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
General
Stakeholders of Mastercard Foundation Initiatives at Makerere University Convene to Review Progress and Strengthen Collaboration
By Damali Mukhaye
On 9th July 2026, the Mastercard Foundation-supported initiatives at Makerere University convened the 2nd Partnership Development Breakfast meeting at Mestil hotel in Kampala, to review progress, share experiences, and explore opportunities to strengthen collaboration and advance education, research, innovation, and youth empowerment.
The partnership development meeting brought together Makerere University leadership, government officials, Mastercard Foundation representatives, development partners, private sector actors, and other key stakeholders to reflect on ongoing interventions and identify areas for deeper collaboration.
The engagement highlighted the progress and impact of key Mastercard Foundation initiatives at Makerere University, including the Mastercard Foundation Scholars Programme, the Africa Climate Collaborative (ACC), and the e-learning initiative, which are promoting increased access to education, research development, climate resilience, skills enhancement, and preparing young people for future opportunities.
Delivering the opening remarks, the Deputy Vice-Chancellor, Academic Affairs, Makerere University, Prof. Sarah Ssali, stated that stakeholder engagement was vital in building stronger links between the University, students, academic staff, employers, and other parties involved in shaping graduates’ futures.
“You have been chosen for a purpose because it was not just about engaging with the students and stakeholders, but also with those involved in developing knowledge products and those who train and mentor our students,” Prof. Ssali said.
She emphasised the significance of partnerships in widening access to higher education, especially for students from marginalised backgrounds, highlighting that through scholarship programmes and inclusive education initiatives, Makerere University continues to attract and support talented students who might otherwise face obstacles to university access.
Prof. Ssali acknowledged the contribution of the Mastercard Foundation Scholars Program alongside other university initiatives, including the Africa Climate Collaborative, fee waiver schemes, and Council scholarships, which offer opportunities for students—especially those from vulnerable communities and talented female learners.
“Your investment in these young people is not charity, but a shared national development priority,” she said.
She explained that Makerere University’s partnership with the Mastercard Foundation aligns with the University’s strategic aim to enhance human capital development, research, and innovation in support of national development priorities under Uganda Vision 2040 and the Fourth National Development Plan.
Prof. Ssali noted that the University has, over the years, transformed into a research-focused institution, with partnerships enabling it to address critical societal challenges.
She urged stakeholders to continue supporting young people through mentorship and guidance as they prepare for employment and entrepreneurship.
The Permanent Secretary, Ministry of Gender, Labour and Social Development, Mr Aggrey David Kibenge, praised the collaboration between Makerere University, the Mastercard Foundation, and other stakeholders, emphasising that teamwork is vital in tackling Uganda’s youth unemployment problem.
He observed that Uganda’s youthful population presents both an opportunity and a responsibility, with more than 70 per cent of the population under 30 years.
Mr Kibenge said the government alone cannot address youth unemployment and welcomed partnerships that support young people with relevant skills, employment pathways, and opportunities for entrepreneurship.
He highlighted government interventions, including the National Apprenticeship and Graduate Volunteer Programme Management Information System (NAGVPMIS), which links graduates with potential employers via a digital platform.
The platform enables young people to upload their qualifications and skills, while employers can find suitable candidates based on available opportunities.
“By digitising the matching and recruitment process, we are making the system more transparent, efficient, and merit-based,” Kibenge said.
The Permanent Secretary also emphasised the need for education institutions, employers, and the government to work together to address the skills gap affecting many graduates entering the labour market.
He noted that stronger partnerships with initiatives such as those supported by the Mastercard Foundation will help young people acquire skills that respond to changing labour market needs.
He reaffirmed the Ministry’s commitment to collaborating with the Mastercard Foundation and other partners to create more opportunities for young people to access dignified work.
Mastercard Foundation Highlights Young Africa Works Progress
Representing the Mastercard Foundation, Ms Maria Mugerwa, the Finance Lead at the Foundation, provided an update on the Young Africa Works Strategy, which seeks to enable 30 million young people, 70 per cent of them women, across Africa to access dignified and fulfilling work by 2030.
