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Mak Donates 90 Lifebuoys to Uganda Police Marine Unit

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The Makerere University School of Public Health (MakSPH) has donated 90 lifebuoys to the Uganda Police Force (UPF) Marine Unit, to aid the specialised unit in rescuing the drowning victims.

Assistant Inspector General of Police Edward Ochom, the UPF Director in charge of Operations hailed MakSPH for the strong partnership it has forged over time with UPF Marine Unit that bore fruits.

According to Ochom, UPF has for long been financially constrained making it difficult for the officers operate without adequate equipment. He hailed the partnership that has seen research output and now, a big boost of equipment.

He hailed the School for supporting the Marine Unit with 90 lifebuoys citing that they “will go a long way to support life when one drowns.” He was officiating at the handover ceremony of the items on Thursday October 8, 2020 at the Marine Base in Kigo, Wakiso District where he represented Inspector General of Police.

“I am privileged to be informed that this concern has not started now but the School used to offer life jackets to landing sites. Hence the love to preserve human life is well grounded in the School’s ideological mandate,” he said.

AIGP Ongom added that; “…we are really privileged that that we are being given 90 life rings. Our cardinal mandate in the Constitution is to protect life and property. And therefore, we are really concerned especially when people lose their lives on road, in water etc. We are really concerned and it is our duty to ensure that people don’t lose their lives like that.”

A recent study by the School showed that safe boating regulations are flouted, yet police was ill-equipped to ensure safety on the lake even as most drownings are preventable through policies and regulations that reduce risk exposure.

Mr. Abdullah Ali Halage, a lecturer at MakSPH said the intervention arose out of research conducted across the country around drowning, that stressed the limited resources and equipment by the law enforcers. He represented the Dean MakSPH-Prof. Rhoda Wanyenze at the donation of lifebuoys that were supported by the Bloomberg Philanthropies.

Globally, over 90% of the estimated 322,000 people who die in accidents related to drowning are in Low and Middle-Income Countries, making it the third leading cause of unintentional injury death; accounting for 7% of all injuries.

“We have conducted research and actually shared with you some of the reports that show that actually 95% of people using boats do not wear life jackets. Our reports also show that out of those who need to be rescued, very few get that support,” Mr. Halage said.

Officers from the UPF Marine Unit demonstrate use of the new Lifebuoys

The results also show that many people drown without benefiting from any rescue attempts, because those who witness the drowning lack either rescue skills or rescue equipment.

According to Frederick Oporia, a Project Coordinator and Injury Epidemiologist at the Injury Epidemiology (Trauma, Injuries and Disability (TRIAD) unit of the School, majority people who drown lack survival swimming skills.” The TRIAD project is housed under the Department of Disease Control and Environmental Health.

The results also show drowning as a major cause of premature death in Uganda especially among young adults whose livelihoods depend on water activities. But Halage says most incidents of drowning are preventable through policies and regulations that reduce exposure to drowning risk and institutional interventions to ensure safety around water.

According to AIGP Ochom, the equipment used in such rescue missions is very expensive and that they can hardly be availed during the budgets. He observes that as police, they are mandated to protect lives irrespective of whether they have the means or not.

“We are really happy when we get institutions that also get their budgets from government and donate part of their meagre budgets that they get to another institution because I think they have seen during the research that we really need to be assisted. They are not doing it for themselves, they are doing it for the good of the nation. The Inspector General of Police is therefore highly indebted to Makerere University School of Public Health for the support they continue to give this specialised unit,” he noted.

The Marine Specialised Unit of Uganda Police Force is responsible for ensuring enforcement of law and order on water, Monitoring and Handling search and rescue.

The unit has 26 establishments/ detachments spread across the four major lakes in Uganda. A total of 17 marine establishments are on Lake Victoria, four (4) on Lake Kyoga, four (4) on Lake Albert, one (1) establishment on Lake George.

Engineer James Apora, the Uganda Police Marine Unit commandant also hailed the School for the big boost and the partnership citing that the equipment will ease their work.

“Our establishments are very few and very far apart. When you talk about emergency response, your response time becomes an issue when you are very far apart. The equipment you are using becomes an issue to take you there fast. The manpower also becomes an issue because you need very many numbers to expand,” says Eng. Apora.

