Ms. Audo Tabitha graduated top of her class with a CGPA of 4.63 in the Bachelor of Environmental Health Sciences (BEHS), Makerere University School of Public Health (MakSPH).
Motivated to beat the statistic that none of the Irarak-Iworoi clan and her entire family has ever gone to university and obtained a degree, Ms. Tabitha Audo is graduating from Makerere Universiy, top of her class with a 4.63 CGPA in Bachelor of Environmental Health Sciences —BEHS.
Ms. Audo is overjoyed about accomplishing a major milestone of becoming the best performing undergraduate student at Makerere’s School of Public Health and setting the pace for her siblings.
She was born to Ms. Mary Immaculate Kiria and the late John Peter Ameu in April 1992 in Opiin village, Atiira Subcounty, in the Eastern Uganda District of Serere.
At the age of 6, Audo lost her father and that meant that the burden of raising her was left to her peasant mother. She was lucky that her step-mother Apio Angella, a VHT of Atiira Subcounty stood hand-in-glove with her mother to support her through her studies.
She sailed through her Primary education between 1998 and 2004 with the support of both mothers and obtained 19 aggregates at Apokor Primary School, Serere.
Dr. Rhoda Wanyenze, MBChB, MPH, PhD, is a Professor and Dean of Makerere University School of Public Health (MakSPH) congratulates Ms. Audo Tabitha (Left).
In 2005, she joined Rhema High School and sat her Uganda Certificate of Education in 2008 and obtained 43. But she would persist.
She had no hopes of joining A ‘level until a good Samaritan, Ms. Akwi Christine, the now the Assistant District Health Officer Serere District Local Government, currently acting ADHO- Environmental Health identified her and encouraged her to join Mbale School of Hygiene. “She encouraged me to join the Course after seeing my conditions in our home. She also helped me to get a sponsorship under Mvule Trust Fund to pay for the certificate Course,” recalls Audo.
Between 2009 and 2011, Ms. Audo concentrated on acquiring a Certificate in Environmental Health which she excelled with a Distinction at Mbale School of Hygiene before upgrading to a Diploma in 2014-2016 which she equally scored highly with CGPA of 4.62.
“The institution had motivated us that when you would pass a certificate, they would give you a government scholarship. However, when I passed with a distinction, I learnt that the government scholarship had been scrapped for upgraders. God blessed me to get a job immediately where I got money to pay for my Diploma.”
Audo says studying her Diploma was the hardest because it was a full-time study program that required a lot from her. Yet, additionally, she was paying fees for two of her siblings, one in Secondary School and another in a Tertiary Institution.
“I also had to pay for myself and I had just got a loan to support my tuition needs. It also happened that I had a baby who was just 8 months old. It was tough on me to pull of that Diploma. It was very tight to balance but I had to keep moving,” says Audo.
She recalls her low moments in School to manage family, work, and School. She said the initial loan cleared her two semesters and also paid for her siblings’ fees but it wasn’t sustainable in the long run.
“I was with Atai Faith in the same class. They knew my situation and supported me through discussion groups and with their help, I was also able to concentrate like any other person. I learnt that if you keep focused, even when challenges come, you still find ways. You can’t just sit down and say; ‘now, I can’t do anything’,” Audo recollects.
Her family background played a huge role in shaping her views on education and her desire to change her destiny. She says the pain her mother suffered in search of money to pay for her fees was an eye opener to her.
“My mother is a peasant. She stopped in S.2 and she didn’t have any job with her. She used to get weekly loans in village groups. I used to see all that suffering she was going through. Even feeding, everything was difficult. It gave me a motivation that ‘I don’t want to live in this kind of life again. So, even after I got a job, I wanted to relieve her from that suffering and that is why I had to carry the responsibility to pay fees for my siblings,” Audo reveals.
Joining MakSPH
In 2014, while Audo was still studying at the School of Hygiene -Mbale, the School held a careers session where a one Abel Wilson, then a Student at MakSPH spoke to them about the opportunities to advance their career through a Bachelor of Environmental Health. She was on the look-out until an advert for diploma entry-government admissions came out.
“Of course it was following Abel’s visit to School of Hygiene. So, I kept on waiting for the time of the advert and when it came, the first person who forwarded it to me was my supervisor, by then, the Serere District Town Council Clerk,” recounts Audo.
Mukula Max Martin, the former Serere Town Clerk, who is now the Deputy Chief Administrative Officer Buvuma, a Central Uganda District coterminous with the Buvuma Islands scattered in Lake Victoria pushed Audo to study and further advance her career in 2018.
Some of the graduands of BEHS programme in a group photo with the Principal Registrar of MakSPH Ms. Gladys Khamili shortly after graduation.
“Mukula motivated me and told me that he was sure I could make it. He told me I should study when I was still young and finish. He cautioned me against being comfortable and assured me that if I get admitted, I would get a study leave,” Ms. Audo says.
Her admission in 2018 was the proudest moments of her life but more to parents, she recalls. “The family didn’t know what government sponsorship means. But for them, they were overjoyed that I was going to study from Makerere University. They were happy for me because for the first time, I was going to stay in Kampala.”
Her admission however came on the heels of her promotion to Health Inspector of Serere District that had been affected in March 2018. She thought given that she had just been promoted, it would be difficult to secure a study leave; “My immediate boss, Mr. Mukula called me to his office and congratulated me. He straight away started processing for my study leave. When my study leave was approved by the district service commission in November 2018, it was with pay and this was a serious relief.
Her appeal to bosses is to never seat on employees’ opportunities to study and believes any employee with interest and opportunity to study should be given a chance. She is passionate about changing the health situation in her current employment station. Although she dreams of working with the Ministry of Health, international organisation such as the United Nations, UNICEF.
Ms. Audo Tabitha (Extreme Right) together with her colleagues L-R; Mike Wejuli, Irene Nakaziba and Arac Oscar all of whom obtained first Class Degrees in BEHS of Makerere University.
Audo says she is interested in improving water and waste management situation in Uganda’s towns/cities. “When you look at our towns, both liquid and solid waste is a serious gap that we have to work on. Waste is everywhere, people are not sorting waste, it’s not being well managed I should say. Look at the towns, small or big. I expected Kampala to be better. Even liquid waste, over floors are everywhere every time and we need to surely improve!”
He key take away from the course is the diversity of knowledge in all fields. “Being a preventive medicine course, that involves working directly with the community to address problems, the course is one of those that involves you and builds your research capacity. I admire the level of research and quality of researchers at School.”
The College of Health Sciences (CHS) Leadership in a group photo at the 72nd Graduation Ceremony. Photo by Davidson Ndyabahika
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.
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.
“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.
“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.
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.
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.
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
Attached to this announcement, interested persons will find:
The course flier, providing comprehensive programme details, and
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.
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.
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 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.
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.
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.
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.
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.
“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.