She explained that, in Uganda, the strategy aims to reach 4.3 million young people aged 18 to 35 through initiatives centred on entrepreneurship, enterprise development, education, and skills enhancement.
The strategy supports key areas, including micro, small, and medium enterprises (MSMEs), agriculture, the digital economy, creative industries, and inclusive opportunities for young people.
Ms. Mugerwa noted that the Foundation’s approach is built on partnerships that bring together universities, government, private-sector actors, and communities to create pathways for young people to transition from education to employment.
“Closing this gap will require stronger collaboration among all stakeholders, including linking universities and graduates to opportunities created under the Young Africa Works Strategy.” She said.
She emphasised that ongoing collaboration will be essential in widening access to employment opportunities, finance, markets, and entrepreneurship support for young people.
Highlights of Mastercard Foundation Initiatives at Makerere University
Mastercard Foundation Scholars Program
The Mastercard Foundation Scholars Program at Makerere University continues to transform the lives of academically talented but economically constrained young Africans by expanding access to quality university education and nurturing the next generation of transformative leaders.
In a presentation by Prof. Justine Namaalwa, the Program Director, the initiative was emphasised as a comprehensive support model that extends beyond scholarships to offer academic assistance, leadership growth, psychosocial well-being, community involvement, and pathways to dignified employment, entrepreneurship, and further education.
The Program has supported 971 Scholars and alumni, with many transitioning into formal employment, entrepreneurship, and advanced studies.
Guided by the values of listening, humility, kindness and respect, co-creation, and impact, the program promotes inclusion, belonging, and agency among young people.
Africa Climate Collaborative at Makerere University
The Program Director of the Africa Climate Collaborative, Prof. Gorettie Nabanoga, said that the programme, which kicked off in 2025, is a transformative eight-year university-wide initiative designed to empower young people and strengthen Africa’s capacity to develop inclusive, equitable, and innovative responses to climate change.
Implemented in collaboration with global and regional partners, including the University of Cambridge, the University of Cape Town, the University of Ghana, and the Association of African Universities, the Collaborative focuses on four interconnected pillars: workforce development, entrepreneurship, research and innovation, and networks, policy, and learning.
Through its workforce development pillar, ACC will expand access to quality education by providing comprehensive scholarships to 250 Master’s students and 40 PhD students, while strengthening research capacity through academic mentorship and support.
The entrepreneurship pillar will equip 500 youth not in education, employment, or training with green entrepreneurship skills, provide incubation support, and promote youth-led green innovations.
The Collaborative will also establish a Climate Resilience Support Centre to drive interdisciplinary research and innovation while fostering partnerships, policy dialogues, and knowledge exchange to support climate-resilient communities.
e-Learning Initiative Phase II
In a presentation by Prof. Paul Birevu Muyinda, Director of the Institute of Open, Distance and eLearning (IODeL) at Makerere University, the progress and future direction of the Mastercard Foundation e-Learning Initiative Phase II were highlighted.
Building on the successful completion of Phase I in December 2024, Makerere University secured participation in the second phase, which aims to accelerate digital transformation and strengthen inclusive, learner-centred, and scalable e-learning systems across the institution.
The initiative seeks to enhance access to quality digital education by developing 10 fully online academic programmes and 10 micro-credentials by 2030. It will also establish integrated digital learner support services, strengthen digital infrastructure, and promote digitally empowered leadership and governance within the University.
A key component of the initiative is building institutional capacity in learning design and technology.
Since January 2026, 35 Makerere University staff members have been undertaking graduate-level training at Arizona State University, with 13 pursuing Master’s programmes and 22 enrolled for graduate certificates in Learning Design and Technology.
Through strategic partnerships and innovation, the initiative will position Makerere University as a leader in digital education, expand opportunities for inclusive learning, and strengthen resilience in higher education.
