Wednesday, 22 November 2017

FARE THEE WELL REVEREND BROTHER ANTHONY JOSEPH KYEMWA 87, THE 1st AFRICAN HEADMASTER OF St. MARY’S COLLEGE KISUBI (1969 – 1980)




Brother Kyemwa in the middle with his teachers.




Brother Anthony Joseph Kyemwa was first African Headmaster of St. Mary’s College from 1969 to 1980.  He was born in 1930 had Primary Education at Busubizi from 1939-1945.  He went to Kisubi Junior and Senior Secondary School (now St. Mary’s College Kisubi) and was in Lourdel House.  Joined Mt. St. Theresa to train as a Brother 1952-1954.  Later went to Makerere University 1954-1959 offering Fine Art.  Was posted to St. Leo’s College Kyegobe in Fort Portal, later joining St. Mary’s College as a teacher in 1961.




In 1965 he left for a second Novitiate to Britain, later went to USA where he studied at the University of Notre Dame for a Masters degree in School Administration.





Brother Kyemwa on Graduating with a Masters Degree
 


Brother Kyemwa was successor to Brother David Denicourt.  He took office heading 90% expatriate staff with a challenge to uphold the school standards and also improve on it.  By the time he left office, the staff was 99% indigenous.
Brother Kyemwa initially continued with the expansion of the school inherited from his predecessors to 5 streams initially, and he accordingly went to expand accommodation.  He built some pre-fabricated classrooms and also improved and enlarged dormitories and toilets.  With the departure of the expatriates during the early 1970’s, the number of White lay teachers and White Brothers dwindled and there was need to recruit more lay African teachers, who soon out numbered the Brothers on the staff, thus the rush to put up new as well as expansion of the staff quarters.  However, after 1973, the intake was cut down to a total of 120 students on admission to senior one.


Brother Anthony Joseph Kyemwa was appointed first African Headmaster of St. Mary’s College Kisubi, ending the 43-year era of the White Brothers. He was Headmaster for 11 years he officially handed over office to Brother (Dr) Kafeero in 1982 after a three years’ leave abroad.
Brother Kyemwa’s administration wanted to change the approach to Education at St. Mary’s College, so he sent out teachers to other schools to collect information in respect of school administration; school programmes; teachers conditions; school activities and organization.  The information got was compiled and comparisons made with what was being done at St. Mary’s then, hence a new approach leading to the changing of the expatriates’ approach hence the re-birth of St. Mary’s College Kisubi.

“St. Mary’s College, was founded to assist parents and students in a common task.  This is the task of seeing to it that each student is provided with the opportunity to grow into the best possible man for, it is believed, every student in the school is a potential grown-up who will eventually take up a honourable place in a community of men,” Brother Kyemwa.
 
   

Dr.Onegi Obel



The Eagle Magazine Team Interviewed Dr. Geofrey Onegi Obel (Old Boy of SMACK) and below is the Excerpt:
The Eagle: What do you remember most about SMACK?
Geofrey Onegi Obel: When I think about SMACK, the first thing that comes to my mind is Brother Anthony Kyemwa.
The Eagle: Why?
Geofrey Onegi Obel: He was kind of role model to us, a very strong figure, parental and also very nice as long as you did not cross his way.

 The Statue of the Virgin Mary in the Dormitory Area







Brother Anthony Kyemwa is personally the Architect of the Artwork of a Life – Size Statue of the Virgin Mary (Our Lady Of Kisubi) located in the middle of the Dormitory Quadrangle. He put up this Artwork when he was still a student of Fine Art at Makerere University.  It is a symbol of spiritual nourishment of SMACK.
 



