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ACU: Call for Research Consultants

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The Association of Commonwealth Universities (ACU) is seeking research consultants to support a mapping and analysis exercise of global research capacity strengthening activities to inform the development of a research capacity strengthening pillar of the UK Foreign, Commonwealth & Development Office’s (FCDO) new Climate Adaptation and Resilience (CLARE) programme.

The main aim of this post is to contribute to a short-term study which helps to assess the current landscape of research capacity strengthening activities, including providers, programmes, tools and recipients across the African and Asian-Pacific regions. The consultants should be based in one of the following regions:

  • North Africa
  • West Africa
  • East and Southern Africa
  • South and Southeast Asia
  • South Pacific

The timeframe of the project is August – September 2022. The main responsibilities of the post will include:

  • The validation and assessment of a study framework
  • Desk-based research to apply the study framework
  • Conducting a minimum of 5 key informant interviews
  • The identification of existing gaps or deficiencies in capacity strengthening initiatives within their respective regions.

The candidate is expected to have a proven track record of participation in similar projects and good knowledge of the capacity-strengthening needs within the research and research-to-use setting, corresponding to their regional expertise.

For full details on this position and how to apply, please follow this link.
https://www.acu.ac.uk/get-involved/circle/call-for-research-consultants-climate-adaptation-and-resilience-clare-programme/

The application deadline is Monday, 25th of July, 12:00 UTC

If you have any questions, please email Evgenia Likhovtseva at: evgenia.likhovtseva@acu.ac.uk

Mark Wamai

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Prof. Nawangwe launches MakGAP initiative to strengthen research: Rallies universities and researchers to liberate Africa

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Makerere University Vice Chancellor, Prof. Barnabas Nawangwe has stressed the importance of research in national development, and the necessity to manage research grants efficiently and effectively.

Prof. Nawangwe challenged universities and research managers to liberate Africa from poverty through research.  “Without research and innovations, we are not going to move our people, out of poverty,” he said during the Launch of the Makerere University Grant Administration Professionals (MakGAP) initiative held on 17th July 2025.

MakGAP will be a platform to advance the performance and recognition of research administrators at Makerere and other partner institutions of learning and research in Uganda.  

The launch of MakGAP initiative was part of the four-day Expanded Strengthening of Makerere University’s Research Administration Capacity (E-SMAC) G11 Grants Administration & Management Workshop held from 14th to 17th July 2025. He applauded the Principal Investigator-Mordecai Tayebwa for winning the grant funded by the National Institute of Allergy and Infectious Diseases (NIAID).

Encouraging national governments to invest heavily in research at universities, the Vice Chancellor highlighted that USA has developed and continued to be a dominant determinant in world affairs because of its strong universities and research centres.

 “The USA is the most important country in the world because of its immense support to its universities’ research activities. Should they cease funding their universities handsomely, they will lose. And they know it. When you fail in your research, the U. S. government does not demonise or starve you; rather, it encourages you to try again,” he said.

The Vice Chancellor decried the low research output from Africa. “Africa’s contribution to global research output is only three percent. We have now decided to change that, but government funding to universities is still a big challenge. The research budget at Harvard University is bigger than Uganda’s national budget!”

Pleased to note that over 150 participants from different universities and research entities had convened at Makerere University to attend the E-SMAC G11 Grants Administration and management workshop, Prof. Nawangwe urged universities in Uganda to work together by implementing research and projects, emphasizing that only by working together, can serious impact be made.  “We are strong together,” he stressed.

He disclosed that in three months (April to June) this year, he signed 300 research grant memoranda of understanding, pointing out that Makerere University is recognized as the most collaborative university in the world in terms of joint projects, collaborative research and joint publication. “With 100 new grants registered every month, Makerere University needs to have a critical mass of grants administration professionals to manage this huge research grants portfolio,” he argued.

