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Govt called upon to Fund Research in NCDs: Diabetes can be Prevented and Effectively Managed

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“Non-communicable diseases (NCDs) are a rapidly growing health burden in Uganda, and many other low and middle income countries. I call upon the Government of Uganda to fund research in NCDs. Most people with NCDs do not know that they are suffering from NCDs such as diabetes, high blood pressure, cancer, or heart diseases. For diabetes, about half of the people with diabetes in Uganda do not know that they have it,” said Prof. Rhoda Wanyenze, Dean of Makerere University School of Public Health.

According to the World Health Organisation (WHO) report of 2016, deaths from NCDs were on the rise, with developing countries hit hardest. NCDs are the leading cause of death globally. In 2016, they caused 71% of all deaths (40.5 million) up from 60% in 2000.

Opening the SMART2D Research Dissemination Workshop to various stakeholders held on 21st March 2019, Prof. Wanyenze applauded researchers from Makerere University School of Public Health for teaming up with other partners to undertake a multi-country four year research project aimed at identifying strategies to better prevent and manage Type-2-Diabetes, one of the NCDs.

She commended the research team headed by the Uganda co-Principal Investigator, Prof. David Guwatudde for not only describing problems, but also providing prevention and management strategies for Type-2-Diabetes.

The Dean, School of Public Health, Prof. Rhoda Wanyenze applauded the SMART2D research team for undertaking the multi-country four year research project on NCDs

The co-Principal Investigator of SMART2D, Prof. David Guwatudde emphasized that the primary aim of the four year research was to strengthen capacity for both prevention and management of Type-2-Diabetes.

“Health systems in most parts of the world were struggling to diagnose and manage Type-2-Diabetes especially in low and middle income countries. More than 50% of people with diabetes in Uganda are undiagnosed. They are not aware that they have diabetes. Further in Uganda, only about 30% of people with diabetes have ever had their blood tested for high blood sugar,” he said.

Funded by the European Union (EU) and Government of Sweden through the Swedish International Development Cooperation Agency (Sida), the SMART2D research presents a people-centered approach through Self-Management and Reciprocal Learning for the Prevention and Management of Type-2-Diabetes.

Prof. Guwatudde revealed that Type-2-Diabetes is more of a lifestyle disease, which can be prevented if we modify our lifestyle and behaviour. The nutrition aspect is one of the factors leading people to get diabetes.

According to Dr. Juliet Kiguli, co-Investigator on the SMART2D, some of the factors putting one at the risk of getting diabetes included: consumption of unhealthy foods (eating sweet things, too much oil, alcohol); physical inactivity (not exercising); Worrying; and ignoring the advice from medical personnel.

L-R: Dr. Juliet Kiguli, Dr. Roy William Mayega and another member of the research team a the Workshop

With Dr. Elizabeth Ekirapa sharing statistics that diabetes wields a tremendous economic burden on society (to patients and the economy at large); and further revelation from Dr. Roy William Mayega that most of the patients the research team interviewed, could not afford the drugs and equipment to monitor their blood sugar, yet often there are stock-outs of these at Government health centers.  He emphasized that SMART2D advocates for strategies aimed at prevention and effective management of diabetes. “Prevention is better than cure. Since diabetes can be prevented and the prevalence of pre-diabetes is high, preventive efforts should be stepped up so as to save lives as well as resources that are going to be spent on treatment.”

For those living with diabetes, Prof. David Guwatudde emphasized that if they follow the advice of the medical personnel and take the prescribed medicines; they can live a normal life. “It is not true that when they diagnose you with diabetes you die soon. If you take the prescribed medicines and follow the advice from medical personnel, you will live with diabetes and still live a normal life.”

The SMART2D research team consists of the following researchers: Prof. David  Guwatudde, Dr. Juliet Kiguli, Dr. Roy William Mayega, Dr. Barbara Kirunda Tabusibwa, Dr. Elizabeth Ekirapa Kiracho, Dr. Francis Xavier Kasujja, Dr. Anthony Muyingo, Mrs. Max Walusimbi, Ms.  Gloria Naggayi, Mr. Edward Ikoona, and Mr. Kusolo Ronald.

Some of the challenges in the prevention and management of NCDs include: Inadequate prevention strategies; a large proportion of people with NCDs are undiagnosed; lack of funds to buy the recommended medicines; and poor retention into care.

