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

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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.

Seated: Hon. Sarah Opendi (R) and Mr. Thomas Tiedemann (L) exchange copies of the book as R-L: Dr. Elizabeth Ekirapa-Kiracho, Prof. William Bazeyo, Prof. Charles Ibingira, Dr. Esther Byakika, Assoc. Prof Freddie Sengooba and Prof. Christopher Garimoi Orach witness.

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.

Hon. Sarah Opendi and Mr. Thomas Tiedemann pose with some of the 30 authors of the UHC Book

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.

The cover page of the book UNIVERSAL HEALTH COVERAGE IN UGANDA: Looking Back and Forward to Speed Up the Progress authored by Staff at MakSPH, Makerere University, Kampala Uganda

“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

Mark Wamai

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Call For Applications: Erasmus Mundus Master-Human Response 2026/2028

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Call For Applications: Erasmus Mundus Joint Master on Coordinated Humanitarian Response, Health and Displacement. Photo: ImageFX

The applications for scholarships to the second edition of the Erasmus Mundus Joint Master on Coordinated Humanitarian Response, Health and Displacement are open. The deadline is 09.01.2026 (9 January 2026), at 17.00, CET time (19.00 EAT).

Requirements

Mandatory documentation to upload is:

  • Valid Passport
  • Photograph
  • Diplomas (from previous degrees completed)
  • Transcript of records (diploma supplement) with all courses and grades (from previous completed degrees)
  • English proficiency test results certificate (from one of the required tests). Code for certificate validation.
  • Curriculum vitae
  • Statement of purpose (mandatory to upload a pdf document)
  • 2 signed and dated Recommendation Letters

All of the identified documentation is mandatory. Applications missing any of the above mentioned documents will not be considered as eligible.

Only candidates with a Bachelor degree (180 ECTS) can be admitted.

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Scholars Discuss Techno-Colonialism and Decolonizing AI for African Identity at Makerere University

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Prof. Sarah Ssali (2nd Left) flanked by Prof. Eddy Walakira and other participants during the parallel session on Techno-Colonialism on 31st October 2025. Webinar on TECHNO-COLONIALISM: Decolonising AI for Africa's Transformation, Day 3 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 31, 2025 hosted by Makerere University, Kampala Uganda, East Africa.

Betty Kyakuwa & Eve Nakyanzi

Scholars from across Africa and beyond convened at Makerere University for a workshop on “Techno-Colonialism: Decolonizing Artificial Intelligence (AI) for African Identity.” The event formed part of the ongoing African Research Universities Alliance (ARUA) Conference hosted at Makerere University, under the ARUA Centre of Excellence in Notions of Identity.

In her opening remarks, Prof. Sarah Ssali, Director of the ARUA Centre of Excellence in Notions of Identity, welcomed participants to what she described as a “thought-provoking engagement for early career researchers.” She noted that the Centre, hosted at Makerere University, now brings together over 10 universities across Africa and partner institutions in the Global North to examine evolving African identities in the face of global transformations.

“We don’t imagine a single African identity defined by class, tribe, or religion,” Prof. Ssali said. “We consider African identities as lived, negotiated, and continually reshaped by experiences such as colonialism, globalization, and technological change.”

The workshop was moderated by Dr. Kemi Kehinde, an ARUA–Carnegie Postdoctoral Fellow from Anchor University, Nigeria, who emphasized the need to critically examine the intersections between artificial intelligence, indigenous knowledge, and identity formation.

Dr. Kemi Kehinde. Webinar on TECHNO-COLONIALISM: Decolonising AI for Africa's Transformation, Day 3 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 31, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Dr. Kemi Kehinde.

Dr. Kemi invited participants to reflect on a presentation by Dr. Sameen Musa on Indigenous Knowledge Systems and AI in the Context of Decoloniality and Sustainable Futures. She highlighted the importance of ensuring that AI systems recognize and integrate oral African traditions such as storytelling, proverbs, and performance arts—areas where current technologies often fall short.

“As young African scholars, we have a responsibility to shape the training models of AI so that future systems engage authentically with African oral traditions and worldviews,” Dr. Kemi noted.

