Health
The Africa One Health Network for Disease Prevention (ADAPT), Project Launch
A consortium of Seven Sub-Saharan countries is implementing a 5-year intervention aimed at building the capacity of improved, sustainable, and locally–led management of antimicrobial resistance (AMR) and Neglected Tropical Diseases (NTDs).
AMR is a public health problem that poses the largest threat to human health, causes death, and threatens economies especially those of developing countries in sub-Saharan Africa and South Asia.
In Uganda, the project is implemented by Makerere University in the College of Health Sciences (CHS) and the College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB). Prof. Dr. Damalie Nakanjako, the Principal CHS, and CoVAB’s Assoc. Prof. Julius Okuni are the Principal investigators.
The other sub-Saharan African states in the consortium include Senegal, Ghana, Nigeria, the Democratic Republic of the Congo, Ethiopia, and Sudan, while the other participants like Leipzig University are drawn from Germany.
At the project kickoff event held at Protea Hotel in Entebbe on Monday 12th May 2024 attended by all implementing partners, it was explained that the five-year project will investigate and sustainably develop the local capacity to identify and intervene with a diverse range of biomedical and sociocultural factors impacting human, animal, and environmental health in sub-Saharan African settings to better control AMR and NTDs.
Through a One Health Approach, the project will work with several stakeholders including Behavior scientists, Data scientists, veterinarians, Human health workers, and policymakers in developing the capacity of anti-microbial stewardship in Sub-Saharan Africa.
The project’s main tasks will include screening of AMR in humans, livestock, and poultry using surveillance and genetic mapping; investigating the relationship between helminthic infection and drug resistance bacteria to better understand the co-infection between pathogens; developing capacities for point of need diagnostics on AMR and NTDs using mobile tests for field use; identifying any changes in antimicrobial use and AMR incidences; controlling communicable disease transmission and building capacity for sustainable leadership.
The kickoff meeting was addressed by stakeholders from different sectors who made proposals aimed at ensuring a successful project implementation. Hon. Dr. Charles Ayume, the Chair of the parliamentary health committee, while addressing the forum urged the implementers to consider involving the political wings of the respective countries and to ensure that the politicians get to appreciate the concerns on Anti-Microbial Resistance and the Neglected Tropical Diseases. He said that in the case of Uganda, the process of the formation of the Parliamentary Forum on AMR was in the initial stages and observed that several politicians were not well informed about the challenges of AMR. He said bringing the politicians on board would help the project implementers and stakeholders lobby for financial allocations towards AMR or else refer to it as unfunded priorities because they do not appreciate its magnitude. Dr. Ayume regretted noting that although innovations were game changers, Research and development were underfunded and mostly anchored in the hands of the donors. He said regarding the success of the project, research was important because of the need to domesticate AMR, by taking it down lower to the communities.
Dr. Ayume said he was cognizant of the fact that there was a lot to do citing the example of the poor state of abattoirs regarding lack of adherence to public health regulations, poor sanitation as well and non-adherence to public health regulations. Legislation is important because several laws like the Public Health Act although amended do not cover AMR, he observed. He cited the recently enacted Animal Feeds Bill, as one example through which the Government can be held accountable. He expressed commitment to further spread the AMR message through the Parliamentary Committees of Health from Africa, where he is a member. For most of the issues that affect the region, he said there was a need to get together, and that this can be a way of domestication of AMR.
The Deputy Principal, CoVAB, Prof James Acai – Okwee who spoke on behalf of the Principal Prof. Frank Nobert Mwiine acknowledged and welcomed the partners from other countries and the German Federal Ministry of Education for the project support. He said Makerere University aspires to translate into a research-led institution including research in AMR. He explained that there was a significant animal factor in AMR, where infection in animals will always be shared in the human population because of the extensive microbial use in animal production. Anti-microbial use is becoming the normal practice in production and therefore 75% of the infections originate from the animals that’s why we appreciate the one health approach in addressing AMR, the environment, food production, and public health he said, while appreciating the need for a multi-sectoral approach in addressing the challenge at hand. He expressed the colleges’ commitment and readiness to work with the project team led by Assoc. Prof. Julius Okuni.
