#OutToLunch The easiest way to regulate medical bills in private hospitals

By Denis Jjuuko

The High Court in Kampala issued orders to force government to regulate medical bills for COVID-19 patients. The worst place to be for an average Ugandan today is to be in need of an Intensive Care Unit (ICU) bed so you could see another day. It is understandable that the high court came to the side of the people in need of ICU and High Dependency Unit (HDU) beds but it is the wrong thing.

Uganda subscribes to the liberal economy theory where everyone charges what they want. Demand and supply determine how much people charge. In early June when many people were dying and as Ugandans looked for anything that could help them survive COVID-19, lemons, and I mean lemons, went from Shs100 in some markets in Kampala to Shs2000 each!

If you need a taxi in rush hours, they triple the transport fare from A to B. Each fuel station in Kampala from the same brand has a different price per a litre of petrol. In Bakuli near Mengo, a litre of petrol is cheaper by about Shs500 than in Ntinda or Bukoto.

Schools charge as exorbitant fees as medical facilities. A kid in a nursery school who is trained how to use a potty, which it already knows pays more than those at some universities. The reason is because parents are very excited when their offspring are still young. As they grow, the excitement wanes but also there are more options. Some people go to universities while others abandon school and go do other things since they are adults.

The point is that in Uganda everyone charges whatever they want whether it is medical or not. And this didn’t start with COVID-19. Pediatricians to examine a child for flue charge as much as Shs100,000 in consultancy fees!

How is the government going to regulate these fees? Cancer patients long before COVID-19 have been paying enormous bills yet the government spends USD150 million a year on average taking its officials abroad for treatment. This is enough money to set up hospitals here.

I was looking at the Kampala COVID-19 ICU/HDU Dashboard set up by the Association of Anesthesiologists of Uganda that give real time update of the availability of ICU/HDU. A hospital in one of the suburbs set up originally in a home less than 10 years ago has 17 ICU beds — the most in any private facility. How did they get them? This hospital is run by a couple who are as old as the NRM has been in power. How did they set up the facility where the government has failed?

The easiest way for the government to regulate medical bills and even school fees is by building more hospitals and schools. Most people in government today who make decisions were either born in public hospitals or at home by traditional birth attendants. The majority if not all went to public schools. Today, nobody with some little income wants to take their kids to public schools. People rather take on unbearable debt borrowing school fees to give their kids a fighting chance later in life than sending them to a school where they won’t learn much.

Uganda’s population has significantly grown over the last 30 years from 18 million to 45 million today but the public facilities such as schools and health facilities haven’t. If we had working public schools and hospitals, we won’t be running to court to regulate anything. The super wealthy would take their kids to the few expensive private schools while the majority would be fine with public schools. The same with hospitals.

The best way to regulate medical bills in private hospitals is by having effective public hospitals in adequate numbers to match the population. The private hospitals will then charge what is acceptable to stay in business. They would also improve their service to attract the super wealthy customers. The same would be for schools.

Today, we have 529 members of parliament. The argument for the proliferation of political constituencies is to serve the population. Why don’t we flip the chart and ensure that before a constituency is set up, there is a proper well managed hospital and public schools to serve the increasing population? Do people want more MPs or more hospitals and schools? The money spent on a single MP every five-year term is enough to set up a hospital and a school in that area. If we invested in such for 10 years and then bring in MPs, the MPs wouldn’t have to buy 25-year-old Toyata Supercustom vans and paint them with a cross and the word ambulance.

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

Tags: COVID19 Treatment in Uganda, Denis Jjuuko, Mulago hospital, Out to Lunch, Private hospitals in Uganda

Education

From Smartphones to Sustainable Livelihoods: Manafwa Youth Power a New Digital Future

