Public Health Expenditures in Kenya: A Comparative Analysis of Seven Deep-Dive Counties, FY 2018/19

This public expenditure analysis examines the allocation and spending of county public health resources for the seven Kenyan counties supported by HP+ (Kilifi, Kisumu, Kitui, Migori, Mombasa, Nakuru, and Turkana). It assesses county public health expenditure patterns and how counties use their resources to deliver health services through (1) analyzing the sources of county health funding and county health budget allocations vis-à-vis their overall budget and (2) identifying inefficiencies in spending of both recurrent and development budgets. The assessment is part of a continuing process that will, over time, improve domestic resource mobilization for health and provide a base for decision making that can be expanded and built upon in subsequent analyses. As described in the report, health continues to be a priority for these seven counties. At the aggregate level, and in comparison to all other Kenyan counties, the seven deep-dive counties continue to increase their health budget allocations and expenditures. However, average estimates obscure differences in recurrent and development budget allocation and expenditure performance. To address issues raised by the analysis, the report recommends concrete actions for improvements, with a focus on counties with poor and inconsistent expenditure performance.

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