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East Africa’s high maternal death rate

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Judith Awino died on her 25th birthday as she gave birth, on a dusty roadside, to her second child.

She had endured a long and difficult labour but was unable to get admitted to hospital because of a nurses’ strike.

Her baby also died.

Judith Awino’s identity card

Her short life symbolises the tragedy behind the high maternal death rate in Kenya where the maternity system faces extreme pressure.

Whereas Kenya’s overall crude death rate is on a par with Europe, its maternal death rate in 2015 was 43 times higher than that seen in high-income countries?—?with 510 women dying in every 100,000 live births.

And that picture is not just restricted to Kenya.

Across Africa, countries are unlikely to hit the Sustainable Development Goal to significantly reduce preventable maternal deaths.

A team from the University of Leeds, Makerere University in Uganda and the Catholic University of Eastern Africa is investigating a new approach to improving maternal health. It is funded by the UK’s Global Challenges Research Fund (GCRF), money from the UK’s aid budget with the aim of bringing the best research to target the big, intractable problems facing the world.

The UK Government believes research excellence is achieved by people from different academic backgrounds working in collaboration and across borders.

The project in Kenya has researchers with a medical humanities background working alongside medical and public health specialists, bringing fresh insight into why maternal death rates are high.

One of the issues that’s emerged is that a high proportion of pregnant women seek maternity care very late in their pregnancy.

Jane Plastow, Professor of African Theatre in the School of English and History at Leeds, said her approach is to use drama-based workshops to allow women and their families to feel at ease in speaking about their experiences or to act out what has happened to them.

Theatre-based workshop

Professor Plastow said: “We have been able to show that there are good reasons why many poor women are not able or willing to interact with health professionals and these need to be much better understood and taken into account if services are to respond well.

“The research is revealing that the challenges facing women are immense. Most people using the public health service are poor and live in remote villages, and for many it was impossible or costly to access antenatal care.”

She also commented that people felt ambulances could not be relied on. The women spoke about being treated badly when they went for antenatal advice or went into labour?—?with feelings that nurses would be dismissive, disparaging or judgmental, particularly if they regarded the patients as poor or illiterate.

Maternity units were reportedly overwhelmed, with many women not being assessed quickly enough. Both hospitals and rural clinics lacked blood products and equipment.

The research is suggesting that women have become more vulnerable because of the changes in the support they get from their families, sometimes with women under pressure to return to work days after giving birth.

Shane Doyle, Professor of African History at Leeds who is leading the project, said: “One of our goals is to encourage hospitals to adapt their maternal health provision in light of this research, so that, for example, greater attention is devoted to ongoing care and delivery and discharge.”

The researchers are working with Kenyan TV to reveal the problems faced by poorer women and it will feature the case of Judith Awino.

The project will also look at the relationship between patients and healthcare staff who often work under extreme pressure.

Professor Doyle added: “One of our aims is to show that this cross-cutting research opens up a fresh understanding of the experiences of pregnant women and health care workers.

“Kenya has attempted to improve the maternal death rate by introducing free maternity services and opening new hospitals but they’ve not had the impact that was hoped.

“Research that understands the socio-cultural issues and health issues in maternal death rates is likely to suggest more sustainable ways of tackling the problem.”

The University of Leeds has been hugely successful in securing support from the Global Challenges Research Fund. It was established in 2016 and over five years will allocate a total of £1.5 billion to UK science with the aim, the Government said, of ensuring Britain meets its “…moral obligation to the world’s poorest.”

The UK Medical Research Council awarded the GCRF grant. Dr Mark Palmer, Director of International Relations at the MRC, said: “Improving on maternal and neonatal health is a major global health challenge that we are committed to tackling.

“This research is pivotal to better understanding why maternal death rates are so high, taking a multidisciplinary approach to gain insight into how to help pregnant women, along with the healthcare workers and communities that support them. The findings could lead to positive changes and better outcomes for maternal health around the world.”

The University of Leeds is involved in 70-plus projects financed through the fund covering a range of issue from equipping scientists in the developing world with technology to safely make vaccines, low-cost endoscopy for stomach cancer and the ways people can protect themselves from the kidnapping epidemic in Mexico.

