Health
Oscar Arac Triumphs Out of his Troubled Past to a Makerere University First Class Star
When Arac Oscar was abducted in S.1 at Alito Secondary School in Kole District by the self-appointed ‘messiah’ of the Lord’s Resistance Army (LRA) Joseph Kony, his world had come to an end. He could never believe that he could have any other opportunity to shape his future through education.
In those days, the spiritualist rebel group abducted thousands of children and adults to serve as porters and also fill the ranks of Kony’s Army.
But as luck would have it, despite a troubled background, he emerged in the top quarter of his class with a First Class of 4.49 in Bachelor of Environmental Health Sciences housed at Makerere University School of Public Health under the College of Health Sciences.
We walk you his life journey of how he beat the odds to become today’s star. Born to the late Arac George and Esther Akello in April 1987, Oscar doesn’t have any memory of what his father looked like.
When he was born, he was told that his father passed on, shortly after his mother conceived; “My mother was 6 months pregnant. I wasn’t born yet and my father passed away. I am told he was a UPDF soldier who died at a rank of Sergeant. At that time, I am told that there was limited attention to photography in my village. As of today, I can’t figure out how he looked like”
He grew up under the care of his beloved maternal grandfather, the now late Mathias Obuku who stepped in to fill the father gap at Angwengotop village, Amuge Parish, Alito sub-county in Kole district.
His past, he says has shaped his view of life and influenced his life. In 1993, Osar Arac enrolled to Agoma Primary School where completed his Primary Leaving Examination and passed in 2nd division in 2001. He would later be admitted to Alito Secondary School where he studied for only one year but later transferred to Aculbanya Secondary School, also in Kole District in 2003 after the unfortunate abduction incident. He was here until 2005.
Arac recollects the ugly days of his childhood when he was abducted by the LRA when one day in the wee hours of the morning in June 2002 when they invaded his school, a few meters from his home and was abducted alongside other people he can’t recall.
At the age 13 then, Arac says his dream of ever going back to school had been shattered by the incident. It seemed mission impossible but kept patient and resilient until an opportunity presented itself for him to escape.
“I remember I had just turned 13 that year. My Guardian could not afford boarding fees. I, together with other colleagues rented a small room near the School to cut on the cost of living at the school dormitories. One night, the rebels invaded our school and took us along with them,” recalls Arac.
They trekked from Pajule via Pader district into the deep of the jungles. “This was horrific. I used to hear that the rebels would abduct people but had never witnessed. It was my turn. It felt like a dream but I realized I was under captivity when all my freedom was gone. I would spend almost every day of my three months in the bush crying. Sometimes I would fail to walk and they carry me on their shoulders in turns,” says Arac.
What kept him strong was the zeal for education he had. “Escaping from captivity was my priority and I badly wanted to go to back School,” says Arac.
Three months later, he says he, alongside other children were rescued by the UPDF soldiers when the rebel groups were attacked. Eventually, he was handed over to Red cross team which drove him to his home.
But he was living in fear of being abducted again by the rebels. At his tender age, he most times stayed awake in the nights in case the rebels came hunting for him.
This childhood experience however, would later torment his childhood life and subsequently affected his performance at School. But aware of his background, Arac says he knew the meaning of education and knew he would shape his future well only if he studied. He pursued his academics despite the numerous challenges along the way. In 2005 for instance, he passed his Ordinary Level Education with a 2nd Division grade at Aculbanya Secondary School.
He was then, admitted to a missionary School -Comboni College in Lira for his Advanced Level. He obtained 11 points in Physics, Chemistry, Biology and Agriculture (PCB/A). These marks, earned him an admission to study a Bachelor of Science in Nursing at Gulu University in 2008. This was however on Private and he could hardly raise any fees to pursue the course. He was told however that he would win a government slot if he went for a Certificate or Diploma in a tertiary institution.
In fact, his Uncle, Mr. Jasper Okello, an Environmental Health Officer in Otuke District inspired him to pursue a career by doing a Diploma of Environmental Health at Mbale School of Hygiene in 2008 which he enrolled, later graduating with a CGPA of 3.93 in 2010.