President Obote RIP Visited SMACK in 1969
 





 Prefects greet President Obote



Late President Obote visited the school on March 15, 1969. The Current Affairs Club of the school invited him. He delivered a very animating speech to the school community in the Assembly Hall on “The current political trend in Uganda”.
Speaking on the issue of integration, Obote firmly told his audience that the integration, which at times was called nation building, could not be willed.  “I, as President of Uganda, you as youths of Uganda, our fathers or any other person in Uganda cannot do just as God did in the creation of the earth.  It is not within our power as human beings to say “Let there be integration” and to hope or expect that we shall have integration tomorrow morning.  We have to work consciously towards integration and perhaps the most encouraging element in this conscious effort to build one Uganda is what I have already referred to, namely, the positive response of our youth in supporting this policy.”
Obote went to explain: “I do not think it necessary that I should discuss with you why this trend in the affairs of Uganda should be encouraged.  It is this.  Before the coming of the British, the world of our grandfathers ended with the tribal boundaries. 
It would be a disservice to our youth if they were to grow in the twentieth century or in the centuries to come, in the world of our grandfathers.  To you, your vision is greater than what our grandfathers had and your area of operation must be in Uganda as a whole and not just some corner of this beautiful land.  It is easy to formulate this type of policy, the policy of integration, the policy of building one Uganda, but it is another thing to define what must be done and be able to do it.
There is still tremendous prejudice in our country.  There is considerable ignorance of how people in different parts of Uganda live.  Here again it is just not possible to will away prejudices, but we must work consciously to remove them.  We must show by example that we mean to build one Uganda.  You might have heard in the past of prejudices of various types.  Some cover religion; some cover what this or that tribe eats or do.  These matters can end if only we have the determination to remove them from our society and one way of removing them is to show by example that all those who believe in the unity of Uganda, all those who want to accept the people of Uganda of every description, must discourage the others who still live in the past and must themselves bring forth examples that will, for instance, make it absolutely clear that a Catholic is as good as a Protestant, and that a Muslim is as much a human being as a Christian.  We must encourage the people of Uganda, particularly the young, to mix freely with their compatriots from all areas of Uganda.”


Idi Amin Visited St. Mary’s College in 1970
 


 Amin at SMACK


Idi Amin as Commander and Chief of Defence Staff (Uganda Armed Forces) visited the school.  He came with his officers for two reasons:

To offer condolences for the 12 boys who had lost their lives in a road accident involving an army lorry and the school truck.

To interest the students to join the National Army as Officer Cadets.

When Idi Amin was taken around, he saw mounted skeletons in the Biology Laboratory.  He made an offer of bones of a Tiger for mounting.  Mr Sebastian Nsubuga says that, “the dead Tiger’s carcass was brought to him.  He removed some of the flesh and put the remains in water to facilitate the rotting.  Thereafter, the remaining flesh got off easily, them he used glue to stick the bones together and them the skeleton was put in the current infrastructure.”
 


The Tiger bones donated by Amin

It is alleged that the Tiger killed a warden by the name of Matovu at Entebbe Zoo (Uganda Wildlife Education Centre) as he gave it food.  It is then that the animal was shot, and eventually the bones donated by Idi Amin to SMACK.



The Vice – President of Uganda, Late John Babiha, a former Old Boy of SMACK visited the school in 1970. He was offering the school animals so as to get started on Agriculture, but the school declined the offer, as it was not ready.


 Brother Kyemwa with a former Head prefect at SMACK who is a Medical Doctor

 


The developments during Brother Kyemwa’s time included:






 As the White Brothers got phased out slowly, there was a challenge to build staff houses for the non – Brother Teachers, hence the construction of the staff quarters found along SMACK Road.  These were strategically located at the school land borders.  In addition, he expanded, those houses, which existed from accommodating 2 teachers to four, by adding two extensions on each structure.

1.      He bought a bus for the school in replacement of the Lorry, which had been involved in an accident in 1964.  This innovation excited students very much.
2.      A modern Electrically Operated Kitchen was built to replace the firewood one.
3.      More Classrooms were built (the two blocks behind the Main Administration Block), the Agriculture block, the Bursar’s block and the 2nd HSc dormitory (near Mugwanya and Kiwanuka Dormitories).
4.      A Parlour for the students was built (currently it is the school canteen).


6.      A cement/concrete basketball court at the western end of the main athletic field was made, it was offered by an American Peace Corp Teacher’s family.
7.      The school uniform was re-established consisting of a white shirt and Grey trousers supplied at the school.  Sports uniforms were also supplied according to house colours and badges.  Navy blue shorts with golden lining on either side were added for all students.
8.      House Masters slept in their houses using the central dormitory cubicles between the two wings of each dormitory.  These lived closer to the members of their houses as a family.
9.      Every Wednesday, sick students would be accompanied by the school nurse in the school bus to Entebbe Hospital where they would be treated free of charge.
10.  Interschool dances Sosh were normally held during daytime to avoid traveling at night due to rampant acts of insecurity during the 1970’s.
1.  A second Water tank was put up.


