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Parenting Course ends with call for those trained to share knowledge and be good ambassadors

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On 24th October 2025, the 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Kampala, Uganda. The professionals were advised to be good ambassadors and share the knowledge from the training.

The training is a collaboration between Child Health Development Centre (CHDC) at Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative.

The graduation brings the total of those trained to 130 since cohort 1, and marks a significant milestone in the journey of standardising parenting interventions in Uganda and testament of the nation’s commitment to strengthening families and communities.

Dr. Siu Godfrey. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Dr. Siu Godfrey.

In his remarks at the graduation, Dr. Godfrey Siu – Senior Lecturer at CHDC, Programme and Course Lead congratulated the participants for successfully completing the intensive parenting course. He said, ‘I am filled with an immense sense of pride and hope, not just for what we have accomplished during the training but the ripple effect this will have across Uganda’.

Dr. Siu highlighted that the course was not conceived in isolation, but is a vital pillar in the ambitious and crucial efforts by the Government of Uganda (GoU) through MoGLSD with an aim to strengthen and standardise parenting interventions in the country.

‘We extend our appreciation to GoU and MoGLSD in particular for the unwavering commitment and steadfast support. The vision for stronger families is a collective one, and leadership by government is its cornerstone. Let us go and build a future where every child in Uganda can thrive in a nurturing, supportive, and loving family’, Dr. Siu said.

Graduands Celebrate. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Graduands Celebrate.

Dr. Siu thanked the various partners who supported the training including the ELMA Foundation, Global Parenting Initiative and Uganda Muslim Supreme Council (UMSC); facilitators of the programme, drawn from a diverse spectrum of expertise. He advised the graduands to be champions, as standard-bearers for a new-era of parenting in Uganda.

He also called for support from development partners, donors and GoU in funding the next phase of the critical work noting that investment in parenting is an investment in the health, stability, and prosperity of the nation.

Dr. Herbert Muyinda, Director-CHDC noted the multi-dimensional benefits of the course including standardisation. He said, ‘all researchers dream about their work making impact and influence policy which Dr. Siu has achieved with this training programme’.

Celebrating Cohort III. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Celebrating Cohort III.

The Director-CHDC thanked all partners, MakCHS and CHDC administration for ensuring the success of the training. He commended the participants for the commitment and resilience during the training and expressed hope that they will use the knowledge when they return to their communities and organisations.

Professor Richard Idro, Deputy Principal-MakCHS represented the College administration at the graduation. In his speech he congratulated the participants on the milestone, thanked MoGLSD for entrusting the University with this work and also thanked CHDC for undertaking the programme not only for research but also as a contribution to the nation.

Professor Idro noted that parenting today is so different from what many of us experienced, highlighting that many parents work away from home also spending less time with their children.

Prof. Richard Idro. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Prof. Richard Idro.

He said, ‘teachers and carers spend more time with children therefore standardisation from initiatives like this are welcome’.

Highlighting the new strategy of taking the University to communities and solving societal challenges, Professor Idro commended the CHDC for the work which is well aligned to the aforementioned strategy. He called on the graduands to cascade the initiative learned to the lowest level of local governments for the benefit of the whole population.

He expressed hope that for sustainability, funding of the programme would be included in the government budget cycle to ensure continuity. He thanked the UMSC for the support recognising time that Sheikh Ali Waiswa had spent at the event as a sign of commitment to improved parenting in Uganda.

‘Our children are vulnerable, I hope this training takes us back to the basics of parenting. I encourage everyone to start with their family and share with all those around them’, said Dr. Angela Nakafeero – Commissioner for Women and Gender Affairs who represented the Permanent Secretary-MoGLSD, Mr. Aggrey Kibenge.

Dr. Angela Nakafeero. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Dr. Angela Nakafeero.

She thanked partners, MoGLSD departments, and various government institutions that have contributed to work accomplished to-date. She reiterated the message of the previous speakers to the graduands not to keep what they had learned to themselves but share with others. ‘Don’t keep information acquired, share it, make better parents and raise better families’, she said.

‘The ministry remains committed to the parenting agenda. As a nation we have always stressed the importance of cultural and religious appropriateness; the University is on-board to offer technical knowledge and this partnership will continue to deliver results’, Dr. Nakafeero added.

