General
Book on Universal Health Coverage in Uganda Launched: President Uhuru Engaging Mak Researchers on Kenya’s Plans
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
By Scholars Program Communication Team
On Saturday, November 16, 2024, Little Angels Junior School, Mawotto Village, Mukono District, and St. Charles Rwahunga, Nursery and Primary School in Kyegegwa District celebrated an inspiring, joy-filled event. These two schools were selected to receive the generosity of Mastercard Foundation Scholars at Makerere University during the Annual Scholars Day of Community Service.
At St. Charles Rwahunga Nursery and Primary School, the Scholars donated various products, including Learning Materials, Geometry sets, Sanitary towels for the girls, sportswear for the boys’ football team, and other goodies.
The Community Nursery and Primary School serves 412 pupils with severe challenges due to inadequate infrastructure. The buildings are dilapidated, there is a shortage of desks, and the classrooms are small and overcrowded. These issues need to be addressed to ensure a better student learning environment.
Mr. Alex Mugisha, the Headteacher of the School, expressed gratitude to the Scholars of Mastercard Foundation for the kind gesture they extended to his school.
“I am deeply grateful, along with the students and staff, for the generosity of the Mastercard Foundation Scholars. These materials will significantly enhance the learning environment for our pupils,” remarked Mr. Mugisha.
Mr. Nelson Ddumba, the Scholars Council Representative, encouraged the young learners at the event not to lose hope. He emphasized that regardless of their starting point, they can improve their circumstances by staying in school.
“Listen, my fellow students: do not give up. The only path to transforming your circumstances is through a steadfast commitment to your education and remaining in school. I have been in your shoes, but I pushed through and succeeded thanks to my mother’s unwavering support. Today, I proudly attend Makerere University, one of the leading institutions in Uganda. Embrace the challenge ahead and make your education your top priority!” Mr. Ddumba declared.
At Little Angels Junior School, pupils were excited to receive educational materials, reusable sanitary towels, mathematical sets, dictionaries, and textbooks for nursery to primary seven students.
Ms. Sarah Nturo, the headteacher, commended the Mastercard Foundation Scholars at Makerere University for the kind gesture.
She said the books will help the school improve its reading culture and performance.
“We are grateful to the Mastercard Foundation Scholars Program at Makerere University; we believe these books will significantly contribute to improving our pupils’ performance,” Ms. Nturo said.
Nturo also pointed out that they have challenges with the facilities and water as a school.
“Ever since we started this School, the education has improved because, in the past, parents could not allow their children to come here; instead, they would send them to the lake for fishing. But now, the children come only because they do not have somewhere to sit. We have few desks,” Nturo said.
During the visit, the pupils mesmerised the scholars with rare dance moves. The excitement did not leave the Programme Implementation team and teachers in their seats, making it a fun-filled event. The audience was left yearning for more.
Addressing the school, Mr. John Osuna, the Transition Lead at the Mastercard Foundation Scholars Program, urged the pupils to use their school time to prepare for a bright future.
“Do not mind where you are coming from. We all started like this. Education is an equalizer. Now that you have an opportunity to study, focus on making the best out of it. Be disciplined pupils and listen to your teachers. The sky will be the limit,” Mr Osuna said.
During the event, Francis Kabuye Kaggwa, the Chairperson of the Parents Teacher Association (PTA) leadership, said that ever since the school started over 10 years back, they have never received guests who bring them gifts like how the Mastercard Foundation Scholars did.
“I think you have seen how excited the children were. We are all happy this has never happened to our school. Who are we to receive these gifts? We have challenges, but with friends like God on our side, we shall conquer,” Mr. Kabuye noted.
The Scholars’ Day of Community Service is an annual event where Mastercard Foundation Scholars at Makerere University engage in community service as a way of giving back. This initiative aims to empower vulnerable individuals in the community and contribute positively to society.
By Mak Communication Team
The Vice Chancellor, Prof. Barnabas Nawangwe, while speaking at the inaugural commemoration of the International Day for Persons with Disabilities at Makerere University has appealed to the Government to increase the number of students with disabilities on government sponsorship.
The event held on Wednesday, 13th November 2024 was organised by the Office of the Dean of Students and the 90th Students’ Guild-Ministry of Students with Disabilities and held in the Yusuf Lule Central Teaching Facility Auditorium.
The day’s theme was: “Empowering Inclusion: Breaking Barriers, Unlocking Potential”
“Students with disabilities should be the first to be admitted on Government sponsorship because there are not so many,” Prof. Nawangwe said.
Prof. Nawangwe called upon the government to devise a scheme and policy for integrating students with disabilities into the working environment after graduation.
Prof. Nawangwe noted that the University has established a Disability Support Centre, a one-stop facility to ensure equal access to education and life, promote inclusivity, and support students and staff with disabilities.
“Over the years, Makerere University has branded itself as a place that actively and loudly promotes increased awareness about the rights and needs of students and staff with disabilities.” Prof. Nawangwe remarked.
While addressing the gathering, the Chief Guest, Hon. Hellen Grace Asamo, the State minister for Disability Affairs, called upon Persons with Disabilities to always believe in themselves and be able to break the barriers of the inferiority complex.
“You have to show people that you have the potential, and when people get to know your potential, they will begin to include and engage you. But if you do not have your potential, nobody will include you. They will think you are just someone who is just there seated and begging,” Hon. Asamo noted.
In her welcome remarks, Dr. Winifred Kabumbuli, the Dean of Students at Makerere University, said that the University is making a deliberate effort to pay particular attention to the decisive implementation of inclusive Policies and Practices.
“This is where we want all people to thrive and grow. Therefore, we are proud to accept and celebrate our differences and uniqueness. We welcome you here to build a culture of active support for each other and to declare that by championing a conducive environment for students and staff with disability, we are part of the change-makers of today,” Dr Kabumbuli said.
Dr. Kabumbuli also highlighted several policies the University has implemented, such as the Policy for Persons with Disabilities and safeguarding, Accommodation policy, University rules and regulations, the Human resource manual, and the student guild constitution that provides inclusive participation in student leadership and admission policies.
“These policies protect and enhance the rights of both staff and students with disabilities. For example, we have a student guild minister for persons with disabilities to ensure their voices are heard,” Dr. Kabumbuli noted.
Makerere has directed attention to ensuring accessible and comfortable accommodations for students with Disabilities by having designated accessible hostels and rooms. The University provides salaries, lodging, and meals for helpers who assist students with disabilities. A concentrated effort is also being made to build ramps, elevators, and accessible pathways to facilitate navigation for students and staff.
According to Dr Kabumbuli, the University has embraced a drive to facilitate students’ access to assistive devices, including wheelchairs, white canes, brailling machines, hearing aids, etc.
“As part of our commitment to inclusivity and accessibility, the University has designated a specialized space within the library, equipped with assistive technologies and resources, specifically for students with disabilities to ensure equal access to knowledge and academic success for all. We have also put in place special arrangements, such as extra time during examinations to enable access to education,” Dr Kabumbuli said.
Dr. Kabumbuli acknowledged the support from the Mastercard Foundation Scholars Program, the Ministry of Gender, and the School of Law, which are committed to championing diversity, inclusion, and equity for People with Disabilities.
The International Day of Persons with Disabilities is celebrated annually on December 3rd to raise awareness and support for people with disabilities worldwide.
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 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 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.
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.
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