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Prof. Serwadda’s Nostalgic Student Life, Impactful Research and Joy of Mentoring Leaders

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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.

Prof. David M. Serwadda responding to questions during the interview.
Prof. David M. Serwadda responding to questions during the interview.

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.”

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Makerere University Hosts Ambassador Judyth Nsababera for Strategic Dialogue Advancing Uganda–China Engagement

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Members of Top Management and Amb. Judyth Nsababera pose for a group photo at the Main Building Staircase on 26th November 2025. Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera, 26th November 2025, Main Building, Kampala Uganda, East Africa.

Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera. The meeting brought together university leaders, innovators, students, and heads of departments and Units. Discussions centred on innovation, commercialisation, branding, and international collaboration, particularly with China, while also showcasing Makerere’s growing role as a national and continental engine for research, entrepreneurship, and transformative ideas.

This dialogue came at a symbolic moment as Makerere recently concluded its centenary celebrations, positioning the institution not just as a historical leader in higher education but as a forward-looking university ready to shape Africa’s place in global knowledge, trade, and innovation ecosystems.

Showcasing Innovation and Student Enterprise

The engagement highlighted the work of the University Centre for Entrepreneurship and Innovation, which champions student-led innovations, particularly from the Makerere Coffee Club. The Coffee Club, a student-led innovation focused on value addition to coffee, served their products during the top management meeting, demonstrating how academic training is being translated into real, market-ready solutions.

Students from the Makerere coffee club during the meeting. Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera, 26th November 2025, Main Building, Kampala Uganda, East Africa.
Students from the Makerere coffee club during the meeting.

Prof. Sarah Ssali emphasized the importance of ensuring that innovation does not remain confined to laboratories or “junk” backrooms, but progresses into structured systems that support commercialization, intellectual property (IP) protection, and market penetration.

The presence of officers from the University Intellectual Property Office reinforced the need for stronger collaboration to safeguard student innovations and maximize their economic potential.

The university’s investment in barista training and coffee branding was cited as a model of practical, inclusive innovation, with training open not only to students but also to wider communities. This was further strengthened by the role of the Uganda Coffee Development Authority (UCDA), which donated a professional coffee machine to support student training and practical exposure within the Makerere Coffee Club, reinforcing the importance of national institutions in strengthening the coffee value chain.

The meeting highlighted the establishment of a Coffee Museum at the University, led by the School of Food Science, Nutrition and Bioengineering. The Museum will be the first of its kind in Uganda.  Amb. Judyth Nsababero highlighted the fact that it would serve as an intellectual, cultural, and societal tool for preserving and elevating Uganda’s coffee heritage on the world stage. Beyond preservation, the museum was framed as a strategic branding platform that would connect Uganda’s coffee narrative to global audiences and align it with China’s fast-growing coffee consumption culture, positioning it as both a knowledge centre and a symbol of national identity.

Education, Language, and Capacity Building

The strategic engagement also underscored the need to strengthen the Chinese language teaching capacity at Makerere University.

Strong emphasis was placed on Chinese language acquisition as a tool for trade, diplomacy, and innovation. Prof. Mugaga Muwanga stressed that while Uganda remains focused on local languages, there is an urgent need to empower lecturers to become Chinese-trained educationists who can cascade this knowledge across the education system. Strong emphasis was placed on Chinese language acquisition as a tool for trade, diplomacy, and innovation. Prof. Mugaga Muwanga, Principal, CEES, Makerere University, underscored this need, stating:

“The language Chinese is becoming key in world trade. As educationists, we are still focused on teaching Ugandan languages. We need to be empowered to train Chinese-trained educationists. This value chain has to start with capacity building of the lecturers, who will teach the future teachers to roll out the language across various levels of education.”

His remarks reinforced the urgency of investing in structured capacity building for lecturers as the foundation for sustainable introduction of Chinese language education across Uganda’s learning system.

