FROM CLASSROOM TO COURTROOM: MY EYE-OPENING INTERNSHIP AT CEHURD

By Buule Malcom Samuel

Stepping out of the lecture halls and into the bustling offices of the Center for Health, Human Rights and Development (CEHURD) was like flipping a switch. Suddenly, the legal theories I had diligently absorbed in textbooks sprang to life, pulsating with the urgency of real-world human rights struggles. My internship at CEHURD wasn’t just a resume builder; it was a profound journey that reshaped my understanding of social justice and advocacy for health rights in Uganda.

More than just paperwork: The Human Face of Advocacy

Before CEHURD, my idea of legal work was largely confined to the law library and intricate legal arguments. What struck me immediately at CEHURD was the deep human element at the core of their mission. Every case, every policy brief, every community outreach program was driven by tangible needs and rights of individuals.

I remember one particular afternoon, poring over affidavits related to a maternal health case. The statistics on maternal mortality in Uganda are sobering enough, but reading the personal accounts of families who had lost loved ones due to preventable complications-the grief, the frustration, the demand for accountability was truly humbling. It was a powerful reminder that behind every legal document is a life, a story and fight for dignity.

– Malcom Buule

Diving deep: My Role in the fight for Health Rights

My tasks at CEHURD were incredibly diverse, offering me a holistic view of human rights advocacy. My days were not only filled with conducting legal research for a strategic public interest litigation case, and sifting through national and international legal frameworks to build robust arguments, but also with drafting policy briefs aimed at influencing health legislation.

I also had an opportunity to witness firsthand the power of community engagement when I participated in community engagements in Aletbong District in Northern Uganda. I traveled with two colleagues who gave me the chance to experience community visits firsthand. Our objective was to conduct mobile Legal Aid camps, which aimed at providing legal services and sharing important information with the communities. During the visits, I gained a deeper understanding of the real legal challenges people face and offered legal advice where I could. I believe that those who received this information experienced meaningful changes in their lives.

CEHURD understands that legal change isn’t just about court victories; it’s about empowering communities to know and demand their rights. Observing workshops where health rights were demystified for ordinary citizens was incredibly inspiring. It reminded me that true advocacy is a collaborative effort, bridging the gap between legal expertise and lived experiences.

Beyond internship

My internship at CEHURD was far more than a professional experience; it was a transformative one. It solidified my passion for human rights law and equipped me with the practical skills that no text book could ever teach. I learned the importance of resilience, the power of collaboration and the profound impact that dedicated legal professionals can have on society.

Leaving CEHURD, I carry with me not just a deeper understanding of health and human rights but a renewed sense of purpose. It ignited a fire within me to continue contributing to a more just and equitable world, where everyone has the right to health and dignity.

The writer is a lawyer and a member of the Makerere University Public Interest Law Clinic (PILAC), who was on secondment to CEHURD from the Makerere School of Law.

NAVIGATING THE HEALTH FUNDING CRISIS: UGANDA CHARTS A PATH TOWARD PHARMACEUTICAL SELF-RELIANCE

The Turning Point

Uganda’s healthcare landscape is at a critical juncture. As international funding streams face unprecedented uncertainty, the country must urgently transition from donor dependence to domestic sustainability in medicines and health products. This was the central theme of the National Dialogue on Access to Affordable Medicine & Health Products, held on June 24, 2025, in Kampala.

The dialogue, convened by CEHURD in partnership with KELIN and supported by ITPC Global, brought together key stakeholders to address the mounting challenges posed by recent US policy shifts, including withdrawal from WHO and potential PEPFAR funding cuts. With over 70% of Uganda’s health commodity funding historically coming from donors, the implications are stark and immediate.

The dialogue builds on the findings of a recent Market Intelligence Study on priority HIV and TB products in Uganda [A1] , which found that the governments contribution to the health commodity budget particularly HIV, TB, and HCV treatments is lacking, while recommending that the government should reduce dependency on International donors through the development of sustainable funding strategies to cover gaps as donor priority pivots to Climate Change and other Global Challenges.

