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. Last 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.

To disseminate the findings and seek stakeholder comments, KIPPRA held regional workshops in  Nakuru, Mombasa and  Nyeri. The workshops brought together health sector professionals from the various counties.

This was followed by a dissemination of the findings during the Universal Healthcare Conference held in Makueni on 4th to 5th April 2018.

The study findings were then published in a Special Paper titled: An Assessment of Healthcare Delivery in Kenya under the Devolved System as well as Policy Briefs: Promoting Public Participation for Improved Health OutcomesAchieving Universal Healthcare Coverage: Lessons to Consider  and Invest in Human Resources to Accelerate Attainment of Universal Healthcare .