She invited the Chief Guest, Sheikh Ali Waiswa – Deputy Mufti, UMSC who represented the Mufti to address the congregation.

Sheikh Ali Waiswa. 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Child Health Development Centre (CHDC), Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative, 24th October 2025, Kampala Uganda, East Africa.
Sheikh Ali Waiswa.

Sheikh Waiswa reminded those present that holy books including the Quran and Bible prescribed the family as the cornerstone of society giving guidance on how to raise good families.

He warned against the increased violence against children present in our communities. Quoting statistics, he expressed disappointment that children endure acts of violence in places meant to be safe havens like homes and schools with acts committed by people meant to be trusted. ‘Nearly 6 out of 10 girls and 7 out of 10 boys have experienced physical violence, while 35% of girls are affected by sexual violence’, he said.

The Deputy Mufti commended the training course for bridging the gap between research and practice, saying it would revolutionise parenting, strengthen families and in-turn society. ‘Don’t underestimate the power of the work you are doing, as we celebrate, let us remember our blue print is this initiative and training’, he said.

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Zaam Ssali
Zaam Ssali

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The 92nd Guild Ministry of Health Back with the Annual Guild Medical Camp

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Participants visit the STI Screening Tent during the Annual Medical Camp in 2025. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.

The 92nd Guild Ministry of Health is set to host the Annual Makerere Guild Medical Camp, a three-day outreach that will bring free and essential medical services to students, staff, and the surrounding community. The camp will run from 17th to 19th September 2026, from 8:00am to 5:00pm each day, at the Freedom Square.

Themed around promoting student wellness for academic excellence, the medical camp is organised under the leadership of Hon. Wamezaya Ebenezer, the Minister of Health in the 92nd Guild Government, in alliance with several partner organisations supporting the university’s health and wellness agenda. The initiative reflects a growing recognition within student leadership circles that academic performance is closely tied to the physical and mental wellbeing of the university community.

Comprehensive Range of Services

The medical camp will offer a wide range of services designed to address both routine and specialised health needs. On the general health side, attendees will have access to general and specialist medical consultations, allowing students, staff, and community members to seek professional advice on a variety of health concerns without the usual costs associated with private or even public healthcare.

A female medical personnel attends to a male client. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
A female medical personnel attends to a male client.

Screening services will also be a central feature of the camp. Organisers have confirmed that sickle cell testing, malaria rapid diagnostic testing, and HIV screening will be available on site, giving participants the opportunity to know their status and receive guidance on appropriate next steps. Eye care services and laboratory diagnostics will round up this category, addressing common but often neglected areas of student health.

Beyond diagnostics and consultations, the camp will provide free essential medicines to those who need them, easing the financial burden that often accompanies treatment even after a diagnosis has been made. Reproductive health counseling will also be offered, giving students a confidential space to discuss matters that are frequently overlooked in general campus health conversations. Mental health counseling completes the list of available services, an inclusion that speaks to the increasing attention being paid to psychological wellbeing within the university community.

A Camp Open to the Wider Community

While the camp is organised by the Guild Ministry of Health and centred on student welfare, its reach extends beyond the student body. Organisers have made it clear that the free medical services will be available to students, staff, and members of the whole Makerere community, positioning the event as a broader public health contribution rather than a strictly internal university affair. This inclusive approach mirrors similar outreach efforts previously undertaken by student leadership and university departments, which have sought to position Makerere University not just as a centre of learning but as an active contributor to community welfare in the areas surrounding its campuses.

A male client gets his BMI checked. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
A male client gets his BMI checked.

Freedom Square, long regarded as the symbolic heart of student activity and expression at Makerere University, was selected as the venue for the three day event. Its central location and historic significance make it an accessible and fitting site for an initiative of this scale, expected to draw considerable numbers of participants over the course of the camp.

Health as a Pillar of Academic Success

The organisers have anchored the medical camp around the message of promoting student wellness for academic excellence, a theme that underscores the connection between health and academic performance. University life often places significant demands on students, both physically and mentally, and untreated health concerns can quietly undermine academic progress long before they become visible crises. By bringing screening, treatment, and counseling services directly to students at no cost, the Guild Ministry of Health is addressing barriers that might otherwise prevent students from seeking care, whether due to cost, distance, or stigma, particularly around mental health and reproductive health matters.