Amb. Judyth Nsababera giving her remarks during the meeting. Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera, 26th November 2025, Main Building, Kampala Uganda, East Africa.
Amb. Judyth Nsababera giving her remarks during the meeting.

The Ambassador committed to supporting scholarships and training opportunities for staff and academicians, particularly at CEES, to build capacity in Chinese language and culture. This initiative will equip beneficiaries with the skills needed to teach Chinese and strengthen meaningful international engagement in key fields such as law, medicine, business, and technology.

Dr. Zahara Nampewo highlighted growing interest by Chinese students in studying law at Makerere University, opening opportunities for reciprocal exchange and joint legal training. The Ambassador also proposed training Ugandan lawyers to better understand the Chinese legal system to strengthen negotiation and international business competence.

Broader Strategic Partnerships

Ambassador Judyth Nsababera highlighted several strategic partnership opportunities aimed at strengthening Makerere University’s global engagement and innovation capacity. These include collaboration with UNDP, which is already supporting commercialisation, skilling, and capacity building, including benchmarking Ugandan enterprises with Chinese packaging companies to enhance product competitiveness and scale production.

She also referenced Yunnan University (China’s coffee province) as a critical academic partner, citing its pioneering coffee degree programme, integrated innovation model, and student-led branding system as a benchmark Makerere could learn from and engage with in developing its own coffee ecosystem and museum.

Additionally, the Ambassador pointed to Koti Coffee (China’s fastest-growing coffee chain) as a potential industry partner, noting its rapid expansion and influence in the global coffee market as an entry point for promoting Ugandan coffee and strengthening market linkages. She further encouraged exploration of collaboration with corporate entities such as Huawei, particularly in areas of student mobility, technological advancement, and academia-industry integration.

Together, these proposed partnerships represent strategic avenues for academic exchange, innovation transfer, market access, and international positioning, laying the groundwork for sustainable and mutually beneficial engagement between Makerere University and global institutions.

Strategic Engagement as a Pathway to Sustainable Partnerships

Prof. Sarah Ssali gifts Amb. Judyth a Makerere Souvenir. Makerere University, in a Top Management meeting chaired by Prof. Sarah Ssali, the Acting Vice Chancellor, hosted an important engagement with Uganda’s Consul General to China, Amb. Judyth Nsababera, 26th November 2025, Main Building, Kampala Uganda, East Africa.
Prof. Sarah Ssali gifts Amb. Judyth a Makerere Souvenir.

The engagement between Makerere University and Ambassador Judyth Nsababera marked a defining moment in advancing strategic dialogue and relationship-building as a foundation for future Uganda–China academic and innovation cooperation. It reinforced the need for structured branding systems, scalable production, commercialisation pathways, language capacity building, and strong university-industry linkages.

As Makerere continues to evolve as a national engine of innovation, research, and thought leadership, this visit provided a clear roadmap for how the institution can assert its rightful place within China’s expanding academic, technological, and economic ecosystem, transforming Uganda’s heritage, creativity, and intellectual capital into global influence.

Caroline Kainomugisha is the Alumni and Partnerships Communications Officer, Advancement Office, Makerere University.

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Makerere Students share experiences, connections and inspiration at inaugural For Youth, By Youth Conference in Turkey

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Some of the Makerere University students pose for a group photo during the inaugural For Youth, By Youth Conference in Turkey. From Left to Right: Naomi Ayebale, Sandrah Naikambo, Kirabo Joel, Hope Nyamwiza (Sign Language Interpreter), Helena Nuwagaba, Harriet Tyobo Yake, Harunah Damba, and Michael Emong. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 

On 16 November 2025, six students from Makerere University travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity. The two-day conference was organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation.

