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Uganda becomes second country, after Nepal, to unveil Climate Health Adaptation Plan

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Kampala, 24 August 2024 – Uganda’s Ministry of Health on Thursday August 22nd launched its Climate Change Health National Adaptation Plan (H-NAP), a comprehensive strategy aimed at bolstering the nation’s health system resilience against the impacts of climate change.

Adapting to climate change presents a substantial financial burden, with Africa projected to need up to $2.8 trillion by 2030 to fulfill its commitments under the Paris Agreement, according to the African Development Bank.

Uganda’s Health National Adaptation Plan (H-NAP), a critical step in this effort, requires an estimated $63 million by 2030.

Unveiled at Sheraton Hotel in Kampala by Third Deputy Prime Minister Hon. Rukia Isanga Nakadama, the H-NAP marks a milestone in Uganda’s response to the escalating climate crisis, particularly within the health sector. This ambitious plan underscores the urgent need to address climate-related health challenges and strengthen the country’s resilience.

Uganda has committed to addressing climate change as a signatory to key global agreements, including the UNFCCC, Paris Agreement, and Kyoto Protocol. In line with these frameworks, the Ugandan government has established supportive policies and laws, such as the National Climate Change Policy (2015), the Climate Change Act (2021), the Nationally Determined Contributions (2022), and Vision 2040.

Rt. Hon. Rukia Nakadama congratulated the Minister of Health and partners for developing the Climate Change Health National Adaptation Plan. She affirmed that the government would integrate climate resilience into the Parish Development Model, Uganda’s strategy for improving household incomes and welfare. The PDM focuses on multi-sectoral community development and addresses key aspects of livelihood enhancement, including human, natural, social, financial, and physical resources.

“In the Parish Development Model there is a need to integrate Climate change interventions. In addition, the National Development Plan III and the newly developed National Development Plan IV highlights Climate change as a cross-cutting issue requiring mainstreaming for all sectors,” said Rt. Hon. Nakadama.

Drawing on the latest climate science and projections, Uganda’s health sector adaptation plan pinpoints critical areas where enhancing resilience is urgent, with the goal of strengthening the adaptive capacity of the health system to climate change and related hazards.

“It is moments like this that make me optimistic and excited about a healthier future. We have gathered at a transformational moment in unprecedented times. I am sure all of you have seen and felt the effects of our changing world. Unpredictable weather events have brought both droughts and extreme flooding as you have heard. Outbreaks of cholera, malaria, yellow fever, measles, and more have become increasingly common,” said William Asiko, The Rockefeller Foundation Vice President for Africa.

Asiko noted that climate change is now the greatest threat of health and wellbeing of billions of people worldwide and that to meet that threat head-on, human beings must “innovate,” “rethink,” and “adapt our health systems from the threats.”

Rebuilding systems is a huge task, especially when lives are at stake, said Asiko, before adding that overcoming these obstacles has been The Rockefeller Foundation’s mission for over a century. “The fight for global health, has always been at the health of our work,” he stated.

William Asiko, The Rockefeller Foundation Vice President for Africa speaking at the launch of the H-NAP by the MoH. Makerere University School of Public Health (MakSPH) at the Ministry of Health launch of the National Climate Change Health National Adaptation Plan (H-NAP), 22nd August 2024, Sheraton Kampala Hotel, Kampala Uganda, East Africa.
William Asiko, The Rockefeller Foundation Vice President for Africa speaking at the launch of the H-NAP by the MoH.

The 2022 report on climate change from the United Nations noted that at least 3.3 billion people’s daily lives are “highly vulnerable” to climate change, and people are 15 times more likely to die from extreme weather than in years past, the Intergovernmental Panel on Climate Change (IPCC) report said.

Uganda’s Ministry of Health data show that malaria remains the leading cause of illness among pregnant women and children under five. Uganda also faces critical challenges, with 81% of the population lacking access to safe water, and only 35% having basic sanitation. This results in approximately 19,700 child deaths annually due to diarrheal diseases—equivalent to 54 children that die every day from poor sanitation.

