General
In Memory and Honor of Professor John Tuhe Kakitahi’s illustrious legacy | 16-02-1940 to 15-05-2024
Professor John Tuhe Kakitahi, a luminary in the field of public health nutrition has left an indelible mark on the landscape of healthcare in Uganda and beyond. At the age of 84, Professor Kakitahi was called to heaven this morning at Mulago Hospital.
Today, we celebrate a man who from his early career years, demonstrated exceptional intellect, clinical acumen, passion and complete dedication to combating hunger, malnutrition and human suffering. Throughout his tenure at Institute of Public Health (IPH), Dr. Kakitahi’s contributions were manifold. He in addition to teaching and mentorship conducted field investigations and community outreaches to improve human nutrition and maternal-child health. Kakitahi’s contribution and influence in nutrition transcended borders, as he represented Uganda with distinction at various international forums.
As a lecturer and public health nutritionist, Prof. Kakitahi established and headed Mwana mugimu nutrition center in Mulago hospital in the 1990s. Mwanamujimu became pivotal in treating kwashiorkor aided by support from Rotary International. He later established additional nutritional units and sites throughout Uganda.
In 2008, he served as Deputy Principal of the Makerere University College of Health Sciences.
But Who was Kakitahi?
Prof. John Tuhe Kakitahi was born on February 16, 1940. His university appointment came in March 1973. Now, picture Dr. Kakitahi as a hardworking, intellectual house surgeon with clinical acumen who was a good clinician, pediatrician, researcher, and nutritionist. In the early years of his career at the Department of Preventive Medicine, he collaborated with individuals such as the late Prof. Suleiman Jabir Farsey and Professor Joseph Sekyala Winter Lutwama (RIP), who was the first African to hold the title of Head of the Department of Preventive Medicine. The individuals he collaborated with provided an accurate portrayal of his character.
From 1948 until 1958, Dr. Kakitahi studied primary education at Kigezi High School. He studied Secondary O’Level at Busoga College Mwiri from 1957 to 1961 and ‘A’ level at Kings College Budo from 1962 to 1963. In 1964, he attended Makerere University and earned an MBChB in 1970.
Kakitahi was Senior Casualty Officer in New Mulago Hospital’s Casualty Department for 1.5 years before enrolling in IPH’s Diploma Course in Public Health. He managed department operations and provided emergency patient treatment. The Senior House Officer position at Mulago Hospital was Dr. Kakitahi’s first job after his internship. For 1.5 years, he oversaw casualty department patient care and administration. He also managed the Nurses Health Unit for a similar time, exhibiting his healthcare administration versatility and dedication.
Kakitahi also ran a Nutritional Rehabilitation Clinic at Kasangati Health Centre, providing critical services to the community. He also helped the Pediatrics Department in managing the Old Mulago Hospital’s Nutrition Ward. He intensively treated acutely malnourished children, contributing significantly to their care and recovery.
In 1968-1969, he worked in the Lymphoma treatment center and Solid Tumor Centre during school breaks. He took part in research on chemotherapy treatment for cancer patients as well.
Using his medical background, he joined the Institute of Public Health (IPH) in 1972 and earned a Diploma in Public Health in 1973.
In 1973, he joined Makerere University Service as an IPH Lecturer. He passionately taught human nutrition to undergraduate and postgraduate students, particularly Diploma in Public Health students, as part of the Maternal Child Health and Nutrition teaching programme. His focus was on MCH field investigations, particularly the Ankole PPP.
On July 1, 1977, Dr. Kakitahi became a senior lecturer. Later, for 45 days, Dr. Kakitahi replaced Dr. Kakande as IPH director on June 22, 1987. He was sitting in for the then director, Professor Namboze, who was on a special assignment for the Health Policy Review Commission. On August 1, 1984, he was appointed as an Associate Professor at the Institute of Public Health. On September 18, 1989, Dr. Kakitahi assumed the position of Head of the Institute of Public Health for a two-year term.