The panel featured Prof. Aghogho Akpome from the University of Zululand, Dr. Isaac Tibasiima and Marvin Galiwango, a machine learning engineer at Makerere, and Dr. Nikolai Golovko from the Centre for African Studies at the Higher School of Economics, Moscow and Dr. Chongomweru Halimu, a lecturer at the Department of Information Technology, Makerere University.

Speaking from South Africa, Prof. Aghogho Akpome delivered a strong critique of what he termed “the intellectual dependency fostered by generative AI tools.” He cautioned that over reliance on artificial intelligence for writing and research risks eroding cognitive skills and perpetuating new forms of colonial dependence.

“The use of generative AI without critical engagement amounts to intellectual theft,” he said. “It replaces creative thought with algorithmic mimicry, and that is the essence of techno-colonialism.”

A lively Q&A during the parallel session. Webinar on TECHNO-COLONIALISM: Decolonising AI for Africa's Transformation, Day 3 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 31, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
A lively Q&A during the parallel session.

Dr. Isaac Tibasiima, from Makerere University’s Department of Literature, offered a balanced view, arguing that while AI poses risks of cultural misrepresentation, it also presents opportunities for Africans to reclaim their agency by shaping the data that powers these systems.

“We need to feed our own knowledge into AI systems—honest, transparent, contextually grounded African knowledge,” Dr. Tibasiima said. “That’s the path to inclusion and authentic representation.”

From Moscow, Dr. Nikolai Golovko provided a global policy perspective, noting that while 11 African countries have adopted national AI strategies, implementation remains limited by resource and data inequalities. He warned that foreign-designed algorithms often ignore local contexts, reinforcing what he called “algorithmic colonialism.”

“African governments and universities must prioritize indigenous participation in AI design,” Dr. Golovko urged. “Otherwise, we risk reproducing colonial hierarchies in digital form.”

Dr. Halimu Chongomweru discussed the theme “Techno-Colonialism and Decolonizing Artificial Intelligence (AI) for African Ideas.” He argued that today’s global digital ecosystem mirrors historical patterns of colonial exploitation—only now, instead of natural resources, Africa’s data is being extracted to fuel AI economies controlled by others.

He described this as a form of modern colonialism, not through armies or flags, but through algorithms, cloud servers, and digital platforms that define African problems and solutions without African participation. These systems enrich others while disempowering African communities.

Dr. Halimu Chongomweru. Webinar on TECHNO-COLONIALISM: Decolonising AI for Africa's Transformation, Day 3 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 31, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Dr. Halimu Chongomweru.

Dr. Chongomweru emphasized that AI without culture is not intelligence but extraction. When AI models are trained on Western norms, they impose Western values globally, leading Africans to adopt technology without shifting the moral and cultural lenses behind it.

He urged a shift in focus from access to ownership, arguing that access without control only deepens dependency — another form of digital colonialism. True equalization, he said, means determining who owns, benefits from, and governs African data and AI systems.

To decolonize AI, Dr. Chongomweru proposed several actions:

  1. Build African-owned data repositories hosted on African soil and governed by African laws.
  2. Invest in AI research in African languages, moving from translation (copying) to representation (originating ideas).
  3. Develop home-grown technological infrastructure, ensuring computation and innovation occur within the continent.

He concluded that Africa’s AI agenda must be rooted in cultural, linguistic, historical, and sovereign identity, drawing from African philosophical traditions to create ethical and inclusive AI systems.

Marvin Galiwango cautioned that Africa’s growing engagement with AI still relies heavily on foreign tools, funding, and servers, creating digital dependency rather than empowerment. He argued that so-called “inclusion” often leaves Africans creating within systems they don’t control. Drawing parallels with genomics, he noted that Africa provides data but lacks ownership of infrastructure and outcomes. He concluded that true technological independence requires Africans to build and govern their own digital systems.

The session closed with a lively discussion on the ethics of AI use in research, the need for inclusive data models, and the role of African universities in decolonizing digital technologies. Participants agreed that decolonizing AI is not merely a technological issue but a cultural, ethical, and identity-driven imperative for Africa’s future.

Betty Kyakuwa
Betty Kyakuwa

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Building for the future: Makerere Vice Chancellor calls for collaborative research and innovation to drive human capital development in Africa

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Prof. Barnabas Nawangwe addresses the 5th ARUA Biennial Conference Opening Ceremony. The Minister for Science, Technology and Innovation Information, Hon. Dr. Monica Musenero Masanza has officially opened the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, held on October 29, 2025 hosted by Makerere University, Kampala Uganda, East Africa.

