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Mak Staff Vaccination for COVID-19 Kicks Off

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By Judith Grace Amoit, Brenda Namata & Davidson Ndyabahika

Rev Canon Diana Nkesiga Priest in charge of Kabanyolo receives her COVID-19 Jab
Rev Canon Diana Nkesiga Priest in charge of Kabanyolo receives her COVID-19 Jab

Makerere University through the University Hospital has today March 26, 2021, rolled out vaccination of its staff.

This is also in conjunction with the Ministry of Health, Kampala Capital City Authority -KCCA and World Health Organization -WHO, starting with staff from the College of Health Sciences and administrative units at the University Hospital. The exercise is deemed to occur between 9:00 AM and 03:00 PM.

Prof. Barnabas Nawangwe, the Vice-Chancellor of Makerere University, upon receiving his jab, urged all staff to get the vaccination and affirmed its safety.

Nawangwe
Prof. Barnabas Nawangwe, the Vice-Chancellor of Makerere University receive his COVID-19 jab at Makerere University Hospital on Friday March 26, 2021. Photo by Davidson Ndyabahika.

 “I have just received the first Jab for COVID-19 vaccine here at the Makerere University Hospital. I want to assure all Makerere Community, all Ugandans that the Vaccine is safe,” Professor Nawangwe said after receiving the jab.

“Please make sure that you get your jab if you are in the priority group because this is the only opportunity you have to ensure that you are protected. Please come according to the schedule that you have received,” he added.

Dr. Josaphat Byamugisha, Associate Professor and Director of University Hospital upon receiving his jab also appealed to staff to heed the call and take the chance to receive the vaccine.

Byamugisha
Dr. Josaphat Byamugisha, Associate Professor and Director of University Hospital receives his Jab. 

According to Dr. Byamugisha, Makerere University Hospital has received 500 Jabs to kick-start the process. He says they intend to vaccinate all the 3,150 Makerere University staff.

“I want to encourage the University community to come and get the vaccine. The information available is that this vaccine is safe and it is going to protect all of us from this severe disease. So it is very important that each one of us endeavors to come and get the vaccine. It is labor-intensive and so we would like people to adhere to the schedule provided,” Dr. Byamugisha said.

The Hospital Director adds that; “We must say we are very grateful to the Ministry of Health, Kampala Capital City Authority, and the WHO whom we are very closely collaborating with in terms of training, vaccinations, and follow-up in case there is any side effects.”

This reassurance informs a public doubt towards the AstraZeneca vaccine following said side effect severity and withdrawal of vaccine uptake by some western countries and African like Congo. The WHO has since cleared the vaccine citing that the benefits of the AstraZeneca vaccine outweigh its risks and recommended its continued use.

The Chaplain, St. Francis Chapel, Rev. Onesimus Asiimwe speaking after receiving the jab urged the Christians to embrace the COVID-19 vaccination campaign.

IMG Reverand
Chaplain, St. Francis Chapel, Rev. Onesimus Asiimwe receiving his COVID-19 jab. He has urged the Christians to embrace the COVID-19 vaccination campaign. Photo/ Davidson Ndyabahika

“I have just received the COVID-19 jab here at Makerere University Hospital. And so far, so good. No immediate reaction. In fact, one of the things, I feared most other than the effects was the pricking of my body but it was done so gently, professionally. So, I want to encourage you friends, St. Franciscans, Makerere University community, and fellow citizens to respond to this call,” Rev. Asiimwe said.

He adds; “You need to be safe. There has been a lot of conspiracy theories about the vaccine but I want to encourage you to take this vaccine and be safe because COVID-19 is an enemy and God has provided a solution through the vaccine. God Bless you and prepare to receive yours.”

As of 24th March 2021, Uganda’s cumulative confirmed COVID-19 cases were 40,751. A total of 46,444 vaccinated persons against COVID-19. The Minister for Health, Hon. Dr. Jane Ruth Aceng says that government plans to cascade this vaccination process until the entire population is covered to prevent severe disease and death.

“We thank the COVAX facility and the Government of India for enabling Uganda to access the initial 964,000 doses of the AstraZeneca vaccine. So far, a total of 663,520 doses have been distributed to all districts in the country,” Dr. Aceng noted.

