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Health Ministry unveils Strategic Plan to enhance Children Surgery

Health Ministry PS, Diana Atwine.

The Ministry of Health in partnership with Kids Operating Room, a global health charity, on Thursday, 16  unveiled the first ever Children Surgery National Plan, a five-year strategy  aiming at scaling up pediatric surgical services to regional referral and general hospitals as well as training of pediatric surgical workforce.

Uganda currently has eight pediatric surgeons in the whole country all who work at Mulago National Hospital and Mbarara Referral Hospital. Further, most of the Regional Referral Hospitals do not have enough workforce or adequate infrastructure to conduct surgery for children effectively.

While officiating the ceremony, Health Permanent Secretary Dr. Diana Atwine acknowledged the shortage of both human resources and equipment stating, against this background, the Ministry of Health has put significant focus on expanding access to services for pediatric surgery and developing tertiary units to manage complicated cases.

“This includes the establishment of the Entebbe Children’s Hospital, renovation and equipment of operating theatres across referral and district hospitals, establishment of the ICUs across all regional referral hospitals, training of more general surgeons and support staff among other initiatives.”

Echoing her statement, Head of Director of clinical services Dr. Charles Olaro, noted that it’s possible to build comprehensive surgical services for every child in Uganda and this strategy outlines how.

“The plan is to have a well-established network of hospitals across the country as well as adequate local expertise,” said.

He added, “From the taskforce convened, recommendation is to develop a Super Hub (Mulago National Referral Hospital,) Hubs and Spoke model whereby at least 21 pediatric surgeons and their associated teams will be trained and employed by the end of 2027.”

The Super Hub- Hubs- Spoke model will ensure that there is sharing of resources, continuous mentorship and better communication through referral networks with lower healthcare level facilities.

In this model, a Super Hub is equipped with better resources to provide specialists and super specialists care. A Hub has all the required resources to provide general pediatric surgery while receiving support from the Super Hub with the option to refer patients needing more advanced to the Super Hub hospital. Hub hospitals will in-turn support the Spoke hospitals – those district/general hospitals who do not have qualified pediatric surgical teams but who do provide surgical care for children.

Also at the occasion, chairperson and co-founder of Kids Operating Room, Gareth Wood, acknowledged the role and impact this plan is envisioned to bring:

“We are privileged to be part of this first ever pediatric surgery roadmap in Uganda. This will help more children get the right care, at the right time and in the right place, something we should all be extremely proud of. If fully implemented, it will save thousands of lives in the years to come,” Gareth said.

As outlined in the strategy, with the existing population of 21 million children in need of surgical care, it should be argued that Uganda needs 210 pediatric surgeons with their associated anesthetists and wider teams. This is informed by international standards that recommend 1 pediatric surgeon per 100,000 children. If successful, this model ought to prevent inappropriate referrals and keep as much care close to home as is safely possible.

The strategy will complement other ongoing efforts to specifically include the needs of children in the wider health agenda in Uganda.

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 CCFU urges Gov’t to pass the Museums and Monuments Bill, 2022

The Cross Cultural Foundation of Uganda (CCFU) an organization that champions the promotion and preservation of culture has urged the government to expedite the passing of the Museums and Monuments Bill, 2022 which will go a long way on protecting heritage and cultural sites and museums in the country.

The call was made by the CCFU Executive Director, Barbra Babweteera Mutambi during the launch of the 5th Annual National Heritage Awards 2023 in Kampala.

The Uganda National Culture Policy reviewed in 2019, Policy objective 5.1, aims ‘To promote respect for the diversity of cultural expressions and raise awareness of its value at the local, regional and international level’.

Clause 19 Article 2 of the Museums and Monuments Act 2022 stipulates that ‘a relevant actor including civil society, media, private sector and academia may promote or advocate, for the protection of heritage resources.

This Bill was passed into law by Parliament but the President referred it back to Parliament to reconsider the listed heritage sites in the second schedule of the proposed law for ‘economically’ viable sites listed.

Babweteera noted that in the abuse of the law, a number of museums, cultural sites, historical buildings will continue to vanish in the name of modernity and development.

“It’s our humble appeal that Parliament quickly handles the changes that have so far been made to the listed heritage sites and send the bill back to the President for assent,” Babweteera said.

The CCFU boss noted that despite several engagements and promises from the leadership of Kampala Capital City Authority (KCCA) for an ordinance to protect historical buildings and sites, this has not been done 5 years down the road.

“If the Bill is passed, it will provide for protection of built heritage in Kampala which is being destroyed or planned to be destroyed, for example the Watoto Church management that plans to demolish the historical structure formerly known as Norman Cinema, to put up a ‘modern’ structure,” Babweteera said.

She noted that despite the challenges faced, efforts to promote and protect cultural heritage, whether by individuals, families, organisations or communities, are slowly but steadily growing.

