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Maternal Health Rights, Politics and the Law:Another Professorial Inaugural Lecture

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Professor Ben Kiromba Twinomugisha from the School of Law is yet another Law don to fulfil the University mandate of presenting an Inaugural Lecture.

April 28, 2017 marked yet another milestone in the academic achievements of the long serving Professor of Law when he delivered his lecture entitled: "Maternal Health, Politics and the Law"  in the Makerere University Main Hall.

During the lecture, Professor Twinomugisha also popularly known as Shokoro delved into a touching area of maternal health and sought to establish as to why the realization of Maternal Health Rights (MHRs) remains a theory despite the many interventions both by Government agencies, the civil society and many other players.

At the well-attended lecture, Prof. Ben Kiromba Twinomugisha emphasized that there is need to understand the nature and scope of Maternal Health Rights and how they can be realized in Uganda. His argument was based on the question, ‘Why do women continue to die while giving birth?’He urged the public to consider maternal health as a Human Right and noted that the state is obliged to respect and protect the MHRs.
The Chairperson Inaugural Committee- Prof. Elly Sabiiti (L), Acting Deputy Principal-School of Law-Dr. Ronald Naluwairo (2nd),Prof. Ben Twinomugisha (3rdL) receiving a certificate from Dr. Okello Ogwang after presentation of the inaugural lecture.
“Uganda is a party to international and human rights instruments that recognize maternal health rights (MHRs). It also has a Constitution and policy frameworks, which contain provisions with a bearing on MHRs.  In spite of the recognition of MHRs in legal and policy frameworks, realization of these rights remains elusive as evidenced by the alarming rates of maternal mortality and morbidity.”Said the charged law don while urging his audience to get charged and demand the enforcement of the right to Maternal Mortality by the duty bearers.

Hestated that the realization of MHRs remains elusive because the state, which has the primary responsibility to protect and enforce the  MHRs, relies on neo-liberal policies and criminal laws, which exalt private and class interests to the detriment of maternal health issues.  He added that it is not a mere lack of resources that explains non-realization of MHRs in Uganda, but absence  of political will to tackle the structural causes of maternal mortality and morbidity.

While explaining what he sees as the barriers to realizing MHRs in Uganda, Prof. Twinomugisha pointed out a list of interlinked areas such as poverty. He said because of low incomes many mothers cannot afford a number of formal and informal costs for facilities and services, drugs and equipment, transport to the health facility, quality and sustainable care. He said this is coupled with inadequate information and poor attitudes leading to delays to seek care and reaching health care facility. He also noted the lack of political will and focused leadership to marshal and direct the available internal and external physical, financial, human and other resources towards realization of MHRs. He noted that inequitable gender relations and negative customary as the other social factors affecting the realization of maternal health rights.

Recommending on how realization of MHRs can achieved, Prof. Ben Twinomugisha emphasized putting in place mechanisms to fight massive poverty and prioritizing MHRs of the poor; reversing the neo-liberal approach to maternal health and increasing budget for health by at least 15% as well as increasing human resource for maternal health, equipping health facilities and allocating more skilled health personnel to maternal health.

He further advocated for accelerating family planning and making contraceptive information available and accessible. He encouraged couples to discuss contraceptive options and called upon men to actively be involved in issues of maternal health care. He advised that the government should tax the privileged and wealthy and use the proceeds to fund social services such as maternal health care, employ a gender perspective in all policies, programmes and practices, and in all spheres of life including family and community. He added that public awareness and sensitization strategies should target both women and men to promote gender equity and a holistic approach to maternal health which is preventive and curative should be developed.

“In my view, in the long run, for actual and meaningful realization of MHRs to occur, there is need to build consciousness among masses so that they are able to engage in the struggle of emancipation. This struggle should be led by the working class  but also be embraced by the rural and urban poor women and men. The struggle should lead to a democratically reconstituted liberal pro-people socialist state that will promote an equitable distribution of resources and ensure that maternal health issues are prioritized in design and implementation.” Prof. Ben Twinomugisha concluded.

