In July last year, Uganda Christian University (UCU) marked a milestone as it graduated its first cohort of students of Bachelor of Medicine and Bachelor of Surgery, and Bachelor of Dental Surgery. Together with fresh graduates from other medical schools in the country, these UCU graduates were deployed by the Ministry of Health as interns in various training hospitals in Uganda, a mandatory requirement for everyone before they practice medicine in the country. Kefa Senoga, a Uganda Partners communications intern, interviewed some of the former UCU School of Medicine (SoM) and School of Dentistry (SoD)  students who are now medical interns. A summary of responses are provided. 

Wasswa Travor (SoM) – ‘maintain an open mind’

Working at Lubaga Hospital has been a wonderful experience. As a Private and Not-for-profit (PNFP) facility, it stands out among other medical facilities due to its well-organized centers, abundant resources, extensive supervision and numerous specialists.

All healthcare facilities run by religious bodies are under PNFP. Lubaga Hospital is a Catholic-founded medical facility.

I have been able to learn and to grow both at a personal and professional level. My confidence levels, too, have improved. I now feel well-prepared for medical practice.

Sometimes the work schedule can be so demanding, but when I get free time, I spend it with the family. The most important lesson I’ve learned from my medical internship is to maintain an open mind. I also have learned that the entire medical internship is for us to learn from senior colleagues.

Basamu Bertram (SoD) – ‘a learning period’
The internship has been full of emotion, anxiety, and happiness. When you complete medical school and go for an internship, you get to practice many things on your own, and, therefore, many decisions are made entirely by you.

In some circumstances, supervision can be insufficient. Supervisors, who are senior doctors, are often overwhelmed by their own workload, sometimes leaving the intern doctors to manage patients on their own.

Despite such challenges, I have maintained a high level of self-control. Even when patients are offensive, I have always remained calm and composed.

Working at Mulago National Referral Hospital also has taught me to be hardworking. A national referral hospital by its nature has many patients, so you have to be ready for hectic work days. We only get two weeks of leave for every six months. As dentists, we engage in more hands-on practice during our internship than we did while at school. That’s why internship has been a learning period for me.

However, I also use the internet to learn more, as well as consult my former classmates and senior colleagues on some unique challenges I may face. I felt excited getting paid for my skills for the first time. We earn about sh1million (about $266) per month as our allowance, although sometimes they are delayed.

Elizabeth Tushabe (SoM) – ‘importance of prayer’

I have learned a great deal and continue to learn from the senior doctors I work with at Kawempe National Referral Hospital. I have been fortunate enough to work with senior doctors who are hospitable and are ready to help. Personally, I have gained extensive knowledge in both medical and non-medical areas from them.

Life outside of school is a whole new experience; we’re no longer students. I’ve had to make many adjustments, with transportation being my biggest challenge. Commuting daily from home to work, especially since it’s a long distance, has been a significant adjustment. I was used to using the university shuttle, but that option is no longer available.

Hearing that other hospitals are providing food and accommodation for their intern doctors also makes me feel a little less fortunate. 

My biggest lesson from this experience is the importance of prayer. As former students of UCU, we have been fortunate enough to have been involved in Christian fellowship while in school.

Birungi Beatrice (SoM) – ‘a good foundation’
Currently, I am an intern doctor at Lubaga Hospital, but adapting to the shift from school to a work environment was daunting. However, with the adaptation came the joy of working in a healthcare facility. I haven’t experienced anything that I would call a challenge. Many of the situations that I have come across are what I would call learning points.

However, one thing I have observed is that what we learned in medical school was a good foundation to build on what we have found in the field. 

Basule Isaac Ahamada (UCU SoM) – ‘occasional shortage’ challenge

Working at two medical facilities — Soroti Regional Referral Hospital and Pearl View Medical Center, Kiwanga, Mukono, where I work as a part time doctor — has been challenging. However, in the challenge, I have been able to grow from a theoretical medical student to a doctor capable of making sound on-the-spot decisions in situations where the outcome would be either life or death. 

While working in Soroti, I’ve faced challenges, particularly with the language barrier. However, I have been able to learn the local language, Ateso, to be able to communicate a few messages to the patients. In other instances, I have been able to use translators when available.

However, the biggest challenge has been occasional shortage of some logistics/services in the hospital, such as certain essential medicines, like the first line malaria drug (i.e artesunate), sterile gauze, blood culture service, meticulous intensive care unit (ICU) services — which leaves many of our patients receiving suboptimal care. 

This experience has instead taught me the importance of providing the best possible care to every patient, the kind of care I would want my loved ones to receive if they were in a similar situation. It’s a reminder that each patient is someone’s cherished family member.