“I loved how he conducted himself. Changing the health status of the community he worked in made me love the course. When I joined the course, I found it unique because it was a course where you get field experience by engaging with communities, change their health behaviors and make them responsible for their health,” says Arac.
While at Mbale School of Hygiene, Arac says he juggled between work and studies. He obtained a job as a pump attendant “I faced a lot of financial challenges since I am the bread-winner in the family.”
Following his Diploma, Arac says he tried several job opportunities fruitlessly. He recalls the days he applied to work as a Health Inspector in Kole, Alebtong, and Otuke District but could not get a slot.
After several unsuccessful attempts to get a job, Arac says a friend urged him to join the the Uganda Peoples Defence Forces (UPDF), which at that time was recruiting health professionals and that is how he joined the Army in 2011. Upon completion of his training, he got deployed as a Health Inspector with the Chieftaincy of Medical Services under the Directorate of Public Health, UPDF.
In 2016, he was admitted to Makerere University but could not proceed with the the course because of financial calls. He applied again and in 2018, Arac was admitted on Bachelor of Science in Environmental Health Sciences at the School of Public Health, Makerere University.
Being a privately sponsored student, it meant that he had to continue work to secure his tuition and fend family. “The course is so practical and it demanded almost all my personal time. But I pressed on. I am thankful to the UPDF family especially the Education Implementation Board for giving me an opportunity to study,” says Arac.
His inspirational quote is from Harriet Tubman; who once said ‘Every great dream begins with a dreamer.’ I am very excited that I am here as one of the best students,” says Arac.
Arach attributes his outstanding performance to teamwork, and not just an individual effort, a trait he has since learned from the forces.
Health
Makerere Researchers Find Psychological Therapy Effective in Improving Diabetes Care in Uganda
By Nelson Bahati
Researchers from Makerere University‘s School of Psychology have found that psychotherapy intervention can improve the well-being of adults living with Type II diabetes mellitus, opening the door for integrating psychosocial support into diabetes care in Uganda.
The findings were disseminated on 16 June 2026 during a research dissemination workshop held at the Physiology Lecture Theatre at the College of Health Sciences, Mulago Hospital.
Led by Professor Peter Baguma, the study titled “The Effectiveness of Cognitive Behavioural Therapy for Diabetes Distress, Depression, Health Anxiety, Quality of Life and Treatment Adherence among Adult Patients with Type II Diabetes Mellitus” investigated whether Cognitive Behavioural Therapy (CBT), a psychological treatment that has proven effective in Western countries, could also work in the Ugandan context.
Presenting the findings, Professor Baguma said the study was motivated by the growing burden of diabetes and the psychological challenges that often accompany the disease but are rarely addressed in routine healthcare.
“Diabetes affects many people in Uganda and across the world. It kills, and those who live with it face many challenges. While psychological interventions have been developed and applied in the Western world, we did not know whether these approaches could work in Uganda. That is why we decided to undertake this study,” he said.
He explained that Cognitive Behavioural Therapy focuses on changing negative thoughts and behaviours that affect people’s wellbeing and ability to manage chronic illnesses.
The researchers sought to determine whether CBT could reduce psychological distress among diabetes patients and improve treatment outcomes.
The controlled study involved 200 adult participants with Type II diabetes mellitus. One hundred participants received the CBT intervention while another 100 formed the control group. Participants in the intervention arm attended eight counselling sessions over four months, with each session lasting between one and one-and-a-half hours.
The therapy covered several modules, including psychoeducation on diabetes, cognitive restructuring, medication adherence, problem-solving, coping strategies, physical exercise, relaxation techniques and strategies for maintaining treatment.
According to Professor Baguma, the findings showed that psychotherapy significantly improved participants’ wellbeing.
“The group that received the intervention experienced reduced stress levels and lower blood sugar levels compared to those who did not receive the therapy. We conclude that CBT is effective and should be adopted as part of diabetes care,” he said.
