#OutToLunch Subsidize charges for patients in ICUs in private hospitals

By Denis Jjuuko

There is a hospital in my neighborhood that is usually not very busy. Over the last few days, you can see people getting their intravenous treatment in the parking lot. The hospital is near a popular bar, if you are not a keen observer, you may think that the vehicles parked alongside the road are for the bar patrons. Yet the bar is closed. The cars belong to patients and their caretakers.

Another photo trended over the weekend over a guy on oxygen as he sat in the car. I am not sure where the photo was taken but I wasn’t surprised. Pharmacies in Wandegeya have queues that rival those of young people lining up at offices wherever they have heard of a job opening!

The real COVID-19 wave is finally here. Every day, you hear of somebody you know who has died. It is gloom everywhere. However, I believe this is the time the government should take the bull by the horns.

Vaccinations
There are very many people right now who are interested in vaccines and the government officials must be working the phones to find them in the required quantities. We made some mistakes by ordering a few the last time out. It is time to have them now available in the required quantities. And when they are available, they should have them available everywhere just like those of polio and measles. Members of the G7 meeting over the weekend pledged to give out a billion vaccines to developing countries. The Ugandan leadership should ensure that we are on the priority list with the right quantities. It is time those responsible for managing the country showed what they are made of. Those responsible for communication need to double their efforts too to ensure that the right messages are widely available.

Tests
On average, on the fliers I am seeing, the cheapest COVID-19 test in Kampala is Shs70,000. Assuming the average Kampala household has six people, that is Shs420,000. This doesn’t include the transport to the facility or the transport for the health worker to come to your home. Some facilities are charging Shs200,000 for a PCR test! That would be Shs1.2m for a household. These amounts are out of reach for most people. This means that many people who need to be tested will not go for tests. They will resort to taking each herb that is being circulated on social media. The health cost of steaming and taking all sorts of stuff people are selling in the name of a cure of COVID-19 is going to be very high. Yet last year, people like Alibaba founder, Chinese billionaire, Jack Ma donated lots of test kits. What happened to them? The government should come in and subsidize the cost of tests so that those who need them can have them. They can also widely offer them for free by setting up testing centres everywhere. COVID-19 tests shouldn’t only be for those going to attend parliamentary meetings.

Home based care
The Ministry of Health has come up with a treatment regimen that people can order over the counter in pharmacies for those suffering from mild COVID-19. Such drugs include azithromycin, amoxicillin and zinc among others. The cost of these drugs is high. In some of the pharmacies in my neighbourhood, a 20-tablet pack of a combination of zinc and vitamins D and C is being sold at Shs45,000 while a dose of azithromycin is at Shs12,000. I saw people paying upwards of Shs200,000 for their COVID-19 patients. I must admit that the cost might be lower in some parts of Kampala such as downtown Kampala but you get the drift. Again, government must show leadership and subsidize these drugs they are recommending people to take at home. They can also make them widely available for free. A simple database linked to the national ID can be created to ensure that people don’t take more than at least one dose to ensure equity.

Subsidize ICU charges in private hospitals
Without the private hospitals including those owned by religious institutions, Uganda’s healthcare system wouldn’t be worth the ink of this article. Intensive Care Units in private hospitals are charging an arm and leg. I wouldn’t call them greedy like most people are doing because the owners instead of investing in apartments like most Ugandans with money, they went into healthcare. Without them, we wouldn’t do much. Some acquired loans at more than 20% per a year to get the beds and equipment. So as businesses, they want a return on their investment. Who would blame them?

Government however can subsidize what private hospitals are charging COVID-19 patients and even those suffering from other diseases.

The beds aren’t too many and government can easily pay some of the bills for such patients. The same can be done for those in High Dependence Units. Government can pick the allowances of healthworkers in private ICUs and HDUs, supply medical oxygen, and such other stuff.

The government cannot watch as families sell all their assets to clear bills for people who have even died. Sometimes the assets sold aren’t even enough to clear the bills.

