COVID19 – Prime Time Communications

Out to Lunch

#OutToLunch Africa must industrialize or wait for COVID to decimate it

By Denis Jjuuko Less than 10% of 1.3 billion people in Africa have been vaccinated against COVID-19. The major reason is because Africa is comfortable with importing everything. We have never looked at ourselves as producers. So when COVID-19 struck, we didn’t do much, waiting for what the west would do. I listened to a government official say that the reason we don’t have enough beds in intensive care units is because they take time to be imported. We also heard that oxygen gas cylinders also take time to be imported. What do we make then? We are told repeatedly that Africa’s comparative advantage is in producing food. How much do we grow and how much do we import? Africa imports food worth US$35 billion a year and the figure is estimated to hit US$100 billion by 2030. So is this our comparative advantage as we wont to claim at each conference and in every little paper we publish? If we can’t even grow enough food for ourselves then what are we good at? We export the coffee and then import the dregs in the name of instant coffees that we proudly consume. Africa has a very young population compared actually to most other continents. This is the right age group to retool and ensure that they can take on manufacturing. Let us look at the automotive industry, which makes economies truly industrial. Annual car production pre-COVID-19 days is averagely 97 million cars. Of these 30% are made in China. China’s population is just 1.4 billion people, roughly the same population as Africa. Africa only produces 1% of the world’s cars. Does it then surprise anyone that when it comes to COVID-19 we are simply begging other countries? Look around, if the big pharma that have developed the vaccines tomorrow decided to release the formula for making them, shall we even manage to make them? Are we setting up factories that can even do contract manufacturing? What makes it so difficult to assemble an ICU bed and its accessories? The reason is that we are extremely comfortable importing every little thing. Africa’s businesspeople are essentially importers. Flights from Africa to Asia are always full of people on trade excursions. Many, after a long day’s work and relaxing in sauna brag about the number of containers they are shipping in. Not containers of machinery to make the products at home. Why should a businessperson import goods for 30 years without trying to make that same product? The Chinese from whom the Africans import stuff simply study these traders and then come to Africa and set up factories to make the stuff the Africans have been importing for decades. The Africans then run to the media to cry that the foreigners are getting incentives and are undercutting them. Why should the government not give factories owners incentives? Drive around the entire country and ask who owns the new shinny mall or apartment block and then ask who owns the factories, the answers will be different. We have failed to build capacity in making products and we have left that role to foreigners. The foreigners will also build stuff that may not be strategic for our country. The government needs to get involved in manufacturing again. The structural adjustment programmes of the 1990s that led to the government abandoning manufacturing and being involved in business was a mistake. It is time for the government to go back in there and look at the industries that many other people may not want to invest in because of money and long period it would take to make profits and take them on. Its involvement in Kiira Motors is a good start. Cuba, a small, impoverished island has developed a COVID-19 vaccine that is more than 90% effective. Africa is yet to come up with one, 60 years after gaining independence. When COVID-19 first struck, most African leaders created theories about the weather and a youthful population. When Merinda Gates argued that Africa will be severely hit, African elites went on social media and attacked her instead of planning for a pending crisis. Today, we are holding national prayers to pray COVID away! African leaders love guns and military hardware but even those they gladly show off during Independence Day celebrations are mainly imported. And they are usually second or fourth hand. Why don’t they start making them here on the continent? Many of the most important innovations we have today were originally invented for the military. The telephone, internet and even drones quickly come to mind. Africa to develop and solve the challenges of our time must industrialize. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 24, 2021

Out to Lunch

#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

August 24, 2021

Out to Lunch

#OutToLunch Universities shouldn’t be postponing exams over COVID-19 surge

By Denis Jjuuko A friend who has been spending sleepless nights preparing for end of semester exams for her master’s degree at one of the country’s top public universities broke some sad news. The university has postponed the exams due to increased COVID-19 cases in the country. My friend has been largely studying online since the start of the semester. The postponement of her exams, means that she will now go back to her employer and ask for the postponement of her work leave. She has no guarantee that the employer will accept because that affects all the leave days of her colleagues. Her graduation will also be postponed to a future date. It is important that our institutions of higher learning are prioritizing the health of their customers and perhaps the university is justified in postponing exams (this article was written and originally published before the current shutdown). But we are in 2021 and a university which has been happy to teach students online can find other ways to administer exams online as well. I have friends who had been admitted to universities abroad and were due to travel. Then COVID-19 hit and changed all their plans. They didn’t go to Massachusetts to attend Harvard or California for their Stanford courses. The courses were offered online and so were exams. You perhaps saw many on your social media timelines dressed in Harvard gowns in Kampala attending their graduation ceremonies. Many universities all over the world offer online courses regardless of COVID-19 and students have been graduating all the time. Before they graduate, the universities ensure that they have undergone some form of assessment. If you look for MBA holders in Uganda, you will find many from Edinburgh Business School. Many such MBA holders have never been anywhere near Edinburgh. Their degrees are as valid as those offered in attendance in the United Kingdom. Many people, some students, consultants or prospective employee do exams online and pass or fail them. Parties involved in an exam agree on the time and duration of the examination. At the agreed time, the exam is sent and the student sits and answers back and emails it back in the agreed timeframe. The examiners then go and mark it and a score is awarded. If Ugandan universities fear that students will cheat if they are sent the exams, I am happy to inform them that they cheat during exams answered at their campuses, where a tough non-smiling invigilator is prancing the aisles of the room looking for who to catch with what Ugandan students call a bullet. But also, universities know about open-book exams. So, what is wrong if a student searched for some information unless if the exam is about cramming? So how can a public university which considers itself one of the best in the country postpone exams because of COVID-19? In 2021? For graduate students? What are they teaching if they can’t deploy technology for students to do exams? The other problem Ugandan universities are facing is in marking exams. I taught at a Ugandan university for 10 years and I decided to quit mainly because I found no more pleasure in marking exams. I was expected to sit and mark hundreds of students every end of semester. Hundreds of mid-semister assignments as well. I see lecturers who have more than 1,000 scripts to mark every semester. I always admire their skills in marking these students. I regularly do online courses on all sort of issues including anti-corruption and field security issues. I sit in front of my computer and study and after a certain period, I do the exams. There is no human being involved. Once I get the pass mark, I am awarded a certificate and therefore qualify to do certain things. Most of these courses are more rigorous than what many masters students study in Uganda (I overheard an MBA lecturer teaching students how to calculate percentages!). So why can’t universities do some coding and come up with software that can mark exams and award scores? Face ID can be used to tell who is doing the exams to reduce cheating. Most so-called online courses offered by Ugandan universities are held over zoom. The lecturer on the other side and students listening in and once in a while making a contribution. That is great but there should be more. Why should somebody studying online always have to rush from office at 5.00pm so that they can be somewhere like at home at 7.00pm so that they can study up to 10.00pm? Masters students should be able to do self-discovery and identify issues and find solutions. Not necessarily to cram what the professor is saying over Zoom. The writer is a communication and visibility consultant. djjuuko@gmail.com

August 23, 2021