The Vice Chancellor credited researchers and staff at Makerere University for ensuring that the number of publications rated by SCOPUS has increased from 700 in the Year 2017 to over 1,900 to date. He was optimistic that with the ongoing activities of the Grants Administration and Management Support Unit (GAMSU) such as training of researchers and staff in general, as well as supporting of researchers during grant application processes, the number of research publications will double.

He explained that GAMSU was established in 2020 at Makerere University, to assist and support researchers to attract and win grants.

Taking into consideration that grants are most often taxpayers’ money in donor countries, the Vice Chancellor emphasized the need for researchers to account for funds and report on the activities of grants efficiently.  “We should ensure that all our research and grant systems are working, and research funds are properly accounted for,” he advised.

 He pointed out that grants are most often taxpayers’ money in donor countries. “If we do things well, we will continue to get grants from anywhere in the world, hence the need to account properly and to watch out so that a few individuals who fail to account for the funds, don’t spoil the opportunities or the reputation of an entire university. 

Prof. Nawangwe noted that the workshop and the grant administration professionals initiative were a result of the decade-long strong partnership between Makerere University and Northwestern University (USA) that involves collaborative research, academic exchange and capacity building. In particular, the two academic institutions have deepened their collaboration in research administration under the University Administration Support (UAS) fellowship through which systems and best practices of research management are imparted.

WORKSHOP PARTICIPANTS AND TOPICS

The workshop, organized by Makerere University and Northwestern University, was attended by over 150 people comprising research administration teams from universities, and research centres.

The universities represented in the training were Makerere University, Kyambogo University, University of Kisubi, Gulu University, Mbarara University of Science and Technology, Brac University, Kabale University, Muni University, Uganda Christian University Mukono, Uganda Martyrs University Nkozi, Soroti University, Clarke International University, Busitema University and King Ceasor University.  

Vice Chancellor Prof. Nawangwe hading over a certificate of attendance to Ms Habiba Njeri Ngugi from King Ceasor University.

Targeting faculty, research administrators (RAs) and finance and central office staff of universities and research institutions, the workshop aimed to: promote mentorship and peer-to-peer learning; build the capacity of RAs and faculty in grant writing and administration; foster cross-functional collaboration across disciplines and departments; enhance ongoing and future support; and raise the understanding of budget creation and funder systems. Corollary, there were presentations and demonstrations about how to tailor grant proposal writing appropriately; budget development and justification; compliance; subcontract management, sub-recipient monitoring and memoranda of understanding; the role of grants offices; kick-off meetings with project teams; and financial management, internal controls and reporting.

Other topics taught and discussed included peer-review processes; regional and international professional recognition of research managers and administrators; understanding funding opportunity announcements; project closeout and post-award processes; benefits of and professional growth through the MakGAP, Certified Research Administrator (CRA) examination and global research administration networks such as National Council of Research Administrators (NCURA), Society of Research Administrators International (SRAI) and Research and Innovation Management Associations (RIMAs).

The workshop also helped in drafting and developing standard operating procedures (SOPs) for operationalizing and enhancing Makerere’s grants management policy.

FACILITATORS

The workshop had six key facilitators; namely Prof. Sylvia Antonia Nakimera Nannyonga-Tamusuza, Mordecai Tayebwa and Harriet Nambooze, all from Makerere University, and Kate Klein, Bethany Ekesa and Elizabeth Nicole Christian, all from Northwestern University. Tayebwa is the Program Director and Principal Investigator of the E-SMAC program which is being implemented from July 2024 to December 2025.

Prof. Nannyonga-Tamusuza hailed Northwestern University’s collaborative contributions to Makerere, emphasizing that when she was appointed to head GAMSU in 2020, Northwestern University gave her comprehensive training in the field of research management, and five more Makerere University staff have attained similar training at Northwestern.  

Prof. Nawangwe closed the workshop after officially launching MakGAP and awarding certificates to trainers and participants. He also accepted a request from Prof. Nannyonga-Tamusuza to become the patron of MakGAP.  

