Tag Archives: health

Health Sector Flashpoints — When Counties Betray Care

Posted on by

Kenya’s public health system is once again on the operating table — but this time, the diagnosis points beyond fiscal failure to institutional betrayal. The government’s May 2024 payout of KSh 3.5 billion in doctors’ arrears briefly restored faith in the state’s willingness to honor past commitments under the 2017–2024 CBA. Yet, beneath the celebration, cracks widened. Barely weeks later, the same administration plunged the sector into chaos over the medical interns’ stipend standoff, slashing agreed pay from KSh 206,400 to 70,000 under the guise of “limited fiscal space.” The ensuing paralysis—interns idled, courts flooded with petitions, hospitals short-staffed—signaled not financial constraint but a governance culture that governs by deferral, treating legality and professionalism as expendable luxuries. What should have been a steady reform agenda has degenerated into episodic crisis management, where every partial solution simply queues up the next emergency.

The deterioration has now metastasized to the counties, where devolved power has mutated into deflection and denial. In Kiambu County, doctors have been on strike for months, accusing the governor of presiding over a “battle of egos” instead of a rescue plan. (The Standard) The Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) has condemned county governments for “derailing progress” by ignoring CBAs, delaying salaries, and politicizing healthcare delivery. The union’s outrage spiked after reports that 131 newborns died amid the Kiambu crisis, a tragedy the Council of Governors publicly dismissed as “false publication.” (Citizen Digital) The KMPDU now demands accountability, an apology, and an independent investigation—warning of a nationwide strike on October 25 if county impunity persists. What began as a county dispute has evolved into a national indictment of how devolution, once hailed as reform, has devolved into an administrative minefield where human life becomes collateral to political vanity.

This crisis extends far beyond Kiambu — it is metastasizing across the entire devolved health network, revealing a structural rot that no press release can conceal. Health workers in Nairobi, Isiolo, Marsabit, and other counties are already on edge over delayed salaries, missing allowances, and ignored CBAs, while local leaders deflect responsibility with ritual blame games. Each county now operates like a fiefdom, where governors weaponize fiscal autonomy to evade national accountability. The result is a patchwork of suffering: hospitals running without drugs, maternity wards closing for lack of staff, and patients dying quietly as politicians trade televised barbs. In this grotesque inversion of priorities, doctors and nurses must fight court battles simply to be paid, while the state spends millions staging health summits and PR drives about universal care. The moral decay runs deeper than bureaucratic failure — it is ethical bankruptcy. Devolution was meant to bring services closer to the people; instead, it has brought corruption closer to the patient. The Council of Governors, once the face of localized empowerment, now functions as a shield for negligence, dismissing human tragedies as “falsehoods” even when families bury their dead. A government that forces doctors back to work through court orders, instead of dialogue, has abdicated the very essence of governance. Every delayed salary and every stillborn infant is a symptom of a political elite desensitized to suffering — one that governs not through service, but through spectacle. Unless the state reclaims discipline, compassion, and coherence in health governance, Kenya’s pursuit of universal healthcare will remain a hollow slogan floating over a silent emergency ward.

References:

The Standard Battle of egos: Counties accused of derailing progress in health sector

Citizen Digital KMPDU slams Governors over Kiambu health crisis, issues demands amid looming national strike

The Standard Doctors to join their striking Kiambu colleagues starting Wednesday

Finn Partners The Evolution of Healthcare in Kenya Amidst Doctor’s Strike and the Rise of Digital Health Innovations

TV47 Kenya Trust deficit is Kenya Kwanza’s greatest undoing” – MP Makali Mulu

Impact of Kenya’s Toxic Chemical Policy on Farmers and Exports

Posted on by

Kenya’s 2025 pesticide ban is more than a policy shift—it’s an overdue confrontation with dangerous agrochemical practices that have long gone unchecked. At the heart of the crackdown is Mancozeb, a fungicide so entrenched in Kenyan agriculture that it’s sprayed like water on tomatoes, potatoes, and maize. Yet this widely used chemical breaks down into ethylene thiourea (ETU)—a probable human carcinogen linked to thyroid harm and reproductive toxicity. Mancozeb has already been banned across the European Union and flagged by multiple global health authorities, but until now, it continued to flow into Kenyan markets with barely a check. Now, alongside Mancozeb, Kenya has also moved to restrict or suspend other hazardous products including chlorpyrifos, acephate, glyphosate, and dimethoate—compounds associated with cancer risks, neurotoxicity, endocrine disruption, and acute poisoning in both humans and animals. In withdrawing 77 toxic products and tightening rules on 202 more, the government is finally rejecting the toxic trade imbalance that treats African countries as chemical dumping grounds. The new policy aligns Kenyan regulation with international best practice: no pesticide can be registered here unless it’s also legal in its country of origin and in developed economies like the EU, USA, Canada, or Australia. It’s a turning point—but not without blowback.

