Legal Issues and Challenges in Securing Ugandans' Health Rights in Vaccine Safety
DOI:
https://doi.org/10.61978/legalis.v4i1.1173Keywords:
Legal, Health, Rights, Vaccine Safety, UgandanAbstract
Health is widely regarded as a form of wealth and a fundamental human right that governments must protect. In response to global infectious diseases, the international community has increasingly relied on vaccine development as a strategy to mitigate major health threats. However, public concerns such as those raised by Dr. Wahome Ngare’s medical team regarding the safety of certain vaccines highlight the urgent need for strong legal and institutional mechanisms to safeguard public health. Against this backdrop, the study examines Uganda’s legal framework for protecting citizens’ health rights and explores the structural challenges that may hinder the effectiveness of these laws. Using a doctrinal research method, the study draws on primary and secondary legal materials and analyzes them through descriptive and analytical approaches. The findings reveal that unsafe vaccines can pose severe risks to human health. The Ugandan government is legally obligated, under both international and domestic law, to ensure that vaccines circulating within the country are safe and effective. Despite this mandate, several obstacles limit the implementation of health protections, including constitutional barriers to the application of international law, bureaucratic delays in enforcing national regulations, resource constraints, and low public awareness of the health reporting system. The study concludes by reaffirming the need to strengthen the protection of Ugandans’ health rights. It recommends that the government address these challenges by domesticating reliable international legal standards, reducing internal legal bureaucracy, and improving public awareness of health reporting mechanisms. This research contributes to the broader understanding of how Uganda’s legal and institutional structures support public health rights, while identifying gaps, accountability issues, and policy challenges related to vaccine safety and public trust.
References
Aidonojie, P. A. (2022). The Societal and Legal Missing Link in Protecting a Girl Child against abuse before and Amidst the Covid-19 Pandemic in Nigeria. Jurnal Hukum, 38(1), 61. https://doi.org/10.26532/jh.v38i1.18412 DOI: https://doi.org/10.26532/jh.v38i1.18412
Aidonojie, P. A., Aidonojie, E. C., Okpoko, M. O., Obieshi, E., & Damina, J. J. (2025). International Legal Framework in Curtailing Hazardous COVID-19 Medical Waste: Issues and Challenges. Decova Law Journal, 1(1), 1–17.
Aidonojie, P. A., Eregbuonye, O., Majekodunmi, A. T., & Inagbor, M. E. (2024). The Prospect and Legal Issues of Income Tax in the Nigerian Metaverse. Trunojoyo Law Review, 6(1), 17–50. https://doi.org/10.21107/tlr.v6i1.23874 DOI: https://doi.org/10.21107/tlr.v6i1.23874
Aidonojie, P. A., & Francis, E. C. (2022). Legal Issues Concerning Food Poisoning in Nigeria: The need for Judicial and Statutory Response. Jurnal Media Hukum, 29(1), 65–78. https://doi.org/10.18196/jmh.v29i1.12595 DOI: https://doi.org/10.18196/jmh.v29i1.12595
Aidonojie, P. A., Mulegi, T., Muwaffiq, J., Imiefoh, A. I., & Owoche, A. G. (2024). International Laws Regulating Human Rights in Business Operations in Uganda: Issues and Challenges. Fenomena, 23(2), 131–144. https://doi.org/10.35719/fenomena.v23i2.188 DOI: https://doi.org/10.35719/fenomena.v23i2.188
Aidonojie, P. A., Obieshi, E., Aidonojie, E. C., Hassan, I., & Damina, J. J. (2024). The Increase of Child Labour in Nigeria: Legal Custody of Victim by the Nigerian Government as a Panacea. Journal of Indonesian Constitutional Law, 1(3), 151–175. https://doi.org/10.71239/jicl.v1i3.26 DOI: https://doi.org/10.71239/jicl.v1i3.26
Aidonojie, P. A., Okuonghae, N., Najjuma, A., Ikpotokin, O. O., & Obieshi, E. (2025). Legal and Socio-Economic Challenges of E-Commerce in Uganda: Balancing Growth and Regulation. Trunojoyo Law Review, 7(1), 1–32. https://doi.org/10.21107/tlr.v7i1.27704 DOI: https://doi.org/10.21107/tlr.v7i1.27704