The workshop was financially sponsored by the Robert J. Harvey, MD Institute of Global Health of the Northwestern University, the U. S. National Institute of Allergy and Infectious Diseases (NIAID). It was facilitated by Makerere University Grants Administration and Management Support Unit (GAMSU).   

Ritah Namisango
Ritah Namisango

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Strengthening Grants Management Through Institutional Collaboration and Capacity Building

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As the funding to the higher education sector keeps on reducing due to competing priorities, universities are implored to come up with structures and strategies to attract and win research grants.

Key findings indicate that universities with institutionalized grant management offices, strong and coordinated research teams are better positioned to effectively compete for grants.

Makerere University, in partnership with Northwestern University, is spearheading the E-SMAC G11 Grants Administration and Management workshop from 14th to 17th July 2025, aimed at strengthening grant management offices and systems among the participating universities and entities.

It is envisioned that through this capacity building approach, the workshop which brings onboard over 130 participants from different universities and entities, will address the knowledge and skills gaps among faculty, grant managers, administrators and support staff.

The participating universities and entities include: Makerere University, Uganda Christian University-Mukono, Soroti University, Gulu University, Clarke International University, King Ceasor University, Kyambogo University, Muni University, Mother Kevin University, Uganda Martyrs’ University-Nkozi, Ernest Cook University, Mbarara University of Science and Technology, University of Kisubi, Kabale University, Busitema University, BRAC University, Infectious Diseases Institute, Ministry of Health, and among others.

Makerere University and Northwestern University have built a strong partnership over the past decade through academic exchange, collaborative research, and capacity building initiatives. “Since 2020, the institutions have deepened their collaboration in research administration through the UASP fellowship, sharing best practices and co-developing of sustainable systems to strengthen research management,” said Prof. Sylvia Antonia Nakimera Nannyonga-Tamusuza, Head of Grants Administration and Management Support Unit (GAMSU) at Makerere University.

She informed the participants that Northwestern University has been instrumental in building the capacity of staff at Makerere University in grants writing, management and administration.

Prof. Sylvia Antonia Nakimera Nannyonga-Tamusuza

Prof. Nannyonga-Tamusuza testified that when she was appointed to head GAMSU, she received comprehensive training from Northwestern University, which enhanced her competences and expertise in the field. She acknowledged Kate Klein from Northwestern University for the mentorship that empowered her with valuable knowledge and skills. She reported that five (5) members of staff from Makerere University had been trained by Northwestern University in grants and research management.

Filled with joy, she introduced the team of experts from Northwestern University namely Kate Klein, Bethany Ekesa and Elizabeth Christian to Makerere University, and applauded them for accepting to be facilitators. Prof. Nannyonga-Tamusuza assured the workshop participants that the team from Northwestern University would not only train them, but would share best practices in grants management and administration as well as networking opportunities.

The training workshop is part of the Expanded Strengthening of Makerere University’s Research Administration Capacity (E-SMAC) program, which focuses on enhancing research administrative systems and staff capacity at Makerere University and its partner institutions. Mordecai Tayebwa is the Program Director and Principal Investigator of the E-SMAC program being implemented from July 2024 to December 2025. The program is funded by the National Institute of Allergy and Infectious Diseases (NIAID).

The workshop provides a platform to build faculty, grant managers and administrators capacity in grant writing and management, foster cross-functional collaboration across departments, strengthen understanding of budget creation, biosketch and funder systems, encourage mentorship and peer to peer learning, and lay a foundation for regular support.

The training tackles four broader themes namely Grants Introduction and Systems, Proposal Development, Capacity Building, and Outcomes and Forward Planning. It covers vital areas such as grant writing, budgeting, funder systems, compliance, and overall grant administration. It features practical sessions, mentorship opportunities, and collaborative learning, with the goal of strengthening pre-award and post-award grant management and improving research productivity and compliance.

