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
On Wednesday 16th July 2025, Makerere University lost one of its most cherished sons, Professor Livingstone Sserwadda Luboobi. Described as a mathematician, academic leader, and humble servant, Professor Luboobi devoted more than five decades to the university, rising through the ranks to become Vice Chancellor, and leaving a legacy defined by simplicity, service, and scholarship.
Born to Lameka Serwadda and Sanyu Serwadda on 25th December 1944 in Mitondo, Kalisizo, Kyotera District, Professor Luboobi’s academic career begun as a third-year student at Makerere and continued with unwavering loyalty until his passing. His life’s work reflected not only a commitment to mathematics but also nurturing generations of scholars and leaders across Uganda and beyond.
A funeral service was held in his honour at St. Francis Chapel, Makerere University on 18th July 2025. It was a moment of solemn remembrance and heartfelt tribute. Rev. Canon Dr. John Senyonyi delivered the sermon titled “Only God Knows,” reminding mourners of the mystery and grace of life’s journey. Rev. Canon Geoffrey Byarugaba represented the Kampala Diocese at the service, while former St. Francis Chaplain, Rev. Dr. Canon Johnson Ebong thanked Professor Luboobi for spearheading the Chapel’s expansion. Friends, colleagues, and family members filled the chapel, joined in mourning but also in gratitude for a life that had deeply touched theirs.
Mrs. Lorna Magara, Chairperson of the University Council, spoke movingly about Professor Luboobi’s faithfulness, likening his life to the biblical call in Mark 10:43, “Whoever wants to become great among you must be your servant.”
In his condolence message, the Vice Chancellor, Professor Barnabas Nawangwe, hailed Professor Luboobi as a visionary leader whose legacy is deeply woven into Makerere’s identity as a research-led institution. He credited Professor Luboobi with laying the groundwork for a culture of inquiry—championing graduate programmes, encouraging doctoral training, and fostering international collaborations that strengthened the university’s research profile. “He believed in building systems, not just structures,” noting that many of Makerere’s current research policies stem from his leadership. Even in retirement, Professor Luboobi remained a source of wisdom and guidance, quietly shaping the future of the university he so deeply loved.
Speaker after speaker painted a portrait of a man who led not by pomp, but by quiet strength and deep conviction. The Principal, Professor Winston Tumps Ireeta, speaking on behalf of the College of Natural Sciences (CoNAS), described Professor Luboobi as a foundational figure whose influence is deeply etched in the structures and spirit of the college. He spoke with emotion about Luboobi’s unwavering commitment to academic integrity and his belief in the power of mentorship.
“He was not just a mathematician,” Professor Ireeta said, “he was a visionary who understood the soul of the university. Even in retirement, he remained an advisor, a guide, and a quiet force of wisdom.” He concluded by saying that the college would continue to draw from his example as it navigates the future of science and innovation in Uganda.
Professor Luboobi’s illustrious career at Makerere University included serving as Head, Department of Mathematics from 1990 to 1991. The current Head of Department, Dr. Ismail Mirumbe remembered him as a pillar in the teaching and development of mathematics in Uganda
Professor John Mango, who served as Head, Department of Mathematics during Professor Luboobi’s term as Vice Chancellor from 2004 to 2009 described him as a towering figure of integrity and principle, someone who not only upheld the highest standards of academic conduct but insisted that others around him do the same. “He was a pillar in the department,” Prof. Mango remarked, “and his moral compass was unwavering.”
He recalled instances where Professor Luboobi made firm decisions, including terminating contracts when integrity was compromised, setting a tone that shaped the department’s reputation for honesty and excellence. Even as Vice Chancellor, he remained deeply involved in the department’s affairs, teaching, supervising students, all the while handling top administrative duties punctually. Prof. Mango spoke with great admiration of a man who led by example, mentored many, and whose contributions to mathematics education, research, and policy-making continue to shape the future of the discipline in Uganda and beyond.
According to an article from 1990 written by Dr. Vincent Ssembatya and Andrew Vince at the University of Florida, the Uganda Mathematical Society (UMS), which was formally established on 25th November, 1972 has since inception enjoyed major support from Makerere University and Kyambogo University in terms of infrastructure and leadership. Professor Paul Mugambi, who was also present at Professor Luboobi’s funeral service was elected first president of the UMS. Dr. Saul Nsubuga from the Department of Mathematics represented UMS at the service, honouring Professor Luboobi’s pioneering role in the discipline.
The service also featured tributes from close friends and family. Loved ones shared stories of a man who remained grounded no matter how high he rose, a man who valued relationships and walked closely with his faith. His children and grandchildren remembered him as a father who was ever-present, a listener, and a source of steady guidance.