Find out more about the University of Leeds and GCRF.

Other GCRF stories:

Improving the forecasting of tropical storms in Africa

Tackling viral diseases

Rebuilding fractured societies

Mark Wamai

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Makerere Students share experiences, connections and inspiration at inaugural For Youth, By Youth Conference in Turkey

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Some of the Makerere University students pose for a group photo during the inaugural For Youth, By Youth Conference in Turkey. From Left to Right: Naomi Ayebale, Sandrah Naikambo, Joel Kirbi, Hope Nyamwiza (Sign Language Interpreter), Helena Nuwagaba, Harriet Tyobo Yake, Harunah Damba, and Michael Emong. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 

On 16 November 2025, six students from Makerere University travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity. The two-day conference was organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation.

Students pose for a photo at Entebbe International Airport on their way to Istanbul, Turkey, to participate in the inaugural For Youth, By Youth Conference. Left to Right: Tete Mupenge (a student from Ashesi University), Anthony Byansi, Harriet Tyobo Yake, Naomi Ayebale, Kirabo Joel, Harunah Damba, Sandrah Naikambo, Helena Nuwagaba, Michael Emong (Sign Language Interpreter), Hope Nyamwiza (Sign Language Interpreter), and Rinah Marion Namwase. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Students pose for a photo at Entebbe International Airport on their way to Istanbul, Turkey, to participate in the inaugural For Youth, By Youth Conference. Left to Right: Tete Mupenge (a student from Ashesi University), Anthony Byansi, Harriet Tyobo Yake, Naomi Ayebale, Kirabo Joel, Harunah Damba, Sandrah Naikambo, Helena Nuwagaba, Michael Emong (Sign Language Interpreter), Hope Nyamwiza (Sign Language Interpreter), and Rinah Marion Namwase.

During the Conference, held between 17 and 18 November, students participated in a variety of activities, including panel discussions, presentations, and the drafting of the For Youth, By Youth Movement Charter and the Talloires Declaration, the first of its kind to be drafted entirely by students. For many of the students, this experience was the beginning of their journey of global impact and a rare platform to openly share their experiences, ideas and aspirations.

Student reflections after the conference

Naomi Ayebale, a Master of Science in Clinical Psychology student at Makerere University, who took part in the panel discussion “Struggles for Justice and Peace in Our World,” shared: “Attending this event felt like stepping into a space where every voice truly mattered. It was a reminder that no single, beautifully crafted story can ever capture what all our stories hold when woven together. Everyone came with their own truth, their own lens, and their own hope, and somehow it all fit.

“Being part of this movement fills me with a sense of joy, not just because of the cause itself, but because I get to stand alongside people who are not only demanding change but actively working to build it,” she said. “It’s energizing, but it also comes with a deep sense of responsibility. For me, being part of the For Youth, By Youth movement isn’t about how long I’ve lived; it’s about the experiences I carry and the problems I’ve witnessed firsthand. Those experiences have taught me not only what needs to change, but also how meaningful that change can be.”

Naomi Ayebale, with a microphone in hand, sharing her reflections during the panel discussion “Struggles for Justice and Peace in Our World.” She shared a time when standing up for what was right felt uncomfortable or costly, and discussed ways young people can contribute meaningfully to the pursuit of justice and peace in their communities. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Naomi Ayebale, with a microphone in hand, sharing her reflections during the panel discussion “Struggles for Justice and Peace in Our World.” She shared a time when standing up for what was right felt uncomfortable or costly, and discussed ways young people can contribute meaningfully to the pursuit of justice and peace in their communities.

Tyobo Harriet Yake, a final-year student at Makerere University pursuing a BSc in Biomedical Engineering and one of the inaugural cohort participants of the For Youth, By Youth movement, remarked: “For me, it was amazing and exciting to meet young people from different countries who share similar beliefs and ambitions,’ she said. “Conversations like these created a safe space where victims of injustice could share their stories openly. It inspired me to return to my community and continue doing whatever I can, however small, to make life better for those facing similar circumstances.

