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Mak School of Public Health Leading in Public Health Training, Research, and Community Service

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Makerere University School of Public Health (MakSPH) stands as a pillar of public health excellence in Sub-Saharan Africa. Through research, policy influence, and capacity building, it drives real change—locally, nationally, and globally. With a strong legacy of collaboration with the Ministry of Health and international partners, MakSPH continues to tackle critical health challenges and shape the future of health systems.

Technical Support to National Health Policies and Guidelines

Makerere University School of Public Health (MakSPH) is a pillar of public health excellence in Sub-Saharan Africa, driving change through research, policy influence, and capacity building. MakSPH provides technical support for evidence-based policies and interventions. Its efforts in training and strengthening healthcare systems, particularly in underserved areas, continue to address critical gaps in family planning, maternal health, and other public health priorities.

“Our faculty members bring their expertise to national and global technical committees, advisory boards, and policy-making platforms, ensuring that research findings translate into actionable policies and practices,” reads part of the MakSPH Strategic Plan 2025-2030. This commitment to evidence-based decision-making has fostered extensive partnerships with government agencies, non-governmental organizations, and international institutions, amplifying the School’s impact on public health.

A New Era of Autonomy and Innovation

Effective January 2025, as granted by the Makerere University Governing Council, the MakSPH started operations as a standalone school, operating with a College status. This marked a fundamental milestone in its evolution. This autonomy enables MakSPH to innovate, broaden its impact, and address emerging public health challenges with greater agility.

Over the past decade, the School has experienced remarkable growth in student enrollment, research output, and strategic partnerships. With its new status, MakSPH is poised to strengthen health systems, advance groundbreaking research, and influence policies that transform lives, solidifying its position as a leader in public health training, research, and service.

Key Impact Programs and Initiatives

MakSPH’s impact is evident through its flagship programs and initiatives, which address a wide range of public health issues:

  • Monitoring and Evaluation Technical Support (METS) Program: Implemented through three core areas—Health Systems Strengthening (HSS), Disease Surveillance and Response (DSR), and Data Science and Informatics (DSI)—the METS program strengthens health systems and improves data use for decision-making.
  • PERSUADE I and II: Funded by the Global Fund, this initiative enhances the capacity of ministries of health in 13 countries to analyze and use program data for HIV, TB, and malaria. It also examines the impact of COVID-19 on disease programming, fostering regional collaboration and data-driven solutions.
  • Reproductive, Maternal, Newborn, Child, and Adolescent Health Operational Research (RMNCAH OR): In partnership with the World Bank Group, this program provided critical operational research to improve health outcomes for vulnerable populations.

Global Leadership and Influence

Makerere University School of Public Health (MakSPH) is a leading force in public health training, research, and policy in Sub-Saharan Africa and beyond. Its faculty contribute to global health by shaping policies and driving innovations.

The faculty at MakSPH play an instrumental role in tackling global health challenges and advancing health equity, with their expertise shaping policies in vaccine advocacy, pandemic preparedness, maternal and child health, environmental health, and non-communicable diseases.

By offering leadership and technical advice in international organizations, they ensure our research translates into actionable policies, and this strengthens health systems and empowers communities, especially in low-resource settings. Through research and capacity-building in infectious and non-infectious diseases, reproductive health, and sustainable development, MakSPH collaborates with national and global partners to drive real-world impact.

As board members, chairs, and advisors in leading international organizations, they help advance evidence-based solutions for a healthier, more equitable future. Here are some of faculty and their key roles as of January 2025:

Prof. Rhoda Wanyenze: Represents the Research and Technical Health Institutes on Gavi, the Vaccine Alliance, and serves on the World Health Organization (WHO) Pandemic Influenza Preparedness (PIP) Framework Advisory Group. She is also a member of the Advisory Board for the Declaration of Research Assessment (DORA) and Co-Chair of the University of Oslo Lancet Commission on Global Governance for Health.

Dr. David Musoke: Co-Chair of the Community Health Workers Thematic Working Group, President-Elect of the International Federation of Environmental Health, and Member of the Technical Advisory Group of the Community Health Worker (CHW) Central.