“The growing numbers of community museums, artistic productions, ethnic cultural galas, innovative ways of transmitting cultural values, cultural centres and cultural troupes attest to; however, these passionate efforts are however often hampered by the lack of support and remain isolated endeavours, unrecognised and unpublicized,” She added.

Jackline Nyiracyiza Besigye, the Ag. Commissioner Museums and Monument in the Ministry of Tourism and WildLife Antiquities, commended CCFU for championing the promotion of heritage, committing to continue working with the organization to the similar agenda.

“It’s important to protect our heritage sites, we have rich heritage that needs to be safe guarded. Yes we have laws in place and we need more laws but we need each one of us to act and save our culture, let’s cooperate and empower our communities to preserve the priceless heritage sites in the country,” Nyiracyiza said.

Speaking about the awards, CCFU ED noted that these will be held on Wednesday, 24th May, 2023 in Kampala as part of the activities to commemorate the World Culture Day, an international day that celebrates Cultural Diversity for Dialogue and Development.

“The main objective of the Heritage Awards is to raise awareness about the importance of safeguarding our nation’s cultural heritage for future generations to access, enjoy and express. These awards are held every 2 years and individuals, institutions or groups of people that have consistently contributed to the safeguarding of Uganda’s heritage are appreciated,” Babweteera said.

She has appealed to the general public to submit nominations of an individual, family or institution that has preserved Uganda’s cultural heritage.

The heritage could be a historical site, a historical building, indigenous knowledge, practice, skill or tradition.

Nominations should be dropped at CCFU offices, the Department of Culture and Family Affairs at the Ministry of Gender, Labor and Social Development and at the Uganda Museum; or nominated online.

6 awards will be presented to the successful nominees during the Awarding Ceremony. A special Heritage Press Grant has also been prepared. Journalists should submit evidence of their previous work regarding heritage promotion and a brief for a proposed project.

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Earthquake: Turkey repatriates Babirye’s body

The body of Florence Babirye, a Ugandan who died in an earthquake which occurred in southern Turkey has been repatriated.

The body was seen off by Nusura Tiperu, the Ambassador of Uganda to Turkey at Istanbul Airport. More than 36,000 people were killed and tens of thousands injured.

Babirye, whose details about what she was doing in Turkey have not been established, was a resident of Lwengo.

On Feb. 6, a magnitude 7.8 earthquake occurred in southern Turkey near the northern border of Syria. This quake was followed approximately nine hours later by a magnitude 7.5 earthquake located around 59 miles (95 kilometers) to the southwest.

The earthquake was the most devastating to hit earthquake-prone Turkey in more than 20 years and was as strong as one in 1939, the most powerful recorded there.

The initial earthquake was centered near Gaziantep in south-central Turkey, home to thousands of Syrian refugees and the many humanitarian aid organizations also based there. Governments around the world were quick to respond to requests for international assistance, deploying rescue teams and offering aid.

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Champions League draw: Intrigue as Real Madrid face Chelsea

The 2022/23 UEFA Champions League quarter-final and semi-final draws have been made, throwing up plenty of intrigue.

Josep Guardiola’s Manchester City take on the Spaniard’s former employers Bayern, while holders Real Madrid face Chelsea – one of five of Carlo Ancelotti’s ex-sides in the draw. The winners of those ties meet in the semi-finals.

The other half of the draw also has a distinctly Italian accent, with seven-time European champions AC Milan taking on runaway Serie A leaders Napoli. Whoever emerges from that tie could then meet Inter provided the Nerazzurri get past Benfica in the last eight.

Quarter-finals

First legs: 11/12 April

Real Madrid vs Chelsea

Benfica vs Inter

Man City vs Bayern

Milan vs Napoli

Second legs: 18/19 April

Chelsea vs Real Madrid

Inter vs Benfica

Bayern vs Man City

Napoli vs Milan

Semi-finals: 9/10 & 16/17 May

Milan / Napoli vs Benfica / Inter

Real Madrid / Chelsea vs Man City / Bayern

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Burundi declares outbreak of circulating poliovirus type 2

Burundi has declared an outbreak of circulating poliovirus type 2 (CVDPV 2) after confirming eight polioviruses, the first such detection in more than three decades.

The cases were confirmed in a four-year-old child in Isale district in western Burundi who had not received any polio vaccination, as well as in two other children who were contacts of the four-year-old boy. Additionally, five samples from environmental surveillance of wastewater confirmed the presence of the circulating poliovirus type 2.

“The detection of the circulating poliovirus type 2 shows the effectiveness of the country’s disease surveillance. Polio is highly infectious and timely action is critical in protecting children through effective vaccination,” said Dr Matshidiso Moeti, World Health Organization (WHO) Regional Director for Africa. “We are supporting the national efforts to ramp up polio vaccination to ensure that no child is missed and faces no risk of polio’s debilitating impact.”

