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Book on Universal Health Coverage in Uganda Launched: President Uhuru Engaging Mak Researchers on Kenya’s Plans
Published
8 years agoon

She was astonished to have her child admitted in a room with about 5 others, all with respiratory complications requiring urgent interventions like a nebulizer; a device that delivers drugs in the form of mist inhaled into the lungs, and oxygen.
However, Dr. Suzanne Kiwanuka; a Senior Lecturer at the School of Public Health, Makerere University (MakSPH), was shocked when some of the parents opted to go home with their children in such conditions. Thinking she was missing something, an alarmed Dr. Kiwanuka inquired as to why anyone would want to get their child discharged in that state. She was even more shocked by the uniform response; the parents claimed they would rather go and do their best to manage the situation at home because healthcare at this facility was expensive and they could not afford it.
The parents were so desperate to avoid the costly healthcare that a decision, akin to surrendering the lives of their children to fate; something that is extremely difficult for any parent, came quite easily to this particular lot. Clearly, the current cost of healthcare in the country causes parents like these to make hard choices because the country does not have a universal system to cater for citizens’ needs.
Dr. Kiwanuka was relating this painful experience to an audience that had gathered at the launch of a book she had co-authored titled, UNIVERSAL HEALTH COVERAGE IN UGANDA: Looking Back and Forward to Speed Up the Progress, held on 3rd May 2018 at the Kampala Serena Hotel. The aforementioned experience inspired 3 years’ work that Dr. Kiwanuka and a team of nearly 30 people from different sectors, put in to producing this book which was also edited by Assoc. Prof. Freddie Ssengooba; who led the team, Prof. Elizeus Rutebemberwa and Dr. Elizabeth Ekirapa-Kiracho. All the editors are members of staff at MakSPH.
The book does not only concentrate on curative health care but also explores preventive health care options. It is localised to Uganda and thus offers solutions to how issues like financing can be dealt with in the face of tight budgets and competing demands.

The book writing was coordinated by MakSPH’s SPEED (Supporting Policy Engagement for Evidence-based Decision) Project with the main intention of capturing the status of Universal Health Coverage (UHC) readiness. The captured evidence past including the challenges and successes regarding the health sector over the last 10 to 15 years can be used to support health policy and systems developments for UHC agenda in Uganda and beyond.
The Team Leader speaks out about the genesis of this achievement
Relating the origin of this achievement to an expectant audience, Assoc. Prof. Ssengooba said he came across a call by the European Union to support Schools of Public Health to put up policies for their countries. It was quite late to apply; about 4 weeks to the deadline.
“I told colleagues that this looked like something we could get and I urged them to put in effort,” he added. “We were happy to emerge successful together with partners like the National Planning Authority, Uganda National Health Consumers Organisation and the Institute of Tropical Medicine in Europe.”
About the book which is a policy document, Assoc. Prof. Ssengooba noted that policy analysis is quite complicated because it requires working from where other scientists stopped and walking the delicate bridge of moving the science to the politicians and policy-makers. He added that the book has been a learning process for the whole team as they brainstormed on how they could expand coverage with the limited resources available.
“In Uganda, we’re expected to do miracles because unlike the US where a single person’s health budget is $7,000, here it is $11. So we decided that this new mission requires local thinking about ideas that can be put into practice. The book customizes lessons; not just best practice, but also how to fit into our own context,” he explained.
On behalf of his team, Assoc. Prof. Ssengooba thanked the Ministry of Health for documenting their practice over the last couple of years because this gave them a starting point in their work. He thanked the European Union (EU) for the 3 years generously apportioned to reflect and produce a good policy document. The EU Ambassador to Uganda was represented at the event by the Acting Head of Cooperation, Thomas Tiedemann.