“But the beauty is we have the will from police management to expand the unit. We have submitted our policing strategic plan for the next five years to establish additional 24 detaches that would make us to have at least 50 detaches spread all over the lakes. And we are also now venturing into the in-land lakes. Of recent lake Bunyonyi has become an issue and that is one of the areas we intend to open our detaches,” he hastened to add.

According to Eng. Apora, lifebuoys save about 4 persons at ago. “You can hang about four persons on it who can then be pulled to a safer area. I feel this is the greatest thing a stakeholder can do. The rest we can always talk but when you do it in practice, I think it speaks more.”

Dr. Olive Kobusingye, a Research Fellow and the Principal Investigator says despite the lack of incapacity to ensure safety on the lake, Police Officers have done tremendously well in ensuring they save lives and restore hope to Ugandans.

Dr. Olive Kobusingye, MakSPH Research Fellow and Project Principal Investigator

“We took about a year talking to a lot of people like yourselves [marine officers], we went to all Marine Police detaches and many other places and talked to people that have retrieved bodies, that have saved people from drowning, that have worked with families of those that have drowned and they all tell these stories but their stories go unacknowledged and a lot of work goes unacknowledged and I really would like to say thank you so very much indeed,” Dr. Kobusingye said at the handover ceremony. 

About the Study

The report, issued on Thursday, presents findings of a two-phased study that was conducted in 60 districts of Uganda for a period of 2.5 years from a period of January 2016 to June 2018.

In the first phase of the study, records concerning 1,435 drowning cases were found in the 60 districts. Other than stating that the individual had drowned, there was very little information that could potentially guide prevention efforts.

The second phase was limited to only 14 of the 60 districts. In these 14 districts, a total of 2,066 drowning cases were identified by community health workers and confirmed through individual interviews with witnesses, family members, friends and survivors of drowning.

The report on understanding and preventing drowning in Uganda released on Thursday revealed high rates of drowning in both lakeside and non-lakeside districts.

Statistics analysed from the National Population and Housing Census Main Report of 2014, show that a total of 872 drowning deaths and 533 drowning survivors were recorded from the lakeside districts of Mayuge, Rakai, Serere, Hoima, Nakasongola, Masaka, Soroti and Rubirizi.

UBOS data also shows that a total of 402 drowning deaths and 146 drowning survivors were recorded in the reporting period for non-lakeside districts of Mbarara, Arua, Kitgum, Kabale and Mubende. In Kampala alone, the reporting period had a total of 58 drowning deaths recorded and 55 drowning survivors.

During the two-and-a-half-year study period, 1,435 drowning cases were recorded in the district police offices, marine police detachments, fire/rescue brigade detachments, and the largest mortuary in the 60 study districts.

“This is not the number of drowning cases that occurred during that time, but rather the number of drowning cases that were recorded. We learned from this study that many more cases of drowning happen that are never reported or recorded in administrative sources,” says Dr. Kobusingye.

According to the report, majority of the recorded cases were deaths (about 90%).

AIGP Ongom said the research will inform the Uganda Police Force’s top management on the causes of death on water, mitigating factors and strategies that can be put in place to minimise them.

He urged the marine unit to vigorously engage in strategies that can prevent people from drowning.

“For some of those cases that I have known, and also having a background of marine of course, we used to retrieve bodies and conduct investigations. There situations where you would really find it difficult even for the people to save themselves. I would sincerely request that we don’t end at research. We need to do a lot of preventive policing on our water bodies,” AIGP Ongom said.

Cover page of the MakSPH Report on Understanding and Preventing Drowning in Uganda 2020

Article by Makerere University School of Public Health

Mark Wamai

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TB in Prisons Eight Times Higher Risk than General Population in Uganda, Study

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L-R: Mr. Samuel Akena, Deputy Commissioner General of Prisons; Dr. Simon Kasasa, the Principal Investigator; Dr. Charles Olaro, Director General of Health Services, MoH; and Professor Rhoda Wanyenze, the Dean, School of Public Health, at the launch of the survey. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.

Nearly half of Uganda’s prison population has latent tuberculosis (TB), according to the latest Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19. The survey, released on May 15, 2025, found that active TB cases in prisons stand at 1,900 per 100,000—eight times higher than in the general population.

The survey was conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC)—and purposed to have a more profound understanding of TB to help inform public health programs for this high-risk population.

