APRM • SECOND COUNTRY REVIEW REPORT OF THE REPUBLIC OF KENYA 156. While the right to the highest attainable standard of health care is guaranteed for all, there remain challenges in the implementation of service provision. Statistics reveals skewed patterns of health care expenditure with the urban areas where 20% Kenyans live getting 70% of healthcare.11 Further, only 51% of the 6,194 health care facilities in the country are government owned, with 49% ownership falling in the hands of faith-based organizations and private entities. The non-state health care facilities charges often lead the indigent and vulnerable to adopt poor health seeking behaviour especially for preventative and inpatient services. 157. Health care professionals; doctors and nurses continue to complain and agitate over low salary pay and lack of adequate facilities as well as human resources. Frequent strikes at the national and county level have affected the quality of services that citizens can enjoy. 3.6.2.5 Challenges 158. The basic challenges relate to: • The level of public awareness of these rights, facilities and opportunities; • The institutional arrangements that may pose stumbling blocks to the implementation of the rights regime; and • The political, socio-cultural and economic contexts that detract from the full observance of the rights. 3.6.3 Recommendations of the Panel 158. The Panel recommends that i) Government institutions charged with public and civic education together with civil society should intensify efforts to promote awareness on human rights and legal literacy critical (Government, Civil Society Organisations). ii) Government should intensify community-policing efforts and boost the capacity of communities to self-monitor, with a strong focus on counter-terrorism. (Government, Civil Society Organisations) iii) The capacity of the National Cohesion and Integration Commission to monitor hate speech and ethnic discrimination to ensure compliance with the law is strengthened. (Government) The 7th Periodic Report of the Government of the Republic of Kenya on Implementation of the International Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW), 2015 11 | 99 |