The Scale of the Challenge

Kenneth Mwehonge from HEPS-Uganda delivered sobering statistics during his keynote presentation. The US currently provides 63% of global HIV funding, while in Africa, only South Africa allocates the recommended 5% of its budget to health – everyone else falls short. Uganda’s dependence runs deeper than many realize, with Essential Medicines and Health Supplies (EMHS) representing the second-largest health sector expenditure after human resources.

The numbers paint a concerning picture: over 46% of Uganda’s commodity budget for FY24/25 remains unfunded, creating a funding gap of nearly $500 million. Critical areas like Non-Communicable Disease commodities face a 99.6% funding shortfall, while STI/OI medicines show a 90.3% gap.

Industry Perspectives on Local Manufacturing

Dr. Adrian Kivumbi from the Uganda Pharmaceutical Manufacturers’ Association highlighted both progress and persistent challenges in local production. Uganda now boasts 26 registered pharmaceutical companies with over $500 million invested, yet the sector struggles with financing constraints. Notably, 70% of the health budget remains donor-funded, creating vulnerability when products like Lumartem begin disappearing from shelves.

The path forward, according to Kivumbi, lies in three strategic areas: partnerships, Intellectual Property reform, and pricing strategies. He pointed to successful models in India, where local manufacturers receive government protection, and noted growing interest from major pharmaceutical companies like Novartis and Pfizer in providing affordable medicines to African markets.

Intellectual Property: Barrier or Bridge?

James Lubwama from the Uganda Registration Services Bureau provided crucial insights into intellectual property challenges. The fundamental issue isn’t just awareness but the strategic use of technical ambiguities in patent applications that make drug reproduction nearly impossible without specialized knowledge.

Uganda has shown leadership in implementing IP flexibilities, with over 200 drug patents blocked from registration annually. The country’s IP office maintains over 117 million documents and offers enhanced protection for both drug compounds and manufacturing processes. However, ongoing international discussions about delinking research costs from manufacturing costs remain critical for sustainable pricing.

Government Response Strategy

Dr. Martha Ajulong from the Ministry of Health outlined the government’s multi-pronged approach to building resilience. The ministry is implementing the Hub and Spoke model to improve hospital accountability and has secured new funding to fill gaps left by USAID, including ongoing recruitment to address human resource shortages.

The EAC pool procurement mechanism, negotiated in March 2025 in Kigali, offers promising opportunities for collaborative purchasing power. However, Ajulong acknowledged that regional mechanisms face challenges, including mistrust among member states and preference for EU suppliers over supporting regional partners.

Funding Transition and Regional Cooperation

Diana Tibesigwa from AIDS Healthcare Foundation emphasized the need for strategic conversations about remodelling global funds and determining national priorities. Her key question resonated throughout the dialogue: “How do we negotiate debt for health?”

Uganda’s membership in the African Union and East African Community presents opportunities for leveraging pool procurement mechanisms, yet implementation remains slow. The digitization of health systems and supply chains down to community levels represents a critical sustainability strategy for projects previously supported by international donors.

Innovation in Quality and Manufacturing

The National Drug Authority has demonstrated remarkable progress, growing from 6 manufacturers in 2010 to 56 today, including 32 drug manufacturers, 5 traditional medicine manufacturers, and 19 medical device manufacturers. The authority is now pursuing GAP (Good Manufacturing Practice) maturity level 3, indicating serious commitment to international quality standards. However, knowledge gaps persist among healthcare providers who often prefer foreign products despite locally manufactured alternatives being equally effective and more accessible.

A Critical Moment for Action

The dialogue concluded with a clear recognition that Uganda stands at a crossroads. The transition from donor dependence to domestic sustainability is no longer optional – it’s urgent. As Kenneth Mwehonge emphasized in his closing remarks, “Uganda can no longer afford to wait or wish for donor aid to last forever. We must seize this moment to rebuild our health supply chain around resilience, equity, and innovation.”

The path ahead requires unprecedented coordination between government, private sector, civil society, and regional partners. Success will depend on Uganda’s ability to transform this crisis into an opportunity for building a more resilient, locally owned healthcare system that serves all citizens effectively.

With the right political will, strategic investments, and collaborative partnerships, Uganda can emerge from this funding crisis stronger and more self-reliant than ever before. The dialogue has set the stage – now comes the critical work of implementation.