Dr. Elizabeth Ekirapa shared statistics on the economic burden of diabetes on patients and the economy

To address the four challenges, the SMART2D research team came up with a set of Facility and Community interventions.

Minimal improvements in organization of facility-based care significantly improved the percentage of patients with diabetes that are retained into care by over 30%. It also improved control of the disease in the patients by over 10%, and prevented the development of diabetes among people at high risk by over 50%.

In line with WHO report published in 2002 titled Innovative Care for Chronic Conditions: Building Blocks for Action which noted that a community has a crucial role to play in chronic care, Dr. Francis Xavier Kasujja reiterated that peer groups were instrumental in the ongoing support to diabetes patients in Iganga and Mayuge communities.

Delivering a personal testimony, one of the patients with diabetes said that they significantly benefited from the engagement and trainings received during the SMART2D project.
However, with the end of the project, most of the patients were worried because they cannot afford the cost of treatment for management of diabetes.

Dr. Francis Xavier Kasujja shared the importance of peer groups in supporting diabetes patients in the Iganga-Mayuge communities

Presenting the implications of their findings on policy, Dr. Roy William Mayega highlighted the following recommendations:

•    Health Centres from level III+ should be supported to establish diabetes care and prevention services and accredited in a phased way
•    Roll-out of a minimum package of equipment, and essential drugs from Health Centre III and above, supported by a regular supply, inclusive of hypertension medicines
•    Need to roll out lean clinical guidelines and a care algorithm to all facilities
•    Scaled training (pre- and -in-service), supervision and clinical mentorship of nurses and clinical staff on care and prevention
•    Strengthen the information system for chronic care including appointments, clinical records and follow-up
•    A simple health education and coaching approach and manuals should be rolled out to facilities targeting patients and people at high risk
•    A task shifting approach should be scaled up where stable patients are managed by nurses
•    Need to strengthen self-care so that patients can manage themselves

Representing the Ministry of Health, Dr. Gerald Mutungi the Senior Medical Officer in Charge on Non-Communicable Diseases shared with workshop participants some of the strategies being undertaken:  The Ministry of Health has a technical working group on NCDs; ongoing research aimed at studying the effectiveness of the integration of HIV/AIDS and NCDs into the chronic care clinic; and Government entering into a strategic partnership with Novartis, an NCD drugs manufacturer, to ensure that drugs for NCDs are available at all Government health facilities.

Dr. Roy William Mayega's presentation revealed that most patients could not afford the drugs and equipment to monitor their blood sugar

Some of the key stakeholders who attended the SMART2D Research Dissemination workshop include: Dr. Gity Behravan,1st Secretary and Senior Research Advisor, Swedish Embassy- Kampala,  Dr. Fred Makumbi-Deputy Dean of Mak School of Public Health, Dr. Esther Buregyeya, Dr. Noah Kiwanuka and officials from the World Health Organisation, Ministry of Health, NCD platforms, diabetic associations, lung and heart institutions, district health workers, patients from Iganga and Mayuge, Makerere University Directorate of  Research and Graduate Training, and among others.

Written by:  Ritah Namisango, Mak Public Relations Office

Mark Wamai

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Press Release: Government of Uganda and Partners Launch SAY Plus+ to Scale Youth Sexual Reproductive Health & Rights (SRHR) Impact in Underserved Regions

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Hon. Margaret Muhanga assisted by Dr. Charles Olaro officially launches the SAY Plus+ Programme as L-R: Amb. Signe Winding Albjerg, Amb. Frederieke Quispel, Ms. Kristine Blokhus and Prof. Henry Alinaitwe witness. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.

USD 50 million national programme moves into full implementation, strengthening
adolescent and youth rights, empowerment, protection and access to youth-responsive
services in 13 districts across five sub-regions

KAMPALA, 7 MAY 2026: The Government of Uganda, through the Ministry of Health, today officially launched the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda’s underserved regions.

The launch, held at Makerere University‘s Freedom Square under the theme “My Voice Matters: Youth Voices for SAY Plus+” and the tagline “Nothing for us, without us”, marks the programme’s transition into full implementation.

SAY Plus+, formerly known as Strengthening Adolescents and Youth Rights and Empowerment: Scaling Impact, is led by the Ministry of Health, in coordination with other Ministries, with UNFPA Uganda serving as the Managing and Technical Agency.

Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, the initiative is scheduled to operate between 2024 and 2030. It is currently being rolled out across thirteen districts within five sub-regions, providing targeted assistance to regional referral hospitals in Jinja, Mbale, Moroto, Yumbe, Arua, and Gulu. Furthermore, the programme supports the Human Capital Development goals established in Uganda’s National Development Plan IV.