 
Assumed right of way


A personal account by Brother Anthony Kyemwa of one of the challenges he had as Headmaster during the Late President Idi Amin’s time.
One morning in the 1970’s, a soldier in Army Uniform came to the Headmaster’s Office at St. Mary’s College.  He wanted to force me to bring back a student whom I had sent home indefinitely because of gross misconduct pending the next Board of Governors meeting.  He made his way past a number of students waiting at the Headmaster’s Office and closed the door behind him.
He then inquired from me about the boy in question whom he said was at his residence at Entebbe Military Barracks.  He wanted him back into the school immediately.  I asked if he was the parent or a relative of the boy.  He retorted saying that he had come from the Intelligence Military Wing.  I told him that he had taken a wrong procedure.  He would have to go through his Commander to the Permanent Secretary, Ministry of Defence who would, in turn, talk to the Permanent Secretary, Ministry of Education, down to the proper officer who would finally contact me about the matter at hand.
He told me that the Intelligence Military men had “right of way” to anyone in the country!  He followed his statement by picking up the telephone to speak to his officers.  I was quick to ask him whether or not he would foot the bill of the call, because all school expenses had to be accounted for.  Without answering my inquiry, he went ahead and pretended to be talking to somebody at the other end.  I asked him for his identity card and he handed me one from the pocket of his trousers.  I read his name and the number of the card.  The moment I started writing down the information, he snatched it away from me.  I thought that was a weakness on his part.  He told me as he went out that Johnny must be back in school the following day!
I quickly wrote down his name and number of the identity card he had just shown me and called up the officer concerned at the Ministry of Education to inform him about the incident.  He blamed me for letting the Military man into my office to which I answered that he had forced himself into my office.
He asked me if I had taken down any information about him and I gave him the above information.  I also described his hands, which bore white scars like somebody burnt by fire or acid. 
After several weeks, the soldier was brought to my office; his wrists cuffed and between two military men and an officer who had led them.  The officer asked the would-be prisoner to repeat what he had ordered me to do about the student I had sent home.  The victim did not give any answer; instead he bent his head and looked at the floor. The officer apologized for the intrusion of the soldier in school matters, and the group walked out.





The Eagle Magazine team of 2004 Interviewed Dr. Simon Kagugube and below is an Excerpt.





Dr Simon Kagugube was at St. Mary’s College from 1970 to 1975
The Eagle: Any negative memories of SMACK?
Dr Simon Kagugube: No negative memories, none at all.  A few difficult times maybe.  For me it was very good.  I don’t have anything to regret.  I have been to America for 6 years, Yale…all over;

Kisubi is the best place I have lived in period.    There are no serious worries when in SMACK.  No negative memories, tough moment’s maybe.  When I was House Prefect for Kiwanuka there was a near strike.  That was one of the most challenging moments in SMACK, not negative.  We were new prefects and there was a near strike in the school.  And remember these were Amin’s days they could bring Military Police!  As leaders we had to balance the pressure of the students and the administration.  So, we collected all the students, had them sit in the middle of the school buildings that is (Administration block, the Chapel, Chemistry Laboratory and HSc Block), we then asked them to write down all their grievances.  I was assigned the role of writing out these grievances because of my good English Language.  I sat in Cubicle A (HSc Building) and for the bigger part of the night I was writing.  And, remember Brother Anthony Kyemwa (the Headmaster) was the type whose No! was a NO!  Nonetheless, we had very good working relationship with him.  There was respect for each other.  I wrote out the students’ complaints and gave students to reproduce (I still have the original copy in my papers).  I read it out to the students; that is before the entire school.  We had to control the crowd… charisma, and I felt like a real politician.  Brother Kyemwa insisted on reading it to the members of staff himself.  The staff members came out asking why we were so hard.  However, I am very proud of that effort.
The Eagle: Any role SMACK has played in your life?
Dr. Kagugube: My whole life in SMACK; right from S1 one is called a gentlemen.  That makes you feel that you are somebody.  It builds self-confidence; mine has never suffered.  You never feel like anybody is better than you.  You interact with very many people from all over.  Education was fantastic, went to Makerere and was one of the best, excelled at Yale University for my Masters, went on for my Ph.D.  I am able to fit anywhere because of such an education…
The Eagle: How would you compare yourself with say people from Buddo?
Dr. Kagugube: SMACK is the best.