Dr. Simon Kasasa, a Senior Lecturer at MakSPH and Principal Investigator of this study, stressed that “staying for a longer duration, three years and above, posed a greater risk to TB infection in prison.” He also noted TB infection was much higher among male prisoners (48%) compared to female prisoners (38%) and among those of older age, 65 years and above. Meanwhile, the report noted concerns about excessive numbers in prisons as a key risk factor for TB transmission.

Dr. Simon Kasasa, a Senior Lecturer at MakSPH and Principal Investigator of this study presenting the findings. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Dr. Simon Kasasa, a Senior Lecturer at MakSPH and Principal Investigator of this study presenting the findings.

UPS consists of 257 prisons spread over 16 administrative regions with an average prisoner population of 56,400 (95% male), accommodation capacity of 16,612 (340%), and 9,904 staff (29% female).

HIV prevalence among prisoners was also alarmingly high at 11%, twice that of the general population. Notably, female persons in prison (PIP) had the highest HIV rates at 21%, compared to 11% for male PIP and just 2% among prison staff. However, the data also showed a significant drop in overall HIV prevalence within prisons, falling from 15% in 2013 to 11% in 2023, with the most dramatic decline among staff, from 12% to 2%.

A section of officers keenly follows proceedings. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
A section of officers keenly follows proceedings.

Dr. George Tumusinze, a Program Manager and Research Associate, pointed out that although 92% of people with HIV in prisons know their status and 99% are receiving antiretroviral therapy (ART), only 70% have successfully reduced the virus in their bodies, highlighting important issues with how well the treatment is working.

Dr. George Tumusinze, a Program Manager and Research Associate presenting results of HIV prevalence and burden in Uganda Prisons. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Dr. George Tumusinze, a Program Manager and Research Associate presenting results of HIV prevalence and burden in Uganda Prisons.

Mr. Samuel Akena, the Deputy Commissioner General of Prisons, echoed these concerns by stating that the survey represents a significant milestone for the Prisons, not only in terms of data collection but also in Uganda’s journey towards achieving equity, justice, and the right to health for all. “This survey is historic. It represents one of the most comprehensive efforts to understand the health status of people in prisons in Uganda.” He emphasized the necessity of a collective and bold response, urging that “the time for piecemeal responses is over.”

Dr. Charles Olaro, Director General of Health Services at the Ministry of Health, emphasized the urgency of the situation, stating, “As we gather today to reflect on the findings of this important survey, we must recognize the urgent need for action in our fight against tuberculosis (TB) in Uganda. Despite our efforts, we are still grappling with the burden of this disease, and our progress toward eliminating it by 2030 has not been as swift as we had hoped.” He pointed out that the survey serves as a critical baseline that will shape future responses and guide resource allocation.

Dr. Charles Olaro, Director General of Health Services at the Ministry of Health interacts with officers of the Uganda Prisons Service, at the MakSPH Auditorium on Thursday. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Dr. Charles Olaro, Director General of Health Services at the Ministry of Health interacts with officers of the Uganda Prisons Service, at the MakSPH Auditorium on Thursday.

HIV prevalence among prison staff members was the lowest, at just 2%, reflecting a significant achievement in workplace health. Dr. Daniel Byamukama, Head of HIV Prevention at the Uganda AIDS Commission, praised prison authorities for their efforts, noting the remarkable progress over the past decade. In the first survey in 2013, only 34% of HIV-positive staff on treatment had achieved viral load suppression. Today, that figure has reached an impressive 100%, underscoring the impact of sustained prevention and care efforts.

While the prison HIV program has shown effectiveness—evidenced by a drop in prevalence from 15% to 11% among the prisoners over the past decade—Mr. Akena stressed the importance of prioritizing gender-responsive strategies in health interventions.

“Diseases do not recognize bars or borders. They thrive in environments where conditions are poor and resources are scarce. Women in prison face disproportionately higher risks, yet often remain invisible in program planning. This is not acceptable. If we are serious about health equity, we must prioritize gender-responsive strategies — within prison health systems and beyond,” Mr. Akena.

Mr. Samuel Akena, the Deputy Commissioner General of Prisons speaking at the release of results of the survey. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Mr. Samuel Akena, the Deputy Commissioner General of Prisons speaking at the release of results of the survey.