The Burundian government—which has declared the detection of the virus a national public health emergency—plans to implement a vaccination campaign to combat polio in the coming weeks, aiming at protecting all eligible children (aged 0‒7 years old) against the virus.

The health authorities, with support from WHO and the Global Polio Eradication Initiative (GPEI) partners, have also embarked on further epidemiological investigations, including risk assessments to determine the extent of the outbreak. Burundi is further bolstering polio surveillance, with WHO experts in the field supporting additional sample collection as well as assessing the possibility of opening of new environmental surveillance sites for early detection of silently circulating poliovirus.

Circulating poliovirus type 2 is the most prevalent form of polio in Africa and outbreaks of this type of poliovirus are the highest reported in the region, with more than 400 cases reported in 14 countries in 2022. Circulating poliovirus type 2 infection can occur when the weakened strain of the virus contained in the oral polio vaccine circulates among under-immunized populations for long periods.

Acute flaccid paralysis is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. There are many infectious and non-infectious causes of acute flaccid paralysis. Polio is one cause of acute flaccid paralysis. Its early detection is critical in containing a potential outbreak.

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Court commits American couple for trial

Mackenzie Leigh Mathias Spencer and Nicholas Spencer.

Buganda Road Grade One Magistrate has committed the American couple, Mackenzie Leigh Mathias Spencer and Nicholas Spencer to High court for trial.


The couple is facing for charges of aggravated trafficking in children, torture of a 10-year-old boy, unlawful stay, and working without a permit.


Through their lawyers led by David Mpanga from AF Mpanga Advocates, the couple applied for bail pending hearing of their case.
The couple claimed that they have pre-existing medical conditions that require to be handled outside prison, not a threat to any investigation, offences against them are bailable and still enjoy the presumption of innocence.


However High Court judge Isaac Muwata set March 22, 2023 as the date to determine their bail application.


Prosecution avers that Spencer aged 32 and his wife Mackenzie, a 32-year-old, volunteer, fostered three children, including Kayima John, in 2018, from Welcome Ministry, in Jinja City.
The couple has been on remand for mistreating a 10-year-old child, who was one of the children in their care. According to the amended plaint or charge sheet, the couple reportedly adopted a 10-year-old boy, whom they then mistreated on grounds that he was obstinate.


The suspects came to Uganda in 2017 and started working with Akola Project, based in Jinja. The couple joined the Motive Creation Agency and moved with their children to Upper Naguru, where they have been staying together.
It was however, realised that between the year 2020 and December 2022, the couple constantly tortured  Kayima John, a 10-year-old pupil of Dawn Children’s Center in Ntinda, which attracted the attention of neighbours.


The couple kept the victim barefoot, and naked throughout the day, would occasionally make him squat in an awkward position, with his head facing the floor and hands spread out widely, he spent his nights on a wooden platform, without a mattress or beddings and was served cold meals from the fridge.


The suspects came to Uganda in 2017, where Nicholas started working with AKOLA Project based in Jinja. In 2018, they fostered 3 children including the victim from Welcome Ministry – Jinja. They moved to Kampala when they joined Motive Creation Agency, with their three children.

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BoU clarifies on legal tender with Mutebile’s signature

The Late BoU Governor Emmanuel Tumusiime-Mutebile

Bank of Uganda (BoU) has clarified that the banknotes bearing the signature of the former Governor Emmanuel Tumusiime-Mutebile are still genuine although there are other notes with the new signature from the Deputy Governor Dr. Michael Atingi-Ego.


“In performing its role as the Issuer of the national currency, Bank of Uganda (BoU) periodically prints and re-prints Uganda Shilling banknotes to meet the country’s cash requirements. All Uganda Shilling banknotes issued by BoU bear the signatures of the Governor and the Bank Secretary,” the Central Bank said.


“In the absence of the Governor, the Deputy Governor may sign in his or her place. The public is hereby advised that BoU has issued into circulation banknotes, in the various denominations, that bear the signature of the Deputy Governor Mr. Michael Atingi-Ego and the year of print-2022. This does not in any way affect the legal status of banknotes in circulation that bear the late Governor Mutebile’s signature which are associated with the earlier years of print,” BoU said.


BoU said these banknotes will continue to be issued in circulation alongside those bearing the signature of the Deputy Governor.
“The public is therefore advised to continue using all the banknotes in circulation to make and/or receive payments. The BoU is committed to maintaining the integrity of Uganda’s currency notes and coins,” it added.

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Museveni tells off Europeans on homosexuals

President Museveni

President Yoweri Museveni has told off the Western countries to stop what he called imposing their culture on Africa.

Museveni who was addressing Uganda’s parliament on Thursday said the ” Europeans should stop wasting time”promoting gays’ actvities in Africa.