Dr. John Bosco Isunju: Board Member of the Consortium for Advanced Research Training in Africa (CARTA).

Dr. Esther Bayiga Zziwa: Member of the WHO Technical Advisory Group (TAG) on Motorcycle Safety.

Dr. Frederick Oporia: Member of the WHO Technical Advisory Group (TAG) on Drowning.

Prof. Ssengooba Freddie: Member of the Medical Research Council (MRC) UK, the Applied Global Health Policy Research Board (AGHRB), and the NIHR’s Global Health Research Programme Board. He also serves on the Science Advisory Committee for the KEMRI-Wellcome Trust and the African Advisory Committee on Health Research and Development (AACHRD) for the WHO-Afro Office.

Assoc. Prof. Peter Waiswa: Independent Advisor to the WHO Director-General through the Strategic and Technical Advisory Group for Maternal, Newborn, Child, and Adolescent Health and Nutrition (STAGE). He is also a Technical Advisory Group Member for Small and Sick Newborns, Newborn Health Exemplars in Global Health, and Countdown 2030. Additionally, he serves as a Board Member of the ADARA Group and Director of the INDEPTH Network Maternal Newborn and Child Health Working Group.

Perez Nicholas Ochanda: Board Member of the International Society for Pharma-economics and Outcomes Research (ISPOR).

Dr. Suzanne Kiwanuka: Board Member of AFENET.

Assoc. Prof. Elizabeth Ekirapa: Board Chair of AMREF Uganda, AMREF Health Africa.

Assoc. Prof. Frederick Makumbi: Member of the Steering Committee for the International Union for the Scientific Study of Populations (IUSSP) Panel on Rethinking Family Planning Measurement with a Reproductive Rights and Justice Lens.

Prof. Nazarius Mbona Tumwesigye: Deputy President of the Association of Researchers in Substance Use in Africa (ARSUA).

Dr. Victoria Nankabirwa: Member of the WHO Immunization and Vaccines-related Implementation Research Advisory Committee (IVIR-AC).

Assoc. Prof. Noah Kiwanuka: Chairperson of the National Biosafety Committee at the Uganda National Council for Science and Technology (UNCST).

Dr. Edith Nakku Joloba: Member and Uganda Country Representative to the World Medical Association. She is also an Associate Editor and Member of the Editorial Committee for Biomed-Central Journal and Frontiers in Health.

Dr. Roy Mayega: Board Member of the Resilience Africa Network (RAN).

Dr. Phyllis Awor: Co-Lead of a Technical Working Group of Health Systems Global and a Coordinating Committee Member of the Social Innovation in Health Initiatives, Africa.

Prof. Orach G. Christopher: Uganda Chairman of the Canadian Physician Aids and Relief, Vice Chairman of the International Disaster Risk Reduction, and Vice Chairman of the Integrated Research on Disaster Risk Science Committee.

Dr. Dathan Byonanebye: Member of the Africa CDC NCDs Experts developing the “Africa Health Intelligence Report.”

A Vision for the Future

As MakSPH steps into its new chapter as a standalone school, its dedication to improving public health through training, research, and community service remains strong. With greater autonomy, stronger partnerships, and a drive for innovation, MakSPH is ready to tackle emerging health challenges and build a healthier, more equitable future. For more information about MakSPH’s programs, research, and initiatives, visit www.sph.mak.ac.ug.

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About Makerere University School of Public Health:

Makerere University School of Public Health (MakSPH) is a leading public health training and research institution in Sub-Saharan Africa. The School conducts research and provides consultation services to the Government of Uganda Ministry of Heath, various national and international health organizations, as well as bilateral and multilateral agencies involved in health. The School provides graduate, undergraduate and in-service training in public health. MakSPH’s research and capacity-building efforts address a wide range of public health priorities but also look to strengthening health systems, shaping policy, and advancing digital health and substance abuse prevention. The School plays a key role in tackling infectious and non-infectious diseases, including HIV, TB, malaria, and epidemic response. It also focuses on sexual, reproductive, maternal, newborn, and child health (SRMNCH), emphasizing sexual and reproductive health and rights (SRHR) and universal health coverage. Environmental and sustainable health remains central, particularly in water, sanitation, and hygiene (WASH).