Dr. Kakitahi’s remarkable journey is interwoven with stories of dedication, expertise, and significant impact. As a young medical practitioner, he worked as a Medical Officer at Makerere Students Health Centre for several months in 1973, shortly after being hired as a Lecturer at IPH, where he laid the groundwork for the transformation of the then-Sickbay into the current University Hospital. Dr. Kakitahi pursued excellence by finishing his MSc in Nutrition at Cambridge on a WHO scholarship from 1974 to 1976. His abilities and commitment made him a well-known member of the Uganda Medical Association and the British Nutrition Society, both of which promote health locally and globally.
In 1977, he successfully represented Uganda at the 27th WHO Regional Committee for Africa in Brazzaville, Congo. This was the first of several significant appointments, including leading the Mwanamugimu Nutrition Unit in 1980 and representing Uganda at international gatherings such as the Inter-Country Nutrition Workshop in Gaborone, Botswana, and the WHO Regional Committee for Africa in Accra, Ghana, and Libreville, Gabon.
In May 1985, he accompanied the Minister of Health to the 38th World Health Assembly, where Uganda demonstrated its commitment to global health and nutrition programmes. In 1991, he organised Kampala’s first public discussion on Urban Health, Environment, and Health, solidifying his reputation as a community and occupational health visionary.
Throughout his career, Dr. Kakitahi provided expert consultancy services to the Food and Agriculture Organization and participated in numerous nutrition review missions aimed at combating hunger and malnutrition. These missions, organized by WHO, UNICEF, and other organizations, took place in countries such as Ethiopia, Malawi, Zambia, Kenya, Seychelles, Namibia, Zimbabwe, Tanzania, and Lesotho as part of the Nutrition and Human Resources for Health Mission.
Dr. Kakitahi and his Role in Establishing the Mwana mugimu nutrition center
Mwana mugimu nutrition center was set up with support from Rotary International. Rotary International recognized it as the best nutritional unit in the East African region, and was related to the Save the Children Fund, which provided administrative and financial support. This support in the 1990s led to the establishment of similar nutritional units and sites throughout the country. Later, Princess Royal Anne Elizabeth Alice Louise visited the programme and recognised it as a successful Save the Children programme.
Mwanamugimu has its roots in a Luganda proverb (Mwanamugimu ava ku ngozi) that means “A healthy child comes from a healthy mother.”
In Uganda in the 1970s and 1980s, Dr. John Kakitahi led nutritional work. After treating children for severe acute malnutrition without success, Dr. Kakitahi, like many Ugandan doctors, became passionate about prevention. Kakitahi, like Prof. Namboze, left pediatrics early to study public health at the Makerere University Institute of Public Health, now known as the School of Public Health. When Amin’s repression and violence against Ugandans escalated in 1973, they recruited Kakitahi as a lecturer, and he took over the MRC Unit after Roger Whitehead and Paget Stanfield left.
Whitehead, the MRC’s senior scientist under Dean Stanfield, was instrumental in Mwanamugimu and its extension to the Luteete Health Center. Whitehead and other MRC Unit researchers were first skeptical of the Mwanamugimu program, but its public health ethic shaped their thinking and approach.
Whitehead and Stanfield, codirectors of the unit, initiated a research program to reframe nutrition as a science and practice of health promotion, influenced by Mwanamugimu’s hybrid public health model.
They renamed the MRC facility the Child Nutrition Unit, omitting “infantile” and “malnutrition,” and announced a longitudinal nutritional health study for rural village children during the unit’s extension opening on July 17, 1969, by the then-Deputy Minister of Health, Mr. S. W. Uringi.
Kakitahi struggled to run the unit without knowing the study program or how to get basic biochemical test reagents. Few medical supplies and the difficulties of fixing equipment and getting replacement parts prevented the MRC from continuing to operate as a research institution. Whitehead and the Dunn Nutrition Unit at Cambridge (which Whitehead then directed) helped Kakitahi travel abroad for nutrition training, escape the rising violence temporarily. After finishing his training in 1976, Kakitahi “plucked some courage and came back” to Uganda and took over the Mwanamugimu Unit.