 

By Pauline Luba
It is unusual for a medical student to show an interest in farming. Yet, that is what Samantha Ainembabazi, working towards the Bachelor of Medicine and Bachelor of Surgery at the Uganda Christian University (UCU), did and more. 

She diversified her knowledge and skill into an innovation that she thinks could be a game changer for Uganda’s small-scale farmers and received a cash prize for the idea.  The 23-year-old, final-year student on the Kampala campus was given a sh10million (about $2,640) grant to help her refine her idea and actualize it. 

UCU Ainembabazi’s innovation: preserves fruits and vegetables extending shelf life by 30 days

Ainembabazi’s innovation, Frezo Nano Technologies, which she submitted to the Ayute Africa Challenge 2023,   preserves fruits and vegetables by releasing a safe organic formulation extending shelf life by 30 days. 

Ayute Africa Challenge Uganda identifies agricultural and innovative tech ideas with the potential to address the challenges of smallholder farmers in Uganda, such as strengthening food security and improving production, income, resilience and access to finance.

And the support goes beyond awarding the agri-tech innovators. A team of expert advisors supports the winners to actualize their ideas to impact the lives of smallholder farmers. According to the Food and Agriculture Organization of the United Nations, more than 70% of people in Uganda work in agriculture, and the country has more than three-and-a-half million family farms.

This year’s Ayute Africa Challenge, organized by Heifer International, a not-for-profit organization that supports local farmers in Uganda, featured 189 participants. The contestants were taken through an incubator program to gain deeper insight into how to scale up their businesses, ensure sustainability, and attain financial management skills. 

Ainembabazi believes the innovation that took her and her co-founder, Mugisha Arnold Gift, two years to develop will help reduce post-harvest losses among farmers. Frezo Nano Technologies inhibits the activity of phospholipase D, an enzyme responsible for the deterioration of membranes of fruits, giving them an extended shelf life.

Statistics indicate that poor practices in harvest and postharvest handling lead to a loss of 22% of the harvested produce and a further 17% loss of the output value.  

“We hope to reach every small-scale farmer, and eventually every household to help in the preservation of fruits and vegetables,” said Ainembabazi, whose innovation was the second runner-up in this year’s challenge. 

Simon Peter Okoci, who built an innovation that uses an automated temperature and light regulation system in brooders, was the overall winner. For this feat, he walked home with a cash prize of sh35million (about $9,230). The first runner-up, Willy Katumwa, who invented a fish feeding technology that automates feeding based on fish needs, received sh25 million (about $6,600).

The Heifer Uganda Country Director, William Matovu, said they aim to build a community of agri-tech innovators that can accelerate meaningful impact for smallholder farmers.

“Heifer Uganda believes that the future of Africa’s agriculture hinges on creating opportunities for young innovators to transform the agricultural landscape,” Matovu said at the awards gala held late October 2023.

Last year’s top winners of the challenge, according to Fred Bwino Kyakulaga, Uganda’s minister for agriculture, have already created jobs for 25 youths, with their innovations serving over 200 farmers in Uganda.

In the bustling streets of the Kyebando suburb of Kampala, and under the nurturing gaze of his parents, Mr. Deruku Luiji and Mrs. Asumpta Peace, Candia Godwin Ivan’s journey into the world of medicine began. 

Born in Arua, Uganda, Candia’s early experiences in life were marked by a profound loss when in the capital city suburb at age five. At that tender age, he tragically lost his younger sister to a febrile illness. It was a moment that would shape his destiny and ignite the flames of his commitment to the field of medicine.

Today, Candia stands as a beacon of hope for the people of Arua. A ministerial Policy statement for the Financial Year 2022/23 cited failure “to attract and retain specialized doctors” as a major challenge facing hospitals in the district, namely the Arua Hospital. One reason is that the district is over 300 miles from Kampala, where most professionals prefer to practice due to the vastness of opportunities and also the comparative lucrativeness of the trade.

After graduating as part of the pioneer medicine class of Uganda Christian University (UCU) School of Medicine (SoM) in July, the medical doctor has now embarked on his Medical Internship at Mbarara Regional Referral Hospital (MRRH). Candia’s story is one of determination, passion, and a deep-rooted desire to use his skills to transform healthcare and make a lasting impact on his community.

UCU Candia’s Early Influences and Ambitions

From a young age, Candia’s love for medicine was evident. The loss of his sister instilled in him a profound belief that he should dedicate his life to saving lives. As he matured, particularly in his early 20s, his fervor for leveraging social impact to enhance healthcare grew stronger. His passion for medicine was not only a personal calling but also a response to the pressing healthcare needs of his community.