The study also yielded another important discovery.
“We have discovered that CBT as practised in the Western world is somewhat narrow. Their manual contains only eight elements. In Africa, we found that three additional components are necessary: effective communication between patients and health workers, goal setting, and instilling hope among patients. We call this African CBT,” Professor Baguma explained.
He added that the findings had also revealed the need to incorporate psychosocial care into the management of chronic illnesses and to train healthcare workers to address the psychological dimensions of disease.
Professor Andrew Marcel Otim, one of the co-investigators and founder of the Uganda Diabetes Association, said the study had brought to the fore an aspect of diabetes care that has long been neglected.
“There have been many efforts to address the physiological effects of diabetes, but we have largely ignored the psychological part of the disease. Yet the psychological aspect is huge,” he said.
He added that, diabetes management should go beyond medication but rather intergrate other components of care.
“Education, nutrition, exercise and self-monitoring are extremely important. Even simply knowing what to do is a very powerful intervention. Psychological distress and depression can increase blood sugar levels, so we need to help patients remain calm and hopeful,” he said.
Drawing from his experience as a clinician and educator, Professor Otim encouraged people living with diabetes to embrace physical activity.
“I tell my students and my patients to put on some music, dance, sweat and enjoy themselves. Nutrition, education and exercise remain central to managing diabetes.”
Dr. Wilber Karugahe, a counselling psychologist at Makerere University‘s School of Psychology and one of the co-investigators, said the findings demonstrate the need to integrate psychological care into the management of chronic diseases.
“A lot of studies focus on physical illness and not the psychological conditions that accompany these illnesses. This study confirms that diabetes has a significant psychological aspect and that patients need psychological interventions as part of their care,” he said.
Explaining the essence of Cognitive Behavioural Therapy, Dr. Karugahe noted that the approach helps people restructure their thoughts and behaviours.
“Imagine putting a sticker on your fridge that reminds you that some foods are not good for you and that healthier options are better. That is CBT. It helps people change the way they think and behave, and it can be used to address many behavioural challenges.”
The dissemination workshop was also attended by officials from the Ministry of Health, including Mrs. Christine Ninsiima Ahimbisibwe, Senior Programme Officer for Mental Health and Substance Abuse Control, and Mrs. Patience Butesi from the Department of Mental Health and Drug and Substance Abuse.
Mrs. Ahimbisibwe welcomed the findings and emphasised the need to integrate the study’s recommendations into Uganda’s clinical guidelines to enable healthcare workers to provide psychosocial support to patients living with chronic illnesses such as diabetes.
The human impact of the intervention was perhaps best illustrated by testimonies from participants who underwent the psychosocial training.
Tebugulwa Josephine, a retired teacher and employee at Mulago National Referral Hospital, said the intervention restored hope in her life.
“When we first joined the programme, we thought we were moving dead people. But now we have hope. I have hope of reaching 90 years. We were taught how to exercise and take care of ourselves. Even our families no longer treat us as sick people because we can now walk and participate in daily activities.”
Another participant, Bunje Joice, described the intervention as life-changing.
“People had already given up on me and were waiting for me to die. I could hardly walk, but now I can walk long distances and my diabetes levels have improved. Physical exercise has become my first medicine.”
Kyomuhendo Kate said the programme helped her manage stress and improve her health.
“I was so stressed and my legs were swelling, but after attending the treatment sessions, I am now much better.”
Sebuliba Bernard said the training transformed how he manages his condition.
“They taught us how to exercise, how to live and how to eat. If we follow what we were taught, we can change our lives.”
Based on the findings, the researchers recommended scaling up the intervention to district, regional and national referral hospitals, integrating psychosocial interventions into the training of health workers, and undertaking policy reforms to strengthen mental health support for people living with chronic illnesses.
The study was funded by the Makerere University Research and Innovations Fund (Mak-RIF) and brought together researchers from psychology and medicine, including co-investigators: Dr. Fredrick Nakwagala, Dr. Wilber Karugahe and Dr. Anne Ampaire.
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