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The 2020 COVID-19 Non-Pharmaceutical Containment Measures – Adherence and Impact on Livelihoods in Rural Uganda

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By Dr. Dan Kajungu and MUCHAP/IMHDSS Team

Uganda is currently experiencing a second wave of the COVID-19 pandemic with an upsurge of cases. The country registered an 81% increase in the number of COVID-19 cases between March and April 2021, which indicates resurgence or another wave in the pandemic. From 200 cases per day in April, now the country is recording over 500 cases per day. The vaccines uptake has improved only recently, and the population has ignored the Ministry of Health (MoH) Standard Operating Procedures (SOPs) meant to contain transmission. Since March 2021, when the COVID-19 AstraZeneca vaccine was introduced, about 541,569 persons have so far been vaccinated.

On 6th June, new control measures were announced to mitigate the transmission. The Makerere University Centre for Health and Population Research (MUCHAP) which runs a longitudinal population-based cohort of Iganga and Mayuge districts (Iganga Mayuge Health and Demographic Surveillance Site) conducted a community survey to understand how citizens responded to the non-pharmaceutical interventional measures, and the impact on their livelihood. This survey was part of the routine community surveys that a typical health and demographic surveillance site conducts to understand the population dynamics in population cohorts. The hybrid survey involved about 2,000 households in rural and peri-urban settings using a questionnaire that adopted some questions from the Wellcome Trust COVID-19 tool. It was a hybrid of on-phone and physical interviews conducted between July and August 2020 right after the relaxation of restriction in Uganda. Community based surveys provide information on what to expect when piloting and implementing interventions in populations. In addition to the demographic and household characteristics, questions sought to understand the extent of community adherence to COVID-19 control measures and probed about the impact on socio-economic and access to health services.

Adherence to preventive measures: The survey found that 94% of the respondents adhered to COVID-19 non-medical control measures that were enforceable by security personnel. It was different for non-pharmaceutical measures that were largely dependent on individual enforcement or discipline and this averaged at 43% of the respondents. Six in ten respondents reported doing most of their work from home and half (50%) avoided seeking medical care at health facilities during lockdown.

The non-pharmaceutical guidelines included using preventive actions like social-distancing, hand washing with soap, the use of alcohol-based hand sanitizing gels as well as wearing of face masks. Citizens were encouraged to stay at home with the exception of essential workers who rendered critical services. Some community members could not adhere, not because they do not take it as a priority but because of the cost implications.

Socio-economic impact: There was change in the living arrangement in 12% of the households mostly because someone moved out or into the household. Community members reported a reduction (64%) in the income for household members with some experiencing a complete stop in earnings (6%). Residents in rural settings reported more reduction in income compared to Peri-urban residents (78% vs 74%). There are seemingly unique circumstances that need to be considered as interventions and decisions are made. For instance, it should not be surprising that a household cannot afford to have a bar of soap, a face mask, an alcohol-based hand sanitizing gel and social distance because of the living structures. In some cases, even accessing water is a luxury for some homes. There are some homesteads that are unable to grow food or earn an income from selling cash crops because they leased their pieces of land for large scale sugarcane growing 3 or 4 years ago, with just a house and a few feet of compound to spare. Unfortunately, such individuals have no access to social media where they can express their predicament.

The survey further found out that during the 2020 lockdown period, there was a general increase in violence against men, children, and women. There were cases of child neglect as well as marital problems. The survey found that 53% of the respondents reported increase in marital problems, while violence against women during the lockdown was reported by 51% of the respondents and was more common among rural residents compared to their Peri-urban counterparts. Residents could not access what they considered essential needs like transport and education services, which were directly affected by government directives and other community services. Communication was the most affected essential service reported.

Access to Health Services: 26% of the interviewed community members who were on daily medication due to a chronic or long-term condition reported running out of drugs during lockdown. Non-affordability due to the cost was the main reason in 54% of respondents, while 19% reported cases of stock-outs at both public and private health facilities and 10% were restricted by lockdown measures.