Professor JYT Mugisha, Principal CONAS taking his jab.
Professor JYT Mugisha, Principal CONAS taking a COVID-19 Jab. Photo: Davidson Ndyabahika

The exercise follows a consultative meeting on Friday, March 19, 2021, between Makerere University communications officers, University Hospital representatives, and the Ministry of Health team.

Led by Dr. Driwale Alfred, the assistant Commissioner Vaccines and Immunization (UNEPI), the meeting aimed at developing schedules for the effective rollout across all the nine colleges of the institution.

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Dr. Driwale Alfred, the assistant Commissioner Vaccines and Immunization (UNEPI) presenting a consultative meeting on Friday, March 19, 2021, between Makerere University communications officers, Makerere Hospital staff and Ministry of Health

During the consultative meeting, Dr. Driwale related that Ministry Health had arranged and trained people along local government structure to implement the vaccination activities and to advocate and sensitize leaders and create awareness on COVID-19 vaccination.

‘’We got six members in five teams of vaccinators per district and this is in rural districts, so when it came to Kampala district being more complex, each division in Kampala will have 5 teams of vaccinators and of which Makerere University falls under the Kawempe division”.

He added that Makerere University has got a very big and complex community and therefore two teams had been assigned to Makerere-Mulago hill because of its six and nature.

Communications officers, Mak Hospital staff Being rallied for COVID Vaccination Campaign
Communications Officers, Mak Hospital staff Being rallied for COVID Vaccination Campaign

During the training, Dr. Byamugisha observed that the training on vaccinations was to prepare the community and hospital staff for any possible effects that may develop.

“It’s very important to note that there is a national database for these vaccinations so it is a very well-organized exercise so that if anything happens, it can even be detected very early and will inform the rest of the activities.”

The Ministry of Health developed the vaccination deployment plan to be followed in administering the vaccine, inclusive of teachers and staff in all education institutions – public and private not-for-profit, as well as private for-profit will follow, among the priority categories.

 They estimated to have 550,000 teachers and lecturers who are to be vaccinated against coronavirus and this is a local Government mandate.

Uganda targets to vaccinate 49.6 percent of the population, which is about 21,936,011, in a phased manner. Each phase is planned to cover 20 percent of the population – approximately 4.38 million people.

Also, among those that have so far received their jabs at the Makerere University Hospital are; Dr. Vincent Ssembatya, Director Quality Assurance, Makerere University, Mr. Alfred Masikye Namoah, the Academic Registrar, Dr. Helen Byamugisha, Associate Professor and University Librarian, Mr. Godwin Okiror, Human Resources Officer MakCHS, among others.

According to a schedule provided by the Makerere University Hospital, the Program for vaccination will runup to April 1st, 2021. Staff from the College of Health Sciences and all administrative units are expected to take their jabs on Friday, March 26, 2021.

On Monday, March 29, 2021 staff from the College of Veterinary Medicine, Animal Resources and BioSecurity (CoVAB), College of Natural Science (CONAS), and Jinja Campus will receive their COVID-19 shots.

Meanwhile, staff from the College of Engineering, Design, Art, and Technology (CEDAT), College of Business and Management Science (CoBAMS), and the College of Computing and Information Sciences (CoCIS) will receive their COVID-19 jabs on Tuesday, March 30th, 2021.

On Wednesdays March 31st, Colleges of Education and External Studies (CEES) and Agricultural and Environmental Science (CAES) will have their staff vaccinated.

The last day of vaccination for staff according to the hospital schedule is Thursday, April 1st for staff from the College of Humanities and Social Sciences (CHUSS) and School of Law.

Article originally published on MakSPH

Mark Wamai

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Research probes link between maize farming and malaria risk in Uganda

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Assoc. Prof. David Musoke, Dr. Paul Mulumba and Dr. Kevin Deane with participants at the Stakeholders' Workshop on 15th April 2026. Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.

A joint study between Makerere University School of Public Health (MakSPH) and The Open University, UK, is investigating a possible link between maize cultivation and malaria risk in Uganda, as evidence increasingly points to livelihoods and everyday economic activities as key drivers of transmission of the disease.