Students pose for a photo at Entebbe International Airport on their way to Istanbul, Turkey, to participate in the inaugural For Youth, By Youth Conference. Left to Right: Tete Mupenge (a student from Ashesi University), Anthony Byansi, Harriet Tyobo Yake, Naomi Ayebale, Kirabo Joel, Harunah Damba, Sandrah Naikambo, Helena Nuwagaba, Michael Emong (Sign Language Interpreter), Hope Nyamwiza (Sign Language Interpreter), and Rinah Marion Namwase. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Students pose for a photo at Entebbe International Airport on their way to Istanbul, Turkey, to participate in the inaugural For Youth, By Youth Conference. Left to Right: Tete Mupenge (a student from Ashesi University), Anthony Byansi, Harriet Tyobo Yake, Naomi Ayebale, Kirabo Joel, Harunah Damba, Sandrah Naikambo, Helena Nuwagaba, Michael Emong (Sign Language Interpreter), Hope Nyamwiza (Sign Language Interpreter), and Rinah Marion Namwase.

During the Conference, held between 17 and 18 November, students participated in a variety of activities, including panel discussions, presentations, and the drafting of the For Youth, By Youth Movement Charter and the Talloires Declaration, the first of its kind to be drafted entirely by students. For many of the students, this experience was the beginning of their journey of global impact and a rare platform to openly share their experiences, ideas and aspirations.

Student reflections after the conference

Naomi Ayebale, a Master of Science in Clinical Psychology student at Makerere University, who took part in the panel discussion “Struggles for Justice and Peace in Our World,” shared: “Attending this event felt like stepping into a space where every voice truly mattered. It was a reminder that no single, beautifully crafted story can ever capture what all our stories hold when woven together. Everyone came with their own truth, their own lens, and their own hope, and somehow it all fit.

“Being part of this movement fills me with a sense of joy, not just because of the cause itself, but because I get to stand alongside people who are not only demanding change but actively working to build it,” she said. “It’s energizing, but it also comes with a deep sense of responsibility. For me, being part of the For Youth, By Youth movement isn’t about how long I’ve lived; it’s about the experiences I carry and the problems I’ve witnessed firsthand. Those experiences have taught me not only what needs to change, but also how meaningful that change can be.”

Naomi Ayebale, with a microphone in hand, sharing her reflections during the panel discussion “Struggles for Justice and Peace in Our World.” She shared a time when standing up for what was right felt uncomfortable or costly, and discussed ways young people can contribute meaningfully to the pursuit of justice and peace in their communities. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Naomi Ayebale, with a microphone in hand, sharing her reflections during the panel discussion “Struggles for Justice and Peace in Our World.” She shared a time when standing up for what was right felt uncomfortable or costly, and discussed ways young people can contribute meaningfully to the pursuit of justice and peace in their communities.

Tyobo Harriet Yake, a final-year student at Makerere University pursuing a BSc in Biomedical Engineering and one of the inaugural cohort participants of the For Youth, By Youth movement, remarked: “For me, it was amazing and exciting to meet young people from different countries who share similar beliefs and ambitions,’ she said. “Conversations like these created a safe space where victims of injustice could share their stories openly. It inspired me to return to my community and continue doing whatever I can, however small, to make life better for those facing similar circumstances.

“I felt a strong sense of unity, and the words of the famous song ‘Different colors, one people’ truly came to life. I loved trying foods I couldn’t even pronounce but absolutely enjoyed. It was a full package of rich experiences in just a few days” she added.

“As I move forward, I’m reminded of John F. Kennedy’s quote ‘leadership and learning are inseparable.’ A leader learns through listening to the loud and silent voices of the community. It’s this conscious leadership that sparks transformation and fuels collective growth. This is the leadership I embrace in this journey” Harriet concluded.

Sandrah Naikambo, a third-year student pursuing a Bachelor of Information Systems and Technology, shared her reflections:

“From my experience at the conference and the movement in general, I learned that change isn’t just spoken about—it’s built. I witnessed young people who weren’t waiting for permission but using their own lived experiences to create real solutions. In that space, every voice mattered and every story had room to breathe. I walked away feeling seen, inspired, and connected with a purpose bigger than myself. This experience showed me that the youth are not the future, they are the present!”

