In a significant victory for public health, the Ugandan government approved 57.8 billion Uganda shillings (approximately USD 15.4 million) for epidemic preparedness in the 2024-25 fiscal year. Justinian Kateera, the Uganda In-Country Coordinator for the Global Health Advocacy Incubator (GHAI) worked closely with multiple stakeholders, especially the government, to make this happen.
How would you explain to someone who is new to advocacy how you and partners achieved this win?
We were driven by the urgency of the issue—the need to fund pandemic preparedness, given the risks of Ebola, anthrax, Marburg, Mpox and hand, foot and mouth disease. We analyzed the issue, discussed why we personally cared for it and developed a clear objective prior to seeking to persuade the Government. Passion for the subject matter must be present in the advocate. We carefully crafted a compelling message with facts, evidence, emotional intelligence, observation and active listening to make the case for immediate action.
Also, we anticipated opposition and lack of prioritization. In the context of epidemic preparedness financing, we argued that it was not a zero-sum game seeking to de-fund other critical priorities like cancer care, malaria, immunisation or infrastructure development. Instead, we argued that when a pandemic strikes, the whole health system and economy collapses to cater to that crisis. COVID-19 illustrated the point.
Are there some lessons learned for other countries to take into consideration?
Yes, whilst recognizing that political, social and cultural environments differ. I learned a great deal from my colleagues in the United States, Nigeria, Ghana and Cameroon. They have channelled their wisdom into a set of guidelines, now developed into GHAI’s Budget Advocacy Toolkit for Epidemic Preparedness. It is incredibly user-friendly.
How do you let officials feel ownership of solutions rather than feeling pressured?
I worked in government for over a decade. So, I have worn both hats. I don’t agree that there is a necessary dichotomy between duty bearers and rights claimants. We are all both. We must craft the solutions together. Government officials are as invested as the rest of us in providing solutions; for they are as affected by the same challenges of the health system. We listen with respect and collaborate on solving the problem.
How do we now make sure that this financial commitment is translated into tangible outcomes that protect the health and well-being of Ugandans?
Financing is only 30 percent of the task. The rest is to create the work plans for implementation, track progress, engage in the implementation of solutions and build a robust health security accountability framework. We continue to engage technically on all these fronts.
Tell us more about yourself. What motivates you to get up every day?
It is the sense of responsibility to family, friends and the future generation. As well as a duty to my work. I reflect deep into the night—anxious to do better tomorrow. I am inspired by the motto: “Ask what you can do for your country.”