For more information, please contact:

Seth Nimwesiga | Legal & Policy Advocacy Officer 

Center for Health, Human Rights and Development (CEHURD)

E-mail: nimwesiga@cehurd.org

Website: www.cehurd.org  and

Pesa Okania | Programme Officer – HIV, TB and KAPs -Kenya Legal and Ethical Issues Network on HIV & AIDS (KELIN)

E-mail: okaniapesa@kelinkenya.org

Website: www.kelinkenya.org


CEHURD Moot Problem and Instructions for the 12th National Inter-University Constitutional Law Moot Court Competition

The Center for Health, Human Rights, and Development (CEHURD) is delighted to announce that the Moot problem and accompanying instructions for this year’s competition are now available.

We extend our sincere gratitude to all universities that have registered for the 12th National Inter-University Constitutional Law Moot Court Competition.

This year’s competition centers on the theme: “Navigating divergent perspectives in promoting reproductive and gender justice in Uganda,”creating a fertile environment for thorough discussions on Reproductive and Gender Justice and in Uganda.

We wish all participants the very best.

#CEHURDMoot2025

Uganda’s Hidden Crisis: Unpacking Intimate Partner Violence

~ Compiled by Kitandwe Rhodine | Lawyer | CEHURD

Thousands of Ugandan women, and men, suffer silently from intimate partner violence (IPV). It‘s not just intimate; it is systemic, invisible, and inescapable.

In Uganda, Intimate Partner Violence (IPV) is hidden behind fake smiles, wedding rings, and Public Display of Affection (PDA). Behind closed doors, a crisis brews; affecting millions but rarely spoken about. Intimate Partner Violence is the most common form of gender-based violence cutting across every class, gender, and religion. Yet, it remains one of the most normalised and least addressed, particularly for women already pushed to the margins of society.

FACTS;

What is Intimate Partner Violence (IPV)? A recurring pattern of abuse by a current or former intimate partner aimed at gaining power and control. It includes:

· Physical abuse – Beatings with fists, belts, sticks and kicks are common.

· Sexual violence – Rape and coerced sex, though nearly never discussed openly.

· Emotional/psychological abuse – Verbal harassment, intimidation and control.

· Economic abuse – Controlling a partner’s access to money, resources or work

· Stalking – Unwanted contact that causes fear

· Reproductive coercion – Forcing pregnancy or abortion

· Spiritual & cyber abuse – Misusing religion or technology to harm

Did You Know? In Uganda, IPV is among the leading causes of illness and death for women of reproductive age.

Nationally, over 56 percent of ever-partnered Ugandan women have experienced some form of physical or sexual violence from a partner in their lifetime. Nearly, a quarter report having endured physical abuse, and one in four women has experienced sexual violence.

The 2024 Police Crime Report documented 14,073 domestic violence cases and 14,425 sex-related offenses. The majority of IPV incidents go unreported, especially among female sex workers, women with disabilities, and young people living with HIV.

Ms. Nakibuuka Noor Musisi, the Deputy Executive Director of the Center for Health, Human Rights and Development (CEHURD) says the crisis is deeper, systemic, invisible and inescapable. “Women are most vulnerable to IPV. They don’t have the power or the resources to leave violent relationships.”

Intimate Partner Violence isn’t just physical. It includes psychological torment, emotional degradation, sexual coercion, control over a partner’s movement, financial control, stalking, spiritual manipulation, reproductive coercion, and even technology-facilitated abuse.

It is not a single incident, but a deliberate pattern of behaviour rooted in power and control. The abuser, often a current or former intimate partner, isolates, intimidates, controls and undermines their victim and gags or removes all opportunities and spaces of speaking up.

The effects are devastating. Beyond broken bones and bruises, survivors live with deep emotional scars of depression, anxiety, post-traumatic stress, suicidal tendencies, overwhelming shame, broken homes, divorce and or death. IPV also exerts a heavy economic toll usually imissed wages, loss of employment, legal fees, and long-term poverty. For many women, IPV is a lifelong burden that denies them freedom, dignity, and opportunity. It can lead to unwanted pregnancies, miscarriage, disease, substance abuse, alcoholism, disability and economic insecurity. In Uganda, IPV is among the leading causes of mental illness and death among women of reproductive age yet, many still view it as a private issue. Yet, it is national emergency.

