An Assessment of Health Care Delivery in Kenya Under Devolved System

Provision of and access to quality health care is fundamental in human capital development, with the global objective being to ensure a healthy, skilled and productive population for sustainable development. In Kenya, access to quality health care is a basic right granted by various articles in the Constitution. Among the functions devolved to the county level is ‘county health services’ – essentially, primary health care services, while the national level focuses on policy and national referral services. Early this year, KIPPRA designed a study to assess health care delivery in the country under devolved system.

The objective of the study was to assess the changes brought about by some key policy reforms aimed at improving the delivery and uptake of health care services in the country since the accession to devolution in 2013. This was achieved through an assessment of the extent of interaction between target communities and their respective county governments in planning and budgeting for the delivery of health care. A further objective was to explore Kenyans’ uptake of and perceptions on primary health care services in the context of a devolved system in the country. Against the backdrop of previous evaluations, the study identifies areas in which public health care has improved under devolution, while also highlighting those of persisting constraints.

KIPPRA held regional dissemination workshops as follows: 13th October, 2017 –Waterbuck Hotel, Nakuru; 17th October, 2017 – Reef Hotel, Mombasa; and 23rd October, 2017 – Outspan Hotel, Nyeri. The workshops brought together health sector professionals from the various counties.