The Vice Chancellor, Prof. John Ddumba-Ssentamu, represented by Dr. Ernest Okello-Ogwang (Deputy Vice Chancellor-Academic Affairs) said that the life of an academician is demanding. In between the rigors of research, teaching and publishing, it is often easy to overlook the fact that they are also parents, guardians and mentors. He said that Prof. Twinomugisha has made tremendous contribution to the academia and legal practice, for which he is highly commended.

“Today, Uganda is faced with high rates of death arising from maternal related complications some of which are preventable. I am glad to note that in Maternal Health, Prof. Twinomugisha has picked a topic that is of great importance to the future of this nation, and yet so little is known about it. Our communities and the nation at large deserve and are eager to listen to the latest findings that can impact their lives.” The Vice Chancellor noted.The "Big Five" as Prof. Ben Twinomugisha referred to them pose for a photo with his wife(centre).

The Vice Chancellor further said that a great proportion of Ugandan population is either illiterate or underprivileged. These are often ill-informed about their rights and therefore suffer at the hands of duty bearers. As such, he said that they are not empowered to take up litigation as a way of redressing the social injustices meted upon their wives, sisters and mothers whose reproductive rights are abused.

While pronouncing Prof. Ben Twinomugisha as a full Professor of Makerere University on behalf of the Vice Chancellor, Dr. Okello-Ogwang said that as a requirement for Makerere University academic staff, an inaugural lecture is held to commemorate the lecturer's appointment to full professorship. He further said that it is the perfect opportunity for the lecturer to share with their audience the contribution they have made to the body of knowledge and Prof. Twinomugisha had set a great precedent.

“Prof. Twinomugisha, without any doubt has distinguished himself and is recognized for his dedication to research, teaching and learning as well as creation of new knowledge. I hereby declare Prof. Ben Kiromba Twinomugisha a full professor of Makerere University” Dr. Okello-Ogwang pronounced.

Earlier, while delivering a citation about Prof. Twinonmugisha, Dr. Ronald Naluwairo, the Acting Deputy Principal-School of Law stated that the inaugural lecture was indeed a reflection of Prof. Twinomugisha’s tireless works of fighting for women’s rights. He described him as a dedicated and accomplished scholar and researcher whose works are analytically sharp, academically engaging, magnificently conceptualized, outstandingly researched and multidisciplinary.

“Today is a very great celebration as we honor Prof. Ben Twinomugisha whose great essence of teaching and learning exemplifies the issues of Makerere University as a community of scholars and teachers. He has consistently proved his academic versatility across a range of areas including commercial law, gender, environmental law, health law and human rights. His contribution to enhancing the University’s eminent standing, where making research, teaching and mentoring is commended.” Dr. Ronald Naluwairo remarked

Dr. Naluwairo elaborated that the teaching approach of Prof. Ben Twinomugisha is based on the five E’s: Engage, Explain, Exemplify, Emphasize and Empower. He added that the Professor established several developments by stimulating curiosity and independent learning and participating in effective guidance and mentorship of students. He commended him for his contribution towards the development of curriculum when he pioneered the teaching of Health Law at the School of Law, a very popular and relevant field of study today.

The Chairperson of Makerere University Inaugural Committee, Prof. Elly Sabiiti said that such professorial lectures are very relevant. Through them, a great deal of vital information is shared and it brings the image of Makerere University to the public. He thanked Prof. Ben Twinomugisha for the commitment he portrayed in sharing fundamental information through his professorial inaugural lecture.Collegues from the School of Law pose for a photo with Prof. Ben Twinomugisha and Dr. Ernest Okello-Ogwang.

 “It takes a long time to finalize this process. This is the second inaugural lecture addressing the issues of women and their rights. We want to put up this important material for everybody to access. It is therefore important for us as Makerere University and the nation at large.” The Chairperson mentioned.

Prof. Elly Sabiiti appealed to all colleagues to share information through such lectures and to motivate the young scholars to do the same. He thanked the School of Law for the pace set in giving professorial inaugural lectures and urged other colleges at the University to emulate the School. He also thanked the Inaugural committee which worked with the Office of the Deputy Vice Chancellor-Academic Affairs to make the lecture a success.

