General
Prof. Serwadda’s Nostalgic Student Life, Impactful Research and Joy of Mentoring Leaders
When Prof. Serwadda travelled to universities in the USA and other countries in the 1980s, he realised that students struggled to buy books in those countries. “They work in restaurants to be able to buy books and then I said oh My God, we were so privileged,” he says.
When Prof. David M. Serwadda joined Makerere University as a student pursuing a Bachelor of Medicine and Bachelor of Surgery in August of 1977, the University was offering the best to its students.
This was both in terms of the institutional environment for academia, students’ basic needs, and the general eco-environment. Halls of residence were less congested, for instance, Prof. Serwadda, who was a Livingstone resident, says he only shared a room in the first year.
Like any other student of his time, Prof. Serwadda had an account in the bookstore that would guarantee the purchase of any book that he wanted. “I would just go there, I pick this book, they deduct from my account. I would have in my bookshelf very many books,” he says. “I would be a second-year student, but buying books for third year because if you didn’t finish your account that year, when you get into the following year, you forfeit it and reset the account to zero.”
In a wide-ranging interview, Prof. Serwadda, who is retiring this year after 31 years of teaching, discusses his time at Makerere, the challenges and opportunities for the institution that is celebrating 100 years. Prof. Serwadda was in 1985 the lead author of a research paper entitled “Slim disease; a new disease in Uganda and its association with HTLV-II infection” published in The Lancet, one of the global top medical journals that first confirmed HIV/AIDS in Uganda.
When Prof. Serwadda travelled to universities in the USA and other countries in the 1980s, he realised that students struggled to buy books in those countries. “They work in restaurants to be able to buy books and then I said oh My God, we were so privileged,” he says.
When Prof. Serwadda travelled to universities in the USA and other countries in the 1980s, he realised that students struggled to buy books in those countries. “They work in restaurants to be able to buy books and then I said oh My God, we were so privileged,” he says.
A medical doctor and professor of infectious diseases at Makerere University School of Public Health, Serwadda is a co-founder of the Rakai Health Science Program (RHSP) which has in the past three decades pioneered research on the HIV/AIDS epidemic. He was the first Ugandan academic coordinator of the Masters of Public Health program at Makerere University School of Public Health. He also served as Director of Makerere Institute of Public Health from 2003 and 2007 and Dean from 2007 to 2009 when the Institute became a School.
In December 2019, he was appointed to the Board of Trustees of the World Population Council and in the same month he was elected together with 36 others among the world’s most accomplished scientists living in or focused on the developing world by The World Academy of Sciences (TWAS).
1970 and today’s generation of students, lecturers
Contrasting students and staff activism of his time, Prof. Serwadda says it was the time of President Idi Amin, the third president of Uganda from 1971 to 1979 who had crushed Makerere’s activism spirit.
Prof. Serwadda says the current generation of students have more space for activism but also opportunities to succeed because they have more freedom, liberty, and multiple platforms through which to speak out and make their demands. “You have a highly energised and a much larger population of students that can easily be organised to rally against any grievance they have,” he says.
Whereas students of his generation seemed much more obedient, students of today know their rights and are likely to talk and make staff members and management more accountable which is good if it’s not disruptive.
Students of his time were always busy. They had many job offers. He mentions for instance that during his campus days, he would never have time to idle around. From first year, Prof. Serwadda says he was on study projects working, in laboratories and wards thus many students had no time to engage in activism. For instance in my fourth year of Medical School, under Professor Charles Olweny, I was a student during the day and a research assistant throughout the night and all weekends including Christmas at Uganda Cancer Institute. “It is my perception that we were much busier than students of today and I feel that current context has made students much more demanding and engaged in more advocacy,” he says.
Regarding research and funding, Prof. Serwadda says the current generation of students and lecturers have better prospects to succeed. The internet has levelled the communication space, and created huge opportunity for global networks for research and learning. For example, if an organisation sends out a research fellowship, or scholarship opportunity, any person across the world can access the call and apply. But in the old days, only those countries with a functioning post office would receive information in a timely manner. “A new journal would come in the library and we were all booking to read them. But now, you go on the internet and download your journal,” he says.