The writer is a communication and visibility consultant. djjuuko@gmail.com

Tags: COVID19, COVID19 testing in Uganda, COVID19 Vaccination in Uganda, Denis Jjuuko, ICU, Out to Lunch, Private hospitals in Uganda

Out to Lunch

#OutToLunch: Ugandan musicians should think beyond miming at kwanjula and weddings

By Denis Jjuuko Musicians in Uganda have been in celebratory mood after the country’s parliament passed the the Copyright and Neighbouring Rights (Amendment) Bill, 2025. They argue that once the bill is assented to by the president as expected, they will earn lots more money than they are doing today. That they will be rewarded for their efforts. Ugandan music has come from a long way. In the 1990s, very few Ugandans considered music as their professional career. There were professional music groups that still exist such as Afrigo and some other bands/musicians, but many didn’t earn that much. If the amended bill is to make them earn more, that is even better. The bill seems to be very important to Uganda’s music industry as there seem to be a resurgence of the foreign content like it was in the 1990s. Congolese musicians ruled the airwaves and the stages at Gaba Beach, Nakivubo Stadium and the beaches of Entebbe. Singers like Jose Chameleone, Bebe Cool and Bobi Wine broke that dominance and Ugandan musicians started filling stadiums on their own. Congolese musicians stopped owning the concert stages in Kampala. The Kingdom of Buganda had in 1996 launched the popular CBS radio which further played local music on the airwaves and organised Ekitobeero music festivals that among which provided the platform for Ugandan music to thrive. Music entrepreneurs like Hope Mukasa at his Sabrinas Pub provided another platform, karaoke, that saw many wannabe musicians practice their craft. Sabrinas would lead to the emergence of the famous I-Jay duo of Irene Namubiru and Juliana Kanyamoozi. Ugandan music was on cloud nine. Musicians stopped singing for beer and now were being paid professional fees. Kasiwukira and company would buy the records, make cassettes and sell. Telecoms, looking for ways to reach the masses signed them up. Nightclubs held musicians like the celebrities they were becoming. Video mixing became the norm in nightclubs and every little bar. You could actually spend a whole night in a bar with only Ugandan music being played. Many young people dreamed of becoming musicians. Many lived the dream. Today, the industry is pivoting a bit. Foreign shows are back in Uganda including of Congolese like Awilo Longomba, Ya Levis and Fally Ipupa. Kofi Olomidde turns up once in a while including at a recent Afrigo 50th anniversary. Nigerian music is dominating the airwaves. There is perhaps no bar or nightclub today that only plays Ugandan music for the entire night. The changes in the industry may perhaps explain the gusto with which some of the most known Ugandan musicians invested in the amended copyright bill. They see it as a saviour even though royalties have been corrected on their behalf by organisations like the Uganda Performance Rights Society for years. As the musicians were celebrating the passing of the amended bill in parliament, their counterparts in Nigeria were being ranked as the top earners in Africa on music streaming platform Spotify. It was revealed, that Nigerian musicians earned more than US$43m in 2025 from Spotify by pulling in a combined 30.3billion streams, which is about 1.6 billion hours of listening time. Nigerian music has been globally embraced featuring in more than 320 million user-generated playlists according to reports. Barack Obama, the former US President, releases his annual playlist around December every year. For years now, a Nigerian musician appears on his list, which he posts on his X account of nearly 120 million followers. The Nigerians are developing music that cuts across borders and appeals to worldwide audiences. You have seen them perform at even the World Cup and being regularly nominated in Grammys among other international awards. In Uganda, some of the leading musicians instead of thinking global, they concentrate on Gulu city, where they book rooms for weeks doing whatever they can so that they can meet Gen Salim Saleh. He has publicly rebuked them before to their embarrassment. But do they listen? They see politics as the only means to scale. Those who become famous because of their ability to dance and sing forget about what made them famous once they make it. They appear at shows to mime, walk about the stage while spending some considerable time talking about their imaginary haters or reminding others how beautiful they are. Less time is devoted to practicing before performing. Tshaka Mayanja, a legendary music promoter and musician has always talked about this. The audience in Uganda is small and the economy is even smaller yet music transcends borders. Ugandan musicians should therefore think beyond miming at kwanjula and weddings and create music that has a global appeal so that they can earn from a global audience. Cozying up to politicians won’t sustainably make them earn better even when copyright bills as assented to. The writer is a communication and visibility consultant. djjuuko@gmail.com

