The Minister of State for Higher Education, Hon. Dr. John C. Muyingo on Thursday 25^th April 2024 officially launched the inaugural Annual Forum for Graduate Research and Policy Dialogue as well as the Research Information Management System (RIMS). Organised under the theme “Regional Integration and Development”, the two-day event being held in the Yusuf Lule Central Teaching Facility will witness over 70 paper presentations by PhD fellows, Research and Publication opportunities by the Makerere University Press as well as presentations on Mental Health and Wellness.

“I am here because I am coming back home and you are talking a language I love and enjoy. I am also here to confirm Government’s commitment to support Makerere’s efforts to become a research-led University,” reassured Hon. Dr. Muyingo as he commenced his remarks.

Addressing the event theme, Hon. Dr. Muyingo underscored the importance of regional integration as a cornerstone of Uganda’s aspirations for a brighter future, noting that it is through cohesive efforts and shared endeavours that the region can overcome numerous challenges and unlock its full potential for growth and development.

He pointed out that higher education and research play a pivotal role in driving regional integration and development, and called upon scholars and researchers to play their respective roles. “Your pursuit of knowledge and academic excellence holds the promise of transformative change, serving as a catalyst for innovation, progress, and inclusive growth.”

Hon. Dr. Muyingo expressed the Government of Uganda’s appreciation of the strides made by Makerere University in as far as conducting research that informs national development priorities. He therefore applauded the two-day Annual Forum for Graduate Research and Policy Dialogue and launch of RIMS not only as milestones in graduate training but also platforms that will make the institution’s research more visible to government, funding agencies, research partners and other stakeholders.

He nevertheless reiterated the need for Higher Education Institutions (HEIs) such as Makerere “to play a more practical role in engaging the policy space and contribute to nurturing a policy environment receptive to evidence-based solutions.”

Delivering the first keynote of the two-day event, the Vice Chancellor, Prof. Barnabas Nawangwe expressly thanked Hon. Dr. Muyingo for presiding over a second event at Makerere in less than a week. On 19^th April 2024, he represented the First Lady and Minister of Education and Sports Hon. Janet Museveni, at the launch of the Digitalisation of Academic Records and Processes (DARP) project.

In the same measure, Prof. Nawangwe thanked the Government of Uganda substantially tackling the chronic shortage of funds for research by instituting the Makerere University Research and Innovations Fund (Mak-RIF). “With the money that Government is giving us, we have changed the research landscape of Makerere tremendously.

“Additionally, we have with the help of UNDP established a state-of-the-art Innovation Pod. We have put in place an office specializing in Intellectual Property and they are doing a great job; they have already registered several copyrights and applied for several patents” he added.

The Vice Chancellor nevertheless regretted the timing of ongoing budget cuts which are likely to affect funding for research. Noting that we are in the era of the knowledge economy where those in the know get ahead of those who are not, he reiterated that it is Nations such as China that have prioritised knowledge production through funding of Higher Education and research that are making leaps economically.

“If Africa is going to industrialise, we must produce more PhDs because no amount of foreign direct investment is going to industrialise Africa. Africa will be industrialised by the small and medium enterprises, which will come mostly out of research by PhD and Masters students, and a few undergraduate students – the Kiira Motors came from undergraduate students” explained Prof. Nawangwe.

Citing the presentations made during the opening ceremony by Mr. Erick Jacob Okek on Immunological and parasitological impact of co-deployment of Indoor Residual Spraying (IRS) and bed nets for malarial mosquito vector control in Uganda and Ms. Adella Grace Migisha on Environmental influences on electricity reliability in Uganda’s grid system, Prof. Nawangwe emphasised that PhD students are addressing pertinent issues and ought to be supported by the Government.

“Let us put our heads together and see how best to unlock the potential of Makerere University. There is so much potential here that we are not utilising as a country, and we need to unlock it to the letter” summed up the Vice Chancellor.

In line with contributing to unlocking Makerere’s potential, the Director, Directorate of Research and Graduate Training (DRGT), Prof. Edward Bbaale said that the Annual Forum provides a platform to showcase the potential of graduate research as a driver for socioeconomic transformation. “Additionally, it serves to enhance the capacity of graduate students to engage effectively in policy dialogues and debates.”

