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Experts Gather to Analyze and Strengthen Efforts in Maternal and Reproductive Health

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By Samantha Agasha and Davidson Ndyabahika

Uganda has made notable progress in increasing coverage of Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) services over the past two decades, but overall progress remains uneven due to inadequate investment and funding for health, fragmented and disorganized healthcare systems, gaps in evidence-based policy, and weaknesses in policy implementation.

In an effort to catalyze policy improvement in Africa, the International Development Research Centre (IDRC) of Canada and the Malaysia-based United Nations University International Institute of Global Health (UNU-IIGH) have agreed to co-fund a program of work aimed at promoting Maternal, Newborn, Sexual and Reproductive Health (MNSRH) policy improvement and development in five African countries, including Uganda.

On Wednesday 18th January 2023, a partner engagement meeting was held in Kampala to conduct a situational analysis of the Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) services in Uganda and discuss challenges in policy formulation, implementation, and evaluation.

In his opening remarks, Prof. Charles Ibingira highlighted the challenges in policy formulation, implementation, and evaluation in RMNCAH services.

“Our targeted outputs are; updated/improved versions of existing policies, or new policies, an improved MNSRH research-policy-practice system (including better coordination and communication between commissioners, producers, and users of research), case studies of catalyzing policy improvement in Africa – CPIA model, and two structured courses for a cohort of young professionals in policy analysis and implementation research,” Prof. Ibingira highlighted.

Prof. Charles Ibingira, the team lead on the project takes notes during the RMNCAH partner's engagement.
Prof. Charles Ibingira, the team lead on the project takes notes during the RMNCAH partner’s engagement.

The session was moderated by Professor Elizeus Rutebemberwa, the Deputy Dean, School of Public Health assisted by Dr. Josaphat Byamugisha, of Obstetrics & Gynecology and the Director, Makerere University Health Services with assistance from Professor Lynn Atuyambe.

Professor Elizeus Rutebemberwa, the Deputy Dean, School of Public Health moderates the session.
Professor Elizeus Rutebemberwa, the Deputy Dean, School of Public Health moderates the session.

According to Dr. Sarah Byakika, the Commissioner Health Services Planning, Financing, and Policy at the Ministry of Health, there is a need to evaluate program indicators on a regular basis.

“The challenge is that when it comes to monitoring and evaluation, and following up on why we are not achieving targets, there is a big gap. We produce annual sector performance reports but don’t give time to reviewing this performance. People always just go back home and wait for the next report,” remarked Byakika.

Further adding; “We are good at designing policies but are struggling when it comes to learning from them.”

Dr. Sarah Byakika, the Commissioner Health Services Planning, Financing, and Policy at the Ministry of Health.
Dr. Sarah Byakika, the Commissioner Health Services Planning, Financing, and Policy at the Ministry of Health.

Dr. Moses Walakira, the family planning program specialist at the United Nations Population Fund (UNFPA) decried the absence of a joint multi-sectoral action plan when it comes to addressing RMNCAH issues.

“How do we work collaboratively to address structural barriers? Who are the gatekeepers? And how do we target them together? Harmonization of perspectives and commitments at different levels is so important, otherwise, we shall remain fragmented in our policy implementation,” said Dr. Walakira.

Dr. Moses Walakira, the family planning programme specialist at the United Nations Population Fund (UNFPA).
Dr. Moses Walakira, the family planning programme specialist at the United Nations Population Fund (UNFPA).

Ms. Friday Madinah, a Senior Youth Officer from the Ministry of Gender, Labour and Social Development, advises that when dealing with issues related to young people, women, children, and people with disabilities, the Ministry of Health should involve the Ministry of Gender, Labour, and Social Development, as they also have the necessary linkages and structures to assist in implementing these policies.

Ms. Friday Madinah, a Senior Youth Officer from the Ministry of Gender, Labour, and Social Development speaking at the event.
Ms. Friday Madinah, a Senior Youth Officer from the Ministry of Gender, Labour, and Social Development speaking at the event.