Asked about what led St. Mary’s College Kisubi to be at the height of glory and fame it enjoys as far as academics is concerned, Brother Kyemwa said, “ In my opinion, the aspirations of the students and staff led to the rise of the school.  There was a strong spirit of competitiveness with other leading schools; that is Kings College Buddo, Mt. St. Mary’s Namagunga, Namilyango to mention but a few.”

 




Brother Kyemwa’s message to the SMACK community if they are to maintain the established tradition of excellence is: “Discipline should be emphasized because it is with discipline that one can concentrate on one’s work.  There should also be a strong school spirit among the students because this unites them in all aspects.”  “When I meet former students of St. Mary’s College Kisubi, they always thank me for having emphasized discipline.”


 The vehicle Brother Kyemwa used most of the time when he was Headmaster
 





































































































































































































































































































































































































































































Saturday, 11 November 2017

DR. LAWRENCE KAGGWA NAKAANA WILL GREATLY BE MISSED



The passing on of Dr. Lawrence Kaggwa Nakaana is sad. The Doctor was at St. Mary’s College Kisubi for his HSC from 1967 to 1968.  He then joined Makerere Medical School where he graduated in 1974.

Dr. Kaggwa passed on Friday morning, 10th November at 9.25am at Uganda Heart Institute – Mulago where he was admitted on 16th October over heart related complications. The Doctor was among the visiting Doctors who would call at the Sick Bay at the school.  We thank God so much for his roles as an Old Boy.
The Doctor has been a retired Senior Consultant Surgeon.  He was Executive Director of Mulago Referral Hospital from 1993 to 2005. He practiced surgery at Makerere University Medical School for a long time.  

 
Dr. Lawrence Kaggwa’s last communication to me was on September 2, 2017
Thank you for the brilliant updates on the developments of St Mary's.
Lawrence Kaggwa.

WHEN I COMMUNICATED AN APPEAL TO US BY BRO. AGANYIRA DEODATI HEAD TEACHER SMACK FOR CONTRIBUTIONS TO CONSTRUCT A SHS 2.9BN HSC BLOCK July 27, 2017

Doctor Kaggwa communicated as below:  
“The initiative is welcome but the methods and processes have not been spelt out.  We promise to participate when the project proposal comes out with clear
Architectural drawings, rooms and Bills of Quantity”.
Lawrence Kaggwa.

On July 29, the communication was as below:
Thank you so much for the drawings which now bring about the picture better.
I have not counted the rooms but I hope they have catered for lecture rooms.
I also expect that this planning fits into the Master Plan of St Mary's College,” Lawrence Kaggwa.

  
DR. LAWRENCE KAGGWA’S RESPONSES ON DIFFERENT DEVELOPMENTS TO DO WITH SMACK COMMUNITY MEMBERS

SMACK OB DR. ALEX COUTINHO IS WINNER OF THE PRESTIGIOUS 2nd HIDEYO NOGUCHI AFRICA PRIZE
3rd April 2013
While this prestigious award is principally for the alma mater, it definitely gos to Alex Coutinho for unlocking his inherent qualities of passion, commitment, empathy and sense of purpose to mix with his brilliance leading to a high level of competencies that have seen him register this rare achievement. I wish to sincerely congratulate him on the outstanding milestone in his life. This is like putting one's foot on the moon or Mars! May the name of St Mary's continue to shine and the products to remain the beacons of development in the region and globally. Thank you for making us so proud and May the Lord lead you to yet loftier heights.
Dr Lawrence Kaggwa, Senior Consultant Surgeon and Consultant in Health Systems

FOLLOWING DEATH OF MPOZA DAVID
“It is a shock the untimely death of a brilliant and philanthropic Financial Manager! May his soul rest in eternal peace.”
Lawrence kaggwa.

When death claimed a Senior Doctor, Brig (Dr) Samuel Lwanga

“ It is quite sad the loss of this young Brigadier ! He was an accomplished surgeon who quickly rose through the military ranks albeit being a medical Professional.
The last I saw of him was about two years ago when he was exchanging marriage vows at Namirembe Cathedral. He was soft-spoken, dutiful, conscientious and target-driven. The country has lost a proficient professional and leader at that young age. May his soul res in eternal peace and may the Lord support his young family and widow through this difficult time and future in growth and development”.
Dr Lawrence Kaggwa. 
  