By Sandra Nakafeero A fresh sense of purpose swept through the Manafwa District Hall as more than 100 young people gathered for the close of an intensive digital skilling programme. Phones in hand and ideas taking shape, the participants demonstrated how simple digital tools are reshaping the way young people learn, create, and earn. During the hands-on sessions, trainees explored practical skills ranging from graphic design and social media branding to virtual collaboration. Using Canva and other mobile-friendly applications, the youths learned how to develop marketing visuals, select effective colour schemes and fonts, and package messages for online audiences. For many, these skills marked their first step toward turning creativity into income. Abikala Munyanda stood out among the cohort, emerging as the overall best performer. Like many of his peers, he described the training as a confidence booster that transformed digital platforms from sources of entertainment into tools for enterprise. The training was further energized by guest facilitator and content creator Dr. Solomon Kimera, whose journey resonated strongly with the participants. A medical doctor by profession, Dr. Kimera shared how he built a massive digital following by starting small and staying consistent. “I didn’t begin with expensive equipment or a studio,” he told the youth. “I started with an ordinary smartphone and the courage to put myself out there. If you wait for everything to be perfect, you may never begin.” Today, Dr. Kimera commands an online audience of nearly 2.5 million followers on TikTok, with content that blends education and entertainment. His story underscored a key lesson of the training: innovation is less about resources and more about mindset. Addressing the participants at the closing ceremony, the Chief Administrative Officer of Manafwa District, Mr. Ssenku Kimuli Samuel, urged the youth to translate their new skills into meaningful livelihoods. “This training has equipped you with skills that are relevant to today’s economy,” Mr. Ssenku said. “You already have powerful tools in your hands, your smartphones. Use them responsibly to create value, to earn honestly, and to contribute to the development of Manafwa. The future of this district depends on how well you apply what you have learned.” He emphasized that digital skilling is no longer optional but essential for young people seeking employment, entrepreneurship, and participation in national development. The Resident District Commissioner, Hon. Saleh Kamba, commended the trainees for their commitment and encouraged them to remain innovative and disciplined as they venture into the digital space. He noted that digital literacy offers young people an opportunity to improve their livelihoods using resources they already possess. The initiative was implemented by the Uganda Communications Commission (UCC) through the Uganda Communications Universal Service and Access Fund (UCUSAF), in partnership with Prime Time Communications. The programme targets youths in five eastern Uganda districts—Kumi, Kapchorwa, Manafwa, Butaleja, and Kamuli—with more than 500 young people benefiting in the current rollout. Overall, nearly 1,400 youths across 13 districts in central and eastern Uganda are being equipped with practical ICT and multimedia skills. In the first quarter of 2026, the programme will extend to Butaleja and Kamuli districts, enrolling an additional 200 youths. At the conclusion of the training, three participants were recognized for outstanding performance: Abikala Munyanda as Overall Winner, Leah Edith Namono as First Runner-Up, and Derrick Kalibo as Second Runner-Up. As the youths of Manafwa step forward with newly acquired digital competencies, they carry more than certificates—they carry the potential to create jobs, grow incomes, and transform their communities. One design, one post at a time, a new digital chapter is unfolding in Manafwa District.

December 15, 2025

Digitalization

From a simple smartphone to nearly 2.5m followers: Dr. Solomon Kimera inspires Kapchorwa youths to start now

By Gloria Kembabazi Digital skilling is opening new opportunities for young people who dream of building careers in content creation. In today’s digital world, many youths aspire to make a living online, yet procrastination and self-doubt often hold them back. Many wait for the perfect equipment, ideal timing, or enough money before they begin delays that keep their dreams on pause. It is under this background that Uganda Communications Commission (UCC) through the Uganda Communications Universal Service and Access Fund (UCUSAF) working with Prime Time Communications is implementing a program to skill youth groups in Information and Communication Technologies (ICT) and multimedia in five districts in eastern Uganda. The districts are Kumi, Kapchorwa, Manafwa, Butaleja and Kamuli. The training will see more than 500 youths acquire digital skills that are critical in enabling them to find or create meaningful work. Through the partnership between UCC and Prime Time Communications, more than 1,200 youths have so far been trained in central and eastern Uganda. When the digital skills training program kicked off at the Kapachrowa Community Hall in Kisenyi Sub-County within Kapchorwa Municipality, Kapchorwa District, the atmosphere was filled with inspiration as a famous TikToker and content creator Dr. Solomon Kimera took to the stage. Dr. Kimera, widely recognized for his engaging and educational TikTok videos, has built a strong online community by blending entertainment with knowledge. His relatable delivery and ability to simplify complex topics have earned him admiration from thousands of young people across the country. Addressing the youth, Dr. Kimera shared the authentic story of his journey. Although he is a medical doctor with a professional background in clinical practice, his rise in the digital world did not begin with expensive tools or a perfect setup. Instead, it began with confidence and creativity. “I started with the most basic equipment; an inexpensive smartphone. I was my own camera operator,” he revealed. “If I had waited to earn enough from my medical career to buy a better phone, I wouldn’t have the following I have today. I might never have existed as a content creator. You must start now!” His message resonated deeply with the young audience. Today, Dr. Kimera has nearly 2.5 million followers on TikTok, with his videos attracting millions of views and likes. His success is proof that passion and consistency can open doors, even when resources are limited. Through the UCC digital skills training, the youths in Kapchorwa are being empowered with practical skills to create content, build online brands, and tap into the growing digital economy. Dr. Kimera’s story served as a powerful reminder that success begins with the courage to start using whatever is available. His final encouragement to the youth was simple but profound: “Don’t wait for perfect conditions. Start with what you have. Your journey begins today.” One participant, Siya Deo, described the engagement and training as “an eye-opening.” Previously, he viewed his smartphone as a tool for basic tasks. “Now I know I can use my phone to do video content creation,” he shared.

