Kenya’s healthcare system is facing serious pressure following sharp reductions in donor funding, particularly from key international partners such as the United States, the United Kingdom, and the European Union. The cuts are threatening progress made in the fight against diseases like HIV, tuberculosis, and malaria.
A recent high-level forum in Nairobi brought together health experts, policymakers, and media representatives to evaluate the impact of these cuts and explore sustainable solutions. The consensus was clear: Kenya has long been overly dependent on foreign aid to finance critical health services, and the current funding crisis has revealed deep structural weaknesses.
While official development assistance accounts for just 20 per cent of the total health budget, it disproportionately supports key disease areas. The sudden drop in funding has led to widespread disruptions essential staff have lost jobs, health data systems are crumbling, and supply chains are under strain. Without reliable data and logistics, planning and patient care have become increasingly difficult.
Kenya has also struggled with internal inefficiencies. Nearly 40 per cent of the national health budget is lost to corruption, mismanagement, and wastage. Experts warn that without reform, even the funds currently available will fail to deliver meaningful outcomes.
One of the key criticisms raised is that donor money was often channelled into vertical programs targeting specific diseases rather than strengthening the overall health system. This has left the infrastructure vulnerable when those funds are withdrawn. In contrast, countries like Rwanda have used donor support to build resilient, integrated systems that can better withstand financial shocks.
The path forward, experts argue, lies in prioritising prevention and embracing local solutions. Investments should target food safety, clean environments, school health programs, and community awareness to reduce the burden on hospitals. Stronger support for local pharmaceutical manufacturing, especially companies already serving African markets, is also vital.
This moment is seen as a turning point. Kenya must seize the opportunity to reframe health financing away from dependency and towards self-reliance. Shifting focus to sustainable, locally-driven health solutions could ensure long-term resilience and better outcomes for all.