May 20, 2026

Out to Lunch

#OutToLunch: Ugandan businesses embracing the region signals good things to come

By Denis Jjuuko For many years, Ugandan businesses relied on many things Kenyan. Employees in the hospitality industry, advertising, creative, transport, logistics and even banking among others. Of course, Kenya is a bigger economy which has also not been largely disrupted by war. They had expertise that we lacked. So, it must have been easier for them to set up here or sending their goods to Kampala. Of course, there were Ugandans doing lots of stuff in Nairobi. In the 1970s and 1980s, many Ugandan experts were exiled in Kenya working as medical doctors, lawyers, teachers, businessmen, and political ‘external wingers’ among other jobs. Singers Jose Chameleon and Bebe Cool got their breakthroughs after recording in Nairobi studios. Later, Ugandan radio presenters made Nairobi home. Private radio had developed faster in Uganda after the liberalization of the airwaves in 1993 than in Kenya. However, if you needed technical expertise on many things, Kenya seemed to be the ideal destination. Ugandan entrepreneurs like James Mugoya and Bulaimu Muwanga Kibirige (BMK) had set up businesses there in the construction and automotive sectors among others. But still, there was an imbalance. Kenyan businesses set up more in Uganda than Ugandan businesses did in Kenya or elsewhere. That trend seems to be changing. First, many Ugandan big businesses like banks were run by Kenyans and other foreigners. There was a time a few years ago when almost all the banks in Ugandan had foreign CEOs. Today, the majority of banks are run by Ugandans. And some Ugandan executives are now running big businesses in Kenya, like Bamburi Cement. Second, in recent years, we saw Omar Mandela set up his popular Café Javas in Nairobi. It became an instant hit with the hippy Nairobians looking for a place that is well known for its customer care and great food. Kenyan managers had been running the hospitality industry in Uganda and now, a Ugandan businessman was taking the game to their capital. Café Javas today has more outlets in Nairobi than Kampala and Entebbe combined. Perhaps, other Ugandans are learning from Mandela. Since last year, we have had at least three Ugandan businesses in the entertainment and marketing world set up in Nairobi. Fenon, Swangz Avenue and Talent Africa Group all now have offices in Kenya. Previously, the entertainment and marketing businesses relied somewhat on Kenyan experts and even equipment to pull off events and marketing campaigns. Ugandan businesses are now playing on their grass. In tourism, we are also seeing Amos Wekesa’s Great Lakes Safaris operating a hotel in Tanzania. A few years ago, we saw Centenary Bank starting operations in Malawi. Many other Ugandans are also doing business in southern Africa. The BMK Group has operations in Zambia and many others have taken the same route. Rwanda, South Sudan, Burundi and the Democratic Republic of Congo are some of the other markets where Ugandan businesses are operating. It is remarkable that Ugandan businesses are growing and expanding in the region. Previously, we looked on haplessly as largely Kenyan businesses took over markets even after the Ugandan army had pacified some of those countries. South Sudan comes to mind. Ugandans for example in South Sudan operated the smallest of businesses — curio shops, barber kiosks and roadside restaurants. Kenyans operated banks and other big stuff thereby gaining more from regional trade. Uganda’s economy is largely concentrated within a radius of 80km of Kampala. That limits growth for some of the businesses yet economies like Kenya are way bigger than ours. The East African Community has a population of nearly 350 million people with a nominal GDP of about US$350 billion making it a market that we can’t simply ignore. Uganda has been pushing for exports into these regions while facing many barriers including infrastructural ones in countries like the DRC. And if we only export there after even constructing their roads, we miss out on some opportunities that are extended to registered businesses in those markets. However, we shouldn’t be limited to only the region. With geopolitical pressures across the globe, there is even more need to expand to take on sectors that may not be well catered of as global players concentrate on their main markets or scale down in others. Businesses which may not be ready to go it alone should look for companies they could merge with or acquire to get a footprint in those particular markets easily. The writer is a communication and visibility consultant.

