Kenya began her health care devolution journey in 2010 after an overwhelming vote by citizens for a new form of government, for change and accountability.
Devolution has been viewed as an opportunity for:
• Recognizing the right of communities to manage their own affairs and to further their development
• Protecting and promoting the interests and rights of minorities and marginalized communities
• Promoting social and economic development and the provision of proximate, easily accessible services throughout Kenya
• Ensuring equitable sharing of national and local resources throughout Kenya
• Enhancing checks and balances and the separation of powers etc
Recently, there have been confrontations between the National Assembly’s Committee, Senators and Governors on devolution of health care services in the Country. Whereby the Governors feels that the National assembly Committee has the intention of killing devolution yet the committee believes that the Counties are not in a position to manage the health docket and it should be returned to the National Government as the health sector is riddled with corruption and mismanagement.
The Senators opposed this proposal by the Committee arguing that residents in Counties have better access to hospitals and drugs which has been improved in the devolved system. They further argued that benefits of devolved system far outweigh those of centralizing unit and the Counties cannot solve overnight the problems that have plagued the health sector since independence.
With the current challenges that we are facing, the following needs to be put into consideration in order for health devolution to be successful:
• There has to be a thorough understanding of roles played by the national and county government
• There is need to ensure equitable distribution of health resources throughout the country
• The need for capacity building especially in the marginalized counties
• There is need for massive civic education to be carried among the various actors including the members of the public. The quality of the leadership is key
The German Development Cooperation through its technical arm GIZ provides support in three selected counties in the areas of planning and budgeting, financial management and monitoring and evaluation of service providers.
October 11, 2018
May 10, 2018
January 13, 2017
May 12, 2016