Prof. Bbaale reiterated DRGT’s commitment to augmenting the skills of graduate scholars in policy engagement and communication as part of their doctoral research and education toolkit, owing to the impact these graduates have. “There is now evidence that return on investment in Higher Education is higher than the return on investment in lower education and hence Government is encouraged to support graduate training through scholarships and loan schemes.”

Citing the Makerere University Policy on Establishment of Research Institutes and Institutions, Prof. Bbaale said that DRGT is encouraging the growth of research groups into dynamic hubs such as research units, centres, institutes and centres of excellence. Furthermore, and in respect of packaging and marketing of research output as enshrined in the Makerere University Strategic Plan, he added that the multidisciplinary Makerere Innovation Pod is poised to foster creativity, innovation and collaboration among students, researchers and entrepreneurs.

On the need for scholars and researchers to publish works in books and journals, Prof. Bbaale put forth the Makerere University Press as an avenue for disseminating new knowledge across the various disciplines. “I would like to implore all faculty and students to use the press as a publishing house and promote our works.”

Developed by the Directorate for ICT Support (DICTS) with funding from Mak-RIF, the Research Information Management System (RIMS) was unveiled at the Forum as digital solution to track the graduate student journey, report every stage of progress, centrally manage research produced by students, and streamline the graduation process. Addressing the Forum, the Academic Registrar and Principal Investigator RIMS, Prof. Buyinza Mukadasi noted that the system is going to Makerere enhance its visibility as a research-led university.

“The architecture of RIMS has seven modules that include: Masters and PhD research; Postdoctoral research; Dissemination, Conferences and Seminars; Research Innovations; Inventory of Senior Researchers; International Collaborations; and e-Supervision” shared Prof. Buyinza.

He added that the system will not only enhance student tracking but also e-Supervision and thesis management through a simple easy-to-use dashboard. “It is a moment of joy that we are transiting from the manual system to an online digital platform. This will enhance efficiency, and completion rates will be assured.”

Providing a background to RIMS, the Director DICTS, Mr. Samuel Paul Mugabi noted that the ongoing development and launch of various Information Systems at Makerere University is as a result of a strategic shift by the leadership from outsourcing to solving challenges related to business processes digitalisation through in-house development.

RIMS was developed by a team made up of Mr. Juma Katongole, Mr. Joshua Muhumuza and Mr. Denis Wamala. The latter who presented on behalf of his colleagues demonstrated how the e-Supervision module can be used to track a scholar’s progress right from the conceptual stage right to the dissertation and defence. He added that the College of Agricultural and Environmental Sciences (CAES) will pilot the RIMS rollout.

The President PhD Fellows at Makerere University (Pf@Mak), Ms. Clare Cheromoi in her opening remarks said that the lineup of paper presentations would at the end of the two-day Forum clearly demonstrate to the public that PhDs remain highly relevant to addressing the challenges in the country. She observed that Makerere has created the supportive environment through avenues such as the Annual Forum for PhD fellows to collectively address national development priorities.

She thanked the University Management and Annual Forum organisers led by the Chairperson Prof. Julius Kikooma for their support in making the event a success. In particular, the President Pf@Mak thanked the Vice Chancellor for maintaining an open-door policy that has enabled Student Leaders to share their ideas. In appreciation the Pf@Mak Leadership presented a book How to Lead Smart People: Leadership for Professionals to Prof. Nawangwe.

The Forum was moderated by the Principal Public Relations Officer, Ms. Ritah Namisango, while the Department of Performing Arts and Film (PAF) kept guests entertained.

Book of Abstracts

Presentations from the Opening Ceremony

_{By Okeya John & Davidson Ndyabahika}

As the COVID-19 pandemic swept across Africa, it brought with it a wave of unprecedented challenges, impacting economies, social dynamics, and political structures. National healthcare systems were particularly strained, prompting governments to implement various strategies to combat the virus and its repercussions. Among these measures were the introduction of incentives, both financial and non-financial, aimed at boosting the morale of health workers and bolstering the capacity of healthcare systems to respond to health emergencies.