The research initiative was advanced during a stakeholders’ workshop held on April 15, 2026, at MakSPH’s Resilient Africa Network in Kololo, where a team led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings on the social determinants of malaria. The meeting brought together academics, policymakers, and practitioners to examine how agricultural practices, particularly maize farming, may be shaping malaria patterns in both rural and urban settings in Uganda.

The work builds on a growing body of research linking malaria to economic activity. One such study, led by the two researchers and published in Global Public Health in December 2025, found that livelihood activities such as farming, livestock keeping, and night-time work significantly influence malaria exposure. The study identified agriculture, especially maize cultivation near homes, as a key factor associated with increased mosquito density and heightened infection risk.

Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.
Assoc. Prof. David Musoke presents research findings on how livelihoods, including maize cultivation near homes, may influence malaria exposure during a stakeholder workshop at the Resilient Africa Network, Kololo, on April 15, 2026.

At the workshop, Dr. Musoke said the new inquiry reflects a broader shift in how malaria is understood, outlining how livelihoods, particularly agriculture, shape exposure through multiple pathways, from crop production and water use to the timing of daily activities that coincide with peak mosquito biting hours. These patterns, he argued, extend risk beyond what conventional interventions, such as insecticide-treated nets and indoor spraying, are designed to address.

Uganda remains one of the countries most affected by malaria, with the disease accounting for a significant share of outpatient visits, hospital admissions, and deaths. It is consistently ranked among the leading causes of illness and mortality, particularly among children under five and pregnant women. Despite sustained investment in prevention and treatment, including widespread distribution of insecticide-treated nets and indoor residual spraying, transmission remains high in many parts of the country. This persistence has increasingly drawn attention to factors beyond conventional interventions, including the role of livelihoods, environment, and everyday exposure to mosquitoes.

Maize grown close to homes, with damp ground conditions, may increase exposure to malaria in rural communities. Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.
Maize grown close to homes, with damp ground conditions, may increase exposure to malaria in rural communities.

“As researchers, our role is to generate evidence, and that evidence should inform decision-making,” Dr. Musoke said. “We do not work in isolation. What we hear from stakeholders matters. We are bringing together different sectors, disciplines, and institutions because this work is still in progress, and we intend to build it collaboratively. Increasingly, research requires not just academics, but policymakers, implementers, and communities to be part of the process.”

The collaboration with The Open University has been central. Dr. Deane said the idea of examining the relationship between maize and malaria emerged from several years of joint research on social determinants with MakSPH. He pointed to a gap in malaria research, which has largely focused on biomedical and indoor interventions, while overlooking the role of livelihoods and outdoor exposure.

Assoc. Prof. David Musoke (left), Dr. Paul Mulumba (centre), a Health Inspector in Wakiso District, and Dr. Kevin Deane (right) share insights during the workshop at the Resilient Africa Network, Kololo, on April 15, 2026. Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.
Assoc. Prof. David Musoke (left), Dr. Paul Mulumba (centre), a Health Inspector in Wakiso District, and Dr. Kevin Deane (right) share insights during the workshop at the Resilient Africa Network, Kololo, on April 15, 2026.

“We cannot continue relying solely on bed nets, spraying, and treatment,” Dr. Deane said. “These remain essential, but they are not sufficient for elimination. There is significant outdoor malaria transmission, particularly among adults, and that is linked to how people live and work.”

He added that maize presents a complex case. As one of Uganda’s most widely grown staple crops, it is central to both food security and household income, making it impractical to separate farming from living spaces. This, he said, underscores the need to better understand the relationship and develop responses grounded in evidence and local realities.

Evidence presented during the workshop drew on both community experiences and existing scientific literature. Prior qualitative research by the team found that mosquito populations increase during maize growing seasons, particularly in the evenings. Scientific studies also show that maize pollen can enhance mosquito survival and longevity, potentially increasing their capacity to transmit malaria.

Dr. Kevin Deane of The Open University emphasised the need to move beyond conventional malaria interventions to better understand how livelihoods and everyday activities shape exposure during the stakeholder workshop in Kololo, Kampala, on April 15, 2026. Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.
Dr. Kevin Deane of The Open University emphasised the need to move beyond conventional malaria interventions to better understand how livelihoods and everyday activities shape exposure during the stakeholder workshop in Kololo, Kampala, on April 15, 2026.

