Health Policy Project

The Health Policy Project has ended, but work continues under a new USAID five-year project, Health Policy Plus (HP+).

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Devolution of Kenya’s Health System: The Role of HPP
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Author(s): Taylor Williamson, Aaron Mulaki

Primary Language: English

Date: 12/20/2014

Abstract:

In 2010, the new Kenyan constitution mandated the devolution of power to 47 counties. This process has had wide-ranging implications for the health sector in Kenya as stakeholders struggle to understand the impact of the new political structure on their programs and services. Starting in 2012, the Health Policy Project (HPP)/Kenya began working with various governmental and non-governmental stakeholders to guide public management and structural reform, in line with the devolution process. This brief gives an overview of HPP/Kenya’s role in the devolution of Kenya’s health system including supporting national level stakeholders to consider the implications of devolution; incorporating legislative guidance on decentralization into health sector planning; facilitating county-level institutional reform; and ensuring that county health management teams have the structures necessary to respond to the challenges of devolution. Finally, the brief highlights challenges to the devolution process and illustrates how the Government of Kenya, HPP/Kenya, and other key stakeholders are working together to overcome these challenges.


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Brief    Capacity Development    Decentralization    Governance, Stewardship & Accountability (GS&A)    Health Systems Strengthening    Leadership    Kenya  
 
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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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