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After USAID’s Exit: Uganda’s Health Sector at a Crossroads

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  Introduction In 2023, the United States Agency for International Development (USAID) announced the suspension of  $15 million  in annual health funding to Uganda, followed by a broader withdrawal of aid in 2024. This decision, rooted in geopolitical and ethical tensions, has left a gaping hole in the country’s health sector. For decades, USAID was a cornerstone of Uganda’s public health system, funding HIV/AIDS programs, maternal care, and malaria prevention. Its departure underscores a harsh reality: the collision of human rights, governance, and global health diplomacy. This blog unpacks why USAID left, the immediate fallout, and how Uganda can navigate this new landscape. Why Did USAID Withdraw? The withdrawal was triggered by two intersecting factors: The Anti-Homosexuality Act (2023) : Uganda’s controversial law, which imposes severe penalties, including the death penalty, for “aggravated homosexuality,” drew global condemnation. Th...
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10 Reasons Why International NGOs Struggle to Deliver Impact in Uganda

  International non-governmental organizations (INGOs) play a significant role in Uganda’s development landscape, channeling billions of dollars into healthcare, education, poverty alleviation, and humanitarian aid. However, despite their resources and intentions, their effectiveness is often questioned. From cultural disconnects to systemic challenges, here are 10 reasons why INGOs frequently fall short of their goals in Uganda. 1. Cultural Misalignment and “One-Size-Fits-All” Solutions Many INGOs design programs based on Western frameworks without adapting to Uganda’s cultural, social, and economic realities. For example, agricultural projects promoting cash crops might ignore local dietary preferences or land tenure systems, leading to resistance or unsustainable outcomes. 2. Bureaucratic Inefficiencies and High Overheads INGOs often allocate large portions of funding to administrative costs, salaries for expatriate staff, and logistical overheads. A 2023 rep...
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Corruption in USAID-Funded Projects in Africa: A Call for Radical Reform or Closure

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  Corruption has long been a persistent and pervasive issue within development projects globally, but its impact is particularly pronounced in regions where resources are already scarce and governance structures may be fragile. In the context of USAID-funded projects in Africa, corruption poses not only a financial threat but also undermines the agency's core mission of fostering sustainable development and improving the lives of millions across the continent. While the vast majority of USAID staff and partners remain committed to ethical practices, a small yet impactful minority have engaged in corrupt activities that divert funds intended for critical programs. This blog examines the multifaceted nature of corruption within USAID-funded projects in Africa, exploring its causes, consequences, and potential solutions. The Scope of the Problem: Types of Corruption in USAID Projects Corruption manifests in various forms, each with its own mechanisms and implications. Within USAID-...
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