Previous work in Wakiso district further situates maize within a wider set of risk factors. Findings show that agriculture, including crop production and animal husbandry, can create conditions that support mosquito breeding through stagnant water, water storage practices, and environmental changes. These risks are compounded by outdoor activities in the early morning and evening, when exposure is highest. The research also points to the growing role of urban agriculture, which is bringing crop cultivation and potential mosquito habitats closer to residential spaces, altering traditional patterns of transmission.

Ms. Doreen Nabwire Wamboka, in-charge at Namayumba Epicentre Health Centre III in Wakiso District, said the discussions challenged long-held assumptions that malaria is a “well-understood” condition.

“I used to think malaria had been fully researched, that we already knew what we needed to know,” she noted. “I now see that what has been studied is the conventional side of it. There are emerging factors we have not paid attention to. This work is opening up new ways of thinking, even about things we take for granted, like the crops we grow around our homes. We treat malaria as ordinary, yet it is still one of the most common conditions. Understanding these connections could change how we approach the disease.”

Ms. Doreen Nabwire Wamboka, In-charge at Namayumba Epicentre Health Centre III in Wakiso District, engages in a co-creation session as a fellow participant looks on during the stakeholder workshop in Kololo on April 15, 2026, underscoring the need for collaborative approaches to design interventions to tackle malaria. Stakeholders’ workshop on the social determinants of malaria led by Assoc. Prof. David Musoke of Makerere University and Dr. Kevin Deane of The Open University presented ongoing and previous findings, April 15, 2026, at MakSPH’s Resilient Africa Network, Plot 30, Upper Kololo Terrace, Kampala Uganda, East Africa.
Ms. Doreen Nabwire Wamboka, In-charge at Namayumba Epicentre Health Centre III in Wakiso District, engages in a co-creation session as a fellow participant looks on during the stakeholder workshop in Kololo on April 15, 2026, underscoring the need for collaborative approaches to design interventions to tackle malaria.

The initiative will now combine spatial analysis, entomological studies, and community-based research to better understand how maize cultivation influences malaria risk. It will also involve farmers and other stakeholders in shaping potential interventions, reflecting a broader shift toward co-produced solutions.

The workshop, funded by The Open University, marked an important step in refining this research agenda. As the work progresses, its findings could inform policy and practice not only in Uganda, but also in other malaria-endemic countries where maize is widely cultivated. For now, the research signals a shift from isolated interventions to a more integrated understanding of how livelihoods and environments drive malaria transmission.

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John Okeya

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Course Announcement: Certificate in Water, Sanitation and Hygiene (CWASH) – 2026

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Graduands of the 2025 Certificate Course in Water, Sanitation and Hygiene (CWASH) pose for a group photo at the Makerere University School of Public Health, following the successful completion of the short course in July 2025. Makerere University School of Public Health, Mulago Hospital Complex, Kampala Uganda, East Africa.

Update: Application deadline extended to 30th April 2026

Makerere University School of Public Health (MakSPH) is pleased to announce the Certificate Course in Water, Sanitation and Hygiene (CWASH) – 2026.

This intensive and practical short course is designed to strengthen the knowledge, skills, and attitudes of professionals involved in the planning, implementation, and management of Water, Sanitation and Hygiene (WASH) services. The programme responds to the growing demand for competent WASH practitioners in local government, non-governmental organisations, and the private sector.

Course Highlights

  • Duration: 8 weeks (01 June – 24 July 2026)
  • Mode: Day programme (classroom-based learning and field attachment)
  • Fees:
    • UGX 900,000 (Ugandans / East African Community)
    • USD 500 (International participants)
  • Application deadline: Thursday, 30 April 2026

Who Should Apply?