Aidonojie, P. A., Wakili, S. A., & Ayuba, D. (2023). Effectiveness of the Administration of Justice in Nigeria Under the Development of Digital Technologies. Journal of Digital Technologies and Law, 1(4), 1105–1131. https://doi.org/10.21202/jdtl.2023.48 DOI: https://doi.org/10.21202/jdtl.2023.48
Allen, T., Murray, K. A., Zambrana-Torrelio, C., Morse, S. S., Rondinini, C., Marco, M., Breit, N., Olival, K. J., & Daszak, P. (2017). Global hotspots and correlates of emerging zoonotic diseases. Nature Communications, 8(1), 1124. https://doi.org/10.1038/s41467-017-00923-8 DOI: https://doi.org/10.1038/s41467-017-00923-8
Amankwah-Amoah, J. (2022). COVID-19 and counterfeit vaccines: Global implications, new challenges and opportunities. Health Policy and Technology, 11(2), 100630. https://doi.org/10.1016/j.hlpt.2022.100630 DOI: https://doi.org/10.1016/j.hlpt.2022.100630
Antai, G. O., Ndifon, C. O., Ikubanni, O. O., Ogba, S. A., & Imiefoh, A. I. (2025). The Effect of Conversion of Extradition Methods and Unlawful Deportation on Human Rights in Nigeria. Journal of Indonesian Constitutional Law, 2(2), 128–159. https://doi.org/10.71239/jicl.v2i2.67
Ayenigbara, I. O., Adegboro, J. S., Ayenigbara, G. O., Adeleke, O. R., & Olofintuyi, O. O. (2021). The challenges to a successful COVID-19 vaccination programme in Africa. Germs, 11(3), 427–440. https://doi.org/10.18683/germs.2021.1280 DOI: https://doi.org/10.18683/germs.2021.1280
Barugahare, J., Nakwagala, F. N., Sabakaki, E. M., Ochieng, J., Sewankambo, K., & N. (2020). Ethical and human rights considerations in public health in low and middle-income countries: An assessment using the case of Uganda’s responses to COVID-19 pandemic. BMC Medical Ethics, 21(1), 91. https://doi.org/10.1186/s12910-020-00523-0 DOI: https://doi.org/10.1186/s12910-020-00523-0
Bottini Filho, L., Karim, S. A., & Hodgson, T. F. (2025). Vaccine Inequity in the COVID-19 Crisis: Lessons to Leverage Global Health Law through Market-Shaping Policies. Journal of Law, Medicine & Ethics, 53(S1), 51–54. https://doi.org/10.1017/jme.2025.18 DOI: https://doi.org/10.1017/jme.2025.18
Buregyeya, E., Atusingwize, E., Nsamba, P., Musoke, D., Naigaga, I., Kabasa, J. D., Amuguni, H., & Bazeyo, W. (2020). Operationalizing the One Health Approach in Uganda. Challenges and Opportunities: Journal of Epidemiology and Global Health, 10(4), 250. https://doi.org/10.2991/jegh.k.200825.001 DOI: https://doi.org/10.2991/jegh.k.200825.001
Egielewa, P., & Aidonojie, P. A. (2021). Media and Law: An Assessment of the Effectiveness of the Freedom of Information Act by Journalists in Nigeria using Auchi, Edo State as a Case Study. Nternational Journal of Current Research in the Humanities, 25.
Ghedamu, T. B., & Meier, B. M. (2019). Assessing National Public Health Law to Prevent Infectious Disease Outbreaks: Immunization Law as a Basis for Global Health Security. Journal of Law, Medicine & Ethics, 47(3), 412–426. https://doi.org/10.1177/1073110519876174 DOI: https://doi.org/10.1177/1073110519876174
Gostin, L. O., Habibi, R., & Meier, B. M. (2020). Has Global Health Law Risen to Meet the COVID-19 Challenge? Revisiting the International Health Regulations to Prepare for Future Threats. Journal of Law, Medicine & Ethics, 48(2), 376–381. https://doi.org/10.1177/1073110520935354 DOI: https://doi.org/10.1177/1073110520935354
Gostin, L. O., Meier, B. M., & Stocking, B. (2021). Developing an Innovative Pandemic Treaty to Advance Global Health Security. Journal of Law, Medicine & Ethics, 49(3), 503–508. https://doi.org/10.1017/jme.2021.72 DOI: https://doi.org/10.1017/jme.2021.72
Heymann, D. L., Chen, L., Takemi, K., Fidler, D. P., Tappero, J. W., Thomas, M. J., Kenyon, T. A., Frieden, T. R., Yach, D., Nishtar, S., Kalache, A., Olliaro, P. L., Horby, P., Torreele, E., Gostin, L. O., Ndomondo-Sigonda, M., Carpenter, D., Rushton, S., Lillywhite, L., & Rannan-Eliya, R. P. (2015). Global health security: The wider lessons from the west African Ebola virus disease epidemic. The Lancet, 385(9980), 1884–1901. https://doi.org/10.1016/S0140-6736(15)60858-3 DOI: https://doi.org/10.1016/S0140-6736(15)60858-3