Prof. Ben Kiromba Twinogisha holds a Bachelor of Law of Makerere University, a Diploma in Legal Practice of Law Development Center, a Master of Law of Makerere University and a Doctor of Laws of Makerere University. He was the first person to attain a Doctor of Laws degree from Makerere University, which he obtained in 2005. In 2008, he was promoted to the rank of Associate professor and later to a professor in 2011, the rank which resulted to hisprofessorial inaugural lecture.

He has provided excellent leadership and rendered effective services to Makerere University and the society at large. He has served the University for over 30 years in different areas of responsibility with integrity including; Deputy Dean at the School of Law, Dean of Law, member of Makerere University Council, member of Makerere University Senate, member of Makerere University Appointments Board and a number of Makerere University committees.

The professorial inaugural lecture was attended by people from various capacities including; Makerere University staff, former chancellor-Prof. Mondo Kagonyera, former Vice chancellor-Prof. Venansius Baryamureeba, Members of Ugandan judiciary, legislature and other government officials, Makerere University students and the public.

Article by: Charles Iga-Mak News Reporter

Elias Tuhereze

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The 3rd Fundis and Technicians sensitization event and exhibition held successfully

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The 3rd annual Fundis and Technicians sensitization event and exhibition by manufacturers of building materials organized by the Department Architecture and Physical Planning at the College of Engineering, Design, Art and Technology (CEDAT), Makerere University came to a close with a call for increased partnerships between training institutions and the community.

The event that attracted 200 participants including masons, fundis, painters, builders, metal and electrical fabricators ran from Thursday 24th to Friday 25th October 2024 at CEDAT. It was supported by several stakeholders and was characterized by training sessions and an exhibition of building materials by different companies that make cement, paint, water tanks tiles and many more.

Prof. Henry Alinaitwe, the Deputy Vice Chancellor in charge of Finance and Administration, Makerere University.

Prof. Henry Alinaitwe, the Deputy Vice Chancellor in charge of Finance and Administration represented the Vice Chancellor, Prof. Barnabas Nawangwe at the opening of the training. In his remarks, he extended appreciation to the technicians for accepting to take part in the training which he said was key in ensuring that they gain from continuous learning. Prof. Alinaitwe observed that although some of them did not get through formal training, it was important that they took part in such training programs to keep abreast of the developments in the construction industry where they undertake the bulk of the work as masons, technicians, plumbers, and metal fabricators.

‘Keep improving, we need to up our game in terms of quality’, he said while making reference to the need for quality output.  He cautioned them on issues of cost and cheating of their clients by making realistic costs.  ‘We need to cost the work well taking into account the materials, the labor, the equipment used, and the overheads’.  The other area that needed to be taken care of by the technicians included time management, which reflects on attitudes towards work, team work.   While addressing the gathering in his capacity as Chairman of the Engineers Registration Board, Prof. Alinaitwe said the upcoming engineering Registration Bill, if approved, has a provision for the registration of all artisans and hence the need to have the minimum requirements for the stakeholders to be registered. He also stressed the need to bring on board as more women as possible.  ‘We want to see more women, who can do some aspects in construction better than men like painting.

Prof. Moses Musinguzi, the Principal of the College of Engineering, Design, Art and Technology, Makerere University.

Prof. Moses Musinguzi, the Principal of the College of Engineering, Design, Art and Technology while welcoming the trainees to the college said the training is a good initiative that will help address challenge of skill and work match.  He encouraged the trainees to do smart work, and take due consideration of ethics and customer care. He encouraged the department to extend the training opportunity to other units of the college and the university and also make it more formal, as part and parcel of the training program of the college in liaison with bodies like UBTEB.

Assoc. Prof. Kizito Maria Kasule, the Deputy Principal CEDAT while appreciating the initiative of the department said countries like Germany have apprenticeship training that help the training of students to gain skills equivalent to those acquired while in formal institutions of learning.  He said the academia in Uganda is increasingly recognizing the importance of the informal sector in the growth of the country. ‘We need to learn from you. Almost 90% of the people in the construction industry have been informally trained’. He said by learning from each other, the two sectors jointly make a contribution towards the development of the country.

