#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: Watoto’s Kabaka anniversary do and why ability transcends DNA

By Denis Jjuuko On the last day of July 1993, a mammoth crowd gathered at Naggalabi hill in Buddo to witness the historical occasion of coronating Prince Ronald Muwenda Mutebi as the 36th Kabaka of Buganda. For many people in Buganda that day, it is something they had not witnessed in their lifetime. The last coronation had taken place in November 1942 and then the kingdom was abolished in 1966, the Kabaka exiled and an opportunity to coronate his heir temporarily lost. I remember my guardian giving us a rare day off to watch the live telecast all day. This is the only day I remember where we didn’t have to be bothered with house chores. You could pick a cup of tea and just sit in front of the tiny television set in the living room—as long as you didn’t make noise to distract the elders. And being a Saturday, it helped. There was no school to attend. Given Uganda’s demographics, many watching the 33rd coronation anniversary last Friday at Watoto Church in Bweyogerere were either too young or not yet born in July 1993. It was therefore refreshing when Katikkiro Charles Peter Mayiga opened his speech with a memory lane of the events of that day in 1993. He perfectly understood the audience of his message. There are many young urbane educated people who sometimes look the other way when it comes to cultural issues. Some see culture as a road block to their Christian values and aspirations. Holding the coronation anniversary at an urbane church for a young largely educated audience sent a message that culture and religion can and should co-exist. The Watoto leadership embraced the occasion like no other and left no stone unturned in organizing a befitting ceremony. I think this was the first time that a major kingdom event, coronation or birthday, had been held outside the usual hills — Namirembe, Lubaga, Namungoona, Namasuba and Kibuli where Anglicans, Catholics, Orthodox, Adventists and Muslims are headquartered or largely based respectively. You rarely see religious leaders from all denominations gathered in a Pentecostal church, some dancing, waving or in deep prayer during the praise and worship sessions that are common with Pentecostals. The religious leaders were also joined by politicians of all colors. Another example of how culture can be a uniting force. Even though the Kabaka wasn’t personally in attendance in adherence to advice of his medical team, the people turned up in huge numbers, prayed for him and commemorated the day like no other. More others spent the day listening to live broadcasts on radio or watching on television and online. Perhaps watching from his Kireka Palace, a stone’s throw from Watoto’s vast Bweyogerere campus, the Kabaka might have smiled or even nodded at some of the energetic performances Watoto put together in his honor. The more I watched the charismatic young leader of Watoto Church, Pastor Julius Rwotlonyo, preside over perhaps the biggest event of his pastoral journey, the more I thought about Ugandan businesses. Watoto, previously Kampala Pentecostal Church or simply KPC, was founded in 1984 by Canadian missionaries Garry Skinner and his wife. Rwotlonyo was either a toddler or not even born yet. He has no known blood relations with the Watoto founders but today, he is the leader of the church. Pastor Skinner and his wife are alive and are known to have children. But they chose a successor that isn’t their relative. They saw somebody who can further advance their mission and decided to retire and give him the executive suite at their famous building in downtown Kampala. Because of the occasion, Skinner sent in a recorded message. Otherwise, he is not known to be involved in every little thing that happens at the church he founded. This teaches us that we can start businesses, set systems in place, and identify teams that can continue leading when our time to go comes. The successors may or may not be our children. That DNA should not be the only requirement for somebody to lead the businesses we start. Ability to deliver should transcend DNA. It should be in the interests of founders to identify and nurture young people who can take over the business. Since the Skinners handed over Watoto to Rwotlonyo, we haven’t heard any fights like it is common for Ugandan businesses when the founders leave. And had they been involved in any scandals, certainly the Kingdom of Buganda wouldn’t have honored them with an opportunity to host a coronation anniversary. It is something founders must ponder. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 12, 2026

