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
Agriculture & Environment
Makerere Hosts Inaugural Falling Walls Lab Competition as Innovators Pitch Solutions to National Challenges
Students and researchers from Makerere University and other institutions pitched 12 innovations addressing challenges in healthcare, clean energy, agriculture, waste management and community resilience during the inaugural Falling Walls Lab Kampala, held at the School of Public Health Auditorium, Makerere University.
The competition brought together emerging innovators to present solutions to practical challenges through a three minute pitch, followed by questions from a panel of judges.
Modelled on the Falling Walls format that originated in Berlin, the event required each participant to identify a “wall” a problem or barrier, and demonstrate how their innovation seeks to break it down.
Mudhasi wins with newborn jaundice screening device
Andrew Mudhasi of Makerere University emerged as the overall winner with a score of 90 per cent for a low cost medical device designed to improve newborn jaundice screening across different skin tones.
Mudhasi explained that the device uses optical sensor technology and a skin tone targeting algorithm to provide a rapid reading, with the aim of helping nurses and clinicians identify jaundice more efficiently.
During questions from the jury, Mudhasi said the device had not yet been tested on actual babies but had undergone laboratory testing using simulated skin tones.
He reported an accuracy rate of 94 per cent when the device was compared with laboratory spectrophotometers.
The innovation is intended initially for use in clinics and hospitals, with Mudhasi saying the team is also considering a version that could eventually allow mothers to screen babies at home.
Mudhasi’s innovation has previously received recognition at the African Business Concept Challenge and the iF Design Student Award, according to his presentation.
Rhonda’s innovation tackles diaper waste
Rhoda John of the University of Nairobi emerged in second place with 89.6 per cent for an innovation addressing the problem of used diaper waste.
Under the theme “Breaking the wall of diaper waste and drug soils,” Rhonda explained that her team extracts sodium polyacrylate, the absorbent polymer found in diapers, and replaces the sodium with potassium.
The resulting potassium based superabsorbent material is designed to act as a “water battery” in soil by absorbing and retaining water for plants during dry periods.
John said testing showed a 99 per cent increase in germination and a 23 per cent increase in drought resistance.
The innovation also seeks to reduce the amount of used diapers ending up in landfills and the environmental effects associated with their decomposition.
During the question and answer session, John explained that her team was working with government environmental officials in Nairobi on a pilot collection system to address the challenge of gathering used diapers at scale.
Mahera takes third place with herbal peptic ulcer treatment
Stuart Mahera of Makerere University finished third with 86.2 per cent for a herbal formulation targeting peptic ulcers.
Presenting under the theme “Breaking the wall of Nature and Modern Medicine,” Mahera argued that conventional treatment for peptic ulcers can involve multiple medicines and may be associated with side effects and antimicrobial resistance.
His proposed formulation, MARAC capsules, is intended as a monotherapy, combining properties required for peptic-ulcer treatment in a single capsule.
Mahera said his team had carried out quality control work, including characterisation and dose quantification, and had conducted preclinical trials on laboratory mice.
He also told the jury that an application had been submitted to the National Drug Authority as the team awaits the next stage of the regulatory process.
According to Mahera, the proposed seven day treatment would cost about Shs21,000, compared with the existing 14 day treatment approach.
Innovators present solutions to practical challenges
The remaining presentations covered a wide range of challenges.
Esther Nakungu of Utamu University presented Agri-Track, a digital record keeping solution intended to improve visibility, accountability and management of farm operations and financial information.
Dr. Jimmy Chachiga, a Makerere University participant, presented a solar photovoltaic cooker with a heat storage system designed to provide a cleaner and more reliable cooking option during both sunny and non sunny periods.
His presentation focused on reducing dependence on biomass fuels and addressing the challenges associated with intermittent solar energy.
Abdul Noor Luttamaguzi, a PhD student and senior government fisheries officer, presented a mobile application aimed at helping fish farmers and extension officers report, track and manage disease outbreaks.
Henry Duke Tamale presented a herbal cream targeting antibiotic resistant biofilm infections associated with diabetic foot ulcers.
Marvin Seruwu proposed adapting existing near infrared brain monitoring technology to help detect extra-axial brain bleeds in health facilities where access to CT and MRI equipment is limited.
His proposal seeks to repurpose existing technology towards a diagnostic need that could be particularly important in settings where advanced imaging facilities are not readily available.
Kennedy Kisame presented a poultry alert and diagnosis system combining satellite weather information with computer vision disease detection. The proposed system could be accessed through a smartphone application, SMS or USSD, making it potentially usable by farmers with limited internet access.
Frank Atwiine proposed a solar powered mobile diagnostic van designed to bring ultrasound and other diagnostic services closer to rural communities.
Johnson Makmot, a software and blockchain developer, presented a platform that combines GPS tracking and blockchain-based tokens to incentivise and verify plastic-waste collection in Kampala.
Dr. Nelson Ndugu, from a partner university, presented an artificial intelligence tool designed to translate agricultural research publications into local Ugandan languages and generate voice notes for radio-based extension delivery.
The final presentation came from Dr. Juliet Akola, a Ugandan post doctoral researcher at Mangosuthu University of Technology in South Africa.
Akola presented a community digital resilience initiative focused on mapping risks in Kampala’s informal settlements, including flooding, fire, poor sanitation, waste management and inadequate infrastructure.
Her proposal seeks to combine local community knowledge with geographical information systems and link identified risks to action plans involving municipalities and other stakeholders.
Nawangwe calls for more investment in innovation
Closing the event, Prof. Nawangwe congratulated all the participants and described their presentations as an important beginning for Makerere University, Uganda and the wider region.
Drawing on his experience attending the Falling Walls conference in Berlin, the Vice Chancellor said initiatives of this nature are important because innovation will play a major role in determining the future of countries.
He encouraged participants to make their pitches more precise by clearly identifying the problem they are addressing, explaining their proposed solution and demonstrating what they have already achieved.
Prof. Nawangwe also welcomed the participation of innovators from other universities and countries, noting that the Kampala event had attracted participants beyond Makerere.
He thanked the Africa Office of the Falling Walls Foundation for its role in bringing the initiative to Makerere and encouraged continued support for innovation.
The Vice Chancellor further linked innovation to Uganda’s growing youth population and the need to develop home-grown solutions to address challenges such as youth unemployment.
The inaugural Falling Walls Lab Kampala ultimately provided a platform for innovators to move ideas beyond the classroom and laboratory and demonstrate how research, technology and creativity can be applied to challenges affecting communities.
| Position | Winner | Institution | Score |
| 1st | Andrew Mudhasi | Makerere University | 90% |
| 2nd | Rhoda John | University of Nairobi | 89.6% |
| 3rd | Stuart Mahera | Makerere University | 86.2% |
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