USAID Launches Program to Enhance Health Services in Select Counties

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The United States Agency for International Development (USAID) has launched the “Closing Gaps in Devolved Health Service Delivery for Select Counties” program, aimed at improving local health systems in Kenya. This initiative, supported by a budget of $7.99 million (approximately Sh1.025 billion), will be implemented in collaboration with the Institute of Economic Affairs (IEA) and partners including Development Initiatives and Concern Worldwide.
The program will operate in five counties—Isiolo, Nakuru, Mombasa, Kakamega, and Kilifi—over a period of five years. These counties were selected based on USAID’s previous investments in health and their geographical diversity across the country.
At the launch on July 11, 2024, John Mutua, Chief of Party, emphasized the program’s focus on enhancing financial oversight, accountability, and consistent health policies. “The project aims to improve healthcare quality and ensure that Kenyans have a voice in the management of their health systems,” he stated.
Through the IEA, USAID aims to generate research and evidence to address health service challenges and make budget information more accessible to the public. The initiative seeks to enhance public finance management, facilitate better policy advocacy, and improve county revenue generation.
Margaret Nyakang’o, the Controller of Budget, addressed concerns regarding transparency in health sector funding, highlighting issues of waste and fraud. “We need to improve transparency in fund utilization to ensure a true picture of how resources are spent,” she noted.
The program is positioned to empower county assemblies and civil society organizations to improve oversight of public health expenditures, ultimately promoting sustainable health improvements and better community well-being.