Dr. Amin Tamale Kiggundu, the head of the Department of Architecture and Physical Planning said the initiative, a community outreach program of the college started three years ago in the year 2022 with 60 Fundis and masons, in 2023, the number was increased to 120 Fundis and the current 2024, was 200 Fundis of various categories, including painters, builders, metal fabricators, plumbers and electrical fabricators. He said this community outreach program aims at sharing the accumulated scientific knowledge in building, design and construction technologies at CEDAT, sharing the expertise, knowledge and experiences with communities in greater Kampala and hence bridging the existing knowledge and skills gap between the training institutions and the communities.

Dr. Amin Tamale Kiggundu, the head of the Department of Architecture and Physical Planning, Makerere University

The 21st century is characterized by collaboration, partnerships, and establishment of knowledge economies.  He said based on the trainings held so far, it is clear that partnerships between the training institutions and the communities were possible especially the Fundis who are closer to the communities. ‘We also want to learn from the Fundi’s experiences, how they are able to connect to the communities in some cases better than those who have gone through the training institutions’, he said. He further noted that the majority of fundis are young people that need to be supported with skills and other ways of nurturing them. The dream of the department, he said is to introduce an open door policy that allows fundis and other university students to come to learn.  

Several organizations supported the event and participated in the exhibition and they included Habitat for Humanity, Uganda, Green Building Council Uganda, The National Building Board, Uganda Clays Limited, Centenary Bank, Steel and Tube Industries Ltd, Simba Cement, Plascon, Goodwill, Cresttanks among others.

Alex Isemaghendera

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MURBS has declared 13.40% interest on members’ balances for the financial year that ended on 30th June 2024.

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By: Ritah Namisango

Dr. Elizabeth Patricia Nansubuga, Chairperson of the Makerere University Retirement Benefits Scheme (MURBS) Board of Trustees, announced this milestone during the 14th Annual General Meeting (AGM) for the year 2023/24 held on Thursday, 24th October 2024, at Makerere University Main Campus, School of Public Health Auditorium.

The AGM attracted various stakeholders, including trustees, Audit Committee Chairperson CPA David Ssenoga, Board Evaluation Consultant Vincent Kaheeru, URBRA Representative Mark Lotukei, Audit Committee members, co-opted members, and university administrators.

Presenting the performance report, on behalf of the Board of Trustees, Dr. Nansubuga highlighted that this is the highest interest declared by the scheme in the past five years, and she anticipates continued improvements. She noted that for the previous financial year, which ended in June 2023, the Board of Trustees declared an interest an interest of 12.34%.

Dr Nansubuga also announced that the scheme has achieved a Net Investment Income of UGX 44.6 billion, far higher than the UGX34.4 billion collected in Contributions during the year.

The Chairperson of the Board also revealed that the fund value had grown from UGX352.4 billion recorded at the end of the last financial year to UGX409.2 billion, indicating an increase of 16.1%.

“By 30th June 2023, MURBS had a fund value of UGX 352.4 billion. The Board of Trustees targeted Fund growth of 17%, and I am glad to inform you, that the fund value of MURBS, as per the Audited Financial Statements of 30th June 2024 is UGX 409.2 billion, which is an increase of 16.1%. This achievement was made possible by strategic periodical activities undertaken by the Board and our fund managers, supported by the strong oversight committees of the Board,” she reported.

Dr. Elizabeth Patricia Nansubuga(Centre) responding to questions from members.

She attributed the positive growth to factors such as improved debt recovery, operational efficiency, timely remittance of contributions by the sponsor (Makerere University), an increase in project and contract contributions, and the recovery of UGX8.85 billion in debts.

Dr. Nansubuga also expressed gratitude to Makerere University, the scheme’s sponsor, for consistently remitting contributions, a key factor that has significantly contributed to MURBS’ smooth operation. “I am happy to announce that the sponsor-Makerere University remitted your retirement benefits for the financial year 2023/24,” she said.

In the same development, Dr. Nansubuga reported that MURBS registered a legal victory against Uganda Revenue Authority (URA) over a real estate investment in Sonde undertaken in 2019, and which URA sought to tax heavily. She notified the AGM that MURBS won the case and was awarded costs which also set a precedent.

