Kampala, Uganda – The Makerere University School of Public Health (MakSPH) has marked a significant milestone with the graduation of the first-ever cohort of its Cost-Effectiveness Analysis (CEA) Short Course. The pioneering programme is designed to strengthen capacity in economic evaluation in Uganda and beyond.
The virtual graduation ceremony honored eleven (11) participants who completed the course. The cohort included professionals from academia, research institutions, government agencies, and non-state actors, reflecting the increasing demand for skills in economic evaluation across sectors.
The short course was developed and implemented by the Department of Health Policy, Planning, and Management (HPPM) in response to the increasing need for evidence-informed decision-making in a context of limited resources.
In her remarks during the ceremony, Assoc. Prof. Suzanne Kiwanuka, Head of the Department of Health Policy, Planning and Management (HPPM) at MakSPH, congratulated the inaugural cohort for completing what she described as a “critical and timely” course.
“With decreasing resources and rising demand for services driven by population growth and the emergence of high-cost technologies, decision-makers must make difficult choices,” she noted. “Cost-effectiveness analysis is no longer optional. It is central to conversations in the corridors of power.”
The CEA short course was designed to equip policymakers, researchers, and practitioners with both theoretical knowledge and practical skills in economic evaluation. Participants were introduced to key principles of health economics, costing methodologies, decision-analytic modelling, Markov modelling, sensitivity analysis, and interpretation of incremental cost-effectiveness ratios (ICERs).
According to Prof. Elizabeth Ekirapa, the course lead at MakSPH, this inaugural offering had been “a long time coming,” following years of discussions within the department about building local expertise in economic evaluation.
Delivered over 10 days through interactive online sessions, the course combined lectures, case studies, and hands-on modelling exercises using contextually relevant datasets. Participants were required to develop and present applied cost-effectiveness projects as part of their assessment, allowing them to translate theory into practice.
A certificate of completion awarded to one of the participants.
During the feedback session at the graduation ceremony, faculty emphasized the importance of clarity in defining study perspectives, selecting appropriate outcomes, and aligning research questions with modelling approaches.
Dr. Chrispus Mayora, one of the facilitators, highlighted the need to carefully select outcomes that directly reflect the intervention being evaluated. “When thinking about outcomes, ask yourself: Is this aligned with what I want to study? Interesting outcomes are not always the most appropriate ones,” he advised.
Participants were also encouraged to select modelling techniques such as decision trees or Markov models based on the research question and the nature of the disease or intervention under study.
Prof. Ekirapa described the graduates as “trailblazers,” noting that their feedback would shape future iterations of the course. “When you are the first cohort, you are like pioneers,” she remarked. “We are committed to improving this course to ensure it becomes a world-class programme.”
For many attendees, the graduation ceremony was a new experience, as certificates were awarded virtually an approach that participants welcomed as innovative and inclusive.
“Cost-effectiveness analysis enables us to maximise value for money,” noted Dr. Crispus Mayora of MakSPH. “It allows decision-makers to compare interventions systematically and ensure that limited resources achieve the greatest possible benefit.”
The programme aligns with Makerere University’s broader mandate to provide high-quality training that responds to national and regional development priorities. Participants who successfully complete the course receive a certificate signed by the Dean of the School of Public Health.
As the ceremony concluded, faculty encouraged continued engagement beyond the classroom. Graduates were urged to refine their project ideas and collaborate with the department in advancing research and policy discussions.
The successful completion of the first CEA short course marks an important step in building a cadre of professionals equipped to conduct rigorous economic evaluations. With plans to expand and refine the programme based on participant feedback, the HPPM department under MakSPH is positioning itself as a regional leader in health economics and policy analysis training.
Makerere University School of Public Health invites applications for the 2026 intake of the Certificate in Applied Health Systems Research, a short, intensive virtual programme designed for professionals working at the intersection of research, policy, and health system practice.
Why this course matters
Health system challenges are rarely linear. They are shaped by institutional complexity, political realities, and competing stakeholder interests. In many cases, the issue is not the absence of evidence, but the difficulty of producing research that is relevant, timely, and usable within real decision-making environments. This course is designed to address that gap, equipping participants to generate and apply evidence that responds to actual system constraints.
frame research problems grounded in real system conditions
analyse complex interactions within health systems
design policy-relevant and methodologically sound studies
translate findings into actionable insights for decision-making
Course format and key details
The programme runs virtually from 6th to 17th July 2026 (2:00–5:45 PM EAT) and combines interactive sessions, applied learning, and expert-led discussions across:
Makerere University School of Public Health, through its Centre for the Prevention of Trauma, Injury and Disability, contributed to the Global Status Report on Drowning Prevention 2024, the first comprehensive global assessment of drowning burden, risk factors, and country-level responses.
Published by the World Health Organisation, the report estimates that approximately 300,000 people died from drowning in 2021, with the highest burden in low- and middle-income countries, which account for 92% of deaths. The African Region records the highest mortality rate, underscoring the urgency of targeted interventions. Children and young people remain the most affected, with drowning ranking among the leading causes of death for those under 15 years.
While global drowning rates have declined by 38% since 2000, progress remains uneven and insufficient to meet broader development targets. The report highlights critical gaps in national responses, including limited multisectoral coordination, weak policy and legislative frameworks, and inadequate integration of key preventive measures such as swimming and water safety education.
It further identifies persistent data limitations, with many countries lacking detailed information on where and how drowning occurs, constraining the design of targeted interventions. At the same time, the report notes progress in selected areas, including early warning systems and community-based disaster risk management.
MakSPH’s contribution to this global evidence base reflects its role in advancing research, strengthening data systems, and supporting context-specific approaches to injury prevention. Through its Centre, the School continues to inform policy and practice, contributing to efforts to reduce drowning risks and improve population health outcomes in Uganda and similar settings.
Makerere University School of Public Health, through its Center for the Prevention of Trauma, Injury and Disability, contributed to the Global Strategy for Drowning Prevention (2025–2035): Turning the Tide on a Leading Killer, a landmark framework guiding coordinated global action to reduce drowning.
Developed through the Global Alliance for Drowning Prevention, a multi-agency platform hosted by the World Health Organization, the strategy identifies drowning as a leading yet preventable cause of death, responsible for over 300,000 deaths annually. The burden falls disproportionately on low- and middle-income countries, particularly among children and young people.
The strategy sets a global target of reducing drowning deaths by 35% by 2035 and outlines six strategic pillars, including governance, multisectoral coordination, data systems, advocacy, financing, and research. It also prioritises ten evidence-based interventions such as strengthening supervision, improving water safety and swimming skills, enhancing rescue capacity, and enforcing safety regulations.
MakSPH’s inclusion in the Global Alliance for Drowning Prevention reflects its contribution to advancing research, policy engagement, and capacity strengthening in injury prevention. Through its Centre, the School supports the generation and application of context-specific evidence, positioning itself as a key contributor to global efforts to reduce drowning and strengthen community resilience.