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.
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.
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.
The Makerere University Council and Top Management have today convened at Speke Resort Munyonyo to deliberate on the University’s Strategic Plan 2025/2026 – 2029/2030. The retreat seeks to align Makerere’s priorities with the Fourth National Development Plan (NDP IV) and ensure that all key stakeholders contribute to shaping the institution’s next five years.
Opening the discussions, the Vice Chancellor, Prof. Barnabas Nawangwe, underscored the centrality of planning in the University’s growth trajectory. He called on members of management to actively participate in the drafting of the new strategic plan. Prof. Nawangwe highlighted Makerere’s progress in recent years, noting that the University has drawn a roadmap to becoming a research-led institution, with publications rising from 700 five years ago to 2,000 currently.
He further pointed out the revision of research policies to align with the University’s research agenda, as well as the establishment of innovation hubs that support product development, commercialisation, and intellectual property management. Commending staff for their resilience and success, Prof. Nawangwe congratulated them on winning significant individual grants, some of which now surpass institutional grants. “NDP IV is intended to grow the country tenfold, and I am confident Makerere will make a huge contribution,” he remarked.
Mrs. Lorna Magara
In her keynote remarks, the Chairperson of the University Council, Mrs. Lorna Magara, described the retreat as a defining moment for Makerere’s role in Uganda’s transformation. She urged the University to move beyond traditional teaching and research, positioning itself as a central driver of national development.
“Our mandate extends beyond academia. The knowledge we generate, the leaders we shape, and the innovations we deliver must directly fuel Uganda’s growth,” Mrs. Magara stated.
She outlined priority national development areas— agro-industrialisation, tourism, mineral-based development, and advances in science and technology—where Makerere’s expertise can make a decisive impact. Emphasising the urgency of challenges such as youth unemployment, climate change, food insecurity, and fragile health systems, she noted that within these lie opportunities for Makerere to lead in testing and scaling solutions.
Vice Chancellor Prof. Barnabas Nawangwe.
“This retreat is about discipline and focus. Our strategy cannot be a wish list; it must be a blueprint for measurable national impact,” she said, challenging participants to critically reflect on how Makerere can anchor Uganda’s food security, nurture digital innovators, strengthen health resilience, and raise transformative leaders.
She concluded with a call for boldness and clarity in execution: “The next five years are decisive. Makerere must shift from being a participant in national development to being its strongest driver. What we agree here must position Makerere not only as Uganda’s premier university but also as a trusted national partner and a beacon of Africa’s transformation.”
Participants in a group discussion
The retreat involved detailed discussions and contributions from University leaders, aimed at developing a practical and impact-driven strategic plan that cements Makerere’s role in advancing Uganda’s development agenda.
Signed in September 2025 by the Vice Chancellor of Makerere University, Prof. Barnabas Nawangwe and the Country Director, International Rescue Committee, Mr. Elijah Okeyo, the MoU provides a framework to implement research intensive programmes, promote innovative teaching and learning, internationalization, and contribute to societal transformation.
According to Mr. Okeyo, the MoU re-affirms Makerere University as the academic partner of the International Rescue Committee (IRC). “This MoU formalizes IRC’s working relationship with Makerere University. This framework empowers both institutions to tap into opportunities together. We believe in equal partnership. Makerere University commits to being our partner in research to contribute to evidence based humanitarian undertakings,” he said.
Under this collaboration, Makerere University and IRC will work on developing child-centered learning resources, innovative curricula, and policy-relevant research to enhance the quality of education in crisis-affected regions.
At Makerere University, the MoU brings on board, the College of Education and External Studies (CEES), Makerere University Institute of Teacher Education and Research (MITER), and the Early Childhood Care and Education (ECCE) Research Centre.
To concretize the MoU, the Principal of the College of Education and External Studies, Prof. Anthony Muwagga Mugagga convened a partnership meeting on Friday 12th September 2025 involving a delegation from the International Rescue Committee (IRC), Dr. David Kabugo, the Deputy Director of Makerere University Institute of Teacher Education and Research (MITER), and Ms. Ritah Namisango, the Principal Communication Officer.
Mak CEES and IRC partnership meeting in progress
The delegation from the International Rescue Committee (IRC) consisted of the following: Mr. Elijah Okeyo-Country Director, Mr. Vincent Wanyama-Senior Program Development and Quality Coordinator, Mr. Richard Omasete-Policy and Advocacy PlayMatters, and Ms. Janet Nambuya-Grants and Partnerships Coordinator.