Acting Deputy Vice Chancellor (Finance and Administration) at Makerere University, Prof. Winston Tumps Ireeta

Opening the workshop, the Acting Deputy Vice Chancellor (Finance and Administration) at Makerere University, Prof. Winston Tumps Ireeta urged universities to institutionalize grant management offices and policies as well as strengthening research systems through collaborations.

Sharing his experience, Prof. Ireeta informed the participants that he was involved in the strategic discussion that led to the establishment of GAMSU at Makerere University. “We observed that Makerere University School of Public Health had established a grants office, which was instrumental in attracting and winning funds for research. We were inspired by this best practice. Thus, a comprehensive policy was developed to streamline and strengthen grants management across all colleges at the University,” he said.

Prof. Ireeta noted that Makerere University commits to being a research-driven institution, a strategic direction, that needs a strong funding base. ‘Research grants are therefore a key resource,” he said.

Stressing the importance of adhering to the technical details in the grants management processes, Prof. Ireeta appealed to the participants to be active listeners and maximally utilize the moment to learn from the experienced facilitators.

ProfElizabeth Balyejusa Kizito (Director Research Partnerships and Innovations Uganda Christian University) contribute to the discussion.

In the same vein, Prof. Nannyonga-Tamusuza, applauded the University Council and Management for the strategic direction undertaken to elevate GAMSU from a Unit to a Directorate. This points to the central role of the grants office in the life cycle of Makerere University. She pointed out that GAMSU reports to the Vice Chancellor through the Deputy Vice Chancellor (Finance and Administration).

Established by the University Council in 2020, GAMSU is a central office at Makerere University. It provides professional and coordinated services across the entire grant life-cycle-from identifying funding and developing proposals to ensuring compliance, project execution, financial oversight, and institutional capacity building. GAMSU works closely with academic and administrative staff to support competitive, well-managed and accountable research.

Focusing on the training workshop, Prof. Nannyonga-Tamusuza called upon the participants to utilize the golden opportunity to deepen their understanding of grants management in advancing research. She acknowledged the role of this collaboration in fostering mutual learning and the sharing of best practices, noting that such initiatives were key in ensuring that research conducted by universities aligns with global standards. She encouraged participants to engage fully in the workshop, collaborate with their peers, and build lasting connections to foster continuous learning.

The Administrative Director of the Havey Institute for Global Health at Northwestern University, Kate Klein, noted that grants administration goes beyond securing funding. She explained that grant administration is about building strong, sustainable systems that support researchers, facilitate collaboration, and ultimately contribute to solving global challenges.

Klein stated that grants administration and management require continuous learning, adaptability, and a strong foundation in regulatory and financial oversight.

“Collaborating and learning from one another is essential,” Klein stated. “When grants administration is effectively managed, it becomes a powerful catalyst for driving impactful change in research, ultimately advancing global initiatives that address the world’s most pressing challenges.”

Ms Bethany Ekesa[L] & Ms Kate Klein from Northwestern University

She urged participants to critically analyze their current systems and identify areas where improvements could be made. By doing so, they would be better positioned to manage grants effectively and maximize their impact. She guided that a research grants administrator should be able to design monitoring frameworks, liaising with funders to address grant-specific issues, coordinating compliance, budgeting and reporting to ensure timely and effective implementation.

Presenting the Existing Support Systems and Principal Investigator (PI) agreements, Prof. Nannyonga-Tamusuza pointed out the critical role of GAMSU in maximizing Makerere University’s access to grants. This is particularly important in the context of limited financial resources, where GAMSU ensures that the university effectively leverages available funding opportunities.

Prof. Nannyonga-Tamusuza explained that GAMSU ensures research projects align with the priorities of funders and comply with both institutional and external regulations. She emphasized that this alignment is essential for securing and managing grants successfully. She stated that oversight offered by GAMSU, helps streamline the process for researchers. She pointed out that grant management is a collaborative process, involving multiple stakeholders across the university, which ensures that the necessary expertise and support are in place to manage grants effectively.

