To access treatment and care services at the Uganda Cancer Institute (UCI), patients spend on average 300,000 Uganda shillings on a single visit although some spend to as high as 800,000 (Figure 1). This was revealed by a study done by Makerere University in collaboration with the Strengthening Institutional Capacity for Research Administration (SICRA) and Uganda Cancer Institute (UCI) with funding from the Government of the Republic of Uganda through Makerere UniversityResearch and Innovation fund (Mak-RiF).
Conducted in 2021 during the Covid-19 pandemic lockdown, this study titled “Impoverishing and Catastrophic Health Expenditure on Cancer Care among Persons affected by Cancer in Uganda” is among the first few in the country to estimate the catastrophic health expenditure among cancer patients receiving care in Uganda.
The study revealed that patients suffering from Prostate and Colorectal Cancers were the most affected, with their out-of-pocket expenditure greater than 600,000 per visit. Out of pocket expenditure refers to all direct payments for healthcare or services from household income or savings that patients incur at the point they receive health services.
The study also highlighted that a considerable proportion of cancer patients experience catastrophic health expenditure. “Overall, at least half of all cancer patients experienced catastrophic health expenditure on Cancer Care and treatment. 5 out of 10 patients spent at least 40% of their household income on Cancer health care,” the study findings reveal in part. Further, “Cancer patients or households with patients are unable to solely meet costs associated with cancer care. Often they depend on family, relatives, and friends’ support. However, the continuity of support coming through is not guaranteed throughout the patient’s time of sickness.” Speaking during the Dissemination and Stakeholders Engagement at UCI, Dr. Allen Kabagenyi, the Principal Investigator, noted that unemployed patients, who constituted 86% in the study, were among those who spend at least 300,000 Uganda shillings whenever they visit UCI. “This money is spent on buying missing drugs, imaging services, and tests among others,” she added.
Besides digging deep into their pockets to meet the cancer treatment costs, the findings reveal that families often sell their household property like land, animals, homes among others, in order to raise money for treatment and any related care. “The Shs300,000 is for only one visit but remember a cancer patient who is on stage one and two has to visit regularly, translating to almost Shs. 3.6 million in a year,” Dr. Francis Kiweewa, the Director Strengthening Institutional Capacity for Research Administration (SICRA) said.
The Assistant Commissioner – Non communicable diseases (NCDs) prevention and control Department at Ministry of Health, Uganda, Dr. Gerald Mutungi said; “At the ministry, we have adopted the approach of evidence-based policy decision making. Therefore, the policy recommendations of this study are well received.” He further said that as the Ministry waits for the passing and implementation of the National Health Insurance Scheme, researchers need to investigate and come up with measures aimed at cancer prevention and control.”
Dr. Jackson Orem, the Executive Director of Uganda Cancer Institute, while responding to the study findings admitted to the growing cancer burden, which he said could only be managed through establishing regional Cancer management centers. He said “currently when you look at the statistics of the number of cancer patients we receive at UCI, 15% are from central region while 85% come from up country. What I can say is that we need to decentralize our services so that these people are able to access them with ease in their respective areas.”
Dr. Nixon Niyonzima, the Head of Research at UCI, said government should have focused interventions of increasing household income so that the patients are able meet the cancer care and treatment related expenses.
Speaking to journalists, Prof. Bruno Yawe, the Ag. Principal College of Business and Management Sciences (CoBAMS) noted that the study speaks to the objectives of Makerere University’s strategic planning framework for the 2020–2030 period, which seeks to enhance a research-led university. He commended the multidisciplinary study team led by Dr. Allen Kabagenyi, saying that the findings were timely especially when Uganda is registering rising cancer related morbidity and mortality. He thanked the Mak-RIF Grants Management Committee representative Dr. Mercy Amiyo, for insights and continued support to researchers at Makerere University.
In Uganda, over 56,238 are living with cancer and more than 21,000 deaths were registered in 2020, according to the Globocan Cancer Statistics report. Further the report shows the top seven cancers in Uganda including; cervical cancer, Kaposis Sarcoma, breast, prostate, Non-Hodgikin Lymphoma, cancer of the liver and esophageal – account for 70% of new cancer cases. Knowing the catastrophic health expenditure on cancer care is crucially important to design strategies of providing financial protection against the rising medical expenditure by households with cancer patients.
