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.”
The Makerere University Vice Chancellor, Prof. Barnabas Nawangwe has today, Friday, 26th June 2026 handed over the CCE (Complex) Hall of Residence Site to National Enterprise Corporation (NEC) Managing Director and CEO, Lieutenant General James Mugira for renovation and overhaul works. The UGX 12billion Government of Uganda-funded works, expected to be completed within a year, are the fourth project to be undertaken by NEC. They were preceded by; construction of the University Perimeter Wall, Renovation of Lumumba Hall, and Renovation of Mary Stuart Hall.
NEC’s Record Lauded
Prof. Nawangwe in his remarks at the handover ceremony lauded these projects. “The quality of work done by NEC makes us proud because we can finally say that we have Ugandans who can do the things, which we previously depended on foreigners to do.” He therefore thanked the Government of Uganda for fully funding the projects and the First Lady and Minister of Education and Sports, Hon. Janet Museveni, whose visit set the renovation projects in motion.
The Vice Chancellor added that as the Alma mater for most members of both the Contractor and Project Management Teams, this was a moment of great pride as their expertise and skills have saved the country billions of taxpayers’ money. “Thank you for being patriotic”, he commended.
Prof. Nawangwe concluded by noting that CCE Hall, by virtue of its location, provides a first impression of Makerere University as a whole. He therefore urged the contractor to ensure that upon renovation, CCE Hall would create a memorable and lasting first impression, exceeding even that of the renovated Mary Stuart Hall.
A Project Fueled by Nostalgia
Speaking of impressions, Lt. Gen. Mugira, with nostalgia recalled that close to 42 years ago, he not only attended his first lectures in Hall 1 of the CCE Complex but also, on a more personal note added, “my wife was a resident, and so I have every motivation to put in a lot of effort and make sure that I deliver more than was done with Mary Stuart and Lumumba.”
He therefore extended heartfelt appreciation to his Alma mater Makerere University for the trust and confidence bestowed in NEC, which underscored their ability to deliver. “Trust is earned through performance, through integrity and consistency, and your decision to engage us motivates us to work even harder to exceed your expectations.”
In his remarks, the Deputy Vice Chancellor (Finance and Administration) Prof. Henry Alinaitwe reechoed the need to ensure that the project is executed with adherence to the cost, quality, specifications and safety related issues as earlier shared by the Acting (Ag.) Chief Engineer of Estates and Works, Eng. Ezra Sekadde.
“NEC has already demonstrated this (with previous projects), and that is why we have all the confidence that you can deliver this project within 12 months” remarked Prof. Alinaitwe. He equally lauded the Project Management Team (PMT) led by Arch. Dr. Kenneth Ssemwogerere whose supervision ensures timely project completion.
Relatedly, Arch. Dr. Semwogerere was on 25th June 2026, the eve of the handover, promoted to the rank of Associate Professor, a milestone Prof. Alinaitwe attributed to his track record as Head of PMT. He therefore, on a light note, urged him to keep up the good work as this could equally contribute to his promotion to the rank of full Professor.
Also present at the handover ceremony was the Principal, College of Education and External Studies (CEES) Prof. Anthony Mugagga, whose unit will be greatly affected by the renovations. He nevertheless welcomed and reiterated his full support for the project, noting that just as renovation of Lumumba and Mary Stuart Halls had resulted in many alumni revisiting, the CCE Complex would upon renovation attract former residents and teaching professionals to give back or forge new partnerships.
Student Welfare at the Forefront
On her part, the Dean of Students Dr. Winifred Kabumbuli lauded the renovations of Halls of Residence as a clear demonstration of Government’s dedication to the improvement of student welfare, and creating an environment conducive for nurturing responsible citizens who can contribute to national development. She pledged her Office’s and the Student Leadership’s readiness to ensure that the renovated facilities used responsibly for the benefit of future generations.
As a resident of the recently renovated Mary Stuart Hall, 92nd Guild President H.E. Kadondi Gracious could not help but appreciate how impactful the renovation of CCE Hall would be to student welfare. “The female students will be very excited (to occupy CCE Hall) but the male students will be left complaining – so we shall be expecting more renovations, not just for the female but also the male students,” she amiably concluded.