Malnutrition further contributes to infant and child deaths, with 12% of infants born underweight. Adding to this burden are pollution-related deaths; in 2021 alone, over 1,000 people in Kampala died due to poor air quality, this is according to a scientific publication by researchers at the Makerere University School of Public Health (MakSPH).

The World Health Organisation (WHO) estimates that more than 13 million deaths worldwide, each year are due to preventable environmental causes. Just to mention that air pollution from fossil fuels alone, kills 13 people every minute from lung cancer, heart disease or stroke.

These alarming statistics underscore the urgent need for Uganda’s Health National Adaptation Plan (H-NAP) to address these interconnected challenges and build a more resilient health system.

Dr Christine Musanhu, the Acting WHO Representative in Uganda contends that; “We urgently need to take concrete and timely measures, to protect the health of our populations and build a resilient future.”

According to Dr. Musanhu, climate change is not just an environmental issue; but a profound threat to the health, well-being, and development of mankind.

Dr Christine Musanhu, the Acting WHO Representative in Uganda submitting during a panel discussion. Looking on is Prof. Rhoda Wanyenze. Makerere University School of Public Health (MakSPH) at the Ministry of Health launch of the National Climate Change Health National Adaptation Plan (H-NAP), 22nd August 2024, Sheraton Kampala Hotel, Kampala Uganda, East Africa.
Dr Christine Musanhu, the Acting WHO Representative in Uganda submitting during a panel discussion. Looking on is Prof. Rhoda Wanyenze.

“Our actions today, will have a long-term effect on protecting future generations from the health consequences of climate change. In collaboration with the Ugandan government, I therefore call upon all partners, to mobilize efforts to join our quest to protect the environment,” she said.

Following numerous disasters globally, WHO has been at the forefront of efforts, to build climate change-resilient health systems. Some of the key, WHO-supported global developments in this area include the: WHO Climate Resilient Health Systems Framework, a comprehensive framework, to guide countries in making their health systems resilient, to the impacts of climate change.

The Uganda’s H-NAP covers ten components based on the WHO framework aimed at building a climate resilient low-carbon health system which is capable of anticipating, responding to, coping with, recovering from. and adapting to climate-related shocks and stress, while minimising the greenhouse gas emissions and other negative environmental impacts to deliver quality care and protect the health and well-being of present and future generations of Uganda.

Professor Barnabas Nawangwe, the Vice Chancellor Makerere University called for determination and solidary in implementing the H-NAP to safeguard the population and generations to come against the uncertainties of climate change.

“The success of the National Adaptation Plan depends on the strength of our collaborations. It requires the concerted efforts of government ministries, health agencies, civil society organisations, the private sector, and the academic community. I wish to reiterate Makerere University’s commitment to being a key partner in this endeavor,” said Professor Nawangwe.

Hon. Dr. Jane Ruth Aceng, Minister of Health of the Republic of Uganda said; “moving forward, any infrastructure projects in the health sector will be made to withstand the impact of climate change. In addition, Uganda will move forward to address the issue of greenhouse gas emissions by introducing solar lighting and solar refrigeration where applicable.”

Adapting Healthcare to Climate Change: Uganda’s Health National Adaptation Plan 2025-2030

On his part, Mr. Alfred Okot Okidi, the Permanent Secretary in the Ministry of Water and Environment, says as a ministry mandated to coordinate climate change related issues in Uganda, they assess sector budgets to ensure they are climate smart. He noted communities must be protected from the dangers of climate change. He also called on citizens to play their roles in ensuring they mitigate climate change risks.

“We have been encouraging our population to take care of their individual responsibilities. This is not just a government responsibility but a responsibility for everyone. Climate change affects us irrespective of where we come from, our department etc. I want to applaud the Ministry of Health for coming up with this H-NAP because health is one of those components that had not been taken seriously at the global level in respect to climate change,” said Mr. Okidi.