A Report by K24TV

For years, Mancozeb symbolized Kenya’s regulatory inertia: cheap, accessible, and unchallenged despite the mounting science against it. Farmers, often unaware of its dangers, sprayed it without masks or gloves, storing the residues in their homes, their soil, and their food. Chlorpyrifos, a widely used insecticide linked to developmental harm in children, and glyphosate, a herbicide under global scrutiny for carcinogenicity, have followed similar trajectories—popular with farmers but flagged by scientists and health agencies. Now, the state faces a high-stakes transition. Smallholders reliant on these chemicals are being urged toward Integrated Pest Management (IPM) and agroecological alternatives. Yet less than 10% of Kenyan farmers use biopesticides, and most lack training, equipment, or trust in new inputs. The Pest Control Products Board, emboldened by fresh legislation, is finally flexing its oversight powers. But enforcement remains patchy, and counterfeit products exploit the regulatory vacuum. Mancozeb isn’t just a pesticide—it’s a case study in how economic expediency once overrode health and environmental responsibility. That era, Kenya now claims, is ending.

Timing is crucial. The EU is cracking down on residue limits. Kenya’s vegetable exports—once worth KSh 100 billion—have already taken a hit. If the country wants to stay competitive and credible, aligning with global safety standards is not optional. Mancozeb’s fall is both symbolic and strategic: it’s a warning to other harmful substances still in circulation—like profenofos, carbendazim, and triazophos—and a test of whether Kenya can enforce its own reform. This is where political will must hold—beyond press briefings and regulatory memos. Farmers need practical support. Consumers need transparency. And regulators must resist the pressure of well-funded pesticide lobbies looking to reverse course. Kenya has declared its direction. Now the country must walk it—with clarity, speed, and resolve—before the next generation pays the price in poisoned soil, sickened bodies, and lost trade.

References:

Trade World News Kenya Bans Import of 50 Pesticide Brands for Safer Farming

The Standard State cracks down on harmful pesticides, bans 77 products

The Star Civil society demand full disclosure of banned pesticides, calls for safer agricultural reforms

The Star 77 pesticides banned in Kenya as 202 others restricted – CS Kagwe

Kenya News Agency State urged to make to make public list of banned pesticides

Kenyans.co.ke Kenya Bans Use of Pesticides Not Approved in Europe, USA, Canada & Australia

The Impact of SHA on Health Access in Kenya

Posted on by

When Kenya launched the Social Health Authority (SHA) as the cornerstone of universal health coverage, the promise was clear: to ensure every citizen could access essential health services without facing financial ruin. Yet today, that promise faces a serious credibility test. Recent developments indicate that many Kenyans, particularly the unemployed and low-income earners, are being turned away from public hospitals unless they first settle their full-year SHA premium in advance. This development contradicts the October 2024 assurance that eliminated upfront payments, and it has created uncertainty and distress for millions who had hoped the new system would ease their access to care. While the government’s “Lipa SHA Pole Pole” initiative was introduced as a flexible payment model, its application has exposed a difficult paradox—patients unable to pay full premiums are being directed to loan facilities such as the Hustler Fund, raising concerns about equity and affordability in health access.

A Report by K24TV

The data reinforces the gravity of this policy gap. As of May 2025, around 22 million Kenyans were registered under SHA. However, only 4 to 5 million were actively contributing. This stark difference highlights a growing segment of the population—nearly 17 million—who are nominally enrolled but effectively excluded from coverage. Field reports indicate cases where patients who had made partial payments through monthly KSh 1,030 contributions were still denied treatment unless they completed the full annual sum of KSh 12,460. This shift from previous messaging has created confusion within the public and among healthcare providers alike. Hospitals are left navigating between policy directives and practical enforcement realities, while patients face an impossible choice between debt and delayed care. The concern here is not just administrative inconsistency but a fundamental disconnect between the objectives of health reform and its practical execution.