The second stakeholder engagement session concluded with several stakeholders, including DFCU Bank, the Uganda Manufacturers Association (UMA), the Private Sector Foundation Uganda (PSFU), and Finn Church Aid, among others, committing to building stronger pathways that will enable students and graduates to contribute meaningfully to Uganda’s social and economic transformation.
Damali Mukhaye is the Communication, Public Relations, and Branding Officer for Africa Climate Collaborative at Makerere University.
General
Benchmarking Best Practices In Quality Assurance: Official Visit To The University Of Cape Town
By Dr. Irene Rebecca Namatende
1.0 BACKGROUND
A team of four members of staff from the College of Health Sciences (CHS), Makerere University undertook an official benchmarking visit to the University of Cape Town (UCT) from 19th to 26th April, 2026. The four are members of the Quality Assurance, Gender Mainstreaming and ICT Committee-CHS. The delegation comprised two academic and two administrative staff led by the Dean, School of Dentistry, Prof. Annet Kutesa. Other members included;
- Dr. Irene Rebecca Namatende – Quality Assurance Officer-CHS
- Dr. Kalidi Rajab – Lecturer in the Department of Pharmacy
- Mr. Bataamye Herbert – CHS Registrar.
The primary purpose of the visit was to benchmark Quality Assurance (QA) systems in teaching, learning, and governance; strengthen institutional collaboration; and explore opportunities for academic exchange and joint initiatives between Makerere University and the University of Cape Town.
1.1 Purpose of the Visit to UCT was
- To gain an understanding of institutional QA frameworks at UCT across teaching, research and governance, and identify adaptable best practices for Makerere University.
- To explore effective strategies used by UCT to design, monitor, and continuously improve academic programmes, ensuring relevance, consistency, and excellence.
- To learn from UCT’s experiences and approaches to national and international accreditation processes, including preparation, documentation, and stakeholder engagement.
- To examine mechanisms for fostering staff engagement, ownership, and accountability in QA and continuous improvement processes.
2.0 Key Areas Covered During the Visit
2.1 Quality Assurance Systems
The visit explored the institutional quality assurance framework at the University of Cape Town, focusing on its structured approach to academic quality management. Emphasis was placed on clearly defined QA units, robust monitoring and evaluation mechanisms, and the integration of quality assurance processes into routine academic delivery and programme oversight. Discussions also highlighted systematic approaches to curriculum design and periodic review, ensuring alignment with accreditation standards and evolving educational needs.
We found that QA frameworks at UCT cut across teaching, research and governance. Here below are some of the key findings;
- All programmes must be approved by the Council of Higher Education, Quality Regulation Framework.
- All programmes must be accessible to the Council of Higher Education (CHE).
- The Academic Programmes at UCT are reviewed after every 5 years.
- Every programme goes through detailed evaluation before approval.
- Support Staff are also interviewed before appointment into university service.
- Each programme must be accounted for by UCT to the Councils
- Comprehensive information for each programme is required by the Councils before approval is given.
- It is important to have integrity of qualifications and qualification of programmes.
- After O. Level the students sit for a National Benchmark Test.
2.2 Governance and Leadership
The visit provided insights into transparent and participatory governance structures that support effective decision-making. There is a strong emphasis on staff engagement, accountability, and leadership at different institutional levels. A culture of continuous improvement is embedded within governance systems, supported by regular review and feedback mechanisms.
2.3 Teaching and Learning
The discussions further highlighted the institution’s diverse student assessment methods and structured feedback systems, alongside the effective integration of digital technologies to enhance teaching, learning, and student engagement.
Here below are the key outcomes;
- Every Course unit exam should be moderated by an External Moderator.
- The external moderator is appointed at the beginning of the year.
- The external moderator makes recommendations.
- These recommendations are in form of policies.
- Ensure overall examination preparedness for all students
- The template for external moderation is revised regularly.
- The moderators also assess if, the exams are fair or not.
Conclusion:
Key Takeaways
- The promotion ladder at UCT is more on the Competences, individual contributions on supervision, publications, community service and experience.
- QA is embedded in every unit and department.
We thank the Principal, College of Health Sciences and CMT for the support that facilitated this benchmarking visit.
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