Health
NCDs Symposium 2023: Stakeholders Pledge to Work together to Address growing burden in Uganda & Beyond
Stakeholders pledged to work together to address the growing burden of Non-Communicable Diseases (NCDs) in Uganda and beyond. The pledge was made at the NCDs Symposium held on Saturday 4th March 2023 and hosted by Makerere University College of Health Sciences (MakCHS), as a member of the Alliance of Research Universities in Africa (ARUA) NCD Centre of Excellence. The theme of the symposium was ‘Advances in NCD Training, Research and Community Impact’.
Research shows that, globally, non-communicable diseases (NCDs) are responsible for a significant proportion of deaths, with 41 million people dying from these chronic diseases each year. NCDs, also known as chronic diseases, tend to be of long duration and are the result of a combination of genetic, physiological, environmental and behavioural factors. The main types of NCD are cardiovascular diseases (such as heart attacks and stroke), cancers, chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma) and diabetes.
NCDs disproportionately affect people in low- and middle-income countries, where more than three-quarters of global NCD deaths (31.4 million) occur. In Uganda, the number of people living with NCDs has been increasing dramatically, making NCDs a major public health threat. For instance, 74,354 new cases of diabetes were seen at health facilities in Uganda in 2009-10 compared to 58,523 five years earlier showing an increase of 27% (HMIS data 2009/10). In 2013, the Uganda Diabetes Association revealed that over 200,000 children had diabetes and expressed fears the number could be higher because many of the children do not report to the hospital for diagnosis.
In her remarks as host, Professor Damalie Nakanjako, The Principal College of Health Sciences, Makerere University, in a special way welcomed participants to the Symposium and noted that the purpose of the event was to showcase the latest advances in NCD training, research, and community impact, and to provide a platform for stakeholders to engage and collaborate on issues related to NCDs.
Citing WHO data, Professor Nakanjako noted that NCDs represent the largest cause of mortality in adults with 86% of these premature deaths occurring in middle-income countries such as Uganda. She further pointed out that the incidence of NCDs among children, particularly diabetes, is increasing, indicating the urgent need for attention.
Professor Nakanjako stressed the importance of data-driven interventions, knowledge translation, and a multi-sectoral approach in addressing NCDs, and called for more investment in NCD research, collaborations, and regular exercise among children. She also reiterated Makerere University’s commitment to addressing NCDs through continuous advances in NCD training, research, and community engagement.
WHO Key Facts On Non-Communicable Diseases (NCDs)
- Non-communicable diseases (NCDs) kill 41 million people each year, equivalent to 74% of all deaths globally.
- Each year, 17 million people die from a NCD before age 70; 86% of these premature deaths occur in low- and middle-income countries.
- Of all NCD deaths, 77% are in low- and middle-income countries.
- Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.3 million), chronic respiratory diseases (4.1 million), and diabetes (2.0 million including kidney disease deaths caused by diabetes).
- These four groups of diseases account for over 80% of all premature NCD deaths.
- Tobacco use, physical inactivity, the harmful use of alcohol and unhealthy diets all increase the risk of dying from an NCD.
- Detection, screening and treatment of NCDs, as well as palliative care, are key components of the response to NCDs.
During his speech, Dr. Fred Bukachi, the Director of ARUA Centre of Excellence for NCDs, highlighted the urgent need to address the rising prevalence of non-communicable diseases (NCDs) in the region and beyond through research, capacity building, and dissemination of findings. The Centre’s main objective is to develop scientific evidence for NCD policies, prevention, management, and control, while engaging with communities. To achieve this, Dr. Bukachi presented several strategies, including the creation of multi-disciplinary research programs, a training research and mobility program, an NCD research and data repository for Africa, and an annual international NCD symposium.
In addition, Dr. Bukachi emphasized the Centre’s commitment to improving the health and well-being of people in sub-Saharan Africa and beyond by addressing the NCD epidemic through research and capacity building. The audience responded positively to his presentation, with many impressed by the Centre’s ambitious goals and plans for tackling NCDs in Africa.