The 91st Guild Minister of Health, Hon. Bbosa Sharif (L) poses by the event banner in the Freedom Square. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
The 91st Guild Minister of Health, Hon. Bbosa Sharif (L) poses by the event banner in the Freedom Square.

The inclusion of mental health counseling alongside more traditional physical health services is particularly notable. It signals an evolving understanding among student leaders that wellness cannot be addressed through physical checkups alone, and that psychological support deserves equal standing within campus health initiatives. Similarly, the presence of reproductive health counseling reflects an effort to normalise conversations that many young people find difficult to initiate on their own.

What to Expect

Over the three days, participants can expect a structured environment at Freedom Square, with separate service points catering to the different categories of care on offer. Medical professionals will be on hand to conduct consultations and screenings, while counselors will provide guidance on reproductive and mental health matters in a setting designed to protect privacy and encourage openness.

Given the scale of services on offer and the open invitation extended to staff and community members in addition to students, organisers anticipate strong turnout throughout the three day period. Those interested in attending are encouraged to plan their visits within the stated hours of 8:00am to 5:00pm to take full advantage of the services available.

H.E. Bbosa Sharif receives female students at the Medical Camp. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
H.E. Bbosa Sharif receives female students at the Medical Camp.

For any inquiries regarding the medical camp, members of the university community and the public have been directed to reach out to Hon. Wamezaya Ebenezer, the Minister of Health, through the contact provided by the Guild Ministry of Health.

Building on a Guild Tradition

The Annual Makerere Guild Medical Camp is not a new concept within student governance at the university. Successive Guild Ministries of Health have used the medical camp as a recurring platform through which they translate campaign promises around student welfare into visible action. Each edition tends to build on the lessons of the one before it, with organisers typically expanding the range of services offered as new partnerships are secured and as feedback from previous camps is incorporated into planning.

Sickle Cell Screening (Left Tent) was one of the services offered. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
Sickle Cell Screening (Left Tent) was one of the services offered.

This year’s edition, organised under the 92nd Guild Ministry of Health, appears to place particular emphasis on breadth of service, combining preventive screening, curative consultation, and psychosocial support within a single three-day window. The decision to bundle sickle cell testing, malaria and HIV screening alongside eye care and laboratory diagnostics suggests an intention to make the camp a one stop point for health assessment, reducing the need for participants to seek out multiple providers across the city for basic checks they might otherwise postpone indefinitely.

Why Timing Matters

The scheduling of the camp in September places it at a point in the academic calendar when many students are settling back into campus life after recess, a period during which health concerns accumulated over the break, whether physical ailments left unattended or emerging mental health pressures tied to academic anxiety, tend to surface. Offering free consultations and counseling at this juncture allow students to address these concerns early, before they compound into more serious complications that could interfere with coursework, examinations, or general campus participation.

A female medical personnel attends to a female client. The 91st Guild Ministry of Health Annual Makerere Guild Medical Camp, 3rd and 4th October 2025, Freedom Square, Makerere University, Kampala Uganda, East Africa.
A female medical personnel attends to a female client.

For staff members and residents of the areas surrounding the university, the timing also offers a convenient opportunity to access services that might otherwise require travel to distant health facilities or extended waiting periods within an already strained public health system. In this sense, the camp functions as a modest but meaningful supplement to existing healthcare provision in the vicinity of the university.

As the 17th of September approaches, the Annual Makerere Guild Medical Camp stands as another example of the Guild Ministry of Health stepping beyond the boundaries of policy and advocacy into direct, hands-on service delivery, a model that continues to shape the character of guild ministries at Makerere University. Students, staff, and members of the surrounding community are encouraged to take advantage of the free services on offer and to look out for further communication from the Guild Ministry of Health as the event draws closer.

For more info, reach Hon. Wamezaya on +256784541248

Philemon Akoragye.
Philemon Akoragye

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Call for Applications: Short-term Positions under the STOP-AMDR Project

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The Makerere University School of Public Health (MakSPH) Building, Mulago Hospital Complex. Kampala Uganda, East Africa.