CDC Uganda Director Dr. Adetinuke (Mary) Boyd reinforced the significance of the survey in addressing public health risks. “In Uganda, CDC partners are helping to ensure inmates stay healthy during custody. This work facilitates safe reintegration into their communities, mitigates disease transmission to the general population, and reduces public health risks like untreated TB,” she stated. Dr. Boyd highlighted the role of PEPFAR in tackling critical global health threats, asserting that the survey offers helpful data for enhancing health collaboration within this vulnerable population.

The U.S. CDC has been supporting Uganda Prisons Services to provide comprehensive HIV/AIDS, STI, and TB prevention, care, and treatment services for the last 15 years (2010–2025), totaling over $18,046,263 in investment—including $550,000 to this study alone, through the Makerere University School of Public Health. The program supports capacity building, scale-up, and health system strengthening efforts in HIV/TB testing, care, and support for prisoners and prison staff, plus surrounding communities.

Part of the audience follows proceedings during dissemination. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Part of the audience follows proceedings during dissemination.

With 80% of prison wards overcrowded and 95% lacking adequate natural ventilation, the conditions in which these individuals live exacerbate the spread of infectious diseases, public health specialists have warned. This survey underlines the urgent need for systemic changes within the prison health system, as well as a commitment to uphold the rights and health of all individuals, regardless of their circumstances.

As Uganda grapples with these alarming statistics, the call to action is clear. Stakeholders must come together to implement effective health interventions, improve screening and treatment protocols, and ensure that the rights of incarcerated individuals are respected. The health of the general population is inextricably linked to the health of those within prison walls, and addressing these challenges is not just a moral imperative but a public health necessity.

Professor Rhoda Wanyenze compares notes with Mr. Samuel Akena during the event. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Professor Rhoda Wanyenze compares notes with Mr. Samuel Akena during the event.

Professor Rhoda Wanyenze, one of the investigators and Dean of the School of Public Health, asserts that the Survey findings are a wake-up call for stakeholders to prioritize health equity and justice for society’s most vulnerable members.

Prof. Wanyenze advocated for improved TB screening methods and institutionalization of regular mass TB screening using the WHO-recommended advanced diagnostic tools like digital chest X-rays with Computer-Aided Detection (CAD), as well as molecular diagnostics like GeneXpert and TB LAM, noting that traditional symptom-based screening missed nearly half of TB cases. “The use of molecular diagnostics like GeneXpert significantly improved case detection in our study,” she added, emphasizing the importance of timely diagnosis and treatment.

Professor Rhoda Wanyenze, one of the investigators and Dean of the School of Public Health delivering her remarks. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Professor Rhoda Wanyenze, one of the investigators and Dean of the School of Public Health delivering her remarks.

Uganda Prisons Service, in partnership with the Ministry of Health, has so far installed 14 GeneXpert machines in medium- to high-volume prison health facilities.

While some, including Members of Parliament, have raised concerns about the potential infringement on individual rights through mandatory TB testing in prisons, Dr. James Kisambu, the Commissioner for Prison Health Services, noted that it is now apparent, with these findings, for everyone to appreciate that in such confined settings, the risk of transmission is extraordinarily high. TB testing in these settings is not just a medical practice but also a crucial public health precaution that protects both prisoners and the wider community.

“Prisons are high-risk, high-transmission environments where one undetected case can rapidly escalate into an outbreak. In such settings, the right to refuse testing must be weighed against the right of others to be protected from infection. Mandatory TB screening, when done with dignity and linked to prompt treatment, is not a violation of rights — it is an essential public health measure to protect both people in prison and the communities they return to,” said Dr. James Kisambu.

Dr. James Kisambu, the Commissioner for Prison Health Services speaking during a panel discussion at the dissemination and data utility meeting at the MakSPH Auditorium. Release of findings of Uganda National Prevalence Survey on Tuberculosis, HIV, and COVID-19 conducted by Makerere University School of Public Health (MakSPH) in conjunction with the Uganda Prisons Services (UPS) and the Ministry of Health—with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical support from the U.S. Centers for Disease Control and prevention (CDC), 15th May 2025, MakSPH Auditorium, Makerere University, Kampala Uganda, East Africa.
Dr. James Kisambu, the Commissioner for Prison Health Services speaking during a panel discussion at the dissemination and data utility meeting at the MakSPH Auditorium.

