General
East Africa’s high maternal death rate
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.
Find out more about the University of Leeds and GCRF.
Other GCRF stories:
During the afternoon of September 21, 2026, Makerere University played host to regional discussions as students, academics, and government officials gathered to commemorate the International Day of Peace under the theme “Investing in Regional Peace and Trade for Shared Prosperity”.
The event organised by the Makerere University 92nd Guild Security Ministry in partnership with the Global Peace Guild, served as the official launch of the East African Peace and Trade Law Moot Court Competition. The idea was conceived as an annual event where the youth across East Africa will gather to deliberate on the nexus between regional peace and trade in fostering regional integration.
Acting Vice Chancellor (VC) of Makerere University Prof. Anthony Muwagga Mugagga graced the event, welcomed the distinguished guests and set a reflective tone for the day.
Reminiscing about his old days the VC noted, “lecturers were the ones who used to come and talk about politics, economics, and law but somehow, somewhere, things never went well”. He appreciated the Students’ Guild, and all who were involved in organising the celebration and launch for a good job done.
Prof. Mugagga further encouraged students to look beyond the classroom, urging them to engage in critical debates in different sectors while emphasising that peace is a prerequisite for all development.
People anchor Trade – Keynote address
Representing the guest of honor who was the Minister of State for East African Community Affairs Hon. James Magode Ikuya, Dr. Andrew Musiime – Commissioner for Political Affairs, delivered a keynote address.
His entry was that you cannot talk about trade and not talk about people. Trade is done by people, and therefore as a Ministry, they facilitate free movement of people.
Dr. Musiime provided a comprehensive breakdown of the East African Community (EAC) as an intergovernmental organisation.
“So it is an intergovernmental organisation. Therefore, the governments remain with their constitution, the governments remain with their sovereignty, the governments remain with their national boundaries, the governments remain with their national laws, Musiime explained.”
He mentioned that the East African Community is anchored on the four pillars for integration that is the Customs Union, the Common Market, the Political Federation and Monetary Union.
Dr. Musiime equally challenged the students to move beyond theory, urging them to research the EAC treaty and actively participate in regional integration.
In a gesture of togetherness, he told the distinguished guests that the Ministry operates an open door policy for students and those interested in engaging can apply for opportunities across the Ministry’s various departments.
From UPE to the Halls of Parliament
The event also featured inspiring remarks from the National Female Youth Member of Parliament, Hon. Mercy Kanyesigye. Reflecting on her own journey from Universal Primary Education (UPE) to the halls of Parliament, she delivered a powerful message on peace and security.
In agreement with Prof. Muggaga, she linked the day’s theme to the practical realities of trade, noting that sustainable trade can not exist without peace.
“This moot competition is therefore not just academic exercise. It’s a training ground for the next generation of East African traders, lawyers, negotiators, judges, policy makers who will defend the spirit of our East African common market and our custom union”, Kanyesigye told the attendees.
92nd Guild Calls for Embracing Dialogue
Hon. Denis Mabirizi, the Minister of Security for the Makerere University 92nd Guild, underscored the event’s purpose by highlighting that peace is the foundation for justice, opportunity, and cooperation. He then called upon the student community to reject violence and intolerance, urging them to use dialogue and established leadership structures to address their concerns.
Mabirizi also emphasized that universities are not just centers of academic excellence, but places where the leaders of tomorrow are shaped.
“Universities are not only centers of academic excellence, they are also places where future leaders are shaped. The conversations we have, the values we promote, and the decisions we make today will influence the kind of society we create tomorrow. Peace begins with each one of us, Mabirizi noted.”
The Global Peace Guild Initiative
Mr. Joseph Micheal Tenywa, the founder and President of the Global Peace Guild, shared the vision behind the organization. He explained that the Global Peace Guild was born out of a desire to involve young people in the promotion of peace, trade, and regional integration.
“Global Peace Guild is an initiative born out of a desire to have young people get involved into the promotion of peace, trade, and regional integration.”