“SAY Plus+ represents a shift from fragmented interventions to a coordinated national effort that meaningfully places young people at the centre of both design and delivery. Through our partnership with the Government of Uganda, development partners, and implementing partners, we are investing not only in services, but in the systems, communities, and environments that enable adolescents and young people to thrive not only today but also in the future,” said Ms. Kristine Blokhus, Representative – UNFPA Uganda.

Officially launched by the Minister of State for Health Hon. Margaret Muhanga, the SAY Plus+ programme targets adolescents and young people aged 10 to 24 years, with particular focus on adolescent girls and young women, refugees and host-community youth, out-of-school young people, those not in employment, education or training, adolescents with disabilities, and young people in humanitarian and post-conflict settings.

“For many of us, things like this one are designed without listening to what we go through every day, think or even feel. SAY Plus+ feels different because it starts with our voices and gives us a real role in shaping solutions. It is not just about information, it is about being supported to make decisions, access services, and build the future we want.” – Jovia Dranzoa, Young person.

SAY Plus+ operates through three pillars. First, it empowers youth to exercise their rights and make informed choices. Second, it engages families, communities, and leaders to address harmful social norms. Third, it strengthens youth-responsive SRHR, HIV, and gender-based violence services via health facilities and community platforms, aiming to reach over 2.3 million direct and indirect beneficiaries.

The SAY Plus+ initiative stands as a model of international cooperation and multi-sectoral synergy. Through the combined support of the Governments of Iceland, Denmark, the Netherlands, and Sweden, and the technical leadership of UNFPA, Uganda is now equipped to scale-up critical interventions in HIV prevention, gender-based violence response, and reproductive health. With implementation now in high gear through 2030, the programme is poised to make a lasting contribution to the nation’s human capital development goals.

— ENDS —

Photos from the event

Prof. Henry Alinaitwe addresses participants at the launch. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Prof. Henry Alinaitwe addresses participants at the launch.

Ms. Kristine Blokhus. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Ms. Kristine Blokhus.

Part of the audience at the event. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Part of the audience at the event.

Some of the young people that attended the event. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Some of the young people that attended the event.

Prof. Henry Alinaitwe signs the commemorative piece. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Prof. Henry Alinaitwe signs the commemorative piece.

L-R: Prof. Henry Alinaitwe, Dr. Charles Olaro, Hon. Margaret Muhanga, Amb. Signe Winding Albjerg, Amb. Maria Håkansson, Amb. Frederieke Quispel, Amb. Unnur Orradottir Ramette, Ms. Kristine Blokhus and a young lady during the press interviews. The Government of Uganda, through the Ministry of Health officially launches the SAY Plus+ Programme, a Sexual and Reproductive Health and Rights (SRHR) initiative designed to strengthen adolescent and youth rights, empowerment, protection and access to quality services in Uganda's underserved regions, Backed by a USD 50 million pooled fund from the Governments of Iceland, Denmark, the Netherlands, and Sweden, scheduled to operate between 2024 and 2030. 7th May 2026, Freedom Square, Makerere University, Kampala Uganda, East Africa.
L-R: Prof. Henry Alinaitwe, Dr. Charles Olaro, Hon. Margaret Muhanga, Amb. Signe Winding Albjerg, Amb. Maria Håkansson, Amb. Frederieke Quispel, Amb. Unnur Orradottir Ramette, Ms. Kristine Blokhus and a young lady during the press interviews.

Mak Editor

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Notice: Medical Review Exercise for Persons with Disability 2026/2027

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Makerere University Students in a discussion group.

The Academic Registrar, Makerere University invites persons with disability who applied for admission to public universities under the disability entry scheme for 2026/2027 Academic Year to appear for medical/review exercise at Makerere University, Senate Building, Level Four Conference Hall.

NOTE: Only those who have the minimum entry requirements of at least two principal passes at A’ Level or its equivalent and at least five (5) passes at O’ Level or its equivalent will be interviewed.

 Only candidates who sat ‘A’ level in 2025, 2024 and 2023 are eligible for admission.

THE EXERCISE WILL BE CONDUCTED ON 18th, 19th, 20th, 21st and 22nd May, 2026 respectively from 9.00 A.M – 1.00 P.M each day.

