Uganda Lacks Secure Forensic Psychiatry Ward, Butabika Director Warns Parliament

Dr. Juliet Nakku, head of Butabika National Referral Hospital, informed Uganda’s parliamentary Committee on Health that the nation lacks a secure forensic psychiatry ward. Speaking on April 8, 2026, she stressed the need to hire forensic psychiatrists to manage complex mental health cases linked to crime.

Nakku referenced the case of Christopher Okello Onyum, accused of killing four toddlers in Ggaba, to illustrate the risks. She explained that these experts evaluate suspects’ mental fitness, advise courts on responsibility, and ensure safe care for high-risk patients, preventing unsafe prison or general ward placements.

“This country does not have a secure forensic psychiatry ward, the entire country,” Nakku stated, noting funding shortages have blocked training despite expanded staffing plans. Forensic psychiatrists also assess reoffending risks and design secure facilities, roles common in other nations.

The discussion shifted to rising child mental health issues. MP Margaret Ayebale called for research into children’s psychological challenges, warning against labeling behaviors as mere indiscipline.

Nakku cited a World Bank-funded study showing nearly 30% of students aged 11-17 face significant emotional problems, harming academic performance. Schools lack resources, with teachers needing training.

To bridge this, Nakku announced new UNESCO and ministry-backed guidelines, signed by the First Lady, for training teachers, supporting parents, and educating children on mental health.

Committee chair Dr. Joseph Ruyonga questioned potential links between health factors and behaviors.

Source: Parliament of Uganda