“I felt a strong sense of unity, and the words of the famous song ‘Different colors, one people’ truly came to life. I loved trying foods I couldn’t even pronounce but absolutely enjoyed. It was a full package of rich experiences in just a few days” she added.

“As I move forward, I’m reminded of John F. Kennedy’s quote ‘leadership and learning are inseparable.’ A leader learns through listening to the loud and silent voices of the community. It’s this conscious leadership that sparks transformation and fuels collective growth. This is the leadership I embrace in this journey” Harriet concluded.

Sandrah Naikambo, a third-year student pursuing a Bachelor of Information Systems and Technology, shared her reflections:

“From my experience at the conference and the movement in general, I learned that change isn’t just spoken about—it’s built. I witnessed young people who weren’t waiting for permission but using their own lived experiences to create real solutions. In that space, every voice mattered and every story had room to breathe. I walked away feeling seen, inspired, and connected with a purpose bigger than myself. This experience showed me that the youth are not the future, they are the present!”

Namwase Rinah Marion, a final year student at Makerere University pursuing a Bachelor of Social Work and Social Administration, and a former Guild Minister for Students with Disabilities in the 89th Guild remarked:

“It was exciting to meet young leaders from across the world who had ambitions towards change in their respective communities and universities,” she said. “The international conference did not only expose me to fellow determined leaders but also inspired me to push hard for success as I got to know there is nothing without us. We are the leaders of tomorrow, and the program entrusted us; so, we are the change makers of today and tomorrow. Young leaders for a better world.”

Left to Right: Rinah Marion Namwase, Harunah Damba, Harriet Tyobo Yake, Michael Emong, Hope Nyamwiza (Sign Language Interpreter), Tete Mupenge (a student from Ashesi University) and Kirabo Joel. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Left to Right: Rinah Marion Namwase, Harunah Damba, Harriet Tyobo Yake, Michael Emong, Hope Nyamwiza (Sign Language Interpreter), Tete Mupenge (a student from Ashesi University) and Kirabo Joel.

The For Youth, By Youth movement was born from the vision of 36 Next Generation Leaders from 18 countries, including Makerere’s Harunah Damba and Patrovas Okidi, who, at the height of the COVID-19 pandemic, worked together to stitch the threads that would later give rise to the movement. They organized local community and campus events, engaging directly with young people, communities, and universities to identify the issues that mattered most to them.

In recognition of the university’s support and as a gesture to strengthen ties with university leadership, Harunah and Patrovas presented a plaque to Vice Chancellor Professor Barnabas Nawangwe, honouring Makerere University’s support for the Next Generation Leaders Program in December 2023.

Harunah Damba (Left) and Patrovas Okidi (Right) present a plaque to Professor Barnabas Nawangwe (Centre) in December 2023, in appreciation of Makerere University’s support for the Next Generation Leaders Program. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Harunah Damba (Left) and Patrovas Okidi (Right) present a plaque to Professor Barnabas Nawangwe (Centre) in December 2023, in appreciation of Makerere University’s support for the Next Generation Leaders Program.

Reflecting on their experience, Harunah, now a Makerere University alumnus, said: “It was such an honour for me to be part of the inaugural For Youth, By Youth conference. Seeing the fruits of our hard work finally come to life is something that sits very close to my heart. I can’t think of any work that would be more rewarding, more encouraging, or more inspiring than this.”

Patrovas, a Master of Science in Bioinformatics student at Makerere University, said: “The For Youth, By Youth movement is a testament of what young people can do when organised, from its birth to the very first international conference, it has been led by youth and for the youth who are guided by values of respect, humility, kindness, impact, solidarity, hope, levity, collaboration, and inclusivity. The conference echoed one clear message I would love to pass on to everyone out there, our movement is a values-based civic infrastructure of engaged universities and a nimble network of virtual spaces. To solve multiple intersecting crises, education must evolve into regenerative, living systems rooted in community. Universities should represent all members of society, and be able to speak truth to power, and to centre empathy as the heart of learning and belonging. Youth must be co-creators in solving global challenges, while universities steward safe spaces for critical discourse and shared learning.”

