National and County Health Budget Analysis, FY 2020/21

HP+ supported Kenya’s Ministry of Health to develop the National and County Health Budget Analysis, FY 2020/21, a follow-on to the 2019/20 analysis. The analysis examines how public health sector financial resources were allocated for the 2020/21 fiscal year in comparison to the allocation patterns of the preceding two years. Findings show that while Kenya has not yet attained the recommended allocation to health contained in the Abuja Declaration, the government has made significant progress, increasing allocation to 11 percent of the total government budget in 2020/21, from 7.5 percent allocated in 2014/15. Continuing this trend will help Kenya progress toward achieving sustainable financing for health and reduce dependence on external assistance. Other findings show that county governments spend the majority of their funds on the payment of staff salaries, which can limit funds available for other key inputs such as drugs. Further, county governments allocate more funding to curative care than to preventive and promotive care. These and other findings in the report provide evidence for national and county policymakers and decisionmakers to inform public health budget allocation planning at both the national and county level.

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