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NIRA & Makerere University Collaborate to Improve Death Registration Rates in Uganda

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By Balam Ankunda

In a bid to address the low death registration rates in Uganda, the National Identification and Registration Authority (NIRA) has joined forces with the Makerere University Center for Health and Population Research (MUCHAP) to scale up death registration in Iganga and Mayuge districts.

This strategic partnership that aims to significantly increase death registration within the country is supported by the Centers for Disease Control and prevention Foundation (CDC F) – Bloomberg Philanthropies’ Data for Health Initiative program whose aim is to rapidly improve civil registration and vital statistics in number of low- and middle-income countries.

Recognizing the importance of accurate vital statistics, the initiative kicked on off on May 29, in the districts of Iganga and Mayuge with a two-day training program for district leader, community leaders and other stake holders in select parts the MUCHAP demographic surveillance area.

The training brought together key stakeholders, including Village Health Teams (VHTs), Local Councils (LCs), Health Assistants, Assistant COA’s, Sub Country Chiefs, and health inspectors, who play critical roles in the registration process.

The training equipped participants with the necessary knowledge and skills to initiate and streamline the death registration process within their respective communities.

With Uganda currently facing considerable challenges in death registration, the partnership between NIRA and MUCHAP offers a promising solution to this pressing issue.

Dr. Dan Kajungu, the Executive Director of MUCHAP, expressed enthusiasm about the collaboration, highlighting the significance of timely death registration within a week of occurrence. He added that the project leverages on the vast experience of the Makerere University population cohort of Iganga Mayuge HDSS.

The Executive Director of MUCHAP-Dr. Dan Kajungu (Left) and NIRA District Registration Officer-Aloysius Ochola (Right) during death registration training at MUCHAP Offices in Iganga District on Monday 29th May, 2023.
The Executive Director of MUCHAP-Dr. Dan Kajungu (Left) and NIRA District Registration Officer-Aloysius Ochola (Right) during death registration training at MUCHAP Offices in Iganga District on Monday 29th May, 2023.

Dr. Kajungu noted “the cohort has been doing similar work for close to 20 years, this will guarantee a successful initiative” The population cohort is one of the establishments that the University has set up to drive impactful research that directly addresses community needs.

By integrating the health and demographic surveillance system (HDSS) with NIRA’s Mobile Vital Registration System (MVRS), the partnership aims to expand the scope of their work and enhance death reporting and registration practices.

Recent studies have revealed that approximately 67% of deaths occur within the community, while the remaining 33% take place in health facilities.

The Iganga-Mayuge Health and Demographic Surveillance Site (HDSS) population cohort covers seven sub-counties and records around 600 deaths and 2,000 births annually. Accurate data on causes of death and birth statistics is crucial for informed decision-making and effective resource allocation.

Addressing the challenges surrounding death and birth registration, Wandera Sadat, the Resident District Commissioner (RDC) of Iganga, emphasized the need for public sensitization. He acknowledged that death and birth registration have existed, but the process lacked proper streamlining. Many deaths occurring in rural areas go unreported, leading to a dearth of crucial data.

“We really need to know the cause of deaths,” Wandera Sadala stated. “Malaria alone claims 18 lives daily. Understanding the impact of other diseases is equally important. If someone dies and we fail to report it, we will never have accurate statistics.”

Shalom Kisakye, Senior Registration Officer at NIRA, explained that the partnership with MUCHAP initially focuses on registering deaths in Iganga and parts of Mayuge for two months. However, they plan to expand to other districts and ensure continuous registration as per their mandate.

Kagoya Mariam, the Health Inspector in charge of Nakalama Subcounty in Iganga district, expressed her surprise at learning that death registration is mandatory. She admitted that previously, most people only sought death registration if there were court orders involved. However, the recent training has enlightened her about the broader significance of death registration.