Among female sex workers, the danger is compounded by criminalisation, social stigma and discrimination. Public health data shows that nearly 59 percent of female sex workers experience moderate to severe IPV. Many are afraid to report abuse for fear of arrest or mockery. Their abusers range from clients turned boyfriends to cohabiting partners.

“For sex workers, the violence comes from all sides,” explains a Human Rights advocate who preferred anonymity in order to speak freely. “At home, they are abused by partners. On the streets, they are attacked by clients. When they resolve to eventually seek any possible support and legal redress, they are blamed or mocked.”

Women with disabilities suffer greater silence. The Uganda Demographic and Health Survey (2022) shows that 64 percent of married women with disabilities have experienced IPV. This number is much higher than the national average. Women with disabilities are more likely to be assaulted, coerced into sex, denied food, or emotionally degraded or forced to marry early or to men they do not want. Many are silenced, gagged or fear to report cases of violence. At least 24 percent of women with disabilities have reported suicidal thoughts compared to 17 percent of women without disabilities. With fewer options for income and movement, many of them are trapped in violent homes and violent relationships and; they have accepted their fate..

Young women living with HIV face a dual burden: the pain of violence and the weight of stigma. Uganda has one of the highest HIV rates among young women aged 15 to 24. Many HIV+ women report being abused by partners who restrict their access to medication, sabotage their treatment, or force abortion. A 2019 national survey found that 44 percent of HIV-positive women had experienced some form of IPV. “My partner used to hold my medication and say, ‘If you’re still with me, why do you need this?’” recalls one survivor whose identity was kept anonymous.

Men, too, are affected although their stories are rarely told. In 2024, a total 3,161 cases of IPV against men were officially recorded (Uganda Police Crime Report) But cultural expectations of masculinity, self-reliance, and silence often keep these male survivors from seeking help until it’s too late.

“These figures are not good at all,” says Maureen Atuhaire, Assistant Commissioner of Police. “We encourage people to sit down and resolve some of these issues -all we want is peace. You can get out of an abusive relationship; you don’t need to be there until death happens;

Men have a tendency of not sharing anything with their friends, their family members, or even counsellors. They think they can handle it on their own until it’s too late. In many cases, they either lose their lives or they take the lives of others. We encourage people to report and seek help because we live once, and it’s usually the dependents that are caught up in the middle.”

THE NUMBERS IN UGANDA:

· 56% of ever-partnered women report physical or sexual IPV

· 59% of female sex workers in relationships face moderate to severe IPV

· 64% of women with disabilities have experienced IPV

· 44% of Women living with HIV report IPV from a partner

· 24% of women with disabilities have reported suicidal thoughts from IVP

Despite the overwhelming evidence, Uganda’s legal system still struggles to effectively respond to this hidden crisis. The Domestic Violence Act (2010), the Gender Policy (2007), and the National Policy on Elimination of GBV (2016) offer strong legal frameworks on paper but their enforcement remains inconsistent, especially for marginalised populations.

The murder of a Ugandan female Olympian in Kenya, by her boyfriend serves as a chilling reminder of how violence escalates when warning signs are ignored. It reflects not only the danger of IPV but also the inadequacy of state response and social will to address the crisis.

Today, CEHURD is leading a nationwide campaign to bring these stories out of the shadows. It is championing survivor storytelling, community advocacy, public sensitisation through legal aid clinics, litigation and awareness raising. There is need to continue training police, health providers, judicial officers, the community and religious leaders to respond to IPV with compassion, accountability, and inclusivity. The goal is not just to change laws but our mindsets.

“Ending Intimate Partner Violence requires a cultural shift,” says Nakibuuka. “We must listen to survivors, document their stories, and reform the systems that failed them.”

Gender equality cannot be achieved if Intimate Partner Violence continues to harm millions in silence. It is everyone’s responsibility to invest in survivor support, or provide avenues and space for those experiencing it to come out and speak about it, share their stories, demand for reform of our justice systems, and change societal attitudes.

