarding Champions continue to play a critical role in strengthening trust and ensuring the wellbeing of all students and staff.
The atmosphere was filled with gratitude, pride and a renewed commitment to building a safer and more inclusive community at the University.
Speaking at the dinner, Prof. Justine Namaalwa, Director Mastercard Foundation Scholars Program at Makerere University, applauded the Champions for their dedication, vigilance and exemplary leadership in promoting safety, dignity and respect on campus
“As we gather to celebrate our progress in enhancing the Safety and Wellness of Students and Staff, it is important to acknowledge those who have made this possible- The University Leadership, Student and Staff Safeguarding Champions. We also acknowledged our Partner the Mastercard Foundation for the support in strengthening safeguarding and inclusion at Makerere,” Prof. Namaalwa, said
During the dinner, different student champions shared their success stories for the semester.
“This semester has proved to us that when students and staff work together, we can create a University environment where everyone feels protected, respected and valued. Tonight is a celebration of our collective effort, but also a reminder that the work continues. We pledge to stay vigilant, to listen, and to respond with empathy and integrity,” Precious Ssenonga, a second-year student from the College of Computing and Information Sciences, said.
Samuel Ssempijja, a second-year student of pursuing the Bachelor of Education, noted that during the semester he encouraged fellow students to utilise the MakSafeSpace and that gave many confidence to report cases.
“During the MakRun, several students’ phones were stolen. I advised them to report the theft case through MakSafeSpace, our online safeguarding platform. The students were impressed by how quickly the security team responded, and it reassured them that their concerns are taken seriously by the University Management. MakSafeSpace has shown us that timely reporting and timely action can truly make a difference.” Ssempijja, noted.
The event closed with farewells and promises to carry the spirit of the evening into Semester Two. For many, it was more than a dinner, it was a reminder that together, they are building a University environment where every student and staff member feels safe, valued and included.
About Safeguarding Initiatives at Makerere
In this era of heightened awareness and scrutiny surrounding safeguarding practices, Institutions of higher learning are increasingly rated by not only their academic excellence but also on their commitment to creating a safe and supportive environment for all members of their community.
The potential safeguarding risks in Institutions of higher learning include emotional distress, Sexual Exploitation, Abuse and Harassment (SEAH); material loss, financial exploitation, discrimination and neglect, unfair and illegitimate response to civic engagements, cyber security/threats, psychological and emotional harm, substance abuse, and physical assault.
Discrimination and neglect are often high risks for students with disabilities and international students.
Makerere University has a duty of care and to promote the wellbeing of all students, staff and other University community stakeholders. It seeks to enhance the learning environment to make it more secure, inclusive, and ethically sound for all stakeholders.
The Safeguarding policy lays out the University’s framework for embedding viable safeguarding measures into its ethos and all institutional activities and processes to: identify, detect, and act swiftly on safeguarding risks; prevent the occurrence of harm; provide mechanisms for reporting all allegations or incidents that have occurred; respond appropriately to all reported incidences; and, continuously monitor, evaluate and learn from practices and experiences of managing safeguarding concerns.
General
From Mastercard Foundation Scholar to Changemaker: Dr. Ekwaro Ronald’s Vision for Eye Health in Uganda
Dr Ekwaro Ronald, a Mastercard Foundation Scholars Program Alumni at Makerere University, is committed to enhancing eye health in Uganda. He plans to establish the country’s first Myopia Control Centre, dedicated to safeguarding the eye health of young people in Uganda and neighbouring nations. This goal is within reach, given his experience and commitment. At present, he is gaining valuable experience in the Optometry Department at Mengo Hospital, one of Uganda’s largest private hospitals. His dedication and efforts were recognised last year when he received the hospital’s best optometrist award.
His Early Life
Ronald was born on May 5, 1997, in the Oyam District of Northern Uganda. He is the youngest of eight siblings, comprising six boys and two girls. Tragically, Ronald’s father, a primary school teacher, passed away just two months after his birth. This loss placed Ronald and his seven siblings under the care of their mother, a single parent and smallholder farmer, who became the sole provider for the family.
Early Education
Ronald took a unique path in his education, starting school at the age of seven at Alutkot Primary School in his neighbourhood. With his elder brother’s encouragement and support, he completed Primary Five. He then moved on to Masindi Army Day Primary School for Primary Six, where he was supported and lived with his other elder brother, who served in the army at the time. For Primary Seven, Ronald returned to his village home and completed his primary leaving examinations at Loro Primary School. Despite the challenge of walking approximately 2 kilometres to attend school, he demonstrated determination and resilience in his pursuit of education.
Secondary Education
Despite the challenges he faced and the frequent changes of educational institutions, he completed Primary Seven with a first-grade distinction. One of his elder brothers, a primary school teacher, provided financial support for his continued education. Consequently, Ronald was enrolled as a boarding student at Blessed Comboni Secondary School in Kiryandongo District. However, due to financial constraints stemming from his brother’s limited income, he transferred to Masindi Army Secondary School in his second year. This transition occurred under the Universal Secondary Education (USE) programme, an initiative of the Ugandan government that offers free secondary education to young individuals from communities facing social and economic barriers.
While attending Blessed Comboni Secondary school, he lived with his elder brother in a military barracks, which exposed him to military life from an early age. This experience of living in an army environment significantly shaped his fearless and resilient character, enabling him to navigate the challenges of growing up without a father.
In 2014, he performed excellently in his Form Four final examinations, earning a first-grade qualification. Afterwards, he received support for his A-Level studies through BRAC-Uganda in partnership with the Mastercard Foundation Scholars Program. He then joined Seeta High School Green Campus in Mukono, where he studied Physics, Chemistry, and Biology (PCB).