Consultant Mr. Vincent Kaheeru and CEO of Profiles International

“On behalf of the Board of Trustees, I am pleased to inform you that during the financial year, we received a favorable outcome on a key court case. How did we end up with this case? In 2019, MURBS invested in real estate, we bought land in Sonde,” Dr Nansubuga explained.

“Uganda Revenue Authority (URA) then charged us with a tax assessment worth UGX600 million. It has been four (4) years in the tax appeals tribunal. Since then, the lawyers, the former and current trustees, have been appearing before the appeals tribunal, but in December 2023, MURBS won the case. We challenged URA, and this case was awarded with costs. URA has to pay MURBS. We therefore saved UGX600 million,” she added.  

In terms of governance, Dr Nansubuga said that the scheme made changes in the board. Initially, the trustees were six and they needed a seventh member, and following a competitive race, they recruited another trustee; CPA Edina Rugumayo who has over thirty years in accounting.

Part of the MURBS members who physically attended the Annual General Meeting

“In terms of governance, we continue to uphold good governance practices and we align with international standards. Last year during the presentation, I said we were six and we needed to have the seventh trustee because the Board composition is supposed to be seven,” she explained.

“So, following a competitive process, we recruited an independent trustee. It was a very competitive position. You must have served on board which has over UGX50 billion. So, from that process, we were able to recruit CPA Edna Rugumayo Simbwa. She is a certified public accountant with over thirty years of experience in accounting, taxation, and corporate governance,” she mentioned.

She also thanked other stakeholders for making sure that MURBS activities run smoothly. These entities include Makerere University, KPMG, Gen Africa, Arcadia Advocates, Zamara, URBRA, and Stanbic Bank among others.

While discussing investments, Dr. Nansubuga mentioned that 86% of MURBS’ funds are currently invested in government bonds, but added that the Board is exploring diversification to reduce risks. 

“86% percent of our money is invested in government bonds, and sometimes, you do not have to put all your eggs in one basket, there is a high concentration of risk. so that is one of the key material risks that we want to address to reduce the amount we have in government securities. We want to diversify our portfolio and avoid investing heavily in government securities. The Board will venture into other fields in order to earn money or return on investment from the diverse undertakings,” she said.

Mr. Mark Lotukei, represented the CEO of Uganda Retirement Benefits Regulatory Authority

In terms of membership, Dr. Nansubuga reported a 4.4% increase, with the number of members rising from 8,229 to 8,590. She attributed this growth to the reinstatement of in-house beneficiaries and an increase in project and contract staff.

Dr. Kakuba also thanked the sponsor-Makerere University for remitting the membership contributions timely which has helped the scheme to grow.

Dr. Godwin Kakuba -Secretary, MURBS Board of Trustees, who presented the record of the 13th Annual General Meeting stressed that the AGM climaxes a financial year and the Board of Trustee has been vigilant on this and has not missed any AGM for 14 years now.

“We applaud the sponsor because many of these positives in the chairperson’s report can only be attributed to the support by the sponsor through fulfilling the obligation of remitting members’ contributions to the scheme,” he added.

Dr. Godwin Kakuba (L) and Asad Ssenoga

Partner Asad Ssenoga, an independent auditor who audited the scheme said that he was impressed with the level of compliance that the scheme exhibited in all aspects. He said they focused on ensuring that the member contributions are supported with statements and allocated to members appropriately.

“Overall we were satisfied with the work we did on the audit, the numbers that were presented by the Chairperson are the correct numbers that we audited. We were comfortable with those numbers, due process was followed during the audit,” he said.

Mr. Mark Lotukei who represented the CEO of Uganda Retirement Benefits Regulatory Authority (URBRA) thanked the Trustees for always prioritizing governance, which has helped them to reach several milestones.

Members of the MURBS Secretariat led by Ms Susan Khaitsa(Centre)

“As URBRA, we look at governance as the biggest component of our compliance. MURBS Trustees from the former to the current, have taken governance as the most important aspect. We really encourage them to continue with this good practice because governance informs all the other aspects,” he said.

Mr. Arthur Kibira, a member in attendance, expressed his appreciation for the Board’s efforts. He urged them to explore higher-risk investments for potentially greater returns. He expressed concern over the scheme’s heavy reliance on government bonds.