Mr. Alfred Okot Okidi, the Permanent Secretary in the Ministry of Water and Environment catches a light moment with Ms. Margaret Othieno Mwebesa, Uganda's Climate Change Focal Person at the United Nations Convention on Climate Change (UNCCC). Makerere University School of Public Health (MakSPH) at the Ministry of Health launch of the National Climate Change Health National Adaptation Plan (H-NAP), 22nd August 2024, Sheraton Kampala Hotel, Kampala Uganda, East Africa.
Mr. Alfred Okot Okidi, the Permanent Secretary in the Ministry of Water and Environment catches a light moment with Ms. Margaret Othieno Mwebesa, Uganda’s Climate Change Focal Person at the United Nations Convention on Climate Change (UNCCC).

On her part, Dr. Rhoda Wanyenze, a Professor and Dean, MakSPH said the School and Makerere University as whole will be working around research, teaching and partnering with various institutions to provide required evidence especially around supporting Uganda to be able to comfortably predict climatic issues, to ensure quality decisions.

Uganda’s National Climate Change Action Plan (2030) show that all sectors of the economy are vulnerable to climate change effects.

Mrs. Margaret Mwebesa Othieno, the Commissioner of Climate Change at the Ministry of Water and Environment said she was happy to have the Ministry of Health coming on board.

“We are very happy to see that sectors are coming on board. I would also like to say that Uganda is the second country to have the Health -National Adaptation Plan after Nepal. So, to us, this huge and I would like to congratulate the Ministry of Health and all other partners that have supported these efforts. Climate change is everybody’s business. We shouldn’t leave it only to a few sectors,” said Mrs. Othieno Mwebesa.

On behalf of the Government of Uganda, Rt. Hon. Nakadama urged all the Development Partners and stakeholders to continue supporting the implementation of the Climate Health National Adaptation Plan both at national and sub-national levels. She committed that her office would spearhead the mobilisation of the population towards climate resilient systems. 

“The Office of The Prime Minister will coordinate the multisectoral engagements for Ministries, Departments and Agencies (MDAs) and also create awareness of the Climate Change Health Adaptation Plan,” said Rt. Hon. Nakadama.

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Davidson Ndyabahika

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College of Health Sciences Inspires Future Health Professionals at Career Fair

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Prof. Bruce Kirenga addresses the senior six students and their teachers on 10th July 2026. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.

The Makerere University College of Health Sciences (MakCHS) on July 10, 2026, welcomed senior six science students from Ngora High School and Wiggins Secondary School to an inspiring Career Fair aimed at guiding them on careers in health sciences and introducing them to the wide range of academic programmes offered by the College.

The event brought together students pursuing Physics, Chemistry, Biology (PCB) and Biology, Chemistry, Mathematics (BCM), providing them with a unique opportunity to interact with the College leadership, tour laboratories and teaching facilities, and learn first-hand about careers in medicine and other health science disciplines.

Welcoming the students, the College Principal, Prof. Bruce Kirenga, described the College of Health Sciences as one of Africa’s oldest and most distinguished medical schools, with a legacy spanning more than a century.

“We started in 1924, making us one of the oldest medical schools on the continent. You have made the right decision to visit Makerere, and we are delighted to welcome you,” he said.

Prof. Kirenga commended the school administrators and teachers for organizing the visit, noting that exposing learners to university environments early helps them make informed career choices. He explained that the College introduced the Open Day concept after receiving numerous requests from schools seeking career guidance visits.

Prof. Bruce Kirenga. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Prof. Bruce Kirenga.

He congratulated the students for choosing science subjects, describing science as the foundation for solving society’s most pressing challenges.

“You have already made one of the most important decisions by choosing to become scientists. Even more importantly, you have chosen life sciences—a field dedicated to preserving and improving life,” he remarked.