Underscoring the importance of grant negotiations, particularly with sub-award grants, Prof. Nannyonga-Tamusuza clarified that such negotiations are most successful when managed at the institutional level, where GAMSU oversees the entire lifecycle of a grant-from identifying funding opportunities to post-award activities.

Harriet Nambooze, the Project Coordinator at Makerere University School of Health Sciences, provided participants with a detailed guide on navigating the National Institutes of Health (NIH) grant application process. She introduced essential tools such as Grants.gov, eRA Commons, SAM.gov and the NATO Commercial and Government Entity (NCAGE), which are critical for applying and receiving an NIH award.

Ms. Harriet Nambooze

Nambooze stressed the importance of accurately setting up roles in the eRA Commons system, including Signing Official (SO), Principal Investigator (PI), Account Administrator (AA), and Administrative Official (AO), as well as ensuring that profiles are up-to-date across various systems.

She highlighted the necessity of adhering to NIH’s strict submission deadlines and maintaining active individual and institutional profiles to facilitate timely applications. She recommended that institutions should appoint multiple Signing Officials (SOs), to avoid any delays with the required submissions.

Presenting to the participants, Mordecai Tayebwa shared a detailed, step-by-step guide to starting a new grant application. He explained the key elements of the grant process, including the necessity of including a budget, adhering to specific formatting guidelines, and uploading required documents, such as the foreign justification for international projects.

Mr. Mordecai Tayebwa

He pointed out the need of thoroughly verifying the application before submission to ascertain that all required documents are included. “This step is crucial to avoid errors that could delay or jeopardize the submission,” he said.

The first day of the workshop set a strong foundation for enhancing grant administration capacity among the participating universities. Participants were equipped with knowledge and skills in grant systems at the national and global levels.

Day two, will focus on topics such as reading funding opportunity announcements, tailoring writing, budget development and justification, sub-contract management, sub-recipient monitoring, and Memoranda of Understanding (MoUs).

On Day three, the participants will gain a deeper understanding of the Grants Office, financial management, internal controls and reporting, peer review process overview and project closeout.

On Day four, the participants will witness the launch of the MakGAP (Makerere University Grants Professional Initiative), listen to a keynote speech on grants management from the Vice Chancellor of Makerere University, Prof. Barnabas Nawangwe, as well as presentations on professional growth through MakGAP, CRA Exam, and Global Research Administration Networks, and professional recognition of research managers and administrators in Africa and post evaluation.

The first day of the workshop set a strong foundation for enhancing grant administration capacity among the participating universities. Participants were equipped with knowledge and skills in grant systems at the national and global levels.

Day two, will focus on topics such as reading funding opportunity announcements, tailoring writing, budget development and justification, sub-contract management, sub-recipient monitoring, and Memoranda of Understanding (MoUs).

On Day three, the participants will gain a deeper understanding of the Grants Office, financial management, internal controls and reporting, peer review process overview and project closeout.

On Day four, the participants will witness the launch of the MakGAP (Makerere University Grants Professional Initiative), listen to a keynote speech on grants management from the Vice Chancellor of Makerere University, Prof. Barnabas Nawangwe, as well as presentations on professional growth through MakGAP, CRA Exam, and Global Research Administration Networks, and professional recognition of research managers and administrators in Africa and post evaluation.

Ritah Namisango
Ritah Namisango

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Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group

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An illustration of students from Nabisunsa Girls’ School during a memorable tour of the School of Public Health at Makerere University on June 12, 2025. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.

Based on research led by Max Bobholz and colleagues from Makerere University in Uganda, Essentia Institute of Rural Health, and the Medical College of Wisconsin in the United States.