 “When issues of young people, women, children and even those of people with disabilities are being handled, it is mostly the Ministry of Health taking charge yet we at the Ministry of Gender, Labour and Social Development also have the linkages and structures to help in implementing these policies. Please bring us on board, and make use of our competencies in these areas,” says Madinah.

Dr. Olive Sentumbwe, Family Health, and Population Adviser, at the World Health Organization (WHO), also underscores the need for a platform for the RMNCAH team to utilize in discussions with the other key players in regard to the kind of support they can provide.

Dr. Olive Sentumbwe, Family Health and Population Adviser, at the World Health Organization (WHO) speaks at the partners engagement.
Dr. Olive Sentumbwe, Family Health and Population Adviser, at the World Health Organization (WHO) speaks at the partners engagement.

“The platform is crucial when it comes to accountability; following up/asking other sectors, and Ministries whether our policies and action points are being implemented. We also need different platforms at the different levels of government so there is an understanding of policies and their implementation processes by the different beneficiaries,” she said.

According to Dr. Jessica Nsungwa, the Commissioner for Maternal and Child Health at the Ministry of Health of Uganda, accountability ought to be mutual in order for policies to be successful.

“Government should be accountable to its people, but the people also need to be accountable to the government. For example, we bought a bunch of COVID-19 vaccines using government money but people refused to come for them and some of those doses ended up expiring,” Dr. Nsungwa attests.

Dr. Jessica Nsungwa, the Commissioner for Maternal and Child Health at the Ministry of Health of Uganda.
Dr. Jessica Nsungwa, the Commissioner for Maternal and Child Health at the Ministry of Health of Uganda.

The Minister of Health Dr. Jane Ruth Aceng reported in June 2022 that 2.6 million doses of the COVID-19 vaccine expired due to a lack of interest and misinformation. This highlights the need to improve cooperation and coordination between the public, private sectors, and community to improve access to maternal, newborn, sexual, and reproductive health.

Participants holding a discussion at the RMNCAH partners' engagement meeting.
Participants holding a discussion at the RMNCAH partners’ engagement meeting.

Hon. Dr. Bhoka Didi George, a public health specialist, area MP for Obongi County in Obongi District, and a member of the Committee on Health in Parliament reminded the team that the current public health law in Uganda is obsolete, dating back to the 1930s.

“From a legal and regulatory framework point of view, there is a lot of room for improvement. What we have is a national policy, not a law. Therefore, we cannot hold the government accountable in case they fail to deliver on Maternal, Newborn, Sexual, and Reproductive Health for example. We need an enabling legal and regulatory framework,” Hon. Dr. Bhoka.

Hon. Dr. Bhoka Didi George, a public health specialist, area MP for Obongi County in Obongi District, and a member of the Committee on Health in Parliament.
Hon. Dr. Bhoka Didi George, a public health specialist, area MP for Obongi County in Obongi District, and a member of the Committee on Health in Parliament.

Dr. Richard Mugahi Adyeeri, the Assistant Commissioner Ministry of Health in charge of Reproductive Health advises the localization of policies to suit Uganda’s population needs at the implementation of RMNCAH services.

“One district with five million people, but only one DHO [District Health Officer] can’t have the same issues as a district with only 60,000 people for example. Let us have policies that are not only culturally, but also socially sound,” Dr. Mugahi said.

Dr. Richard Mugahi Adyeeri, the Assistant Commissioner Ministry of Health in charge of Reproductive Health.
Dr. Richard Mugahi Adyeeri, the Assistant Commissioner Ministry of Health in charge of Reproductive Health.

Prof. Ibingira stresses that the engagement was quite central to the responsibility of individual stakeholders, which is proper service delivery for the health improvement of Ugandans.  

“You have given us a lot of information on the issues we are tasked with, regarding policy formulation and implementation. We are now going to do the analysis by looking at the different existing policies so we can come up with strategies instrumental to accelerating policy improvement. We hope a lot is going to change, and that other countries will learn from us. Thank you very much,” Prof. Ibingira.

The CPIA partnership operates in five countries and is coordinated by the UNU-IIGH, which leads to the conceptualization and evaluation of the program’s model. Makerere University leads the implementation of the CPIA model and operational plan in Uganda, and the project aims to benefit staff and students through visiting fellowships, internships, and Ph.D. research opportunities.

