The impact of Trump’s Executive Orders on Uganda’s Health System

On 3rd February 2025, CEHURD convened a one-day strategic meeting to examine the implications of President Trump’s orders/policies on Uganda’s health system, (particularly their impact on provision of sexual and reproductive health services, HIV health services) and develop strategies to ensure the health rights of Ugandans remain protected.

This gathering brought together key stakeholders, including civil society organizations (CSOs), health workers, vulnerable communities , and social workers to raise awareness about the effects of these policies, and to ensure that all stakeholders understand their vital roles in safeguarding health rights for all Ugandans. From the #GlobalGagRule (GGR) to PEPFAR funding freezes, these orders have disrupted essential services such as HIV prevention and treatment, contraception, maternal care, and infectious disease management.

Some of the immediate actions taken by Donald Trump’s administration was to reinstate the Mexico City Policy, commonly known as the Global Gag Rule (#GGR), cutting off over $68 billion in foreign aid that supports critical sexual and reproductive health services, HIV/AIDS programs, and infectious disease treatment worldwide. In Uganda, this has led to halted PEPFAR funding, disrupting HIV prevention and treatment services, restrictions on family planning services, affecting access to contraception and maternal care, increased health risks for marginalized populations, including key populations and young girls.

From a panel discussion with representation from different movements, it was clear that Uganda’s health system is under threat. With Trump’s policies disrupting critical health funding, the civil society in Uganda must come together, strategize, and engage the government and relevant ministries to prioritize essential services such as HIV, TB, Malaria, and family planning.

Trump’s policies come at a time when our health system is already struggling. What does it mean when life-saving medication is withdrawn, and jobs are lost? Each of these executive orders has a direct or indirect impact on our lives. We risk seeing a rise in gender-based violence, teenage pregnancies, and unsafe abortions. The challenges we face—both nationally and globally—demand that we unite, raise a collective voice, and critically ask ourselves: Are we prepared to navigate this reality and hold the government accountable?” ~ @Nakibuukam, Deputy Executive Director, CEHURD, speaking at a CSO strategizing meeting in response to Trump’s executive orders.

We have a ‘People Living with HIV Forum’ in every district, representing the 1.5 million Ugandans living with HIV. The past two weeks have been incredibly difficult since President Trump issued his first executive order halting U.S. government funding for HIV programs. For the past 22 years, the U.S. government has been a major supporter of HIV funding, contributing about 80% of the total budget. Cutting off this support is essentially a death sentence for the 1.3 million people currently on antiretroviral treatment. As people living with HIV and as CSOs, we are devastated and in shock—this decision was abrupt, and many of our centers have already been asked to shut down. Think about the lives at stake – the people affected, drained, and traumatized. Mothers who have just tested positive, those in labor, and countless others now face an uncertain future without adequate care. We need urgent action. Can we increase the health budget? Establish an emergency fund? As CSOs, we must call on the government and Members of Parliament to prioritize communities and take decisive action if we are to achieve our 2030 goal.❞ ~Executive Director NAFOPHANU @FlaviaKyomukama 

We can all learn from the resilience of the HIV community—we must stand together, work in solidarity across movements, and actively engage our government to invest in our well-being. We need to brace ourselves for challenges ahead before things improve. The Trump administration’s patriarchal and misogynistic approach affects us all. With 97% of key populations relying on funding from @PEPFAR or the @GlobalFund, the impact is devastating. The government must step up to ensure that everyone in need of life-saving commodities can access them without stigma or discrimination.” ~ @richardlusimbo, @UKPC_UG founder, speaking during a panel discussion a CSO panel discussion on the impact of Trump’s executive orders.

Living with both a disability and HIV presents a double burden, increasing the risk of mental health struggles for both caregivers and those receiving care. Imagine a woman with a disability raising a child with HIV, unable to access life-saving medication, while also facing job loss. This situation brings about self-stigma, isolation, and, in some cases, even death. HIV does not discriminate based on sexual orientation or any other factor. We must redouble our efforts to drive meaningful, sustainable change.❞ ~ Panel submissions during the CSO strategizing meeting in response to the Trump administration’s orders.