He added “Echoing the voice of Lorlene Hoyt and others: For Youth, By Youth… it’s not a program — it’s a movement. Look out 2045, we’re just getting started. – this is our sense of belonging.”

Mak Editor

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In Honor of the Life and Legacy of Mr. Francis Seletze Ngabirano-A Steady Hand through the Storms

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In Memory of Mr. Francis Seletze Ngabirano (1935-2025). Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.

When the history of public health training in Uganda is told — honestly, fully, and with the respect it deserves, the name Francis Seletze Ngabirano must stand at the center of that story. For 32 years, he was one of the most consistent figures at Makerere’s Department of Preventive Medicine, now the Institute (and later, School) of Public Health. Through leadership transitions, political upheavals, and moments when the institution teetered on collapse, he carried with him a quiet, steady force, one that helped keep the wheels turning and the vision alive.

Thirteen years after Makerere University was established, a boy was born in the rolling hills of Kigezi on 18 November 1935. His parents named him Francis Seletze Ngabirano. At that time, no one could have imagined that this young boy would one day dedicate his life to Uganda’s premier and oldest university. Guided by his parents’ commitment to discipline and service, Francis began school in 1945 at the age of ten. He completed his primary education in 1950 before proceeding to secondary school from 1951 to 1956.

By the late 1950s, long before the Makerere University Institute of Public Health was conceived, he was already doing the work that would define his life, administration in health settings. From Kilembe Mines Hospital, where he managed medical records and supervised clerical staff from 1957 to 1960, to the Ross Institute of Tropical Hygiene (East Africa Branch) from 1961 to 1963, where he served as Technical Assistant to the Principal Officer and helped set up regional health research operations across Kenya, Uganda, Tanzania, Malawi, and Zambia, his career was expanding beyond borders. Even as a young man, he had already become someone institutions could trust.

During this same period, he also served as Assistant Chief Health Educator with the African Medical and Research Foundation (AMREF), then a fast-growing regional health organization headquartered in Nairobi. His work took him directly into communities, organizing health education courses in schools and villages, gathering and analysing sickness data from local industries, and supervising the support staff who kept these outreach operations running. It was practical, people-focused work that demanded both empathy and discipline, qualities he carried throughout his career.

Mr. Francis Seletze Ngabirano diligently served Makerere University for 32 years. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Mr. Francis Seletze Ngabirano diligently served Makerere University for 32 years.

He strengthened his skills through further training in health education and public health administration at Kenyatta National Hospital, at the Hebrew University–Hadassah Medical School in Israel, and later at the University of Thessaloniki in Greece. These experiences gave him both global exposure and a strong command of public health systems, qualifications few Ugandans had at the time.

So, when he joined Makerere on 1 November 1968 as an Epidemiology Office Assistant, a role created specifically to accommodate his expertise, he arrived not as a beginner, but as a professional already shaped by years of responsibility.

As recorded in handwritten notes by Professor Suleiman Jabir Farsey on May 13, 1974:

“Mr. Ngabirano joined the Department in November 1968, and was appointed ‘Epidemiology Office Assistant.’ The records available in the Department indicate that Mr. Ngabirano was recruited for administrative duties, but because there was no provision in the establishment for such a post at the time, the post of Public Health Nursing Instructor was altered to one of Epidemiology Office Assistant,” wrote Professor Farsey, then Head of the Department of Preventive Medicine (1968–1975).

Becoming the Institutional Backbone

The early Institute of Public Health (IPH) was a small but ambitious unit within the Faculty of Medicine. It was led by Prof. Jabir Farsey as a Department of Preventive Medicine and supported by pioneering Ugandans such as Dr. Josephine Namboze, Dr. V. L. Ongom, Mr. S. K. Lwanga, Dr. M. L. Kakande, and Dr. B. Baitera. Behind this frontline of academics was a steady force, administrators like Mr. Ngabirano, making sure that teaching, research, and community outreach worked without disruption.