As public health challenges evolve, the School is expanding into noncommunicable diseases (NCDs), climate change and health, neglected tropical diseases (NTDs), trauma, injury, disability, and urban health. Through research, policy engagement, and community-driven solutions, MakSPH continues to drive meaningful public health impact in further advancing Makerere University mission and vision.

Davidson Ndyabahika

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A New Cohort Joins MakSPH’s Public Health Community

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Newly-admitted students pose with MakSPH Dean Prof. Rhoda Wanyenze during orientation for the 2026/2027 academic year at the MakSPH Auditorium. Orientation for newly admitted students-75 students in the Bachelor of Environmental Health Science, 277 across the nine master’s programmes, and 21 across the two doctoral programmes, PhD by Research and PhD by Coursework and Research for the 2026/2027 academic, 7th August 2026, Makerere University School of Public Health (MakSPH) Auditorium, Main Campus, Kampala Uganda, East Africa.

Every academic year, a new group of students enters Makerere University School of Public Health (MakSPH) with different professional backgrounds, questions and ambitions. For the School, each cohort adds to a growing community of professionals and researchers shaping public health practice, policy and research in Uganda and beyond.

On Friday, 7 August 2026, MakSPH held its orientation for newly admitted students for the 2026/2027 academic year at the MakSPH Auditorium. The orientation introduced students to the School’s academic programmes, leadership, departments, academic administration, student support services and expectations for university life.

For this academic year, ending July 2027, Makerere University admitted more than 370 students to academic programmes hosted at MakSPH. The intake comprised 75 students in the Bachelor of Environmental Health Science, the School’s only bachelor’s programme, 277 across the nine master’s programmes, and 21 across the two doctoral programmes, PhD by Research and PhD by Coursework and Research.

Dean Prof. Rhoda Wanyenze (centre) with MakSPH staff, student leaders and new students during orientation for the 2026/2027 academic year. Orientation for newly admitted students-75 students in the Bachelor of Environmental Health Science, 277 across the nine master’s programmes, and 21 across the two doctoral programmes, PhD by Research and PhD by Coursework and Research for the 2026/2027 academic, 7th August 2026, Makerere University School of Public Health (MakSPH) Auditorium, Main Campus, Kampala Uganda, East Africa.
Dean Prof. Rhoda Wanyenze (centre) with MakSPH staff, student leaders and new students during orientation for the 2026/2027 academic year.

The master’s intake includes 103 students in the Master of Public Health by Distance Education, the highest enrolment for the year, followed by 59 in the Master of Public Health Full-Time. The remaining students joined programmes in Biostatistics, Environmental and Occupational Health, Health Informatics, Health Services Research, Monitoring and Evaluation, Nutrition, and Public Health Disaster Management. Together, the programmes reflect the breadth of knowledge and skills needed to address public health challenges and bring together students pursuing further training from diverse professional backgrounds.

Welcoming the new cohort, MakSPH Dean Prof. Rhoda Wanyenze urged students to approach their studies with purpose, discipline, and resilience, and focus on what they would be able to do with the knowledge and skills they acquire.

“Please find time to enjoy your journey. I know you’re looking ahead to exams and so many other pressures, but let this journey also be one that you enjoy in terms of what you learn and how you grow, so that you leave here better, not because of the paper that you took but because of the capability that you pick up during your time with us.”

MakSPH Dean Prof. Rhoda Wanyenze addresses new students at orientation for the 2026/2027 academic year, 7 August 2026, MakSPH Auditorium, urging them to value capability over paper. Orientation for newly admitted students-75 students in the Bachelor of Environmental Health Science, 277 across the nine master’s programmes, and 21 across the two doctoral programmes, PhD by Research and PhD by Coursework and Research for the 2026/2027 academic, 7th August 2026, Makerere University School of Public Health (MakSPH) Auditorium, Main Campus, Kampala Uganda, East Africa.
MakSPH Dean Prof. Rhoda Wanyenze addresses new students at orientation for the 2026/2027 academic year, 7 August 2026, MakSPH Auditorium, urging them to value capability over paper.

