ADJUMANI DISTRICT

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FROM A VEGETABLE GARDEN TO AN OVEN: THE YOUTH OF ADJUMANI BAKING THEIR OWN FUTURE

By Bazio Doreen On a small patch of land in Ofua Sub County, surrounded by dry grass and red dust, Pasi Pasi, kneels among rows of eggplants and tomatoes. Two years ago, she was a young mother with little beyond hope. Today, she is a farmer, a baker, a saver, and a student. I got 500,000 shillings from selling my vegetables,” she says, wiping her hands on her skirt. “This year I have 600,000 in my account. And I bought an oven. Now I bake queen cakes, kebabs, and other types of breads,” Pasi said.Pasi is not a miracle story. She is a product of policy.She is one of more than 1,200 young people in Adjumani District who have been trained under the Uganda Refugee Resilience Initiative (URRI) — a government-backed, multi-partner program designed to turn dependency into dignity.A District under Pressure — and Promise.To understand Pasi's oven, you must first understand Adjumani.Nestled in Uganda's West Nile sub-region, this quiet district has become one of the country's largest hosts of refugees fleeing conflict in South Sudan. Today, over 220,000 refugees live alongside approximately 120,000 host community members — a ratio of nearly two refugees for every one Ugandan national.For years, the dominant narrative was one of strain: pressure on schools, forests, water points, and peace. But the Government of Uganda, working through the Office of the Prime Minister (OPM) and partners like World Vision and the Royal Danish Embassy, has been quietly rewriting that story.The new narrative is not about managing crisis. It is about unleashing potential.Skills, Savings, and Self-WorthThe URRI project, now entering its second year in Adjumani and Lamwo districts, targets youth — both refugees and hosts — with training in four key areas: climate-smart agriculture, financial inclusion, sustainable environmental management, and gender-transformative family planning.Noel Alabi, Program Manager for World Vision overseeing both districts, explains.“As World Vision, we bring expertise. We lead the climate-smart agriculture component together with sustainable management of environment and natural resources — delivered alongside our partners at YSAT. After one year, we already see positive signs. Farmers are starting to replicate climate-smart practices on their own. And in gender, we are seeing joint planning and decision-making at family and group level,” Alabi said.The numbers support him.Within twelve months, active participants have increased their personal savings by an average of 20% — from UGX 500,000 to UGX 600,000 per person. Over 70% of trained farmers have voluntarily adopted climate-smart techniques such as drought-resistant crops and agroforestry. Dozens of micro-enterprises have been born: vegetable stalls, bakeries, goat-rearing projects, and small retail shops.For Pasi, the transformation has been total.“I sold my vegetables and used the money to pay my school fees and buy scholastic materials. I even bought a goat last year. And with the money I got from vegetables, I bought an oven,” Pasi said.She now bakes and sells queen cakes and kebabs alongside tending her garden. She is no longer waiting for aid. She is competing in the local economy.The Loan That Changed Everything.Maridio Oliver, another URRI beneficiary, accessed a loan through the program's financial inclusion arm. He is blunt about what works.“We want to thank the government of Denmark embassy who are supporting us. We want more support so that the young ones who cannot access money can also help themselves,” Maridio said.That call — for scaled-up financial access — is echoed across the district. Youth do not need handouts, Maridio argues. They need capital, training, and a chance.The 50:50 Question.But even in a success story, the government insists on honesty.Abdul Ramadan, the Settlement Commandant in Adjumani District, carries the weight of daily realities on his shoulders. He praises the URRI model but points to a structural imbalance.“Currently, refugees get 35% of interventions, and host communities get 65%. But when you look at the population, we are almost going past the number of the host communities as refugees. To me, the intervention should be 50-50. That way, peaceful existence will be spread out,” Abdul said.He also flags the reduction in food aid — a policy shift intended to encourage self-reliance but which has left some refugees struggling.“A good number of them are not getting food assistance. They struggle for their own food, their own livelihood. But sometimes they are limited by resources — they cannot get land, cannot hire land. They want to do business, but the market is not there. If they are empowered, they will stand on their own,” Abdul said.Government's Response. Obumai Simon Peter, Assistant Resident District Commissioner of Adjumani, does not shy away from the gaps. But he also refuses to let them erase progress.“It is not that the government is doing nothing. We are doing what we can. But because of the open-door policy — which also has its challenges — more refugees are still coming. The NURI and URRI projects are addressing some of those gaps. We are receiving new arrivals. Some of these interventions are for those who just came, the ones who missed NURI, and now they are benefiting,” Obumai said.He addresses development partners directly.“If there are other opportunities — because the gaps have been identified — you are no longer friends now. You are brothers. Continue to support your brothers,” Obumai said.The Quiet Revolution.Despite the challenges, something is shifting in Adjumani.It can be seen in Brenda Pasi's savings account. In Maridio Oliver's repaid loan. In the fields where young farmers are trying drought-resistant seeds for the first time. In the kitchens where queen cakes come out of locally bought ovens.The URRI project is not a cure-all. But it is a proof of concept.When given skills, capital, and a policy environment that allows them to work, own land, and trade — as Uganda's refugee policy uniquely does — young people do not remain victims. They become vegetable farmers. Bakers. Savers. Students. Entrepreneurs.They become, in other words, exactly what the Government of Uganda has always said they could be.As Abdul put it, reflecting on the Adjumani experience:“Hospitality without empowerment is incomplete. In Adjumani, we are completing the circle — one garden, one loan, one queen cake at a time,” Abdul said.For Brenda Pasi, that circle is already paying dividends.She smiles when asked about the future.“I am saving for a bigger oven,” she says.And then she returns to her garden. END.  