Kakitahi kept the unit running with his personal vehicle and what he could spare from his increasingly meager salary, and he and Latimer Musoke, who had taken over as Chair of Pediatrics after Stanfield’s departure, launched a program to train public health workers and extend the Mwanamugimu program’s preventive promise to rural areas.
Kakitahi’s return from Cambridge coincided with the huge increase in violence when Israel attacked Uganda’s main airport at Entebbe. A Tel Aviv-Paris flight was hijacked in June 1976 and diverted to Entebbe with Amin’s consent. In a predawn raid a week later, Israeli forces rescued the hostages and killed the hijackers and twenty of Amin’s men.
Mwanamugimu promoted health and welfare in Amin’s Uganda during a medical shortage. The amazing endurance of the Mwanamugimu initiative illustrates what is often lost in simplistic stereotypes depicting Africa as a continent in crisis. Mwanamugimu’s growth throughout Uganda’s darkest hour demonstrates the need of long-term public health programming and biomedical knowledge. Musoke and Kakitahi were graduates of East Africa’s top medical and educational schools and were able to use their skills to do well in their periods of uncertainty. Kakitahi was one of a generation of medical students trained to increase Ugandan physician population. Mwanamugimu’s modest infrastructure, technology, and a flexible framework made it a local program that could survive resource constraints.
Kakitahi and his colleagues, in collaboration with village health workers, also known as “Ssalango,” conducted door-to-door visits in a specific area to provide community members with information, support, and essential medical care. Ssalango, who commenced working at the Luteete Health Centre in 1978, stated that one of their primary responsibilities was to identify children exhibiting stunted growth. Ssalango and other community health experts educated mothers and guardians on malnutrition and how to assess nutritional status using arm circumference. Similar to the significant women who received training at Mwanamugimu, they instructed individuals on how to prepare kitobero in their own homes using ingredients that were readily available and commonly used in their daily meals. In addition to this early intervention, community health workers were in a favourable position to do follow-up visits to prevent slightly malnourished children from progressing towards “kwashiorkor.”
Kakitahi and Latimer Musoke showed what long-term infrastructure and knowledge can do by expanding on prior public health programming and medical services. Kakitahi revitalized Mwanamugimu and expanded the nutrition scout program after Amin. Funding was needed to rebuild facilities, restore the Nutrition Rehabilitation Program, and boost outreach. In 1983, Rotary International awarded Kakitahi a $245,000 “Health, Hunger and Humanity” grant to reinstate all parts of the central Mwanamugimu Unit in Mulago, including medical training, and begin the “second phase.” The second phase revived nutritional initiatives at Kayunga, Luteete, and Kasangati satellites. It was projected they served 650,000 people by 1984.
Kakitahi then established outreach initiatives at health centers in Mbale, Jinja, Bugembe, Kitovu, Ibanda, Kabale, Kisoro, and Gulu, which required an intermediate owing to Northern insecurity. Mwanamugimu Nutrition Services, a national program founded by Kakitahi, was based on these eleven satellites.
Kakitahi envisioned a public health programme to boost the health of a new national population. A Rotary International delegation visited Uganda in 1985 and was so impressed with the program and its local reception that the organization made a rare exception to their one-time financing policy. Kakitahi assumed this was Rotary International’s last grant and stretched this second disbursement over three years. After Rotary International returned in 1987, another exception and grant were provided, bringing the total support to $980,000 from 1983 to 1992.50 Despite political turmoil, Kakitahi restored and expanded Mwanamugimu Nutrition Services.
Kakitahi, who had been trying to expand Mwanamugimu nutrition programs to remote regions, became “frustrated” when he could no longer secure funds in the early 1990s due to the IMF and World Bank’s Structural Adjustment Policies (SAPs). After realizing he “didn’t have any money to continue,” WHO colleagues urged Kakitahi to create a health worker training program for newly independent Namibia. Uganda’s nutritional programming changed when Kakitahi left in dissatisfaction over structural adjustment’s lack of resources.
According to several observers, Ugandans regarded their national health system as “the demoralization of health workers” since many left when structural transformation proved difficult. Through Amin and the Bush War, Kakitahi stayed in Uganda.