His decision to pursue medicine was influenced by a deep-seated desire to help others and his passion for science, which he recognized as an ever-evolving field. He notes that part of the seed was planted in his high school days at St. Mary’s College Kisubi “which had such a resourceful library.” 

“That is where my love for science grew much more, especially in the biological field,” he said.

If not for medicine, Candia contemplated a career in Software Engineering, a testament to his versatile interests and the breadth of his intellectual curiosity.

Candia’s pursuit for quality medical training brought him to UCU, where he would embark on a rigorous five-year journey filled with challenges and triumphs. He revealed that he had been closely following the law school and based on that success believed the medical school could be the same. 

The rigorous demands of the medical school curriculum meant immense mental energy to maintain this pattern for five years. Candia’s love for learning made the journey more manageable, and he credits his ability to balance his work and social life, as well as engaging in discussions with peers, for making the learning process easier.

In the midst of study rigor, Ivan remembers the weekend activities reserved for some adrenaline rush drawn from watching Premier League football in his hostel room.

Charting a Future in Medicine

Now, as he embarks on his medical internship and plans for the future, Ivan is uncompromising in his commitment to serving his community. His next steps include gaining more experience through work and pursuing a master’s degree in plastic and reconstructive surgery. His vision extends beyond personal success; he aspires to collaborate with other healthcare workers to conduct extensive health education within his hometown of Arua. 

This initiative aims to influence social habits, which are the primary contributors to disease and illness. Candia’s ultimate goal is to ultimately roll out free or at least affordable community health services. 

“If everything proceeds as planned, I intend to organize screening camps and eventually establish a nonprofit health facility to serve the Arua communities,” Candia says. 

Candia’s faith is an essential part of his life and work. As a Christian, he draws inspiration from the teachings of the Bible, where Jesus healed the sick and helped those in need. These teachings drive him, giving him a sense of purpose and meaning in his work as a medical professional.

One notable aspect of Candia’s journey was his leadership role at the UCU School of Medicine (SoM). This experience helped him develop crucial skills, including time management, communication, presentation, confidence, and critical thinking. These skills were instrumental in his academic excellence and continue to shape his professional life as a medical doctor.

Being the first medicine graduate in his family, the story of Candia Godwin Ivan serves as an inspiring testament to the power of determination, purpose, and faith in shaping a future where healthcare reaches the most vulnerable. 

By Irene Best Nyapendi
Studying a course for five years is not for the faint hearted. The 23-year-old Beatrice Birungi is one of the 45 tenacious students who pioneered the grueling Bachelor of Medicine and Surgery training at Uganda Christian University (UCU), completing it this year.

Birungi was overjoyed as she graduated at the UCU Mukono campus on July 28. 

Graduating as a doctor was a dream come true for Birungi. Since her childhood, she has always thought doctors were “cool,” and now she is one of them.

However, being a doctor meant more to her as she grew up seeing her uncle save lives during the Ebola pandemic in Bundibugyo (2007-2008), western Uganda. She aspired to be like her uncle and work on the front line to save lives and make a difference.

Birungi narrates her journey as a UCU Medical student

When Birungi had just joined SoM in 2018, everything was new and complicated during that first year. She was encouraged to join discussion groups to help her discuss and process the concepts with her colleagues, which greatly helped her. 

In 2020, Birungi lost a father and a close aunt, increasing difficulties. 

“My father was the breadwinner. He catered for all my tuition and other fees, as well as upkeep. There were struggles along the way after he died,” she said. “It was hard getting over the loss of my father, but my classmates helped me to overcome it.” 

Despite obstacles of finances and grief, she remained focused on her studies. When she finally saw her name on the graduation list, she felt triumphant. She scooped a first-class degree, with a cumulative grade point average (CGPA) of 4.64 out of 5.0.

“I was more than excited when I saw my name on the graduation list. When I showed my mother, joy continued to flow as she also called other members of the family to inform them that I was graduating,” she said.

Birungi believes the School has made her “a full package doctor” who will give her patients “both physical and spiritual healing.”

“At UCU, I was given a holistic education through some of the foundation studies, such as Understanding World Views,” she said. “They literally made me a full-package doctor—they not only gave me medical knowledge but also knowledge about the real world and the spiritual aspect.”

She sees her profession as an opportunity to preach the gospel during her interactions with patients. She hopes to use the conversations to share the gospel as well.

Birungi, once shy, believes that by helping her patients know Christ, she will have a bigger impact on them because once they believe in Jesus, they will understand that He can heal them.

“I want to make an impact by bringing the spiritual side of medicine to the world,” she said. “I want to help others see Christ in the way I treat, talk, and work with patients.”