What Dr. Alex Coutihno said about Dr. Lawrence Kaggwa


"We mourn Dr. Lawrence Kaggwa. He was my teacher in Surgery and my mentor in life. He taught me how to lead with humility and he was instrumental in encouraging me to come back to Uganda in 2001 to serve my people. A man of the people always, Dr. Lawrence will be remembered by all walks of life. It was an honour for our lives to intersect.," Dr Alex Coutihno.

UGANDANS AND THEIR GOVERNMENT NEED TO SERIOUSLY CONSIDER THE HEALTH INSURANCE SCHEME AS PRIORITY

Dr. Lawrence Kaggwa on the National Health Insurance
Background:
Today medical expenses for elucidative procedures, sophisticated surgeries, cancer and other treatment protocols are extremely high, and to pay for them entirely out- of- pocket has been found to be catastrophic to the families and individuals. Many families have lost plots of land, houses and other important assets to fund medical treatment, and benefactors have equally suffered in the process. The MRI costs SHS 850,000 per area visualized; medium surgery SHS 4.000,000 and cancer treatment is in the region of SHS 40,000,000-80,000,000. Admission for a week in a Private Hospital may cost SHS 7,000,000 for medical treatment.
Those on kidney dialysis may incur SHS 1,000,000 weekly during the period they are looking for kidney transplants (what if this is to be 5 years?).
In Britain, the National Insurance Act 1911, marked the first steps towards national health insurance, covering most employed persons and their financial dependents and all persons who had been continuous contributors to the scheme for at least five years whether they were working or not.
Elsewhere it did not become important for most people until advances in modern technology produced many expensive procedures and drugs required for efficient and effective cure of injury and disease.
Health insurance is a type of insurance that covers costs incurred for unexpected medical expenses. By estimating the overall risk of health care expenses among a targeted group, an insurer develops a routine finance structure, such as a monthly premium, to ensure that money is available whenever need arises to pay for the health care benefits specified in the insurance agreement. While the benefit is administered by a central organization such as a government agency, private business, or not-for-profit entity, the insurance health providers have to be accredited after complying with the documented quality standards.
Historical background of Health Insurance in Uganda:
In Uganda, health insurance was traditionally seen in the non-monetary scheme of Engozi of Kabale, Munno mu Kabi of Buganda (but which required consideration of backward/upstream integration) and other forms of social support extended to the sick relatives and neighbours as deemed most suitable for each tribe and region.
These approaches are still encouraged to grow and partly convert into monetary systems to meet the hospital expenses.
For over 15 years, the Ministry of Health started exploring possibilities of alternative funding mechanisms as the national budget remained small in the midst of a sea of competing national priorities. So the tax base then and now has failed to fully fund health care. There has been consistent failure, for it is only 8.5-9.5% of the National budget instead of the 15% of the Abuja declaration many years ago.
Ten years ago Harvard University was contracted to design the Social Health Insurance scheme, around which further consultations were made with other Academic Institutions in Belgium and elsewhere. Key partners like WHO, World Bank, ILO and GTZ were consulted.
Countries with the young health insurance schemes (about 10 years), such as Tanzania, Rwanda, Ghana, Nigeria, Kenya, Burundi; those with about 50 years like Thailand, South Korea and India and those with over 100 years like Germany and Belgium were visited to compare experiences. At the moment the Draft Bill, prepared by the National Task Force and Inter ministerial Committee, is ready for enactment by Parliament.
Nature of the Uganda National Health Insurance:
The National Health Insurance Scheme will be an umbrella organization accommodating all sectors in Uganda- the public, private and communities in the form of: 1. Social Health Insurance, 2. Community Health Insurance (like Kisiizi, Kitovu, Bushenyi), 3. Private Health Insurance (like ICEA and SANLAM) and 4. Third Party Health Administrators (to link up individuals and organizations to health services). Thus the doors are open for the private sector to freely join the social scheme and the Private Insurance for products such as evacuation that may not easily be provided by the National Scheme.