❝As the Network of Young People Living with HIV, we have been implementing several projects under PEPFAR and USAID, working closely with various partners and district networks to support young people living with HIV. However, since last week, we’ve received multiple calls from young people and their guardians reporting that they are unable to access health facilities – many have been shut down, leaving them without essential refills. These restrictions on reproductive health and HIV prevention services will inevitably lead to new infections and reinfections among young people. We risk undoing the progress we have made.” ~ @Riobarbie6| ED @UNYPA1, Panel submission during the CSO strategizing meeting in response to the Trump administration’s orders.

The U.S. has played a key role in global public health leadership, supporting numerous health programs. However, our work is now under threat due to executive orders issued at a time when we lack a social contract policy that would allow our government to fund us directly. Programs like BMTCT, where we were on the verge of eliminating mother-to-child transmission, are at risk – without urgent intervention, at least 41 children will face new HIV infections daily. As CSOs, our mandate is rooted in the constitution – we complement government efforts and hold it accountable. Yet, it is concerning that much of our work relies on foreign funding, despite directly contributing to government programs.” ~ @MBKeno |@hepsuganda during a CSO panel discussion on the impact of Trump’s executive orders.

Speakers emphasized the urgent need for government action as health facilities close, refills run out, and essential programs like BMTCT face setbacks – threatening to reverse years of progress.

#WorldCancerDay2025: Be vigilant about unusual changes in your body!

On this #WorldCancerDay, we come together to acknowledge the immense impact of cancer in Uganda and to honor the resilience of those affected. The journey through cancer is unique for each individual, yet a common truth resonates – early detection saves lives.

In Uganda, cervical cancer leads as the primary cause of cancer-related deaths among women, with around 3,915 new cases and 2,160 deaths reported annually. Breast cancer is also escalating, projected to increase by 57.7% by 2030 due to population growth and lifestyle changes.

Children are not spared either, over 3,000 children are diagnosed with cancer each year, but only 25% receive adequate care, resulting in a heartbreaking 70% mortality rate due to late detection. Men face their own challenges, with prostate cancer cases expected to rise by 33.4% by 2030.

CEHURD remains steadfast in advocating for equitable health services including accessible and affordable cancer care. Through health education, cervical cancer screening initiatives, and policy advocacy, we strive to empower communities with knowledge and push for systemic changes that prioritize prevention, early detection/regular screening, affordable treatment and investment in palliative services.

We recognize the significant role The Uganda Cancer Institute (UCI) plays in treatment and research, the establishment of regional cancer centers aimed at decentralizing care and the acquisition of advanced radiotherapy machines are steps in the right direction. However, the statistics are sobering, the journey towards a cancer-free future is still on and requires collective action.

#UnitedByUnique, we commit to creating a world where dignity and hope prevail for all those affected by cancer.

A Lifeline of Hope: How a Paralegal and District Human Rights Committee Transformed BL’s Journey to Health and Empowerment

Note: The name BL has been used as a pseudonym to maintain confidentiality

 BL, a 20-year-old resident of Oryang village in Oryang Parish (Kitgum Matidi Sub-county) in Kitgum District, has faced significant health and social challenges throughout her young life. She was diagnosed with HIV at an early age, and was also a survivor of nodding disease, which created additional health related complications and stigma. Her already challenging situation worsened when a relative who initially provided her with support and shelter abandoned her, leaving her without a home, food, or any form of support. BL’s life became a constant struggle, filled with despair as she had no access to essential healthcare, basic needs, or community support. She was effectively homeless and lacked the resources or hope to pursue treatment or rebuild her life.