The Principal emphasized that careers in life sciences extend far beyond medicine, encouraging students to remain open-minded as they consider their future.

“Everything that has life requires professionals to keep it healthy—from human beings and animals to crops and the environment. The opportunities are immense, including agriculture, veterinary medicine, biomedical sciences, public health and many other emerging fields.”

A section of senior six students and their students at the career fair. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
A section of senior six students and their students at the career fair.

He also advised students not to limit themselves to only one academic programme during university applications, recalling instances where highly qualified students narrowly missed admission because they selected only one course.

“Remain open to the opportunities available. Medicine is an excellent profession, but there are many other programmes that are equally rewarding and are shaping the future of healthcare and scientific innovation,” he said.

Prof. Kirenga further encouraged the students to embrace lifelong learning, reminding them that scientific knowledge remains valuable regardless of the career path they eventually pursue.

Addressing the students, the Dean of the School of Medicine, Prof. Annette Nakimuli, acknowledged the growing competition for admission into medical programmes and urged learners to work hard while keeping an open mind about the diverse opportunities available within health sciences.

Prof. Annettee Nakimuli. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Prof. Annettee Nakimuli.

She explained that admission into the Bachelor of Medicine and Bachelor of Surgery (MBChB) programme has become increasingly competitive due to the rising number of high-performing applicants.

“This year we witnessed unprecedented competition for government sponsorship, with many applicants scoring triple A at Advanced Level and outstanding grades at Ordinary Level. That tells you that you must prepare yourselves to excel academically,” she said.

Prof. Nakimuli noted that while many students aspire to become medical doctors, the health sector today offers numerous innovative programmes that are equally important.

“There are many programmes that parents, teachers and students are still not familiar with. Biomedical Engineering, for example, is one of the exciting fields driving the future of healthcare, yet many students overlook it because they focus only on medicine.”

Students and Teachers pose for a group photo with CHS staff. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Students and Teachers pose for a group photo with CHS staff.

She encouraged students to explore emerging disciplines that combine medicine, engineering, technology and research, noting that the future of healthcare increasingly depends on multidisciplinary professionals.

The Dean also introduced students to the structure of the School of Medicine, explaining that it comprises twelve academic departments and two specialised units covering a broad spectrum of clinical disciplines, including Internal Medicine, Surgery, Obstetrics and Gynaecology, Orthopaedics, Ophthalmology, Ear, Nose and Throat (ENT), Family Medicine, Anaesthesia and Critical Care, among others.

She explained that students are trained by specialists across these disciplines to become competent general practitioners before pursuing further specialization.

Prof. Erisa Mwaka, the Chair of the Department of Human Anatomy, shared with the students about the School of Biomedical Sciences (SBS). He said the school is one of the four schools that make up the Makerere University College of Health Sciences (MakCHS). As the foundation of medical education, the School provides students with a comprehensive understanding of the biological and molecular sciences that underpin modern healthcare, disease prevention, diagnosis and treatment.

Prof. Erisa Mwaka with students in one of the teaching spaces. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Prof. Erisa Mwaka with students in one of the teaching spaces.

The School comprises several departments, including:

  • Human Anatomy
  • Biochemistry
  • Physiology
  • Pharmacology and Therapeutics
  • Pathology
  • Microbiology
  • Medical Illustration

The School offers undergraduate programmes such as the Bachelor of Science in Biomedical Sciences, which equips students with strong laboratory, research and analytical skills, and the Bachelor of Science in Biomedical Engineering, an interdisciplinary programme that integrates engineering, medicine and technology to develop innovative healthcare solutions.

At postgraduate level, the School offers a wide range of master’s and doctoral programmes, including Human Anatomy, Physiology, Pharmacology, Bioinformatics, Immunology and Clinical Microbiology, Health Bioethics, Medical Illustration, Pathology and other biomedical specializations that prepare graduates for careers in research, academia, diagnostics, biotechnology and the pharmaceutical industry. The school also offers a wide range of diploma courses.