It was through chats that she learned that people can smile in the midst of medical healing.

She said she will be “a healer not only for the physical but the spiritual as well.”

Birungi said the first thing she does when she receives a patient is talk to God. 

“Usually when I receive a patient, I say, God, I know I have a lot of knowledge in this brain, please help me organize it so that I can help this person,” she said. “I know it’s you who can actually heal them. Then I start attending to the patient.”

Her memorable moments at UCU SoM, which is based in Kampala, include participating in the sports gala and community worship away from the busy hours in class. She gives attribution to many.

“Above all, I attribute special thanks to God, my family, and my classmate Travor Wasswa, who always took time to discuss with me. This greatly boosted my academic performance,” Birungi said.

By Irene Best Nyapendi and Jimmy Siyasa
In July 2023, Uganda Christian University (UCU) graduates 45 pioneer students of its School of Medicine. The graduates are the first batch of exceptional doctors – with many more to come, marking a milestone since the establishment of the School of Medicine in 2018. 

How UCU’s School of Medicine collaborations benefits its students

To forge the best doctors, UCU’s School of Medicine has proactively forged partnerships with institutions such as Mulago National Referral Hospital, Mengo Hospital, Mukono Church of Uganda Hospital and Uganda Cancer Institute. These collaborations ensure that students receive comprehensive and high-quality training throughout their five-year program.

Under the guidance of Dr. Gerald Tumusiime, Dean of the School of Medicine, students are strategically placed in different healthcare facilities at various stages of their training. This approach aims to provide them with diverse clinical exposure and the opportunity to learn from specialists in different settings. 

“By moving to different health facilities, they get more skills from different specialists and exposure so that they may make informed choices with their career paths,” Dr. Tumusiime said.  

Beginning from their first and second years, students gain valuable clinical experience at Mengo and Mukono Church of Uganda hospitals. As they progress to their third and fourth years, they undertake extensive clinical practice at Mengo Hospital. In their fourth year, students have the privilege of training at the Institute of Hospice and Palliative Care Africa, Mulago Hospital and Uganda Cancer Institute.

Beyond the clinical aspects, the School of Medicine emphasizes the importance of holistic development. Students participate in mandatory community engagement programs, aligning with the philosophy of reaching out to the sick. This approach cultivates character and instills empathy in future doctors. Furthermore, the school’s collaboration with organizations such as Noah’s Ark Ministries, a Christian entity, offers students opportunities to integrate their faith into their medical practice. Noah’s Ark integrates the student doctors in their medical center and schedules outreaches to communities for clinical screenings and immunizations. 

Dr. Tumusiime believes that this holistic approach sets UCU students apart, making them not only highly skilled professionals, but also compassionate caregivers. Through their training, these students learn to prioritize patient well-being and exhibit genuine care for those they serve.

“Interactions with other Christian doctors at such Christian organizations enable our students to integrate faith in medical practice,” Dr. Tumusiime said.

The institution’s emphasis on quality training, diverse clinical exposure, and the integration of faith in medical practice ensures that UCU graduates are well-prepared to make a positive impact on the communities they serve. 

As the future of medical education and practice unfolds, prospective students can find solace in UCU’s dedication to empowering aspiring doctors with the knowledge, skills and character that makes them stand out in the crowd.

Testimonies of graduands

Ronnie Mwesigwa’s dream, which is contributing towards healing the ailing health sector, is near with his imminent graduation. Mwesigwa is concerned about the patient-to-doctor ratio gap in Uganda. Uganda’s doctor-to-patient ratio is one doctor per every 25,725 patients. In comparison, the USA has one doctor for every 340 persons. 

Mwesigwa lost his grandmother – a death he believes was caused by negligent doctors. Her final note urged her grandson to “study medicine and become a doctor.” 

“The doctor who was serving her postponed her treatment many times even when she needed immediate attention,” he said.

Graduand Davis Ampumuza has promised himself to bring strong work ethic and enthusiasm in the medical field to curb the rate at which pregnant mothers lose their lives and children due to negligence and unavailability of medical officers. 

“The short answer to making health care better in Uganda is a well-developed infrastructure,” he said. “The longer answer relates to the fact that women in particular stay in very hard to reach areas where the distance between their homes and health units is very long and the roads are very poor.”

Ampumuza added that the lack of nearby medical services, combined with procedures performed by less-qualified health care workers,  increases the risk of mortality for pregnant women and their babies.

Ampumuza, Mwesigwa and 43 other new UCU SoM graduates will help fill those gaps.

Following the July graduation, there will be 259 students in the School of Medicine.

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