During a mobile legal aid camp organized by CEHURD under the “Supporting Uganda’s HIV and TB Reduction Strategic Plans” project funded by The AIDS Support Organization (TASO), BL’s case was brought to the attention of Legal Aid officers and trained paralegals skilled in Alternative Dispute Resolution methods. Recognizing her need for immediate assistance and health support, the community paralegal promptly stepped in to help in offering counselling and referral to the District Human Rights Committee for further assistance. The paralegal further supported her in accessing critical HIV treatment at Kitgum General Hospital, where she was officially enrolled on a treatment program

Recognizing the need for ongoing support, the District Human Rights Committee, also trained by CEHURD in human rights through capacity-building workshops, took further action to support BL’s long-term well-being. They arranged for her to have a caretaker and secured her enrollment in a three-month skills development program under the district’s skilling program by MUJHU (Makerere University-Johns Hopkins University) Research Collaboration. This support has not only improved her health but also empowered her with skills to contribute to her livelihood, providing her with a sustainable path to a better future. CEHURD’s intervention provided BL with a renewed sense of hope. We believe that one’s HIV status should not be a reason for violation of their rights. We encourage integration of people living with HIV into available programmes for the benefit of us all.

Elevate Your Legal Skills: Why You Should Start Mooting Today!

It is no coincidence that I begin this article by recalling the words of one of my lecturers during a conversation we had after his successful completion of a Post-Graduate Diploma at the Law Development Centre. My name is Tumwesige Jay, with “Ateenyi” as my “empaako,for those unfamiliar, empaako is a cultural naming tradition, and mine is a clear indication of my roots in Tooro. However, for the past 15 years, I have been immersed in the vibrant, bustling life of Kampala. I am currently pursuing a Bachelor of Laws (LLB) at Uganda Pentecostal University in Kampala.

The concept of mooting is well-known within the legal community, familiar to lawyers, advocates, judges, and other professionals. However, as a first-year law student, I found the term entirely foreign. One of the most embarrassing moments of my life was when someone mentioned it and it was something i had never heard before. In retrospect, I do not blame myself; at least, I learnt about mooting and eventually participated, which helped me understand the concept of mooting. Unlike a lawyer or advocate who may have gone through law school without engaging in moots, I now consider myself fortunate to have that experience. According to Black’s Law Dictionary[1], a Moot Court is a fictitious court held usually in law schools to argue moot or hypothetical cases. As the definition suggests, students are presented with fictitious facts, which they research before drafting submissions that are later presented as their arguments in court. Through this process, students replicate what occurs in the Courts of Law as they go about their business of dispensing justice.

Guided by Court decorum and professional etiquette, students proceed to make out their case under the guidance of judicial officers before whom they appear. One may ask, but what is the import of all this? Well, I’ve got you covered! The learned author and lecturer from Deakin University – Mr. Christopher Kee in his guiding material on mooting[2] at page 4, lists a few reasons why it is important for law students to moot. At the top of his list is job opportunities. According to Mr. Kee, participating in international moots can be a significant boost to your resume. While his perspective is international, it is important not to overlook the impact of local competitions, which also play a crucial role in creating job opportunities. To dispel any doubt, I am a living example, my experience with CEHURD stands as a testament to how mooting has shaped my career.

Teamwork is another important skill highlighted by Mr. Kee. He emphasizes the importance of learning how to work effectively in a team that you did not choose. This is something that is not always easy but is invaluable for one’s future career because employers hold this kind of experience in high regard. Mooting also involves intensive training, as students prepare repeatedly, nurturing skills that will serve not only in law school but throughout their professional lives. Lastly, international travel is a perk that comes with some moot competitions, although it speaks for itself, all these opportunities are available to students who choose to engage in mooting.

