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
School Managers have been urged to incorporate entrepreneurship as an innovative solution aimed at addressing the existing problems in Universal Primary Education (UPE) schools.
Studies indicate that in most UPE Schools in Uganda, learners still lack parental support, mid-day meals, scholastic materials, clean water, and are often unattended to by teachers, which undermines children’s desire to learn or stay in school because hunger impairs their ability to concentrate and learn effectively.
Constrained by resources, UPE schools are unable to offer decent feeding, sanitary facilities and clean water. The situation is perpetuated by the inability of the School management to optimize potential benefits of UPE schools such as the available land, space, human resources, public goodwill to experiment with innovative solutions to address existing problems.
“If UPE schools incorporate entrepreneurship, it can make a very big difference,” said Prof. Christopher Mugimu based at the College of Education and External Studies at Makerere University. Prof. Mugimu is the Project Principal Investigator, Entrepreneurial Leadership Initiative for UPE schools.
This proposal is informed by a one-year study conducted by the project research team consisting of staff from the College of Education and External Studies namely Prof. Christopher Mugimu, Dr. Badru Musisi, Dr. Victoria Tamale, Dr. Justine Namaganda and Dr. Joyce Bukirwa from Muni University
As an intervention, the project research team proposes an Entrepreneurial Leadership Initiative for UPE schools to reboot, retool and re-orient school management. “This is a timely, strategic and innovative empowerment initiative purposively designed to transform UPE Schools managers’ mindset from a traditional managerial role to an enterprising leadership role,” said Prof. Mugimu.
The project aims at promoting entrepreneurial leadership in UPE schools by training and equipping school leaders and teachers with entrepreneurial skills.
He said: “With this project, we are confident that UPE schools can overcome the challenges that have held them back for so long and unlock a brighter future for their learners.”
Funded by the Government of Uganda through Makerere University Research and Innovation Fund (MakRIF), the project seeks to address the perennial challenges of low learning outcomes in UPE schools.
During the dissemination workshop held on 20th March 2025 at the College of Education and External Studies, Prof. Mugimu informed the different stakeholders that in most UPE schools, the leaders are not free to take on new ideas.
Presenting the results of the baseline survey, Prof. Mugimu underscored that the findings proved very low entrepreneurial orientation levels with less than 20% of UPE school leadership in terms of autonomy, pro-activeness, innovativeness, competitiveness and risk-taking.
Prof. Mugimu emphasized that the Entrepreneurial Leadership Initiative framework is ideal for UPE school leadership to identify and utilize opportunities to start-up and scale-up UPE School learning environment improvement initiatives.
On the issue of utilization of resources in UPE schools, the survey indicated that most UPE schools possess resources, most of which are unrecognized, unutilized and underutilized.
“If the School managers implement the entrepreneurial leadership initiative, these resources could be leveraged to improve the quality of education and transform the lives of learners,” he said.
Prof. Mugimu stated that some UPE schools have 10 acres of land, which could be a valuable resource to undertake school gardening to produce food stuff for school meals or bee-keeping for production of honey. He suggested that Schools could utilize biogas material from waste to support cooking and lighting, talent clubs should be ‘re-awakened’ to train and empower learners gifted in Music, Dance and Drama to come up with performances that generate income. The schools should rejuvenate art and crafts so that materials produced by the learners are sold to generate income.
According to Prof. Kagimu, entrepreneurial leadership builds and promotes an entrepreneurial mindset and culture bringing on board both the teachers and learners. He explained that if the school leadership creates an entrepreneurial culture in UPE schools, this would not only involve the teachers and learners in the activities, but also contribute to the ultimate goal of empowering learners with skills and knowledge as well as making learning attractive and interesting.
The Acting Principal of the College of Education and External Studies, Prof. Ronald Bisaso commended the project team for coming up with an intervention aimed at integrating entrepreneurship in UPE schools. He added that the Entrepreneurial Leadership Initiative in UPE schools would add value to learners in line with the new competence-based education curriculum.
“This intervention (the Entrepreneurial Leadership Initiative) is timely. Its implementation will contribute to the transformation of the education sector. It adds value to schools and significantly benefits the learners who are our focus. Teachers with an entrepreneurial mindset will train and equip learners with entrepreneurial skills,” said Prof. Bisaso, who is the substantive Deputy Principal.
He shared that the initiative will have a ripple effect on the entire education system, with benefits extending beyond the schools to the boarder community.
“By promoting entrepreneurial thinking and self-reliance amongst UPE teachers, we hope to create a new generation of educators and learners who are equipped to drive innovation and progress in the entire education sector,” he remarked.