In another review of the immunisation records at Busowubi Health Centre III in Iganga district, it was clear that during the lockdown, utilisation of immunization services was severely affected (manuscript is undergoing peer review). Children did not complete their scheduled vaccine doses which calls for catch up vaccination drives. People could not go to health facilities because of fear of acquiring infection and restricted movements of boda-boda.

Please see Downloads for the detailed report.

Mark Wamai

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RMIT Centre for African Engagement (CAE) PhD Scholarships

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RMIT University Australia's Centre for African Engagement (CAE). Photo: ImageFX - Photorealistic

RMIT University Australia’s Centre for African Engagement (CAE) invites suitably qualified citizens of African Countries for the PhD Scholarships outlined below. Please click the respective links for detailed requirements.

Two STEM scholarship with a deadline of 14 December.

A spatial governance modelling framework for enhancing vulnerable road-user safety in Sub-Saharan Africa

Point-of-Care Bilimeter for Neonatal Jaundice Management in African Healthcare Settings

One Design and Social Context opportunity with a deadline of 30 November. 

Junior Black Rhinos: Building the impact evidence for supporting inclusive education

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Makerere University and Ministry of Public Service Study Reveals Impact of Salary Enhancement on Teacher Performance in Uganda

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Collaborative study by Makerere University and the Ministry of Public Service titled “Impact of Salary Enhancement on the Performance of Secondary School Teachers in Uganda,” was funded by the Government of Uganda through the Makerere University Research and Innovations Fund (Mak-RIF), handover of report by Dr. Cyprian Misinde, Director Quality Assurance to Minister Hon. Wilson Muruli Mukasa, 13th November 2025, Kampala Uganda, East Africa.

Mak-RIF funded research highlights disparities between science and arts teachers and their implications for Uganda’s education system.

A collaborative study by Makerere University and the Ministry of Public Service has shed new light on how salary enhancement affects the performance of secondary school teachers in Uganda. The study, titled “Impact of Salary Enhancement on the Performance of Secondary School Teachers in Uganda,” was funded by the Government of Uganda through the Makerere University Research and Innovations Fund (Mak-RIF).

The research was prompted by the Government’s 2018 pay policy that significantly increased salaries for science teachers, while arts teachers remained at a lower rate. By 2022, science teachers had achieved 77% of the approved pay target, while that of arts teachers remained at 12%.

Researchers, led by Makerere University’s Dr. Cyprian Misinde, have noted that these disparities have far-reaching implications on the quality of education, the National Development Plan (NDP III Goal 5: Human Capital Development), the emerging NDP IV framework, and the Sustainable Development Goals (SDGs), particularly SDG 4 (Quality Education) and SDG 10 (Reduced Inequalities).

Assessing the Effects of Pay Enhancement

The study set out to assess the impact of salary enhancement on teacher performance, focusing on motivation, retention, student outcomes, and perceptions of both science and arts teachers.

Using a mixed methods approach, researchers collected data from 1,352 secondary school teachers (617 science and 735 arts teachers) across 14 sub-regions. Additionally, 28 key informant interviews were conducted with head teachers, alongside 28 focus group discussions (FGDs) with students.

Key Findings: A Divided Teaching Workforce

The findings paint a stark contrast between science and arts teachers:

Science teachers reported high motivation (80.5%), strong perceived performance (76.5%), greater retention intent (39.1% planning to stay until retirement), improved student outcomes (64.5%), and enhanced morale (80.5%). Arts teachers, however, experienced lower motivation (25.5%), reduced performance (17.8%), lower retention (27.5%), weaker student outcomes (15.2%), and diminished morale (26.6%).

Across the board, 85.3% of all teachers agreed that higher salaries improve retention, reaffirming that pay remains a critical driver of teacher performance and commitment.

“While the pay policy has strengthened science education, it has unintentionally widened disparities that could undermine equity and holistic quality education in Uganda,” the report reads in part.