The Impacts of IPV:

· Health related problems: Injuries, miscarriage, HIV, disability, death

· Mental issues: PTSD, depression, anxiety, suicidal thoughts

· Economic burdens: Lost wages, poverty, legal costs, dependency

· Social effects: Isolation, shame, loss of dignity

For the survivors, speaking out is an act of courage. For the rest of us, listening and taking action is a responsibility we cannot ignore. No one regardless of disability, HIV status, identity, social and marital status or livelihood should be unsafe in their own home or or under anyone’s care. It’s time we shine a spotlight on this hidden crisis, rise up and speak up to end intimate partner violence.

A version of this article was first published in the Daily Monitor on 15th.July.2025

Ending Child Labor: Hands are meant to hold books, not tools

By Chemiat Ian Weyaula

In the corridors of Uganda’s forgotten places from tobacco farms, sugarcane fields, stone quarries, and shadowed households, children`s muted hardship persists. Manifested not in headlines or state bulletins, but in the fragile hands of children made prematurely rough by toil. These are not isolated instances of rural misfortune but rather a deeper, more insidious crisis, one that corrodes the moral infrastructure of our society while mocking the legislative pretenses we so enthusiastically parade.

According to the International Labor Organization (ILO), child labor is not merely about children working; it is about the kind of work that fundamentally distorts what it means to be a child. It refers to any form of labor that strips children of their inherent dignity, stunts their development and deprives them of the opportunities that should define childhood such as education, play, and emotional safety. This is labor that is not neutral and such is dangerous mentally, physically, socially, and morally.

Child labor places a burden on children that is not only excessive but fundamentally incompatible with their age, fragility, and rights. It is work that either entirely replaces school or renders schooling a hollow formality, forcing children to oscillate between the classroom and the workplace, too exhausted to benefit meaningfully from either. In short, child labor is not an economic necessity; it is a human rights violation thinly disguised as economic contribution, tolerated only because society has chosen, again and again, to make peace with the unacceptable.

The 1995 Constitution of the Republic of Uganda, as the supreme law of the state, does not merely acknowledge the rights of children, it demands their protection with the full weight of national obligation, articulating in Article 34 a child’s inviolable right to parental care, to education funded by both the state and guardians, and to absolute freedom from economic or social exploitation.

This constitutional right is reinforced by Article 24, which categorically forbids all forms of torture, cruel, inhuman, or degrading treatment, and by Article 25, which condemns slavery, servitude, and forced labor in all their permutations provisions which, read together, form a clear juridical repudiation of child labor not just as an economic misfortune, but as a constitutional betrayal.

Today according to the ILO Child labor global estimates 2024, 138 million children across the globe remain trapped in child labor, a number that is not simply alarming but morally indefensible comprising 59 million girls and 78 million boys, a near eight percent of the world’s child population, with the gendered nuances of exploitation revealing themselves more fully when one accounts for the invisible economy of household labor, where girls quietly outnumber boys in servitude that escapes statistical recognition. Agriculture, by far the most dominant site of this exploitation, claims the overwhelming majority of these children, reaching 68% among those aged 5–11, 61% for ages 12–14, and 41% for those 15–17, 31% school exclusion rate among children aged 5–14, and an unconscionable 59% among those aged 15–17 making fields and farms less sites of growth than graveyards of childhood.

In Uganda alone, 6.2 million children, as per the Uganda Bureau of Statistics (UBOS) National Labor survey published in 2021, are subjected to this fate, primarily in agricultural labor, where the work not only robs them of their time and health but, more cruelly, their right to education. These are not merely statistics however they are symptoms of a deeper societal sickness, one in which the plough is privileged over the pen, and where national development is mistakenly measured by harvests rather than by the literacy, dignity, and well-being of its children.

The Employment Act draws a firm legal boundary around the sanctity of childhood, expressly prohibiting the employment of any child under the age of twelve in any business undertaking, or workshop, and permitting only light work for those aged fourteen and above. The work must be non-injurious, non-hazardous, conducted under adult supervision, and in no way detrimental to the child’s education. It further forbids the engagement of children in labor during night hours, explicitly between 7 p.m. and 7 a.m., underscoring the law’s recognition that childhood is a protected space, not a labor reserve.