Jennifer Tappan, a historian of Global Health in Africa and author of The Riddle of Malnutrition: The Long Arc of Biomedical and Public Health, calls John Kakitahi and his colleagues, Latimer Musoke, Ssalango, and Gladys Stokes, “awe-inspiring.”
Because of biomedical knowledge, competence, and infrastructure—the underpinnings of a national health system—Mwanamugimu survived. Thus, Mwanamugimu could become a fully local project, which, along with its clear worth, explains its amazing resilience.
Professor Tappan notes that “Kakitahi, his colleagues, and the influencers who kept Mwanamugimu alive illustrate the return on long-term investments in national systems of medical provision, which can then serve as the foundation for flexible and resilient public health programming, programming that can promote health and wellbeing in ways that increase rather than undermine sovereignty and the right to health that all people deserve.”
Compiled by Communications Office -MakSPH
General
Minister Janet Museveni Lays Foundation Stone for School of Graduate Studies Building, Commissions the School of Law Building and the renovated Lumumba Hall
The First Lady and Minister of Education and Sports, Hon. Janet Kataaha Museveni, has laid the foundation stone for Makerere University’s School of Graduate Studies building, whose construction is now underway.
The Minister laid the foundation stone for the USD8 million project during a brief function held on Wednesday 18th December 2024 at the site opposite Makerere University’s Lumumba Hall. The event was attended by several dignitaries, including the State Minister for Primary Education, Hon. Joyce Moriku Kaducu, University Council Chairperson Mrs. Lorna Magara, and Makerere University Vice Chancellor, Professor Barnabas Nawangwe.
Others in attendance included Acting Deputy Vice Chancellor of Finance and Administration, Professor Henry Alinaitwe; Acting Deputy Vice Chancellor of Academic Affairs, Professor Buyinza Mukadasi; University Secretary Mr. Yusuf Kiranda; Dean of Students Winfred Kabumbuli; Guild President Vincent Lubega Nsamba; and the Vice Guild President, Joy Eve Serunjogi among others.
The building is a donation (in-kind) from the late Hasmukh Patel, an industrialist and former Chairman of Tororo Cement who passed away on August 29, 2024, after a short illness. The journey to this befitting donation to Makerere University started in December 2022, when Hasmukh Patel accompanied by some members of his family and friends visited the Vice Chancellor, Prof. Barnabas Nawangwe to declare his donation. From December 2022, a number of meetings were convened involving the Minister of Education and Sports, the University leadership, Mr. Hasmukh Patel, his family and Tororo Cement regarding this donation. Living true to his commitment during those meetings, his family and Tororo Cement are implementing his wishes to construct the building, which will house the School of Graduate Studies at Makerere University.
Before laying the foundation stone for the School of Graduate Studies building, Hon. Janet Museveni first unveiled a plaque to officially open the new building for the School of Law. She then headed to Lumumba Hall, where she unveiled another plaque marking the completion of its renovation.
The First Lady, who had initially laid the foundation stone for the School of Law building on May 17, 2022, returned to the main campus to officially open the completed structure. Funded by the Government of Uganda to the tune of UGX 7.3 billion, the new three-storeyed building features lecture rooms, tutorial and seminar rooms, a library, a moot court, offices, a cafeteria, a lactation room, and other teaching and learning facilities. Construction was undertaken by M/S CK Associates, with Symbion serving as a consultant.
The renovation works for Lumumba Hall commenced in June 2023, with the site handed over to the contractor, National Enterprise Corporation (NEC). Funded by the Government of Uganda to the tune of UGX 9 billion, the project involved extensive renovations to restore Lumumba Hall to its original splendor. Lumumba Hall now accommodates about 725 students.
Lumumba Hall was the first hall of residence to undergo renovation, followed by Mary Stuart Hall, which has also been handed over to NEC for refurbishment. These renovations, which began last year, are a result of the Government of Uganda’s efforts to improve the nine (9) halls of residence at the main campus.
Speaking at the event, Hon. Janet Museveni thanked the University Council and management for their dedication to rebuilding the institution. She expressed confidence that the physical restoration efforts would also rebuild the character of young people.