In his remarks, read by Dr. Frank Mugabe, Dr. Oyoo Charles Akiya, the Commissioner of Health Services-NCD Ministry of Health, stated that non-communicable diseases and injuries (NCDIs) are on the rise in Uganda. He revealed that the burden of NCDs has more than doubled in the last 20 years, with 22% of adults at risk of premature death (30-70 years) as of 2016. NCDs account for 41% of all deaths in the country.
Dr. Akiya cited the NCD risk factor survey and other studies, highlighting heavy alcohol consumption in men and women, consumption of unhealthy diets, tobacco use, physical inactivity, and obesity as some of the problems that need urgent attention. Data on high burden NCD conditions reveal that 24% of adults in Uganda suffer from hypertension requiring treatment, with only 24.3% accessing treatment. The prevalence of diabetes is estimated at 1.4%, and there is a high prevalence of sickle cell disease in the central, eastern, and northern parts of the country, with 1.3% of the population having the trait.
Mental health disorders, especially depression, are also prevalent, with over one million Ugandans experiencing depression.
On government efforts towards NCDS, Akiya revealed that Uganda is conducting the 2nd risk factor survey thanks to the World Health Organization and the School of Public Health.
Moving forward, Dr. Akiya proposed priority areas for research and training ; including the need to quantify the level of misinformation around diabetes treatment, implement preventive programs for known carrier communities of sickle cell disease, determine the cause and risk factors for increased cases of gastrointestinal cancer in Southwestern Uganda, understand the biomass gap and its correlation to chronic respiratory diseases, determine the gap in mental health service provision among general health workers, reduce the cost of kidney chronic disease transplant services, increase awareness of cardiovascular disease screening, and determine and document the cost of road traffic-associated injuries to the health sector and the country to halt these conditions.
In his remarks as Chief Guest, Professor Umar Kakumba, on behalf of Makerere University’s Vice Chancellor Professor Barnabas Nawangwe, commended academia for their role in addressing emerging health threats, adding that Makerere University, as a research-led institution, is committed to supporting NCD activities through training, research, and community engagement. He emphasized that beyond training and research, there is a need to go to communities and share knowledge, as there is a gap in knowledge uptake around NCDs.
Professor Kakumba also highlighted the role of the private sector in supporting these causes, as a healthy population is key to their business success. He thanked Arua partners for taking the lead in addressing NCDs, which are responsible for 71% of global deaths and 85% of premature deaths in low and middle-income countries, including Uganda.
Moving forward, Professor Kakumba proposed a collaborative effort among stakeholders to address NCDs comprehensively. He emphasized the need for a holistic approach that involves the government, private sector, civil society organizations, and academia to address the growing burden of NCDs in Uganda.
He reiterated the commitment of Makerere University in supporting NCD activities through research, training, and community engagement, and he called on other institutions to join in this effort to achieve a healthier population and a more prosperous country.
In her remarks, Dr. Kasule Hasifa discussed the priority areas for research and training in non-communicable diseases (NCDs) identified by the World Health Organization (WHO), including the need to prevent and control NCDs through public health interventions and policies, address the social determinants of NCDs such as poverty and education, improve healthcare accessibility and quality particularly in low- and middle-income countries, strengthen health systems to better respond to the growing burden of NCDs, and promote research on the causes, prevention, and treatment of NCDs.
The event featured presentations from several NCD groups at MakCHS, including Cardiovascular Diseases, Renal Diseases, Diabetes Mellitus & Other Endocrine Disorders, Cancers, Mental Health Disorders, Respiratory Diseases and Lung Health, Sickle Cell Disease, and Other Haematological Conditions, as well as Interactions between NCDS and Infectious Diseases.
The symposium was attended by researchers, students, academicians, policymakers, practitioners, and health advocates with a special interest in NCDs. The day was crowned off with cake-cutting and all participants pledging to work together in addressing NCDs.