Preparation has taken into account the economic and actuarial analysis; provider accreditation and quality (public, private and PNFP); quantity, complexity and scope of health services to be provided at the beginning and nascent phase; the legal and regulatory aspects by the Insurance Regulatory Authority of Uganda (IRAU); and the administrative structure of NHIS. This has been largely supported by the wide plethora of consultations with key stakeholders and technical experts.
i Management of the scheme:
The scheme is to be a body corporate with perpetual succession, with powers to sue or be sued, governed by a Board of Directors and responsible for the development, management and coordination of health insurance activities in the country, now and in the future. The Managing Director and the NHIS team will be carrying out planning and managerial functions through a widely spread out National and Sub-National Coordinating Mechanism, which will be charged, inter alia, with collecting, depositing and investing premiums. They will also negotiate and enter into contracts with the accredited health care providers about the scope of health services and payment mechanisms- capitation or after-service payment. Some of the departments will include the financial, legal, accreditation and quality, health care packages and verification.
The Board of Directors is to be made up of 11 members - from Government, workers’ organizations, employers, accredited health providers, community insurance scheme, the Private health insurance scheme and the Chairperson. They will be responsible for overall governance, direction, development and growth of NHIS.
ii. Health care package:
The package has inclusions and exclusions, the relationship of which will change as the scheme matures with more reserves and better control of moral hazard. Initially the inclusions will be all outpatient services, most inpatient services, drugs (generic rather than brands), maternal deliveries and neonatal care, preventive services, referrals and moderate surgeries and early cancers. Exclusions are plastic surgery for beauty and not reconstruction; dentures, eye glasses, accidents following high risk sports like motor rallying, organ transplant etc.
Health service will be provided by accredited providers (public, private and PNFPs), selected on the basis of quality, nature of service, clinic or hospital and showing compliance with the agreed rates per medical condition and intervention. The selection of theses providers will be jointly done by the policy holder, the employer and the Insurance. Identification of the policy holders and their beneficiaries at the time of accessing the service at the clinic or hospital will be done by special identity cards and later on electronic SMART cards, to be utilized in all parts of the country where the policy holder happens to be at the time of the illness episode.
iii .Financing and financial management:
Actuarial analysis recommended the formal public employee to contribute 4% of the salary on which the employer adds 4% to make it 8% per month. The risk is pooled together irrespective of the pre-recruitment health status; and the fact that not everyone falls sick at the same time, this fund will be able to provide health care to 4 other members of the family of the policy holder. The formal private sector will be persuaded to join but those who prefer the Private Insurance will be free to do so. With time, the informal sector, after developing some reliable and predictable fund management structure and books of accounts, will be recruited to increase the volumes of subscribers who will then share and support each other for the health risks.
Conclusion:
Out-of-pocket payment for health services is catastrophic to the individuals and families in asset and financial loss, and is responsible for high morbidity and mortality. This is borne out by stories of transactions at the critical moment of illness which resulted in grisly complications and untimely death especially due to cancers. A robust and transparent health insurance scheme with water tight controls will improve health financing, provide more efficacious and accessible health care and ensure financial stability for households.









