Professor Daniel Kibuule, son of the late Professor Luboobi and Dean, Faculty of Health Sciences at Busitema University, delivered a deeply personal tribute that painted a full portrait of his father’s life, values, and final days. He expressed gratitude to the University leadership, family, friends, and medical professionals who stood with them during a challenging period. He particularly thanked his siblings, Dr. David Kimera and Dr. Irene Nakiyimba for their unwavering role in caring for Professor Luboobi through illness.
He spoke of a man who, despite great academic accolades, remained deeply humble and committed to discipline, simplicity, and faith. From instilling punctuality and responsibility to ensuring his children charted their own paths, none bearing his surname “Luboobi”, Prof. Luboobi was intentional in every lesson he passed on. Kibuule recalled his father’s insistence on being at home even in his final moments, his strong connection to Christ, and his quiet strength despite his failing health.
Former students and mentees echoed the same sentiments, of a teacher who was generous with his time and invested deeply in others’ growth. The community that gathered was not only there to grieve but to celebrate the quiet legacy of a man whose example continues to live on.
Among the mourners were public figures and leaders, including Hon. Abed Bwanika, Member of Parliament for Kimanya-Kabonera, Hon. Nyombi Thembo, the Executive Director Uganda Communications Commission, and Hon. Dr. Ham-Mukasa Mulira, former Minister of ICT, among others.
In his passing, Makerere University has lost a pillar, but his life reminds us that greatness lies in consistency, in humility, and in service to others. Professor Luboobi’s memory will continue to live on in the minds he shaped, the systems he built, and the values he embodied. He ran his race with grace.
The Writer is a Volunteer in the Public Relations Office, Makerere University
Please click the embedded video below to view the service livestream
Legal and accounting officers from public universities across Uganda have convened, for a high-level training workshop organized by Makerere University. The three-day training, taking place from July 16th to 18th, 2025, is aimed at strengthening legal frameworks, improving institutional governance, and ensuring compliance with public finance and procurement laws within higher education institutions.
Ms. Lorna Magara, Chairperson of the Makerere University Council and Guest of Honour at the opening session, commended the initiative as timely and necessary. She addressed the growing backlog of court cases affecting Makerere and other public universities and outlined measures already taken to mitigate legal risks. These include the establishment of a Legal Rules and Privileges Committee and the Directorate of Legal Affairs, part of a broader strategy to improve legal compliance and foster good governance.
Representing the Vice Chancellor, Prof. Winston Tumps – Ag. Deputy Vice Chancellor (Finance and Administration), described the training as both strategic and practical. “It is imperative that we learn from each other, especially in how we handle employee litigation and institutional legal risks,” he remarked. He added that the program is designed to promote experience-sharing across universities and enhance collective institutional growth.
In his address, Mr. Yusuf Kiranda, University Secretary at Makerere University, emphasized the urgent need for robust legal oversight and more effective case management mechanisms within public universities.
The training featured a keynote address by the Attorney General of Uganda, Hon. Kiryowa Kiwanuka, who provided critical insights into legal expectations for public institutions. He warned that failure to heed legal advice could result in personal liability for accounting officers, citing a precedent involving the Uganda Cancer Institute. “Universities must consult the Attorney General’s chambers before entering into major contractual obligations,” he advised, urging legal officers to document decisions meticulously as proper record-keeping forms the first line of defense in legal disputes.
Hon. Kiwanuka further discussed the government’s ongoing efforts to recentralize legal services to ensure alignment with the Attorney General’s office. He cautioned in-house counsel against becoming overly entangled in decision-making processes, stressing the need for objectivity. Other key issues he addressed included contract approvals, misuse of Memoranda of Understanding (MoUs), and lapses in procurement processes, particularly at the close of financial years.
Participants also benefited from insights by Hon. Justice Musa Ssekaana of the Court of Appeal, who offered an in-depth analysis of judicial review and its significance in promoting lawful, transparent university governance. He called on university legal officers to act with clarity, timeliness, and accountability.
Lady Justice Joyce Kavuma, Judge of the High Court, delivered a comprehensive presentation on dispute and claim management involving public universities. She addressed emerging trends in civil litigation, emphasizing the importance of due process, transparency, and clear communication in resolving employment, student, and contractual disputes. Drawing on real case examples, she urged institutions to strengthen internal systems, embrace participatory governance, and adopt regional best practices to minimize litigation and protect institutional reputation.
The training reflects a shared commitment among public universities to build a more accountable, legally sound, and strategically aligned higher education system in Uganda. Through peer learning and collaboration, participating institutions aim to reduce litigation, enhance institutional autonomy, and uphold the rule of law.
Participating universities include Makerere University, Kyambogo University, Mbarara University of Science and Technology, Busitema University, Mountains of the Moon University, and Lira University.
The training concludes on July 18th 2025, with sessions focusing on employment dispute management in public universities and the implications of recent PPDA Appeals Tribunal decisions on procurement and disposal practices within public entities.
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