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.”
Makerere University Retirement Benefits Scheme (MURBS) has hit a historic UGX 547 billion valuation following an impressive 15.4% growth in the 2025/2026 financial year.
During a review meeting of the MURBS performance held at Makerere University Main Administrative Building on October 27 2026, ahead of its 16th Annual General Meeting (AGM), the scheme revealed the booming portfolio will directly benefit its close to 8,000 members.
This presentation primes the upcoming October 29 AGM, where MURBS will officially declare this year’s highly anticipated interest rate to the general members.
Chairperson’s Statement on the Scheme’s Performance FY 2025/2026
Dr. Michael Kizito, Chairperson MURBS Board of Trustees, presented the scheme’s success, noting it is rooted in a deep sense of responsibility. He said “prudent stewardship guides our (MURBS) actions, and every contribution invested to MURBS carries an expectation of future security.”
MURBS’ commitment to members is further checked in the scheme’s transition in sync with statutory regulations, and ensuring fairness and transparency for all. In line with this, Dr. Kizito discussed pro rata interest calculation methodology as the new trend for MURBS. Pro rata key features include; contributions earning interest from time of receipt, interest compounding and stopping at exit.
Demonstrating a clear focus on maximising member yields, Dr. Kizito also discussed operational expenditure saying even with an increase in the administrative costs, they have kept below the budgeted percentage.
Going past the balance sheets, Dr. Kizito echoed MURBS’ dedication to the over 3,000 active members building their dreams and the close to 5,000 retired members enjoying the fruits of their long service.
At the back of MURBS dedication, he recognised the ambassadorial framework that was designed to support incoming trustees and the proactive efforts to reach members.
As Dr. Kizito concluded, he expressed gratitude for support and reception from University Council, Management, URBRA Uganda, Trustees, Ambassadors and MURBS members.
He reiterated the scheme’s focus remains on innovation, governance, and growth which will continue to be achieved through digital transformation to improve service delivery and ensuring every member’s records are up to date.
All this is done in effort of ensuring that when the time comes for a member to retire, they do so with confidence and financial peace of mind.
MURBS Evolution From High Risk to a Benchmark Scheme
Ms. Daisy Lynda Nabakooza, Chief Manager Supervision and Market Conduct at Uganda Retirement Benefits Regulatory Authority (URBRA) recognised MURBS success saying it “comes from the good working relationship” between its trustees and experts, and that “the MURBS trustees usually have the information on hand,” which “is a plus.”
On the status/impression of the fund, Ms. Nabakooza revealed that ten or so years ago, when she had just joined URBRA, MURBS was one of those schemes that was “high risk” due to “unremitted contributions.” Thankfully, “the sponsor Makerere University has since embarked on having these unremitted contributions, remitted over a period of time.”
Now, “MURBS has become a benchmark for many schemes.” Ms. Nabakooza said as a regulator, they “really commend MURBS on the work done in terms of compliance.”
Ensuring a Dignified Retirement for Staff through MURBS
Professor Henry Alinaitwe, representing the Vice Chancellor emphasised the ultimate goal is the well-being of the university community during and after service. He referenced a local proverb, saying, “Buto n’ekorera bukuru,” explaining that “when we are here, and still young and working, what we are able to do and put aside will help us in the future.”
He expressed the University’s strong commitment to staff welfare, saying, “we do not want to see ourselves or fraternity really suffering when they are leaving university or when they have since left the university. We want to see people living well and prospering even in their retirement.”
Professor Alinaitwe acknowledged the work done by MURBS team in growing the scheme noting that since 2021, the fund has more than doubled raising from UGX 225 Billion to over UGX 500 Billion. The Vice Chancellor concluded his message by pledging Makerere University‘s good will to ensure sustenance of the fund for a dignified future of its staff.
The Chairperson of Council Dr. Lorna Magara in her message delivered by Hon. Daniel Fred Kidega expressed genuine satisfaction with the current trajectory of the retirement scheme, noting, “I want to congratulate the trustees, the management of MURBS, for maintaining a healthy organisation. When I was looking through the figures, I felt very happy.”
This financial health is not just a statistic but a foundation for the staff’s future. The Chairperson urged the leadership to “maintain the good health of the scheme and let members enjoy their savings.”
Beyond the numbers, the Chairperson Makerere University Council made a heartfelt plea to the board on human impact of the scheme, stating, “I plead with the board of trustees, to avoid delays when it involves the living families of members who are no longer there in service; dead or retired.”
Ultimately, as shared by Hon. Kidega and Professor Alinaitwe, the University vision is ambitious, it involves making MURBS one of the best retirement schemes on the continent and in the world where even those still in service can access resources and make their life better.
About MURBS
Makerere University Retirement Benefits Scheme (MURBS) is a mandatory employer scheme for Makerere University staff, established by the university under an irrevocable trust. On 23 April 2010, MURBS was registered as a corporate body under the Trustees Incorporation Act, CAP. 165, and it commenced operations on July 1 2010.
Following the enactment of the Uganda Retirement Benefits Regulatory Authority Act, 2011, MURBS was established as a voluntary occupational scheme under the new law. The scheme is licensed by URBRA (License Number RBS.0005).