I contracted Marburg in 1977and lived – Dr Lawrence Kaggwa.

By Henry Lubega
Survivor. Former Mulago National Referral Hospital director Lawrence Kaggwa Nakaana told Sunday Monitor’s Henry Lubega how he turned down an opportunity to move to America and stayed in Uganda to fill the gap left by expelled Asian and white doctors.
I was born in April 1948 in Kiryasaka village, Masaka District, to Dominic Njala and Dorottia Nalubwama.
I started school aged seven at Buyoga Primary School because I could read the Luganda newspapers and do the multiplication tables well. I skipped Primary Two and went to Primary Three. When I joined Primary Four, I changed school and joined Bukalasa Seminary where I completed my primary and proceeded to Junior Level until Senior Two when I joined St Henry’s Kitovu where I completed Senior Four in 1966.
From Kitovu, I went to St Mary’s College Kisubi for my A-Level before joining Makerere University Medical School in 1969 and completing in 1974. Doing medicine was a second thought on the advice of my father. It took me three months to change from my early ambition of being a mathematician.
After medical school, I did internship at Mulago hospital from 1974 to 1975 before being posted to Kitagata Hospital as a medical superintendent. At the same time I was the Bushenyi District medical officer and the only doctor in the whole district. I did not stay in Bushenyi for long as I was transferred to Bugiri as the medical superintendent in mid-1976.
Marburg outbreak 
Around February 1977, there was an outbreak of a strange disease that we didn’t know at first. The patients were being tested for meningitis, typhus, and typhoid and all the tests were negative. This outbreak was confined to Nakibembe Sub-county and it lasted three months, claiming eight medical staff and many locals.
By the time of the outbreak, former minister Shaban Nkutu had just died and then president Idi Amin said Allah was revenging on the community Nkutu came from for his alleged evil deeds. It took us three weeks to get any form of help. The Ministry of Health intervened and the World Health Organisation gave us safety gear.
By the time the safety gear arrived, I had over exposed myself while carrying out different tests like throat swabs, blood sampling and urine collection. But when all the tests turned out negative, we realised that this could be a strange virus. I had done a post-mortem on one of the dead bodies and this could have over exposed me to the risk of contracting the virus.
One morning, I woke up with a rash all over my body. I asked my elder sister, who was staying with me, to leave for fear of infecting her. She left knowing that I’m going to die. I decided to stay, knowing that if I went to Kampala I would spread the virus.
After two days, the rash cleared and I went back to work. Together with my medical staff, we put up a quarantine around Nakibembe, not allowing people to come in or leave the sub-county. That was the only way we could curb the spread of the strange virus. The quarantine lasted for three months.
During the quarantine, medical staff from Bugiri Hospital went out to villages every after one day to treat the sick from their homes other than them coming to the hospital.
We got to know the disease was Marburg as the outbreak cleared. When the outbreak first happened, I sent specimen to Jinja hospital but was told they were thrown away by a lab attendant because they were dangerous samples.
When I sent other specimen, they were taken to Germany for tests and that’s when we got to know it was Marburg.
Back to school
I left Bugiri in 1977 to do a master’s degree in surgery. When I completed the masters in 1980, I started teaching surgery for the next seven years until when I became a consultant surgeon at Mulago and went on to become a senior surgeon in 1995. But in 1993 I had been appointed the hospital’s executive director.
Working under Amin
Life during Amin’s time was not easy for the medics as was the case with other professionals. I would have been among the many that fled the country, but when chance came, I was in Bugiri and felt it was not ideal for me to turn my back on the people at the moment they needed doctors most.
All Asian and white doctors, including some Ugandan medics, had left the country, creating a vacuum. I had been given a chance to go to America, having passed their ECFMG (External Commission for Foreign Medical Graduate) exams which would have enabled me practice medicine in America.
At the time, it was not only the number of doctors going down, but medical basics like drugs were also steadily declining, while the number of gunshot victims was on the rise. Besides the lack of drugs, there was the safety issue which made many Ugandans flee into exile.
Being in hospital did not make patients safe either. One incident happened at Mulago hospital, a Nubian lady had come with a gynaecology complication. As doctors prepared to put her on drip, some Nubian soldiers walked into the ward, threatening to shoot the doctors. They accused the doctors of wanting to kill the lady. They took away the woman, who was shortly returned dead.
The other involved the Israel woman, Dorah Bloch, who had been transferred from Entebbe airport to Mulago hospital from the hijacked plane. After the Entebbe raid, Amin was told of the woman on the 6th floor of the hospital. Army men dragged her by the hands from the top floor of the hospital, down to a waiting car and took her to her death.
There was an attempted coup said to have been engineered by his former chief of staff Charles Arube, but it failed. After Arube’s arrest, he was killed and his body brought to the mortuary. Amin came and asked to see the dead body in the mortuary. He told the dead man: “You wanted to kill me, now draw your gun and I draw mine.”
Neither were the doctors safe. While in the emergency ward, we had to keep disguised by not putting on the white coats and carrying our stethoscope in the open. We could not even put on ties; we had to blend in with the patients.
During the 1978-79 war, many victims of shrapnel wounds and gunshots were flocking to the hospital. The security situation was very bad and I decided to relocate my family out of town, knowing that once Kampala fell insecurity will stop. I took my wife and children to Kasangati and came back to Mulago.