The MoU focuses on the following areas of interest: Early Childhood Development, joint research and capacity building in education, the plight of refugees and the host communities, humanitarian aid, as well as, evidence based research to inform the education policy.
In line with its mandate, IRC brings onboard, its unmatched expertise in helping children in crisis-affected areas. The MoU therefore positions both institutions to undertake a leading role in the protection of children and families through evidence based research, access to education, and humanitarian undertakings.
Dr. Kabugo, the Deputy Director MITER, noted that the MoU opens new opportunities for joint efforts in research, training, and policy. He said: “We are committed to co-designing practitioner research, engaging in professional development, and generating evidence to guide the education policy in Uganda and beyond.” Dr. Kabugo explained that this partnership builds on years of cooperation between CEES and IRC, especially in child-centered methods such as play-based learning.
Prof. Mugagga described the MOU as a practical framework that connects Makerere University’s research with IRC’s field experiences. He stated that the College of Education and External Studies (CEES) conducts programmes focused on the future of the young people through training and empowering students/teachers. He articulated that the College significantly impacts on the education sector through delivery of quality academic programmes and research under the School of Education, School of Distance and Lifelong Learning, and the East African School of Higher Education Studies and Development.
“Our strongest synergy is education and early child-focused care,” Prof. Mugagga emphasized. He revealed that the collaboration presents CEES with a strong and reliable partner (IRC), which stands for protection and the well-being of children and families. “Through this MoU, both CEES and IRC, will significantly contribute to improving education for children, families, and communities impacted by conflict and crisis.”
Prof. Mugagga commended IRC for the earlier support and expertise extended to the College in the development of the early childhood centre, and working together to provide valuable input during the Ministry of Education and Sports’ consultative process that led to the Early Childhood development policy.
Reflecting on the increasing number of refugees enrolling for studies at Makerere University, Prof. Mugagga said: “ IRC has come at the right time. The College will tap into the IRC expertise to teach our staff and learners components in refugee education. They will equip our students and teachers with knowledge and skills in refugee education. Some of our students will cooperate with IRC to undertake research in refugee settlement and host communities.”
[L-R] Dr. David Kabugo, Deputy Director (MITER), Mr. Vincent Wanyama (IRC), Prof. Anthony Mugagga (Principal, MakCEES), Mr. Elijah Okeyo( Country Director-IRC), Ms. Janet Nambuya (IRC), Mr. Richard Omasette (IRC) and Ms. Ritah Namisango, PCO (MakCEES)
Prof. Mugagga implored both MITER and IRC to undertake research and develop modules on refugee education, parenting, re-tooling street children, integration of a health component into the curriculum, and management of truamatised students/learners who come from areas affected by war, conflict and crisis.
On the issue of play materials, Prof. Mugagga stressed that already made play materials derial creativing. “Both CEES and IRC should work towards a context that empowers children and learners to ignite their creative potential by developing home-made play materials,” he submitted.
About IRC
Stating a brief profile history about IRC, Mr. Okeyo explained that IRC is a global non-profit organisation that provides humanitarian aid and assistance to people affected by conflict and disaster. IRC has been active in Uganda since 1998, originally assisting displaced populations in Northern Uganda and later expanding its efforts to refugee settlements and urban areas.. Currently, IRC operates more than 35 health facilities in refugee settlements and runs a variety of programs in health, education, protection, and economic recovery. IRC also undertakes projects focusing on early childhood development, prevention of gender-based violence, and protection of refugees and families.
Mastercard Foundation Scholars at Makerere University have been encouraged to embrace the spirit of philanthropy as a vital foundation for fostering stronger and more resilient communities. This inspiring call to action took place during the 2025 Community Open Day at the Freedom Square on Saturday, September 6, 2025, where hundreds of Mastercard Scholars, Scholar-alumni, and partners of the Scholars Program gathered to initiate a fundraising drive for the signature Annual Scholars Day of Service.
The Annual Scholars Day of Service stands as a hallmark event through which the Scholars give back to the community in impactful and sustainable ways. During a keynote address titled “How Philanthropy Shapes Resilient Communities,” Prof. Winston Tumps Ireeta, the Deputy Vice Chancellor of Finance and Administration, emphasised that while local philanthropy is not a new concept in Uganda, a more intentional mobilisation of this giving back power is necessary to address broader social challenges.