“Dr Elizabeth Nansubuga, I want to congratulate you, and your team and also congratulate ourselves. But, I want to believe that there is room for improvement. I am one of those who do not believe that the sky is the limit, we are limited by our own thinking. I am thinking that high risks give high returns. Is there a way of managing those risks, so that we could push this 13.40% interest to a figure much higher? If we do so, we shall say we have learnt how to manage risks,”, he guided.

Ritah Namisango

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Makerere University at the 2024 O.R. Tambo Africa Research Chairs Annual Gathering in Ouagadougou, Burkina Faso

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Uganda’s Chair elect, Prof. David Meya of Makerere University’s College of Health Sciences (extreme left) and other O.R. Tambo Africa Research Chairs

The Research Chairs concept is similar to Centers of Excellence (for instance in supporting world-class research in a priority area), but also has many distinguishing features. Most notably, it recognizes individual excellence, leadership and talent. The O.R. Tambo Africa Research Chairs Initiative (ORTARChI) builds on the work of Oliver Tambo, a prominent South African and pan-Africanist with a science education background, who believed in creating change through education and in cooperation and solidarity among African nations. The Initiative focuses on celebrating his legacy in building knowledge-based economies for the advancement of Africa.

ORTARChI builds on and leverages existing continental frameworks and interventions geared towards institutional capacity strengthening; recruitment and retention of excellent researchers; and incentives to support research that contributes to socio-economic and transformative development. 

Ten (10) O.R. Tambo Africa Research Chairs across seven (7) countries in Africa, namely; Botswana, Burkina Faso, Ghana, Mozambique, Tanzania, Uganda and Zambia have been selected for funding through a rigorous and competitive two-stage review process. These research chairs are focused on research priorities identified by each host institution in conjunction with, especially the Science Councils, and in alignment with AU Agenda 2063 and STISA 2024.

[L-R] Prof. Henry Alinaitwe (DVC F&A, Mak), Dr. Dorothy Ngila (Director, NRF), Ms. Natasha Allie (CEO Oliver and Adelaide Tambo Foundation), Dr. Martin Ongol (Ag. Executive Secretary, UNCST), Associate Professor David Meya (Uganda Chair Elect, ORTARChI) and Assoc. Prof. Robert Wamala (Director, DRGT)

Prof. Noble Banadda from the College of Agricultural and Environmental Sciences had been inaugurated as one of the first 10 (ten) Oliver Tambo (ORTARChi) Chairs. Unfortunately, Prof. Banadda (R.I.P) passed on in July 2021, which created a vacuum. To ensure that Uganda and Makerere University continue to tap into the ORTARChi, we are glad to announce the appointment of Associate Professor David Meya from the College of Health Sciences at Makerere University for the purpose. The appointment will attract USD 170,000 annually for 5 years for graduate research with a target of training 5-6 PhDs, 10-15 Post-doctoral fellows and 10-12 Masters of Medicine and Master of Science Students at Makerere University and Mbarara University of Science and Technology.

Makerere University has had the pleasure of attending 2024 O.R. Tambo Africa Research Chairs Annual Gathering in Ouagadougou, Burkina Faso. The annual gathering is co-hosted by the Joseph Ki-Zerbo University, National Research and Innovation Fund for Development (FONRID) and the National Research Foundation (NRF) of South Africa. The theme for this year’s gathering is: African Sovereignty: A Catalyst for Research Collaborations and Social Impact in the Continent“. At the annual gathering, Uganda was represented by Associate Prof. David Meya (Uganda Chair Elect, ORTARChI), Prof. Henry Alinaitwe (Deputy Vice Chancellor Finance and Administration, Mak), Associate Prof. Robert Wamala (Director, Research and Graduate Training) and Dr. Martin Ongol (Ag. Executive Secretary, UNCST). Assoc. Prof. David Meya – ORTARChI Chair Elect – is from Makerere University’s School of Medicine at the College of Health Sciences.  

[L_R] Prof. Henry Alinaitwe (DVC F&A, Makerere University), Dr. Dorothy Ngila (Director, NRF), and Assoc Prof. Robert Wamala (Director, Mak DRGT)

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