That's why club rugby is boring.Looks like it's all rucks,setpieces and kicks.But to the discerning eye,which sets of players are running which plays and where,and what happens in which zone/part of the field,sometimes to the point even one pass too many is sometimes disastrous.
Uganda club rugby is so bereft of basic skills with ball-in-hand, physical conditioning, offensive decision making, tactical plays in the opponent’s 22, defensive set positioning and use of the reserves. The quality of Uganda club rugby is still a long way off.
#EnterpriseCup2026
For too long, entrepreneurship has been made to seem an irrational, risky, and even an illegitimate choice for clinicians.
Here’s my list of ‘why clinicians do not choose the entrepreneurial path.’
• Cultural Delegitimisation: Entrepreneurship is seen as commercialising care, ethically suspect, and outside clinician roles.
• Lack of Formal Training: Clinicians lack business training, making entrepreneurship seem risky.
• Regulatory Challenges: Opaque regulations risk licences, fines, shutdowns, and reputation.
• Startup Capital Issues: Limited capital access despite low risk; capital market is misaligned with healthcare.
• High Upfront Costs: High initial expenses for setup, equipment, licensing, staff, and software.
• Demands on Health Workers: Adds time, energy, and uncertainty to already heavy workloads and burnout.
• Absence of Role Models: Few visible clinician entrepreneurs suppresses aspiration.
• Uncertainty vs. Stability: Preference for stable public systems over entrepreneurial risks
Health worker entrepreneurship should be transformed into a rational choice rather than a heroic gamble.
The healthcare workforce needs to transform from being a fiscal cost into economic producers.
It’s time we unlocked pathways for health workers to build private practices, community clinics and health startups in order to turn latent clinical capacity into localized, innovative solutions.
Health workers experience system gaps firsthand so innovation is most likely to emerge from these same frontline practitioners.
Clinician-owned ventures:
• Create new jobs
• Reduce reliance on government payrolls
• Mobilize private capital into healthcare
• Generate tax revenue.
• Contribute to GDP growth.
Being a Doctor used to be dream career in Uganda. Not sure anymore.
Just imagine being among these 406 Doctors who are shortlisted to be interviewed for 4 slots (Which positions are probably already filled btw).
And we still wonder why there is so much brain drain.
Health workers need livelihoods and deployment pathways now.
Health worker training capacity has expanded faster than public-sector employment capacity. Thousands of trained and licensed clinicians remain unemployed or underemployed.
Entrepreneurship offers an immediate mechanism to absorb surplus clinical talent without expanding public payrolls.
Health worker entrepreneurship should no longer be treated as a niche experiment but as a system-level necessity.
Why is it that people get shocked when they hear that many medical doctors make less than 1.2M UgX per month?
Thats the reality, given the lack of a wage bill, private facilities pay peanuts because we are many doctors competing for a few jobs…
Health workers are clinicians first, by training, identity and calling. But in today’s realities, they must also be empowered to become entrepreneurs by necessity.
This flips the healthcare workforce doom loop into a health-entrepreneurship growth loop. Clinicians remain clinicians, but are also empowered to build the systems that employ them and serve their communities.
● Clinicians create new businesses and income pathways
● Communities gain more accessible, responsive care
● Governments reduce wage-bill pressure without losing workforce capacity
● Economies gain SMEs, jobs, and downstream productivity
● Investors see clearer routes to scale in healthcare delivery
● Talent stays in Africa instead of migrating.
Africa’s healthcare workforce is trapped in a doom loop.
The population is growing & aging driving up the need for healthcare.
⬇️
Governments respond by training more health workers.
⬇️
The economy can’t hire and absorb them all. Jobs are hard to come by and investment is elusive.
⬇️
Trained licensed professionals either end up unemployed, underpaid, burnt out or forced to migrate or exit the sector.
⬇️
Talent wastes and drains away while health outcomes worsen.
⬇️
Population productivity drops, financial fragility increases and GDP growth stalls.
⬇️
Ultimately resulting in stagnant economies unable to hire or incentivize the healthcare workforce.
⬇️
The self reinforcing doom loop restarts!
Remember not the former things,
nor consider the things of old.
Behold, I am doing a new thing;
now it springs forth,
do you not perceive it?
I will make a way in the wilderness and rivers in the desert.
~ Isaiah 43:18-19