Budget Allocations for Health in 26 Kenyan Counties Increase by $98M Over 2 Years with USAID Planning and Budgeting Guidance
December 15, 2017
In Kenya, the process to strengthen decentralized health service delivery and budgeting to the counties is progressing. The USAID- and PEPFAR-funded Health Policy Plus Project (HP+), assisted 26 counties to increase their collective health sector allocations by approximately US$98 million over the past two fiscal years through implementation of program-based budgeting. Working in collaboration with the Kenya School of Government, the Kenya Ministry of Health, and the National Treasury, HP+ has provided training, a budget template that links budgets to health outcomes, and hands-on mentoring and coaching. Program-based budgeting improves how expenditures are prioritized in order to allocate adequate resources to programs that will be of the greatest benefit to the community. It also encourages efficiency and effectiveness of service delivery by changing the focus of public spending from inputs to outputs and outcomes. This work began under the predecessor Health Policy Project, and HP+ continues to mentor 26 counties in program-based budgeting and evidence generation to inform resource allocation and use. Six counties — Turkana, Isiolo, Mombasa, Nyeri, Busia, and Migori – are also the focus of additional efforts to define roadmaps to address health financing and resource allocation issues and to improve healthcare access and equity. Get the brief and full analysis here.