Person:
Ayiko, Rogers

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Last updated: January 13, 2025
Biography
Rogers Ayiko is a senior health specialist at the World Bank. He has worked for almost 17 years on policy and systems strengthening for reproductive, maternal, and child health; infectious and noncommunicable diseases; and public health emergencies, including publishing on these areas in peer-reviewed journals. He served previously as a principal health systems and policy officer in the East African health community and as a senior program officer for family and reproductive health in the East Central and Southern Africa health communities. Prior to that, he worked as a national monitoring and evaluation officer, a technical advisor for district health services, and a clinician in a General Hospital. He has trained as a medical physician and has pursued postgraduate training in tropical medicine, international health, business administration, and health and pharmaco-economics. He holds a masters of management in business administration from the Uganda Management Institute; a joint MSc in international health from University College London, Karolinska Institutet, and Charite Universitatsmedizin, Berlin; and a bachelor of medicine and surgery from the Mbarara University of Science and Technology.

Publication Search Results

Now showing 1 - 2 of 2
  • Publication
    Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here?
    (Washington, DC: World Bank, 2024-02-11) Mensah, Julia; Kiirya, Stephen Kisembe; Ekochu, Elizabeth Asege; Ayiko, Rogers; Hayes, Brendan Michael; Chansa, Collins; Murindwa, Grace; Crabbe, Richard; DeFrancis, Marc
    In Uganda, conditions in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) remain the primary drivers of morbidity and mortality, accounting for 60 percent of years of life lost. The high burden of these conditions can be attributed to a poor quality of care resulting from inadequate financial, human, and material resources compounded by weak multisectoral coordination. Moreover, the country’s high population growth rate and a young population imply that RMNCAH service delivery will continue to dominate health sector reforms—even with the increasing prevalence of noncommunicable and infectious diseases. Over the past two decades, Uganda has focused on improving the quality of RMNCAH service delivery, leading to declines in the maternal, infant, and under-five mortality ratios and the increased use of modern contraception among married women. However, the neonatal mortality and teenage pregnancy rates have stagnated, and the low civil registration of births and deaths remains challenging. “Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here?” comprises 12 studies conducted as part of the RMNCAH Operational Research Program drafted between 2019 and 2021 and finalized and disseminated in October 2022 across 45 districts of Uganda with funding from Sweden and the World Bank. These studies underscore important lessons learned and offer suggestions for enhancing the delivery of RMNCAH interventions. Each chapter represents one study and discusses service delivery, the health workforce, financing, health information systems, and governance and leadership. Two appendixes summarize key findings and recommendations and explain the roles of key stakeholders in the RMNCAH Operational Research Program.
  • Publication
    Multisectoral Nutrition Programming in Action: Impact Evaluation of Uganda Multisectoral Food Security and Nutrition Project
    (Washington, DC: World Bank, 2023-06-15) Sulaiman, Munshi; Us Salam, Danish; Ilukor, John; Sharmin, Nushrat; Singh, Samrat; Hyder, Ziauddin; Oryokot, Joseph; Ayiko, Rogers
    There has been renewed interest and effort in recent years to adopt a multisectoral approach to address malnutrition in many countries. The government of Uganda, with technical support from the World Bank and financial support from the Global Agriculture and Food Security Program (GAFSP), has been implementing a multisectoral nutrition project with strongcoordination in activities by several line ministries including Agriculture, Education, Health, and Local Government, to improve child and maternal nutrition. This quasi-experimental evaluation has been conducted to measure the impact of this project. The study finds impact on households’ increased adoption of micronutrient-rich crops, improvement in household dietary diversity, reduced food insecurity, as well as improvement in caregivers’ knowledge of better nutrition practices. These have resulted in improved child-feeding practices and reduced childhood stunting, wasting, and anemia among the households that directly participated in project activities. The study also finds evidence of some spillover effects on households from the intervention communities that were not direct participants. In terms of maternal health, fewer women in intervention districts are found to be anemic although there is no impact on their dietary diversity. The results indicate that multiple pathways—foodproduction, food habit, micronutrient supplementation, and health care services—have contributed simultaneously to the impact on nutritional outcomes of children and mothers. Since multiplicity of impact pathways is critical in arguing for a multisectoral approach, the project is found to be a case where this approach has been effective.