Namwase Rinah Marion, a final year student at Makerere University pursuing a Bachelor of Social Work and Social Administration, and a former Guild Minister for Students with Disabilities in the 89th Guild remarked:

“It was exciting to meet young leaders from across the world who had ambitions towards change in their respective communities and universities,” she said. “The international conference did not only expose me to fellow determined leaders but also inspired me to push hard for success as I got to know there is nothing without us. We are the leaders of tomorrow, and the program entrusted us; so, we are the change makers of today and tomorrow. Young leaders for a better world.”

Left to Right: Rinah Marion Namwase, Harunah Damba, Harriet Tyobo Yake, Michael Emong, Hope Nyamwiza (Sign Language Interpreter), Tete Mupenge (a student from Ashesi University) and Kirabo Joel. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Left to Right: Rinah Marion Namwase, Harunah Damba, Harriet Tyobo Yake, Michael Emong, Hope Nyamwiza (Sign Language Interpreter), Tete Mupenge (a student from Ashesi University) and Kirabo Joel.

The For Youth, By Youth movement was born from the vision of 36 Next Generation Leaders from 18 countries, including Makerere’s Harunah Damba and Patrovas Okidi, who, at the height of the COVID-19 pandemic, worked together to stitch the threads that would later give rise to the movement. They organized local community and campus events, engaging directly with young people, communities, and universities to identify the issues that mattered most to them.

In recognition of the university’s support and as a gesture to strengthen ties with university leadership, Harunah and Patrovas presented a plaque to Vice Chancellor Professor Barnabas Nawangwe, honouring Makerere University’s support for the Next Generation Leaders Program in December 2023.

Harunah Damba (Left) and Patrovas Okidi (Right) present a plaque to Professor Barnabas Nawangwe (Centre) in December 2023, in appreciation of Makerere University’s support for the Next Generation Leaders Program. Six students from Makerere University, Kampala Uganda, East Africa travelled to Turkey to join 69 peers from other prestigious universities for the inaugural For Youth, By Youth Conference on Conscious Leadership and Global Solidarity organised by the Talloires Network of Engaged Universities, in collaboration with paNhari and Sabancı University, and supported by the Mastercard Foundation, 17th to 18th November 2025. 
Harunah Damba (Left) and Patrovas Okidi (Right) present a plaque to Professor Barnabas Nawangwe (Centre) in December 2023, in appreciation of Makerere University’s support for the Next Generation Leaders Program.

Reflecting on their experience, Harunah, now a Makerere University alumnus, said: “It was such an honour for me to be part of the inaugural For Youth, By Youth conference. Seeing the fruits of our hard work finally come to life is something that sits very close to my heart. I can’t think of any work that would be more rewarding, more encouraging, or more inspiring than this.”

Patrovas, a Master of Science in Bioinformatics student at Makerere University, said: “The For Youth, By Youth movement is a testament of what young people can do when organised, from its birth to the very first international conference, it has been led by youth and for the youth who are guided by values of respect, humility, kindness, impact, solidarity, hope, levity, collaboration, and inclusivity. The conference echoed one clear message I would love to pass on to everyone out there, our movement is a values-based civic infrastructure of engaged universities and a nimble network of virtual spaces. To solve multiple intersecting crises, education must evolve into regenerative, living systems rooted in community. Universities should represent all members of society, and be able to speak truth to power, and to centre empathy as the heart of learning and belonging. Youth must be co-creators in solving global challenges, while universities steward safe spaces for critical discourse and shared learning.”

He added “Echoing the voice of Lorlene Hoyt and others: For Youth, By Youth… it’s not a program — it’s a movement. Look out 2045, we’re just getting started. – this is our sense of belonging.”