Dr. Kajungu Dan (extreme left) and NIRA officials pose for a group photo with VHT's, LC1 Chairpersons and scouts after training on death registration at MUCHAP offices in Iganga District on 29th May 2023.
Dr. Kajungu Dan (extreme left) and NIRA officials pose for a group photo with VHT’s, LC1 Chairpersons and scouts after training on death registration at MUCHAP offices in Iganga District on 29th May 2023.

“I did not know it is mandatory for death registration,” Kagoya admitted. “Most people come for death registration only if there are court orders, but today I have learned that registration helps us know which diseases are affecting the community. Death registration also helps us know the population we have for better planning purposes. People have not been sensitized enough.”

This revelation highlights the lack of awareness regarding the importance of death registration in the community. Many individuals, like Mukisa Musa, a local resident of Iganga Central Division, have now come to recognize the value of death registration.

Mukisa expressed his newfound understanding of the significance of death registration. His comments demonstrate the impact of the recent training on community members’ awareness and knowledge.

“I have learned about the importance of death registration,” Mukisa shared. His statement reflects the positive impact of the partnership between NIRA and MUCHAP in educating individuals about the significance of death registration.

The RDC Iganga District, Wandera Sadala addressing participants during the training on death registration at MUCHAP Offices in Iganga District on 30th May 2023.
The RDC Iganga District, Wandera Sadala addressing participants during the training on death registration at MUCHAP Offices in Iganga District on 30th May 2023.

The collaboration between NIRA and MUCHAP holds great promise in addressing the low death registration rates in Uganda. By streamlining the registration process and improving data collection, this initiative aims to provide accurate statistics on deaths and enhance societal decision-making for a better future.

Mak Editor

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Call For Applications: Mak-BSSR Postdoc, PhD, Master’s Fellowship-level Training 2026

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Mak-BSSR PhD-Level beneficiary Khamisi Musanje presents his research during a meeting at the College of Health Sciences (CHS). Makerere University, Kampala Uganda, East Africa.

The Makerere University-Behavioral and Social Science Research (Mak-BSSR) in HIV Training Program, in partnership with the University of California, San Francisco (UCSF), invites applications for Post-doctoral, PhD, Master’s and Fellowship-level training opportunities in Behavioral and Social Sciences Research (BSSR) with a focus on HIV.

This is a five-year research training program on the HIV cascade, funded by the Fogarty International Center (FIC) of the National Institutes of Health (NIH).

Research priority areas for the training opportunities are; 1) Intersectional stigma, 2) Alcohol/substance use; 3) Mental health (psychosocial health), 4) Limited social support, social isolation and loneliness and impact on HIV outcomes, and 5) Ageism and HIV.

Please see downloads for detailed information.

Apply Before: Monday, 31st August, 2026 at 6:00PM EAT.

Mak Editor

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MakCHS 2026 Orientation begins: Freshers Urged to Prioritise Responsibility, Integrity and Academic Excellence

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The MakCHS Orientation Opening Ceremony in the Davies Lecture Theatre on 4th August 2026. Opening session of the Makerere University College of Health Sciences (MakCHS) Freshers' Orientation Ceremony, 4th August 2026, Davies Lecture Theatre, Mulago Hospital Complex, Kampala Uganda, East Africa.

New students joining Makerere University College of Health Sciences (MakCHS) have been urged to embrace responsibility, discipline, integrity and hard work as they embark on their journey towards becoming healthcare professionals. 

The call was made during the opening session of the college’s orientation programme that began on the 4th August and will conclude on 7th August 2026. During the session, College leaders including the Principal and Deans welcomed students admitted to study various programmes at MakCHS. The speakers outlined expectations for academic and professional conduct. 

The session was moderated by Professor Mark Kaddu, Deputy Dean-School of Medicine. Welcoming the freshers, he stressed the importance of hard work highlighting that ‘your academic documents will speak for you and excellence will open doors’.