See details below:

IMPORTANT:

(i) If you fail to appear on any of the given days above, there will be no other chance for you this year.

(ii) Applicants with other Government Scholarships are not eligible for admission through the Disability Entry Scheme

Prof. Mukadasi Buyinza
ACADEMIC REGISTRAR

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Leading with Purpose: Guild President Ssentamu Churchill James Reflects on His Term

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H.E. Uhuru Kenyatta (2nd Right) poses for a group photo during the courtesy call on the Vice Chancellor with Left to Right: Prof. Barnabas Nawangwe, Ms. Sarah Kagingo and Guild President-H.E. Churchill James Ssentamu. Second Annual Guild Leaders’ Summit, organized by the Guild Presidents Leadership Academy, keynote address by Former President of Kenya, H.E. Uhuru Kenyatta, 24th April 2025, Main Building, Makerere University, Kampala Uganda.

By Betty Kyakuwa and Carol Kasujja

In this exclusive quick chat, we spoke to the 91st Guild President, Ssentamu Churchill James, a third-year student pursuing a Bachelor of Social Sciences. He shares insights into his leadership journey, key achievements, challenges, and his vision for the student community.

What inspired you to run for Guild President?

My background and personal leadership journey played a big role. Growing up, I saw my father and uncle actively involved in politics, which shaped my interest in leadership.

I also held leadership roles in high school—serving as Sports Minister at O-Level and later as Head Prefect at St. Juliana High School, Gayaza, during my A-Level. These experiences built my confidence and passion for representing others.

Ssentamu Churchill James and Kadondi Gracious inaugurated as the 91st Guild President and Vice President, 21st March 2025, Main Hall, Main Administration Building, Makerere University, Kampala Uganda, East Africa.
Prof. Buyinza Mukadasi with the H.E. Ssentamu, H.E. Kadondi, Dr. Winifred Kabumbuli and family members of the Guild Leadership.

Seeing former Guild President Vincent Lubega Nsamba win also motivated me. We come from the same high school, and I succeeded him as Head Prefect. That gave me the belief that I, too, could lead at that level.

What was your vision when you assumed office, and how much of it did you achieve?

My vision was to amplify students’ voices and ensure their needs were prioritized. While it wasn’t easy due to bureaucracy, we made progress.

We improved students’ social welfare by engaging management, which led to greater flexibility in organizing events like the Bazaar and Freshers’ Ball. We also addressed the issue of missing marks. Previously, it could take semesters to resolve, but now, through the Office of the Academic Registrar, such issues can be handled much faster.

What is your biggest achievement?

One of the biggest milestones was allowing students to sit for examinations after paying at least 60% of tuition. This has reduced the number of students dropping out due to financial constraints.

Left to Right: MD and CEO NEC-Lt. Gen. James Mugira conducts a symbolic handover of keys to the Vice Chancellor-Prof. Barnabas Nawangwe as 91st Guild President-H.E. Ssentamu Churchill James, Principal CEES and Ag. DVCFA-Prof. Anthony Muwagga Mugagga, Deputy University Secretary-Mr. Simon Kizito and Deputy Dean of Students-Dr. Rodney Rugyema witness on 25th July 2025. The National Enterprise Corporation (NEC) hands over fully refurbished Mary Stuart Hall. The renovation, which cost UGX 10.5 billion, began on 26th July 2024 and was completed exactly a year later, on 25th July 2025. Makerere University, Kampala Uganda, East Africa.
Left to Right: MD and CEO NEC-Lt. Gen. James Mugira conducts a symbolic handover of keys to the Vice Chancellor-Prof. Barnabas Nawangwe as 91st Guild President-H.E. Ssentamu Churchill James, Principal CEES and Ag. DVCFA-Prof. Anthony Muwagga Mugagga, Deputy University Secretary-Mr. Simon Kizito and Deputy Dean of Students-Dr. Rodney Rugyema witness on 25th July 2025.

We also saw the lifting of the ban on social events, which has gradually revived campus life. Additionally, leadership roles such as ministers and Guild Representative Councillors (GRCs) have become more functional, with clearer responsibilities and greater impact.

What key lessons have you learned?

One key lesson is the importance of daring to take action. Things may seem impossible, but once you step out and try, you realize they are achievable.

I also learned that leadership begins with influence. For example, when class representatives raised concerns about not being paid, I had to engage and influence them to understand the situation while working toward solutions.

Leadership also requires teamwork. You cannot lead alone—you need a support system. When you delegate, trust people and avoid micromanaging.

