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What works, what doesn’t work? Researchers uncover the effect of supporting districts to operationalise digital payments for vaccination campaign workers

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By Joseph Odoi

A motivated and satisfied health workforce is critical for the success of mass vaccination campaigns against diseases like polio. High-quality vaccination campaigns can interrupt disease transmission, especially during and after periods of disrupted health services, such as those caused by the COVID-19 pandemic.

In sub-Saharan Africa, most vaccination campaign healthcare workers (VCHWs) have historically been paid in cash. Cash payments are often plagued by delays in funds disbursement, leakages, theft risks, and limited financial transparency. These challenges can negatively affect vaccination coverage and worker satisfaction.

To address these challenges, many countries are transitioning to digital payment systems, which are perceived as faster, more convenient, traceable, reliable, and easy to implement. Digital financial systems are already being rolled out in countries including Côte d’Ivoire, Ghana, Mali, Congo, and the Democratic Republic of the Congo. Uganda, with a projected population of nearly 41.6 million, had over 30 million registered mobile money customers using e-cash in 2019.

While early rollouts of digital payments have been largely successful, their full impact on vaccination campaign workers had not been systematically evaluated.

 From 2021 to 2024, Makerere University (Uganda) and the University of Dakar (Senegal), with support from the Gates Foundation and technical partners including the Solina Group, WHO AFRO, and the Ministries of Health and Finance in both embarked on an important journey of research  under the Digital Health Payment Initiatives and Research (DHPI-R) Project in  28 countries in Sub Saharan Africa

To explore the experiences and lessons of polio vaccination campaign healthcare workers (VCHWs), both male and female, during the 2022 oral poliovirus vaccination campaign in Uganda, researchers led by Prof. Peter Waiswa (principal investigator), together with Margaret McConnell, Juliet Aweko, Daniel Donald Mukuye, Charles Opio, Maggie Ssekitto Ashaba, Andrew Bakainaga, and Elizabeth Ekirapa-Kiracho, with support from the Gates Foundation, conducted a study titled “The Effect of Supporting Districts to Operationalise Digital Payments for Vaccination Campaign Workers: A Cluster Randomised Controlled Trial During the 2022 Polio Vaccination Campaign in Uganda.”

This study examined whether supporting districts to implement electronic cash (e-cash) payments, instead of cash, increased e-cash usage and improved vaccine campaign healthcare workers’ (VCHWs) motivation and satisfaction during an oral poliovirus vaccination campaign in 2022 in Uganda.

The  mixed method study  now  published in BMJ Global Health, September 2025  was conducted in 54 districts in Uganda that had set up the government e-cash payment platform by May 2022. It involved healthcare workers supporting the polio vaccination campaign, regardless of direct vaccine contact. This included nurses, clinicians (vaccinators), mobilisers, community health workers (village health team members), recorders, local council representatives, and supervisors. The unit of randomisation was the district, while the unit of enrolment and data collection was the individual worker.

Method and Setting

As part of this study , In November 2022, a total of 54 districts and 2,665 vaccination campaign healthcare workers (VCHWs) were enrolled in the study and randomly assigned to two groups. Intervention districts received training on using the government e-cash platform, including managing user roles, uploading beneficiary data, and generating payment reports.

The control districts received the standard support given to districts during mass vaccination campaigns from the MoH, MoFPED, WHO and other development partners. This support included group training on implementation of payments, provision of vaccination materials and financial aid.

The study collected data on how VCHWs were paid, their motivation, and their satisfaction with the payment method. Overall, 765 VCHWs in intervention districts and 589 in control districts received e-cash payments.

Findings

Mode of payment for the vaccination campaign healthcare workers

Overall, approximately half of the campaign workers, 50.8% (1354/2665) were paid digitally (e- cash), either using mobile money or via the bank (online supple mental table 2). Payment by e- cash was higher among females, 53.9% (656/1215) compared with males, 48.1% (698/1450) and was lowest among campaign workers aged 30–39 years, 48.7% (368/765). E- cash payment was higher in the intervention arm at 57.5% (765/1,330) in comparison to the control arm at 44.1% (589/1,335).

