enrolment forms. Whereas previously only the yellow slip with the NIN written on it was necessary to collect the payment from PostBank, now beneficiaries needed to once again produce their NIC or they would not be registered for the new account. Given the circumstances, it is unlikely that beneficiaries fully understood or consented to the capture of their personal information, including biometrics, or understood their bank account and relationship with this new, commercial bank. Figure 18. Fingerprints being captured. A missing link with civil registration Part of the obsession with physical presence at the payment point is related to the fact that death registration in Uganda remains extremely underprioritized. While NIRA officially took responsibility for death registration in 2015, they have not yet been able to make progress in improving rates of death registration. Instead, the responsibility has increasingly fallen onto the SCG programme and local officials to track beneficiaries who have died and to ensure that their names are removed from the list. Local government has also been brought on board to try to identify deaths, but the ESP programme also introduced a new restriction: if you miss three payment days in a row, ESP will now presume that you are dead and will strike your name off of the beneficiary list. This information is apparently not shared directly with NIRA. This is yet another example of missed opportunities in Uganda’s digital ID system, with line ministries and, ultimately, beneficiaries carrying the burden of mismanagement at NIRA. 3. “Many people fall sick and stay home and die”: Access to health care for women In 2019, the Ministry of Health (MOH) began announcing that the NIC would be a mandatory requirement to access any public health services.110 There were various rationales given for this ‘integration’ exercise. At some of the larger, newer hospitals, officials suggested that the new Health Management Information System (HMIS) required health workers to capture the NIN of every patient visiting the health centre.111 The Health Minister also alluded to the need to monitor the distribution of prescription drugs, an area of rampant corruption.112 48 Chased Away and Left to Die