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
President Yoweri K. Museveni while officiating as Chief Guest at the Julius Nyerere Annual Symposium 2026: Nyerere-Museveni Dialogue at Makerere University called upon the audience not to merely hold Nyerere’s Legacy as a historical footprint but as a masterplan for the future that remains unfinished. Organised by the Julius Nyerere Leadership Centre (JNLC), the symposium was a two day event that started with “ekyooto” on 13th October at the JNLC gardens and climaxed on 14th October in Freedom Square. The second day hinged on the theme: Borrowing from the Past, Building the Future.
In the President’s message delivered by Rt. Hon. Dr. Crispus Walter Kiyonga the Second Deputy Prime Minister and Chancellor of Makerere University, the president spotlighted, “Mwalimu Nyerere as the greatest African that ever lived in terms of contribution to the African people’s efforts for freedom, human rights, and dignity.”
This greatness, he notes, spilled not just to political ideals but also to economics and security. The President agreed with him and warned that “freedom without economic transformation and economic prosperity, without a robust strategic security, remains incomplete.”
Reaching out to the younger generation of scholars and leaders, the President issued a strong warning to move beyond simply remembering Nyerere to action. He said, “you must carry forward the torch of pan-Africanism, reject sectarianism and tribalism, build our regional markets, and champion the total political integration of our motherland.”
He appreciated Mwalimu for his; unwavering support for the struggle of the East African Federation, courageous backing of the armed anti-colonial struggles in the southern half of Africa, principled and decisive support for the anti-Idi Amin struggle, pro-people and pro-unity policies that kept Tanzania peaceful for decades, and ensuring that Tanzania remained a strategic rear base for the entire African resistance.
As a believer in Nyerere’s ideals, the President urged the audience to honor Mwalimu “not merely through commemorative speeches, but through completing the historical task of uniting, defending, and prospering our motherland,” for the motive is to ensure that the independence wars won by our predecessors were not in vain.
To this note, he reiterated the case for Uganda, saying “we shall never forget his profound contribution” to Africa.
Professor Nyamsenda’s Keynote Unparked Pan-Africanism
During the Nyerere-Museveni Dialogue symposium at Makerere University, Professor Sabatho Nyamsenda, a lecturer at the University of Dar es Salaam delivered the Keynote Address titled “The Unfinished African Project: From Liberation Legacies to a New Generation of Transformation” during the symposium”.
He started on a lighter noticing “Nyerere is being Ugandanised.” This he said looking at the annual Public Lectures dedicated to his name and felt like challenging his home institutions to follow suit.
At the calm of the room, he presented a critique of the current state of Pan-Africanism, arguing that it has been grabbed by the ruling elites, a challenge Professor Nyamsenda identifies to have started in the period of 1960 -1980.
He explained that it was around this time period that Pan-Africanism was snatched away from the masses and it became a state project. Currently, he said the ideology exists in two forms: Boardroom and Street Pan-Africanism.
Professor, characterised Boardroom Pan-Africanism as a State Project. He said “boardroom Pan-Africanism sits comfortably with imperialism and elite-centered accumulation.” While Street Pan-Africanism to which Professor advocates, he emphasised that historically, this approach “united the African liberation movement and liberated the African continent from the most barbaric colonial powers.”
As he concluded, Professor Nyamsenda joined Mwalimu and the President of Uganda in urging youth to consider joining and leading the struggle for a better Africa.
Role of JNLC in Realising Nyerere’s Ideas
Professor Saturninus Kasozi Mulindwa, the JNLC Board Chair highlighted the primary objective of the center as “imparting knowledge and sharing experiences from the old generations to the new generations.” Therefore, JNLC contributes to the actualisation of Nyerere’s ideas by focusing on the development of the next generation of African leaders.
To supplement this, Dr. Nansozi K. Mwanga the Executive Director at JNLC said that the center is committed to “nurturing ethical, conscious, and transformative leaders inspired by Mwalimu’s ideas of service, human dignity, self-reliance, and Pan-African solidarity.”
She explained their focus is on several key areas with training as core. They have “trained over 1,500 young people and young leaders from across Uganda.”, and developed leadership programs “grounded in ethical decision-making, civic responsibility, public service, and action.”
In her remarks, it was observed that training alone is not enough; they are also doing mentorship, to provide opportunities for networking and learning from experienced leaders. There are already testimonies when you visit the Centre wall of fame. To which Dr. Nansozi revealed “leadership development matters when learning becomes service and meaningful action.”
The Centre remains proud of those they have touched and are eager to support as many cohorts.
Julius Nyerere Family Pour their Heart out
Mama Maria Nyerere, addressed the Symposium virtually and commended the Centre for keeping Mwalimu’s values alive.
As a memory of her husband, she reminded the audience that his greatest legacy was anchored on the values by which he lived: service, humility, integrity, unity and love for Africa and its people. She also urged the young people to take up leadership responsibilities and lead with humility, integrity and always remember the people they serve.
Mama Nyerere also advised the youth to learn from those who came before them like her husband with courage to build a better Africa for their generation and those who will come after them.