Satisfaction with payment received during the campaign

 Only 36.5% (705/1930) of the VCHWs were satisfied with the payment received during the campaign, with satisfaction being slightly higher in the intervention arm, 37.9% (353/931) compared with the control arm 35.2% (352/999) and among females 37.9% (351/925) compared with males 35.2% (354/1005). Satisfaction was lowest among the married workers, 35.7% (575/1611) compared with the other categories.

Timing and completeness of payments

Nearly, all VCHWs were paid after the campaign, 97.6% (1884/1930), with no significant difference between the intervention (98.1%, 913/931) and the control (97.2%, 971/999) arms

Delayed/non- payment was highest among those with no formal education, 34% (17/50) and among community mobilisers, 30.7% (392/1071). The majority (70.6%, 1362/1930) of the VCHWs stated that the payment received met or even exceeded their payment expectation.

Participants also stated that e-cash was convenient, transparent, time-saving, and cost-saving, as it reduced travel and waiting times and minimized informal deductions.

Despite these benefits and support to districts to operationalize digital payments , there was no significant difference in workers’ motivation or satisfaction between the intervention and control groups. The researchers attributed this  partly due to challenges associated with both cash and digital payment modes.

Challenges experienced in effecting payments at the district level

Also a number of challenges were uncovered in this study . Challenges with e-cash payments included unanticipated withdrawal charges, unreliable internet networks, and lengthy processes for validating mobile telephone numbers. For example, payments were delayed or not processed when VCHWs’ names did not match the registration details held by telecommunication companies, or when workers did not have phones registered in their names.

One key informant had this to say on challenges around e-cash payments

‘’ There was a general complaint of charges. Remember when they are dispersing funds, they stick to the budget exactly. They are not looking at the charges. And when you are also paying you have to allocate minus the charges. You get the point. So the people would be expecting let’s take an example of 150 000/= and then they get 149 something. So, they would ask, ‘Why are we getting less money?’ So we labored to explain to them that the bank is charging a certain fee to facilitate the e- cash. (KII_West_EPI FP) There were also challenges associated with an unreliable internet network that was necessary to facilitate log ins for approval of payments

On Challenges experienced in effecting payments at the district level ,Key informant interviews with district leaders involved in the payment process identified several bottlenecks  during the payment process of the campaign healthcare workers. One of the major e- cash payment challenges was a lengthy process of validating mobile telephone numbers. ensuring that the VCHW’s names matched the registered mobile account names attached to the telephone number provided by the VCHW for receipt of funds.

‘’Unsuccessful validation occurred when the VCHW’s names did not match the registration details held by the telecommunication companies. Payments for such individuals were delayed or not effected at all. Because some of them do not even have the phones, but they are very good at doing the work…Or if they have, then the phone is not registered in their names. We were supposed to bring that database of the community as well and feed them into the system. That became a problem’’. (KII_North_ADHO)

Suggestions to improve use of e-cash payment system

To increase the use of e- cash, the majority of key informants identified continued training of key staff as a critical intervention with subsequent follow- up to ensure payments are well implemented.

‘’We are not yet ready; our capacity hasn’t been built. We have a big knowledge gap regarding the e- cash system here in this district. (KII East CFO) We request for more training to be conversant [with the system], and to discuss the challenges together during that training, as we share the experiences. Where we have challenges, we sit together and see how they can be addressed’’.  (KII_Central_CFO)

The participants also expressed the need for feedback mechanisms to allow them to dialogue with the payers in case there was a delay in payment. Additionally, the participants also acknowledged that there was a need to gradually expand adoption of digital payments considering contextual barriers. A hybrid approach would be an alternative, especially in the remote and hard-to-reach districts.

Other suggested solutions include early preparation of campaign health worker databases to allow for the lengthy telephone validation processes, improvement of the internet infrastructure, consistent use of e- cash payments across programmes and inclusion of withdrawal charges when making payments.

Moving forward policy, the researchers recommend the need to support e- payment systems, in order to minimize challenges in the pay ment processes.