“The world is flatter for all of us than it was. There are more funding opportunities and much easier ability to access them,” he adds.
For lecturers, as they complain about salary increments, they also need to broaden their concerns and to talk about the need for resources for research, health insurance, and expanding facilities for teaching. “They are in large part always complaining about pay, pay, we need to systematically advocate for a more comprehensive research and learning environment,” he says.
Out of the gates of Makerere, beginning of research career
After graduation in 1982, Prof. Serwadda reminisced about his internship at Nsambya Hospital after which he later joined Mulago Hospital, a National Specialised Hospital which was and still is the teaching facility of Makerere University College of Health Sciences as a Medical Officer in the Uganda Cancer Institute, UCI, in 1983. In 1985, Dr. Serwadda enrolled as a Senior Health Officer (SHO), studying a Masters of Internal Medicine at Makerere University. He would later graduate in 1989. He says he had a dead year at Makerere which he spent in the United Kingdom, the UK studying Metabolic Medicine at Newcastle Upon Tyne Medical School.
Prof Serwadda’s research in HIV/AIDS began when he was working at the Cancer Institute between 1983 to 1985. The institute was receiving patients of “Kaposi Sarcoma,” a disease which causes plaque-like lesions on the upper arms and legs and also in aggressive form involves the lymph nodes, internal organs, and mucous membranes lining the mouth, nose, and throat as often is seen with individuals with immune deficiencies, such as AIDS. This was strange then because the clinical manifestations of Kaposi Sarcoma were at the time what was being seen in the United States of America where “men were having sex with men.”
More intriguing was, according to Prof. Serwadda, as time went on, almost all patients with aggressive Kaposi sarcoma that were admitted at UCI come from Masaka and Rakai districts.
“There used to be a surgeon called Mr. J.W Carswell, who linked us to a virologist in the UK called Dr. Robert Downing and we were able to send blood samples of some patients from Uganda Cancer Institute, some of whom were residents of Masaka and Rakai districts,” he says. “The results indicated that of the 25 samples I had sent, 4 were positive for HIV, which at the time was referred to as HTLV-III,” he adds.
Though the first cases of patients with Kaposi Sarcoma had first been identified in around 1982, these were the first blood tests to confirm HIV/AIDS in Uganda. Prof. Serwadda and his colleagues knew they were on to something big, hence they travelled to Masaka and Rakai–self funded–tested more blood samples which confirmed more positive cases, and then drafted a paper for The Lancet based on results from the tests. It would take months of back and forth communication with editors, through snail-mail given that there was no internet.
The paper was published in October 1985. The paper brought visibility for Prof. Serwadda which consequently had positive and negative impacts.
There was political resistance at the time from the Obote government when stories of patients with Kaposi sarcoma signs and symptoms started emerging. When local newspaper The Start, published on December 29, 1984, the headline “Mysterious disease Kills 100 people in Rakai” Ezra Nkwasibwe, the then minister of health in Obote II government sent out a team to investigate, they concluded that this was typhoid.
On the positive side, it brought recognition to the authors. Prof. Serwadda together with co-authors wrote a big proposal that was eventually funded to establish the Rakai Health Science Program (RHSP) in 1988. “It’s like when you have built a house, and you want to build another one, it’s easy to get funding,” he said, explaining how easy it becomes for researchers to get funding once they have established a reputation.
With significant funding over the years, he says they generated an impressive number of high-impact publications in the HIV/AIDS field which has enabled Uganda and the world to understand the dynamics of transmission better. But most importantly provided HIV prevention and care to over 200,000 clients in Rakai and the greater Masaka region.
Immense research output, nurturing leaders
During his three decades at Makerere University, Prof. Serwadda says he along with colleagues has contributed immensely to research, policy, and practice. This work has underpinned some of the significant contributions to the reduction of HIV transmission and acquisition, through treatment and prevention. Prof Serwadda has on several occasions been the recipients of annual awards from Makerere School of Public Health as the most prolific publisher. he says. “We have contributed our part in uplifting Uganda and Makerere University. Makerere University is known as a place one can do excellent medical research, however, we should and must increase our effort to invest in young researchers if it is to continue to have a top ranking.”