It is worth noting that Mr. Ngabirano witnessed the birth and transformation of the Department of Preventive Medicine into the first Institute of Public Health in Sub-Saharan Africa on 1 July 1975. The Institute was still under the Faculty of Medicine, then headed by Professor Joseph Lutwama, with Professor Jabir Farsey as its first head. Ngabirano also saw the construction of the four-story building that now houses MakSPH, completed in January 1971, along with the installation of furniture and essential facilities.

From his personal account, the idea of establishing an Institute had been conceived as early as 1967. However, the rise of Idi Amin delayed these plans and triggered the departure of remaining expatriates, including Dr. George Saxton, an American who had directed Kasangati Health Centre and taught in an honorary capacity in the Department of Preventive Medicine. Dr. Saxton, after a brief visit to Europe, returned with an aid package secured from the governments of Denmark and Norway, the funding that ultimately made the current MakSPH building possible. Saxton understood that creating an Institute required space, as staff and students had been cramped in the Clinical Research Building.

All these years, Ngabirano managed everything: financial records, planning epidemiological field tours, supervising personnel, coordinating WHO projects, handling stores and vehicles, and doing so with a thoroughness colleagues would later describe as his trademark.

Over the years, five heads of the Institute came and went: Prof. Jabir Farsey (1968-1975), Prof. Capt. Dr. Virginio Lachora Ongom (1975-1979), Prof. Josephine Namboze (1979-1988), Prof. John Tuhe Kakitahi (1988-1991), and Prof. Gilbert Bukenya (1991-1994), later replaced by Prof. Frederick Wabwire-Mangen (1995-2003). Directors changed, structures shifted, crises erupted… but Ngabirano remained.

His desk was where continuity lived.

A Witness and Chronicler of Turbulent Decades

Many people who lived through Uganda’s chaotic 1970s chose silence. But Mr. Ngabirano documented. His unpublished 1995 manuscript, The Institute of Public Health Through Idi Amin’s Rule, is one of the most significant historical accounts of Makerere’s public health training during a time when institutional memory was at risk of disappearing.

His writing describes:

The early Amin years saw a mass departure of academic staff. Prof. Farsey resigned in 1975, and Prof. Ongom died suddenly in 1979. Tragic losses of colleagues, Dr. Baitera, Dr. Kakande, and Mr. Asaba, further strained morale. Low salaries and dwindling staff eventually led to the discontinuation of the Diploma in Public Health in 1988.

These were not just institutional events; they shaped people’s lives. They tested loyalty, purpose, and endurance. Through all this, the Institute survived because of administrators who refused to let the vision fade. Few stood more firmly in that resolve than Mr. Ngabirano.

The Administrator Who Kept People First

His influence is most vividly remembered in the 1990s with the introduction of the two-year Master of Public Health (MPH) Degree Full-time Programme based on the concept of a Public Health Schools Without Walls (PHSWOW).

With support from the Rockefeller Foundation, this innovative model took training into district health systems; Rakai, Hoima, Fort Portal, Arua, Karamoja, Mukono, immersing students in real public health challenges. Administration for such a programme required: diplomacy, logistical mastery, pastoral care, financial stewardship, and calm leadership across diverse teams. Mr. Ngabirano excelled in every one.

Prof. Fred Wabwire-Mangen, then Director of IPH, remembers him as:

“A focused and organised administrator… the typical administrator of the olden days. He documented every detail clearly and ensured medical student fieldwork ran smoothly.”

Prof. Nazarius Mbona Tumwesigye, who joined when Ngabirano was already a pillar of the Institute, offers this reflection:

“He served the School diligently. The administrator was the engine of the Institute. Directors often travelled, but he ensured day-to-day affairs continued uninterrupted. He sustained this place when salaries were meagre and conditions extremely difficult.”

To young staff, he was not just a supervisor; he was guidance, stability, and care.

In 1993, a new graduate student, Professor Christopher Garimoi Orach, joined Makerere, encouraged by Prof. Gilbert Bukenya to pursue the Master of Medicine in Public Health (MMED PH). That programme would later evolve into the modern two-year MPH. One of the first people he encountered was Mr. Ngabirano.