Efforts to finance the health sector sustainably must not eclipse the foundational goal of protecting all citizens—especially the most vulnerable. Leveraging loan facilities to pay for health premiums, even under a well-meaning “pay slowly” framework, may alleviate cash flow challenges temporarily, but risks increasing personal debt burdens among already struggling households. Basic principles of household economics do not support taking on credit to finance routine health coverage costs—particularly when such expenses are meant to be predictable and pooled through public insurance schemes. Moreover, legal challenges have already resulted in court rulings that bar exclusion from emergency services based on insurance status, underscoring the constitutional imperative of inclusive care. For SHA to regain public confidence, there must be a renewed focus on clarity, consistency, and compassion. Equity must guide implementation just as much as fiscal planning. Universal health coverage cannot be achieved by design alone—it must be delivered through systems that align with the economic realities of those it intends to serve.

References:

The Standard Why most Kenyans cannot access SHA services

Kenyans.co.ke Kenyans Frustrated as SHA Scraps Monthly Payments, Demands Full Year Upfront

GeoPoll Understanding Kenyans’ Perception of the Social Health Authority (SHA) and Social Health Insurance Fund (SHIF)

The Star Jua Kali Kenyans paying Sh600 to SHA—double the promised rate

Fake Medicines Threaten Public Health in Kenya

Posted on by

Kenya’s pharmaceutical supply chain is facing a creeping, deadly crisis — one that’s quietly poisoning public trust in healthcare. In 2024 alone, over 30 different drug products were recalled in Kenya, more than doubling the previous year’s figure. This disturbing surge included contaminated pediatric syrups, mislabeled antibiotics, and packaging mix-ups between life-saving cancer drugs and common generics. Some of these were produced by global manufacturers with once-reputable names. The growing scale and severity of these incidents have exposed glaring weaknesses in regulatory enforcement, border control, and supply chain oversight. But beyond the headlines lies a darker story — fake and substandard medicines are no longer rare exceptions; they are becoming routine features in pharmacies, clinics, and even households. As treatment failures rise and drug resistance intensifies, trust in medicine itself is breaking down. Patients increasingly worry: if I walk into a pharmacy, how can I know what I’m buying won’t kill me?

A K24 Report from 2024

The regulator, the Pharmacy and Poisons Board (PPB), is overwhelmed. With just 16 inspectors tasked with overseeing a vast and evolving market — spanning over 10,000 retail outlets, mobile vendors, and now, an unregulated e-pharmacy explosion — enforcement efforts are falling behind. In 2024, the PPB shut down 117 illegal pharmacies, an important but ultimately symbolic move in the face of thousands more operating without licenses or pharmacist supervision. Online drug sales are the new front line. A study found that over 60% of Kenyan e-pharmacies sell restricted drugs like antibiotics and sedatives without prescriptions, bypassing safeguards entirely. These platforms, often disguised as Instagram shops, WhatsApp-based vendors, or websites with fake credentials, target desperate buyers looking for cheap, fast relief. With little digital verification, no pharmacist involvement, and no legal framework to manage or penalize them, the risk of mass harm is escalating. Meanwhile, legitimate pharmacies face the fallout: eroded consumer confidence, a rise in self-medication, and unfair competition from black-market sellers. At the center of it all is a poorly resourced regulator trapped in a battle it cannot win with its current tools.

Fixing this won’t come from a few more closures or stern warnings. What’s needed is a total overhaul of pharmaceutical regulation and public health literacy. The PPB needs financial and legal independence, an expanded workforce, and modern tools — including barcode authentication, blockchain-backed tracking systems, and real-time reporting dashboards for drug recalls and falsifications. E-pharmacies must be brought under legal oversight immediately, with criminal penalties for non-compliant platforms. Consumer protection should no longer be passive; the government must launch aggressive national awareness campaigns to teach people how to identify fake drugs, report suspicious sources, and verify prescriptions. Crucially, Kenya must repair public trust — not just in the pills on pharmacy shelves, but in the very systems meant to safeguard their health. Because when faith in medicine collapses, people don’t stop getting sick — they just stop getting help. This is more than a regulatory failure. It’s a national health emergency — and one that cannot be ignored.