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In Honor of the Life and Legacy of Mr. Francis Seletze Ngabirano-A Steady Hand through the Storms

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In Memory of Mr. Francis Seletze Ngabirano (1935-2025). Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.

When the history of public health training in Uganda is told — honestly, fully, and with the respect it deserves, the name Francis Seletze Ngabirano must stand at the center of that story. For 32 years, he was one of the most consistent figures at Makerere’s Department of Preventive Medicine, now the Institute (and later, School) of Public Health. Through leadership transitions, political upheavals, and moments when the institution teetered on collapse, he carried with him a quiet, steady force, one that helped keep the wheels turning and the vision alive.

Thirteen years after Makerere University was established, a boy was born in the rolling hills of Kigezi on 18 November 1935. His parents named him Francis Seletze Ngabirano. At that time, no one could have imagined that this young boy would one day dedicate his life to Uganda’s premier and oldest university. Guided by his parents’ commitment to discipline and service, Francis began school in 1945 at the age of ten. He completed his primary education in 1950 before proceeding to secondary school from 1951 to 1956.

By the late 1950s, long before the Makerere University Institute of Public Health was conceived, he was already doing the work that would define his life, administration in health settings. From Kilembe Mines Hospital, where he managed medical records and supervised clerical staff from 1957 to 1960, to the Ross Institute of Tropical Hygiene (East Africa Branch) from 1961 to 1963, where he served as Technical Assistant to the Principal Officer and helped set up regional health research operations across Kenya, Uganda, Tanzania, Malawi, and Zambia, his career was expanding beyond borders. Even as a young man, he had already become someone institutions could trust.

During this same period, he also served as Assistant Chief Health Educator with the African Medical and Research Foundation (AMREF), then a fast-growing regional health organization headquartered in Nairobi. His work took him directly into communities, organizing health education courses in schools and villages, gathering and analysing sickness data from local industries, and supervising the support staff who kept these outreach operations running. It was practical, people-focused work that demanded both empathy and discipline, qualities he carried throughout his career.

Mr. Francis Seletze Ngabirano diligently served Makerere University for 32 years. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
Mr. Francis Seletze Ngabirano diligently served Makerere University for 32 years.

He strengthened his skills through further training in health education and public health administration at Kenyatta National Hospital, at the Hebrew University–Hadassah Medical School in Israel, and later at the University of Thessaloniki in Greece. These experiences gave him both global exposure and a strong command of public health systems, qualifications few Ugandans had at the time.

So, when he joined Makerere on 1 November 1968 as an Epidemiology Office Assistant, a role created specifically to accommodate his expertise, he arrived not as a beginner, but as a professional already shaped by years of responsibility.

As recorded in handwritten notes by Professor Suleiman Jabir Farsey on May 13, 1974:

“Mr. Ngabirano joined the Department in November 1968, and was appointed ‘Epidemiology Office Assistant.’ The records available in the Department indicate that Mr. Ngabirano was recruited for administrative duties, but because there was no provision in the establishment for such a post at the time, the post of Public Health Nursing Instructor was altered to one of Epidemiology Office Assistant,” wrote Professor Farsey, then Head of the Department of Preventive Medicine (1968–1975).

Becoming the Institutional Backbone

The early Institute of Public Health (IPH) was a small but ambitious unit within the Faculty of Medicine. It was led by Prof. Jabir Farsey as a Department of Preventive Medicine and supported by pioneering Ugandans such as Dr. Josephine Namboze, Dr. V. L. Ongom, Mr. S. K. Lwanga, Dr. M. L. Kakande, and Dr. B. Baitera. Behind this frontline of academics was a steady force, administrators like Mr. Ngabirano, making sure that teaching, research, and community outreach worked without disruption.