The last two weeks of the war were the worst. I pitched camp at the main theatre of Mulago hospital, operating on wounded people. The theatre is on the first floor and the lifts in the hospital were not working.
We had to convert ward 1A and 1C into special wards for those waiting to be operated and those we had operated on. Fortunately, we had enough basic supplies to take us through those terrible two weeks.
Post Amin
After the war, I saw more deaths than during the war. Lt Gen Bazilio Okello’s men would randomly shoot at gatherings of people around the suburbs of Kampala. In Mulago alone, we lost a number of senior doctors like Bagenda, Barlow, and Obache. I understand Obache, a Langi, was killed because he was believed to be Amin’s ally. This was because Amin killed many Langis but Obache had survived.
Heading the national hospital 
Before being appointed the executive director of Mulago hospital in 1993, I was running a successful private clinic on Wilson Street in Kampala called Allied Medical Consultants as well as being a consultant surgeon at Mulago.
I had on three different occasions been approached by officials from the Ministry of Health with the job offer but I had turned them down. One evening, I returned home only to find an appointment letter signed by the Permanent Secretary Ministry of Health, appointing me the executive director of Mulago hospital.
I did not know what to do because I did not see how I could reconcile the two; being a director of the national hospital and running a private clinic. With my wife’s support, I agreed to take the offer and the next day I closed the clinic on Wilson Street to avoid the conflict of interest.
This I did painfully because I was going to lose income, what I was to be paid as the executive director was no way near what I was earning from the private clinic or what I earned as a senior surgeon in Mulago.
Unfortunately for the 12 years I was the executive director, I never got a single penny as the executive director of the hospital. After a year as the director, I resigned from being a senior surgeon and concentrated on the work of the executive director.
When I got there, I found a labyrinth of challenges awaiting my attention. They would have been overcome had the hospital been getting enough funding. By the time I was in Mulago, the annual funding was only 30 per cent of the total required budget.
Equipment at the intensive care and the main laboratory had broken down, the water and sewerage system was faulty, the roof of the hospital was leaking. Old Mulago and New Mulago were detached from each other, the staff at the hospital needed to upgrade their medical skills and knowledge.
To face all these challenges, I put in place a strategic plan, the first of this kind in the 80 years of Mulago’s existence. This saw me going to Nairobi to meet with the Japanese ambassador to solicit for some funding. Within three months of our meeting, I got $2.2m (about Shs5.8 billion today) for equipment for the intensive care unit and laboratory.
With the machines acquired, I needed training. I made contact with Pro Meme, the director Nairobi University, who agreed to train six of my staff in the use of the intensive care unit and laboratory machines.
All we were to do at Mulago was provide transport and meals. By the time they came back, the machines were being installed. The laboratory got equipment for haematology (blood), bio-chemistry (chemicals in blood), hespatology (tissue) and micro biology (microorganisms, bacteria, viruses etc.) tests. All these had broken down by the time I joined the hospital.
To refurbish the hospital structures, African Development Bank extended us a loan of $40m (about shs106 billion) to do the roofing, sewerage system, replacing electrical wires in the whole complex, creating a covered walkway connecting the old and new Mulago, leading to the rebranding of upper and lower Mulago instead of new and old Mulago.
I also managed to send people to India and America for training in open heart surgery and cancer treatment respectively.
High and low moment
During my career, there have been a number of high moments, these include when I was appointed the Pope’s surgeon in 1993 when Pope John Paul visited Uganda. I was the head of the medical team during US presidents Bill Clinton and George Bush’s visit to Uganda. I was also in charge of medical services during Kabaka Mutebi’s coronation and wedding.
During the visit of the two American presidents, I had to assemble a team at all the major hospitals to be on standby at Kisubi, Rubaga, Mulago, Mengo and Nsambya. During the Pope’s visit, I had an ambulance I was using to follow him everywhere he went, the ambulance had a full sterilised theatre for the entire week the Pope was here.
My lowest moment was when I contracted Marburg in Bugiri district.
Opinion on the health standards
Health standards started to fall during Amin’s time when the Asians and white doctors left the country. These people left with their research projects which were being done at Mulago. Mulago and Makerere were centres of research for different cancers. Among them was penile cancer (cancer of the penis). Mulago was carrying out research on Burkitts Lymphomas; all these stopped when the doctors were chased.
The cancer institute was under Prof Ziegler, an American, and Prof Charles Oweny, a Ugandan, who also had to flee the country. These people had made centre an international cancer research institute but with their departure the research there also stopped.
But I blame the fall of the system to all of us Ugandans as a people we have lost our values. We take everything we are given without asking why. Health workers have been emasculated with low pay, making them do things they used not to do professionally because they want to survive.
The ministry has also lost its oversight role; it’s no longer as sharp and effective as it used to be.

Dr. Lawrence Kaggwa is a board member:
He previously worked as the executive director of Mulago Hospital; Uganda’s National Referral Hospital for 12 years. He left Mulago to work as the Director Planning in the Ministry of Health in Uganda. He is a retired senior Consultant Surgeon a specialty he practised and taught for a long time. He currently works with AMREF (African Medical Research Foundation) as  a Consultant and has served on the board for many years. Dr. Kaggwa is the Vice chairman of the Board and the Chairman Human Resources Committee of the Board.