‘’Suggestions to improve the e- cash experience include training of personnel in charge of e- cash payments, timely creation of VCHWs databases, expanding e- cash payments across programmes for efficiency and inclusion of withdrawal charges for the digital payments. To ensure the institutionalisation of digital payment interventions across Uganda, several key enablers are essential. These include formal policy integration by the Ministry of Health and Ministry of Finance into operational guide lines and budget frameworks, as well as ongoing capacity strengthening at the district level to enhance digital planning, payroll management and troubleshooting. Reliable infrastructure such as mobile connectivity and access to digital financial services like mobile money must also be prioritised, especially in rural areas. Implementing routine monitoring and feedback systems will be vital for tracking payment timeliness, worker satisfaction and system performance, allowing for continuous improvement. Furthermore, fostering public–private partner ships with telecom providers and payment platforms is critical for cost- effective scaling. With strong political commitment, aligned funding and active community engagement, this model holds the potential for broader national and regional adoption, leading to more efficient and equitable health service delivery’’. The paper concludes on the way forward

To read the paper; click; https://gh.bmj.com/content/10/Suppl_4/e016666

About The DHPI-R project

The DHPI-R project was commissioned by the Bill and Melinda Gates Foundation (BMGF) to generate evidence on digital payments in Africa. Although inception, conceptualization of the proposal, and grant award were conducted earlier in 2021, the DHPIR project officially started implementing activities in November 2021, up to March 2025. DHPIR is hosted at the School of Public Health, College of Health Sciences at Makerere University and is implemented in Anglophone and Francophone hubs (countries) in Africa. The Anglophone hub is hosted at MAKSPH, while the Francophone Hub is hosted by the University of Dakar (UCAD) in Senegal.

DHP-IR was rooted in the End Polio Game Campaign, championed by WHO-Afro and partners in 28 countries in Sub Saharan Africa, where digital payments was a key strategy for timely and complete payments to campaign workers.

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MakCHS Strengthens Internationalization through Strategic Global Partnerships and Mobility

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Left to Right: Theresa Kirismagi, University of Vermont, Maximilian Gumpoldsberger, Paul Hintervanmkogler Medi Graz University and Otto a fifth-year medical student at MakCHS. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.

Makerere University College of Health Sciences (MakCHS) continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs. Recognizing international collaboration as a cornerstone of contemporary health professional education, the College has established strategic partnerships with leading institutions, including the University of the Western Cape (South Africa), the Medical University of Graz (Austria), and Universitas Syiah Kuala Faculty of Medicine (Indonesia). These collaborations focus on joint research initiatives and the training of dentists and physicians.

Ms. Lydia Kabiri, Department of Nursing giving a lecture to students from Trinity College Dublin. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.
Ms. Lydia Kabiri, Department of Nursing giving a lecture to students from Trinity College Dublin.

During the period July–September 2025, MakCHS recorded increased inbound student mobility, hosting 86 short-term international students. The majority (73%) came from eight partner institutions, with Europe accounting for 64% of all inbound students. Norway led with students from the University of Bergen and the University of Agder, followed by Italy and the Netherlands. The College also hosted students from Somalia International University, Moi University (Kenya), and institutions in the United States. Most visiting students were medical trainees, with placements mainly in Paediatrics at Mulago National Referral and Teaching Hospital, as well as Emergency Medicine and Obstetrics & Gynaecology at Kawempe National Referral Hospital.

Masaba Swabra (Left ) and Orishaba Patience (Right) during rotation at Cambridge Institute. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.
Masaba Swabra (Left ) and Orishaba Patience (Right) during rotation at Cambridge Institute.

These exchanges demonstrated strong bilateral commitment, notably with the Medical University of Graz, which sent students to MakCHS while simultaneously hosting MakCHS students, even in the absence of Erasmus Mundus Plus funding. Inbound mobility enriched the learning environment through intercultural exchange, inclusiveness, and exposure to diverse clinical and academic perspectives.

Victorious Mangheni (Left), Evelyn Nairuba (2nd Left) and residents in the University of Minnesota Medical center -Fairview Hospital. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.
Victorious Mangheni (Left), Evelyn Nairuba (2nd Left) and residents in the University of Minnesota Medical center -Fairview Hospital.