References:

The Eastleigh Voice Inside Kenya’s battle against fake and unsafe medicines

Eurek Alert Curbing harmful medicines: the promise of a unified African health products regulatory system

OECD Dangerous Fakes


Kenya’s Yellow Maize Strategy Offers Relief, But Raises Serious Public Health Concerns

Posted on by

Faced with a deepening maize crisis and the threat of unaffordable unga prices for millions of households, the Kenyan government has authorized the importation of yellow maize under a 50% duty waiver. The policy aims to ease the strain on white maize—Kenya’s staple grain for human consumption—by diverting demand from feed manufacturers. By encouraging millers in the animal feed industry to substitute white maize with yellow maize, the government hopes to reduce competition for white maize, making it more accessible and affordable to food processors and, ultimately, to consumers. However, this economic intervention carries unintended consequences that could undermine its goals. Due to Kenya’s fragmented supply chains and patchy enforcement mechanisms, experts warn that the clear division between maize meant for animals and that meant for humans may not hold. The significantly lower price of the imported yellow maize could tempt unscrupulous traders to redirect it into the human food market—either by blending it with white maize flour or selling it directly in low-income areas where yellow maize is already accepted as food, such as parts of Western Kenya. In places like Homa Bay County, where yellow maize is widely consumed in the form of ugali, this policy shift could unintentionally flood the food supply with grain that may not meet safety standards for human consumption.

A Report by NTV Kenya

The core of the concern lies in the persistent and well-documented threat of aflatoxin contamination, a toxic compound produced by mold that thrives in warm, humid conditions—particularly in improperly stored grains. While Kenya has established aflatoxin limits aligned with East African Community standards—10 parts per billion (ppb) for total aflatoxins and 5 ppb for aflatoxin B1—systemic challenges hinder enforcement. Many small-scale producers, informal traders, and millers lack access to the sophisticated equipment and financial resources needed to test for aflatoxins or implement preventive storage solutions. Furthermore, there have been troubling precedents that cast doubt on the robustness of regulatory oversight. In 2011, a shipment of aflatoxin-contaminated maize from the U.S. was allegedly released into the market despite being flagged by authorities, with reports suggesting that the Kenya Bureau of Standards (KEBS) was blocked from conducting proper inspections. More recently, in January 2025, a 2,000-tonne shipment of rice from Pakistan was found to exceed aflatoxin limits, indicating that lapses in import control remain a pressing issue. These incidents demonstrate that having regulations on paper is not enough—especially when imports labeled for animal feed, which undergo less rigorous scrutiny, may be co-opted into the human food chain in the absence of strict monitoring, reliable segregation mechanisms, and transparent accountability.

The potential health implications of increased aflatoxin exposure are grave and far-reaching, especially for vulnerable populations who rely heavily on maize as their primary food source. Acute exposure can lead to severe liver damage, jaundice, and even death, while long-term, low-level exposure is linked to liver cancer, immune system suppression, nutrient malabsorption, and developmental issues in children. Infants and young children face elevated risks due to their small body mass and the fact that complementary weaning foods are often maize-based, yet specific aflatoxin regulations for these products are either absent or poorly enforced. For populations with pre-existing liver conditions, Hepatitis B infections, or compromised immunity—such as people living with HIV—the health risks are significantly amplified. Malnourished individuals and rural subsistence farmers, who often rely on their own poorly stored harvests, are also at heightened risk. In the face of this looming danger, health advocates and food safety experts are calling on the Kenyan government to urgently invest in comprehensive and well-coordinated countermeasures. These include rigorous aflatoxin testing of all maize imports, stricter enforcement to prevent feed-grade yellow maize from entering the human food stream, large-scale public education campaigns targeting high-risk regions, and long-term investments in improved post-harvest storage infrastructure. Without such measures, the policy designed to stabilize food prices could inadvertently trigger a public health emergency—one that disproportionately affects the country’s poorest and most vulnerable.