The Dean’s message speaks to the different reasons students are beginning their journeys at MakSPH. For some, the opportunity is to build on professional experience and strengthen their capacity in roles they already hold. Among them is Dr. Judith Nalukwago, a dental surgeon, former 85th Vice Guild President of Makerere University, and Makindye Division III Lord Councillor, who serves as Executive Secretary for Education, Gender and Public Health at City Hall and the Office of the Lord Mayor.

“I am back here to study a Master’s in Public Health. I am very excited. I have a clinical background and have been practising as a clinician, and it has been a joyful experience. But when I joined the journey of leadership, there were challenges because, as Executive Secretary for Public Health in Kampala, we deal with everyday people’s health challenges,” said Dr. Nalukwago, adding:

“Now I am in management and leadership, and that posed a challenge to me as an individual. I asked myself, what course can I do to add to my skills? Where can I gain skills that can help me overcome this challenge while I am dealing with people? And I remembered that we have the School of Public Health at Makerere University.”

Watch: Dr. Judith Nalukwago on why she returned to MakSPH for a Master’s in Public Health:


Her experience during the Ebola response, when she served on the task force, further highlighted the need for broader public health knowledge. She said the training would strengthen her ability to contribute to policy and public health management, particularly in her role at City Hall, where councillors develop policies, bylaws, and ordinances.

For Mr. John Othieno, the motivation is similarly grounded in applying his training to practical problems. A Software Engineering graduate who previously completed a Master’s in Health Informatics at MakSPH, he has returned to pursue a PhD under the Department of Health Policy, Planning and Management. His research focuses on using technology and health informatics to address health-system challenges, including the adoption of picture archiving and communication systems for managing healthcare imaging and data. He said he wants his research to produce solutions that can be applied beyond academia.

“I purposed that, in my academic journey, I would not do research for the sake of having it gather dust on the shelves, but that it would actually be actionable research that can be translated into action, into solutions for our population,” he said.

Watch: Mr. John Othieno on why he returned to MakSPH to pursue a PhD in Public Health:


Nalukwago and Othieno reflect the diverse professional backgrounds that come together at MakSPH, where training, research, and community engagement have been central to the School’s work for over seven decades. Their journeys point to a sustained impact on public health education, seen not only in enrolment and graduate numbers but in the skills and expertise those graduates carry into policy, research, and health systems across Uganda and the region. At the close of the 2024/2025 academic year, MakSPH enrolled 1,140 students across 12 degree programmes, more than 90 percent of them in postgraduate training.

At Makerere University’s 76th Graduation Ceremony on 25 February 2026, MakSPH presented 231 graduates, comprising seven doctoral, 195 master’s and 29 bachelor’s graduates, adding to the health workforce within the region. Among the graduates was Dr. Harriet Aber, who completed her PhD on child substance use in Uganda’s health system and shared her experience with the new cohort during the orientation. She spoke candidly about the demands of postgraduate study and the need to remain positive through its challenges.

Dr. Harriet Aber, a MakSPH PhD graduate, shares her postgraduate journey with new students at orientation, 7 August 2026, MakSPH Auditorium, urging them to maintain a positive attitude through the challenges ahead. Orientation for newly admitted students-75 students in the Bachelor of Environmental Health Science, 277 across the nine master’s programmes, and 21 across the two doctoral programmes, PhD by Research and PhD by Coursework and Research for the 2026/2027 academic, 7th August 2026, Makerere University School of Public Health (MakSPH) Auditorium, Main Campus, Kampala Uganda, East Africa.
Dr. Harriet Aber, a MakSPH PhD graduate, shares her postgraduate journey with new students at orientation, 7 August 2026, MakSPH Auditorium, urging them to maintain a positive attitude through the challenges ahead.