Outbound mobility also expanded significantly. MakCHS students undertook clinical rotations in the United Kingdom, the United States, and Austria. Two students completed hematology and oncology rotations at Addenbrooke’s Hospital, Cambridge, while others trained in plastic and reconstructive surgery at the University of Minnesota Medical Center–Fairview. Additional students undertook highly specialized rotations in paediatric surgery, orthopaedics, neurosurgery, and cardiac surgery at the Medical University of Graz, gaining exposure to advanced, patient-centred healthcare systems and strengthening their global clinical outlook.

Left to Right: Iris Topolovec PR Bilateral agreements, Asha Nagawa, Muruhuura Matthias and Eva Weixler Rotations coordinator. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.
Left to Right: Iris Topolovec PR Bilateral agreements, Asha Nagawa, Muruhuura Matthias and Eva Weixler Rotations coordinator.

Staff outward mobility was equally notable. Several MakCHS staff and graduate students participated in the Annual Global Health Conference organized by NUVANCE Health, an international partner. MakCHS faculty contributed through presentations, posters, and panel discussions, highlighting research on decolonization in global health education, adolescent health, and global mental health. These engagements provided valuable networking opportunities with global health funders and reinforced the importance of transnational academic partnerships in advancing health equity.

Dr. Muyanja Mark (Left), Prof. Rudy Ruggles (Centre) and Dr. Melanie Magoba, 3rd year Psychiatry resident. Makerere University College of Health Sciences (MakCHS), Kampala Uganda, East Africa continues to advance its internationalization agenda by strengthening cross-border partnerships and expanding student and staff mobility in response to global health training needs.
Dr. Muyanja Mark (Left), Prof. Rudy Ruggles (Centre) and Dr. Melanie Magoba, 3rd year Psychiatry resident.

Through sustained partnerships, increased mobility, and active global engagement, MakCHS continues to position itself as a key contributor to global health education, research, and practice.

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Makerere University and Tsinghua University Launch Landmark China–Uganda Joint Laboratory on Natural Disaster Monitoring and Early Warning

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A group photo of Participants at the official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.

Makerere University has taken a decisive step in strengthening Uganda’s and Africa’s capacity for public safety, disaster preparedness, and climate resilience with the official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China.

Launched during the Makerere University–Tsinghua University Symposium on Public Safety and Natural Disaster Management, the Joint Laboratory positions Makerere as a continental hub for cutting-edge research, innovation, and policy-relevant solutions in disaster risk reduction, early warning systems, and emergency response. The Laboratory will be hosted by Makerere University and is the only facility of its kind in Africa under this cooperation framework, underscoring its regional and global significance.

A Strategic Partnership Rooted in Research, Policy, and Practice

In his opening remarks, Prof. Barnabas Nawangwe, Vice-Chancellor of Makerere University and Ugandan Co-Director of the Joint Laboratory, traced the origins of the partnership to 2018, when a Makerere delegation visited Tsinghua University and the Hefei Institute for Public Safety Research. He recalled being deeply impressed by China’s advanced capacity in public safety research, disaster monitoring, and emergency management capabilities that directly respond to Uganda’s growing exposure to floods, landslides, epidemics, and other hazards.

The Vice-Chancellor noted that the successful establishment of the Joint Laboratory followed a competitive grant process under China’s Belt and Road Initiative, supported by the Government of Uganda and regional partners, including Nigeria and Côte d’Ivoire. He emphasized that the Laboratory aligns squarely with Makerere’s strategic ambition to become a research-led and research-intensive university, while also advancing its internationalisation agenda.

Prof. Barnabas Nawangwe addressing the Symposium participants. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.
Prof. Barnabas Nawangwe addressing the Symposium participants.

“This Laboratory will significantly enhance Makerere University’s ability to generate evidence-based research that directly informs government policy and public safety interventions. It will serve not only Uganda, but Africa at large,” Prof. Nawangwe said.