References:

Nation Kagwe bows to pressure, opens imports as unga prices hit 13-month high

Jijuze Maize Prices Surge: Impact on Kenya’s Livestock and Food Security

Milling Middle East & Africa Kenya to halt maize, sugar imports in 2025 after achieving self-sufficiency

The Star Why state will allow importation 5.5 million bags of yellow maize – Kagwe

Randox Food Diagnostics Kenyans at risk of aflatoxin contamination as KEBS flags 2,000-tonne rice shipment

Business Daily Turn Kenya farms yellow with maize for food security







The Crisis of Unemployment in Kenya’s Psychology Sector

Posted on by

Kenya’s mental health sector presents a striking paradox: despite the growing recognition of mental health challenges and an increasing demand for psychological services, psychology graduates continue to face significant unemployment and underemployment. This contradiction is rooted in deep-seated structural issues that systematically undermine the profession, making it difficult for trained psychologists to secure stable, well-paying jobs. One of the primary factors contributing to this crisis is the severe lack of job opportunities within both the public and private sectors. Many organizations, including hospitals, rehabilitation centers, and educational institutions, employ only a minimal number of psychologists, often restricting these roles to one or two individuals per institution. This results in a highly competitive job market where only the most experienced professionals stand a chance of securing employment, leaving recent graduates with limited options. Additionally, the financial sustainability of private practice is severely threatened by the prevalence of free or low-cost counseling services offered by religious institutions, non-governmental organizations, and community-based groups. While these services play a crucial role in expanding access to mental healthcare, they inadvertently undermine the ability of qualified psychologists to establish viable independent practices. Consequently, many graduates are unable to leverage their expertise in the field, often resorting to working in unrelated sectors, taking on temporary and poorly remunerated jobs, or abandoning the profession altogether despite their years of specialized training.

A Citizen Digital Report on Mental Health Awareness

A major challenge compounding this issue is the lack of a structured and regulated career pathway for psychology graduates, which creates uncertainty for both practitioners and potential employers. Unlike other fields such as medicine, law, or engineering, where licensing and professional development are clearly defined, psychology remains a largely unstructured profession in Kenya. The absence of standardized guidelines for internships, supervised practice, and professional accreditation means that many graduates complete their studies without the practical experience necessary to meet employer expectations. This situation is further exacerbated by the commercialization of mental health services, where some institutions prioritize financial gain over the provision of quality care. This business-oriented approach has led to exploitative employment conditions, where psychologists are often hired on short-term contracts with little job security, minimal benefits, and unrealistic workloads. Furthermore, some rehabilitation centers and private institutions reportedly prefer hiring new graduates on temporary terms rather than renewing contracts with existing employees, ostensibly as a cost-cutting measure to avoid higher salary commitments. These systemic challenges not only create instability within the profession but also discourage qualified individuals from remaining in the field, ultimately reducing the availability of experienced professionals in the country’s mental health workforce. As a result, Kenya continues to experience a significant gap between the increasing need for psychological services and the limited number of trained professionals who can afford to remain in practice under these conditions.

Addressing these issues requires comprehensive structural reforms aimed at professionalizing the psychology field and integrating it more effectively into Kenya’s healthcare and social support systems. First, policymakers must acknowledge the critical role of psychology in national development and mental well-being by increasing investment in mental health services, expanding employment opportunities within public institutions, and ensuring that psychologists are recognized as essential healthcare providers. Universities should also play a more active role in bridging the gap between academic training and practical application by incorporating robust internship programs, mentorship opportunities, and entrepreneurial training to equip graduates with the necessary skills to navigate the job market. Additionally, regulatory bodies should establish a standardized licensing framework to ensure that all psychology professionals meet clear competency standards while also receiving fair remuneration and workplace protections. By implementing these reforms, Kenya can begin to address the persistent challenges facing psychology graduates, ensuring that their skills and expertise are fully utilized to meet the country’s growing mental health needs. Failure to take action will not only continue to render psychology graduates underemployed but will also undermine the long-term development of the mental health sector, leaving thousands of Kenyans without access to qualified psychological care at a time when it is needed more than ever.