“There is a restoration of dignity that comes to an institution or a community when we choose to rebuild and it is not only physical, there is a spiritual restoration that comes as well. For Nehemiah, it was not just the rebuilding of a physical wall it was the rebuilding of broken lives and a broken covenant. It was the rolling away of the reproach they had suffered as a nation,” she said.
Adding; “I therefore salute the Council and the management of Makerere for your dedication to the rebuilding of this University. I am confident that as you rebuild physically, you are rebuilding the character of our young people. My prayer is that the physical restoration is translating into the spiritual restoration of this great institution.”
The first lady, Hon. Janet Museveni recalled her earlier visit to Makerere University, where she observed the dilapidated state of the halls of residence, which prompted her to initiate the renovation works.
“I remember taking a tour of the halls of residence in this University and Kyambogo University in the thick of the COVID-19 pandemic. My heart bled when I saw the state of the halls of residence. Like Nehemiah, I took my burden to the Lord and now see what the Lord has done! Commissioning of the refurbished Lumumba Hall today is a testament to the faithfulness of our God. It is even more gratifying to know that other projects are ongoing and these include: the renovation of Mary Stuart Hall, the construction of the Perimeter Wall, and improvements at the University Hospital, including setting up an operating theatre and ICU.” She said.
Hon. Janet Museveni also expressed gratitude to the Vice Chancellor, Prof. Barnabas Nawangwe, for his leadership, which facilitated the realization of the Tororo Cement project. “This Project would not have been possible without the guidance and leadership of the Vice Chancellor of Makerere University, Prof. Nawangwe, who drew my attention to this offer by Tororo Cement, and requested me to endorse this Project, which will be named after Mr. Hamukh Patel,” she said.
Adding: “I am informed that the construction of this building is estimated to cost 8 Million US dollars and will consist of: lecture and seminar rooms, smart classrooms, laboratories, an innovation space, a conference hall, offices and other facilities. We remain forever grateful for this donation, which will increase access and contribute to improving the quality of postgraduate education.”
Speaking at the event, Vice Chancellor Prof. Nawangwe commended Hon. Janet Museveni for prioritizing the development of Makerere University, which has seen remarkable progress under her leadership. “Hon. Minister, from the time you took over the Office of Minister of Education and Sports and the Higher Education Sector, Makerere University in particular has transformed tremendously. Most notable is the infrastructure revolution at Makerere. On several occasions, you have come to Makerere to lay the foundations for new buildings and to open completed buildings, including our iconic Main Administration Building,” he said.
“When you inspected the halls of residence in 2021, I could see the frustration in your eyes, looking at the dilapidated state the halls were in, especially Lumumba, part of which had been condemned for 2 years,” Prof. Nawangwe said.
“Hon. Minister, I am sure that today, after seeing the glamorous new building for the School of Law and the glittering renovated Lumumba Hall, you are in a completely different mood compared to that visit in 2021. We are as delighted as you must be and your efforts are the reason for our happiness today. Our law students and professors can now comfortably study, work and conduct research in the best building for any school of law that I have seen,” Prof Nawangwe added.
Reflecting on the Graduate School Building, Prof. Nawangwe recalled when he received a proposal from Mr. Hasmukh Patel in 2022 who had initially intended to donate the Main Administration Building, which had been destroyed by fire, but opted to donate School of Graduate Studies Building after finding that the main building reconstruction had already started.
“Hon. Minister, in the morning of 13th December 2022, a miracle happened in my office in the Frank Kalimuzo Building. General David Muhoozi and Major General Apollo Gowa walked into my office with the Late Hasmukh Patel. Gen. Muhoozi introduced Mr. Hasmukh Patel as the Chairman of Tororo Cement, who after learning about the destruction by a fire of our Main Administration Building, expressed the wish to reconstruct that iconic building. On reaching Makerere, Mr. Hasmukh Patel found a contractor already on site, and he told us, that he would all the same donate a building to Makerere University as a gift on our 100th anniversary,” Prof Nawangwe said.