On 21 June 2021, the Minister responsible for Finance, Planning and Economic Development exercised his powers under the law to approve MURBS as a superannuation scheme in the “Exempted Employment” category under the NSSF Act.
The two-week training programme aims to equip government officers with practical skills to assess project viability, manage investment risks and ensure public resources deliver value for money.
The Public Investment Management Centre of Excellence (PIM CoE) is strengthening the capacity of government officers to undertake financial appraisal and risk analysis of public investment projects through a two-week training programme designed to improve the quality of project preparation, appraisal and decision-making in Uganda.
The training, which started in Fort Portal on October 19, 2026, brought together participants from various government ministries, departments and agencies (MDAs), alongside facilitators from Makerere University, the Ministry of Finance, Planning and Economic Development, Cambridge Resources International (CRI), the National Planning Authority and the Uganda Development Bank.
Officially opening the training on behalf of the Permanent Secretary/Secretary to the Treasury, Ms Esther Ayebare, Acting Assistant Commissioner in the Project Analysis and Public Investment Department of the Ministry of Finance, Planning and Economic Development, emphasised the importance of rigorous project appraisal in strengthening Uganda’s public investment management system.
She noted that projects admitted into the public investment plan must be aligned with national priorities, technically sound, financially viable and capable of delivering value for money.
“Government must be able to compare investment alternatives and ensure that only viable projects proceed through the public investment process,” she emphasised.
Ms Ayebare explained that sound appraisal enables government to make informed investment decisions, maximise returns on public expenditure and ensure that limited public resources are directed towards projects with the greatest potential to deliver development outcomes.
Building practical skills for better investment decisions
The training builds on the Public Investment Management course conducted in June, which introduced participants to Uganda’s public investment management framework, including project conceptualisation, stakeholder analysis, project costing, implementation action plans, the Integrated Bank of Projects, and monitoring and evaluation of public investment reforms.
The current programme advances this foundation by equipping participants with technical competencies in financial appraisal, financial modelling and risk analysis.
Participants will explore integrated investment appraisal, alternative investment criteria, cash-flow statements, inflation and exchange-rate movements, asset valuation, project financing, project scale and timing, risk-sharing arrangements and cost-effectiveness analysis.
Through practical exercises and case studies, participants will apply these concepts to investment scenarios in sectors such as roads, health, education and water. The programme will also examine how climate change, social considerations and other risks can be integrated into project preparation and appraisal.
Ms Ayebare encouraged participants to engage actively with the facilitators, question the practical application of the tools and consider how the skills acquired could improve investment decisions within their respective institutions.
She also reminded participants that the programme includes an examination and that certification requires more than attendance. Participants are expected to demonstrate an understanding of the concepts and acquire practical skills that they can apply in their work.
Reducing dependence on externally prepared studies
A key objective of the training is to strengthen the ability of government institutions to undertake high-quality project appraisal studies using their own technical teams.
Ms Ayebare observed that many studies submitted to the Development Committee have traditionally been prepared by external consultants, often at considerable cost. Building the capacity of public officers to conduct these studies independently can help institutions strengthen their technical expertise and improve the quality of project proposals presented for consideration.
She urged participants to take full advantage of the facilitators’ expertise and return to their institutions equipped to undertake sound financial appraisals and provide evidence-based advice to decision-makers.
She further emphasised that project approval requires thorough preparation, analysis and justification, rather than simply identifying available funding and proposing a project to utilise it.
Strengthening public investment management through capacity development
In his remarks, Prof. Edward Bbaale, Director of the PIM CoE, thanked the Ministry of Finance for its financial support and for identifying participants from government institutions. He also recognised the contributions of the facilitators and partner institutions in delivering the programme.
Prof. Bbaale noted that the Centre’s work extends beyond training to include research and advisory services aimed at improving public investment management practices. He encouraged continued collaboration with government institutions and other partners to advance research, knowledge sharing and capacity development.
Speaking during the training, Dr John Sseruyange, Manager of the PIM CoE, highlighted the importance of commitment, active participation and punctuality throughout the programme. He encouraged participants to engage with the facilitators, ask questions and apply the knowledge gained to the projects they support.
Dr Sseruyange also acknowledged the Government of Uganda, through the Ministry of Finance, Planning and Economic Development, for financing the training, and appreciated Cambridge Resources International for its continued support towards improving public investment preparation and analysis in Uganda.
The training reflects ongoing efforts to strengthen Uganda’s public investment management system by equipping public officers with the knowledge and practical competencies needed to assess projects rigorously, identify potential risks and make informed investment decisions.
By developing in-house expertise across government institutions, the programme seeks to contribute to better-prepared projects, more efficient use of public resources and improved delivery of Uganda’s development priorities.
-
General2 weeks agoApplications Open: Short Course in Decision Modelling for Economic Evaluation
-
General2 weeks agoComplete Nyerere Historical Tasks of Uniting and Prospering Africa – President Museveni
-
Business & Management1 week agoPIM CoE equips Public Officers to Make Better Public Investment Decisions
-
Agriculture & Environment2 days agoWhat two weeks with Farmers in Mwera, Mityana, taught Makerere’s PhD Students about Agricultural Innovation
-
General16 hours agoMURBS Presents FY 2025/26 Performance with 15.4% Growth