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.”
Agriculture & Environment
Makerere Hosts Inaugural Falling Walls Lab Competition as Innovators Pitch Solutions to National Challenges
Students and researchers from Makerere University and other institutions pitched 12 innovations addressing challenges in healthcare, clean energy, agriculture, waste management and community resilience during the inaugural Falling Walls Lab Kampala, held at the School of Public Health Auditorium, Makerere University.
The competition brought together emerging innovators to present solutions to practical challenges through a three minute pitch, followed by questions from a panel of judges.
Modelled on the Falling Walls format that originated in Berlin, the event required each participant to identify a “wall” a problem or barrier, and demonstrate how their innovation seeks to break it down.
Mudhasi wins with newborn jaundice screening device
Andrew Mudhasi of Makerere University emerged as the overall winner with a score of 90 per cent for a low cost medical device designed to improve newborn jaundice screening across different skin tones.
Mudhasi explained that the device uses optical sensor technology and a skin tone targeting algorithm to provide a rapid reading, with the aim of helping nurses and clinicians identify jaundice more efficiently.
During questions from the jury, Mudhasi said the device had not yet been tested on actual babies but had undergone laboratory testing using simulated skin tones.
He reported an accuracy rate of 94 per cent when the device was compared with laboratory spectrophotometers.
The innovation is intended initially for use in clinics and hospitals, with Mudhasi saying the team is also considering a version that could eventually allow mothers to screen babies at home.
Mudhasi’s innovation has previously received recognition at the African Business Concept Challenge and the iF Design Student Award, according to his presentation.
Rhonda’s innovation tackles diaper waste
Rhoda John of the University of Nairobi emerged in second place with 89.6 per cent for an innovation addressing the problem of used diaper waste.
Under the theme “Breaking the wall of diaper waste and drug soils,” Rhonda explained that her team extracts sodium polyacrylate, the absorbent polymer found in diapers, and replaces the sodium with potassium.
The resulting potassium based superabsorbent material is designed to act as a “water battery” in soil by absorbing and retaining water for plants during dry periods.
John said testing showed a 99 per cent increase in germination and a 23 per cent increase in drought resistance.
The innovation also seeks to reduce the amount of used diapers ending up in landfills and the environmental effects associated with their decomposition.
During the question and answer session, John explained that her team was working with government environmental officials in Nairobi on a pilot collection system to address the challenge of gathering used diapers at scale.
Mahera takes third place with herbal peptic ulcer treatment
Stuart Mahera of Makerere University finished third with 86.2 per cent for a herbal formulation targeting peptic ulcers.
Presenting under the theme “Breaking the wall of Nature and Modern Medicine,” Mahera argued that conventional treatment for peptic ulcers can involve multiple medicines and may be associated with side effects and antimicrobial resistance.
His proposed formulation, MARAC capsules, is intended as a monotherapy, combining properties required for peptic-ulcer treatment in a single capsule.
Mahera said his team had carried out quality control work, including characterisation and dose quantification, and had conducted preclinical trials on laboratory mice.
He also told the jury that an application had been submitted to the National Drug Authority as the team awaits the next stage of the regulatory process.
According to Mahera, the proposed seven day treatment would cost about Shs21,000, compared with the existing 14 day treatment approach.
Innovators present solutions to practical challenges
The remaining presentations covered a wide range of challenges.
Esther Nakungu of Utamu University presented Agri-Track, a digital record keeping solution intended to improve visibility, accountability and management of farm operations and financial information.
Dr. Jimmy Chachiga, a Makerere University participant, presented a solar photovoltaic cooker with a heat storage system designed to provide a cleaner and more reliable cooking option during both sunny and non sunny periods.
His presentation focused on reducing dependence on biomass fuels and addressing the challenges associated with intermittent solar energy.
Abdul Noor Luttamaguzi, a PhD student and senior government fisheries officer, presented a mobile application aimed at helping fish farmers and extension officers report, track and manage disease outbreaks.
Henry Duke Tamale presented a herbal cream targeting antibiotic resistant biofilm infections associated with diabetic foot ulcers.
Marvin Seruwu proposed adapting existing near infrared brain monitoring technology to help detect extra-axial brain bleeds in health facilities where access to CT and MRI equipment is limited.
His proposal seeks to repurpose existing technology towards a diagnostic need that could be particularly important in settings where advanced imaging facilities are not readily available.
Kennedy Kisame presented a poultry alert and diagnosis system combining satellite weather information with computer vision disease detection. The proposed system could be accessed through a smartphone application, SMS or USSD, making it potentially usable by farmers with limited internet access.
Frank Atwiine proposed a solar powered mobile diagnostic van designed to bring ultrasound and other diagnostic services closer to rural communities.
Johnson Makmot, a software and blockchain developer, presented a platform that combines GPS tracking and blockchain-based tokens to incentivise and verify plastic-waste collection in Kampala.
Dr. Nelson Ndugu, from a partner university, presented an artificial intelligence tool designed to translate agricultural research publications into local Ugandan languages and generate voice notes for radio-based extension delivery.
The final presentation came from Dr. Juliet Akola, a Ugandan post doctoral researcher at Mangosuthu University of Technology in South Africa.
Akola presented a community digital resilience initiative focused on mapping risks in Kampala’s informal settlements, including flooding, fire, poor sanitation, waste management and inadequate infrastructure.
Her proposal seeks to combine local community knowledge with geographical information systems and link identified risks to action plans involving municipalities and other stakeholders.
Nawangwe calls for more investment in innovation
Closing the event, Prof. Nawangwe congratulated all the participants and described their presentations as an important beginning for Makerere University, Uganda and the wider region.
Drawing on his experience attending the Falling Walls conference in Berlin, the Vice Chancellor said initiatives of this nature are important because innovation will play a major role in determining the future of countries.
He encouraged participants to make their pitches more precise by clearly identifying the problem they are addressing, explaining their proposed solution and demonstrating what they have already achieved.
Prof. Nawangwe also welcomed the participation of innovators from other universities and countries, noting that the Kampala event had attracted participants beyond Makerere.
He thanked the Africa Office of the Falling Walls Foundation for its role in bringing the initiative to Makerere and encouraged continued support for innovation.
The Vice Chancellor further linked innovation to Uganda’s growing youth population and the need to develop home-grown solutions to address challenges such as youth unemployment.
The inaugural Falling Walls Lab Kampala ultimately provided a platform for innovators to move ideas beyond the classroom and laboratory and demonstrate how research, technology and creativity can be applied to challenges affecting communities.
| Position | Winner | Institution | Score |
| 1st | Andrew Mudhasi | Makerere University | 90% |
| 2nd | Rhoda John | University of Nairobi | 89.6% |
| 3rd | Stuart Mahera | Makerere University | 86.2% |
-
General6 days agoUndergraduate Admissions: Students allowed to Change Programs/Subjects 2026/27
-
Computing & IS6 days agoProf. Engineer Bainomugisha Takes Over as Principal of CoCIS, Pledges Focus on Excellence, Research and Innovation
-
General2 weeks agoJICA, Makerere University Explore New Frontiers in AI and Research Collaboration
-
General3 days agoProf. Sarah Ssali urges the Makerere University Community to embrace local philanthropy
-
Business & Management2 weeks agoDr Gemeda Olani Akuma’s productivity at Makerere University unearths the potential of postdoctoral fellowships