General
Makerere University Leads EU-Funded MAGNETISE Project to Strengthen Gender Equality in Higher Education Across Sub-Saharan Africa
A consortium of African and European universities has intensified efforts to mainstream gender equality in higher education through the MAGNETISE project, with Makerere University taking a leading role in hosting a high-level workshop that brought together policymakers, researchers, and gender experts to reflect on institutional progress, persistent gaps, and future strategies.
The initiative, focused on Mainstreaming Gender in Higher Education Institutions in Sub-Saharan Africa (MAGNETISE), is supported by the European Union and implemented through a multi-country partnership involving institutions in Uganda, South Africa, and Europe. It aims to move beyond policy formulation to practical implementation, monitoring, and institutional accountability in gender equality.
At the heart of the discussions was a shared concern: while universities across the region have developed gender policies over the past decades, translating these frameworks into measurable, lived institutional change remains uneven.
A Consortium Approach to Gender Mainstreaming in Academia
Opening the workshop, held at Makerere University recently, the project lead, Professor James Acai Okwee who is also deputy Principal CoVAB, described MAGNETISE as a collaborative effort designed to strengthen institutional capacity for gender equality planning across higher education systems in Sub-Saharan Africa.
He explained that the consortium includes Ugandan partners such as Makerere University and Muni University, alongside South African institutions including University of KwaZulu-Natal, Rhodes University, and Nelson Mandela University. European partners include Katholieke Hoge school VIVES Zuid (VIVES) and KMOP Policy Centre from Belgium, as well as Research Innovation and Development Lab (ReadLab) and University of Peloponnese. The consortium also includes additional European academic collaboration through the University of Applied Sciences and related policy and research networks.
According to Acai, the core objective is not simply to produce policies, but to ensure universities develop functional gender equality plans supported by implementation tools, monitoring frameworks, and institutional accountability systems.
“We have had policies since the early 2000s, but the real question is: where is the implementation plan, and how do we track progress?” he noted. “If a policy says 40 percent representation for women in leadership, we must be able to measure whether that is being achieved.”
He emphasized that MAGNETISE would support training, capacity-building exchanges with European institutions, student engagement programmes, and the development of a digital knowledge hub for gender equality.
Makerere University’s Institutional Position on Gender Equality
Representing university leadership, Dr. Suzan Mbabazi of Makerere University’s Gender Mainstreaming Directorate reaffirmed the institution’s commitment to advancing gender equality across its academic, research, and community engagement mandate. She highlighted significant progress made over more than two decades, citing policies such as the Gender Equality Policy and the Regulations Against Sexual Harassment, alongside governance frameworks that have institutionalized gender equity. Makerere has also established key structures, including the Institute of Gender and Development Studies and the Gender Mainstreaming Directorate, to coordinate initiatives across faculties. Yet, Dr. Mbabazi cautioned that structural achievements do not erase systemic challenges. “Despite progress globally and locally, we must acknowledge persistent gaps, biases, and inequalities within higher education institutions,” she said, stressing the need to bridge policy and practice. She urged participants to prioritize awareness creation, institutional analysis of existing gaps, and deliberate action to dismantle structural barriers. Reaffirming management’s support, she called for continued collaboration among institutions and stakeholders to sustain momentum in gender mainstreaming.
Preliminary Survey Findings Reveal Mixed Progress
Presenting the initial findings of a university-wide survey, Dr. Peace Musiimenta of the School of Women and Gender Studies at Makerere University revealed that responses from 82 participants across various units highlight both progress and persistent challenges in advancing gender equality. While many acknowledged strides in gender mainstreaming, structural and cultural barriers remain entrenched. The study found that although gender policies exist, their implementation is often inconsistent, and initiatives risk being treated as isolated projects rather than integrated institutional practices. Dr. Musiimenta noted that some staff perceive gender programs as overly focused on women, fueling resistance and ideological tensions within academic spaces. She emphasized that the challenge is no longer the absence of policy but the need to ensure visibility, ownership, and effective application of existing frameworks to embed gender equality across the institution.