Not far away from my senior’s submission, on my part, I hold the view that the most critical aspect of mooting is that it equips students with a practical understanding of court processes. My argument stems from the fact that, during law school, we often become deeply entrenched in the theoretical analysis of the law, without gaining a clear picture of its practical application. From the first year through to the fourth, we are constantly engaged in theoretical discussions even in essential subjects like Criminal Procedure and Civil Procedure. Schools are hesitant to help and/or introduce practical sessions where students can be taken through hands-on experience of the Law. This is a threat since we end up giving birth to theoretical lawyers and advocates whereas, the community would best appreciate lawyers and advocates that are well rooted in both. I should not be misunderstood to mean that we give up on theory, no, but rather if we could have a blend of both, it would be great. On top of what a student has learnt theoretically, spice them up with the practice as well.  No wonder, there are times when stories of advocates make headlines in newspapers over litigation in Court. Moot court competitions condense years of academic study into practical, real-world experience within just one week, so to speak. Moot competitions enhance one’s drafting skills which skills like drafting are reserved for the Post Graduate Diploma in Legal Practice offered at the Law Development Centre. This presents an opportunity for students to embrace and better their drafting skills.

Oratory skills is another invaluable benefit gained from participating in mooting. How about composure while in Court? Have you ever wondered why those impeccably dressed men and women in suits and robes seem to panic when it’s their first time to moot? I speak from personal experience; during your first moot, the moment their Lordships instruct the clerk to call out the case file especially in a criminal law moot, is the moment you suddenly remember all the cases you did not read! A rush of thoughts floods your mind, and before you know it, you hear the judge’s voice asking, “State, why are we here?” It’s a nerve-wracking experience at first, but as time passes, the old adage rings true, practice makes perfect. Eventually, even if you’re ambushed, you can step up confidently and argue your case.

While the beginning is always intimidating, the results of consistent mooting are worth the effort. You gain practical experience in drafting documents, making oral arguments and developing persuasive skills. Additionally, mooting teaches you courtroom decorum, builds your composure under pressure and helps you expand your network because, in today’s world, your network is indeed your net worth. The lack of these essential skills has deprived many senior counsel of true satisfaction in their practice and on tough days, some have even left the courtroom embarrassed. Mooting provides a strong foundation that helps avoid such pitfalls and equips you for a successful career in law.

The purpose of this article is to share my journey and experiences from last year’s CEHURD 10th Annual Constitutional Law Moot Court Competition and I hope that it inspires my colleagues who are still striving in the legal field, as well as those considering law as their career path.

In October 2023, I, along with my colleague Mr. Kigozi Herbert, had the honour of representing our university in the 10th Annual Constitutional Law Moot Court Competition organized by the Center for Health, Human Rights and Development (CEHURD).

Center for Health, Human Rights and Development is a renowned non-profit research and advocacy organization which is pioneering the justiciability of the right to health. CEHURD’s constitutional law moot competitions are anchored on creating awareness to the general public that Article 45 of Uganda’s Constitution[3] is an extensional provision of other rights that aren’t explicitly catered for under Chapter 4. The constitutional provision is couched in a language that guarantees full realization of other rights not explicitly mentioned under the Constitution which buttresses the fact that their realization is not moot in Uganda’s legal landscape. Some of these rights include the right to health attendant thereto is Sexual and Reproductive Health and Rights, Comprehensive Sexuality Education among other rights. CEHURD has had to institute suits against the Attorney General of Uganda pursuant to Article 250[4] in a bid to hold the government accountable over allegations of gross violation of these rights. In effect, the realization, promotion and full enjoyment of these rights has been through a tunnel of court decisions that CEHURD has won. It is through its commitment that we can now mount platforms and discuss these rights. Moot court cases have been one of its strategies through which though hypothetical in nature, brilliant students of law have shown potential in articulating legal principles to bring out the gist of the point that there’s a gap in Uganda’s systems towards the full enjoyment of these rights.

As CEHURD marked 10 years of organizing the Annual National Inter-University Constitutional Law Moot competition, Uganda Pentecostal University – Kampala campus went bare knuckles with Cavendish University in the final rounds at Hotel Africana. These rounds were presided over by distinguished justices of the Supreme Court of Uganda who amongst others included His Lordship the Hon. Justice Mike Chibita, Hon. Justice Flavian Zeija, the Principal Judge among others. Being a competition, Cavendish University emerged the winner and walked away as the champions of the 10th Annual Inter-University Constitutional Law Moot Court Competition while my university emerged as the 1st Runner’s up.