Makerere University School of Public Health, in collaboration with Jhpiego, invites applications for 49 short-term positions under the Scaling the Optimal Use of Multiple ACTs to Prevent Antimalarial Drug Resistance (STOP-AMDR) Project.

The available positions are:

Qualitative Research Assistants (8): https://sph.mak.ac.ug/careers/?view_job=20784

Enumerators (35): https://sph.mak.ac.ug/careers/?view_job=20783

Field Supervisors (4): https://sph.mak.ac.ug/careers/?view_job=20780

Costing Research Assistants (2): https://sph.mak.ac.ug/careers/?view_job=20786

The short-term assignments will support data collection in Buikwe and Busia districts, with some national-level activities. Applicants are encouraged to review the requirements for their preferred position before applying.

Application link: https://shorturl.at/IYFv1

Application deadline: Wednesday, 2 September 2026 at 4:00 PM EAT.

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MakSPH Takes Mpox Response Lessons to Districts for Stronger Outbreak Preparedness

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Participants at the Mpox response study dissemination meeting in Amuru District on 10 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.

By Muhammad Jjumba

Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, has shared findings from its study of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge districts to strengthen district preparedness for future outbreaks.

The Africa-Europe CoRE is a partnership co-led by MakSPH and the Centre for Research on the Epidemiology of Disasters at UCLouvain, Belgium. It brings together universities in Africa and Europe to strengthen research, training and preparedness for pandemics and other public health shocks.

The district-level dissemination meetings, held from 10 to 14 August 2026, brought together more than 100 local government, health and security officials, Village Health Teams, implementing partners and community representatives. The meetings enabled stakeholders to validate the district-level findings, identify practical actions and provide feedback for the study’s final analysis and national dissemination.

Mr. Philliam Jabim shares the Mpox response study findings with participants during the dissemination meeting in Nakasongola District on 12 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.
Mr. Philliam Jabim shares the Mpox response study findings with participants during the dissemination meeting in Nakasongola District on 12 August 2026.

Uganda confirmed its first two Mpox cases on 24 July 2024 at Bwera Hospital in Kasese District. The Ministry of Health declared an outbreak on 2 August 2024. As documented in the study, the response involved health workers, communities, local governments, security agencies, political leaders, and implementing partners.

In response to the outbreak, a MakSPH research team led by Prof. Rhoda Wanyenze, Dr. Rawlance Ndejjo, Dr. Steven Kabwama and Mr. Douglas Bulafu conducted a study in May 2025 to assess Uganda’s Mpox response, including its policies, interventions, strategies and challenges, and generate lessons to inform recovery and strengthen preparedness for future public health emergencies.

Using purposive sampling, the research team conducted 20 key informant interviews and five focus group discussions in each of the four districts, drawing perspectives from western Uganda in Kasese, northern Uganda in Amuru, central Uganda in Nakasongola and eastern Uganda in Mayuge.

Participants and the MakSPH research team at the Mpox response study dissemination meeting in Nakasongola District on 12 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.
Participants and the MakSPH research team at the Mpox response study dissemination meeting in Nakasongola District on 12 August 2026.

The study, titled Assessment of the Mpox Response in Uganda: Documenting Challenges, Lessons and Innovations to Strengthen Emergency Preparedness and Response Capacities, was funded by the Government of Uganda through the Makerere University Research and Innovation Fund (Mak-RIF).

“This study is helping us move beyond recounting the Mpox response to identifying the actions that districts and national partners can take before the next outbreak. By validating the findings with stakeholders who led and experienced the response, we are ensuring that the evidence reflects local realities and can inform stronger surveillance, risk communication, coordination and community engagement,” said Mr. Bulafu, who led the MakSPH team during the dissemination meeting in Amuru.

Mr. Douglas Bulafu engages participants during the Mpox response study dissemination meeting in Amuru District on 10 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.
Mr. Douglas Bulafu engages participants during the Mpox response study dissemination meeting in Amuru District on 10 August 2026.