At the symposium, stakeholders agreed that it is crucial to work collaboratively to comprehensively address the growing burden of NCDs in Uganda. They recognized the need to implement preventive programs, increase awareness of cardiovascular disease screening, improve healthcare accessibility and quality, particularly in low- and middle-income countries, and promote research on the causes, prevention, and treatment of NCDs. It was emphasized that a holistic approach involving the government, private sector, civil society organizations, and academia is necessary to achieve a healthier population and a more prosperous country.
Makerere University and the Aids Healthcare Foundation (AHF) Uganda Cares on July 30, 2025 held a meeting focused on establishing and strengthening collaboration between the two institutions in the fight against HIV/AIDS. The collaboration will particularly focus on prevention and care services for the University’s student population.
Speaking at the event, the Deputy University Secretary, Mr. Kizito Simon who presided over the meeting mentioned that Makerere University is involved in human capital development, aiming to create a healthy population alongside an educated one. “It’s not only good to have an educated population, but a healthy population as well,” he noted.
Mr. Kizito stated that the government supports various interventions in HIV prevention, care, and treatment, with the Makerere University Infectious Diseases Institute (IDI) playing a leading supportive role. On this note, he encouraged AHF Uganda Cares to equally come on board in order to strengthen the fight against HIV/AIDS.
The Deputy University Secretary outlined the Makerere University strategic plan’s prioritization of engagement and partnerships with various sectors, including ministries, departments, agencies, international organizations, civil society, and the private sector in order to strengthen its research-led aspirations. He therefore encouraged Uganda Cares to support HIV AIDS services, including prevention, care, and treatment, and to collaborate in research and innovation, especially with faculty members already engaged in HIV AIDS-related research.
However, he highlighted the demographic vulnerability of Uganda’s young population, with 73.2% aged between zero and thirty years old, making them a high risk group for infections. “This is more than just a time bomb for all of us here, because this is the population which we are hoping to be productive in the later years,” he pointed out.
Mr. Kizito expressed appreciation for the wellness clinic initiative, which is poised to provide accessible sexual reproductive health services to students at no cost. On this note, he stressed the need to publicize these services to ensure students are aware of the available resources and are supported to overcome shyness and reluctance to seek help.
The 91st Guild President Makerere University, H.E. Ssentamu Churchill James with concern noted the increasing levels of irresponsible behavior among young people, which has led to the high risk of contracting STDs, and welcomed initiatives proposed by AHF Uganda Cares.
He further highlighted the recent concluded HIV awareness campaign with Guild Leaders and the Director of the Makerere University Hospital. The campaign was aimed at educating students about HIV and other STDs, emphasizing the importance of knowledge and awareness.
H.E. Ssentamu pointed out that the first year students who are soon arriving on Campus are a key target audience for these awareness efforts. He stressed the importance of abstinence but also emphasized the need for protection in case of emergencies.
The 91st Guild President suggested the possibility of counseling for those who have already contracted STDs. “I hope we can have an attachment of counselling for people that have already contracted diseases,” he stated.
He took note of existing efforts such as the government’s stock of contraception and the presence of health ministers at every hall of residence. In this regard, he proposed a linkage between the initiative and these health committee members through the Guild Minister of Health Affairs to ensure continuity.
The National Medical Director-AHF Uganda Cares, Dr. Lubanga Augustine expressed gratitude for the opportunity to discuss collaboration with Makerere University. He particularly noted previous collaborations and the need to seize opportunities for future collaboration.
He highlighted that AHF Uganda Cares provides cutting-edge medicine regardless of the patient’s ability to pay and advocates for conducive policies to increase access to HIV and STI services.
Dr. Lubanga emphasized the importance of addressing the gap in young people’s access to health services particularly for sexual health issues. He noted that even parents and guardians often avoid discussing sexual issues contributing to a lack of education awareness among young people.
He pointed out that funding for HIV prevention has shifted towards treatment despite the need for continued prevention efforts. In this, he called for increased advocacy and partnerships to secure funding for health services particularly for young people. He appreciated past interventions such as installing condom dispensers in hostels and the need for renewed partnerships with university leaders.
Dr. Lubanga expressed willingness to collaborate with the University Hospital to ensure that no one is left behind in HIV and STI services. As a sign of their commitment, AHF Uganda Cares handed over condom dispensers and condoms to the university.