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TWAS recognises Dr. Angelina Mwesige Kakooza for her research

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Dr. Angelina Mwesige Kakooza, Associate Professor of Paediatrics in the Department of Paediatrics and Child Health receives her award.

Dr. Angelina Mwesige Kakooza, Associate Professor of Paediatrics in the Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences (MakCHS) received the 2025 TWAS-Fayzah M. Al-Kharafi Award in Medical Sciences. She was recognised for her research on neurodevelopmental disorders – particularly epilepsy, cerebral palsy, and nodding syndrome – and for advancing policy and research, mentorship, as well as local community interventions to enhance children’s health.

The award was given at the recent 17th General Conference of The World Academy of Sciences (TWAS) held in Rio de Janeiro, Brazil under the theme ‘Building a Sustainable Future: The Role of Science, Technology, and Innovation for Global Development.’ Organized in partnership with the Brazilian Academy of Sciences (BAS) and TWAS, the conference brought together leading scientists, policymakers, and institutional leaders from across the global South and beyond.

In her remarks after receiving the award, Dr. Kakooza said, “This award highlights the importance of neurodevelopmental disorders which are a great health problem worldwide, often diagnosed late and treated poorly,” said Kakooza. “It affirms my contribution to science in Africa, strengthens advocacy for gender equity in science and education and makes me a role model for others, increasing my influence in the scientific community.”

Associate Professor Angelina Mwesige Kakooza.
Associate Professor Angelina Mwesige Kakooza.

Dr. Angelina Kakooza Mwesige is a Ugandan scholar with over 25years teaching experience whose research focuses on neurodevelopmental disorders in children centred on their epidemiology, early screening, identification and community based interventions in Uganda. Her current areas of research cover studies on early detection and interventions for young infants at high risk of neurodevelopmental delay and disability in Nepal and Uganda; development of community engagement projects to empower adolescents living with epilepsy in Uganda reduce stigma in their communities; as well as development and testing of an interactive epilepsy smart phone application to improve resilience among them.

TWAS is a global merit-based science academy based in Trieste, Italy, and administered as a UNESCO Programme Unit. Read more here: https://twas.org/

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Zaam Ssali

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Refugee Health Journalism as Empowerment: Why Accuracy, Dignity & Context Matter

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Participants in the Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts at MakSPH on 3rd October 2025. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.

In July this year, I joined a study tour to Imvepi Refugee Settlement in Uganda’s West Nile region under the RISK-WASH Project, led by Dr. Richard Mugambe. Established in 2017 in what is now Terego District, Imvepi is one of several settlements created to host people fleeing conflict in neighbouring South Sudan. Now home to more than 60,000 refugees, it reflects Uganda’s progressive refugee policy, anchored in the 2006 Refugee Act, which promotes the integration of displaced families within host communities, allocates land for livelihoods, and ensures access to national services. It remains a model both commendable and instructive for the region.

With nearly two million refugees and asylum seekers, most of whom are women and children, Uganda stands among the world’s leading examples of inclusive, community-based refugee protection. The RISK-WASH Project, implemented by the Makerere University School of Public Health (MakSPH) in collaboration with IHE-Delft, BRAC, and icddr,b, with support from the Dutch Ministry of Foreign Affairs, organised the three-day visit. The project builds evidence for better Water, Sanitation, and Hygiene (WASH) decision-making in humanitarian settings, developing practical tools to assess how exposure to unsafe water, poor sanitation, and environmental hazards affects the health of both displaced and host populations.

The RISK-WASH Project team, together with officials from the Uganda Red Cross Society, meet the Imvepi Refugee Settlement Commandant during a field visit in July 2025. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.
The RISK-WASH Project team, together with officials from the Uganda Red Cross Society, meet the Imvepi Refugee Settlement Commandant during a field visit in July 2025.

