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
Nairobi Control

Decision making concentrated at Afya House.

Devolved
47 County Budgets

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
537 ICU Beds

Limited intensive care capacity.

Post-COVID
2,000+ ICU Beds

Significantly bolstered oxygen and ICU infrastructure.