In Amuru, the 10 August meeting brought together over 25 stakeholders from the district health team, political leadership, security agencies, Village Health Teams, implementing partners and the community. On the same day, a second MakSPH team, led by Mr. Keneth Sebukeera and Mr. Filimin Niyongabo, convened stakeholders in Kasese for a parallel validation meeting. The consultations then continued in Nakasongola on 12 August and concluded in Mayuge on 14 August, extending the study’s engagement across all four districts.

Across the districts, stakeholders said the results reflected their experience during the outbreak. They pointed to strengths in leadership, coordination, community engagement and partner support, while also describing gaps in documentation, logistics, diagnostic access, staffing, risk communication, public trust and continuity of essential health services.

They also noted inconsistent implementation of the World Health Organization (WHO) 7-1-7 target, which calls for detecting a suspected outbreak within seven days, notifying public health authorities within one day and completing early response actions within seven days.

The MakSPH research team, led by Mr. Keneth Sebukeera and Mr. Filimin Niyongabo, with participants during the Mpox response study dissemination meeting in Kasese District on 10 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.
The MakSPH research team, led by Mr. Keneth Sebukeera and Mr. Filimin Niyongabo, with participants during the Mpox response study dissemination meeting in Kasese District on 10 August 2026.

In Kasese, stakeholders highlighted gaps in documentation, financial and logistical resources, and human resources. They identified Village Health Teams and grassroots, religious and cultural leaders as important resources for community surveillance and risk communication. They called for stronger collaboration between technical and non-technical leaders, engagement with traditional healers, greater use of local radio for public sensitisation, and better facilitation of district epidemic response teams to reach distant communities.

Amuru participants called for proactive preparedness in the border district, citing misinformation and rumours as barriers to risk communication. They urged timely, accurate information from health workers and other authorities; training in disease surveillance and grant writing to strengthen capacity and resource mobilisation; and compassionate care, psychosocial support and community awareness to reduce stigma and support survivor reintegration.

During the meeting in Nakasongola, stakeholders identified Community Health Workers and Community Health Extension Workers as potential resources for strengthening community surveillance and addressing workforce shortages. Given the district’s position around Lake Kyoga and along the Kampala-South Sudan transit corridor, they also called for stronger documentation, note-taking and reporting, accurate real-time information, closer communication with the Ministry of Health, and collaboration among technical, political, religious and community leaders.

Ms. Eunice Vivian Asingo, Senior Nursing Officer at Nakasongola Health Centre IV, contributes to the discussion during the Mpox response study dissemination meeting in Nakasongola District on 12 August 2026. Makerere University School of Public Health (MakSPH), through the Africa-Europe Cluster of Research Excellence (CoRE) for Preparedness and Response to Pandemics and Shocks, research dissemination of Uganda’s Mpox response with stakeholders in Kasese, Amuru, Nakasongola and Mayuge Districts Uganda, East Africa, 10th-14th August 2026.
Ms. Eunice Vivian Asingo, Senior Nursing Officer at Nakasongola Health Centre IV, contributes to the discussion during the Mpox response study dissemination meeting in Nakasongola District on 12 August 2026.

Ms. Eunice Vivian Asingo, Senior Nursing Officer at Nakasongola Health Centre IV, called for a permanent, adequately resourced outbreak-management centre to help protect routine services during future epidemics. “We appeal for better facilities to manage epidemics and outbreaks. At Nakasongola Health Centre IV, spaces previously used for outbreak management have been repurposed for other services, and we have limited staff. During the Mpox response, colleagues assigned to manage patients later returned to the general team, creating fear among staff already under pressure,” she said.

In Mayuge, Dr. Basembeza highlighted leadership, coordination and surveillance structures operating from district to community level as important factors in the response. He said the structures enabled the district to receive and respond quickly to community alerts. “Whenever there is a rumour or an alert, we are able to respond. Within 20 minutes, we had a response because of the structure we have,” Dr. Basembeza said.

Based on the findings, the research team recommends increased preparedness financing, stronger community engagement, decentralised diagnostic services through stronger district laboratory capacity, and improved health information and research systems.

Across the four districts, stakeholders reaffirmed that trusted community structures and coordinated action across sectors are essential to strengthening outbreak preparedness.

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