Meet the study team
Acknowledgements
This study was funded by the Government of the Republic of Uganda through Makerere UniversityResearch and Innovation Fund (MAK-RiF). Special thanks to all the patients, Care Givers and Key informants who participated in this study. Graduate Assistants Mr. Ronald Wasswa and Mr. Kayemba, Makerere University.
Six Somali government officials have successfully completed a three-day Executive Training in Infrastructure Asset Management, held at Makerere University’s Public Investment Management Centre of Excellence (PIM CoE). The training, funded by the United Nations Capital Development Fund (UNCDF), took place from January 27 to 29, 2025, and aimed to enhance regional capacity in infrastructure planning and management.
The training brought together senior civil servants and policymakers from Somalia, equipping them with practical knowledge and strategies for sustainable infrastructure asset management. It also fostered valuable cross-border collaboration, facilitated by UNCDF Uganda, which played a crucial role in connecting Makerere University with the Government of Somalia.
The program was delivered by experienced faculty from Makerere University’s College of Business and Management Sciences (CoBAMS), alongside experts from the Ministry of Finance, Planning and Economic Development (MoFPED) and the Uganda National Roads Authority (UNRA). A special session was also led by the Makerere University Bursar, offering practical insights into financial management in infrastructure projects.
Speaking at the opening of the training, Mr. Ncube Mkhululi, the Regional Technical Advisor for UNCDF emphasized the importance of infrastructure asset management in driving sustainable economic growth. He highlighted UNCDF’s commitment to supporting capacity-building initiatives in developing economies, noting that effective infrastructure planning and management are critical to national development. He also expressed confidence in Makerere University’s expertise in delivering high-impact executive training programs for government officials.
During the closing ceremony, Prof. Bbaale Edward, the Principal of the College of Business and Management Sciences expressed gratitude to all partners, including UNCDF, Makerere University management, and the PIM CoE faculty, for their commitment to making the training a success. He emphasized Makerere University’s ongoing efforts to internationalize its research-led agenda, positioning itself as a hub for regional knowledge exchange.
UNCDF Program Manager, Mr. Joel Mundua, the commended the participants for their dedication and encouraged them to share the acquired knowledge with fellow officials in Somalia. This was reaffirmed by one of the participants, who pledged to apply and disseminate the learnings within their respective departments.
Mr. Sunday Denis Aliti, the Program Officer at UNCDF highlighted the importance of ensuring that infrastructure asset management strategies are practical, adaptable, and aligned with national development goals. He commended Makerere University for its leadership in knowledge transfer and regional training and encouraged continued collaboration between universities, governments, and international development partners to strengthen institutional capacity.
Dr. John Sseruyange, Manager of the PIM CoE, applauded both the participants and the expert trainers who contributed to the program. He reiterated the Centre’s commitment to advancing infrastructure asset management through continued training and collaboration with regional stakeholders.
As the training concluded, participants departed with valuable insights and practical tools to improve infrastructure management in Somalia and beyond. The success of this initiative highlights Makerere University’s role as a leading institution in public investment management, fostering capacity-building efforts that drive sustainable development across Africa.
The Statistics and Data Science (SDS) Working Group training kicked off on Monday, 20th January 2025, and will run until 24th January 2025. This training, an initiative by the college, aims to build capacity in Artificial Intelligence (AI) and Machine Learning (ML) among its members.
Participants are being equipped with a wide range of skills, covering topics such as text mining, unsupervised learning, neural networks, Geographic Information Systems (GIS), and more. The training is facilitated by expert data scientists from the Uganda Revenue Authority (URA), Housing Finance Bank, and the School of Statistics and Planning (SSP).
The SDS Working Group comprises academic staff at the School of Statistics and Planning (SSP) whose research interests focus on statistical learning and AI.
On January 21, 2025, Mr. Kiyingi Simon Peter and Mr. Tusubira Brian from URA led an engaging session on the practical applications of machine learning algorithms in day-to-day activities. They demonstrated how components fed into ML models are used to classify taxpayers into high-risk and low-risk categories, showcasing the transformative potential of AI in optimizing operations.