Joining Mama Nyerere, on behalf of the Nyerere family was Ms. Julia Nyerere, a granddaughter, who attended physically and thanked H.E. Kaguta Museveni for supporting the establishment of the Julius Nyerere Centre at Makerere University and also commended the Keynote Speaker Professor Nyamsenda for Critiquing Nyerere’s ideas.
Julia further shared an understanding of her grand-father’s interest in preserving humanity as a moral.
As a family they are happy that his (Nyerere) values and legacies continue to inspire Africa and beyond.
Appreciation for All who Made the Symposium Possible
Addressing the symposium, the Vice Chancellor of Makerere University, represented by Professor Henry Alinaitwe the Deputy Vice Chancellor in Charge of Finance and Administration expressed the University’s appreciation and commitment.
He thanked “the government of Uganda for the support they are giving to the Julius Nyerere Leadership Center,” and requested Dr. Kiyonga to “convey the message to the fountain of honour for this initiative that Makerere University is happy for, and is going on well.”
To the leadership of the Center, he specifically thanked the Director Dr. Nansozi for her focused leadership. He stated, “I commend my friend, Dr. Nansozi, for the work that you are doing.”
Professor Alinaitwe also emphasized “we” value these symposiums, saying, “as a university, we acknowledge that such activities create great visibility.”
Dr. Kiyonga was also thanked for delivering the President’s message, together with veterans like Professor Kabwegyere, among other distinguished guests and partners that attended.
Professor Tarsis Bazana Kabwegyere as well appreciated all and emphasised the collective duty of the youth in building the next generation.
He advised “your responsibility is to identify and build Africa forward, building on the legacies and foundations of our forefathers,”.
The Professor also argued that “being young on its own is not a virtue. It is what you are when you are young.” He challenges the audience to avoid being ignorant and claim that you are young.
Background of the Nyerere Symposium
The Julius Nyerere Annual Symposium is an intergenerational gathering hosted at Makerere University. For more than six years now, it has been connecting past leadership legacies of Nyerere and other revolutionaries with current regional and continental priorities under the (JNLC) centre.
The Julius Nyerere Leadership Centre (JNLC) serves as a training ground and research hub designed to mentor the next generation of African leaders. Co-hosted by Makerere University and the Uganda Management Institute (UMI), the Centre bridges the gap between older statesmen and youth by focusing on Pan-African ideals, ethical governance, and social transformation.
General
Makerere University and Xiangtan University Advance Strategic Partnership in Chemical Engineering
Makerere University and Xiangtan University are set to update their close to 20-year academic partnership, with a new focus on launching a joint Master’s degree program in Chemical Engineering and expanding student and staff exchange initiatives.
The commitment was reaffirmed during a recent visit by a delegation from Xiangtan University to Makerere University headed by Professor Dingyu Ou, in the company of Mr. Tang Fei and Professor Gilbert Gumshabe, the Chinese and Ugandan Directors of the Confucius Institute at Makerere University respectively.
While addressing the delegation, Professor Nawangwe highlighted that this initiative is part of a broader strategy to diversify academic offerings and contribute to national development through training in Chemical Engineering. Through this new initiative, the University will better prepare graduates for the petrochemical industry and support the country’s industrial growth.
The Vice Chancellor appreciated that the proposed collaboration aims to address Uganda’s growing need for industrial expertise, particularly as the country develops its petroleum sector. The two universities here are working toward a 1+2 training model, which will enable Makerere students to gain practical experience and access advanced laboratory facilities at Xiangtan University.
Professor Nawangwe further reiterated that “our relationship with the people of China, not just for Makerere but also for a big part of Uganda, has been opened wider by the establishment of the Confucius Institute, considering that many other collaborations like one being discussed now have come through this collaboration.”
The head of the Xiangtan delegation, Professor Dingyu Ou, expressed appreciation for the meeting, and acknowledged the history between the institutions. “As mentioned, we have a very long relationship and a very stable friendship between our two universities.”
Professor Ou extended appreciation for the support provided to the Confucius Institute at Makerere, the care shown to his colleagues, and looked forward to the successful start of the Chemical Engineering collaboration.
Assuring the delegation of Makerere’s readiness for the collaboration, Ms. Hawa Ndagire Kajumba the Lead, Partnerships and Stakeholder Engagement, Makerere University Advancement Office, aligned with the Vice Chancellor’s emphasis of University goal to have both theory and practice imparted to the students.
She said “the curriculum of the university and Uganda as a whole is moving towards competence-based education training to ensure students are equipped to demonstrate those skills in the actual field, particularly regarding petroleum exploration.”
Ms. Ndagire Kajumba also emphasised a shift in strategy for the partnership office, saying, “we are moving away from just signing MOUs that collect dust, and moving towards those that are more collaborative to benefit our faculty and students, just like this one.”
Professor Gilbert Kumushabe aligned his remarks with those of the Vice Chancellor and Ms. Ndagire Kajumba, and described the method used at Xiangtan University as “actually competence-based teaching.”
Based on his recent visit, Prof. Gumoshabe shared that students in China are divided into groups with dedicated teachers to perform practical, hands-on work beyond the theoretical lecturers. He expressed gladness that the same was being adopted for the Ugandan context.
Both institutions are now working to finalise the specific agreements for the joint degree and exchange programs. Beyond academic training, the collaboration will advance cultural and professional exchange.
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