The researchers from MakSPH were; Dr. Simon Kasasa, Associate Professor Esther Buregyeya, Dr. George Tumusinze, Dr. Simon Walusimbi, Dr. Dick Kasozi, Dr. Ronald Senyonga, John Baptist Bwanika, Prossy Nabaterega and Professor Rhoda Wanyenze.

Additionally, the study team from the Uganda Prisons Service comprised of Dr. Leonard Marungu, Charles Butagasa, Dr. James Kisambu and Dr. Johnson Byabashaiza, the Commissioner General of Prisons.

Finally, Dr. Deus Lukoye, Dr. Julius Ssempiira, Charles Kavuma, Rise Nakityo, Samuel Sendagala, Grace Nantege, Lisa Mills, Dr. Lisa Nelson, Kenneth Mwambi from U.S. CDC Uganda/Atlanta and PEPFAR USG agencies, and George William Kasule, Didas Tugumisirize, Dr. Simon Muchuro, Professor Moses Joloba, Dr. Turyahabwe Stavia from the Uganda Ministry of Health National TB and Leprosy Program (NTLP) completed the team.

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Davidson Ndyabahika

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MakSPH Champions Leadership Boost for Wakiso Health Managers

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A group photo of delegates during the Leadership and Management dissemination workshop on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.

On April 23, 2025, Makerere University School of Public Health (MakSPH) convened district leaders, health managers, and project partners to disseminate the outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England, was implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health.

Launched in 2024, the project titled Strengthening Leadership and Management Among Local Government Health Managers in Wakiso District, aimed to co-design and pilot a leadership and management training tailored to the realities of Uganda’s decentralised health system. The intervention, led by Makerere University’s Dr. David Musoke and Nottingham Trent University’s Prof. Linda Gibson, through the over 15-year-old NTU-Mak Partnership impacting lives in Wakiso, began with a field visit to over 60 public health facilities in the district, a needs assessment within these facilities to identify key priority gaps, and a baseline survey with the health in-charges to establish the initial status of key indicators.

“We have been very fortunate to work with a supportive local government in Wakiso, from the top leadership down. While many projects struggle to engage district teams, our longstanding relationship with Wakiso made collaboration seamless. Although this was our first initiative specifically focused on leadership and management, we hope it will serve as a stepping stone for even more impactful work in the future,” Dr. David Musoke, a Senior Lecturer at Makerere University and the Uganda Project Lead, said during the dissemination workshop, highlighting the key success factors for the leadership and management project.

Dr. David Musoke speaking during the dissemination workshop on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.
Dr. David Musoke speaking during the dissemination workshop on April 23, 2025.

Initial results from the needs assessment and baseline on leadership and management competencies conducted among Wakiso District health facility supervisors early last year by the project team and shared during the three-day workshop in June 2024, held in Kampala, which kickstarted the six-month structured fellowship programme for 53 health managers in Wakiso, had found critical capacity gaps. Using a tool evaluating 17 leadership and 33 management competencies, only 40% of the managers met the 80% benchmark for leadership, scoring highest in cognitive skills, while just 33% met the required management standard, performing best in self-management and lowest in quality management.

Then, the health facility managers with postgraduate training, longer service, and strong team dynamics, showed overall better performance. While working relationships with subordinates and the district leadership were largely positive, performance was hampered by systemic challenges such as limited resources, low motivation, and weak teamwork. Overall, the study also pointed to a misalignment of expectations between the District Local Government and the Health Ministry, underscoring the need to strengthen coordination to improve services.

The result of this mismatch was to the effect that, as of this time last year, Wakiso District ranked among the bottom 10 on the national health league table, which is an annual Ministry of Health assessment of district performance across key service delivery and patient satisfaction indicators. This was despite Wakiso being Uganda’s most populous district, with over 3.4 million residents today, as it continued to struggle to deliver essential health services to the public. The 2022/2023 Annual Health Sector Performance Report also flagged persistent challenges, including frequent transfers of facility in-charges, overstretched management structures, and weak internal communication and coordination.

A group photo with the Wakiso district health managers during the dissemination workshop on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.
A group photo with the Wakiso district health managers during the dissemination workshop on April 23, 2025.