References:

Nation Psychology graduates struggle to get jobs in Kenya

Nation THE SILENT SCREAM OF KENYA’S PSYCHOLOGY GRADUATES

The Star Tales of despair for Kenyan graduates seeking jobs

Johnson & Johnson Building health worker capacity to close the mental healthcare gap across Kenya

Children’s Toys in Kenya: A Cancer Risk Uncovered

Posted on by

A shocking new report has just been released, sending alarm bells ringing across Kenya. Environmental activists are urgently warning that many children’s toys currently on sale are riddled with cancer-causing chemicals, most notably phthalates, according to the groundbreaking ‘Dangerous Fun: A Price of Play’ study. This investigation, conducted by CEJAD, ARNIKA, and IPEN, meticulously analyzed a range of popular PVC plastic toys – from dolls and inflatable playthings to teething rings and even a Spiderman costume – and the results are deeply disturbing. Every single toy tested contained phthalates, insidious chemicals used to soften plastic, alongside a cocktail of other hazardous substances including UV stabilizers, chlorinated paraffin, and toxic heavy metals. These aren’t just trace amounts; the inflatable Spiderman suit was found to be saturated with these dangerous additives at levels far exceeding safe limits. This revelation demands immediate attention from every parent and caregiver in Kenya: the very items we entrust to our children for joy and development may be silently poisoning them.

A Report by Curiosity Chronicles

The medical implications of these findings are profound and deeply concerning. Phthalates are not inert substances; they are known endocrine disruptors, meaning they interfere with the delicate hormonal systems that govern growth, development, reproduction, and even the immune system. Exposure to these chemicals, particularly during the critical developmental stages of childhood, has been linked in numerous scientific studies to a terrifying array of health problems. These include an increased risk of certain cancers, harm to children’s reproductive development, impaired immune system function, and potential damage to the liver and kidneys. Young children are especially vulnerable as they often mouth toys, leading to direct ingestion of these toxins. Furthermore, exposure can occur through skin contact and inhalation of chemical vapors released from the plastic. The fact that all tested toys contained phthalates underscores a widespread and systemic problem, demanding urgent action to protect the health and future of Kenyan children who are unknowingly being exposed to these hazardous substances through their everyday playthings.

This is not a matter to be taken lightly. The time for complacency is over. Parents must be empowered with knowledge to make informed choices, and this report serves as a stark wake-up call. We urgently need comprehensive public awareness campaigns to educate families about the dangers lurking in these seemingly harmless toys and how to identify safer alternatives. Simultaneously, policymakers and the Kenya Bureau of Standards must act decisively to strengthen regulations on the chemical content of children’s products, ensuring stricter limits and thorough enforcement to prevent these toxic toys from reaching our markets. Manufacturers and retailers must also be held accountable for the safety of their products, prioritizing the health of children over profit. The ‘Dangerous Fun’ report has laid bare a serious threat to the well-being of Kenya’s youngest citizens. We must collectively demand and enact immediate changes to ensure that play remains a source of joy and development, not a pathway to potential life-threatening illnesses. The health of our children is non-negotiable.

References:

Jijuze Children’s Health at Risk: The Impact of Endocrine-Disrupting Chemicals in Personal Care Products

The Star Your child’s toys may contain cancer-causing chemicals, activists warn

Kenya News Agency Study reveals harmful chemicals in plastic toys

Vaccines Work Plastics are invading our bodies, not just our oceans

IPEN Highly Toxic Chemicals from Plastic Waste Contaminate Kenya’s Food Chain and Products

Maize Prices Surge: Impact on Kenya’s Livestock and Food Security

Posted on by

The specter of a significant food crisis is looming over Kenya as a severe maize shortage grips the nation, sending prices soaring and sparking urgent warnings from key industry players. The Poultry Breeders Association of Kenya and the Association of Kenya Feed Manufacturers have jointly raised the alarm, highlighting a dramatic 45% surge in maize prices since the start of the year, with costs projected to climb even further by April. This sharp increase is directly translating to a painful escalation in the cost of living for millions of Kenyans, as maize flour, the staple ingredient for the widely consumed ‘ugali,’ becomes increasingly expensive. For households already struggling with tight budgets, this spike in the price of a fundamental food item poses a significant threat to their food security and overall well-being. The crisis underscores the delicate balance within the nation’s food system and the profound impact that fluctuations in the availability and cost of a single commodity like maize can have on the lives of ordinary citizens.

