Hon. Balaam, Come Clean up Butaleja District


I rarely celebrate Ministerial appointments largely due to the fact that over the years, toothless individuals have been typically rewarded with little regard to effective service delivery. The appointment of Hon. Balaam Barugahara as Minister for Local Government is something I found worthy celebrating.

Many looked down upon him with claims that he was not politically astute enough but I chose to think otherwise. The Ministry he was given is very key in the implementation of the President’s manifesto. Many forget that service delivery is actually highly determined by the Local Government operations. However much you talk about the release of Billions of Shillings to improve Education in the country, without ensuring that the delivery wing at the Local Government level is fully operational, it will remain a piss in the wind.

We have seen what the minister has done in Jinja District where the CAO was given marching orders, Bulambuli District where the nakedness of the District Engineer was exposed, Nabumali, where a School Headmaster got arrested for inflating student numbers among other exploits.

This has created a very big buzz in Butaleja District one of the most notoriously corrupt districts in the Country. It is hard to point out a well executed activity in our district ever since we got District status 21 years ago. Numerous younger districts have surpassed us in performance.

One of the only outstanding well executed Government projects in Butaleja District is the renovation of Busolwe General Hospital and the reason for that is largely due to the charisma and anti-corruption stand of the former Hospital Board Chairman who happens to be the author of this very article.

Hon. Balaam, we welcome you to Butaleja with open arms and as you prepare to come over, please take note of the following by arming yourself with advance information through reports from the DISO’s office among other channels;

Education – This is performing poorly in the district and among the issues keeping us lagging behind is the way the department is run. Some of the issues are:

  • Recruitment and posting of staff. Too much corruption involved in this process and numerous unqualified personnel have been given placements
  • Absentee workers
  • Misuse of the Education Grant
  • Poor construction of school structures
  • Siphoning of Development fees collections in UPE and USE Schools
  • Irregular UNEB registration charges for UPE and USE candidates
  • Hot air supplies to schools

Engineering – This department ropes in the construction of structures, roads as well as water supply. Some of the issues worth noting are;

  • Butaleja House that has had over 3 Billion Shillings spent but is no different from a Karamojong cattle kraal. A starting point here is investigating how the monies the central Government sent to the district over the past two financial years for this building were spent.
  • Busolwe House, like Butaleja House, this is also a den of financial misappropriation and as is the norm, the district officials prefer using the Force on Account to manage these projects with the goal of using money without following proper accountability in order to ease theft.
  • Road Grant is one of the most highly misappropriated monies. I know for sure that the DISO’s office has a damning report on the gross abuse in this regard. I once got a briefing on this from one of the staff therein and I am sure you will have a good harvest here.
  • Mazimasa Health Centre III and Budumba Health Center IV construction projects are plastered with a lot of financial epilepsy. Pay keen attention on the value for money released for these projects.
  • Muhula and Nakwasi Seed Schools construction also exhibit acute financial hemorrhage and the impunity exhibited by the project handlers is worse than that of the referee who handled the Egypt Vs Argentina FIFA World Cup game recently.
  • Butaleja SSS is another school whose construction monies developed wings and the contractor for long was being protected by the previous LCV Chairman in cahoots with some Government officials.
  • Water. Borehole construction has become one of the biggest cash cows for illicit dealers in the district. You can look into this too. There is high financial diversion here when you compare the work alleged to have been done versus monies released. In some cases boreholes constructed by NGOs are accounted for as done by the Local Government.

Health – The state of most Health facilities is worrying in the district. The way they are run calls for serious concern. The problem starts with the Government support that tends to be lame duck in nature hence giving some of the staff an opportunity to become extortionists.

Most of these facilities are conduits for some Local Government staff to siphon money from the Government coffers. A simple audit of just two quarters of the previous financial year will be eye opening. Take a look at Nabiganda Health Centre IV and Naweyo Health Centre as samples.

Production – This encompasses sectors like Agriculture that are at the core when it comes to the economic artery of the district. Interest yourself in the following;

  • The multimillion dollar equipment received from China that had Combine Harvesters, Mills among other agro-machinery. You will be shell shocked upon learning where it has ended up.
  • Some equipment supplied by GoU like tractors for farmer groups developed wings and are not available. A case study worthy pursuing is the Tractor for Busaba.
  • Micro-irrigation implementation is highly wanting and when one looks at how the monies were spent, you can develop high blood pressure. Imagine accountability that is dominated by feeding meeting participants, supplying project jackets and fueling of cars. An inquiry is in order on farmer adoption and whether the beneficiaries ended up being the very individuals meant to spread out these facilities.

District Service Commission – The story on how this has been mismanaged under the current position holders is so agonizing. You will need to have a special commission set up to investigate the rot here considering that it is even headed by someone purportedly regarded as a gate keeper to God.

PDM – Hon Balaam, if there is any Government program that has been serially raped with utmost impunity in the district, it is this one. Sample Kaiti in Naweyo Subcounty and Busolwe Town Council.

Way Forward

Without flinching, I do request that you get a prior briefing on the issues raised here and others from the requisite stakeholders you have access to in the district. The harvest is plenty but the workers are few.

On behalf of the Butaleja Liberation Front, I welcome you to Butaleja and do not hesitate to reach out to us for possible accompaniment as you tour our beloved district, the Rice Capital of Uganda.