“It’s not a rosy journey. You’re going to have so many moments where you celebrate, where you’re happy about something, but there are also several moments when maybe you’re stuck with the paper, you have to respond to comments, the proposal is not moving, the concept is not clear. Throughout all those processes, one of the things that you just have to maintain is having a positive attitude,” Aber affirmed.

Her experience offered the new cohort a glimpse of the journey ahead, while Prof. Wanyenze’s message focused on how they could make the most of it. The Dean urged students to plan ahead, pursue research opportunities, think independently, and use artificial intelligence responsibly, while seeking mentorship and making full use of the support and opportunities available at the School.

“Our students are our colleagues, and they are our future workmates. Many of them have ended up staying with us. And I know many of you are going to stay with us in the School,” the Dean said, urging students to take seriously the relationships they build with their classmates and faculty, because “we are a network that’s bound together in the same profession.”

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John Okeya

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NIH/Fogarty Director Visits MakCHS, Underscores Impact of Research Training and Health Partnerships

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Officials pose for a group photo with Dr. Steven Schiff during his visit to CHS on 5th August 2026. Makerere University College of Health Sciences (MakCHS) hosts Director of the NIH Fogarty International Center (FIC), Dr. Steven Schiff, 5th August 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.

On 5th August 2026, Makerere University College of Health Sciences (MakCHS) hosted the Director of the NIH Fogarty International Center (FIC), Dr. Steven Schiff, for a visit highlighting the College’s research, training and institutional partnerships supported through the National Institutes of Health (NIH)/Fogarty International Center.

The visit included engagements at MakCHS and Mulago National Referral Hospital, bringing together College leadership, Directors of teaching hospitals affiliated with MakCHS, research investigators and trainees. In attendance were Dr. Joseph Kagaayi who represented the Dean of the Makerere University School of Public Health, Dr. Elias Kumbakumba, Dean of the School of Health Sciences at Mbarara University of Science and Technology (MUST) and Dr. Cissy Kityo Mutuluuza, Executive Director, Joint Clinical Research Centre (JCRC).

A key focus of the visit was the impact of D43 research training programmes supported by NIH/FIC. Principal Investigators presented examples of how the programmes have strengthened research capacity, developed new scientific expertise, supported postgraduate training and contributed to health research and policy in Uganda.

Welcoming Dr. Schiff, Professor Bruce Kirenga, Principal-MakCHS provided an overview of the College, its history, academic programmes, research priorities and extensive network of teaching and research sites. The College, Uganda’s premier centres for health professional education, currently brings together four schools: the School of Medicine, School of Biomedical Sciences, School of Health Sciences, School of Dentistry, alongside a range of research centres and specialised programmes.

Professor Kirenga highlighted the growing breadth of research at MakCHS, including infectious diseases, non-communicable diseases, translational medicine, population health, mental health, digital health, implementation science, biomedical sciences, genomics, bioinformatics and data science.

Prof. Bruce Kirenga (Standing) makes his remarks. Makerere University College of Health Sciences (MakCHS) hosts Director of the NIH Fogarty International Center (FIC), Dr. Steven Schiff, 5th August 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Prof. Bruce Kirenga (Standing) makes his remarks.
CURRENT D43 PROJECTS AT MAKCHS
No.Award TitlePrincipal Investigator
1Reducing the Impact of Rheumatic Heart Disease across the Life Span: The Impact ProgramProf. Nelson Sewankambo
2Enhancing Research capacity for Sickle Cell Disease and related NCDs across the Lifespan in Uganda. “Enrich Project”Prof. Sarah Kiguli
3Scaling Up advanced genomics and bioinformatics Research training in paediatric HIV/AIDS in Uganda – SURGEDr. Kyobe, Samuel
4Training in Malaria Epidemiology, Translational Research, and Implementation Science to Strengthen Malaria Policy and Control in UgandaProf. Moses Robert Kamya
5Strengthening behavioral and social science research capacity to address overlapping stigma, social and psychological challenges among people with HIV in UgandaProf. Moses Robert Kamya
6Training in non-communicable diseases epidemiological, data science and Implementation Science research to strengthen evidence-based interventions, policy and control in UgandaAssoc. Prof. Bruce James Kirenga
7Building Implementation Science Capacity at Makerere University to Strengthen the Response to the HIV/AIDS Epidemic in UgandaProf. Moses Robert Kamya
8Training in Malaria Epidemiology, Translational Research, and Implementation Science to Strengthen Malaria Policy and Control in UgandaProf. Moses Robert Kamya
9Harnessing Health Data Science capacity to strengthen evidence-based interventions, policy and response to the HIV/AIDS Epidemic in Uganda (H-DATA)Prof. David Patrick Kateete