Dr. Margaret Banga, the Dean of the School of Statistics and Planning (SSP), emphasized the transformative impact of the training on both the academic and professional development of the participants. She commended the expert trainers from the Uganda Revenue Authority (URA) and other partnering institutions for their practical and insightful contributions to the sessions. Dr. Banga noted that the training is a significant step toward enhancing the teaching methodologies and research capabilities of the faculty. “By equipping our staff with advanced skills in Artificial Intelligence and Machine Learning, we are empowering them to deliver cutting-edge knowledge to our students and conduct impactful research that addresses real-world challenges,” she remarked.
The training is a testament to the SSP’s forward-thinking approach to education and research in statistics and data science. The integration of topics such as neural networks, text mining, and Geographic Information Systems (GIS) underscores the need for multidisciplinary expertise in an increasingly data-driven world. Dr. Banga highlighted that this capacity-building effort aligns with the college’s strategic objectives of fostering innovation and staying ahead in the rapidly evolving fields of data science and statistical learning.
The Dean further stressed the importance of partnerships with organizations like the Uganda Revenue Authority and Housing Finance Bank, which provide invaluable industry perspectives. These collaborations ensure that academic training is not only theoretical but also applicable to practical challenges in sectors such as taxation, finance, and public administration.
In conclusion, Dr. Banga reaffirmed her commitment to continuous learning and development within the School of Statistics and Planning. She expressed confidence that the knowledge gained through the training would translate into improved academic delivery, enriched research output, and a stronger contribution to societal and economic transformation through the application of advanced data science methodologies.
On January 20, 2025, the Public Investment Management (PIM) Centre of Excellence at Makerere University commenced a three-day training program titled “Essentials of Public Investment Management.” The workshop, held at the College of Business and Management Sciences (CoBAMS), aims to enhance the capacity of public service officials in planning, executing, and evaluating public investment projects.
The training workshop was officially opened by Prof. Edward Bbaale, who, in his opening remarks, expressed gratitude to the Ministry of Finance, Planning, and Economic Development for their financial support and pivotal role in identifying and nominating participants for the program. He acknowledged the contributions of Permanent Secretaries, Vice Chancellors, and Executive Directors in ensuring representation from various Ministries, Departments, and Agencies (MDAs) of the Ugandan government.
Prof. Bbaale commended the collaborative efforts of Makerere University faculty, the Ministry of Finance, and the National Planning Authority in designing and delivering the training curriculum. He emphasized that the program reflects Makerere University’s commitment to fostering excellence in public investment management through capacity-building initiatives.
The training covers a comprehensive range of topics, including project preparation, the Integrated Bank of Projects (IBP), procurement processes, Public-Private Partnerships (PPPs), monitoring and evaluation, and the integration of climate change and social risk management in project planning. Participants will gain both theoretical knowledge and practical experience in preparing real-world projects across vital sectors such as health, education, roads, electricity, and water.
Prof. Bbaale also highlighted the importance of advancing participants’ expertise through future modules in financial and economic appraisal of projects. He encouraged participants to consider enrolling in advanced training programs offered in collaboration with Cambridge Resources International and Queen’s University, Canada. Successful completion of these advanced modules will lead to a tripartite certification from Makerere University, the Ministry of Finance, and Queen’s University.
In addition to training, the PIM Centre of Excellence engages in research, outreach, and advisory services. Prof. Bbaale outlined ongoing projects, such as revising Development Committee guidelines for the Ministry of Finance and assessing project performance since the first National Development Plan (NDP I). He noted the Centre’s recent milestone—the successful hosting of the Public Investment Management Conference in October 2024—which evaluated the state of public investments in Uganda and charted the way forward.
The program participants, drawn from various government institutions, were encouraged to leverage the training to drive positive change in their respective roles. “This marks the beginning of your journey to becoming experts in Public Investment Management. Your commitment will not only enhance public service efficiency but also contribute to Uganda’s economic transformation,” said Prof. Bbaale.
The workshop is coordinated by the PIM Centre of Excellence Secretariat under the leadership of Dr. Sseruyange. The Centre remains steadfast in its mission to build capacity, promote research, and foster innovation in public investment management. At the end of the training, participants will be awarded dual certificates from Makerere University and the Ministry of Finance, recognizing their dedication to professional development.
This initiative underscores Makerere University’s role as a key player in national capacity-building and economic development through education and innovation. For God and My Country.