In Imvepi, that evidence takes human form. Water points run dry under intense demand or drought; latrines overflow during rains; fragile health systems strain to contain preventable diseases that flourish in such conditions. One nurse may attend to hundreds of patients in a single day, treating malaria, respiratory infections, and diarrhoeal diseases directly linked to inadequate WASH infrastructure. The images linger long after one leaves, especially when reflecting on the media’s role in shaping refugee narratives. What struck me most was how such realities are often reduced to statistics or fleeting headlines that reveal little about the lives behind them. I left Imvepi convinced that we, in the media, must not only report but listen differently.

When we cover refugees, we often begin with numbers. Yet behind every statistic is a heartbeat and a history the news cycle rarely pauses to hear. Refugee health, perhaps the most human measure of displacement, is still too often framed as a crisis rather than a continuum of resilience, policy, and rights. The World Health Organisation’s World Reports on the Health of Refugees and Migrants reminds us that refugees frequently experience poorer health outcomes than host populations, not because they are inherently vulnerable, but because access to care is often obstructed by law, language, and logistics. Health, like truth, then, becomes interestingly dependent on who is allowed to speak and who is heard.

Floods in Adjumani refugee settlement left shelters destroyed and water sources contaminated, heightening the risk of disease outbreaks and exposing the fragile health conditions faced by displaced families. Photo taken in 2024 during a MakSPH study on refugee health and climate change. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.
Floods in Adjumani refugee settlement left shelters destroyed and water sources contaminated, heightening the risk of disease outbreaks and exposing the fragile health conditions faced by displaced families. Photo taken in 2024 during a MakSPH study on refugee health and climate change.

It was in this spirit that, on October 3, 2025, we convened the Media Training Workshop on Refugee Health and Migration Reporting at MakSPH. The one-day seminar brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts. Our goal was not to add another humanitarian angle to the news but to rethink how the media can report with depth, ethics, and empathy. Working with partners such as Africa Humanitarian Action, Emesco Development Foundation, and Farmamundi, we explored the subtle power the media wields to either dignify or diminish, to clarify or distort, the lived realities of refugees, particularly in the realm of health.

During my session, Refugee Health Reporting as Empowerment: Negotiating Accuracy, Dignity, and Context,” I invited participants to view journalism through the lens of Paulo Freire, the celebrated Brazilian transformative educator who wrote the Pedagogy of the Oppressed while in exile in 1970. Through his influential work, Freire argued that oppression persists when those in power control language and narrative, when others are spoken for rather than heard. Liberation begins, he said, when people “name their world.” That principle remains profoundly relevant to our craft as journalism and communications practitioners. Refugees must not remain objects of our storytelling; they are its subjects. Journalism, in its truest public function, becomes liberating only when it is dialogic, when we report with people, not merely about them.

I led a session titled “Refugee Health Reporting as Empowerment: Negotiating Accuracy, Dignity, and Context” on October 3, 2025, framing it around Paulo Freire’s pedagogical philosophy of liberation through dialogue and critical reflection. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.
I led a session titled “Refugee Health Reporting as Empowerment: Negotiating Accuracy, Dignity, and Context” on October 3, 2025, framing it around Paulo Freire’s pedagogical philosophy of liberation through dialogue and critical reflection.

This transformation begins with accuracy. In Uganda, refugees share the same health system as host communities, one already strained by staff shortages, drug stock-outs, and donor fatigue. Yet many stories stop at official statements or NGO press releases. Limited access, shrinking newsroom budgets, and bureaucratic gatekeeping tempt journalists to rely on polished humanitarian narratives. But when we do, we risk becoming megaphones for the powerful. Accuracy demands courage, the willingness to verify, to cross-check, and to step beyond curated camp tours. In refugee reporting, truth is not just a professional standard; it is an act of respect.

Still, truth without dignity can harm. Too often, images of refugees serve as shorthand for despair—dust, hunger, tents. Such imagery may evoke sympathy, but it often strips away humanity. From practice, I have seen journalists lower their lenses before asking names. I have also seen how a small shift in approach, say seeking consent, giving space, and listening before photographing, can restore dignity to both subject and story. Words matter too. Calling someone an “illegal immigrant” or describing an “influx” of refugees turns people into problems. Language should humanise, not flatten. To describe refugees as mothers, health workers, or students is to reassert their agency and affirm our shared humanity, something Freire would have deeply valued today.

