#OutToLunch: Lessons for Uganda from Ghana’s ambulance system

By Denis Jjuuko

While at a hotel in Accra for lunch, I saw three people on a table of four dressed in smart uniforms, looking quasi military. I had seen them or their colleagues all week and I wanted to find out whether they were guarding some notables.

I asked if I could join them and they agreed. As I sat down, I saw that they were paramedics specifically at the hotel to ensure that if any of us needed first aid or urgent medical care they would be at hand to provide it. They were the guys manning the ambulance that was outside the hotel reception.

I was intrigued and wanted to find out more. Were they a private company? Are they always at every hotel in the city? How do they work? They told me they were at the hotel at the request of the organizers of the meeting I was attending otherwise they have stations across Ghana. They told me that in Accra alone, they have 11 stations. Each station has at least three ambulances. That is at least 33 ambulances. They are public servants.

Once any Accra resident needs emergency medical care, they simply dial 112 on their cellphones and the call is routed to the nearby station. The paramedics then rush to the scene to provide that care and then drop somebody to the nearby hospital if need be. They work in shifts to ensure that there is a team always on standby to rescue anybody in need.

I was mesmerized. Bewildered. Thoughts running back to Kampala where I don’t know of any such service. Some Members of Parliament have bought some cargo vans, embossed them with the word ambulance and fixed some siren and lights on top from Kisekka Market. Usually such ‘ambulances’ have only a driver who you must give money for fuel to rescue you. There is also a private ambulance company I usually see but I think they work more with hospitals that may not want to run their own ambulance service.

The paramedics told me that sometimes they receive false calls from children playing on the phone but they only get to know when they reach there. I asked them whether they don’t get lost while trying to get to the scene given that many parts of Africa don’t have clearly marked streets. Accra is home to some informal settlements, just like all African cities. They said usually once they put on the siren and the lights and get to an area, the community already knows where a problem is and easily direct them.

In Kampala, when you hear a siren, it is mostly somebody who knows somebody big in government and recently bought a third hand 15-year-old SUV from Japan trying to announce their arrival, driving everyone off the road so he can have some drinks with his heavily bleached damsel.

Accra is a city of about 2.3 million people and has 33 ambulances rescuing whoever calls. Kampala with nearly 4 million people has no ambulance system that I know of. Accident victims are dropped at Mulago Hospital on either boda boda by good Samaritans or on the back of a police pick-up truck. We don’t have any trained team in emergency medical care that can ensure somebody lives to see another day. Many people end up announced dead on arrival at hospitals because there is no efficient way professional medical care can get to people as fast as possible.

Since Ugandan public servants like benchmarking trips, they should make one to Accra. A direct flight from Nairobi is approximately six hours and there is no need for a visa. Within a week, they would have learnt a lot. In just an hour over lunch with junior paramedics stationed at a hotel to provide a service to visiting delegates, I learned a lot about the ambulance system in Ghana. So a meeting with the high hierarchy that runs the service would do wonders. Uganda could even hire a consultant from Ghana to run this. We did this for URA in its early days, we can do the same for our lives.

Of course, I know that a benchmarking trip is not sufficient (it may even have taken place already). Government must be willing to do it.

Alternatively, government can support the private sector to do it by guaranteeing interest free loans on ambulances and training paramedics and paying them a salary while the private sector pays their allowances among others. That could actually decongest public hospitals so that only people who need to be in hospitals are admitted there.

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

Tags: Denis Jjuuko, Out to Lunch, Prime Time Communications

Out to Lunch

#OutToLunch: Hoima City Stadium provides a blueprint for Uganda’s infrastructural development