Prof. Orach remembers him vividly and eulogises him:

“Francis Ngabirano worked with great dedication, commitment, and distinction at the Institute of Public Health. He was passionate about his work as an Administrator, humorous, smart, and ever-present. He interacted easily with faculty and students, always supportive. Rest thee well, Francis. You rendered your service admirably, with great love, passion, and honor. Rest now with the Creator, the giver and taker, in tranquility, in a place well prepared for you eternally.”

These words reflect the admiration of countless others whose paths he helped establish. To others, Ngabirano was a fatherly guide to future leaders. When Dr. Lynn Atuyambe arrived at the Institute in 1994, he was not yet the senior academic we know today but just a young researcher seeking footing.

He found in Ngabirano a mentor who understood people, not only processes.

“He participated in student welfare, was very kind and approachable. He allocated field vehicles, ensured our welfare, organised workshops, and kept strong links with our training centres. He had an art of storytelling with clarity and great detail, I will miss that.”

Dr. Atuyambe particularly remembers a life-changing personal moment:

“The first laptop in my life, he delivered it to me in the field and showed me how to use it. It was 1996. He was friendly and fatherly. May his soul rest in peace.”

These are not merely memories; they are bridges between generations. They tell the truth: the foundations of public health capacity building in Uganda were built not only by professors publishing papers but also by administrators who made classrooms, vehicles, housing, and field learning possible.

During the “MPH at 25” celebration on Oct. 16, 2019, he received a certificate from Vice Chancellor Prof. Barnabas Nawangwe recognizing his role in shaping 25 years of MPH training at Makerere University, an honour that followed his earlier Long Service Award from the University Council in 1995.

The Certificate of Appreciation signed by the Vice Chancellor, Prof. Barnabas Nawangwe and presented to Mr. Francis Seletze Ngabirano on 16th October 2019. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
The Certificate of Appreciation signed by the Vice Chancellor, Prof. Barnabas Nawangwe and presented to Mr. Francis Seletze Ngabirano on 16th October 2019.

In 2024, Makerere University School of Public Health marked 70 years of existence. For almost half that history, 32 years, the institution was shaped, steadied, and propelled forward by Mr. Francis Ngabirano’s resolve.

Ngabirano’s legacy is woven into the School’s Story. He lived the mission before it became slogans; taking health training to communities, nurturing the next generation of public health leaders, staying when others left, building systems where none existed, documenting history so no one would forget. He is the man who didn’t seek applause. But his contribution is visible in every graduate who navigated the Schools without walls programme, in every field team he deployed safely, in every archived record that tells us where we started and how far we have come.

His retirement in the late 1990s closed an amazing chapter, yet he left behind structures still functioning, and people still carrying his values forward.

In institutions, some people shine in celebration. Others shine in crisis. Mr. Ngabirano shone in both and in his demise, the School of Public Health revere him as a gentleman who kept the School alive when it was hardest to stay.

He stood for diligence when resources were scarce, for continuity when the institution trembled, for service not as a role, but as a calling. We remember him not simply for what he did, but for who we became because he was here. He was the history-keeper, the stabiliser and the quiet guardian of a mission that outlived the hardest years.

And today, as we honor him, we also honor the courage it took to stay when leaving was easier.

To his family, his wife, Jane Ngabirano, and the children, Nina, Victoria, Justus, and Kenneth, thank you for sharing him with us. To his colleagues, thank you for walking the journey with him. To the generations he supported, your success is part of his legacy.

Mr. Francis Seletze Ngabirano’s life reminds us that greatness is not always loud. Sometimes, it is found in punctual footsteps, a carefully kept file, a well-organised field trip, a story told at just the right moment, and the choice, every morning, to keep serving.

May he rest in peace, knowing that his work mattered.
And may the institution he helped carry forward always carry his name in its story.

Davidson Ndyabahika

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Illuminating Visionary Leadership: Introducing the Keynote Speaker for the 2025 Emmanuel Tumusime Mutebile Annual Public Lecture

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The 2025 lecture will be delivered by Eng. Dr. Francis Frederick “Tusu” Tusubira. A Legacy That Still Speaks: Announcing the 2025 Emmanuel Tumusime Mutebile Annual Public Lecture, 3rd December 2025, Main Hall, Makerere University, Kampala Uganda, East Africa.