H.E. Ssentamu Churchill James and H.E. Kadondi Gracious welcome freshers in typical Makerere style. Makerere University officially kicks off 2025/2026 academic year with a Freshers’ Orientation at the Freedom Square on Monday 4th August 2025, Kampala Uganda, East Africa.
H.E. Ssentamu Churchill James and H.E. Kadondi Gracious welcome freshers in typical Makerere style.

Another lesson is the importance of effective communication with management. Building strong relationships increases your chances of influencing decisions.

On a personal level, I have learned discipline—keeping time, improving how I present myself, and becoming more mindful in how I engage with others.

What do you attribute your success to?

First and foremost, God, who gave me the wisdom and understanding to lead.

I also attribute it to the strong working relationships I built with University leadership, especially the Vice Chancellor and the Dean of Students. Without that collaboration, it would have been difficult to achieve much.

How did you balance academics and leadership?

It required intentional planning and prioritization. When meetings clashed with tests, I delegated to the Vice President or Prime Minister. This ensured continuity while giving them an opportunity to grow.

H.E. Churchill James Ssentamu alongside other Student Leaders hold the "Strides for Change" banner at Mary Stuart Hall. Makerere University in partnership with Embassy of Sweden in Uganda and UNFPA in Uganda hosted the "Strides for Change" Activism walk and official unveiling of the 2025 16 Days of Activism campaign on Monday 24th November, 2025.
H.E. Churchill James Ssentamu alongside other Student Leaders hold the “Strides for Change” banner at Mary Stuart Hall. Courtesy Photo.

However, I made it a point to attend critical engagements, such as Council meetings, because I was entrusted with representing students’ voices. I was also selective about external engagements to remain focused on my academics.

What challenges did you encounter?

Managing high expectations from students was a major challenge. Even small delays could attract criticism. For example, when students’ upkeep delayed by a week, some assumed I was not advocating for them.

I learned to remain calm and not react emotionally, instead using feedback as motivation to improve.

Another challenge was handling sensitive cases, such as advocating for students who had been suspended. Even when I did not agree with their actions, it was my duty to seek fair consideration on their behalf.

Prof. Barnabas Nawangwe, Mr. Ian King and H.E. Ssentamu Churchill James (Standing before Banners) are joined by officials in a group photo in the Daycare Centre, located on the Ground Floor of the Institute of Gender and Development Studies (IGDS) on 7th August 2025. Makerere University, in collaboration with UNDP Uganda launch of Daycare and Breastfeeding Centre at the Institute of Gender and Development Studies (IGDS) and state-of-the-art Multimedia Studio at the Frank Kalimuzo Central Teaching Facility, 7th August 2025, Kampala Uganda, East Africa.
Prof. Barnabas Nawangwe, Mr. Ian King and H.E. Ssentamu Churchill James (Standing before Banners) are joined by officials in a group photo in the Daycare Centre, located on the Ground Floor of the Institute of Gender and Development Studies (IGDS) on 7th August 2025.

Was there a difficult decision you had to make?

Yes. Just a month into office, I made the decision to relieve a minister of their duties because they did not align with the cabinet’s vision and values. Leadership requires making tough decisions to maintain unity and integrity.

Is there anything you would have done differently?

I feel I could have engaged more with the administration. At times, I was occupied with activities outside the University, which limited my interaction with management. With more engagement, I believe I could have achieved even more.

What will you miss most?

I will not necessarily miss the office itself. Leadership is about service, and it is now time for others to take on that responsibility as I move on to the next chapter of my life.

H.E. Churchill James Ssentamu enjoys a light moment with officials as he endorses the dummy of the policy. The Third Deputy Prime Minister and Minister without Portfolio, Right Honourable Lukia Isanga Nakadama, has commended Makerere University for crafting a policy aimed at creating a safe, inclusive, and respectful environment for all members of the University community. 4th April 2025, Main Hall, Kampala Uganda, East Africa.
H.E. Churchill James Ssentamu enjoys a light moment with officials as he endorses the dummy of the policy.

How would you like to be remembered?

As a selfless leader who went the extra mile to serve others and always put students’ interests first—even when it required personal sacrifice.

For instance, during the Freshers’ Ball, we wanted to host a musician whose fee was UGX 4 million, yet we only had UGX 2 million. I personally covered the balance to make it happen for the students.

Betty Kyakuwa
Betty Kyakuwa

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