IAK

Love.Death.Time

[IAK @Komayn1]

Mark this tweet !!
Both will captain their teams and they will both go down as club legends

[Assoc of Graduate Nurses & Midwives of Uganda @agnmu_Ug]

Official Administrative Guidance and Advisory Note

To: Hon. Balaam Barugahara, Minister of Local Government.
FROM: Association of Graduate Nurses and Midwives of Uganda (AGNMU)

DATE: September 23, 2026

SUBJECT: RE-EVALUATION AND RESCISSION OF DIRECTIVE REGARDING LEADERSHIP OF RECENTLY VISITED HEALTH FACILITY LEVEL III

The Association of Graduate Nurses and Midwives of Uganda acknowledges the Ministry of Local Government's ongoing efforts to enhance accountability and operational oversight across public health facilities. However, we write to formally address a directive issued following recent support supervision visits concerning the supervisory arrangement between Nursing Officers and Clinical Officers.
We respectfully request that the Honourable Minister rescind the directive deeming supervision of a Clinical Officer by a Nursing Officer inappropriate, as the current reporting arrangement aligns with established public service standing orders, academic qualifications, and professional grading.

Academic qualifications and professional hierarchy
Per public service standards and professional progression frameworks, supervision within health institutions is anchored on academic attainment and professional hierarchy:
Nursing Officer: The officer in question holds a Bachelor of Science in Nursing, representing a full undergraduate degree qualification.
Clinical Officer: At the entry level, a Clinical Officer holds a Diploma qualification.
It is a foundational principle of public administration and human resource governance that a junior officer holding a diploma-level qualification cannot supersede or exercise supervisory independence over a senior officer holding a higher academic degree within the multidisciplinary clinical setting.

Public Service Salary Scale and Grading Analysis
To provide further clarity on administrative ranking, the respective salary scales designated by the Ministry of Public Service explicitly establish seniority:
Nursing Officer (degree cadre): Positioned on salary scale U-4 Med-2, reflecting a senior professional level.
Clinical Officer (entry level/diploma cadre): Positioned on salary scale U-5.
In accordance with the Uganda Public Service Standing Orders and government human resource guidelines, grading dictates that a lower salary scale (U-5) denotes a junior position relative to a higher salary scale (U-4). Therefore, directing a senior officer on scale U-4 to report to or be subordinate to a junior officer on scale U-5 contradicts the established public service standing orders.

Call to action and recommendation
In light of the academic credentials, salary scale gradings (U-4 Med-2 versus U-5), and public service standing orders:

We urge the Honourable Minister to officially rescind the directive challenging the leadership structure at the respective health facility.
We request that the facility in charge of the facility in question and administrative supervision be upheld in accordance with the formal qualifications and grading structures established by the Ministry of Public Service, until the approved staffing structure for Health Centre III is implemented, which will introduce a new cadre.

But also, the language and the tone used demonstrated bias in the able leadership of a nursing officer who has been running the facility without any audit queries.

The Association remains committed to collaborating with the Ministry to ensure harmony, professionalism, and optimal service delivery across all healthcare institutions in Uganda. @BalaamBarugahar

CC
Minister of Health
Minister of Public Service

END

[IAK @Komayn1]

@derick_ogwang @jukaowen At times I even hit 3k minutes a week

[IAK @Komayn1]

@KIBUUKARONALD18 @kule_philip I don't have to , you're not speaking from an informed pov

[IAK @Komayn1]

@KIBUUKARONALD18 @kule_philip Make research, you will find out

[IAK @Komayn1]

@chiefeston And Tielemans?... Kobie will go back to bench

[IAK @Komayn1]

@chiefeston 😂😂 tomorrow y'all will start to trash him again

[IAK @Komayn1]

@derick_ogwang @itsJoshuaBaraka 132 plays 💀

[IAK @Komayn1]

@masuhd_ He's going to bring them back to the league if they keep him

[Hiroo Onoda @HirooOnodaon]

HCG+

[Bakhit™ @bakhitmiqdad]

You start talking to a babe and they get intimidated by your English. 😔

[IAK @Komayn1]

@derick_ogwang It's the reality

[IAK @Komayn1]

@bakhitmiqdad 😂it's not a thought , it wasn't a good idea

[Mwamba Rugby Football Club @MwambaRFC]

May the heavens be kind to you Hamza🕯

#Kabeberi7s

[ALTON 🩺 @NewtonAllan6]

BREAKING NEWS 🚨:

The Uganda Medical Association (UMA) has announced industrial action over the ongoing welfare and deployment crisis affecting medical interns and the wider medical profession.

Doctors have given government 14 days to provide clear, written and satisfactory commitments on the deployment and facilitation of medical interns.

If government fails to act, doctors across Uganda will commence industrial action.