Prof. Serwadda says seeing his former students climbing ladders in academia and leadership gives him boundless joy. “Dean Rhoda Wanyenze was my student, I supervised her Masters of Public Health, we have done a number of projects together with her, and she is now the Dean, School of Public Health,” he says. Prof. Serwadda says there is no head of the Department at School of Public Health who has not been his student at the undergraduate, post graduate level. “Now they are my bosses and I like that. That is building for the future and that’s what Makerere is all about. Seeing my students in positions of effective leadership and being able to help where I can give me enormous satisfaction.”
An extraordinary sitting of the Uganda Vice Chancellors Forum (UVCF) meeting at Makerere University on 23rd June 2025 has made a special appeal for the scientific evaluation of the impact of the Higher Education Access Certificate (HEAC) programme as its future hangs in a balance. The sitting was hosted by the Acting Vice Chancellor, Prof. Mukadasi Buyinza and addressed by the Executive Director UVCF, Prof. Eriabu Lugujjo, Chairperson UVCF and Vice Chancellor Busitema University, Prof. Paul Waako and representative from the National Council for Higher Education (NCHE), Dr. Maria Nakachwa and a representative from the HEAC programme, Prof. David Orema.
Welcoming members of the Forum to Makerere University, Prof. Buyinza Mukadasi expressed warm regards from the Vice Chancellor, Prof. Barnabas Nawangwe who was away on official duty. Turning to the agenda of the day, he said “I find the proposed items on the order paper quite pertinent given the time, as we offer guidance and input towards our next journey in higher education.
“We believe that by the close of the day, we should be able to come up with a position paper that will inform the next course of action in this regard” remarked Prof. Buyinza Mukadasi in reference to the scheduled updates from NCHE on the HEAC Programme.
The ED UVCF, Prof. Eriabu Lugujjo in his remarks thanked Makerere University for accepting to host the extraordinary session at short notice. Commenting on the successful reconstruction of the Main Building he said, “90% of the Vice Chancellors gathered today had not been here since the conflagration so we wish to commend you on the quality of work, especially the preservation of history.” He reiterated the host Vice Chancellor’s hope that the sitting would come up with unified resolution on important issues pertaining to the Higher Education sector.
The Chairperson, Prof. Paul Waako thanked the Africa Renewal University for the warm hospitality accorded during the 75th meeting of the UVCF and congratulated Universities upon participating in the National Science Week and Summit 2025.
“This is a very good forum for institutions to interact, share progress on innovations and catch up with how far the country is progressing in science, technology and innovation. The new addition this year was the Science Summit, which is supposed to bring together all scientists in this country and out of that we would like to generate a position paper on science, technology and innovation, which we are insisting should be discussed by Cabinet every year” Prof. Waako remarked.
The Chairperson UVCF noted that the extraordinary meeting had been called on short notice to feed into ongoing discussions at high levels regarding the HEAC programme and the recently passed Uganda Technical and Vocational Education and Training (TVET) Act, 2025. He noted that the TVET Act has big implications on Higher Education training at Diploma and Certificate level, warranting a discussion by Vice Chancellors.
Stakeholders from NCHE and the Commissioner for Higher Education and Training in the Ministry of Education and Sports (MoES) were invited to enrich the discussion. Equally invited were; Prof. David Orema who worked with NCHE to develop the HEAC programme and the first training programme at Busitema University, Incoming and 24th Guild President of Gulu University and HEAC beneficiary Mr. Alex Opio Ongom, a student representative from Kabale University, and the first female graduate engineer from Buyende District – also a HEAC beneficiary.
Giving an overview of the HEAC programme, Dr. Nakachwa observed that Uganda remains a hub of Higher Education in the region and the programme acts as a good bridge for international students who need to meet entry requirements of Ugandan institutions. She also pointed to the fact that the HEAC programme acts as a remedial programme for students who sat and completed the Uganda Advanced Certificate of Education (UACE) but did not attain sufficient grades to enroll for Diplomas or Degree programmes.