OutToLunch: Hoima City Stadium provides a blueprint for Uganda’s infrastructural development By Denis Jjuuko Ugandans may be consumed with what is taking place at the Mandela National Stadium at Namboole where Uganda is hosting some continental matches alongside their Pamoja partners Kenya and Tanzania. The three East African countries are jointly hosting the African Nations Championship (Chan), the precursor to Africa Nations Cup (Afcon), the continental soccer showpiece, which will take place in 2027. Hosting Afcon has always been largely the privilege of west and north African countries. This is the first time that East Africa will be hosting the soccer extravaganza. To do so, there was a need for stadiums and other infrastructure that meet the continental or even international standards. Namboole has been upgraded hence the ongoing Chan tournament. But what is also catching many people’s attention off the refurbished Namboole pitch is something that is taking place some 210km away in the oil rich city of Hoima. When Uganda was awarded the co-hosting rights of Afcon, many people wondered where would the tournament be held. Only Namboole had a chance of meeting the requirements albeit with some major modifications. New stadiums had to be built. Ugandans laughed hard and memes started flying on social media. Not because they are unpatriotic as some people quickly label those with divergent views. They had seen a project too many that couldn’t get done on time. They saw Uganda spending many decades constructing the 21km Northern Bypass that by the time it was completed, some cheeky people had started calling it a Bypath. They had heard endless stories about many infrastructure projects. The Jinja-Kampala Expressway, the Mpigi-Kampala Expressway and even easy to do small-small projects like Kyaliwajjala-Matugga road take forever to be done. They had become skeptical given the years it has taken Lubowa Specialized Hospital to get the building beyond the plinth wall. Airport terminal buildings? Another day please. They expected Hoima City Stadium to follow a similar path. Perhaps, because this involves some continental body in the Confederation of African Football (CAF), organisers of Afcon, the country finally awarded a contract to somebody who seems to know what they are doing in SUMMA, a Turkish outfit that has built a reputation for building stadiums in Africa and handing them over in time. What they have done since construction commenced in Hoima in September 2024 is sort of a miracle by Ugandan standards. With a budget of US$129m and constructing a 20,000-seat stadium, they have shown that a project can be worked on as scheduled. And I say this well knowing that they haven’t completed the job. Given the progress that they have made, there is no doubt that they won’t complete the job ahead of schedule. The Hoima City Stadium contractor is perhaps new in Uganda and hasn’t caught the usual bug. They have not blamed the rains like most contractors do. They have not said they can’t get materials because of the war in the Middle East or Ukraine. They haven’t blamed forex fluctuations. They haven’t blamed the invisible Powers from Above. They haven’t claimed local politicians are against the project. They have said nothing about witchcraft. They have not said Ugandans are lazy, don’t want to work and report for work while clutching sachets of illicit beverages. They have not said they can’t work at night. They have not said there is no budget or some release from the Ministry of Finance delayed. They have not appeared at any parliamentary committee to beg for this or that. Nobody has seen a letter from them asking the president for this or the other. They have simply gone on with the assignment. They have shown that Rome can be built in one day if we focused on it. That government infrastructural projects can be started and worked on as scheduled. And since we love benchmarking, the SUMMA project manager, once has finished their assignment, maybe should go on a workshop spree, teaching our contractors and their supervisors that projects today shouldn’t take as much time as building St Peter’s Basilica or the Notre Dame. And it isn’t difficult to complete projects on time. If you see an official whose desk is full of files, don’t then make him the project manager. If he can’t read the files on his desk on time, how would he manage a project that needs to be delivered on time? If money isn’t available, then don’t embark on launching the project. And hire a competent contractor. Hoima City Stadium is providing a blueprint we must all embrace. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 20, 2025

Out to Lunch

#OutToLunch: Subdividing land failed homeowners, time to flip that real estate model

By Denis Jjuuko A few years ago, a friend was ecstatic. Finally, after years of toiling, working at his day job and some side hustles, he had managed to buy land somewhere in greater Kampala in one of those sprawling so-called estates where Kampala businessmen buy land and subdivide it into small plots each measuring about an eighth of an acre. It didn’t take him long before he started building one of those common three-bedroom houses with high pitched roofs. Once it was to an extent complete, he moved in after throwing a house warming party for a few friends and relatives. He considered himself middle class and liked his neighborhood. The estate in which he bought land had many undeveloped plots and every time somebody came to build, he was super excited. Soon the estate would be full of houses and therefore a little bit more secure. His property value would go up in case he wanted to sell or borrow. Then we realized he no longer talked about his house and neighborhood. We thought after living there for years, he had overgrown the excitement of being a homeowner. Maybe he had started thinking about other stuff. It is a normal thing. Then he started talking negatively about his neighborhood. The estate that drove up his adrenaline was now a source of sorrow. He was thinking of relocating. He said the estate was no longer middle class. Some of us wanted to tell him that it wasn’t middle class from the beginning but age teaches you mellowness. Anyway, each person had built whatever pleased them. A storied house there, shops on the corner plot where men first stopped for a beer before proceeding to their homes every day, an apartment block here, a nursery school there, a Pentecostal church in one corner, a charcoal seller at the top of the street, a chapatti guy next door. A guy who had bought eight plots, making about an acre, had decided to plant eucalyptus trees. Another was planning some mattooke. An “investor” had decided that the estate needed an artificial grass surface in one corner where the so-called middle class could play soccer till 10.00pm or midnight, after all, he had installed the most luminous flood lights he could find on the market. My friend’s most immediate neighbor had probably listened to many inspirational speakers and decided to build a chicken coop. He heard that the poultry keeper’s grand plan included ducks, goose and even turkeys. The chicken woke him up every 3.00am or some other time in the night. The stench from the chicken coop made sure he abandons his garden, where he used to sit on weekends with one hand holding a champagne glass and another a book. And there were still many empty plots. He didn’t know whether someone could be planning a kraal or a pigsty or a brothel. He had tried involving the local leadership but there wasn’t much help. Some of his neighbours didn’t see a problem with anyone keep some chicken. In fact, they were being praised on the neighborhood WhatsApp group for their entrepreneurial ability. Many neighborhoods in Kampala are not different. In fact, a few months ago, somebody had built a kraal in Kololo. Yes, in Kololo, Kampala’s most exclusive suburb. But the neighbors there are “deep waters” so they stopped his entrepreneurship adventure. My friend is now looking for a buyer so he could sell and go to some of those housing estates by the likes of NSSF, Mirembe Villas and Royal Palm. He had always said they were expensive and criticized them for building for “non-Ugandans” but he now agrees that there, it will be hard for somebody to practice their poultry business at home. There is some orderliness. Nobody wakes up to do what pleases them. Since Ugandans love investing in land or real estate, this could be a model that people can try especially those with some capital but for not high-end clients. I know that Buganda Kingdom and NSSF are building such estates in Ssentema but they are very few units. National Housing has land in Bukerere and NSSF in Nsimbe. These among other estates could help take away people’s misery if built affordably and provide significant returns on investment. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 14, 2025