From research training to real-world impact

Presentations from D43 Principal Investigators demonstrated how sustained NIH/FIC investment has supported researchers at different stages of their careers while contributing to evidence that can inform health programmes and policy.

In malaria research, trainees have been involved in studies examining the effectiveness of interventions such as insecticide-treated bed nets and the immunological consequences of reduced malaria transmission. Researchers are also investigating how malaria risk and immunity change when transmission is interrupted, generating evidence that can help inform strategies for sustaining the gains made through malaria control.

The implementation science portfolio provided another example of research translating into measurable health outcomes. One study examining enhanced counselling and peer support among young people living with HIV in south-western Uganda reported improvements in HIV-related outcomes, demonstrating the potential of locally-led research to strengthen service delivery.

Researchers in behavioural and social sciences have also been supported to investigate mental health and other health outcomes, illustrating the multidisciplinary nature of MakCHS research and the importance of combining biomedical, clinical and social science approaches.

Building capacity in specialised and emerging fields

The presentations also showcased the role of NIH/FIC-supported programmes in creating expertise in areas that were previously limited or unavailable within Uganda.

A programme focused on HIV research among pregnant women, children and adolescents has supported postgraduate and short-course training in areas including clinical trial design, pharmacokinetics, biostatistics, behavioural science, regulatory and ethical considerations, and implementation science.

Other programmes have contributed to the development of expertise in bioinformatics, genomics and data science, including the establishment and strengthening of postgraduate programmes. Researchers are increasingly applying artificial intelligence and machine learning to complex biomedical and HIV datasets, with the goal of generating evidence that can be translated into policy and practice.

Dr. Cissy Kityo Mutuluuza, Executive Director of the JCRC highlighted emerging work in gene and cell therapy under the NIH/FIC supported project Building Gene Therapy Capacity in Uganda implemented at JCRC. She explained that the programme includes efforts to establish sustainable research and training capacity for HIV cure research in Uganda. The programme brings together institutions in Uganda and international partners, with an emphasis on developing locally relevant expertise, infrastructure and research capability.

Dr. Cissy Kityo Mutuluuza (Standing) highlights JCRC's work. Makerere University College of Health Sciences (MakCHS) hosts Director of the NIH Fogarty International Center (FIC), Dr. Steven Schiff, 5th August 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Dr. Cissy Kityo Mutuluuza (Standing) highlights JCRC’s work.

Strengthening institutions and developing future leaders

Beyond individual research projects, speakers emphasised the broader institutional impact of Fogarty-supported training.

Over the years, NIH/FIC-supported collaborations have contributed to the development of postgraduate programmes, research laboratories, specialised scientific disciplines and networks of researchers across Uganda. Trainees have progressed into academic and research leadership positions, with some becoming professors, programme leaders and advisors contributing to national health initiatives.

The programmes have also supported short courses, mentorship, international research placements and collaborations designed to enable Ugandan scientists to develop advanced skills and return to strengthen research and training at home.

Presenters stressed the importance of moving beyond individual training to building institutions capable of sustaining research programmes, mentoring future scientists, managing complex studies and translating findings into health interventions.

Research serving Uganda’s health system

The visit also underscored the close relationship between MakCHS research and Uganda’s health system. Researchers and faculty contribute to national programmes in areas including HIV, tuberculosis, malaria, vaccines, maternal and child health and other public health priorities.

