166. The needs of children aged 0-3 years have been addressed with health and nutrition interventions
through integration of psychosocial stimulation in infant and young child feeding (IYCF) and
Community level component of integrated management of childhood illnesses(C-IMCI). However,
there is need to address the component on pregnancy to make the programme more holistic in
addressing all aspects of a child’s development. Further actions such as increase in primary health
facilities under the Strategic Plan for Rationalization of Health care Services in level 3 and 4 of hospitals
are ongoing. Health facilities in Kenya are grouped into six levels;
Level 1 - community
Level 2 - dispensaries
Level 3 - health centres
Level 4 - district and sub—district hospitals
Level 5 - provincial hospitals
Level 6- national referral hospitals
167. In recent years, the Government of Kenya has improved the state of health institutions. They receive
funds to make the compounds, wards, kitchens and laboratories more comfortable for staff to work and
patients to receive services. However, many dispensaries, health centres and district hospitals still lack
critical equipment. This explains congestion at referral and provincial hospitals, a situation that the
Government will improve now that health services have been devolved to the Counties and the County
Governments are expected to establish their own priorities.
168. Health facilities in Kenya by province both public and private, 2010:
Rift Valley Province – 1,732
Central Province with - 1,251
Eastern Province – 1,206
Nyanza – 773
Coast – 770
Western – 426
Nairobi – 406
North Eastern – 232
169. The Government has also adopted guidelines developed by W.H.O on Universal Immunization of
Children against the 6 vaccine preventable diseases, which is crucial to reducing infant mortality and
child mortality. This has led to substantial increase in childhood immunization coverage levels at the
national level for example in north eastern the population that is fully immunized from 9% in 2003 to
48% in 2008-09.
Health Financing
170. Funding to the health sector has been increasing gradually which is partly attributable to a rise in
development funding by development partners. There has been an increase (in absolute numbers) from
Kshs Million 34, 845 in 2008/09 to 47,011.5 in 2009/10; 55,155.5 in 2010 /11 to 64,019 in 2011/12; and
86,968.3 in 2012/13. However, this allocation remains inadequate as the overall allocations have
remained at 6 per cent of the overall Government budget for the last three years.
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