It was this stark reality that informed the leadership and management intervention in Wakiso. Officiating the dissemination of the project outcomes, Dr. Sarah Byakika, Commissioner for Planning, Financing, and Policy at the Ministry of Health and a member of the National Oversight Mechanism for the programme, commended the remarkable progress made in just six months, citing visible improvements across the district as a direct result of the intervention.

“I have been involved with this programme right from its inception, and I’m proud that Uganda became one of its major beneficiaries,” Dr. Byakika said with gratitude, commending the strong collaboration between the Ministry of Health, Makerere University, Nottingham Trent University, Nottingham University Hospitals, Wakiso District and the development partners for supporting the initiative. She emphasised the value of this partnership in strengthening leadership and management competencies among Wakiso District health managers to address critical performance gaps in health service delivery.

Dr. Sarah Byakika awarding a certificate to the Cohort President, Mr. Mathias Sserwanga, the In-charge of Namulonge Health Centre III in Nansana Municipality during the workshop on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.
Dr. Sarah Byakika awarding a certificate to the Cohort President, Mr. Mathias Sserwanga, the In-charge of Namulonge Health Centre III in Nansana Municipality during the workshop on April 23, 2025.

“Wakiso is Uganda’s largest and most populous district, yet it has long underperformed on key health indices. Despite its semi-urban nature, it faces enormous health service delivery challenges, partly due to the overwhelming burden on its District Health Officer, who oversees more than 60 public and over 340 private health facilities. Many of these private facilities open and close frequently, complicating service oversight,” Dr. Byakika observed with concern.

Her sentiments were echoed by the District Health Officer, Dr. Emmanuel Mukisa, in a message delivered by Wakiso District Biostatistician, Mr. Frank Kakande. He noted that the project had contributed to a noticeable shift in the district’s health system performance, with visible improvements in leadership, communication, and accountability among facility in-charges beginning to translate into better overall health service delivery outcomes.

“You cannot talk about management without addressing performance: they go hand in hand. As someone who sits at the centre of district health data, I can confidently say that performance has improved. During the most recent national local government performance assessment, where I participated in the evaluation, Wakiso District’s health department ranked 18th out of 146 districts. That health ranking is a major achievement. We have consistently performed poorly in the past, but this time, we made significant progress,” Mr. Kakande told the attentive audience, speaking with an air of relief and satisfaction.

Mr. Kakande speaking during the dissemination event at Makerere University School of Public Health on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.
Mr. Kakande speaking during the dissemination event at Makerere University School of Public Health on April 23, 2025.

The Wakiso District Biostatistician credited part of this progress within the district, from the poor performance last year, to the leadership training and mentorship delivered through the project, citing visible improvements across key health indicators. He stressed the need to sustain this momentum through continued mentorship, internal capacity strengthening, and consistent application of the skills acquired by health managers, particularly in tackling persistent management challenges such as absenteeism, delegation, and accountability.

Last week, I held a performance review at Kakiri Health Centre III, and the improvements were clear. These management skills are making a difference. You can see the change across indicators. But what matters now is sustainability. The support provided through supervision and mentorship was essential. But it’s up to us to keep the fire burning. We have learned a lot: communication skills, problem-solving, time management, and decision-making. Managers are now communicating better. Even issues like absenteeism are being addressed through proper reporting and action,” Mr. Kakande said.

Earlier, Dr. Musoke, presenting the overall project overview and success, explained that based on initial findings from the baseline and needs assessment, the team co-designed and delivered a structured six-month capacity-building programme targeting 60 health facility in-charges in Wakiso District. The programme blended in-person and virtual sessions, combining practical training with one-on-one mentorship, and included an exchange component between Uganda and the UK to promote international exposure and peer learning. This allowed the health managers to apply new skills to strengthen health outcomes in Wakiso.

“This project rightly focused on addressing gaps in leadership and management. I advocated for including this component in the programme, because our national health review missions consistently show that poor performance often stems from weak leadership and management,” Dr. Byakika affirmed, adding that: “I am pleased to see that nearly all public facilities in Wakiso participated. While the project had a short implementation window, the evaluation already shows encouraging results. Health managers feel more empowered, motivated, and aware of their roles. That’s a significant step.”  