Adolescence is meant to be a time of holistic growth and self-discovery, but for many Ugandan teenagers, this period is becoming a season of silent mental health struggles. A new study published in PLOS Global Public Health has uncovered a silent but growing crisis: nearly one in five Ugandan secondary school students in the study areas have signs of an emotional disorder. These conditions included anxiety, depression, post-traumatic stress disorder (PTSD), and adjustment disorders often involving excessive worry, sadness, fear, or mood instability. Also, one in 20 adolescents exhibited behavioral issues ranging from attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder to substance use and other risky behaviors like alcohol use.

The study, led by Max Bobholz, a PhD candidate in Public and Community Health at the Medical College of Wisconsin, surveyed a sample of 1,953 students aged 10 to 18 years enrolled in eight secondary schools in Iganga district in Eastern Uganda and Mukono district in Central Uganda. This was one of the most comprehensive efforts yet to understand the prevalence and drivers of mental health challenges among school-going Ugandan adolescents.

“We are looking at a generation facing a complex blend of stressors, namely, academic, social, and emotional,” says Bobholz. “Our findings show that certain groups are especially vulnerable, and schools need to be equipped to respond.”

Max Bobholz, a PhD candidate in Public and Community Health at the Medical College of Wisconsin. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Max Bobholz, a PhD candidate in Public and Community Health at the Medical College of Wisconsin.

This study results, published on June 12, 2025 was funded by the Swedish International Development Cooperation Agency (SIDA), a government agency of the Swedish Ministry for Foreign Affairs, through the Makerere University Postdoctoral Fellowship to one of the investigators, Dr. Catherine Abbo. Other researchers included Julia Dickson-Gomez, Arthur Kiconco, Abdul R. Shour, Simon Kasasa, Laura D. Cassidy, and Ronald Anguzu.

According to the study, girls bear a higher emotional burden. Researchers found that female students had nearly two times higher odds of suffering from emotional disorders such as anxiety or depression than their male peers.

Dr. Catherine Abbo, an Adolescent Psychiatrist and Associate Professor at Makerere University, attributes this to both biological and socio-cultural factors. “Puberty brings hormonal shifts that can heighten emotional sensitivity,” she explains. “But just as importantly, Ugandan girls often face intense pressure to conform to gender roles while also navigating issues like body image, harassment, and future uncertainty.” The researchers are calling for gender-sensitive mental health interventions, particularly in schools, where early support could help mitigate long-term mental health issues.

Dr. Catherine Abbo, an Adolescent Psychiatrist and Associate Professor at Makerere University. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Dr. Catherine Abbo, an Adolescent Psychiatrist and Associate Professor at Makerere University.

Higher associations in older teens?

Age also emerged as a key associated factor, with each additional year increasing the odds of behavioral disorders by 20%. “As adolescents grow older, they are more prone to risk-taking, impulsivity, and resistance to authority,” explains Dr. Simon Kasasa, a senior lecturer and biostatistician at Makerere University School of Public Health.

Dr. Ronald Anguzu, an Assistant Professor in the Institute for Health and Humanity at the Medical College of Wisconsin. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Dr. Ronald Anguzu, an Assistant Professor in the Institute for Health and Humanity at the Medical College of Wisconsin.

“Combine that with academic pressure and identity-related stress, and it’s no surprise we’re seeing more conduct issues in late adolescence,” Dr. Ronald Anguzu, an Assistant Professor in the Institute for Health and Humanity at the Medical College of Wisconsin, added. This study raises critical questions about whether and how Ugandan secondary schools support older students as they transition toward adulthood.

The unseen influence of family mental health

The study also found that adolescents with a family history of mental illness had twice the odds of exhibiting behavioral problems compared to those without such a history.

“This speaks to the intersection of genetics and environment,” says Bobholz. “Living in a household with people affected by mental illness can mean instability, stigma, and lack of emotional support, all of which weigh heavily on a developing mind.”

The authors recommend that school mental health screening include family mental health history and advocate for greater collaboration between education and health sectors to support at-risk households.