A Report on How to Plant Maize in Kenya by Citizen Digital

The ramifications of this maize shortage extend far beyond the immediate concerns of household consumption, creating a domino effect throughout the interconnected agricultural sector. The livestock industry, particularly poultry farming, is facing a critical challenge as maize constitutes a primary component of animal feed. The exorbitant rise in maize prices has led to a corresponding surge in the cost of producing animal feed, a burden that is inevitably passed on to farmers. Consequently, consumers are now facing higher prices for essential animal products such as chicken, eggs, meat, and dairy, further compounding the financial strain on families. This intricate link between maize production and the livestock sector demonstrates the vulnerability of the entire food supply chain to disruptions affecting a single key input. The crisis highlights how a shortage in one area of agriculture can trigger price hikes and economic hardship across multiple sectors, ultimately impacting the affordability and accessibility of a wide range of food products for the Kenyan population.

In response to this escalating crisis, industry associations are urgently appealing to the government for immediate intervention, primarily advocating for the waiver of import duties on maize to facilitate increased imports and stabilize the runaway prices. While the government has historically employed measures such as fertilizer subsidies to support local production, the current situation demands swift action to address the immediate supply deficit. The long-term solution, however, lies in building a more resilient and diversified food system. This includes promoting the production and consumption of alternative, nutritious crops to reduce the nation’s heavy reliance on maize, investing in improved storage facilities to minimize post-harvest losses, and adopting sustainable agricultural practices to enhance productivity and withstand future climate shocks. The current maize crisis serves as a stark reminder of the need for a comprehensive and coordinated approach to ensure food security for all Kenyans, safeguarding livelihoods and stabilizing the economy against the volatile nature of agricultural markets and environmental factors.

References:

The Star Industry players warn of imminent food crisis on maize shortage, rising prices

Milling Middle East & Africa Kenya’s maize harvest to surge 15% in 2025/2026:  USDA

Capital Business Maize shortage sparks food crisis as prices soar

KIPPRA Four Ways to Address the Rising Food Prices in Kenya

Busara Groundwork Cultivating resilience: Promoting investment in alternative agricultural products for enhanced food security in Kenya PDF


Kenya Faces Crisis After USAID Funding Withdrawal

Posted on by

The abrupt cessation of funding from the United States Agency for International Development (USAID) has sent shockwaves through Kenya, marking a significant turning point in the country’s development trajectory. The decision by the US government to terminate approximately 83% of USAID’s global contracts has had an immediate and profound impact, with Kenya ranking as the seventh most affected nation worldwide, underscoring its heavy reliance on donor funding for crucial sectors. The sheer scale of the withdrawal, encompassing the cancellation of numerous projects across health, education, economic development, and governance, has left a void that will be challenging to fill. Organizations on the ground, such as CFK Africa, have reported widespread panic and uncertainty as essential healthcare services, particularly in the fight against HIV/AIDS and tuberculosis, face severe disruptions . The sudden halt has not only jeopardized the continuation of vital programs but has also resulted in significant job losses, with estimates suggesting that at least 35,000 Kenyans working in USAID-funded initiatives are now facing unemployment . This abrupt departure of a major development partner has ignited discussions about the long-term sustainability of Kenya’s development and the urgent need for alternative strategies.  

A Citizen Digital Report

The health sector in Kenya is bearing the brunt of the USAID funding freeze, with potentially devastating consequences for the progress made over the past two decades, particularly in combating the HIV/AIDS epidemic. While the US has allocated $66 million to HIV/AIDS programs in Kenya for 2025, this represents a significant decrease from the $846 million provided in 2023, signaling a concerning downward trend. The World Health Organization (WHO) had earlier warned that Kenya was among several countries at risk of running out of essential HIV drugs due to the aid pause, potentially undoing years of hard-won gains and leading to a resurgence of the disease. The termination has severely impacted the US President’s Emergency Plan for AIDS Relief (PEPFAR), which relies heavily on USAID’s logistical support, leading to an immediate halt in HIV treatment, testing, and prevention services across more than 50 countries. Reports from organizations like Médecins Sans Frontières (MSF) paint a grim picture of service shutdowns and treatment disruptions, leaving millions of vulnerable individuals without access to life-saving medications and care . The situation is further compounded by existing shortages of some HIV drugs within the country, creating a perfect storm that threatens to overwhelm the healthcare system .  