“The homosexuals are deviations from normal. We need medical experts to explain the deviant otherwise Europeans should stop wasting their time enforcing their culture on Africans. Europeans marry their cousins and other relatives but here we don’t,” he said.
He said sex  in African culture “sex confidential. Even heterosexuals do it confidentially. How do we come to know that you are a homosexual unless you publicise it?” he asked.

Human and gay rights activits have condemned the Uganda parliament which has retabled the anti-gay bill  which seeks to criminalise same-sex relationships.

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Museveni directs State House comptroller to compensate Kasaka SS car accident victims

President Yoweri Museveni has directed the State House comptroller Jane Barekye to give Shs 5 million to the families of each of the students who died in Kasaka Secondary School accident.

Museveni said while addressing parliament on matters of National Importance.  He also ordered that all the victims of the accident be given Shs 1 million to cater for medical bills.

The accident which claimed five lives March 14, 2023. It is alleged that the Sino truck driver lost control and rammed into Kasaka Senior Secondary school fence, proceeded through to the  school computer Lab that was occupied by  students, killing three  students on spot and injuring another 18.

Faridah Nampiima, the spokesperson of traffic and road safety department at Uganda police said the  deceased students have been identified as Evelyn Namagembe a student of form five, Bosco Mawanda of S2, and Hilda Asege of form four.

 “We have arrested the truck driver, one Wanume Abudala, a 26 year old,” she said.

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Bujagali Power Company to refund Shs1.2 trillion to Uganda for overpaid fees

Bujagali Energy Limited (BEL) will refund $342 million (about Shs1.2 trillion) to the Ugandan government for overpaid fees subject to a forensic audit by the Attorney General.

This revelation comes after Parliament chaired by Speaker Anita Among on Wednesday, March 15,2023 adopted the report of the Adhoc committee on Bujagali.

The decision was made after a decade-long overpayment issue that resulted from incorrect calculations made during billing.

In 2007, the government entered into a shareholders agreement related to the operation of Bujagali Energy Limited with Bujagali Holding Power Company Limited, SG Bujagali Holdings Limited and Bujagali Energy Limited.

The project’s total equity was US$199 million.

In May 2022, Parliament stayed the extension of a five year Corporate Income Tax (CIT) waiver and instead granted one year pending an investigation by the Ad-hoc Committee.

Presenting the report of the Adhoc committee, the Chairperson, Dickson Kateshumbwa said that the total payment to BEL between 2012 and 2022 should have been US$329 million but instead the government paid US$671 million resulting in an excess payment of US$342 million.

The committee also recommended recovery of all taxes that were not paid by Bujagali before the exemption amounting to US$63 million during the first five years of development of the project.

The committee also tasked the Inspectorate of Government (IGGI) to take interest in inquiring into the operations of the Electricity Regulatory Authority in the amortization of the return on equity of Bujagali Energy Limited to establish culpable officers of ERA who amortized a wrong return of equity for BEL with a view of prosecution.

“Therefore, the committee strongly calls upon Parliament to compel the government to renegotiate with Bujagali Energy Limited, the terms in the Power Purchase Agreements, before deciding to extend the tax waiver. This is in addition to recovery of all excess payments and application of proper figures in the calculation capacity payments going forward,” he said.

He also called on the IGG to investigate the US$5 million expensed through Uganda Electricity Transmission Company Limited (UETCL) to ascertain how, where and whether the money was spent. Additionally, the committee called for the Auditor General to audit the application of US$15 million expensed to UETCL, while the Ministry of Finance has also been called to account for US$2.83 million.

The committee also recommended that BEL refunds the wrongly claimed insurance costs with interest.

Kateshumbwa said that even with the government intervention of the tax waiver on BEL operations and the refinancing of the Bujagali hydropower project, the current Bujagali tariff is US cents 8.30 per kwh which is still over and above the government target of US cents 5 per kWh.

“Therefore, the consideration of an extension of CIT waiver should only be made after the refund of excess payments by BEL and completion of renegotiation,” Kateshumbwa said.

The Attorney General, Hon. Kiryowa Kiwanuka said the government will receive the report and act on it.

He requested for three months to update to the House on renegotiating the contract and working on the issues raised by the committee.

Kaberamaido County Member of Parliament, Alfred Edakasi said the government should review the policy on tax waivers.

“When we went to benchmark in Zambia, we noted that tax holidays and waivers did not necessarily benefit that country. I would like to propose that the government review this policy of tax waivers,” he said.

Kimanya-Kabonera Division MP, Abed Bwanika proposed that Parliament should urge the government to review the project as this could allow it to renegotiate or terminate. 

His proposal was adopted by the House.

The Speaker of Parliament Anita Among tasked the Auditor General to carry out a forensic audit on Bujagali and have a report presented within two months.

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