Dr. Kulthum Nabunya, Officer Education Services at Kampala City Authority (KCCA) highlighted that the implementation of the Entrepreneurial Leadership Initiative at the respective UPE schools would follow a committee approach to ensure continuity and sustainability.
Dr. Nabunya also acknowledged the project research team for the timely intervention. “With the ongoing implementation of the Competence-based education curriculum, schools have no option, but to embrace the innovative approaches such as the Entrepreneurial Leadership Initiative,” she said.
She was optimistic that if the Entrepreneurial Leadership Initiative is effectively implemented, UPE learners would be in position to adapt to the secondary competence-based curriculum.
Contributing to the discussion, Dr. Nicholas Itaaga, an Associate Professor at the College of Education and External Studies said the implementation of the entrepreneurial leadership initiative would significantly benefit staff in UPE schools through skills acquisition, empowerment and involvement in school activities.
Wrapping up, the stakeholders who participated in the dissemination workshop stressed the need for mindset change programs in UPE schools, incorporating entrepreneurship into the curriculum, and undertaking community-school working strategies that bring on board politicians and community leaders.
Project Summary:
UPE was introduced in 1997 to cater for poor households in Uganda. Hence, UPE schools’ management was mandated to create inclusive and enabling learning environment for upward social mobility of deprived children. However, 23 years later, UPE schools are typified by a tangible state of teacher, parental and community detachment; which leads to learner letdown. As an intervention, we propose an Entrepreneurial Leadership Initiative for UPE schools to reboot, retool and re-orient school management from mechanically implementing prescribed solutions; to encounter school management challenges and dilemmas in a sustainably creative, innovative and adaptive ways. The Initiative is consistent with the Ministry of Education and Sports’ mission to deliver quality education to all Ugandans and to SDG 4 Target 1, seeking all children to complete free, equitable and quality basic education by 2030.
On March 21, the Makerere University community welcomed a new era of student leadership as Ssentamu Churchill James was inaugurated as the 91st Guild President. The ceremony gathered students, faculty, parents, and dignitaries, marking a significant moment in the university’s history.
In his inaugural address, Ssentamu expressed gratitude, stating, “It’s been God’s grace all through.” He acknowledged the vital support of his family and mentors, reinforcing the importance of collaboration in leadership. “We have been entrusted with the responsibility to bring political, social, and academic salvation,” he declared, emphasizing his commitment to restoring Makerere’s status as Africa’s premier higher education institution.
Reflecting on his campaign, Churchill credited his team, stating, “I am no one without my team,” and dedicated his victory to every student aspiring for a better Makerere. He underscored that students are the foundation of his cabinet, stating, “Those students are our bosses,” and called for unity and resilience among fellow leaders as they prepare to tackle challenges ahead.
The ceremony also included the swearing-in of Guild Representative Councilors from various colleges and Halls of Residence, culminating in the inauguration of Ssentamu and the Vice Guild President.
The outgoing Guild President, H.E. Lubega Vincent Nsamba, shared insights from his tenure, highlighting the importance of building harmonious relationships and the value of collaboration in solving challenges. He quoted theologian Dietrich Bonhoeffer on the dangers of ignorance and urged new leaders to actively engage with the university’s governance structures.
Nsamba linked his faith to leadership, encouraging his successors to seek divine guidance and reflecting on his administration’s efforts to foster a good working relationship with university management. He congratulated Churchill and wished him success in his term.
Professor Buyinza Mukadasi, speaking on behalf of the Vice Chancellor, expressed joy in welcoming the new leadership and emphasized that this was the time to chart a new leadership journey. He acknowledged all election participants and praised the peaceful transition of leadership, encouraging the new guild members to embrace dedication, humility, and adherence to university regulations.
“As students of Makerere University first and foremost, aim for academic excellence,” Mukadasi advised, highlighting the importance of dialogue with university management. He officially commissioned the new government, expressing optimism for their future contributions and collaboration. He called on them to embrace dialogue with the university administration.
Dr. Winifred Kabumbuli, Dean of Students acknowledged the departing President, Vincent Lubega Nsamba, for his efforts in enhancing student life and congratulated Churchill on his election, encouraging him to uphold values of inclusivity and diversity.
“As we celebrate this transition, let us reaffirm our commitment to fostering a supportive campus environment,” Kabumbuli urged, emphasizing the need for collaboration in creating a conducive learning atmosphere.
As the inauguration drew to a close, the Makerere University community looked forward to a promising future under President Ssentamu’s leadership.
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