Due to COVID-19’s increased risks and demand on healthcare workers working in already overburdened health systems, incentive packages must be strengthened. Researchers conducted a multi-country qualitative study in DRC, Nigeria, Senegal, and Uganda with funding from the Bill and Melinda Gates Foundation and Gates Ventures/Exemplars in Global Health. The study examined pandemic-related workplace incentives. In 60 virtual interviews via phone and Zoom, ministry officials, policymakers, and health care providers provided important viewpoints.

Entitled “Health Workforce Incentives and Dis-Incentives During the COVID-19 Pandemic: Experiences from Democratic Republic of Congo, Nigeria, Senegal, and Uganda,” the research conducted by healthcare experts delved into the realm of incentive mechanisms, their allocation, and the inadvertent dis-incentives experienced by the health workforce amidst the pandemic response efforts.

The researchers were from Makerere University School of Public Health (Uganda), University of Kinshasa (DRC), University of Ibadan (Nigeria) and University of Dakar (Senegal). The research team comprised Suzanne Kiwanuka, Ziyada Babirye, Steven Kabwama, Andrew Tusubira, Susan Kizito, Rawlance Ndejjo, Marc Bosonkie, Landry Egbende, Berthold Bondo, Mala Ali Mapatano, Ibrahima Seck, Oumar Bassoum, Mamadou Leye, Issakha Diallo, Olufunmilayo Fawole, Segun Bello, Mobolaji Salawu, Eniola Bamgboye, Magbagbeola David Dairo, Ayo Steven Adebowale, Rotimi Afolabi, and Rhoda Wanyenze,

In their work, the scientists authoritatively note that: “Health worker incentives during the COVID-19 response were mostly unplanned, predominantly non-financial, and invariably implemented. Across these countries, there were neither guiding frameworks nor standard pre-determined packages of financial and non-financial incentives for health workers during emergencies.”  

Before the outbreak of the COVID-19 pandemic in December 2019, “Africa already had weak health systems,” they note, citing that the pandemic exposed this challenge, increasing work overload for health workers, mental stress, infections and deaths, who in turn, needed incentives to adequately work to respond and deliver good health outcomes during the emergency.

However, due to the dire working conditions, the Word Health Organization (WHO) had warned that frontline healthcare workers were most at risk of acquiring the deadly COVID-19 virus. In their report, WHO highlighted that between January 2020 and May 2021 alone, over 80,000 to 180,000 health and care workers respectively, had died of COVID-19 globally, calling for urgent need to reverse the tide.

From this study, Senegal faces a doctor and nurse shortage with only 0.38 healthcare workers per 1,000 people, well below the WHO recommendation. By December 2021, Senegal had recorded 75,055 COVID-19 cases and 1,890 deaths, including five health workers. Similarly, Uganda, with approximately 2.58 healthcare workers per 1,000 people, reported 146,030 COVID-19 cases and 3,306 deaths, including 37 health workers.

The researchers also noted that the DRC had 1.05 healthcare workers per 1,000 people, with 79,632 cases and 1,225 deaths, including 35 health workers. Nigeria faced a similar challenge, with 2.0 healthcare workers per 1,000 people, 243,450 cases, and 3,031 deaths by December 2021, including seven health workers. These findings stressed the strain on Africa’s fragile healthcare systems in responding to the COVID-19 pandemic.

“These challenges and consequences resulted in health workers either absconding from duty or in extreme circumstances, resigning from the health profession and opting for alternative professions,” the researchers note in their review of the COVID-19 response in Africa. They state that elsewhere by this time, measures had already been mounted to motivate health workers, necessitating a similar response in the continent.

In the countries where the study was conducted, the strategies adopted by governments and development partners to counter declining health worker motivation included offering financial rewards like allowances and salary increments, and non-financial incentives like adequate provision of medicines and supplies, on the job trainings, medical care for health workers, social welfare including meals, transportation and housing, recognition, health insurance, psychosocial support and increased supervision.

The researchers found that the financial rewards were a big motivating factor for the health workers in these countries in sustaining the health systems and COVID-19 efforts, while the non-financial incentives also contributed to improved health worker determination.

The incentives, although a success, however in their strength lied the weaknesses. The multi-country study reveals that the incentives had the double effect of creating disincentives and demotivating healthcare workers. This was occasioned by the lack of personal protective equipment, transportation to health facilities during lockdown, long working hours, harassment by security forces and perceived unfairness in access and adequacy of the rewards.