“Communities that mobilise their own resources—financial, human, and material—are empowered to take ownership of their development. Ownership naturally leads to sustainability, ensuring that solutions emerge from local knowledge, context, and values rather than being imposed from the outside. This approach is essential for effectively tackling our social challenges,” Prof. Ireeta stated.
A cross-section of scholar-alumni, listening attentively during the event.
In his remarks delivered by Prof. Helen Nambalirwa Nkabala, the Principal of the College of Humanities and Social Sciences, Prof. Ireeta highlighted the importance of nurturing the inherent power of local giving. He urged the celebration of current local philanthropic efforts, which can be initiated at the individual, religious, and community levels.
“To foster a culture of giving, we need to create platforms that promote structured, transparent, and impactful contributions,” he argued. “It’s crucial to strengthen our generosity, particularly among the youth, and cultivate a society where giving is valued as a core aspect of leadership and citizenship.”
Prof. Ireeta further noted, “The future of our Communities’ strength lies not in distant promises but in our own hands and collective actions. By fostering local philanthropy, we can build a society that is not only fairer but also more resilient and united.
Mr. John Osuna, speaking on behalf of the Program Director, Prof. Justine Namaalwa, at the event.
In his welcoming remarks, Mr. John Osuna, Transition Lead for the Mastercard Foundation Scholars Program at Makerere University, who spoke on behalf of the Program Director, Prof. Justine Namaalwa, expressed gratitude to the Scholars for their collaborative efforts in turning the idea of giving back into reality.
“Let us embody humility, kindness, and compassion through actionable philanthropy. By doing so, we can create lasting impacts, enhancing our reputation as a community that genuinely cares,” Mr. Osuna stated.
The Community Open Day was organised under the inspiring theme: “Nurturing Philanthropy for Resilient Communities,” paving the way for future initiatives that strengthen community bonds through collective generosity.
A cross-section of the alumni making their pledges towards the scholars give back project.
“We believe that through nurturing philanthropy for resilient communities, our communities shall be able to organise themselves to build resilience beyond what we shall give back,” Mr. Osuna explained.
The vibrant event saw Scholars and Scholar-alumni actively participating by bringing items for auction and buying tickets for the raffle draw as a means of mobilising resources for the construction of a ventilated pit latrine, renovation of two classroom blocks and providing tanks for harvesting clean water for Bwera Primary School in Kabale District.
Speaking at the event, Mrs. Agnes Katumba, the Director of Katumba Estates, one of the long-standing partners of the Scholars Program at Makerere University, tasked the Scholars to embrace the heart of giving back without expecting something in return.
Ms. Agnes Katumba, the Director, Katumba Estates Ltd handing over part of her pledge towards the Scholars Giveback project.
“I thank the Mastercard Foundation; they not only provide scholarships but also give back to the community. I have been able to grow because of them. For scholars, you do not have to wait to be wealthy to give back; every coin counts,” Mrs. Katumba said.
Katumba Estates Ltd contributed three million shillings to the Scholars Give Back project. Another long-standing partner, DFCU Bank, pledged over sh10 million towards the Scholars’ building project.
The Representative from DFCU making the pledge to support Scholars Giveback project on behalf of the Bank.
In her presentation, Ms. Malvin Akwara, a Mastercard Foundation Scholar-alumna, urged current Scholars to contribute to their communities in various ways, including mentorship and guiding young people.
Ms. Malvin Akwara, a Scholar-alumna addressing fellow Scholars and alumni at the event.
“We are all here because someone chose to give. During my first year at Makerere, I contributed to some young man’s school fees back home in my community. The young man is now in his second year at Makerere. You don’t have to be wealthy to make an impact; be intentional in your giving, and you will witness the difference it makes. There is no greater fulfilment than helping someone in need,” Akwara stated.
Some of the Scholars praying for their raffle draw tickets to win.
The event was punctuated with a number of activities that ranged from auctioning items, raffle draws, exhibitions, quizzes and a lot of games and fun.
The winner of the grand draw walked away with a flat screen TV.
Carol Kasujja and Bernard Buteera form the communications team for the Scholars Programme at Makerere University.