Evidence generated through research has helped inform national guidelines, programmes and policy discussions, while College researchers and teaching hospitals continue to provide expertise during public health emergencies and disease outbreaks.

The speakers noted that partnerships such as those supported by NIH/FIC are most valuable when they create lasting local capacity — enabling Ugandan institutions and scientists to generate and use evidence to address the country’s health priorities.

A partnership built on shared learning

Dr. Steven Schiff makes his presentation. Makerere University College of Health Sciences (MakCHS) hosts Director of the NIH Fogarty International Center (FIC), Dr. Steven Schiff, 5th August 2026, Mulago Hospital Complex, Kampala Uganda, East Africa.
Dr. Steven Schiff makes his presentation.

In his engagement with the College, Dr. Schiff reflected on the longstanding relationship between NIH/Fogarty-supported programmes and Ugandan researchers. He acknowledged the depth of expertise and experience that has developed through years of collaboration and emphasised the value of partnerships that support scientific exchange and capacity building in both directions.

Dr. Schiff noted that the presentations demonstrated impact of the partnerships which extends well beyond the number of people trained. Investments in researchers have helped establish new academic programmes, strengthen laboratories and research infrastructure, expand multidisciplinary collaborations and create a growing generation of scientists able to lead research in Uganda and internationally.

The visit therefore provided an opportunity not only to showcase ongoing work, but also to reflect on the evolution of research capacity at MakCHS and its contribution to Uganda’s health priorities.

As MakCHS continues to expand its research portfolio into emerging areas such as artificial intelligence, genomics, precision medicine, translational science and advanced therapeutics, the College reaffirmed the importance of strategic partnerships in developing the people, systems and infrastructure needed to turn scientific discoveries into improved health outcomes.

Zaam Ssali
Zaam Ssali

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AFRHiCARE Shares Evidence and Co-Creates Solutions to Strengthen Uganda’s First-Referral Hospitals

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Stakeholders pose for a group photo during the AFRHiCARE Meeting held on 13th August 2026. Makerere University School of Public Health (MakSPH) Wellcome Trust through a 2023–2029 Discovery Award-funded Future of Africa’s First Referral Hospitals: Innovation and Care (AFRHiCARE) research initiative stakeholders from five first-referral hospitals in Uganda meeting to review research findings, reflect on persistent challenges and identify practical solutions to strengthen hospital performance and quality of care, 13th August 2026, Kabira Country Club, Kampala Uganda, East Africa.

The Future of Africa’s First Referral Hospitals: Innovation and Care (AFRHiCARE) research initiative on August 13, 2026 brought together stakeholders from five first-referral hospitals in Uganda to review research findings, reflect on persistent challenges and identify practical solutions to strengthen hospital performance and quality of care.

Funded by the Wellcome Trust through a 2023–2029 Discovery Award, AFRHiCARE is a partnership between Makerere University, the University of the Witwatersrand, the KEMRI-Wellcome Trust Research Programme and the University of Oxford. The initiative seeks to generate evidence to inform the future development of first-referral hospitals, with a focus on service delivery, health workforce dynamics, leadership, management, governance and technology.

In Uganda, the study is being implemented at Kawolo Hospital, St. Joseph’s Hospital Naggalama, Adjumani Hospital, Kiryandongo Hospital and Masindi Hospital. The hospitals play a critical role within the Primary Health Care (PHC) system, linking lower-level health facilities to higher-level referral services.

The stakeholder meeting provided an opportunity for the participating hospitals and other stakeholders to move beyond receiving research findings to interrogating the evidence, sharing experiences and identifying actions that can be implemented at hospital, district and national levels. This approach is central to AFRHiCARE, which uses stakeholder engagement to promote cross-learning and support hospitals to develop quality improvement actions.

Evidence from the health workforce

One of the key areas presented was the status of the health workforce across the five hospitals. The first-round assessment surveyed 609 frontline health workers. It examined staffing, job satisfaction and professional quality of life.