I cannot help but proudly reflect on my own success, how could I not? After careful individual assessment, the Lordships of the Supreme Court announced me as the Overall Best Oralist of the competition. Now, let me explain what that means. CEHURD has a standing offer for internship placement for the overall best oralist at the moot competition. I emerged as the Best Oralist and I was awarded an internship placement at CEHURD. Since I was in my third year and about to embark on a three-months holiday, I eagerly anticipated joining the organization to claim what I believed was rightfully mine. The Human Resource Manager kept me updated throughout the whole process, confirming that my internship placement was secured.

As the saying goes, “If you hang around the barbershop long enough, you will eventually get a haircut.” On the morning of 28th June 2024, at around 9:15 AM, I received a phone call from CEHURD asking me if I was ready to start my internship the next day. I excitedly responded that I could even begin immediately!

Well, I joined the organization and started on my assignments as handed over to me by my supervisor. My greatest experience while at the organization was my engagement in community work. During our community engagements, we travelled to distant districts of the country to conduct mobile legal aid clinics. I alongside other CEHURD staff were constantly in the field sensitizing community members on their rights in areas such as Health and the Law, Health and Human Rights, the Law of Succession, Sexual and Reproductive Health and Rights, referral pathway for cases of Gender Based Violence. We received and documented several cases of human rights violations both criminal and civil in nature. We supported clients to access justice through the referral pathways, mediating and settling some of the civil complaints and enhancing harmony in families and communities. This was done in partnership with officers from Uganda Police, area Courts of Law, Office of the Director of Public Prosecutions (ODPP) and other duty bearers in the districts where we carried out interventions.

Having spent ample time with CEHURD, I did not remain the same. Here are the key pointers that I can share with you.

  • I can boldly state and maintain that at the moment, I have an idea and knowledge on how legal aid clinics are conducted in communities. This is because I was given an opportunity to engage in a number of them and through these engagements, I enhanced my knowledge in this area. Participating in legal aid clinics did not leave me the same and you can trust my word when I say that I was renewed each time I participated in a legal aid clinic because of the diversity in culture, cases registered and interactions with different community members.
  • Entry points in a district; through these engagements, I was able to learn which offices and duty bearers are key for engagements in each district. These key entry points largely determine the success of an organization’s implementation in each district. The organization’s community-based work taught me this and I am very grateful that CEHURD kept engaging me in these outreaches.
  • I cannot keep this to myself; it takes boldness to admit, but I will share it because it may encourage someone out there. Perhaps, when your time comes, you’ll remember this moment. When I joined CEHURD, I had little to no knowledge of how to compose a professional email. Yes, you read that right! I did not know to write a professional email. Now, before you laugh, ask yourself honestly: do you know how to write even one professional email sentence? Well, here is what happened on one of my early days of internship. My Manager and Supervisor asked me, Ateenyi, kindly draft an email.” I don’t recall the exact subject, but she specifically requested that I generate at least two emails. Naturally, I summoned all my courage, drafted two possibly three emails, and sent them to her.

She took time to consider them but finally did and one afternoon after lunch she walked into office, came to my desk and told me But Ateenyi, when I told you to generate emails on the subject matter, I did not tell you to send me an email similar to the ones you send to your classmates at the university. I hastily inquired how those looked like, and she requested me to open my email on my computer and refer to the emails I had sent her. I did this and she requested me to generate an email and that she was going to compose with me for learning purposes. I initiated an email, writing about 3 sentences as she watched and got it wrong because she requested me to erase what I had written saying; “Ateenyi, kindly erase what you have written and let us re-write this email together’. She then humbly led me through the process of writing a professional email right from the email subject, body of the email, spacing to the conclusion. After coming up with that email together, she asked me to send it to myself to act as a benchmark for future emails to be written. She then asked me to look at the email and comment on how it looked, and I confirmed that it looked good and was well organized. She then requested me to re-do all the emails I had sent being mindful of the professional look that they ought to bear. As I speak and write now, I can efficiently and effectively communicate through email because of my supervisor’s professional guidance and support. Perhaps, it has become my main medium of communication because I can confidently generate a professional email, something I was not able to do before I joined CEHURD.