“Looking at the recently released UNEB exams, people with one principal pass were 29,000. Where are they going? Are they going to repeat? Very few do. In 2023, 18,000 students got one principal pass. Should we deny them access to the Ugandan Higher Education?” she pondered.
Dr. Nakachwa added that NCHE, which is mandated by the Universities and Other Tertiary Institutions Act to set minimum entry requirements to any certificate, diploma or degree programme developed minimum standards for the HEAC programme in 2016, with institutions having the leeway to add two or three courses to help students cope with the rigour.
“This is well prescribed in Instrument 34 of 2008. It is a Level 4 of the Uganda Education qualifications framework because it is Post-A-Level, and the Higher Education Certificate Programme was approved by the National Council for Higher Education in 2016” elaborated Dr. Nakachwa.
She added that the HEAC is intended for four categories of students; 1) foreign students whose education system differs from Uganda’s, 2) a remedy programme for students with A-Level qualifications but not admissible for Diplomas and Bachelors, 3) holders of vocational qualifications i.e. holders of national certificates from the Directorate of Industrial Training (DIT) intending to pursue higher education, and 4) a bridge for the science/arts divide for students who may have passed sciences at O-Level but pursued arts at A-Level and thereafter, seek to pursue clinical or nursing programmes.
Furthermore, she noted that the change in nomenclature from the Higher Education Certificate (HEC) to the Higher Education Access Certificate (HEAC) programme was as recommended by a 2022 review, that also recommended an increase in subject content for the Biological and Physical sciences tracks of the programme. The HEAC also offers a third General track for arts. Nevertheless, students on all three tracks are required to interact with content in the three areas of; Life Skills Education, Study Skills and Academic Writing, and Foundations of Mathematics and Statistics.
Sharing results as at December 2024, Dr. Nakachwa noted that 21 out of the 56 registered Higher Education Institutions in Uganda are accredited to run the HAEC programme, with a total of 3,908 students enrolled. “We have learnt some lessons which include; having the regulatory frameworks reviewed is critical, and continuous engagement with stakeholders is paramount.”
The presentation by the National Council for Higher Education guided the discussions for the rest of the UVCF sitting, which concluded with the resolution to develop a position paper. Thereafter, the UVCF was led on guided tour of the reconstructed Main Building by the Acting Vice Chancellor, Prof. Buyinza Mukadasi.
On Tuesday, 17th June 2025, a distinguished delegation from the Mastercard Foundation Board visited Makerere University for the first time since the establishment of the Mastercard Foundation Scholars Program at the university. The visit underscored the progress achieved through the partnership and its positive impact on the university community, Uganda and the African continent over the past decade. The delegation was welcomed to Makerere by the Vice Chancellor, Prof. Barnabas Nawangwe, accompanied by Prof. Buyinza Mukadasi, Acting Deputy Vice Chancellor for Academic Affairs, and Prof. Justine Namaalwa, the Program Director for Mastercard Foundation at Makerere University.
The high-profile delegation was led by Her Excellency President Ellen Johnson Sirleaf, the former President of Liberia and the first woman to hold the presidential office on the African continent. She serves on the Board alongside other members such as Mr. Zein M. Abdalla, the Board Chairperson; Ms. Jennifer Fonsted; Mr. Jim Leech; Mr. Stephen Toope; Ms. Sewit Ahderom; Ms. Baroness Valerie; Hon. Louise Arbour; Ms. Tsega Gebreyes; Mr. Jay Ireland; Mr. Michael Sabia; Ms. Carole Wamayu; Ms. Robin Washington; and Ms. Reeta Roy, the President and Chief Executive Officer of the Mastercard Foundation. Additionally, the Board members were accompanied by the leadership team of the Mastercard Foundation, including Mr. Doug Kasambala, Chief Financial Officer; Ms. Ivy Mwai, Education and Skills Lead; Mr. Adrian Bukenya, Country Director for Mastercard Foundation-Uganda Programs; and Ms. Rachel Nandelenga, Head of Country Program Communications.
