Devolution & Universal Health
2010 - 2024
2013
Health Sector Devolution
Under the 2010 Constitution, health services are devolved to 47 counties. This brings decision-making closer to the people but introduces new management challenges.
Parallel Impact
Centralized
Decision making concentrated at Afya House.
Devolved
Localized health priorities and funding.
2014
Beyond Zero Campaign
First Lady Margaret Kenyatta launches the Beyond Zero initiative to reduce maternal and child mortality through mobile clinics and specialized equipment.
2018
UHC Pilot Launch
Kenya pilots Universal Health Coverage in four counties (Isiolo, Kisumu, Machakos, and Nyeri), aiming to ensure all citizens access quality care without financial hardship.
2020
COVID-19 Resilience
The pandemic tests Kenya's health infrastructure, leading to rapid expansion of ICU capacity and the establishment of local vaccine manufacturing capabilities.
Parallel Impact
Pre-COVID
Limited intensive care capacity.
Post-COVID
Significantly bolstered oxygen and ICU infrastructure.