Gender Audit Highlights Structural Gaps and Progress
Expanding on the institutional audit, Dr. Florence Ebila outlined the methodology and preliminary findings of the gender audit conducted between May and June 2026.She explained that the audit examined institutional policies, governance systems, practices, organizational culture, and perceptions of gender equality.
The study drew data from multiple administrative units including human resources, academic registrars, estates and works departments, and student leadership structures. Ebila reported that Makerere University has made significant institutional progress, including the establishment of gender-focused units and integration of gender considerations into teaching, research, and governance. However, she identified persistent disparities in representation, particularly in science-related disciplines where male staff and students remain dominant.
She also highlighted infrastructural gaps, noting that while newer buildings are increasingly accessible, several older facilities lack adequate support for persons with disabilities and other vulnerable groups.
Another concern raised was limited gender-responsive budgeting, with insufficient allocation of resources to sustain gender mainstreaming activities across all units. “The challenge is not just policy design, but operationalization at all levels of the institution,” she said.
Gender, Identity, and Institutional Culture: A Critical Reflection
A keynote reflection by Dr Josephine Ahikire introduced a deeper theoretical lens to the discussion, situating gender mainstreaming within broader questions of institutional power, identity, and cultural norms.
Ahikire emphasized that gender mainstreaming is not a technical exercise but a structural transformation process that challenges entrenched systems of privilege.
She used the example of Makerere University’s centenary monument, where a male graduate is prominently positioned in front view while a female graduate is placed at the rear, to illustrate how symbolic representations can reflect deeper institutional biases.
“What appears natural often hides embedded inequality,” she argued. “Even symbolic structures matter because they reflect how institutions imagine gender.”
Ahikire acknowledged Makerere University’s progress in policy development and institutional frameworks but cautioned that deeper cultural transformation is still required.
She emphasized the need to interrogate curriculum design, research systems, and informal institutional practices that may perpetuate inequality despite formal commitments to inclusion.
She further argued that gender discourse must retain its political dimension, noting that terms such as feminism should not be avoided but engaged critically in order to address structural inequality.
“Gender equality work is not about comfort,” she said. “It is about questioning established norms and rethinking how power is distributed.”
Institutional Achievements and Remaining Challenges
Across presentations, several common themes emerged.
Participants acknowledged that Makerere University has developed one of the most advanced gender mainstreaming frameworks in the region, including:
- A dedicated gender equality policy framework
- Sexual harassment regulations and safeguarding policies
- Institutional gender mainstreaming structures
- Student engagement programmes and gender clubs
- Scholarships supporting women in science and disadvantaged backgrounds
- Increasing integration of gender into teaching and research
However, speakers consistently highlighted persistent challenges, including:
- Limited implementation of gender policies at departmental level
- Uneven representation of women in senior academic ranks
- Infrastructure gaps affecting accessibility and inclusion
- Weak gender-responsive budgeting mechanisms
- Resistance and misunderstanding of gender equality concepts
- Fragmentation of gender work across isolated units
Towards a Comprehensive Gender Equality Plan
A key outcome of the MAGNETISE project is the development of a comprehensive institutional gender equality plan for Makerere University, supported by monitoring tools and a sustainability framework.
The plan is expected to consolidate existing policies into a coherent implementation strategy, linking institutional commitments to measurable outcomes.
It will also include a handbook for monitoring gender equality initiatives and a digital platform for knowledge sharing among students and staff.
Project leaders emphasized that sustainability will depend on institutional ownership beyond donor funding, particularly through integration into university governance systems.
A Continuing Institutional Journey
The workshop concluded with a shared recognition that gender equality in higher education remains a work in progress, requiring sustained institutional commitment, cultural transformation, and accountability mechanisms.
While Makerere University has made notable progress over the past decades, speakers agreed that the next phase of gender mainstreaming must focus on implementation, visibility, and structural change.
As the MAGNETISE project continues across partner institutions in Africa and Europe, it positions itself not only as a research initiative, but as a long-term institutional reform effort aimed at reshaping how universities understand and operationalize gender equality in higher education.
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