Out to Lunch

#OutToLunch: Stronger African economies will create a World Cup winner

By Denis Jjuuko The football World Cup ended recently with Spain lifting the golden trophy after defeating Argentina 1-0 in extra time. This year’s tournament has seen the teams expanded from 32 to 48 of which 10 were from Africa. It is by far the biggest football World Cup ever in nearly 100 years since the competition was first organised in 1930. The organizer, FIFA, is even now talking about further expanding it to 64 national teams. One of the major talking points of the tournament has been the performance of teams from Africa. Only Morocco made it to the quarterfinals. Unlike in the last tournament in 2022 in Qatar, Morocco reached the semifinals. It is the only time an African team had reached that far in the tournament. Countries outside Europe and America didn’t do much either this year. Of the four countries that qualified for the semifinals, only defending champions Argentina is outside Europe. Needless to say, that Argentina was being inspired by Lionel Messi, probably the best player the world has ever seen since Pele and Diego Maradona. Anyway, why don’t African teams perform that well in the World Cup competition yet unlike Asia or the Middle East, football is the most popular sport on the continent? Many young boys on the continent wake up to kick the ball in the streets. Many others try to create professional careers while others watch it for hours on end especially over the weekend. Even though the interest is immense, sports, not just soccer, isn’t considered a major career pathway for many people on the continent. Parents rather push their children into other professional careers than sports. Go to school, get an education, find a job and live a better life thereafter. Sports such as soccer provide very short careers. About 10 years if you are lucky. By the time a player is 30, most likely their career is over. Of course, there are outliers like Messi who is 39 years old and still performing at the top level and Christiano Ronaldo who is 41 years old. But for the majority of players, they don’t stay in the game for that long. Of course, there are other areas in which they can earn after retirement such as coaching, television punditry and podcasting, scouting and even management but the openings are even fewer. Look at the premier league for example, there are only 20 teams and each team has about 30 players, which translates to a paltry 600 players. To make it to the premier league or any of the top leagues in the world is for the exceptional. I think that is why parents usually guide their children away from sports. Besides it is expensive to support a child’s career to develop to a level where he can attract interest of the big highly paying professional leagues. If you are in Africa, the odds are highly against you. Sport is poorly funded. Infrastructure is almost non-existent. A kid with talent needs high quality coaches, kits and infrastructure to make it. Do they exist? Hardly. In many communities, the kids play on bare grounds and in urban areas those grounds are being turned into bland shopping malls. A parent would have to invest in flying a child to European academies to get the best training they need to make it. How many such parents have such resources? And if the kids are good, they would be assimilated in Europe. If you look at the three European countries that reached this year’s semifinals, there are quite a number of immigrants. Some may have been born in Europe, but there are also others who weren’t born there. England’s Marc Guehi was born in Ivory Coast. Of course, north African teams had players born in Europe but usually those are few. And many only chose African teams after failing to impress European countries. We always talk about professionalizing our leagues but it is difficult if the economies are weak. Unless we prioritize developing our economies, African teams will always struggle to win the World Cup. Weak African economies can’t afford to pay top young modern coaches. We end up picking hustlers from eastern Europe or pensioners from western Europe, whose ideas and methods are way past their sell-by dates. Stronger economies would create big companies that can invest in sport as sponsors or even in club ownership (many private equity and hedge funds own clubs in Europe/America for example). Clubs would be able to sell tickets and merchandise at premium rates, develop players they can sell to other clubs in Europe and elsewhere at world market rates and create a sports ecosystem that generates millions of dollars every day. If our economies remain as they are today, we can kiss the World Cup goodbye. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 5, 2026

Out to Lunch

#OutToLunch: Students joining universities could self-teach themselves AI to disrupt sectors like agriculture

By Denis Jjuuko The month of August sees public universities open their gates to first year students. Joining university is one of the milestones many young people celebrate, the last step in the journey to the pinnacle of education. In a few years, they would be out of university and joining the workforce. But also, university in Uganda is really the first time somebody enjoys adulthood. The pampering starts to end once you join university. There are no teachers and wardens chasing you out of your room to attend class. Most universities don’t care much how you dress. If you are female, you decide whatever you want to do with your hair. Nobody sends you back home for having a mobile phone. It is in fact a taboo not owning a smartphone. You can return or not even return to your digs. Real freedom is perhaps only enjoyed while at university. When you leave and get married, you start being accountable for every little thing but then I digress. However, it must also be a mixed feeling for many parents, guardians and the students themselves. Have they chosen the right academic course? Will the jobs be available when students finish their academic journeys given the artificial intelligence (AI) disruptions we hear about every day? Many decades ago, a university degree meant a good job. Employers booked future workers before they even graduated. And upon graduation, people found themselves with decent jobs, housing, cars and whatever they needed to succeed. Today, there is no guarantee. The numbers of people joining the labour force are higher than the jobs available. The majority of Ugandan jobs, more than 70%, are in agriculture. Many young graduates aren’t very comfortable working there. In many poor agrarian economies, the pay is usually low and work is in remote areas. The majority of students are from rural communities and they want to try life elsewhere. They have been told for nearly two decades that education is the clearest pathway to a better life, which it is. If they attain education at the highest level only return to the village to work in agriculture, many people would look at them as failures. Yet it shouldn’t be. If you remove gold, coffee is Uganda’s biggest export earner bringing in billions of dollars annually. People have turned their lives around recently because of coffee. The agronomical practices may have changed a bit thanks to campaigns like Mmwanyi Terimba of Buganda Kingdom but there is still a lot that needs to be done. If we are to reach our target of 20 million bags of 60kg annually from about 8.6 million, we need to send some of our educated people to agriculture. The knowledge acquired at university should be used to improve the coffee value chain or any other agricultural product. It could be sales and marketing, post harvest handling, agronomy, logistics, finance, investments, procurement, accounting, value addition etc. Farmers would also have to appreciate the value that graduates bring to the field if they are to see improved yields. Many people employee the least educated and qualified people to look after their investments in agriculture. Pick a boy who can’t even write his name and put him in charge of a poultry farm of 20,000 birds or a 20-acre coffee farm. The results are expected. Frustrations upon frustrations. Africa’s food import bill is nearing US$100 billion a year yet we have a youthful population that is looking for work. How do we put young highly educated people to work in agriculture? If coffee is improving the lives of farmers in Bukomansimbi, it means it can employ young people and give them decent salaries. And the young people will work hard to improve yields on the farms or profitability in the value chain because that is a guaranteed way for them to improve their incomes too. If we reduce how much food we import, that can be money directly put in the pockets of young people. However, the policy makers might be on other perfunctory things. As young people join universities, they need to think of how they can work in sectors like agriculture and turn them around using whatever qualifications they acquire. That is where the jobs are. The universities will likely teach them basics. The majority of university students have a lot of time. Some have classes for a few days a week or just in the evening or a few hours a day. They can use new technologies like AI to teach themselves a few things that may help them disrupt sectors like agriculture. That way they will create value that leads them to securing decent jobs. The writer is a communication and visibility consultant. djjuuko@gmail.com See less

August 5, 2026