Joining Makerere University
In 2017, after excelling in his final A-Level exams, he once again became a Mastercard Foundation Scholar at Makerere University through the Mastercard Foundation Scholars Program, to pursue a Bachelor of Science in Optometry, a four-year eye healthcare programme at the College of Health Sciences.
“I chose Optometry because of my passion for optics and physics. At Seeta High School Green Campus, I was the only student to score an A in Physics in the 2016 Form Six final examinations. I wanted to combine my knowledge of Physics and Biology to help improve people’s vision,” Ronald explains.
While pursuing his studies at Makerere University, Ronald’s life transformed for the better, largely due to the robust support from the Mastercard Foundation Scholars Program. The support provided him with the opportunity to support his family while continuing his education. Notably, he utilised a portion of his monthly stipend to help his elder sister with her tuition for her final semester of nursing school, exemplifying the impact of his journey on his life and his family’s lives.
Ronald took proactive steps to kickstart his career as an Optometrist even before graduating. While studying at the University, he sought out various learning experiences and volunteer opportunities in eye care facilities to enhance his practical skills. His volunteer work at Dr. Agarwal’s Eye Hospital and Lapaire significantly enriched his curriculum vitae and provided invaluable hands-on experience in the field.
“I did not wait for graduation to pursue my career aspirations as an optometrist. From the beginning of my academic programme, I actively sought opportunities and volunteered at Dr Agarwal’s Eye Hospital and Lapaire. These experiences greatly enriched my curriculum vitae. I encourage fellow students at the university to begin exploring opportunities while still enrolled, as gaining relevant experience is vital for meeting the expectations of prospective employers upon graduation.” Ronald advises.
Life After Makerere University
Upon graduating from Makerere University in 2022, Ronald navigated the job market with remarkable ease, thanks to the strategic internships and volunteer positions he pursued during his studies. His proactive networking efforts paid off when he received an invitation to apply for a position at Mengo Hospital. Just two days before graduation, he was among three candidates shortlisted for interviews. This allowed him to celebrate his graduation with a sense of accomplishment, knowing he had already secured a job. He began his new role at the hospital shortly after graduation, marking the start of an exciting new chapter in his career.
His Professional Life as an Optometrist at Mengo Hospital
Over the past three years at Mengo Hospital, Ronald has demonstrated professionalism, a sentiment echoed by his colleagues. His unwavering commitment to prioritising patients’ interests has not only earned him the 2024 Best Optometrist award at the Eye Department but also emphasised the positive impact of his work. Beyond his clinical duties, Ronald has developed a strong research interest. He is currently in the advanced stages of securing a grant from the World Council of Optometrists to study the progression of myopia (commonly known as short-sightedness) in children. He is optimistic that the findings will significantly aid advocacy efforts for myopia intervention strategies, ultimately helping to ease the challenges this condition poses for children in Uganda.
His Impact on the Community
With his siblings’ support, he successfully built a house for his mother in Oyam district, demonstrating his commitment to his family. He is also contributing to the tuition expenses of one of his nephews currently attending university, emphasising his dedication to education and the next generation. In 2024, he took part in a Mengo Hospital outreach team that screened and provided post-surgical care for over 100 patients who received free cataract surgeries, made possible by the generous support of Christian Blind Mission. The surgeries were performed at PAG Mission Hospital in Lira. Through his efforts, he mobilised numerous community members to take advantage of this initiative, leading to many people having their sight restored and enhancing the overall well-being of his community.
Looking into the Future
Ronald is on a mission to establish the first Myopia Control Centre in Uganda, aiming to make a significant impact on children’s eye health in the region. Currently, he is pursuing a Pediatric Optometry Fellowship at the Indian Academy of Optometry, where he is gaining valuable knowledge and expertise in myopia control. This training will empower him to lead a specialised centre dedicated to reducing the progression of myopia among children in Uganda. The centre will implement evidence-based interventions, including orthokeratology lenses and low-dose atropine eye drops, to effectively manage myopia.
Additionally, it will serve as a vital resource for identifying and addressing other childhood eye disorders that can hinder academic performance, such as squints, amblyopia (lazy eye), heterophorias, accommodative disorders, and convergence insufficiency. Through these efforts, Ronald envisions a brighter future for children’s vision and learning in Uganda.
Message to Fellow Young People
Ronald encourages other young people to establish clear developmental goals and set specific timeframes for each one. He emphasises the importance of discipline and focus, urging them to stay committed and continuously strive for progress.
Words of Gratitude to the Mastercard Foundation Scholars Program at Makerere University
“I would like to express my profound gratitude to the Mastercard Foundation Scholars Program at Makerere University and the entire Mastercard Foundation team for their pivotal role in transforming my life and providing opportunities that were previously unimaginable. Your support not only facilitated my education but also reinstated my hope, dignity, and sense of purpose in my journey. As someone who faced barriers to opportunity, the Mastercard Foundation Scholars Program has served as a significant turning point, shaping my future and empowering me to become the individual I am today.” Ronald remarks.
Ronald emphasises that through the Mastercard Foundation Scholars Program, he gained access to quality education, mentorship, leadership training, and a community that believes in the power of young people to change the world. The Mastercard Foundation Scholars Program enabled him to devote himself fully to his studies and to support his family during critical moments, demonstrating both academic focus and a strong sense of responsibility.
“I am especially grateful for the values the Mastercard Foundation Scholars Program instilled in us: service, humility, leadership, and the responsibility to uplift our communities. These values continue to guide my professional journey and my commitment to improving eye health in Uganda.” Ronald pointed out.
The writer is the Principal Communication & Public Relations Officer for the Mastercard Foundation Scholars Program at Makerere University
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