Out to Lunch

#OutToLunch: It is our turn to eat, the politicians have eaten enough

By Denis Jjuuko After nearly five years of planning, positioning, and scheming, it is time for implementation of strategies that could lead many people to their coveted offices. For some, the first hurdle is to convince their parties that they are qualified to stand for election in the primaries to represent them. To others, it is to decide whether to stand as independents and in which particular constituency. The political fever is rising across the country. At funerals, weddings, sports, religious and cultural events, candidates are aligning themselves sometimes with causes they don’t believe in while many times mudslinging others. Resources are not being spared. Unfortunately, human beings are not being spared too. Ssembabule seems to be an epicenter of violence. An incumbent even threw in the towel claiming the violence is too much. Before the ink on her words dried, a youth was shot dead! It is going to be long eight months or so. Just like it was in 2021 and in many general elections before. Usually, the news that comes out is of violence and tension leading to many people to fear. Internet is usually cut off at some stage. Some radio stations also get blocked. Tear gas becomes part of the oxygen people breathe in. But should politics be like that? Over the last few years, it has become a job. An assurance for many of those who win to earn significantly over a five-year period especially for those at the top end of politics—those who end up as Members of Parliament. They are not only paid well; the president usually appoints a significant number of them into his cabinet—an opportunity to earn even better. Maybe that is the reason it is a do or die for many candidates like we have witnessed so far in Ssembabule. Of course, many of those who stand for office won’t be elected and even many incumbents won’t win their positions back. Ugandan politics below the presidency tends to give an opportunity to a lot of new comers. They call it a ‘turn for someone else to eat.’ Issues are less discussed on what can really transform a country yet that is where we need to go. The country cannot develop if we are voting people because it is a “turn for someone else to eat.” That way you send people to elective offices who stand for nothing and therefore go wherever the wind blows. That way the country remains poor because politics is a core component of economic development. People who have no values won’t fight for anything that affects the poor. They will only be concerned about themselves and their immediate families. A few millions in their pocket, and they pass laws that lead the country to nowhere. Corruption becomes their middle name and scheming the religion they believe in. Yet the issues that affect all of us affect them too. If the road to a Kampala suburb is potholed everywhere, a politician who steals money to build a residence or rental apartments or a hotel will suffer too. He may have a government Landcruiser but for how long? His tenants or patrons could shun the apartments or the hotel because of inaccessibility. The building may end up as a white elephant. And if he is voted out, he may not have the resources to renovate it. When there are no doctors and drugs in health facilities, the politician may not have enough time to be flown to Uganda’s referral hospitals for the rich in Nairobi or New Dehli. At the end of the day, stolen money at the expense of public services won’t be able to save him. As we spend more and more time on radio and television talkshows and watching TikTok clips on a loop of politicians, we need to put them to task on what they tend to do. Particularly, how are they going to enable young people find meaningful jobs or any job at all? How are they going to help the elderly live decent lives? What is their plan on education, health, transport, and agriculture among other key sectors? Also, there is a need for civic education so that our people understand that the best thing for them is not to be given a t-shirt or a piece of soap or even a hoe, rather to have something that they do that can enable them buy such stuff on their own. It is time for the population to eat. The politicians have eaten enough. The writer is a communication and visibility consultant. djjuuko@gmail.com

July 16, 2025