For her part, Dr. Sheba Gitta, Uganda Country Director for Global Health Partnerships, formerly Tropical Health and Education Trust, applauded the leadership and management capacity-building initiative in Wakiso as a timely, locally driven intervention. She underscored the value of two-way learning between Uganda and the UK health systems through the programme, noting that Global Health Partnerships works closely with the Ministry of Health to ensure all funded initiatives align with Uganda’s national development priorities.

Dr. Sheba Gitta (right) sharing with Prof. Linda Gibson during the dissemination workshop on April 23, 2025. Makerere University School of Public Health (MakSPH) disseminating outcomes of a major leadership and management strengthening initiative in Wakiso District, Central Uganda. The one-year project, part of the Global Health Partnerships programme funded by NHS England implemented in collaboration with Nottingham Trent University, Nottingham University Hospitals NHS Trust, Wakiso District Local Government, and Uganda’s Ministry of Health, 23rd April 2025, MakSPH Auditorium, Kampala, East Africa.
Dr. Sheba Gitta (right) sharing with Prof. Linda Gibson during the dissemination workshop on April 23, 2025.

“What excites me most is that this was not a pre-packaged programme imported from the UK. The training was co-created by partners, based on local realities and needs. That approach reflects strong collaboration between Makerere University School of Public Health and Nottingham Trent University. I thank Prof. Linda Gibson for her continued commitment and Dr. David Musoke for his proactive leadership in bringing this programme to life. Your consistency and quality of work continue to stand out,” Dr. Gitta shared.

While commending the progress made, she cautioned against “pilotism”, as a tendency for promising projects to end prematurely, calling for the model to be scaled up nationally. To support sustainability, she stressed the importance of documenting the training process, outcomes, and costs to inform ministry-level decision-making and long-term adoption.

Dr. Gitta joined Prof. Linda Gibson, the UK Lead for the Project, to encourage the trained managers to become champions of leadership within their facilities and districts, ensuring that the impact of the programme endures beyond its current cycle. She also thanked NHS England and the UK Government for their trust and investment in Uganda’s health system.

John Okeya

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Makerere-Incubated Safe Bangle Technologies Wins Prestigious World Summit Award for Innovation Against GBV

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A Woman putting on the Real-Time Domestic Violence Reporting Bracelet. Makerere University School of Public Health/Resilient Africa Network (MakSPH/RAN), Medical College of Wisconsin (MCW), Somero Uganda, Safe Bangle Technologies roll out of a real-time domestic violence reporting bracelet. Kampala Uganda, East Africa.

By Joseph Odoi

In a groundbreaking achievement, SafeBangle Technologies, an innovation incubated at Makerere University, has won the prestigious World Summit Award 2025 for its groundbreaking contribution to the fight against gender-based violence (GBV) in Africa. This remarkable honor comes in recognition of the development and implementation of a real-time domestic violence reporting bracelet.

The award was presented to the SafeBangle team that was represented by Saul Kabali, Messach Luminsa, and Janet Christine Nabaloga from SafeBangle Technologies at the WSA Global Congress in Hyderabad, India, where Uganda’s innovation potential was proudly showcased on a global stage.

The award was conferred in the Inclusion & Empowerment category for Safe Bangle’s cutting-edge solution; a wearable safety bracelet designed to address the pressing challenge of gender-based violence (GBV) across Africa.

The SafeBangle is a smartwatch-like, real-time domestic violence reporting bracelet that allows users to send SMS alerts via a single button press. Its core mission is to create a safer, more secure environment for women and children in Africa through innovative, affordable tech solutions.

According to Saul Kabali and Messach Luminsa, the innovators behind SafeBangle from SafeBangle Technologies, hosted at the Resilient African Network Lab. This award is very timely and a recognition that cements the importance of community rooted technology.

The team further stated that ‘’This award is a powerful affirmation of our mission and refuels our commitment to empowering Ugandan women and girls through innovation and technology. It influences our next steps by opening doors to new partnerships, increasing our credibility, and accelerating efforts to scale the SafeBangle nationally. We’re now more equipped to positively impact the daily lives of Ugandan women and girls through our SafeBangle bracelet.

To further the innovation, the team has called upon government to support the Safe Bangle Innovation

‘’Governments can support us by providing funding, facilitating policy support, and creating collaborative platforms for innovation. NGOs can help with grassroots outreach, and connect us to potential donors and funders interested in solving Sexual and Gender Based Violence amongst vulnerable communities; and tech partners can enhance scalability through infrastructure, data insights, and capacity building.