MTI BOOST ADJUMANI HEALTH SERVICES WITH 154 NEW STAFF

By Bazio Doreen. The Government of Uganda and humanitarian partners have intensified efforts to stabilize healthcare services in Adjumani District following months of severe staffing shortages that disrupted service delivery across refugee-hosting communities.The intervention comes after the recruitment of 154 health workers by Medical Teams International with support from United Nations Office for the Coordination of Humanitarian Affairs, helping to restore operations in health facilities that had been overwhelmed by staffing gaps earlier this year.The crisis emerged in January 2026 after more than 288 humanitarian-supported health workers exited service following funding shortfalls, significantly affecting healthcare delivery in one of Uganda’s largest refugee-hosting districts. The reductions left several facilities operating below minimum staffing requirements, disrupting maternal healthcare, outpatient services, nutrition programs, and emergency response systems.Adjumani currently hosts more than 234,000 refugees across 19 settlements in addition to a large host community population, creating sustained pressure on public services. Health officials estimate that the district’s healthcare system supports nearly half a million people, making it one of the most burdened humanitarian response areas in northern Uganda.District health leaders say the staffing shortages exposed the vulnerability of frontline services in refugee-hosting districts where humanitarian financing remains heavily relied upon to sustain healthcare operations.Dr. Lulu Henry Leku, Assistant District Health Officer in charge of Maternal Health Care, said the district had to rapidly reorganize available staff and coordinate emergency support to avoid a complete collapse of services.“The staffing gap created immense pressure on our health facilities because some were left operating with less than 20 percent of the required workforce. Maternal health services were among the most affected areas because skilled personnel are essential for safe deliveries and emergency care,” Dr. Lulu explained.According to district officials, some facilities temporarily reduced operating hours while others suspended services for several days due to the staffing crisis. High-volume facilities serving both refugees and host communities were particularly affected.At Ayilo Health Centre III, which serves nearly 26,000 people, patient numbers remained high despite the shortage. The facility records an average daily outpatient attendance of between 120 and 150 patients and handles up to 100 deliveries every month.Facility in-charge Iceta Michael said the staffing reductions created operational strain that directly affected service continuity.“Before the funding challenges, the facility had 38 staff supporting healthcare delivery. Following the layoffs, only a handful of staff remained, forcing temporary closure of some services before additional support was mobilized,” Iceta said.He noted that deployment of additional midwives, a clinical officer, and a nutritionist has since improved service delivery and reduced pressure on existing personnel.The latest recruitment is also expected to strengthen implementation of Uganda’s integrated refugee response policy, which allows refugees and host communities to access shared public services, including healthcare and education.Government officials say the intervention demonstrates the importance of coordinated action between central government institutions, district authorities, UN agencies, and implementing partners in sustaining essential social services in refugee-hosting districts.Abina Polly Irene, Resident District Officer representing the Office of the Prime Minister of Uganda, said the staffing gaps had visible consequences on health service delivery and community wellbeing.“We witnessed reduced operational capacity in several facilities due to funding limitations. However, through joint coordination and support from humanitarian agencies, critical services are gradually being restored to stabilize healthcare access for affected communities,” Abina said.Frontline health workers have welcomed the additional staffing support, saying it has improved workload management and strengthened maternal healthcare response.Judith Akello, a midwife at Ayilo Health Centre III, said the increase in staffing has enhanced patient care and reduced pressure on the few remaining workers.“The additional support has improved service delivery, especially in maternal healthcare. We are now better able to attend to mothers and patients seeking care at the facility,” Akello said.Uganda remains Africa’s largest refugee-hosting country, accommodating more than 1.7 million refugees, mainly from South Sudan, the Democratic Republic of Congo, and Sudan. Districts such as Adjumani continue to face increasing demand for healthcare, water, education, and livelihood services amid declining humanitarian funding globally.According to United Nations High Commissioner for Refugees officials, the refugee situation in Adjumani is increasingly protracted, requiring long-term investment in resilient public service systems rather than short-term emergency interventions alone.Gelila Tsega, Head of Sub Office at UNHCR Adjumani, said sustained partnerships remain critical to ensuring stability in the district.“Displacement in Adjumani is long-term, which means investments in health systems, staffing, and essential services must also be long-term to adequately support both refugees and host communities,” Tsega said.District leaders say although the recruitment of 154 health workers has significantly improved staffing levels, additional investments will still be required to fully address existing gaps and strengthen healthcare resilience in the district.Stakeholders are now calling for sustained financing, expanded recruitment, and stronger support for frontline facilities to prevent future disruptions and ensure uninterrupted access to healthcare services across refugee-hosting communities.END. 