An illustration of students from Nabisunsa Girls’ School reconnect with their proud alumna during a memorable tour of the School of Public Health at Makerere University on June 12, 2025. A day of inspiration, mentorship, and shared dreams. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
An illustration of students from Nabisunsa Girls’ School reconnect with their proud alumna during a memorable tour of the School of Public Health at Makerere University on June 12, 2025. A day of inspiration, mentorship, and shared dreams.

Private schools: High marks, higher stress?

Interestingly, students in private schools had 1.4 times the odds of experiencing emotional disorders compared to those in public schools. Private schools, often seen as academic havens, may inadvertently be cultivating high-pressure environments. “There’s an assumption that better facilities mean better well-being,” says Dr. Abbo. “But intense academic competition, social isolation, and a lack of trained counselors can create emotional pressure cookers.”

Previous research in 47 secondary schools across five districts (Rakai, Kyotera, Masaka, Lwengo, and Kalungu) in southwestern Uganda found that economic and family support helped reduce absenteeism among adolescent girls in secondary schools. However, this support did not significantly improve behavior or reduce grade repetition. The region, which includes districts like Rakai and Masaka, also faces a higher burden of HIV, adding to the challenges young people experience.

Meanwhile, a review of data from 42 primary schools in Luwero District identified school-based mental health interventions such as cognitive behavioral therapy and mindset-building approaches as being particularly effective. Researchers now suggest that integrating these strategies, along with efforts to reduce school violence, could go a long way in improving the mental health of Ugandan adolescents.

A-Level pressure: Academic ambition meets mental health strain

The study also found a correlation between advanced (A’level) education and increased risk of emotional disorders. “We selected one school district from each region based on population and past academic performance. As these students prepare for university or the job market, the pressure to succeed becomes enormous,” says Kasasa. “They’re facing a future full of uncertainty, with very little structured mental health support to help them cope.”

Dr. Simon Kasasa, a senior lecturer and biostatistician at Makerere University School of Public Health. Ugandan Study Flags Girls and Senior Students as a Mental Health High-Risk Group. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Dr. Simon Kasasa, a senior lecturer and biostatistician at Makerere University School of Public Health.

A wake-up call for Uganda’s education and health systems

The authors of this study assert the urgent need for school-based mental health programs, especially in private and A-level institutions. These programs should offer routine screening, emotional support, and training for teachers to recognize warning signs of mental health disorders.

Importantly, this study adds weight to calls for a national adolescent mental health policy, tailored to Uganda’s context, with interventions that bridge health, education, and social services.

“Our data shows that mental health challenges are not a fringe issue,” says Bobholz. “They are widespread, significant, and deeply tied to school, home, and society.”

The COVID-19 school closures between 2020 and 2022 deepened feelings of isolation and financial strain, with out-of-school adolescents reporting depression rates as high as 21.5% to 50% higher than their peers who remained in class, according to research published in February 2025. Yet Uganda invests less than 1% of its health budget in mental health, with just one psychiatrist per million people, leaving many teens to cope through cheap alcohol used by 28% of urban youth or untrained healers, as reported by the government paper The New Vision in April 2025. With only 26% of students completing lower secondary school and 35% of the population under age 24, these mental health challenges now pose a serious threat to the country’s future.

Mercy Akankunda of Proven Foundation, a Ugandan NGO supporting vulnerable groups, warns that mental health struggles are quietly eroding the well-being of the country’s youth, over 12 million strong and making up 35% of the population. “These teens are not just statistics. They are the future of Uganda, she asserts. If Uganda hopes to reap the dividends of its young population, addressing adolescent mental health must become and remain a national priority, not just for treatment, but for prevention, resilience, and hope.

Reference:
Bobholz, M., Dickson-Gomez, J., Abbo, C., Kiconco, A., Shour, A.R., Kasasa, S., Cassidy, L.D., & Anguzu, R. (2025). Correlates of behavioral and emotional disorders among school-going adolescents in Uganda. PLOS Global Public Health. Read the study here

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Davidson Ndyabahika

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