He further underscored the Laboratory’s national importance, noting that similar facilities in China are regarded as national-level laboratories, entrusted with supporting government decision-making and national resilience. Relevant Ugandan institutions, including the Office of the Prime Minister (OPM), UPDF, Uganda Police, Ministry of Health, and humanitarian actors, are expected to actively participate in the Laboratory’s work.

Tsinghua University: Advancing Science Diplomacy and South–South Cooperation

Speaking on behalf of Tsinghua University, Prof. Yuan Hongyong, Dean of the Hefei Institute for Public Safety Research and Chinese Co-Director of the Joint Laboratory, described the initiative as both a scientific milestone and a powerful demonstration of South–South cooperation.

He emphasized that natural disasters transcend national borders and demand collective, science-driven responses. By combining Tsinghua’s technological expertise, including satellite monitoring, AI-driven analytics, and integrated early warning systems, with Makerere’s deep regional knowledge and policy engagement, the Joint Laboratory provides a robust platform for innovation, applied research, and practical solutions tailored to African contexts.

Prof. Yuan Hongyong giving his remarks during the symposium. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.
Prof. Yuan Hongyong giving his remarks during the symposium.

The Laboratory will function not only as a research centre, but also as an operational platform for natural hazard monitoring, early warning, risk assessment, and capacity building, supporting Uganda and the wider African region in building more resilient communities.

Government of Uganda: Research as a Pillar of National Resilience

Representing the Office of the Prime Minister, Mr Frederick Edward Walugemba, reaffirmed the government’s strong support for the Joint Laboratory, recognizing research as a cornerstone of effective public safety and disaster management. The OPM highlighted its constitutional mandate to coordinate disaster preparedness and response through institutions such as the National Emergency Coordination and Operations Centre (NECOC).

He mentioned that the Office of the Prime Minister is committed to working closely with Makerere University and its partners, underscoring the importance of multi-agency collaboration, robust data systems, and timely policy advisories to address the complex, multidimensional nature of public safety challenges.

China–Uganda Relations and the Role of Science Diplomacy

Mr. WANG Jianxun, Commercial Counsellor of the Embassy of the People’s Republic of China in Uganda, lauded the Joint Laboratory as a concrete outcome of the growing China–Uganda Comprehensive Strategic Partnership. He emphasized that the collaboration reflects China’s commitment to knowledge sharing, technology transfer, and people-centred development, particularly in areas such as climate adaptation, disaster risk reduction, and sustainable development.

He also highlighted the Belt and Road Initiative as a framework that extends beyond infrastructure to include scientific cooperation, academic exchange, and innovation-driven development, with the Joint Laboratory standing as a model of how universities can advance diplomacy through science.

Makerere’s Multidisciplinary Strength at the Core

In his concluding remarks, Prof. Nawangwe reaffirmed Makerere University’s readiness to operationalize the Laboratory through a multidisciplinary research team spanning public health, geography, engineering, computing, artificial intelligence, social sciences, and the built environment.

He stressed that effective disaster management must integrate technology, human behaviour, governance, and community engagement, noting the importance of sociological insights in addressing risk perception and public compliance during disasters. Makerere will also engage emerging universities and regional partners to ensure the Laboratory’s benefits are widely shared.

Mr Frederick Walugembe, representing the Prime Minister at the Symposium. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.
Mr Frederick Walugembe, representing the Prime Minister at the Symposium.

The Vice-Chancellor also commissioned an interim, multidisciplinary coordination committee to operationalise the Joint Laboratory, drawing expertise from health, climate science, engineering, artificial intelligence, social sciences, and government agencies.

Hon. John Chrysostom Muyingo Officially Launches the Laboratory

The Joint Laboratory was officially launched by the Honourable John Chrysostom Muyingo, Minister of State for Higher Education, who applauded Makerere University and Tsinghua University for securing the prestigious grant and advancing Uganda’s science and research agenda.

Honourable John Chrysostom Muyingo giving his speech at the Symposium. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.
Honourable John Chrysostom Muyingo giving his speech at the Symposium.

Hon. Muyingo reaffirmed the Government’s commitment to supporting research that informs national development, public safety, and disaster preparedness. He urged Ugandan researchers to fully leverage the partnership to learn from China’s experience in transforming research into actionable solutions for society.