The Mastercard Foundation Board conducted a series of meetings with various stakeholders at Makerere University. The meetings begun with the University Leadership, which featured key figures such as Rt. Hon. Daniel Kidega, the Deputy Chairperson of the University Council and Chairperson of the Mastercard Foundation Scholars Program Advisory Board at Makerere; Prof. Barnabas Nawangwe, the Vice Chancellor; Prof. Buyinza Mukadasi, the Acting Deputy Vice Chancellor for Academic Affairs and Chairperson of the Steering Committee for the Mastercard Foundation Scholars Program; and Mr. Yusuf Kiranda, the University Secretary.
While addressing the delegation, Vice Chancellor Prof. Nawangwe expressed gratitude for the partnership between the Mastercard Foundation and Makerere University. He highlighted the Foundation’s impact on Africa’s higher education sector and the livelihoods of young people across the continent.
“We are privileged to host Her Excellency Ellen Johnson Sirleaf, along with other Members of the Board of Mastercard Foundation and the Foundation’s President and CEO, Ms. Reeta Roy, for the first time at Makerere University. The Mastercard Foundation has significantly impacted Uganda and Africa’s higher education sector and the livelihoods of young people, for which we are very grateful,” Prof. Nawangwe remarked.
Prof. Nawangwe also expressed appreciation to the Mastercard Foundation for its partnerships with Makerere University, which began with the Scholars Program and now encompasses additional initiatives such as the E-learning Initiative and, most recently, the Climate Resilience and Sustainability Collaborative project.
During the meeting with the Scholars Program staff, the Program Director, Prof. Justine Namaalwa, had the opportunity to outline the achievements of the first 10 years (First phase) of the Scholars Program at Makerere University and shed light on the future of the second phase of the Program at Makerere University.
Among the achievements highlighted by Prof. Namaalwa during the first phase were the following:
- The Program supported 1,032 young people, of whom 76% were females and 24% were males.
- As of January 2025, 965 Scholars had graduated, achieving an exceptional completion rate of 94%.
- Scholar Alumni have moved on to various pursuits, including formal employment (34%), entrepreneurship (11%), and further education (3%).
- Strengthening the Student Mentorship Engagements through capacity-building sessions for 97 university staff across the colleges, which benefits both the Scholars and other students.
- Drafting the Makerere University Career Guidance and Mentorship Policy to streamline mentorship engagements across the university. The Policy is currently under review by the University Council.
- As of 2024, the Scholars Entrepreneurship Fund has created 86 jobs across various communities.
- The Scholars made a positive impact on communities through their Annual Day of Service, supporting twelve communities by constructing boreholes for clean water access in two communities and building and equipping classrooms in three communities.
Prof. Namaalwa also elaborated on the accomplishments thus far in the second phase of the Scholars Program by highlighting the following;
- 101 Scholars recruited into the Program across different categories.
- Prioritizing the safety of students and staff, emphasized by the well-articulated Makerere University Safeguarding Policy and its implementation activities.
- A fully operational Disability Inclusion Support Centre.
On the other day’s activities, the Board also had the chance to view a mini-exhibition showcasing projects implemented by the alumni scholars. Furthermore, they engaged in a focus group discussion with both the Scholars and alumni.
On their part, the Board members expressed gratitude to Makerere University Management, led by Prof. Nawangwe, for the tremendous achievements the university had attained through the implementation of the Scholars Program and other initiatives aimed at uplifting underprivileged young people in Uganda and Africa. The Board members also expressed their appreciation to Prof. Namaalwa and the Scholars Program for the excellent job done in implementing the Scholars Program and for the continuous support provided to the Scholars and Scholar-alumni.
The Vice Chancellor, Prof. Nawangwe, concluded the day by presenting each visitor with an unforgettable souvenir of Makerere, which included exquisite Makerere University coffee mugs and executive pens.
Mr. Bernard Buteera is the Principal Communication and Public Relations Officer of the Mastercard Foundation Scholars Program at Makerere University
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