To call child Labor a crisis is to understate its entrenched normalcy. According to UBOS as noted earlier, 6 million children are engaged in child labor. We need to realize that these are not abstract statistics but living, breathing contradictions of our constitutional commitments and international obligations. David F.K. Mpanga once said, “We shall never see the Uganda we want until we develop a central nervous system that enables us to feel each other’s pain.” I think we need to feel the pain of these children as a country. Most of these children work in agriculture, others are found in construction, domestic servitude, informal trade, and the morally reprehensible realm of commercial sexual exploitation. This is not a marginal issue but rather a pandemic of poverty, perpetuated by silence and systemic inertia.

The ILO’s 2025 projections cast a sobering shadow: unless drastic interventions are implemented, the goal of eliminating child Labor globally under Sustainable Development Goal (SDG) Target 8.7 will remain elusive. Uganda’s case is particularly dire. The COVID-19 pandemic did not create child Labor, but like a gust of wind to an already flickering flame, it intensified the crisis. School closures, economic strain and the paucity of social protection mechanisms created the perfect storm. Children, once seated in classrooms, now swing machetes in sugarcane fields. Girls, once reciting poetry in school, now stir pots in homes not their own, or worse, find themselves trapped in exploitative relationships under the deceptive guise of marriage.

Child Labor is not gender neutral. In the calculus of poverty, the girl-child often pays twice. First, in her stolen education and second, in her compromised bodily autonomy. Many girls withdraw from school and end up in early marriages, where the distinction between Labor and abuse is imperceptibly thin. Without access to sexual and reproductive health information and services, they are rendered voiceless in decisions about their bodies and futures.

Center for Health, Human Rights and Development (CEHURD) approaches child labor not only as a labor issue but as a fundamental human rights and public health concern. From CEHURD’s vantage point, a society where health and human rights are realized for all cannot tolerate a practice that destroys the health, education, and future of its children. It’s intertwined with poverty, health, and particularly with Sexual and Reproductive Health and Rights (SRHR). What we witness is not merely Labor, but layered exploitation, where children, and especially girls, become instruments of survival in households battered by structural neglect. Their rights are not merely denied, they are commodified.

Through its Community Empowerment programs, CEHURD works at the grassroots to educate communities about the importance of keeping children in school and out of work. The organization partners with local leaders and health workers to emphasize that practices like child marriage, child trafficking, and child labour are not only illegal but deeply harmful. CEHURD’s Strategic Litigation team has also taken up cases to enforce child and maternal health rights, setting legal precedents that underscore the state’s duty to protect minors from abuse. In public campaigns, CEHURD echoes the simple truth: a child’s hands belong on books, not on tools or in chains.

Demonstrably, although Uganda has a National Action Plan against Child Labor and a National Child Labor Policy, plus the recently domesticated UN Guiding Principles on Business and Human Rights (UNGPS) and the development of a National Action on Business and Human Rights (NAPBHR). These laws are selectively enforced to end child labor, there needs to be more combined efforts since as a country we already have a good legal and policy framework on child labor we need to strengthen enforcement of the same through regular monitoring by labor inspectors of compliance at business premises and inspection in the plantation agricultural sector.

Secondly, Universal Quality Education should be a Non-Negotiable. A child in school is a child shielded from exploitation. This means not just access, but retention, safety, and relevance in curricula, especially for girls. Thirdly, Social Protection that is proactive and not reactive. We need comprehensive safety nets, maternal support, and health services that render child Labor economically illogical, not just morally reprehensible.

Fourthly, Community Accountability Mechanisms, where Local governments, religious institutions, and cultural leaders must not remain aloof. They are the first responders in the identification and mitigation of child Labor, and they must be capacitated accordingly. Lastly Gender-Lens Policy Implementation,where every intervention must be interrogated for its gender impact. Policies that fail to protect the girl-child are not merely incomplete, they are complicit.

The time for equivocation has long passed. Uganda’s children cannot afford our bureaucratic slumber or rhetorical dexterity. Their futures are being bartered for today’s economic survival, and that is a moral debt we cannot afford to carry into the next generation. Childhood is not a commodity, and justice cannot coexist with exploitation.  In conclusion, the hands of children are meant to hold books, not tools. And in safeguarding that truth, we do not merely protect their rights, we redeem our humanity.

The Author is from Makerere University Public Interest Law Clinic (PILAC), School of Law on secondment to CEHURD.

A version of this article was first published in the Daily Monitor on 15th.July.2025.