In a significant development for the health sector in Uganda, the government has announced the suspension of operations supported by the United States due to an executive order issued by former President Donald Trump. In a letter dated January 30, 2025, Dr. Diana Atwine, the Permanent Secretary of the Ministry of Health, outlined the implications of this decision on staff and healthcare services in the country.
The directive follows a communication from the Office of Management and Budget, which indicated a pause on Agency Grants, Loans, and other financial assistance programs pending a review. As a result, all activities related to federal financial assistance have been halted, directly impacting operations and emoluments for many staff members supported by U.S. funding.
In her message, Dr. Atwine implored those affected to cease their contracted work while the government engages with U.S. authorities to determine the way forward. However, in a surprising twist, she encouraged contracted staff to consider volunteering in the interim. “We are exploring ways to integrate essential services into the routine healthcare system to minimize disruptions,” she stated.
This call for volunteerism reflects a broader initiative by the Ugandan government to maintain healthcare services amidst the funding crisis. Dr. Atwine urged those willing to contribute their skills and expertise during this challenging time to reach out to their respective Hospital Directors or her office for integration into the existing healthcare system.
The announcement has raised eyebrows, with many questioning the feasibility of unpaid labor in a sector that heavily relies on external funding. Critics argue that asking former USAID employees to work for free could undermine the integrity of the healthcare system and set a concerning precedent.
As Uganda navigates this complex situation, the government remains optimistic about restoring normalcy and engaging relevant stakeholders. The ongoing dialogue with the U.S. government will be crucial in determining the future of health funding and support in Uganda.
In the meantime, former USAID employees face a difficult decision: to volunteer in the spirit of patriotism or to seek opportunities elsewhere as the country grapples with the implications of this funding suspension.