December 4, 2025

Out to Lunch

#OutToLunch: Rampant unemployment is a key national security issue

By Denis Jjuuko The public service ministry recently announced that more than 40,000 people applied for 287 jobs across different government ministries, departments and agencies. More than 28,000 of those who applied qualified, meaning they were selected for aptitude tests which were to be held at the Mandela National Stadium at Namboole. It must be frustrating looking for job in Uganda. The news came after a bombshell report emanating from research by the Inspectorate of Government (IG) and the Economic Policy Research Centre (EPRC) that indicated that Ugandans pay a whopping Shs42.34b annually to district service boards to get jobs. Averagely, the report indicated, 130,000 people pay bribes to land jobs. The people who ask for these bribes know that the jobs are scarce and people are desperate and willing to do anything to land the jobs. When somebody who bribed their way to a job gets employed, it means a few things. First, the person is not the best for the job. They just had the money to pay a recruiter. The best candidate may not have had the money and therefore wasn’t considered. Because the person knows they only got the job through bribery, they will continue bribing their way into senior positions. That is how we end up with incompetent people in positions of authority. People who can’t execute anything and making sure things don’t work or looking at everyone who is competent as a threat or what people call work politics. The people who are competent end up doing very little at work so that the incompetent boss doesn’t feel insecure and threatened. That is how we end with yes people—they won’t advise their bosses. They will do whatever the boss wants whether it makes sense or not. Remember, there are no jobs and these people have families to feed. Rocking the boat isn’t something that they want to do. Second, the people who bribed their way to jobs will only hire those who pay them a bribe. That way you end up with a corrupt layer at every level and an incompetent lot everywhere. Service delivery is impacted. Government then fails to create jobs that young people can apply for and get on merit. Third, because the public service is corrupted, the private sector suffers too. People can’t start and run businesses professionally. The people who are in positions because they paid a recruiter will endlessly try to get a return on their investment (read bribe). Procurement processes will be compromised. Payment for services and goods delivered will be frustrated unless somebody is paid. The bribery doesn’t end at public service. We recently saw many statements from politicians who lost elections for positions in their political parties claiming their rivals won through bribery. Some wondered why people were bribing for positions that were actually “voluntary.” We hear that candidates for Members of Parliament in some constituencies spend more money than they would get in the five years they would spend in the office should they win. If somebody spends more money than they would be officially paid, it means they are doing so to illegally get something. Somebody who sells their house to get money for election will do anything to get their house back. That is how we end up without jobs and seeing young energetic people leaving the country for the Middle East not to do highly technical jobs but menial ones or being trafficked for sex like we recently heard from a BBC investigation. Government has been saying that they are intending to grow the economy to US$500 billion annually. Great stuff but with rampant corruption, it will be a tall order. There is a need to nip corruption in the bud in order to create sustainable jobs for the working age population. Otherwise, we shall continue to see thousands of people filling up soccer stadiums to apply for a few jobs they know they stand no chance of getting. That is what they call desperation. And desperate people can do pretty much anything. Unemployment ends up being a key national security issue that the government must urgently address. The public have a chance to play a key role here by voting people in 2026 not because they bribed them with a t-shirts or some cheap alcohol but those who can address the challenges they face such as unemployment. The writer is a communication and visibility consultant. djjuuko@gmail.com

October 13, 2025