Doctoral Thesis Defence Invitation: Mr. Henry Komakech | Friday, 19 December 2025
Professor
@RhodaWanyenze, the Dean of Makerere University School of Public Health (MakSPH), welcomes you to the blended public doctoral thesis defense of Mr. Henry Komakech this week on Friday, 19 December 2025.
Thesis topic: “ Effects of refugee repatriation on health services for refugee and host populations in three West Nile districts .”
Candidate: Mr. Henry Komakech
🗓️Date: Friday, 19 December 2025
⏲️Time: 10:00 AM (EAT)
Zoom Link (Register in advance for this meeting):
🔗
bit.ly/HenryKomakech
Physical Attendance Venue:
📌Dean’s Conference Room, School of Medicine, Makerere University, New Mulago Hospital Complex
Komaketch's study assessed the impact of refugee repatriation on health service delivery in Adjumani, Arua, and Moyo districts. The findings indicate that repatriation led to significant disruptions in health services as humanitarian partners withdrew, resulting in reduced financing, shortages of skilled health workers, and the closure or relocation of health facilities, particularly in former refugee settlements.
Following repatriation, district health teams assumed full responsibility for health service planning, management, and delivery under a decentralized and integrated health system. While integration strengthened government ownership, the transition was inadequately resourced. Post-repatriation funding relied almost entirely on the government’s Primary Health Care grant, with limited continued support from development partners. This funding gap contributed to shortages of medicines, essential supplies, equipment, and human resources, placing sustained pressure on district health systems serving both former refugees and host communities.
There are some key policy implications, including;
1. Refugee repatriation, if not adequately planned, can weaken local health systems and reduce service availability.
2. Transition from humanitarian to government-led health service delivery requires phased financing, human resource absorption plans, and infrastructure support.
3. Former refugee settlement areas remain particularly vulnerable to service gaps following facility closures or relocations.
Join the conversation in the Public PhD Defense coming up this Friday