Media trainer Mr. Wilson Akiiki Kaija facilitates a session on “Centring Humanity” during the Refugee Health and Migration Reporting Workshop at MakSPH, underscoring the media’s role in advancing accuracy, dignity, and context in refugee reporting. October 3, 2025. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.
Media trainer Mr. Wilson Akiiki Kaija facilitates a session on “Centring Humanity” during the Refugee Health and Migration Reporting Workshop at MakSPH, underscoring the media’s role in advancing accuracy, dignity, and context in refugee reporting. October 3, 2025.

And no story exists in isolation. Every health headline in a settlement echoes across systems of policy, climate, economics, and gender. A cholera outbreak in Kyangwali is not merely a medical event or isolated incident; it may be showing broken sanitation infrastructure and the politics of aid, which may result in a national disease outbreak. Context is the soul of credibility. Without it, even accurate stories can mislead. In Imvepi, I saw first-hand that refugees’ health challenges are inseparable from Uganda’s own development journey, from how budgets are made to how global partners value African hospitality. The more connections we draw, the closer we come to the truth.

By the close of the workshop, it was evident that empowerment in journalism is not a slogan but a discipline. It demands patience, humility, and persistence. It calls for the co-production of stories, revisiting them, verifying them, and allowing refugees to narrate their realities. It also calls on institutions to invest and fund field reporting, train correspondents in trauma-sensitive and peace journalism, and protect journalists pursuing uncomfortable truths. Without such support, even good intentions dissolve into soundbites.

I often return to Freire’s words of wisdom: To speak a true word is to transform the world. This means that words are not just passive descriptions but powerful tools for action and social change, especially when they are paired with critical reflection and a commitment to praxis (work and action). Refugee health journalism, at its best, is precisely that kind of speech: accurate, dignified, and deeply contextual. It is not merely charity reporting; it is solidarity reporting. For anyone, given the wrong circumstances, can become a refugee. And solidarity, unlike sympathy, does not look down; it stands beside. When we write from that conviction, our stories do more than inform. They humanise, connect, and remind us that telling the truth well is, in itself, an act of justice.

From right: Africa Humanitarian Action’s Mr. Yakobo Kaheesi and Emesco Development Foundation’s Mr. Patrick Ssentalo join facilitators and organisers Mr. Wilson Akiiki Kaija and Mr. Davidson Ndyabahika in awarding certificates to media participants after the successful training on Refugee Health and Migration Reporting on October 3, 2025. Media Training Workshop on Refugee Health and Migration Reporting that brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa on 3rd October 2025.
From right: Africa Humanitarian Action’s Mr. Yakobo Kaheesi and Emesco Development Foundation’s Mr. Patrick Ssentalo join facilitators and organisers Mr. Wilson Akiiki Kaija and Mr. Davidson Ndyabahika in awarding certificates to media participants after the successful training on Refugee Health and Migration Reporting on October 3, 2025.

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John Okeya

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Professor Nakimuli awarded at FIGO Congress for outstanding contribution to Women and Child Health

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Dr. Annettee Nakimuli, Associate Professor of Obstetrics and Gynaecology and Dean, School of Medicine, Makerere University College of Health Sciences. Kampala Uganda, East Africa.

Dr. Annettee Nakimuli, an Associate Professor of Obstetrics & Gynaecology and Dean – School of Medicine at Makerere University College of Health Sciences was awarded by the International Federation of Gynaecology and Obstetrics (FIGO) for her outstanding contribution to improving the health of Women and children as a researcher and practitioner.

She received the award on the 6th Oct 2025 at the FIGO General Assembly/FIGO Congress that is ongoing in Cape Town, South Africa.

Professor Nakimuli is a leading maternal health researcher focused primarily on investigating the aetiology, treatment, prevention and long term outcomes of pregnancy complications among women in Sub-Saharan Africa. She is committed to building maternal and new-born research capacity in Africa and her aim is, with East African and International colleagues, to establish a multidisciplinary centre for African maternal and neonatal health research located at Makerere University in Uganda.

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Zaam Ssali

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