Moving forward, the team emphasized the importance of uniting innovation, partnership, and purpose to scale impact. “As we empower communities, invest in local solutions, and promote collaboration, we can transform how technology protects and uplifts women and girls across Uganda,” added the award-winning team.

The Story Behind the Safe Bangle Bracelet Innovation

According to the Safe Bangle innovators  Saul Kabali and Messach Luminsa , ‘’The inspiration behind SafeBangle came from a deeply personal place. ‘’We heard countless stories of women who couldn’t call for help during moments of danger. We were deeply affected by the story of Aisha, a young woman in a rural village who was attacked while walking home alone at night. With no way to call for help, she felt helpless and vulnerable. This incident made us realize the critical need for immediate reporting alert tools, accessible to women like Aisha. We knew technology could play a crucial role and this incident awakened a strong desire in us to create a solution’’

How the SafeBangle Real-time Domestic Violence Reporting Bracelet works. Makerere University School of Public Health/Resilient Africa Network (MakSPH/RAN), Medical College of Wisconsin (MCW), Somero Uganda, Safe Bangle Technologies roll out of a real-time domestic violence reporting bracelet. Kampala Uganda, East Africa.
How the SafeBangle Real-time Domestic Violence Reporting Bracelet works.

To Makerere University School of Public Health’s Dr. Juliet Kiguli, who collaborated closely with the team during the rollout of the bracelet, this award is a vote of confidence in the work of Makerere University, whose core function focuses on teaching, learning, community engagement, research, and innovation, all contributing to the university’s efforts in addressing domestic violence.

‘’The award-winning innovation stems from the findings of a longitudinal study led by the Makerere University School of Public Health.

While carrying out a study after the Covid-19 Pandemic, we identified gaps when it comes to reporting and response to Gender Based Violence (GBV) among women in informal settlements. Therefore, we used to incorporate the SafeBangle intervention to solve the problem of lack of affordable and immediate reporting mechanisms for violence using a bracelet that reports violence in real time

We’re excited about the progress so far, and with this recognition, we hope that more like-minded partners will join us to scale this initiative and ultimately help make the world a safer place for all.” Added Dr Kiguli of the Safe Bangle innovation potential

The research team, comprising Dr. Juliet Kiguli (Principal Investigator), Dr. Roy Mayega (Deputy Chief of Party, RAN), and Dr. Agnes Nyabigambo (Study Coordinator), piloted the bracelet under the PEER (Partnerships for Enhanced Engagement in Research) program with support from USAID and the National Academies of Sciences.

A consortium of partners, including SafeBangle Technologies, Makerere School of Public Health/RAN , the Medical College of Wisconsin, and Somero Uganda, implemented the rollout of the Domestic Violence Real-Time Reporting Bracelet. The initiative was supported by USAID and the National Academy of Sciences in Washington, DC. Key contributors to the project included Dr Juliet Kiguli Roy Mayega from Makerere University School of Public Health, Dr. Kelly Robbins, Dr. Lina Stankute-Alexander, Dr. Brent Wells, Dr. Melissa Trimble, and Uganda’s Dr. Gloria Kasozi at USAID. Wisconsin Madison Medical University’s Prof. Julia Dickson-Gomez was also a collaborator.

In terms of the acceptability of the SafeBangle innovation as a solution to GBV, the team has piloted the technology with more than 1,000 users, resulting in a 63% reduction in response times

During the event, SafeBangle Team participated in the “Equity by Design” panel, sharing insights on inclusive technology development with global experts including Dorothy Gordon, Abhishek Singh from India’s Ministry of Electronics and IT, Baroness Beeban Kidron, and representatives from UNESCO and WE Hub.

About SafeBangle Technologies

SafeBangle Technologies is a Ugandan social enterprise hosted at Resilient African Network Lab focused on addressing gender-based violence through innovative safety solutions. The company combines wearable technology with an interactive web platform to provide real-time reporting of violence and physical assaults, even in areas without internet connectivity. Founded in 2018, SafeBangle operates with a mission to make safety accessible and affordable for vulnerable populations, especially women and children.

Mak Editor

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