Dr. Isaac Magulu Kimbowa from the Department of Pharmacology and Therapeutics (Right) and colleagues interact with the students. Makerere University College of Health Sciences (MakCHS) Career Fair for Ngora High School and Wiggins Secondary School guiding senior six science students on careers in health sciences and introducing them to the wide range of academic programmes offered by the College, 10th July 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Dr. Isaac Magulu Kimbowa from the Department of Pharmacology and Therapeutics (Right) and colleagues interact with the students.

Throughout the Career Fair, students interacted with faculty members, toured laboratories and learning facilities, and received guidance on university admission, academic programmes and career prospects within the health sciences.

The Career Fair forms part of the College’s broader outreach programme aimed at nurturing the next generation of healthcare professionals by exposing learners to university life and equipping them with the information needed to make informed academic and career decisions.

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Betty Kyakuwa
Betty Kyakuwa

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Makerere University Promotes Prof. Peter Waiswa to Full Professor

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Congratulations Prof. Peter Waiswa. Makerere University School of Public Health (MakSPH), Kampala Uganda, East Africa.

By Joseph Odoi

Makerere University has promoted Prof. Peter Waiswa from the rank of Associate Professor to Full Professor of Health Policy, Planning and Management at the School of Public Health, following the decision of the Appointments Board at its 811th meeting held on 10th July 2026.

The promotion recognises his outstanding contributions to the University’s core functions of teaching and learning, research and innovation, institutional development, mentorship, leadership, and service to society.

Throughout his academic career, Prof. Waiswa has distinguished himself as a leading scholar in implementation science, health systems strengthening, policy and health services research. His work has influenced practice and decision-making in Uganda, across Africa, and globally.

His research has strengthened the connection between evidence generation, policy development, and implementation of health programmes, particularly in resource-limited settings where stronger health systems are critical to improving population health outcomes.

Reflecting on the promotion, Prof. Peter Waiswa described the recognition as a collective achievement, acknowledging the contribution of his students, colleagues, partners, and communities that have supported his journey.

“I am deeply grateful to Makerere University for this promotion. This is not a personal achievement, but a recognition of the collective work of my students, colleagues, partners, and the communities we serve.  

We must build systems, mentor the next generation, and work with government to deliver evidence-based results so that no one is left behind. The journey continues’ ’he emphasized of the task ahead

A Public Health Scholar with Continental and Global Influence

Prof. Waiswa is recognised as one of Sub-Saharan Africa’s leading public health researchers, with a research portfolio that has shaped health systems thinking and practice.

According to Google Scholar data, Prof. Waiswa has accumulated 17,701 citations, with an H-index of 57 and an i10-index of 209. Since 2021, his work has received 10,649 citations, including more than 2,400 citations in 2025, reflecting the growing global relevance of his scholarly work.

In 2020, Expertscape ranked Prof. Waiswa among the top 0.22 percent of global authors on infant mortality, recognising his contribution to advancing knowledge in child health and survival.

Leading Research, Innovation and Health Systems Transformation

Prof. Waiswa has led major multi-sectoral research and implementation science initiatives that have contributed to strengthening health systems in Uganda, Africa, and globally.

Between 2021 and 2024, he led a multi-sectoral team across 28 Anglophone and Francophone African countries through the Digital Health Payment Initiative and Research (DHPI-R) for campaign health workers. The research is strengthening accountability in health campaigns, informing policy discussions with global partners including WHO, UNICEF, and the Gates Foundation, and contributed to the establishment of Digital Health Payment Initiative Centres at Makerere University, Uganda, and the University of Dakar, Senegal.

In 2025, Prof. Waiswa led a team in implementing the Uganda Newborn Programme, one of the country’s major health systems strengthening initiatives, supporting more than 120,000 newborns and sick newborns through a regional and life-course approach.