[IAK @Komayn1]

@TonyNatif 😂😂sounds more like comedy even

[IAK @Komayn1]

@samuelkisy @TheUMAofficial @i_am_EddieKing @BalaamBarugahar @JustineNameere @DailyMonitor @MinofHealthUG @nbstv @ntvuganda @ug_lawsociety @CHRISBARYOMUNS1 @SpireJim @RubabindaJr @UHRC_UGANDA You didn't comprehend.

[Uganda Medical Association @TheUMAofficial]

Dear Honourables @BalaamBarugahar
@JustineNameere

RE: CONDUCT OF MINISTERIAL INSPECTIONS AT PUBLIC HEALTH FACILITIES

The Uganda Medical Association (U.M.A.) acknowledges your Ministry’s commitment to rooting out corruption, absenteeism, and service delivery failures in local government. We share your goal of accountability.

𝗛𝗼𝘄𝗲𝘃𝗲𝗿, we are deeply concerned about the 𝗺𝗲𝘁𝗵𝗼𝗱𝘀 employed during recent inspections of health facilities; specifically, the presence of television cameras in clinical areas, the public interrogation of health workers, and arrests ordered before allegations have been properly investigated.

𝗣𝗮𝘁𝗶𝗲𝗻𝘁𝘀 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗲𝘅𝗵𝗶𝗯𝗶𝘁𝘀. Filming patients in wards, maternity units, and consultation rooms without informed consent violates the Patients' Rights and Responsibilities Charter, the Data Protection and Privacy Act, and Article 27 of the Constitution, which guarantees the right to privacy. 𝗔 𝗵𝗼𝘀𝗽𝗶𝘁𝗮𝗹 𝗶𝘀 𝗮 𝗽𝗹𝗮𝗰𝗲 𝗼𝗳 𝗵𝗲𝗮𝗹𝗶𝗻𝗴, 𝗻𝗼𝘁 𝗮 𝘀𝗽𝗲𝗰𝘁𝗮𝗰𝗹𝗲.

𝗥𝗲𝘀𝘁 𝗮𝗻𝗱 𝗹𝗲𝗮𝘃𝗲 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗮𝗯𝘀𝗲𝗻𝘁𝗲𝗲𝗶𝘀𝗺. Finding a health worker away from their station proves nothing without first verifying the duty roster, leave records, night-duty history, and on-call arrangements. Compensatory rest after night duty, annual leave, and sick leave are lawful entitlements under the Employment Act and Article 40 of the Constitution. Accusations of absenteeism must follow verification, not precede it.

𝗦𝘆𝘀𝘁𝗲𝗺𝗶𝗰 𝗳𝗮𝗶𝗹𝘂𝗿𝗲𝘀 𝗰𝗮𝗻𝗻𝗼𝘁 𝗯𝗲 𝗯𝗹𝗮𝗺𝗲𝗱 𝗼𝗻 𝗳𝗿𝗼𝗻𝘁𝗹𝗶𝗻𝗲 𝘄𝗼𝗿𝗸𝗲𝗿𝘀. Uganda’s public facilities are staffed at roughly a third of established need—34% against Ministry of Health norms, with diagnostic services at 47.7% and medicine availability at 58.9%. Where a worker refers a patient due to a stock-out or missing test, that is a systemic failure, not corruption. The two must be distinguished.

𝗗𝘂𝗲 𝗽𝗿𝗼𝗰𝗲𝘀𝘀 𝗶𝘀 𝗻𝗼𝘁 𝗼𝗽𝘁𝗶𝗼𝗻𝗮𝗹. Articles 28 and 42 of the Constitution guarantee the presumption of innocence and a fair hearing. Arrests and public humiliation cannot substitute for proper investigation through established @PoliceUg, public-service, and professional-regulatory channels.

U.M.A therefore recommends that;

- 𝗖𝗮𝗺𝗲𝗿𝗮𝘀 𝗿𝗲𝗺𝗮𝗶𝗻 𝗼𝘂𝘁 𝗼𝗳 𝗮𝗰𝘁𝗶𝘃𝗲 𝗰𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗮𝗿𝗲𝗮𝘀!!!

- @GovUganda fixes the system and funds recruitment and supplies.

- Humiliation Health Workers stops immediately.

- @MoLGUganda either leaves health facility inspections to @MinofHealthUG and it's organs or requests their active involvement.

𝗔𝗰𝗰𝗼𝘂𝗻𝘁𝗮𝗯𝗶𝗹𝗶𝘁𝘆 𝗮𝗻𝗱 𝗗𝗶𝗴𝗻𝗶𝘁𝘆 𝗰𝗮𝗻 𝗮𝗻𝗱 𝗺𝘂𝘀𝘁 𝗴𝗼 𝘁𝗼𝗴𝗲𝘁𝗵𝗲𝗿.

Service with Honour,

[IAK @Komayn1]

@that_Allan_guy @no_avie @godswillgraham @rwenzori_ Unfortunately I would know all the drugs there, but that's not how things work

[IAK @Komayn1]

@that_Allan_guy @godswillgraham @rwenzori_ You must believe that the hospital is run like a retail shop