Some of the AFRHiCARE Stakeholders in a group discussion. Makerere University School of Public Health (MakSPH) Wellcome Trust through a 2023–2029 Discovery Award-funded Future of Africa’s First Referral Hospitals: Innovation and Care (AFRHiCARE) research initiative stakeholders from five first-referral hospitals in Uganda meeting to review research findings, reflect on persistent challenges and identify practical solutions to strengthen hospital performance and quality of care, 13th August 2026, Kabira Country Club, Kampala Uganda, East Africa.
Some of the AFRHiCARE Stakeholders in a group discussion.

The findings show a significant staffing gap. Against the 2023 staffing norm of 343 staff, all five hospitals were operating at less than half of the recommended level. Masindi Hospital had the largest gap, operating at 37.6% of the norm, while Adjumani, Kiryandongo, Kawolo and Naggalama were at 48.1%, 48.7%, 44.9% and 44.6%, respectively.

However, the findings suggest that staff retention is relatively good in the public hospitals. The main challenge appears to be recruitment and filling vacant positions rather than widespread staff turnover.

Health workers identified promotion, workload and salary as the lowest-rated aspects of their jobs across the five hospitals. Overall job satisfaction ranged from 59% in Masindi to 71% in Naggalama.

Despite these challenges, the findings reveal strong commitment among health workers. Compassion satisfaction was high, with many reporting pride in their work. At the same time, workload emerged as a major concern.

Strong relationships among colleagues were also identified as a key strength, suggesting that teamwork and peer support remain important sources of resilience within the hospitals.

Strengthening hospitals within the health system

Speaking during the dissemination, Dr. Raymond Tweheyo, Co-Principal Investigator and Research Manager for AFRHiCARE Uganda, noted that first-referral hospitals have often been neglected in critical areas, including staffing, financing, infrastructure, leadership, management and governance.

Dr. Raymond Tweheyo. Makerere University School of Public Health (MakSPH) Wellcome Trust through a 2023–2029 Discovery Award-funded Future of Africa’s First Referral Hospitals: Innovation and Care (AFRHiCARE) research initiative stakeholders from five first-referral hospitals in Uganda meeting to review research findings, reflect on persistent challenges and identify practical solutions to strengthen hospital performance and quality of care, 13th August 2026, Kabira Country Club, Kampala Uganda, East Africa.
Dr. Raymond Tweheyo.

He said these gaps affect hospitals’ ability to deliver services effectively and respond to the needs of the communities they serve.

Dr. Tweheyo re-echoed a message from the Principal Investigator, Professor Frederick Ssengooba, on the importance of situating the district hospital at the apex of the PHC network. This perspective recognises that challenges experienced at district hospitals may be linked to weaknesses elsewhere in the health system.

For example, weak referral systems, shortages of health workers and capacity challenges at lower-level facilities can increase pressure on first-referral hospitals. Addressing these problems therefore requires system-level solutions involving multiple actors.

The AFRHiCARE protocol similarly identifies persistent challenges around resource constraints, service delivery, workforce wellbeing, leadership and management, governance, technology and the ability of hospitals to meet changing community needs.

Dr. Raymond Tweheyo makes his presentation. Makerere University School of Public Health (MakSPH) Wellcome Trust through a 2023–2029 Discovery Award-funded Future of Africa’s First Referral Hospitals: Innovation and Care (AFRHiCARE) research initiative stakeholders from five first-referral hospitals in Uganda meeting to review research findings, reflect on persistent challenges and identify practical solutions to strengthen hospital performance and quality of care, 13th August 2026, Kabira Country Club, Kampala Uganda, East Africa.
Dr. Raymond Tweheyo makes his presentation.

From research to action

Participants discussed priorities including filling critical staffing gaps, improving transparency and equity around promotion, addressing excessive workloads, strengthening referral systems and reducing the pressure created when patients bypass lower-level facilities. The meeting also considered which challenges can be addressed by hospitals and which require action from district authorities and the Ministry of Health.

Betty Kyakuwa
Betty Kyakuwa

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