The study got its findings from virtual key informant interviews with the staff at ministries of health, policy makers, and health workers. In the study report, health managers and workers in DRC, Nigeria, Senegal, and Uganda confirmed that health workers received monetary benefits as a means of motivation for their effort towards the continuity of health services.

In Senegal, incentives were reported to mostly be financial. However, in DRC, although the salaries of the health workers involved in COVID-19 testing were reported to be similar to all other staff in response committees like epidemiological surveillance, case management, and communication, the government moved to temporarily waiver taxes to bait the COVID-19 health workers during the pandemic.

“Since financial incentives were mostly administered in an ad-hoc manner, some health workers felt they were unfairly distributed and complained about the lack of transparency in the allocation of these incentives. In Nigeria, it was reported that payments did not meet the health worker expectations, while in Uganda, it was reported that allowances were given selectively to some health workers such as those involved in contact tracing, COVID 19 testing, and COVID 19 isolation units but not to others.” The study report reads in part.

Respondents also revealed that although allowances were availed, there was dissatisfaction caused by delays and non-payment. In Uganda for example, the recruitment of additional 700 staff on contract although initially perceived positively, their irregular dismissal following budget shortfalls created discontentment and immense pressure for the government.

Accordingly, the authors observe that the incentive packages in the four African countries were inconsistent, lacked transparency, adequacy, and equity. “Therefore, there is a need to develop guiding frameworks within which governments and partners can deliver incentives and reduce dis-incentives for the health workforce during emergencies.”

The study suggests that during health emergencies like COVID-19, increased risks and workloads should mandate the provision of safety gear and adequate supplies. However, the researchers caution that both financial and non-financial incentives can have unintended consequences if perceived as unfair in their implementation.

They also call for incentives to be pre-determined, equitable and transparently provided during health emergencies ‘because arbitrarily applied financial and non-financial incentives become dis-incentives’, while still holding that the financial incentives are only useful in as far as they are administered together with non-financial incentives such as supportive and well-resourced work environments.

“Governments need to develop guidelines on incentives during health emergencies with careful consideration of mitigating potential dis-incentives. The harmonization of roles across state and non-state sector players in incentivizing the health personnel during health emergencies is paramount.” The study affirms.

Find the detailed scientific study here.

View on MakSPH

The Acting Vice Chancellor, Assoc. Prof. Umar Kakumba has welcomed a delegation from the German Adult Education Association (DVV International) led by the Board Chair Hon. Martin Rabanus. The delegation was in the country to assess the impact of their partnership with Makerere University and the community.

DVV International and Makerere University, Department of Adult and Community Education have been partners since 1986.

The support has been in the areas of teaching and learning. DVV International supported the development and launch of the Master of Adult and Community Education (MACE) in 2007. Makerere University has since graduated many who now work as lecturers in Higher Institutions of Learning, programme managers, development workers, adult education trainers and so on. Before then, DVV International was supporting undergraduate students of the Bachelor of Adult and Community Education (BACE) with financial support towards internships and practical training during the Recess term of Year 2.

Speaking in his office on April 15, 2024, Assoc. Prof. Kakumba appreciated the Germany government for the support over the years. Saying through this support Makerere has continued to foster adult education by settling up Adult Education centres in Lira and Mbale for this purpose.

DVV International has over time supported staff in the area of research and publications. Some of the beneficiaries include Dr. Stella Achen, Dr. Twine Banakuka, among others. In early 1990s the organization helped to renovate the building housing adult and community education. The organization has also previously supported staff to acquire Masters and PhDs.

Prof. Kakumba appealed to Hon. Martin Rabanus to consider renewing the MoU between the two institutions in an effort to continue training adult educators.

Hon. Martin Rabanus applauded Makerere University for the achievements obtained so far and the contribution the partnership has enabled. “We are happy that we were able to provide adults an opportunity for them to get a certificate and improve their lives,” he said. “Thank you for the corporation for the last 40 years.”

Present in the meeting were the Principal of College of Education and External Studies(CEES), Prof. Anthony Mugagga, the Dean of the School of Distance and Lifelong Learning, Dr. Harriet Nabushawo and Dr. Stella Achen – Head of Department, Adult and Community Education.