Exploring the impacts of devolution on health equity in Kenya
Rosalind McCollum, Lilian Otiso, Robinson Karuga, Charity Tauta, Sally Theobald, Tim Martineau, Miriam Taegtmeyer (2016) Exploring the impacts of devolution on health equity in Kenya, poster given at the 2016 Global Symposium on Health Systems Research
In the last decade Kenya reduced under five mortality from 111 to 52 deaths/1000 live births. But child survival gaps between the richest and poorest children has increased. There are wide gaps in access and use of health services based on location, poverty level, education level and gender. Kenya devolved decision-making and financial responsibility for health services from national to 47 county governments in 2013. Devolution provides an opportunity to reduce inequities but if not carefully managed comes with the threat that the equity gap may widen.
This project is funded by the European Union.