Other presenters at the meeting included a representative of the Director General of Health Services, the Ministry of Health, and the Ministry of Water and Environment, among others.
Later on Wednesday 15th May 2024, the project team visited the College of Veterinary Medicine, Animal Resources, and Biosecurity where they interacted with the leadership and staff and took a guided tour of some of the laboratories.
Dr. Angelina Mwesige Kakooza, Associate Professor of Paediatrics in the Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences (MakCHS) received the 2025 TWAS-Fayzah M. Al-Kharafi Award in Medical Sciences. She was recognised for her research on neurodevelopmental disorders – particularly epilepsy, cerebral palsy, and nodding syndrome – and for advancing policy and research, mentorship, as well as local community interventions to enhance children’s health.
The award was given at the recent 17th General Conference of The World Academy of Sciences (TWAS) held in Rio de Janeiro, Brazil under the theme ‘Building a Sustainable Future: The Role of Science, Technology, and Innovation for Global Development.’ Organized in partnership with the Brazilian Academy of Sciences (BAS) and TWAS, the conference brought together leading scientists, policymakers, and institutional leaders from across the global South and beyond.
In her remarks after receiving the award, Dr. Kakooza said, “This award highlights the importance of neurodevelopmental disorders which are a great health problem worldwide, often diagnosed late and treated poorly,” said Kakooza. “It affirms my contribution to science in Africa, strengthens advocacy for gender equity in science and education and makes me a role model for others, increasing my influence in the scientific community.”
Dr. Angelina Kakooza Mwesige is a Ugandan scholar with over 25years teaching experience whose research focuses on neurodevelopmental disorders in children centred on their epidemiology, early screening, identification and community based interventions in Uganda. Her current areas of research cover studies on early detection and interventions for young infants at high risk of neurodevelopmental delay and disability in Nepal and Uganda; development of community engagement projects to empower adolescents living with epilepsy in Uganda reduce stigma in their communities; as well as development and testing of an interactive epilepsy smart phone application to improve resilience among them.
TWAS is a global merit-based science academy based in Trieste, Italy, and administered as a UNESCO Programme Unit. Read more here: https://twas.org/
In July this year, I joined a study tour to Imvepi Refugee Settlement in Uganda’s West Nile region under the RISK-WASH Project, led by Dr. Richard Mugambe. Established in 2017 in what is now Terego District, Imvepi is one of several settlements created to host people fleeing conflict in neighbouring South Sudan. Now home to more than 60,000 refugees, it reflects Uganda’s progressive refugee policy, anchored in the 2006 Refugee Act, which promotes the integration of displaced families within host communities, allocates land for livelihoods, and ensures access to national services. It remains a model both commendable and instructive for the region.
With nearly two million refugees and asylum seekers, most of whom are women and children, Uganda stands among the world’s leading examples of inclusive, community-based refugee protection. The RISK-WASH Project, implemented by the Makerere University School of Public Health (MakSPH) in collaboration with IHE-Delft, BRAC, and icddr,b, with support from the Dutch Ministry of Foreign Affairs, organised the three-day visit. The project builds evidence for better Water, Sanitation, and Hygiene (WASH) decision-making in humanitarian settings, developing practical tools to assess how exposure to unsafe water, poor sanitation, and environmental hazards affects the health of both displaced and host populations.
In Imvepi, that evidence takes human form. Water points run dry under intense demand or drought; latrines overflow during rains; fragile health systems strain to contain preventable diseases that flourish in such conditions. One nurse may attend to hundreds of patients in a single day, treating malaria, respiratory infections, and diarrhoeal diseases directly linked to inadequate WASH infrastructure. The images linger long after one leaves, especially when reflecting on the media’s role in shaping refugee narratives. What struck me most was how such realities are often reduced to statistics or fleeting headlines that reveal little about the lives behind them. I left Imvepi convinced that we, in the media, must not only report but listen differently.
When we cover refugees, we often begin with numbers. Yet behind every statistic is a heartbeat and a history the news cycle rarely pauses to hear. Refugee health, perhaps the most human measure of displacement, is still too often framed as a crisis rather than a continuum of resilience, policy, and rights. The World Health Organisation’s World Reports on the Health of Refugees and Migrants reminds us that refugees frequently experience poorer health outcomes than host populations, not because they are inherently vulnerable, but because access to care is often obstructed by law, language, and logistics. Health, like truth, then, becomes interestingly dependent on who is allowed to speak and who is heard.