In an era defined by rapid technological disruption and a deepening knowledge economy, Africa stands at crossroads. The continent’s quest for transformation hinges not merely on resources or infrastructure, but on the strategic cultivation of its greatest asset, human capital. Universities, long recognised as the engines of progress, through their traditional primary roles of teaching, research and community engagement must now evolve to meet the demands of a digital and data-driven world. It is within this context that the fifth African Research Universities Alliance (ARUA) Biennial International Conference, convened at Makerere University under the theme “Research, Innovation, and Artificial Intelligence for Africa’s Transformation,” assumes scholarly significance. Bringing together hundreds of scholars, policymakers, and thought leaders from across the continent and beyond, the conference underscores a collective urgency to harness the power of artificial intelligence not as a distant frontier, but as a practical tool for addressing Africa’s most pressing developmental challenges, from food security and health to employment, conflict, and migration. As Professor Barnabas Nawangwe, the Vice Chancellor of Makerere University aptly observed in his opening remarks that the responsibility before Africa’s universities is not only to generate knowledge, but to translate it into transformative action through research and community engagement.

Across the African continent, universities are grappling with meeting the heightened demand for higher education. In the decades post-independence, enrolment in higher education has expanded more than tenfold, reflecting both the aspirations of a young and dynamic population and the continent’s growing recognition of knowledge as a catalyst for development through expansion of access to tertiary education. Yet, this expansion has not been matched by a proportional growth in academic human resources, particularly at the doctoral and professorial levels. A significant proportion of Africa’s senior academics, many trained in the 1970s and early 1980s, are now approaching or have reached retirement, leaving institutions operating at roughly 60% of their optimal staffing capacity. This demographic shift poses a critical challenge to the sustainability and quality of higher education and research. Also, often-overlooked, is the shortage of skilled technicians, whose expertise is essential to sustaining effective teaching, research, and innovation. As Africa strives to assert its place in the global knowledge economy, strengthening the pipeline of qualified academics and technical professionals emerges not just as a priority but as an imperative for the continent’s intellectual and developmental future.

The future of work is already being rewritten, according to the World Economic Forum, an astounding 65% of children currently in primary school will work in jobs that do not even exist yet, a startling statistic that underscores the magnitude of transformation ahead. This projection challenges traditional education systems to evolve towards prioritizing skills, critical thinking, adaptability and creativity. This paradigm shift presents both an urgency and opportunity for Africa to leverage on the power of technology and collaboration. The coming decades will witness a profound shift in labour markets, as demand transitions from conventional white-collar roles to emerging fields in computing, scientific research, healthcare, and engineering. Therefore harnessing the continent’s youthful technological potential and vigor will be essential in shaping a distinctly African model of innovation-driven development.

The African Union’s ambitious goal of training 100,000 PhDs by 2035 reflects a recognition that sustainable development depends on the continent’s capacity to generate and apply knowledge for its own advancement. Yet, the current landscape reveals stark disparities: while Africa is home to nearly 19% of the world’s population, it contributes less than 3% to global GDP share, shoulders 25% of the global disease burden, and produces a mere 2% of the world’s research output, 1.3% of world research spending and holds less than 1% of patent application worldwide. These figures expose the continent’s underrepresentation in the global knowledge economy. The good news is that Africa has a robust entrepreneurial class thriving everywhere from technological hubs to telecentres and incubators creatively adapting solutions to uniquely African challenges. This momentum is a critical driver of the economy, both because it facilitates access to basic needs such as education, financial services and healthcare, but also represents a shift to the knowledge-based economy that will carry Africa into a prosperous future.

Those who innovate will achieve Africa’s transformation story and the universities stand at the centre of this transformation. They must continue to nurture new generations of researchers, thinkers, and innovators capable of confronting Africa’s complex challenges with creativity and purpose. The rise of artificial intelligence offers unprecedented opportunities to leapfrog effects of colonialism and historical barriers, provided education systems adapt to prioritise critical thinking, and innovation.

Maureen Agena.
Maureen Agena

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