Dr. Byamugisha Josaphat, Director at the Makerere University Hospital emphasized the importance of prevention in health, through programs such as STI prevention, HIV early treatment, and health education “Prevention is better than cure,” he said. He highlighted that the hospital has got satellite clinics at the Makerere University Agricultural Research Institute Kabanyolo (MUARIK) and the Jinja Campus, serving a significant number of students, staff and the public.
The Director discussed the need for health education and information materials, including pamphlets and WhatsApp messages, to educate students and the public about HIV. “The university is already running health education programs for students and surrounding communities,” he stated.
Dr. Byamugisha further highlighted the importance of male circumcision as a preventive measure against HIV, which is already being offered at the university hospital. “We are aware that safe male circumcision can prevent about 60% of male HIV,” he explained.
He talked about the need for supplies and human resources for screening, emphasizing the importance of protecting the university community and surrounding areas. “The university hospital aims to go beyond just serving students but also help the broader community,” he added.
The Hospital Director emphasized the importance of peer-to-peer interaction between students and staff to enhance health education and support as this could help the students open up more on sexual issues which may not be the case with a person who is older than them. He further explained students undertaking internship at the Makerere University Hospital already have the advantage of easily talking to the staff about these issues.
Dr. Byamugisha highlighted the need for post-exposure prophylaxis (PEP) drugs and counseling, ensuring that people understand the importance of taking these drugs. He suggested specific targets for collaboration, such as supporting a medical officer and providing services rather than cash. “Many a time we don’t need cash, we need in-kind support through a person or provision of a service,” he stated.
In his final remarks, he appealed for support to make services more accessible to students and reiterated the importance of collaboration to protect students and the broader community.
The Deputy Principal, College of Engineering, Design, Art and Technology (CEDAT)-Prof. Kizito Maria Kasule, highlighted that 75% of young people contracting HIV are between the ages of 14 and 24, indicating a need for targeted prevention efforts.
He pointed out the poverty among girls as a significant issue contributing to the spread of HIV because they look at the sexual related practices as means of earning a living which has led to the high spread of these infections.
Prof. Kasule emphasized the importance of involving different religious institutions to sensitize people about the organization’s work and counteract negative perceptions. He suggested that the organization should collaborate with various religious institutions. “Even Born Agains are involved in the sexual relationships but cannot come out to express themselves,” he added.
He stressed the importance of open discussions about gender and sexuality free from fear and trouble, and he raised the need for sensitization within and outside the institution.
Coordinator of the HIV program at AHF Uganda Cares, Mrs. Mbabazi Martha, introduced the girl’s act program which aims to empower young women to address issues affecting them at various levels, from primary school to national policy. “The program encourages young women to raise their voices and influence policies that affect their lives,” she commented.
She highlighted the success of the program in engaging young people and influencing policy changes at different levels of governance, such as the distribution of sanitary pads in schools and communities.
Mrs. Mbabazi emphasized the importance of skilling centers for young girls to gain economic independence and avoid exploitation. She highlighted the success of webinars and dialogues in raising awareness and influencing behavior change. In closing, she called for continued collaboration with various stakeholders to support the empowerment of young people and address the root causes of HIV infection.
Mr. Amojong Trevor, a representative from AHF Uganda Cares, introduced the “Boys to Men” initiative program to address poor health seeking behavior and lack of testing among boys. He emphasized that the need to empower girls should go hand in hand with focusing on boys to prevent the spread of HIV.
He mentioned the low demand of female condoms and suggested demonstration on how to use them to increase awareness and usage.
About AHF Uganda Cares
Aids Healthcare Foundation (AHF) Uganda Cares an NGO based in the USA operating in 47 countries, including 14 in Africa. AHF Uganda Cares started in 2002 in the Masaka region and now operates in 32 districts with over seven health facilities. The organization supports over 203,000 lives on HIV treatment and has tested over 7 million Ugandans for HIV.
The organization offers HIV prevention services, including the ABC (Abstinence, Be Faithful, Condom) approach, and provides about 6 million condoms annually.
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