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  • Essay / The Kenyan Health System - 2030

    Kenya is a developing country in the East African region with a total area of ​​582,646 km2. It gained its independence in 1963 from British colonial rule. It neighbors Somalia and Sudan, which have experienced political instability marked by civil unrest, but the country has remained relatively stable despite the effects of this on the country's socio-economic status. According to the Kenya National Bureau of Statistics (2010), Kenya has a population of 38.6 million with an annual growth rate of 2.8% and a majority population living in rural areas (World Bank, 2010). Under its current constitution (promulgated in 2010), Kenya is led by a president and has a decentralized county government system comprising 47 counties. The last general elections held in 2013 were peaceful compared to the 2007 conflicts that sparked violence in the country. Health services are a decentralized function in the current transition to a county system. Kenya experienced an annual economic growth rate of around 2.2% in the 1990s, with a further GDP increase of 4.5% over the past decade (World Bank, 2010), which has been disrupted by the political crisis of 2007. According to the World Bank (2010) According to statistics, about 46.6% of Kenyans live below the national poverty line. It is one of the countries with the highest economic inequality (World Bank, 2010). According to WHO (2013), Kenya is ranked 147th out of 177 with a human development index of 0.521. The country faces various health challenges, including a high burden of communicable diseases (such as HIV/AIDS, responsible for 29.3% of all communicable diseases). deaths, malaria and tuberculosis) and non-communicable diseases (Government of Kenya, 2011). Health services are provided by the government, missionaries, ...... middle of document ......f A framework has been developed to coordinate these development actors so that they work together and avoid duplication of their activities and financing (CSIS, 2014, World Bank, 2010, 2014 and Government of Kenya, 2011). The table below illustrates the bilateral partners in Kenya. Source: Global Health Policy, Center for Strategic and International Studies (CSIS), 2014. To achieve Vision 2030, the health sector is a key pillar through the provision of accessible, quality and relevant health services to have of a healthy workforce. Increased resource allocation, improved health personnel and facilities, better health management are some of the progress made. However, challenges remain due to infrastructural constraints, insufficient human resources, increasing cost of medical care, financial constraints, HIV/AIDS pandemic, increase in non-communicable diseases and high levels of poverty..