“He said it in such a simple way, that I thought I was dreaming. That evening, at the invitation of Mr. Patel, I visited the building that Mr. Patel had built for a school at Bukoto and I told him that a similar building for Makerere would be just what we needed for our School of Graduate Studies and Research that we needed. The University Council unanimously voted to thank Mr. Patel for his magnanimous offer and, you, Maama Janet graciously endorsed the project. I later visited Mr. Patel in Mombasa and was amazed at the humanitarian work he was doing among the communities. He was such a rare human being,” Professor revealed.
“Today we are here to witness the laying of the foundation stone for this, the largest academic building at Makerere University, and the first such donation I know by an African philanthropist to a university in Africa. The building will have lecture and seminar rooms, a conference hall, innovation spaces, PhD student rooms, computer and other laboratories, a restaurant, staff offices and other facilities. I thank Tororo Cement and the family of the Late Hasmukh Patel for honoring his wish and I wish to assure Mr. Patel, who must be in heaven smiling at us, that we will honor his legacy in this building and that we will put the building to its best use in the service of humanity, which is what Mr. Patel lived for,” Prof Nawangwe added.
On her part, the state Minister for Primary Education, Honorable Joyce Moriku Kaducu acknowledged Hon. Janet Museveni for prioritizing the Education sector in her leadership, which has led to the tremendously development of the sector.
“On behalf of the education sector, we want to thank you as the mother of the nation, indeed you are a big gift and a blessing to the nation and education at large, all this achievement would not have been possible if it was not under your visionary leadership and the guidance you have offered,” Minister Kaducu said.
Hon. Kaducu also hailed Makerere University for playing a very critical role in sensitizing, disseminating knowledge, and raising awareness to the public on the message of the Parish Development Model, which is intended to create wealth among citizens.
“As President Museveni is preaching the message of wealth creation, I want in a special way to thank Makerere University for playing a very critical role in sensitizing, disseminating knowledge, and raising awareness to the public on the message of the Parish Development Model (PDM), and they have a committee that monitors and informs government. They are indeed part of the team promoting wealth creation in this country,” she said.
Mrs. Lorna Magara, the Chairperson of the Makerere University Council said that the construction of the Graduate studies building speaks to the University’s mission of being a research-led institution because it comes as a dedicated building to house the Directorate of Research and Graduate Training, which marks the resolution of a critical gap in our institutional framework
“At the heart of Makerere University’s current strategy is the promotion of a research-led institution, with a strong focus on graduate training. The establishment of a dedicated facility for the School of Graduate Studies, which also houses the Directorate of Research and Graduate Training, marks the resolution of a critical gap in our institutional framework. The late Patel’s timely and generous contribution will undoubtedly advance graduate training and research for generations to come. We extend our heartfelt gratitude for your exceptional support,” she said.
Mr. Manish Varsani who represented the Patel family took the first lady through how Mr. Hasmukh Patel started the idea of donating the building to Makerere. He explained that, Mr. Patel intended to present a gift that was coming from the bottom of his heart, and he teamed up with General Muhoozi who led him to Prof. Nawangwe’s office.
He also recalled when Mr. Patel met H.E President Yoweri Kaguta Museveni Museveni in Bukoto where he (Patel) had donated a building to a school and told the President that he would want to donate the same building to Makerere University as a gift to the First Lady Janet Museveni because he loved her so much, and in response, the President said he would take the message back to the First Lady.
The Guild President Lubega Vincent Nsamba asked the First Lady to consider constructing another hall of residence for the female students to solve what he described as an accommodation imbalance.
“Maama Janet Museveni, allow me to report to you that we still have only three halls of residence gazetted for female students against the six halls of residence gazetted for male students. These halls of residences were built back in colonial and independent times when the female students were fewer compared to their male counterparts, and to me Maama, this accommodation imbalance is something that should be addressed,” he stated.
“To me Maama, this speaks to the sense of how there is a dire need to invest in another additional hall of residence for the girl child here at Makerere University, and Maama, without any fear of contradiction, we humbly request that you consider building an additional hall of residence named after you in recognition of the contribution and honor of the service you have made for this country as a mother and as an educator,” he said.
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