As Makerere University prepares to host the 2025 Emmanuel Tumusime Mutebile Annual Public Lecture, the selection of the keynote speaker stands as a deliberate and symbolic choice, one that reflects the very essence of this year’s theme: Shaping Africa’s Future: Intergenerational Leadership, Economic Resilience & the Power of Innovation.

The 2025 lecture will be delivered by Eng. Dr. Francis Frederick “Tusu” Tusubira, a visionary engineer, development thinker, and global servant-leader whose life’s work mirrors the values that Prof. Mutebile championed, disciplined leadership, ethical stewardship, and an unwavering commitment to building people-centred institutions.

Who is Eng. Dr. F. F. Tusu Tusubira?

Eng. Dr. Tusubira is a retired academic and accomplished professional with a distinguished career spanning engineering, leadership development, governance, and strategic transformation. He currently serves as the Managing Partner of Knowledge Consulting Ltd, where he supports organisations across Africa and beyond in strengthening leadership systems, enhancing institutional effectiveness, and navigating complex change environments.

His professional standing cuts across continents. He is a Registered Engineer in Uganda, a Chartered Engineer in the United Kingdom, and the current Patron of the Uganda Institution of Professional Engineers, a role through which he continues to mentor and shape the next generation of engineering professionals and national development leaders.

Beyond his technical expertise, Eng. Dr. Tusubira is widely recognised for his deep commitment to service, particularly through the global Rotary movement. A devoted Rotarian, he has served in multiple leadership capacities at national, regional, and international levels and is now a Rotary Foundation Trustee Elect (2026–2030), a position that underscores his global influence in advancing community development, ethical leadership, and youth empowerment.

Eng. Dr. F. F. Tusu Tusubira: A Speaker for This Moment

The choice of Eng. Dr. Tusubira, as the keynote speaker, is both strategic and symbolic. At a time when Africa faces critical leadership transitions, institutional fragility, and the urgent need for sustainable innovation, his life’s work offers real-world depth to the conversation. His career embodies a seamless fusion of intellect, service, and practice, positioning him uniquely to interrogate the future that Africa must shape.

Where Prof. Mutebile stabilised financial systems and safeguarded macroeconomic credibility, Eng. Dr. Tusubira has consistently focused on strengthening the human and institutional architecture that sustains those systems. His work in leadership development, strategic foresight, and organisational transformation speaks directly to the urgent call for systems that are resilient, adaptive, and ethically grounded.

For Uganda, Eng. Dr. Tusubira represents a generation of leaders who have transitioned from academia into national and regional influence while remaining deeply rooted in service and mentorship. His contribution to engineering education, governance reform, and institutional strengthening reflects a lifelong dedication to shaping a Uganda that is forward-looking, capable, and value-driven.

A Voice Aligned with the Theme

Eng. Dr. Tusubira’s keynote address will speak directly to the heart of the 2025 theme, exploring how Africa can intentionally cultivate leadership succession, fortify its economic systems, and harness innovation not as a buzzword, but as a strategic tool for inclusive development.

Through his lens, the lecture will challenge participants to rethink leadership as a collective responsibility, resilience as an institutional discipline, and innovation as a mindset rooted in purpose, ethics, and strategic foresight.

In choosing Eng. Dr. F. F. Tusu Tusubira, as the keynote speaker, Makerere University affirms its commitment to elevating voices that embody substance, service, and transformative leadership. His presence is not merely ceremonial; it is a reinforcement of the values that define this lecture series: excellence, integrity, and purposeful impact.

As the 2025 Emmanuel Tumusime Mutebile Annual Public Lecture approaches, his keynote address promises to be a defining moment, one that not only honours a legacy but ignites a renewed commitment to shaping Africa’s future with courage, clarity, and conviction.

The Tumusiime Mutebile Annual Public Lecture will also be hosted on live stream on the Makerere University YouTube page. Link: https://youtube.com/live/e6Ld-0XYLiw?feature=share

Caroline Kainomugisha is the Communications Officer, Advancement Office, Makerere University

Caroline Kainomugisha
Caroline Kainomugisha

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