“This Laboratory is a clear demonstration of how strategic international partnerships can strengthen national capacity, inform policy, and protect lives,” the Minister said, as he formally declared the symposium and laboratory launch open.

Positioning Makerere as a Regional Centre of Excellence

Makerere University already plays a critical role in public safety, disaster preparedness, and early warning through a range of research, training, and operational partnerships. Through the School of Public Health (MakSPH) and the Infectious Diseases Institute (IDI), the University has led national and regional initiatives in epidemic preparedness, emergency response, and early warning, including Field Epidemiology Training, risk prediction modelling, and multi-hazard risk assessments that inform district and national preparedness planning. A national assessment of 716 health facilities conducted by MakSPH revealed widespread exposure to climate-related hazards and systemic preparedness gaps, directly informing the Ministry of Health’s Climate and Health National Adaptation Plan (H-NAP 2025–2030)

Makerere has also been at the forefront of disaster risk reduction innovation and community resilience through the Resilient Africa Network (RAN), which has supported scalable, evidence-based solutions such as EpiTent, a rapidly deployable emergency health facility; RootIO, a community-based radio communication platform used for risk communication and early warning; and RIAP Horn of Africa, which advances climate-resilient water harvesting technologies for drought-prone pastoralist communities.

From Left to Right: Prof. Yuan Hongyong, Honourable John Chrysostom Muyingo, Mr WANG Jianxun, Prof. Barnabas Nawangwe, Prof. Rhoda Wanyeze and Dr. Andrew Kambugu as they officially launched the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning. Official launch of the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning, a flagship collaboration with Tsinghua University of China, 17 December, 2025, Main Building, Makerere University, Kampala Uganda, East Africa.
From Left to Right: Prof. Yuan Hongyong, Honourable John Chrysostom Muyingo, Mr WANG Jianxun, Prof. Barnabas Nawangwe, Prof. Rhoda Wanyeze and Dr. Andrew Kambugu as they officially launched the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning.

Earlier, the University led the USAID-funded PeriPeri U project (2014–2019) and a disaster management collaboration with Tulane University, strengthening applied research, training, and early warning systems across Africa, efforts that laid the foundation for RAN and Makerere’s current disaster resilience agenda.

In collaboration with government and international partners, Makerere has supported the strengthening of Emergency Operations Centres, including the development of Regional Emergency Operations Centre (REOC) dashboards to improve real-time coordination and situational awareness. IDI has further contributed to epidemic intelligence and early warning, supporting districts to update WHO STAR-based risk calendars, strengthen sub-national preparedness, and enhance real-time decision-making during outbreaks. Makerere teams have also been deployed regionally to support Marburg and Mpox outbreak responses in Rwanda and the DRC, while advancing outbreak modelling as an early warning tool for high-consequence infectious diseases.

Complementing these efforts, the Department of Geography, Geo-Informatics and Climatic Sciences conducts transdisciplinary research on floods, landslides, droughts, soil erosion, and land-use change, using geospatial analysis, earth observation, modelling, and participatory methods to translate complex data into actionable early warning and risk information for policymakers and communities. These ongoing initiatives collectively demonstrate Makerere University’s established capacity in public safety, disaster preparedness, and early warning, providing a strong operational and scientific foundation for the China–Uganda Belt and Road Joint Laboratory.

With strong backing from the Governments of Uganda and China, as well as leading international partners, the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning is poised to become a regional centre of excellence for disaster risk reduction research, training, and innovation.

The Laboratory will contribute to improved early warning systems, faster emergency response, stronger policy coordination, and enhanced scientific capacity, cementing Makerere University’s role at the forefront of addressing some of the most pressing public safety challenges facing Uganda, Africa, and the global community.

Caroline Kainomugisha is the Communications Officer, Advancement Office Makerere University.