It was in this spirit that, on October 3, 2025, we convened the Media Training Workshop on Refugee Health and Migration Reporting at MakSPH. The one-day seminar brought together twenty journalists from Kampala, Kyaka II, Adjumani, and other refugee-hosting districts. Our goal was not to add another humanitarian angle to the news but to rethink how the media can report with depth, ethics, and empathy. Working with partners such as Africa Humanitarian Action, Emesco Development Foundation, and Farmamundi, we explored the subtle power the media wields to either dignify or diminish, to clarify or distort, the lived realities of refugees, particularly in the realm of health.
During my session, “Refugee Health Reporting as Empowerment: Negotiating Accuracy, Dignity, and Context,” I invited participants to view journalism through the lens of Paulo Freire, the celebrated Brazilian transformative educator who wrote the Pedagogy of the Oppressed while in exile in 1970. Through his influential work, Freire argued that oppression persists when those in power control language and narrative, when others are spoken for rather than heard. Liberation begins, he said, when people “name their world.” That principle remains profoundly relevant to our craft as journalism and communications practitioners. Refugees must not remain objects of our storytelling; they are its subjects. Journalism, in its truest public function, becomes liberating only when it is dialogic, when we report with people, not merely about them.
This transformation begins with accuracy. In Uganda, refugees share the same health system as host communities, one already strained by staff shortages, drug stock-outs, and donor fatigue. Yet many stories stop at official statements or NGO press releases. Limited access, shrinking newsroom budgets, and bureaucratic gatekeeping tempt journalists to rely on polished humanitarian narratives. But when we do, we risk becoming megaphones for the powerful. Accuracy demands courage, the willingness to verify, to cross-check, and to step beyond curated camp tours. In refugee reporting, truth is not just a professional standard; it is an act of respect.
Still, truth without dignity can harm. Too often, images of refugees serve as shorthand for despair—dust, hunger, tents. Such imagery may evoke sympathy, but it often strips away humanity. From practice, I have seen journalists lower their lenses before asking names. I have also seen how a small shift in approach, say seeking consent, giving space, and listening before photographing, can restore dignity to both subject and story. Words matter too. Calling someone an “illegal immigrant” or describing an “influx” of refugees turns people into problems. Language should humanise, not flatten. To describe refugees as mothers, health workers, or students is to reassert their agency and affirm our shared humanity, something Freire would have deeply valued today.
And no story exists in isolation. Every health headline in a settlement echoes across systems of policy, climate, economics, and gender. A cholera outbreak in Kyangwali is not merely a medical event or isolated incident; it may be showing broken sanitation infrastructure and the politics of aid, which may result in a national disease outbreak. Context is the soul of credibility. Without it, even accurate stories can mislead. In Imvepi, I saw first-hand that refugees’ health challenges are inseparable from Uganda’s own development journey, from how budgets are made to how global partners value African hospitality. The more connections we draw, the closer we come to the truth.
By the close of the workshop, it was evident that empowerment in journalism is not a slogan but a discipline. It demands patience, humility, and persistence. It calls for the co-production of stories, revisiting them, verifying them, and allowing refugees to narrate their realities. It also calls on institutions to invest and fund field reporting, train correspondents in trauma-sensitive and peace journalism, and protect journalists pursuing uncomfortable truths. Without such support, even good intentions dissolve into soundbites.
I often return to Freire’s words of wisdom: “To speak a true word is to transform the world.” This means that words are not just passive descriptions but powerful tools for action and social change, especially when they are paired with critical reflection and a commitment to praxis (work and action). Refugee health journalism, at its best, is precisely that kind of speech: accurate, dignified, and deeply contextual. It is not merely charity reporting; it is solidarity reporting. For anyone, given the wrong circumstances, can become a refugee. And solidarity, unlike sympathy, does not look down; it stands beside. When we write from that conviction, our stories do more than inform. They humanise, connect, and remind us that telling the truth well is, in itself, an act of justice.
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