He reminded the audience that regional integration would only become a reality when young people actively participate in the market and hold policy makers accountable.
“As we commemorate the International Day of Peace, it’s an invitation for young people to get involved, not only in ensuring that there is no violence, but that we also put in place the conditions that take our strength, and these are our economic provisions, we call it trade.”
The launch of the East African Peace and Trade Law Moot Court Competition marks a significant milestone for the student community as it brings together academic rigor with a focus on regional policy.
International Day of Peace is observed globally on September 21, 2026, under the unified United Nations theme: “Invest in Peace – For Everyone, Everywhere, Every Day”. The day emphasizes that achieving lasting peace requires continuous local action, shared civic responsibility, and strategic conflict mitigation to ensure long-term regional development.
Makerere University has urged female students admitted under the Makerere University Council Tuition and Functional Fees Waiver Scholarship for the 2026/27 academic year to take the opportunity seriously, focus on their academic performance, and stay alert about their personal safety.
The message was delivered during an orientation for the scholarship beneficiaries at the Senate Conference Hall, where officials from the Gender Mainstreaming Directorate welcomed the students and shared guidance on academic success, security, mentorship, and responsible social conduct.
The Chief Gender Mainstreaming Officer cautions students on safety and self-reliance
Dr. Euzobia Mugisha Baine, Chief Gender Mainstreaming Officer, congratulated the students on receiving the scholarship and urged them not to take it for granted.
She advised them to seek information from the relevant university offices instead of relying on assumptions or what fellow students tell them, and to keep records of official communication whenever they raise concerns or follow up on university matters.
Dr. Baine said students should take responsibility for their own security, warning them not to trust strangers easily and urging them to be careful about where they go and who they interact with.
She also reminded them that strong academic performance is required to keep the scholarship, and encouraged them to ask for help early whenever they face academic, social, or other challenges instead of waiting until the situation becomes harder to manage.
Students urged to aim for first-class results
The officers welcomed the students and encouraged them to put their studies first, urging them to aim for first-class academic results during their time at Makerere.
They advised them to use the academic support available to them, including help from course mates and any tutorials or mentoring offered within their colleges, and not to hesitate to seek assistance when they have concerns about their results or coursework.
The GMD team also spoke to scholars about personal safety, cautioning students against accepting help from strangers, including with luggage or transport, and referred to a recent incident in which a student’s belongings were stolen. She urged them to stay alert as they settled into university life.
Focus on academic foundations and safe social conduct
Other speakers, including Ms. Susan Mbabazi, who is the Principal Gender Officer, Ms. Abilat Lozirah, and Cynthia Ayaa Kamaketch emphasised the need to build a strong academic foundation from the start of the semester. They encouraged students to attend lectures regularly, read beyond classroom notes, use university resources such as internet access and the library, and develop steady study habits instead of waiting until exams are near.
They also warned students to be careful when meeting people they do not know well, advising them to hold academic discussions and social meetings in open, public spaces such as Freedom Square rather than in private rooms.
The students were also encouraged to seek mentorship from university staff and others who could guide them in their academic and career development, and to identify a mentor before leaving the orientation.
The orientation also pointed students to key university services and locations they should know, including the university health facilities, the Makerere Police Post, the Counselling and Guidance Centre, and places of worship on campus.
Speakers reminded the students that the scholarship gives them a chance to pursue their education at Makerere University, and that keeping it depends on their discipline, academic performance, and willingness to seek support when needed.
-
General1 week agoAR Department Bids Farewell to Mr. Ssentongo and Ms. Akoli
-
General2 weeks agoProf. Sarah Ssali urges the Makerere University Community to embrace local philanthropy
-
General2 weeks ago“We are moving in the right direction” Prof Nawangwe to Press
-
Agriculture & Environment2 weeks agoMakerere Hosts Inaugural Falling Walls Lab Competition as Innovators Pitch Solutions to National Challenges
-
General3 days agoCall for Applications: RLRH Graduate Traineeship Programme