  • Practising officers in the WASH sector
  • Environmental Health workers seeking Continuous Professional Development (CPD)
  • Applicants with at least UACE (or equivalent) and one year of WASH-related work experience

More Information

Additional details on course structure, modules, and delivery are available at: https://sph.mak.ac.ug/academics/water-sanitation-and-hygiene-wash

Important Note for Applicants

Attached to this announcement, interested persons will find:

  1. The course flier, providing comprehensive programme details, and
  2. The application form, which should be completed and returned to MakSPH together with the required supporting documents.

For full course details, application procedures, and contact information, please carefully review the attached documents. Eligible and interested applicants are strongly encouraged to apply before the deadline and take advantage of this opportunity to build practical competence in WASH service delivery.

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Mak Editor

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Makerere’s Quiet Case for Investment in Public Health Infrastructure

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Side elevation of the Makerere University School of Public Health (MakSPH) Phase II complex under construction on the Main Campus. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.

Makerere’s School of Public Health (MakSPH) is expanding faster than it can house itself. It now hosts more than 1,000 students, runs programmes across multiple countries, and anchors a large share of the University’s research output. Yet parts of its operation still spill into rented space, costing over $113,000 a year, because the infrastructure has not kept pace with its growth.

That constraint sits uneasily with the School’s economic weight. Health research accounts for more than half of Makerere University’s academic output, making it one of the University’s most productive engines. As Vice Chancellor Barnabas Nawangwe put it, “An educated population is a healthy population, and an educated and healthy population is a prosperous population.”

Beyond the university, health is not just a social outcome but a driver of economic performance. Healthier populations are more productive, more resilient, and less costly to sustain. Investments in public health, whether in prevention, systems, or infrastructure, raise an economy’s productive capacity, not just improve outcomes.

A construction worker undertakes metal fabrication works at the Makerere University School of Public Health (MakSPH) building site. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.
A construction worker undertakes metal fabrication works at the Makerere University School of Public Health (MakSPH) building site.

Institutions that generate public health knowledge and train professionals are not peripheral to growth; they are part of its foundation.

It is this logic that is shaping how Makerere’s School of Public Health is positioning itself. At its centre is a new, unfinished complex on the University’s main campus, intended to anchor the School’s next phase as a regional hub for research, training, and policy support. But like much of the system it supports, it is being built gradually, in a “build-as-you-go” approach constrained as much by funding realities as by design.


Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.

Construction of Phase II of the MakSPH complex is now at an advanced stage, with progress recorded across all sections of the site. As of March 2026, Phase 2B is nearing completion at 98%, while Phase 2A stands at 89%, and Phase 2C at 69%, each tracking close to or slightly ahead of planned targets. Current works are concentrated on interior finishes—including tiling, terrazzo installation, and external rendering—as well as preparations for lift installation, signaling a transition from structural works to final detailing. The project team is working toward a practical completion date of August 31, 2026, with timelines calibrated to align with broader resource flows and implementation considerations.

Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.

Six years ago, in February 2020, construction began on what will be the new home of the School of Public Health. The building, a permanent, purpose-built public health facility on Makerere’s main campus, will accommodate a growing student body, provide space for doctoral and postdoctoral fellows, and strengthen the University’s ability to respond to Africa’s most pressing public health challenges.

Professor David Serwadda, Professor Emeritus at Makerere University and Chair of the MakSPH Infrastructure Fundraising Committee, said the construction journey reflects the School’s “ambition, intent, and courage”—a bold step despite limited resources. He was speaking at a public lecture on health financing held at Makerere University on April 9, 2026.

But the ambition behind the project is not modest. “We are not building for today—we are building for the future,” said Professor David Serwadda, reflecting on a decision that shaped the entire construction effort. “We need to build for the next 100 years.”

Professor David Serwadda, Professor Emeritus at Makerere University and Chair of the MakSPH Infrastructure Fundraising Committee, speaks at a public lecture on health financing for Uganda’s future, held on April 9, 2026. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.
Professor David Serwadda, Professor Emeritus at Makerere University and Chair of the MakSPH Infrastructure Fundraising Committee, speaks at a public lecture on health financing for Uganda’s future, held on April 9, 2026.

That long view helps explain both the scale of the project and the risks taken to start it. When construction began, the School did not have the full funding. “We started with about a third of the required budget,” Serwadda said.