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Makerere University Explores Strategic Partnership with Tsinghua University in Safety Science, Disaster Resilience and Public Health

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A photo moment of the attending delegation from Tsinghua University and some members of Top Management. Makerere University high-level meeting between Vice Chancellor Prof. Barnabas Nawangwe and a delegation from Tsinghua University’s Hefei Institute for Public Safety Research, one of China’s leading centres of excellence in disaster prevention, public safety, and emergency management led by Dean Prof. Huan HongYong, Friday December 12, 2025, Makerere University, Kampala Uganda, East Africa.

Makerere University has taken a significant step toward strengthening global research collaboration following a high-level meeting between Vice Chancellor Prof. Barnabas Nawangwe and a delegation from Tsinghua University’s Hefei Institute for Public Safety Research, one of China’s leading centres of excellence in disaster prevention, public safety, and emergency management. The engagement marked a renewed commitment to advancing scientific cooperation between the two institutions, particularly in addressing complex environmental and public health challenges that continue to shape national and global development.

A Partnership Anchored in Shared Challenges and Global Priorities

In his remarks, Prof. Nawangwe emphasized that the concept of comprehensive public safety, spanning natural disasters, epidemics, infrastructure failures, and social risks, is increasingly relevant to all colleges and disciplines at Makerere. Uganda’s experience with epidemics such as Ebola, cholera, and COVID-19; frequent landslides in mountainous regions; flooding events; and rising traffic-related incidents place the University in a unique position to contribute applied research, community-based insights, and local knowledge to a global scientific dialogue.

He noted that the Tsinghua presentation revealed new areas of alignment, particularly in epidemic modelling, early-warning systems, and integrated emergency management, areas where Makerere’s public health scientists, medical researchers, and social scientists have extensive expertise.

This collaboration offers meaningful opportunities for nearly every college at Makerere,” he noted. “Public safety touches the environment, public health, engineering, social sciences, ICT, humanities, and urban planning. The challenges we face as a country make this partnership both timely and essential.” Prof. Barnabas Nawangwe noted.

Tsinghua University: A Global Leader in Comprehensive Public Safety.

The delegation from Tsinghua University outlined China’s national investment in Public safety over the past two decades, an effort driven by the recognition that life and security are the foundation of sustainable development. Tsinghua’s Hefei Institute for Public Safety Research has developed nationally recognised research platforms and large-scale simulation facilities dedicated to Natural disaster modelling (earthquakes, landslides, floods, typhoons, Infrastructure and urban systems safety, Public health emergencies and epidemic preparedness, Early-warning, monitoring, and emergency communication, Traffic and transportation safety, Post-disaster reconstruction and resilience planning.

Prof. Barnabas Nawangwe hands over the Makerere University Centennial Coffee table pictorial booklet to Prof. Huan HongYong, Dean, Hefei Institute for Public Safety Research, Tsinghua University. Makerere University high-level meeting between Vice Chancellor Prof. Barnabas Nawangwe and a delegation from Tsinghua University’s Hefei Institute for Public Safety Research, one of China’s leading centres of excellence in disaster prevention, public safety, and emergency management led by Dean Prof. Huan HongYong, Friday December 12, 2025, Makerere University, Kampala Uganda, East Africa.
Prof. Barnabas Nawangwe hands over the Makerere University Centennial Coffee table pictorial booklet to Prof. Huan HongYong, Dean, Hefei Institute for Public Safety Research, Tsinghua University.

Their systems currently support over 100 provincial and municipal emergency management centres in China, underscoring their global leadership in practical, scalable solutions for disaster risk management. The delegation reaffirmed that Uganda’s lived experience with multiple hazards presents opportunities for meaningful knowledge exchange. They expressed particular interest in learning from Makerere’s work on epidemic response, community health systems, and the social dimensions of disaster management.

Emerging Areas of Partnership

The meeting identified several promising pathways for long-term collaboration:

1. Joint Research in Disaster Risk Reduction and Climate-Related Hazards

Both institutions expressed readiness to co-develop research projects on landslides, floods, urban resilience, and multi-hazard modelling, drawing on Tsinghua’s advanced simulation technologies and Makerere’s environmental expertise and geographic field realities.