Hodge, J. G., Piatt, J. L., White, E. N., Barraza, L. F., & Berthiaume, K. M. (2024). Supreme Court Impacts in Public Health Law: 2023-2024. Journal of Law, Medicine & Ethics, 52(2), 484–487. https://doi.org/10.1017/jme.2024.120 DOI: https://doi.org/10.1017/jme.2024.120
Jufri, M., Safi, S., Aidonojie, P. A., Zaini, Z., & Arowosaiye, Y. I. (2024). Religion and State in Islamic Constitutional Law: The Role of Pesantren in Strengthening Symbiotic Islam and the State in Madura. Justicia Islamica, 21(2), 221–246. https://doi.org/10.21154/justicia.v21i2.9283 DOI: https://doi.org/10.21154/justicia.v21i2.9283
Junior, R. T. (2025). Legal Education and Training in Kenya: Challenges and Prospects. Journal of Indonesian Constitutional Law, 2(3), 249–273. https://doi.org/10.71239/jicl.v2i3.71 DOI: https://doi.org/10.71239/jicl.v2i3.71
Kana, B. D., Arbuthnot, P., Botwe, B. K., Choonara, Y. E., Hassan, F., Louzir, H., Matsoso, P., Moore, P. L., Muhairwe, A., Naidoo, K., Ndomondo-Sigonda, M., & Madhi, S. A. (2022). Opportunities and challenges of leveraging COVID-19 vaccine innovation and technologies for developing sustainable vaccine manufacturing capabilities in Africa. The Lancet Infectious Diseases, 23(8), 288– 300. https://doi.org/10.1016/S1473-3099(22)00878-7 DOI: https://doi.org/10.1016/S1473-3099(22)00878-7
K.B., M., Nayar, S. A., & P.V., M. (2022). Vaccine and vaccination as a part of human life: In view of COVID‐19. Biotechnology Journal, 17(1), 2100188. https://doi.org/10.1002/biot.202100188 DOI: https://doi.org/10.1002/biot.202100188
Kerry, C. (2025). African Anti-rights Groups and Anti-Vaxxers Unite in Global Campaign Against WHO,"https://who-track.phmovement.org/african-anti-rights-groups-and-anti-vaxxers-unite-global-campaign-against-who.
Kimera, A., Atuyambe, L., Mutyaba, H., Nantongo, C., Namagembe, A., Nalumansi, A. M., Basenero, A., Auma, P., Mukiza, N., & Mutyoba, J. (2024). Prevalence and factors associated with hepatitis b vaccination uptake and completion among communities targeted for mass vaccination in gulu: A cross-sectional study. BMC Public Health, 24(1), 866. https://doi.org/10.1186/s12889-024-18330-2 DOI: https://doi.org/10.1186/s12889-024-18330-2
Lee, K., & Brumme, Z. L. (2013). Operationalizing the One Health approach: The global governance challenges. Health Policy and Planning, 28(7), 778–785. https://doi.org/10.1093/heapol/czs127 DOI: https://doi.org/10.1093/heapol/czs127
Loh, E. H., Zambrana-Torrelio, C., Olival, K. J., Bogich, T. L., Johnson, C. K., Mazet, J. A. K., Karesh, W., & Daszak, P. (2015). Targeting Transmission Pathways for Emerging Zoonotic Disease Surveillance and Control. Vector-Borne and Zoonotic Diseases, 15(7), 432–437. https://doi.org/10.1089/vbz.2013.1563 DOI: https://doi.org/10.1089/vbz.2013.1563
Lugada, E., Komakech, H., Ochola, I., Mwebaze, S., Olowo Oteba, M., & Okidi Ladwar, D. (2022). Health supply chain system in Uganda: Current issues, structure, performance, and implications for systems strengthening. Journal of Pharmaceutical Policy and Practice, 15(1), 14. https://doi.org/10.1186/s40545-022-00412-4 DOI: https://doi.org/10.1186/s40545-022-00412-4
Mbonye, A. K., & Sekamatte, M. (2018). Disease outbreaks and reporting in Uganda. The Lancet, 392(10162), 2347–2348. https://doi.org/10.1016/S0140-6736(18)32414-0 DOI: https://doi.org/10.1016/S0140-6736(18)32414-0
Meier, B. M., Tureski, K., Bockh, E., Carr, D., Ayala, A., Roberts, A., Cloud, L., Wilhelm, N., & Burris, S. (2017). Examining National Public Health Law to Realize the Global Health Security Agenda. Medical Law Review, 25(2), 240–269. https://doi.org/10.1093/medlaw/fwx020 DOI: https://doi.org/10.1093/medlaw/fwx020
Mugalula, K. G. (2025). Regulation of artificial intelligence in Uganda’s healthcare: Exploring an appropriate regulatory approach and framework to deliver universal health coverage. International Journal for Equity in Health, 24(1), 158. https://doi.org/10.1186/s12939-025-02513-3 DOI: https://doi.org/10.1186/s12939-025-02513-3
Muhammad, M. M., Masum, A., Aidonojie, P. A., & Adebayo, A. K. (n.d.). Filling Members of the Financial Audit Board. Constitutional Review and Legislative Intervention. Al-Adl, 17(1), 55–72.