May 20, 2026

Out to Lunch

#OutToLunch: Had Iran been Uganda, what would we have done?

By Denis Jjuuko When the planners of the war on Iran sat to make the final decision, they perhaps envisaged a quick win. Fly in, kill the leader and a few others and the country would collapse. Your chosen leaders would then take over and pledge allegiance, after all you are the world’s super power. Oil would flow to wherever you want it. As the leader of America, Donald Trump would be expected to stand somewhere in the White House and announce how the greatest military on Earth has performed. The new leaders in Tehran would repost his every post. A red carpet would soon be rolled out at the White House where the new leaders in Tehran commit to pay allegiance to the Americans and their Israeli backers. Washington would announce the end of sanctions and beckon American companies to take on the reconstruction of Iran. A date for a return visit to Tehran would be announced. Donald Trump would step on the improvised steps of Air Force One and utter the word ‘freedom’ while clenching his fist. At a speech in Tehran where school kids are waving paper flags of Iran and USA, he would warn others of what will come if they don’t fall in line. Fox News would declare him the greatest leader America has ever had. Trump would demand the Nobel Prize committee to award him. He has saved the world of potential nuclear weapons. Hollywood writers would scramble for pieces of paper to script a blockbuster. However, Iran seems to have had different ideas. The writers must now be writing but not the grand movie. American contractors are waiting, unsure when their reconstruction deals will be inked. Trump posts one thing after another, perhaps once in a while, remembering the famous quote from Sun Tzu’s the Art of War: the best way to win a war is not to fight. Iran defied the odds. Two military powers have dropped thousands of bombs on its facilities and leaders but it has been able to somewhat fight back and even forced ceasefire talks in Islamabad, Pakistan even if they ended without any deal. When you think of Iran, you always want to think of Africa or at least one country in Africa since the continent is not homogenous. Is there one that can stand up to the world powers? Perhaps none. Our natural resources are not used strategically. In fact, they have been a source of endless wars. Look at the Democratic Republic of Congo for example. I consider them the richest country on earth but they can’t even complete their Inga Dam or construct bitumen standard roads. Uganda, a potholed nation, is helping them in the eastern parts of the country. Nigeria had to wait for a private person to build a mega oil refinery. They preferred to export crude and import the refined products. If an individual businessman can mobilize resources and build a refinery, what about a country? And you can say that about all oil producing countries on the continent. We have conditioned ourselves to export raw materials and import everything. The Iranians didn’t wait to import everything. They made their Shahed drones, they developed their missiles program and created a system that wasn’t depending on a single strongman whose assassination would lead everything to crumble. They built universities and given that they are forcing Americans to sit on a negotiation table, it means they didn’t fill their key positions based on blood relationships or who could praise their leaders loudest. They also understood leverage. Their location provided them with the Strait of Hormuz through which 20 percent of the world oil passes. They understood that 20% of the world’s oil can’t be ignored. They understood that their location gives them an opportunity to fight back or take the war to the enablers of their adversaries. They didn’t spend half their time blaming the Americans for the economic sanctions imposed on them. They found a way to prepare themselves for a war that they knew that one day would come. Had the Iranians been some of the African leaders, they would be blaming colonialists while sending their kids to western universities and keeping whatever money they land on in Swiss banks. Research and development would mean nothing. The most energetic labour force would be carted off to find jobs as domestic workers while being urged to save and come back and be job creators. Had we been Iran, how would we be strategically using River Nile, Lake Victoria, the near perfect weather we sing about and all the resources we have? The writer is a communication and visibility consultant. djjuuko@gmaio.com

May 20, 2026