It is worth noting that Mr. Ngabirano witnessed the birth and transformation of the Department of Preventive Medicine into the first Institute of Public Health in Sub-Saharan Africa on 1 July 1975. The Institute was still under the Faculty of Medicine, then headed by Professor Joseph Lutwama, with Professor Jabir Farsey as its first head. Ngabirano also saw the construction of the four-story building that now houses MakSPH, completed in January 1971, along with the installation of furniture and essential facilities.

From his personal account, the idea of establishing an Institute had been conceived as early as 1967. However, the rise of Idi Amin delayed these plans and triggered the departure of remaining expatriates, including Dr. George Saxton, an American who had directed Kasangati Health Centre and taught in an honorary capacity in the Department of Preventive Medicine. Dr. Saxton, after a brief visit to Europe, returned with an aid package secured from the governments of Denmark and Norway, the funding that ultimately made the current MakSPH building possible. Saxton understood that creating an Institute required space, as staff and students had been cramped in the Clinical Research Building.

All these years, Ngabirano managed everything: financial records, planning epidemiological field tours, supervising personnel, coordinating WHO projects, handling stores and vehicles, and doing so with a thoroughness colleagues would later describe as his trademark.

Over the years, five heads of the Institute came and went: Prof. Jabir Farsey (1968-1975), Prof. Capt. Dr. Virginio Lachora Ongom (1975-1979), Prof. Josephine Namboze (1979-1988), Prof. John Tuhe Kakitahi (1988-1991), and Prof. Gilbert Bukenya (1991-1994), later replaced by Prof. Frederick Wabwire-Mangen (1995-2003). Directors changed, structures shifted, crises erupted… but Ngabirano remained.

His desk was where continuity lived.

A Witness and Chronicler of Turbulent Decades

Many people who lived through Uganda’s chaotic 1970s chose silence. But Mr. Ngabirano documented. His unpublished 1995 manuscript, The Institute of Public Health Through Idi Amin’s Rule, is one of the most significant historical accounts of Makerere’s public health training during a time when institutional memory was at risk of disappearing.

His writing describes:

The early Amin years saw a mass departure of academic staff. Prof. Farsey resigned in 1975, and Prof. Ongom died suddenly in 1979. Tragic losses of colleagues, Dr. Baitera, Dr. Kakande, and Mr. Asaba, further strained morale. Low salaries and dwindling staff eventually led to the discontinuation of the Diploma in Public Health in 1988.

These were not just institutional events; they shaped people’s lives. They tested loyalty, purpose, and endurance. Through all this, the Institute survived because of administrators who refused to let the vision fade. Few stood more firmly in that resolve than Mr. Ngabirano.

The Administrator Who Kept People First

His influence is most vividly remembered in the 1990s with the introduction of the two-year Master of Public Health (MPH) Degree Full-time Programme based on the concept of a Public Health Schools Without Walls (PHSWOW).

With support from the Rockefeller Foundation, this innovative model took training into district health systems; Rakai, Hoima, Fort Portal, Arua, Karamoja, Mukono, immersing students in real public health challenges. Administration for such a programme required: diplomacy, logistical mastery, pastoral care, financial stewardship, and calm leadership across diverse teams. Mr. Ngabirano excelled in every one.

Prof. Fred Wabwire-Mangen, then Director of IPH, remembers him as:

“A focused and organised administrator… the typical administrator of the olden days. He documented every detail clearly and ensured medical student fieldwork ran smoothly.”

Prof. Nazarius Mbona Tumwesigye, who joined when Ngabirano was already a pillar of the Institute, offers this reflection:

“He served the School diligently. The administrator was the engine of the Institute. Directors often travelled, but he ensured day-to-day affairs continued uninterrupted. He sustained this place when salaries were meagre and conditions extremely difficult.”

To young staff, he was not just a supervisor; he was guidance, stability, and care.

In 1993, a new graduate student, Professor Christopher Garimoi Orach, joined Makerere, encouraged by Prof. Gilbert Bukenya to pursue the Master of Medicine in Public Health (MMED PH). That programme would later evolve into the modern two-year MPH. One of the first people he encountered was Mr. Ngabirano.