2. Public Health Emergency Preparedness and Epidemic Response

Makerere’s renowned public health schools and research centres will collaborate with Tsinghua on epidemic prediction, early-warning systems, and integrated preparedness frameworks, leveraging Uganda’s decades of experience managing high-risk disease outbreaks.

Prof. ZHANG Xiaole, Director of the International Development Department, Hefei Institute for Public Safety Research making a presentation during the meeting. Makerere University high-level meeting between Vice Chancellor Prof. Barnabas Nawangwe and a delegation from Tsinghua University’s Hefei Institute for Public Safety Research, one of China’s leading centres of excellence in disaster prevention, public safety, and emergency management led by Dean Prof. Huan HongYong, Friday December 12, 2025, Makerere University, Kampala Uganda, East Africa.
Prof. ZHANG Xiaole, Director of the International Development Department, Hefei Institute for Public Safety Research making a presentation during the meeting.

3. Infrastructure and Urban Safety, Including Traffic Systems

With Uganda experiencing rapid urbanisation and high rates of motorcycle-related road incidents, Tsinghua shared insights from China’s own transformation, including infrastructure redesign, transport modelling, and public transit innovations. Collaborative work in this area would support city planning and road safety interventions in Kampala and other urban centres.

4. Academic Exchange and Capacity Building

Both sides expressed interest in student exchanges, staff mobility, co-supervision of postgraduate research, and specialised training programmes hosted at Tsinghua’s world-class safety research facilities.

5. Development of a Joint Public Safety Laboratory at Makerere

The institutions are exploring the establishment of a collaborative safety research platform in Uganda. This initiative could serve as a regional hub for innovation in emergency management, environmental safety, and technology-driven risk assessment.

Towards a Long-Term, Impactful Collaboration

The meeting concluded with a shared commitment to develop a structured partnership framework in the coming months, supported by both universities and aligned with Uganda–China cooperation priorities. Both teams acknowledged that the partnership must yield tangible results that enhance community resilience, bolster national preparedness systems, and foster scientific capacity for future generations.

Prof. Nawangwe commended Tsinghua University for its willingness to co-invest in research and capacity building, noting that such collaborations position Makerere not only as a leading research institution in Africa but as an active contributor to global scientific progress.

From Left to right: Prof. Liang Guanghua, Prof. Huan HongYong and Prof. Barnabas Nawangwe during the meeting on Friday 12th December 2025. Makerere University high-level meeting between Vice Chancellor Prof. Barnabas Nawangwe and a delegation from Tsinghua University’s Hefei Institute for Public Safety Research, one of China’s leading centres of excellence in disaster prevention, public safety, and emergency management led by Dean Prof. Huan HongYong, Friday December 12, 2025, Makerere University, Kampala Uganda, East Africa.
From Left to right: Prof. Liang Guanghua, Prof. Huan HongYong and Prof. Barnabas Nawangwe during the meeting on Friday 12th December 2025.

“This partnership has the potential to transform our understanding of the science of public safety to deliver solutions that safeguard lives.” Prof. Barnabas Nawangwe noted.

“It aligns perfectly with Makerere’s mission to be a research-led, innovation-driven university responding to the world’s most urgent challenges.” He added.

As part of this strategic partnership engagement, Makerere University will, on Wednesday, 17th December, co-host the Makerere University–Tsinghua University Symposium on Public Safety and Natural Disaster Management. The symposium will run from 8:00 AM to 2:00 PM in the University Main Hall, Main Building.

This symposium represents a deepening of collaboration not only between Makerere University and Tsinghua University, but also a broader strategic partnership between Uganda and the People’s Republic of China.

During the event, H.E. Zhang Lizhong, Ambassador of the People’s Republic of China to Uganda, together with the State Minister for Higher Education, Government of Uganda, will officially launch the China–Uganda Belt and Road Joint Laboratory on Natural Disaster Monitoring and Early Warning. The Laboratory will be hosted at Makerere University, positioning the University to play a central role in strengthening Uganda’s and the region’s capacity for natural disaster preparedness, public safety, and emergency management research.

Caroline Kainomugisha is the Communications Officer, Advancement Office, Makerere University.

Caroline Kainomugisha
Caroline Kainomugisha

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