Professor Mark Kaddu. Opening session of the Makerere University College of Health Sciences (MakCHS) Freshers' Orientation Ceremony, 4th August 2026, Davies Lecture Theatre, Mulago Hospital Complex, Kampala Uganda, East Africa.
Professor Mark Kaddu.

The college leaders congratulated the students on securing admission to Makerere University, noting that many qualified applicants were unable to secure places. They encouraged the new entrants to make the most of the opportunity by committing themselves to excellence from the first day. The students were reminded that programmes offered by the college are rigorous full-time courses that demand commitment, discipline and consistency.

In his remarks, Professor Bruce Kirenga – Principal, MakCHS welcomed the new entrants and provided an overview of the College’s rich history, highlighting its growth and commitment to excellence in health professionals’ education. The Principal reaffirmed the college’s mission of impacting the national health agenda through transformational teaching, research and innovation for societal development. Students were encouraged to embrace the wide range of career pathways and professional opportunities available upon qualification, emphasizing that their training would equip them to make a meaningful contribution to society.

Professor Bruce Kirenga. Opening session of the Makerere University College of Health Sciences (MakCHS) Freshers' Orientation Ceremony, 4th August 2026, Davies Lecture Theatre, Mulago Hospital Complex, Kampala Uganda, East Africa.
Professor Bruce Kirenga.

Stressing the importance of mind-set change which has also been introduced as a crosscutting course, the Principal urged the students to cultivate discipline, resilience, professionalism, and a passion for lifelong learning. “The journey you have embarked on is challenging, but it is achievable,” the Principal noted, reminding the students that many graduates before them successfully completed the programme through dedication and hard work. The address concluded with a call for the new students to remain focused, work diligently, and strive for academic excellence as they prepare to become the next generation of healthcare professionals who will transform their communities.

Professor Annettee Nakimuli, Dean – School of Medicine encouraged students to work collaboratively rather than viewing learning as a competition. She urged them to form productive study groups, support one another and take advantage of opportunities for mentorship, research and international exchange programmes available through the college. “We are here to support you throughout your journey,” she told the students, adding that strong academic performance could open doors to international exchanges, postgraduate training and research collaborations with universities around the world.

Professor Annettee Nakimuli. Opening session of the Makerere University College of Health Sciences (MakCHS) Freshers' Orientation Ceremony, 4th August 2026, Davies Lecture Theatre, Mulago Hospital Complex, Kampala Uganda, East Africa.
Professor Annettee Nakimuli.

Professor Nakimuli warned students against academic dishonesty, including examination malpractice, falsification of academic records and illegal programme changes. She cautioned that such misconduct could lead to dismissal from the university, even after several years of study. Students were further advised to be vigilant against fraudsters who promise to alter admission records or transfer students into different academic programmes through unofficial channels.

In his remarks, Dr. Richard Muhindo, Dean-School of Health Sciences highlighted the importance of personal responsibility and wellbeing beyond academics. He encouraged students to manage their time wisely, avoid drug and alcohol abuse, stay away from gambling and maintain healthy lifestyles throughout their studies. Dr. Muhindo emphasized the importance of professionalism, reminding students that healthcare careers are built on compassion, teamwork and service to humanity. He encouraged students from different programmes to learn together, respect one another’s professions and build networks that will benefit them throughout their careers.

Dr. Richard Muhindo. Opening session of the Makerere University College of Health Sciences (MakCHS) Freshers' Orientation Ceremony, 4th August 2026, Davies Lecture Theatre, Mulago Hospital Complex, Kampala Uganda, East Africa.
Dr. Richard Muhindo.

In his address to the freshers, Dr. David Nono who represented Dr. Annet Kutesa, Dean – School of Dentistry, encouraged students to embrace the opportunities before them by working hard, maintaining discipline, and striving for academic excellence. He emphasised the importance of achieving a strong academic record, noting that outstanding performance opens doors to competitive opportunities and future specialisation. The Dean also urged students to pursue postgraduate studies, reminding them that the dental profession requires highly qualified specialists. Reflecting on his own academic journey, he shared how dedication and continuous learning enabled him to study and work internationally before returning to serve the University. He concluded by encouraging students to remain focused, respect University rules, support one another, and make the most of their time at the institution as they prepare for successful professional careers.