CEHURD is a grooming place, and it is the right place for people that are receptive, accommodative and ready to learn. Are you passionate about getting professional with your life and career, while at your place of work? CEHURD is the right place to be.

  • One of the most valuable lessons I walked away with from my time at CEHURD is the importance of timeliness. Keeping time and executing tasks within given timelines fosters organization, and I quickly learned that being organized is the key to success. I saw firsthand how requisitions that did not comply with the set procedure and guidelines were dismissed and had to be redone before approval. CEHURD gave me a real taste of how life operates beyond university, and because of that, I can confidently say I am ready to face whatever comes my way. Having experienced a professional and efficient working environment, I feel prepared to do the same when my turn comes.
  • Another crucial takeaway was the significance of feedback. At CEHURD, communication was highly valued, and I came to understand just how essential feedback is in today’s world. It can be the deciding factor between staying in business or closing shop. I used to overlook the importance of feedback, but my time at CEHURD shifted my perspective. Now, I see its relevance not only in business but in life too.
  • One of the most rewarding lessons was learning how to take instructions from clients. Although my time at CEHURD was brief, I quickly realized that as law students, we are already considered part of the legal profession, and we must take things seriously. Working in the Strategic Litigation Programme at CEHURD, I had the opportunity to sit in on client interviews, listen to narrations from the clients and help shape those narratives into legal actions we could file in court. This experience allowed me to grasp a process I had long desired to understand; how lawyers listen to clients, unravel the details of their stories/complaints, and find the legal issues that form the basis of their cases. Thanks to CEHURD, I learned in just a few months what might have taken me years to experience. I also discovered the art of asking the right questions to help clients clearly articulate their legal problems, a skill I now hold dear.

As I conclude, I would like to express my heartfelt gratitude to the entire CEHURD team for welcoming me so warmly during my internship. Every department and programme was, and continues to be, incredibly receptive, making me feel at home. A special thank you to the Strategic Litigation Programme that taught me, gave me platforms and allowed me to learn by engaging me in the various programme and institutional activities. Thank you to the Senior Management Team at CEHURD for the internship placement offer that is given to the best moot oralist because it is indeed a life changing experience. To the friends I made at CEHURD, I will always cherish you and you will always remain part of my life.

 I look forward to meeting you all again soon.

[1] 8th edition at 3192 by Bryan A. Garner as the Editor in- Chief

[2] The art of Argument, a guide to mooting Cambridge University Press

[3] 1995 (as amended)

[4] Ibid

Press Statement on the Alleged Sexual Abuse of a 14-Year-Old Girl by a Step Father

Uganda continues to wrestle with alarmingly high rates of sexual abuse, particularly against young girls. Recent statistics indicate a sharp rise in reported cases, with countless more going unreported due to fear, stigma, and lack of access to justice. The case of a 14-year-old girl allegedly abused by her stepfather highlights the urgent need for a collective response to SGBV.

In response, Center for Health, Human Rights and Development (CEHURD), the Islamic Women’s Initiative for Justice, Law & Peace (IWILAP), the Muslim Women Lawyers Alliance (MWOLA), the Muslim Female Lawyers Network on Abortion, and the Uganda Association of Women Lawyers (FIDA-Uganda), convened a press conference to address this incident on Tuesday, 15th October 2024, offering solidarity and support to the survivor and her family. The coalition is committed to ensuring that the survivor’s voice is amplified and her rights upheld.

Download Press Statement; PRESS STATEMENT ON SEXUAL ABUSE OF 14 YEAR OLD GIRL 2 OCTOBER 2024 Final final (1)