Prof. Orach remembers him vividly and eulogises him:

“Francis Ngabirano worked with great dedication, commitment, and distinction at the Institute of Public Health. He was passionate about his work as an Administrator, humorous, smart, and ever-present. He interacted easily with faculty and students, always supportive. Rest thee well, Francis. You rendered your service admirably, with great love, passion, and honor. Rest now with the Creator, the giver and taker, in tranquility, in a place well prepared for you eternally.”

These words reflect the admiration of countless others whose paths he helped establish. To others, Ngabirano was a fatherly guide to future leaders. When Dr. Lynn Atuyambe arrived at the Institute in 1994, he was not yet the senior academic we know today but just a young researcher seeking footing.

He found in Ngabirano a mentor who understood people, not only processes.

“He participated in student welfare, was very kind and approachable. He allocated field vehicles, ensured our welfare, organised workshops, and kept strong links with our training centres. He had an art of storytelling with clarity and great detail, I will miss that.”

Dr. Atuyambe particularly remembers a life-changing personal moment:

“The first laptop in my life, he delivered it to me in the field and showed me how to use it. It was 1996. He was friendly and fatherly. May his soul rest in peace.”

These are not merely memories; they are bridges between generations. They tell the truth: the foundations of public health capacity building in Uganda were built not only by professors publishing papers but also by administrators who made classrooms, vehicles, housing, and field learning possible.

During the “MPH at 25” celebration on Oct. 16, 2019, he received a certificate from Vice Chancellor Prof. Barnabas Nawangwe recognizing his role in shaping 25 years of MPH training at Makerere University, an honour that followed his earlier Long Service Award from the University Council in 1995.

The Certificate of Appreciation signed by the Vice Chancellor, Prof. Barnabas Nawangwe and presented to Mr. Francis Seletze Ngabirano on 16th October 2019. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.
The Certificate of Appreciation signed by the Vice Chancellor, Prof. Barnabas Nawangwe and presented to Mr. Francis Seletze Ngabirano on 16th October 2019.

In 2024, Makerere University School of Public Health marked 70 years of existence. For almost half that history, 32 years, the institution was shaped, steadied, and propelled forward by Mr. Francis Ngabirano’s resolve.

Ngabirano’s legacy is woven into the School’s Story. He lived the mission before it became slogans; taking health training to communities, nurturing the next generation of public health leaders, staying when others left, building systems where none existed, documenting history so no one would forget. He is the man who didn’t seek applause. But his contribution is visible in every graduate who navigated the Schools without walls programme, in every field team he deployed safely, in every archived record that tells us where we started and how far we have come.

His retirement in the late 1990s closed an amazing chapter, yet he left behind structures still functioning, and people still carrying his values forward.

In institutions, some people shine in celebration. Others shine in crisis. Mr. Ngabirano shone in both and in his demise, the School of Public Health revere him as a gentleman who kept the School alive when it was hardest to stay.

He stood for diligence when resources were scarce, for continuity when the institution trembled, for service not as a role, but as a calling. We remember him not simply for what he did, but for who we became because he was here. He was the history-keeper, the stabiliser and the quiet guardian of a mission that outlived the hardest years.

And today, as we honor him, we also honor the courage it took to stay when leaving was easier.

To his family, his wife, Jane Ngabirano, and the children, Nina, Victoria, Justus, and Kenneth, thank you for sharing him with us. To his colleagues, thank you for walking the journey with him. To the generations he supported, your success is part of his legacy.

Mr. Francis Seletze Ngabirano’s life reminds us that greatness is not always loud. Sometimes, it is found in punctual footsteps, a carefully kept file, a well-organised field trip, a story told at just the right moment, and the choice, every morning, to keep serving.

May he rest in peace, knowing that his work mattered.
And may the institution he helped carry forward always carry his name in its story.

Davidson Ndyabahika

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