Representing the Dean of the School of Biomedical Sciences, Professor Elisa Mwaka welcomed the freshers and congratulated them on earning admission to the College, urging them to embrace responsibility and discipline as they begin university life.  Introducing the School of Biomedical Sciences to students, he explained that it handles core foundational courses like Physiology, Biochemistry, Pathology, Medical Microbiology, Immunology, Molecular Biology, among others that support their academic journey. Professor Mwaka reminded students that success at university depends on personal responsibility, regular class attendance, effective time management, and organised study habits, emphasizing that attendance of at least 80 percent of lectures and practical sessions is required to qualify for examinations. He also encouraged students facing academic or personal challenges to seek guidance from their lecturers early rather than waiting until examination time, and urged them to be punctual, prepare adequately for classes.

Mental health featured prominently during the orientation. Leaders acknowledged that health sciences programmes can be stressful encouraging students experiencing emotional or psychological challenges to seek support early rather than suffering in silence. They also called on students to avoid stigmatizing colleagues facing mental health difficulties.

Students were also cautioned to safeguard their personal belongings, particularly phones and laptops, as they settle into campus life. Officials warned that new students are often targeted by thieves during the first weeks of the academic year.

The opening session for the 2026 orientation concluded with a message of encouragement, with MakCHS leaders expressing confidence that the students would develop into competent, ethical and compassionate healthcare professionals capable of contributing to Uganda’s health sector and beyond.

The Orientation Programme continues until Friday, 7th August, and all students were strongly encouraged to attend every session to give themselves the best possible start to their academic journey. Important topics to be covered include IT services, registration procedures, university policies, mental health and well-being, and awareness and prevention of sexual harassment. These sessions are designed to equip students with the knowledge and support they need to thrive both academically and personally.

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Zaam Ssali
Zaam Ssali

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SIHI Uganda Turning Community-Led Solutions into Better Health

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Providing Opportunities for Women in Entrepreneurship and Reproductive Health (POWER) is a Young Women Social Entrepreneurship Accelerator Program that nurtures and empowers women to lead, innovate, and build sustainable startups in SRHR/FP. SIHI, Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.

Community-led innovations across Uganda are improving access to healthcare, reducing financial barriers and responding to needs that conventional services do not always reach. The Uganda Case Compendium 2026, published by the Social Innovation in Health Initiative (SIHI) Uganda Hub at Makerere University School of Public Health, documents these solutions, their results and opportunities for scale.

Established in 2017, SIHI Uganda identifies, studies and supports locally developed health innovations. By 2026, the Hub had documented 42 projects through research examining their impact, enabling factors and scalability. It has also convened seven national stakeholder workshops and established a fellowship programme that equips innovators with skills in project management, research, entrepreneurship, communication, fundraising and environmental impact assessment.

The compendium presents evidence of reach and impact. The Ishaka Health Plan has enrolled more than 5,000 people in community-based health insurance, enabling over 4,000 members to access healthcare annually. In Kiryandongo, the Opit Kic Widows Group trained 402 volunteers who have provided health information to more than 6,030 refugee and host-community households. Among people living with HIV who received group support psychotherapy, 98% were depression-free after six months. In Mayuge, two sickle cell clinics have been established, 12,500 children screened and 282 enrolled in continuing care, contributing to a reported 53% increase in enrolment.

Spanning maternal and child health, HIV, mental health, disability, gender-based violence, health financing, diagnostics and palliative care, the compendium provides evidence to inform investment, policy uptake and the responsible scale-up of locally grounded solutions.

Read the full report:

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John Okeya

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