Huhusangaliye.

James Wire
Community Advocate
Fmr. Board Chairman, Busolwe General Hospital
Butaleja District

X – @wirejames

The Future of Work (Part 3): How AI is likely to affect Dental Surgery


We have run through two articles previously with one talking about Navigating the AI shift and another dwelling on the Durable Human Skills that are likely to come in handy. Let us use the case study of Dental Surgery as a specialisation by showing how AI is likely to affect it.

AI may not replace a dental surgeon but a dental surgeon that embraces AI will replace one who does not. We explore how AI will impact the day to day job as well as which durable skills will separate an average dentist from an exceptional one.

AI will most likely not hold the drill but act more as a super assistant in the background. Practically, it will undertake some of the following:

Diagnostics: AI imaging software can already read X-Rays and CBCT Scans to detect early cavities, periodontal bone loss and even bone cancers with great accuracy, often spotting things that the human eye may miss. As it highlights the problem areas, the surgeon correlates that with the patient’s actual symptoms, medical history and overall health.

Predictive Treatment planning: For complex procedures like implant placement and orthodontics, AI will stimulate bone density among other variables to suggest the optimal surgical trajectory by running various “what if” scenarios.

Robotics Assistance: There are already robotic arms assisting in implant surgeries. providing micro stability that eliminates human hand tremors. The surgeon guides as the robot handles the millimeter perfect execution.

In all this, what Durable Human Skills are ideal for the Dental Surgeon of the future?

In a world where an AI can read a scan better and a robot can drill straighter, the value of the surgeon shifts entirely to the human to human experience. Here are the four skills they need to cultivate on top of their surgical finesse:

Emotional Empathy & Chairside Manner (EQ)

Dental anxiety is one of the most common phobias in the world. Each time I have personally gone to the dentist, I always anticipate lots of things happening inside my mouth thereby driving up my fear. AI cannot feel a patient’s fear, nor can it soothe a trembling adult or a fidgeting child.

A future dentist must master the art of psychological safety through reading micro-expressions, using calming language, explaining procedures without triggering panic, and building deep trust so patients actually return for preventative care. If it means singing the Kipepeo or Bread & Butter songs for the patient to calm down, be ready to do so.

In the future, patients will pay a premium for a surgeon who makes them feel safe, not just for a clean filling.

Complex Clinical Judgment & Nuance

AI may read an X-ray, see a shadow that suggests a cavity and go ahead to conclude. However, the human surgeon will ask deeper questions like;

– Is this an active cavity that needs drilling, or a static stain that can be monitored?

– Does this patient have a heart condition that changes my anesthesia choice?

– Is this 80-year-old patient strong enough for a 3-hour implant surgery, or is a denture a safer, more humane option?

These are ethical, holistic, and highly contextual decisions that AI’s pattern-matching cannot make.

High-Stakes Adaptability and Problem Solving

Surgery is unpredictable, moreso in countries like Uganda. A crown fractures unexpectedly. A root canal reveals an extra, twisted canal that wasn’t on the scan. The power goes out and the hospital generator has no fuel.

The durable skill here is composure under pressure and improvisation. The surgeon must be able to pivot their surgical plan in real-time, using their hands and their brain simultaneously. AI cannot handle the curveballs of biological variation.

Clear, Translational Communication (Storytelling)

When a patient needs a 10 Million Shillings treatment plan, they often say “no” because they don’t understand the value or the consequences.

The best dentist is a storyteller. They can take complex medical jargon and translate it into a compelling narrative: “If we don’t address this now, here is what will happen in 3 years. Here is how this implant will let you eat meat again and laugh without covering your mouth.”

Persuasion and education will be their greatest tools for getting patients to accept life-changing treatment. AI cannot do this with the emotional intensity of a human.

For anyone heading to dental school, you have to think like a Techno-Humanist Surgeon. How should you enhance your education?

Embrace the Tech, Don’t Fear It: You don’t need to become a software engineer, however, any opportunity that comes up for you to interface with AI systems, jump onto it with both your hands and feet. Get comfortable with AI until it feels like a second nature by the time you graduate.

Study Psychology and Communication: Many pre-dental students focus on hard sciences (which is great), however, taking a class in psychology, care giving or even comedy can be helpful. Learning to read a room and adapting your communication style is just as important as knowing the anatomy of the mandible.

Develop your “Non-Dominant” Brain: While you perfect your manual expertise like tooth drilling, you should also cultivate artistic hobbies like painting, drawing or playing a musical instrument. Aesthetics matter in dentistry. Hence creating a beautiful, natural-looking smile is an art, not a science. AI cannot replicate artistic vision.

Bottom line:

AI will make you faster, more accurate, and less prone to errors. But it will never build the trusting relationship that keeps a family coming to you for three generations. (This is how serious health professionals have maintained their businesses across multiple generations.)

Your hands will do the surgery, but your heart and your mind will build the practice. Dentistry is moving from a technical trade to a relational health profession. If you lean hard into your empathy, judgment, and adaptability, you won’t just survive the AI revolution, you will become the most sought-after dentist.

If you want us to explore another profession, suggest in the comment section.

James Wire
Agribusiness & Technology Consultant
X – @wirejames