Prof. Peter Waiswa grew up in Naigobya Village, Luuka District, Uganda where early experiences shaped his lifelong dedication to improving health. Witnessing newborn and community health challenges inspired his commitment to building resilient, equitable health systems.

Building the Next Generation of Researchers

Beyond his research contributions, Prof. Waiswa has played a significant role in mentorship and capacity building. He has mentored numerous PhD graduates and emerging researchers who are now contributing to health programmes, academia, and policy across Africa and the globe.

In 2025, he was elected a Fellow of the African Academy of Sciences in recognition of his transformative contributions to research and innovation in women’s health, maternal, newborn and child health, and health policy.

Driving Future Health Innovations

As of 2026, Prof. Waiswa, in collaboration with researchers from Johns Hopkins University, Makerere University, and Mbarara University of Science and Technology (MUST), is leading the Ekyaalo Diagnostics project — a low-cost, AI-powered innovation designed to reduce delays in breast cancer diagnosis and improve access to timely care, especially for women in hard-to-reach communities.

Global Leadership and Institutional Contributions

Prof. Waiswa serves in several global and national advisory roles, contributing to health policy, implementation, and systems strengthening. His roles include membership on WHO Guideline Development Groups, the WHO–UNICEF Informal Technical Advisory Group on norms for small and/or sick newborn care, the Lancet Commission on Evidence-Based Implementation in Global Health, and other global health platforms.

He also leads Makerere University’s Centre of Excellence for Maternal, Newborn and Child Health and heads the INDEPTH Network Maternal, Newborn and Child Health Working Group.

To engage with Prof. Peter Waiswa visit: https://peterwaiswa.com/

Mak Editor

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MakSPH 2025 Annual Report: A Defining Year of Growth, Partnership and Public Health Impact

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Cover page of the MakSPH 2025 Annual Report. Makerere University School of Public Health, Kampala Uganda, East Africa.

The Makerere University School of Public Health 2025 Annual Report documents a defining year in the School’s institutional journey. Effective January 2025, MakSPH attained stand-alone status within Makerere University, recognising seven decades of growth in public health training, research, policy engagement and community service. The transition gives the School greater focus and institutional agility to respond to Uganda’s and Africa’s evolving health priorities.

During the 2024/2025 academic year, MakSPH had more than 1,000 students across 12 degree programmes and different years of study. It presented 269 graduands at Makerere University’s 75th Graduation Ceremony, more than 80 per cent at graduate level, while 12 doctoral candidates successfully defended their studies. Training remained closely connected to practice through eight district field-training sites and student participation in outbreak response, disease surveillance and community-based public health action.

The School produced more than 350 peer-reviewed publications. Its evidence informed national and global action across HIV, tuberculosis, maternal and newborn health, antimicrobial resistance, health systems, climate change, urban health, injuries and noncommunicable diseases. MakSPH’s contribution to the PURPOSE 1 trial supported evidence showing more than 99 per cent protection from twice-yearly injectable lenacapavir, while locally led programmes expanded HIV screening, prevention and referral services for underserved populations.

This work was sustained through partnerships with government, communities, funders, universities and implementation agencies. MakSPH’s research and training network extended across more than 35 African countries, while longstanding collaborations were renewed and new institutional relationships established. Strong research governance, unqualified audits and positive due-diligence assessments continued to reinforce partner confidence in the School’s ability to manage complex national and multi-country programmes with accountability.

Construction of the new MakSPH building on Makerere University Main Campus advanced during 2025, with completion targeted for 2026. Designed as a modern public health hub, the facility will expand teaching and specialised laboratory space, strengthen digital learning and research, and provide improved environments for students, faculty, innovation and collaboration.

These achievements reflect the shared contribution of faculty, staff, students and partners. Guided by its 2025–2030 Strategic Plan, MakSPH remains committed to training public health leaders, generating evidence that informs policy and practice, strengthening health systems and improving health in Uganda, across Africa and beyond.

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John Okeya

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