ADJUMANI DISTRICT STRENGTHENS WATER SAFETY AND ENVIRONMENTAL PROTECTION THROUGH NEW €63,000 PARTNERSHIP PROJECT.

By Bazio DoreenAdjumani District Local Government has launched a €63,000 (approximately UGX 250 million) project aimed at strengthening water safety, improving environmental protection, and enhancing public health services for both refugee and host communities in the district.The project, titled WaEPA (Actions for Water and Environmental Protection), is being implemented through a partnership between Adjumani District Local Government, the Municipality of Sinai in Italy, Anawim Africa, and the University of Sassari. The initiative supports Uganda’s commitments under the National Development Plan IV (NDP IV), the National Environment Act 2019, the National Climate Change Policy, and Sustainable Development Goal 6 on access to clean water and sanitation.Adjumani District remains one of Uganda’s major refugee-hosting districts, currently accommodating more than 240,000 refugees, mainly from South Sudan, according to figures from the Office of the Prime Minister and UNHCR. The increasing population pressure has heightened demand for safe water, sanitation services, environmental conservation, and waste management systems in both refugee settlements and host communities.Government officials say the project is expected to strengthen district capacity in addressing these challenges while improving public health and environmental sustainability.Speaking during the launch, Barbara Pusceddu, Mayor of Sinai Municipality, commended the partnership with the district and emphasized the importance of international cooperation in responding to climate and environmental challenges affecting communities globally.“Environmental protection and waste management are shared responsibilities that require collaboration between governments, institutions, and communities,” she noted.A major component of the project will focus on upgrading the district water analysis laboratory to improve testing and monitoring of water sources, including boreholes, wells, and springs. The intervention will provide modern laboratory equipment, consumables, and technical training for staff to strengthen water quality surveillance and ensure communities have access to safe water.According to the Ministry of Water and Environment’s Sector Performance Report, access to safe water in rural Uganda currently stands at about 69 percent, while environmental degradation and climate-related pressures continue to affect water sources and ecosystems across the country. Northern Uganda, including refugee-hosting districts, remains particularly vulnerable due to deforestation, land pressure, and increasing demand for natural resources.Adjumani District Natural Resources Officer, Giyaya Charles, said previous government and partner-supported interventions had already strengthened water quality monitoring and environmental conservation efforts in the district.“This new project builds on existing efforts to improve environmental management and safe water systems while expanding services to benefit more communities,” he said.The project will also establish a plant pathology laboratory to monitor plant diseases and improve the quality of seedlings produced in nurseries. District authorities say this intervention will support afforestation, environmental restoration, and sustainable forestry management in line with Uganda’s National Forestry and Tree Planting Act.Project Coordinator Rev. Father Charles Vura Obulejo said the initiative will prioritize capacity building through training local leaders, technical staff, and communities in sustainable natural resource management, governance, planning, and domestic resource mobilisation.In addition, schools and community groups will benefit from environmental awareness campaigns targeting climate change adaptation, conservation, sanitation, and sustainable development practices, especially among young people.District leaders welcomed the initiative, noting that Adjumani continues to face challenges related to environmental degradation, waste management, and increased pressure on water resources due to rapid population growth and refugee influxes. Uganda currently hosts more than 1.7 million refugees, making it the largest refugee-hosting country in Africa.Officials say the WaEPA project will contribute to improved health outcomes, environmental protection, and resilient livelihoods while strengthening implementation of Uganda’s national policies on climate action, natural resource management, and inclusive service delivery.END