The approach was not without setbacks. A major grant from USAID, worth over a million dollars, was later withdrawn, midway through the construction, due to the closure of USAID. “We received what is called a ‘Dear John letter,’” he recalled. “At that moment, we felt the situation was a major blow, almost terminal for the project.”

But the project did not stop. It adjusted. “We said, let us continue, piecemeal,’” he said. “Finish the auditorium first, use it, and keep building the rest.”

“We have come a long way as the School of Public Health,” said Professor Rhoda Wanyenze, the Dean. “We are proud of that history, but we also recognize that it comes with responsibility.”

Professor Rhoda Wanyenze, Dean of the Makerere University School of Public Health, speaks at a public lecture on health financing for Uganda’s future, held on April 9, 2026. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.
Professor Rhoda Wanyenze, Dean of the Makerere University School of Public Health, speaks at a public lecture on health financing for Uganda’s future, held on April 9, 2026.

She argued that responsibility is no longer confined to Uganda. With ongoing collaborative work in more than 25 African countries currently, the Dean says this is “a responsibility to provide leadership in public health not only in Uganda but across the continent.”

The scale of that growth has been visible from what was once a small training unit in the Faculty of Medicine in the 1950s, which has expanded into 12 academic programmes and more than 1,000 students.

“When I came back for my public health training, we were about 40 students,” she said. “Now, we have more than 1,000.” “Public health is growing and evolving,” Wanyenze said. “And we are doing our best to develop the skills needed for this changing landscape.”

That includes new areas such as health informatics and data science, driven by the digitisation of health systems and the growing role of data in decision-making and AI. The School is already coordinating regional platforms on digital health, linking multiple countries in shared learning and practice.

But this growth has outpaced the physical systems needed to sustain it. For the University leadership, the implications extend beyond infrastructure.

“One of the most effective ways to invest in health in Uganda is to invest properly in Makerere University,” said Vice Chancellor Barnabas Nawangwe. “We must recognize Makerere as a research-led university with a special national role—not fund it like any other institution or department. Makerere is one of the government’s greatest assets. Invest in her, and the returns will exceed expectations.”

Professor Nawangwe hailed Dr. Ramathan Ggoobi, the Permanent Secretary to the Treasury, who delivered a keynote on investing in health for Uganda’s future in view of Vision 2040. “I wish to thank Dr. Ramathan Ggoobi and his team for their personal intervention in allocating resources in next year’s budget to complete the new School of Public Health building. That support is deeply appreciated,” he said.

Vice Chancellor Professor Barnabas Nawangwe speaks at a public lecture on health financing for Uganda’s future on April 9, 2026. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.
Vice Chancellor Professor Barnabas Nawangwe speaks at a public lecture on health financing for Uganda’s future on April 9, 2026.

Uganda’s progress in health outcomes is evident, but uneven. Life expectancy has risen significantly from about 50 years in 2000 to roughly 68.8 years in 2024, according to the Permanent Secretary to the Treasury, Ramathan Ggoobi. Yet the gains sit alongside persistent financial strain on households. About 4% of Ugandans still spend more than a quarter of their consumption on healthcare, pushing many into poverty as a result of illness.

For Ggoobi, this points to a structural gap that recurrent government spending alone cannot close. “We must mobilise long-term domestic capital without adding fiscal risk,” he argued, pointing to the need for more sustainable financing mechanisms. Central to this is the gradual design and rollout of a national health insurance scheme. Evidence from countries such as Rwanda, Kenya, and Ghana suggests that well-structured contributory models can expand coverage while reducing catastrophic out-of-pocket spending.

Dr. Ramathan Ggoobi with Professors Serwadda, Wanyenze and Nawangwe. Construction of Phase II of the Makerere University School of Public Health (MakSPH) Complex, Eastern Gate, Main Campus, Kampala Uganda, East Africa.

“My Ministry and the School of Public Health must be partners. … Evidence framed in fiscal terms drives policy,” said Ggoobi, stressing the need for locally grounded solutions. “What works in Ghana might not work here. We need a model that fits Uganda.”

Uganda’s current macroeconomic conditions, relatively low inflation, currency stability, and expanding private credit may provide a window to move in that direction.

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Davidson Ndyabahika

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