Beyond the immediate crisis in the health sector, the USAID funding cuts are expected to have far-reaching long-term repercussions across Kenya’s social and economic landscape . Programs supporting maternal and child health, tuberculosis and malaria control, water and sanitation, education, and economic development are all facing significant funding shortfalls . The termination of initiatives aimed at improving primary literacy, supporting smallholder farmers, and promoting trade and investment will hinder progress in these crucial areas . The Kenyan government now faces immense pressure to find alternative funding sources and implement sustainable development strategies to mitigate the impact of this significant withdrawal of aid . This necessitates a concerted effort to strengthen domestic resource mobilization, diversify international partnerships, engage the private sector, and foster local innovation to ensure the continued well-being and progress of the nation .

References:

The Star Kenya 7th most affected by US aid freeze

Aljazeera USAID’s demise raises fears for millions of lives across the Global South

Capital Business USAID funding halt to hit Kenya’s economy, social sectors – report

Nation USAID funding cuts disrupt vulnerable rural livelihoods in Turkana

Think Global Health Life After USAID: Africa’s Development, Education, and Health Care

Reliefweb CFK Africa Witnesses Devastating Effects in Kenya from End of U.S. Agency for International Development Support

Willow Health Media USAID Shut for Good: Millions at risk in Kenya, thousands jobless overnight 













Kenya’s Healthcare Financing: SHA Performance Review

Posted on by

Six months after its nationwide launch in October 2024, Kenya’s ambitious transition from the National Health Insurance Fund (NHIF) to the Social Health Authority (SHA) and its financing arm, the Social Health Insurance Fund (SHIF), is facing significant challenges, casting a shadow over the nation’s pursuit of Universal Health Coverage (UHC). An early assessment reveals a concerning decline in the implementation’s performance score, dropping from 46 percent in December to a meager 44 percent by February 2025, earning a “poor grade of D” . This regression, highlighted by the Rural and Urban Private Hospitals Association of Kenya (Rupha), points to a deterioration in crucial service delivery areas, notably the financial health of healthcare providers, the functionality of the new system, and the efficiency of outpatient reimbursements . While some progress has been noted in areas like e-contracting and patient verification, these minor advancements are struggling to offset the growing difficulties in critical domains such as claims management and ensuring the financial stability of hospitals and clinics across the country .

A Report by Citizen Digital

A major stumbling block in the initial phase of SHA/SHIF has been the glaring financial instability plaguing healthcare providers due to inconsistent and delayed payments . Alarmingly, nearly half of all healthcare facilities reported receiving irregular payments as of February 2025, with the situation particularly dire for smaller, level two and three hospitals, where a staggering 64 percent reported receiving no payments at all . This precarious financial situation is compounded by a substantial inherited debt of Sh30.9 billion from the NHIF, further straining the already limited resources of the SHA . The significant funding gap between the projected Ksh168 billion needed for full implementation and the mere Ksh6.1 billion allocated to the SHA in the current budget raises serious questions about the long-term sustainability of the scheme . Operational inefficiencies are also hindering progress, with increasing difficulties reported in claims management and the effectiveness of new reimbursement models . Moreover, ongoing system updates and persistent challenges in navigating the SHA portal are impacting service delivery, while public hospitals are grappling with long waiting times and service delays .

Public perception and adoption of the new healthcare system also present considerable hurdles. Despite the mandatory nature of the scheme, registration and active contribution rates remain worryingly low, with only 3.3 million Kenyans actively contributing out of the 19.4 million registered . This is further underscored by the fact that initial voluntary registration fell far short of the government’s target . Public resistance has been fueled by concerns over the new contribution model, which sees salaried workers contributing a higher percentage of their income compared to the previous flat rate under NHIF . This has led to calls for a fairer system, particularly for low-income households . Furthermore, reports indicate a concerning rise in out-of-pocket expenses for patients, particularly in private and faith-based facilities, contradicting the very aim of UHC to reduce the financial burden of healthcare . Coupled with reports of limited coverage and lower reimbursement rates for specialized treatments compared to the NHIF, the initial performance of SHA/SHIF suggests that significant challenges must be urgently addressed to ensure its effectiveness in providing equitable and quality healthcare for all Kenyans .

References:

Nation Explainer: How to make Kenya’s NHIF-SHIF transition less painful

Nation Healthcare reforms suffer setback as SHA performance declines

Nation Bold commitment to Kenya’s healthcare equity and growth