Musoke, D., Ndejjo, R., Atusingwize, E., & Halage, A. A. (2016). The role of environmental health in One Health: A Uganda perspective. One Health, 2, 157–160. https://doi.org/10.1016/j.onehlt.2016.10.003 DOI: https://doi.org/10.1016/j.onehlt.2016.10.003
Nampewo, Z., Mike, J. H., & Wolff, J. (2022). Respecting, protecting and fulfilling the human right to health. International Journal for Equity in Health, 21(1), 36. https://doi.org/10.1186/s12939-022-01634-3 DOI: https://doi.org/10.1186/s12939-022-01634-3
Odunsi, B., O, O. O., & Oduniyi, O. O. (2025). Fundamental Objectives and Directive Principles of State Policy in the Nigerian Constitution: Re-Examining the Non-Justiciability of Socio-Economic Rights. Journal of Indonesian Constitutional Law, 2(3), 274–298. https://doi.org/10.71239/jicl.v2i3.191 DOI: https://doi.org/10.71239/jicl.v2i3.191
Olawunmi, O. O., Nyapidi, B., & Ifesinachi, C. O. (2025). Comparative analysis of the role of clinical legal education in addressing gender-based violence in Uganda and Nigeria. Kampala International University Law Journal, 7(1), 102–118. https://doi.org/10.59568/KIULJ-2025-7-1-08 DOI: https://doi.org/10.59568/KIULJ-2025-7-1-08
Sahar, N., Lee, O., Hoffman, S. J., & Sritharan, L. (2020). Overview of Key Legal, Political, and Social Challenges Facing Global Vaccination Efforts. Imaginations: Journal of Cross-Cultural Image Studies, 11(2). https://doi.org/10.17742/IMAGE.IN.11.2.9 DOI: https://doi.org/10.17742/IMAGE.IN.11.2.9
Samuel, A. U., Akinlabi, E. T., Okokpujie, I. P., & Fayomi, O. S. I. (2021). Sustainability of Garri Processing: A Case Study of Ogun State, Nigeria. IOP Conference Series: Materials Science and Engineering, 1107(1), 12132. https://doi.org/10.1088/1757-899X/1107/1/012132 DOI: https://doi.org/10.1088/1757-899X/1107/1/012132
Sekamatte, M., Krishnasamy, V., Bulage, L., Kihembo, C., Nantima, N., Monje, F., Ndumu, D., Sentumbwe, J., Mbolanyi, B., Aruho, R., Kaboyo, W., Mutonga, D., Basler, C., Paige, S., & Barton Behravesh, C. (2017). Multisectoral prioritization of zoonotic diseases in Uganda, 2017: A One Health perspective. PLOS ONE, 13(5), 196799. https://doi.org/10.1371/journal.pone.0196799 DOI: https://doi.org/10.1371/journal.pone.0196799
Solomon, Y., Eshete, T., Mekasha, B., & Assefa, W. (2021). COVID-19 Vaccine: Side Effects After the First Dose of the Oxford AstraZeneca Vaccine Among Health Professionals in Low-Income Country: Ethiopia. Journal of Multidisciplinary Healthcare, 14, 2577–2585. https://doi.org/10.2147/JMDH.S331140 DOI: https://doi.org/10.2147/JMDH.S331140
Uhde, K. B. (2019). Ebola’s Curse: 2013–2016 Outbreak in West Africa. Clinical Infectious Diseases, 68(4), 714–715. https://doi.org/10.1093/cid/ciy765 DOI: https://doi.org/10.1093/cid/ciy765
Ziavrou, K. S., Noguera, S., & Boumba, V. A. (2022). Trends in counterfeit drugs and pharmaceuticals before and during COVID-19 pandemic. Forensic Science International, 338, 111382. https://doi.org/10.1016/j.forsciint.2022.111382 DOI: https://doi.org/10.1016/j.forsciint.2022.111382