President Uhuru is consulting with MakSPH over policy recommendations in the book
Assoc. Prof. Ssengooba also made an astounding revelation to the audience when he shared that part of his team had already been to Kenya to give technical support to President Uhuru Kenyatta in his quest to implement Universal Health Coverage for his country. This move stems from his campaign manifesto which highlighted “The Big Four”; an outline of four areas that he would focus on during his presidency, UHC being one of them.
“As you can see, this work is already being asked for, which is a way of saying that there is need for UHC research in the region. In seeking to implement his manifesto about UHC, President Kenyatta contacted the World Health Organisation and WHO directed him to us saying there are some people who are already doing this. We have been to Kenya at President Uhuru’s invitation and met an assembled pane of experts but we are still going back,” Assoc. Prof. Ssengooba said.
Speaking on behalf of the MakSPH Dean, Prof. Garimoi Orach expressed pride at the work done by Assoc. Prof. Ssengooba and his team as fellow members of staff.
“We pledge that we shall continue to support the Ministry of Health and we are grateful to the EU for this grant and to all institutions that supported this work,” Prof Orach said, before adding “We are also excited that the book is receiving attention in neighbouring countries. We are very proud indeed because this demonstrates that Makerere University is the institution to do business with.”
Uganda stands out among the countries that applied for EU funding
In his remarks, Mr. Thomas Tiedemann commended the team that put together this book and revealed that Uganda stands out among all the countries with Schools of Public Health that applied for funding to develop UHC policies. He congratulated MakSPH upon this achievement and thanked the SPEED project for the great work done in coordinating the writing. The UHC agenda is not only tailored to Uganda but to other developing countries aiming at attaining universal health coverage as well.
“It pains to hear of things like unavailability of high quality cancer treatment. The book launched today is calling upon government to invest more both in curative and preventive healthcare. With this book, we are hoping that a lot of lessons will be drawn for Uganda with the aim of generating evidence-based policy,” Mr. Tiedemann said.
Ministry of Health should utilize Makerere University
In his speech, the Acting Deputy Vice Chancellor (Finance and Administration), Prof. William Bazeyo who represented the Vice Chancellor, Prof. Barnabas Nawangwe called upon the Ministry of Health to take advantage of the specialised human resource at the University in situations of policy implementation or disease outbreaks.
“Makerere has always done research as its mandate and we have shared several policy documents from these findings with the Ministry of Health. We have done work with the malaria policy, the health insurance policy, HIV, circumcision and some work around sector training. Where you find it difficult to implement, talk to us and we shall walk with you,” Prof Bazeyo said.
“We may not have the resources but we shall look to our partners to work with you to achieve any agenda,” he added, in address to the Minister of State for Primary Health Care, Hon Sarah Opendi, who represented the Minister of Health, Hon. Ruth Aceng.
Prof. Bazeyo also thanked the EU for supporting the institution to address the country’s development needs. He thanked Assoc. Prof. Ssengooba who was in the 1st cohort of students taught at MakSPH for being exemplary and shared that the College of Health Sciences (CHS) to which MakSPH belongs, contributes 80% to Makerere University’s research.
“90% of this research is funded by donors. At the moment, the university is ranked number 2 in Africa in research despite the challenges but we want to visit you Honourable Minister because we know that if you support our budget, we shall become number one,” Prof. Bazeyo appealed.
The Principal CHS, Prof. Charles Ibingira also informed the Minister that the college has the capacity to train human resource for the health sector for the whole country and the diaspora.
“You need to think about utilising the college because we provide accountability,” he added, explaining that the university is the leading research institution in the country and can be used to solve many key issues in the health sector. He also talked about plans by CHS to spearhead a think tank that will contribute to the management of health issues in the country and region at large.
Prof. Ibingira equally expressed his exhilaration about the book and he thanked Assoc. Prof. Ssengooba and his team for delivering.

“I am very excited on this occasion where we are delivering on our promises and I am grateful to everyone who has made sure that the work is well-packaged. I humbly beg though that the information in the book will lead us to achieving UHC. This book strengthens the relevance of Makerere University and alerts us to the changing needs of health workers. It is an analysis of the different health policies in Uganda and a valuable asset to all partners engaged in seeing to UHC,” Prof Ibingira pointed out.
Government to commit 1% towards research
Speaking as Chief Guest at the launch, Hon. Opendi informed the audience that Government was committing to give 1% of the national budget towards research in the country, a move that comes at the right time when the health sector is re-positioning itself. She added that this commitment does not come easy since the country is resource-constrained alongside competing demands.
Hon. Opendi however added that the government was making progress with the implementation of the National Health Insurance Scheme. She acknowledged the proposal by Prof. Ibingira to set up a think tank and expressed her Ministry’s willingness to seeking guidance from it. She commended the book authors for focusing on other factors around health including prevention and human resource.
Authors speak about the book
One of the lead authors, Prof. Rutebemberwa also noted that whereas Uganda’s history over the years has been dotted with attempts to improve UHC, the advocates were usually not sure about what exactly should be covered.
Dr. Kiwanuka on the other hand noted that there is need to move away from the thinking that a good health sector only refers to functional hospitals.
“Everyone needs to be healthy enough not to go to hospital in the first place and that is what Universal Health Coverage is about,” she pointed out.
According to Assoc. Prof. Ssengooba, the target audiences for this book are the policymakers, health funders, civil societies who engage and teach people about health, and the media. He also noted that the population is spending a lot of their money on health, which calls for the government to invest more in prevention than cure.
He said the book also explores alternative ways in which all other sectors can support the achievement of UHC. For example when enforcement of traffic rules is tightened; as was the case along Masaka Road leading to reduced accidents, the burden to treat patients from accidents will reduce.
Speaking on the implementation of the policy, co-author Dr. Ekirapa-Kiracho shared that the team would continue to come up with policy briefs that will be issued to different stakeholders.
The book perfectly captures the adage that what we do today has been influenced by what was done yesterday. It examines previous attempts at addressing UHC and integrates them into the current health situation while taking into account the financial and political situation in the country to see how best the policy can be implemented going forward.
Article by Agnes Namaganda, Communications Office, MakSPH
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Makerere University Hosts Ambassador Judyth Nsababera for Strategic Dialogue Advancing Uganda–China Engagement
Published
2 days agoon
November 26, 2025
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
Published
3 days agoon
November 25, 2025By
Mak Editor
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.”
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In Honor of the Life and Legacy of Mr. Francis Seletze Ngabirano-A Steady Hand through the Storms
Published
3 days agoon
November 25, 2025
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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