The Health Policy Project ended in 2016. Work continued under Health Policy Plus (HP+) until 2022.
PUBLICATION
Author(s): Aaron Mulaki and Taylor Williamson
Primary Language: English
Date: 8/24/2015
Abstract:
In 2013, each of Kenya’s 47 newly established county governments created a county department of health (CDOH) to oversee the delivery of health services, as outlined out in Schedule IV of the 2010 Constitution. To deliver health services and meet the challenge and promise of devolution, county governments require strong and accountable departments of health. As they strive to create effective governance and financing mechanisms, these departments can benefit from the experiences of other county governments. Counties have attempted to create new health management structures that provide strong organizational management.Unfortunately, many of these efforts have been weakened by political intransigence, entrenched interests, and bureaucracy. Mombasa County, however, overcame these hurdles to create a unified CDOH with defined staffing structures aimed at achieving a clear set of objectives. This brief reviews the factors that made this organizational restructuring possible.
Brief Governance, Stewardship & Accountability (GS&A) Health Financing Kenya