The study also found that salary enhancement alone was not accompanied by proportional investments in other key performance enablers such as school infrastructure, teaching materials, and instructional resources which are equally vital for improved educational outcomes.

Policy Implications and Recommendations

The report cautions that prolonged disparities could lead to growing division between science and arts teachers, teacher demotivation, workforce instability, and uneven student performance, potentially hindering NDP IV’s goal of sustainable human capital growth.

The researchers called for a review of the implementation modalities of the pay policy to minimize salary disparities between science and arts teachers, thereby promoting balance, morale, and fairness across disciplines.

While the emphasis on science aligns with NDP III’s focus on STEM and human capital development, neglecting the arts undermines the holistic learning. Researchers called for an urgent need for balanced reforms to align with NDP IV and SDGs 4&10. 

Leaders Weigh In

Speaking at the dissemination of the study, the Minister for Public Service, Hon. Wilson Muruli Mukasa, reaffirmed Government’s commitment to improving teachers’ welfare.

“The Government approved a public pay policy which includes progressive salary enhancement for secondary school teachers, particularly those teaching science subjects,” said Hon. Mukasa. “By FY2025/26, UGX 2.5 trillion has been committed to salary enhancements. However, even among teachers whose salaries were enhanced, some are applying for early retirement and their motivation to teach has declined. This study was hence commissioned to understand the immediate and future impact of this pay reform,” he added.

Hon. Mukasa further noted that the Ministry of Public Service sought technical support from a Mak-RIF–funded project to better appreciate the impact of salary enhancement and to guide future pay reforms.

The State Minister for Gender and Cultural Affairs, Hon. Peace Mutuuzo, echoed similar concerns, urging stakeholders to reflect on the challenges within the education sector and prioritize strategies that ensure equity and sustainability.

Strengthening Collaboration Between Makerere University and Government

The study is one of the first results of the Memorandum of Understanding (MoU) signed in January 2024 between Makerere University and the Ministry of Public Service.

According to  Prof. Robert Wamala, a member of the Mak-RIF Grants Management Committee, the partnership is a strategy to strengthen evidence-based policy and governance.

“The MoU between Makerere University and the Ministry of Public Service is collaborative journey which forges a stronger bond between academia and Government for the greater good of society,” said Prof. Wamala.

Through the MoU, Makerere University and the Ministry of Public Service have committed to joint research projects, policy-oriented studies, data management and dissemination, capacity building, curriculum development, and monitoring and evaluation of collaborative initiatives.

Author: Winnie Kyamulabi is the Communications Officer, Makerere University Research and Innovations Fund (Mak-RIF)

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From Grassroots to Global Stage: African Scholars Map the Future of AI

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Prof. Vukosi Marivate delivers the Third Keynote Address on Day 2 of the 5th ARUA Biennial International Conference on 30th October 2025. Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.

The African Research Universities Alliance (ARUA) 5th Biennial Conference is underway at Makerere University, and Day 2 has kicked off with a keynote address from Prof. Vukosi Marivate. The keynote speaker and ABSA-UP Chair of Data Science at the University of Pretoria delivered his address under the theme “Research, Innovation & Artificial Intelligence for Africa’s Transformation: The Power of the Grassroots”.

Prof. John Owusu Gyapong (Left), Prof. Sizwe Mabizela (Right) and other delegates follow proceedings. Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Prof. John Owusu Gyapong (Left), Prof. Sizwe Mabizela (Right) and other delegates follow proceedings.

Prof. Marivate reminded the audience that Africa’s AI journey is growing from the ground up, powered not by huge institutions but by determined communities and university-based innovators who refuse to wait for permission to build. He spoke passionately about initiatives like Masakhane and the Deep Learning Indaba, which have transformed African language research and expanded technical capacity across the continent. Rather than chasing prestige journals alone, he emphasized work that actually serves African people: building language models, releasing open-source tools, nurturing talent and keeping researchers rooted on the continent. In his words, the future of African AI will be shaped by local builders who choose their own path, invest in research, and create technology guided by real community needs, not external validation.

Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Prof. Kayode Oyebode Adebowale.

The keynote address was followed by a round discussion moderated by Prof. Kayode Oyebode Adebowale, Vice Chancellor of the University of Ibadan and speakers emphasized that Africa’s AI future will be built through deep, intentional collaboration. The discussion was centered on a theme: Collaboration of Networks (Promoting Collaborative Research and Innovation Networks in AI in Africa). They noted that the question is no longer whether AI will reshape society; it already is. The real task now is ensuring Africa shapes AI in a way that advances prosperity, equity and shared opportunity. Panelists highlighted that isolated excellence will not deliver transformation. Instead, the continent needs networks that pool expertise, resources and vision across universities, sectors and borders.

Prof. Sharon Fonn. Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Prof. Sharon Fonn.

Prof. Sharon Fonn of the CARTA Consortium stressed the value of co-created knowledge systems and shared investment in research platforms. She showcased CARTA’s AI-driven research visibility tool, which is already helping African scholars connect findings to policy and practice. Prof. Anthony Egeru of RUFORUM grounded the conversation in agriculture, reminding delegates that AI must reach the acre, not just the algorithm. He emphasized practical innovation that improves smallholder farmers’ productivity and livelihoods, especially through youth-led agritech ventures. From PASGR, Mr. Jim Kaketch underscored that social scientists must not be an afterthought in AI governance, urging frameworks that safeguard ethics, accountability and citizen inclusion.

Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Prof. Anthony Egeru.

Mr. Jim Kaketch, Senior Programme Officer, Research and Policy Uptake at the Partnership for African Social and Governance Research (PASGR). Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Mr. Jim Kaketch, Senior Programme Officer, Research and Policy Uptake at the Partnership for African Social and Governance Research (PASGR).

Dr. Rachid Serraj from Mohammed VI Polytechnic highlighted the power of industry-university partnerships and hands-on innovation models that prepare young Africans to build, not just consume, AI tools. Prof. Akinyemi added that African universities must rethink promotion and reward systems to recognize innovation, impact and cross-disciplinary work. The panel’s shared message was simple but powerful: Africa has talent, vision and momentum. What is needed now is aligned investment, harmonized policies and a commitment to build AI ecosystems that reflect African priorities and enable African creators to lead from the front.

Dr. Rachid Serraj, Director for Africa Initiative, University Mohammed VI Polytechnic, Morocco. Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
Dr. Rachid Serraj, Director for Africa Initiative, University Mohammed VI Polytechnic, Morocco.

Prof. Akanni Akinyemi.
Prof. Akanni Akinyemi.

The keynote address and roundtable discussion were followed by the the Fourth Keynote Address delivered by Dr. Adama Ibrahim, Vice-Chair of the Science for Africa Foundation, and a Special Panel of the O.R. Tambo Research Chairs Initiative chaired by Makerere University‘s Dr. Joyce Nakatumba-Nabende. The session tackled themes such as: Application of AI in Research and Innovation in African Universities; Building AI Capacity and Talents in African Higher Education Institutions; Promoting Collaborative Research and Innovation Networks in AI in Africa; Research, Innovation and Artificial Intelligence for Africa’s Transformation; and AI and Creative Economies.

The Chair of the Special Panel of the O.R. Tambo Research Chairs Initiative, Dr. Joyce Nakatumba-Nabende (Left) with panelists after the session. Day 2 of the 5th African Research Universities Alliance (ARUA) Biennial International Conference on Research, Innovation and Artificial Intelligence, October 30, 2025 hosted by Makerere University, Kampala Uganda, East Africa.
The Chair of the Special Panel of the O.R. Tambo Research Chairs Initiative, Dr. Joyce Nakatumba-Nabende (Left) with panelists after the session.

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