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July 27, 2018

Priority setting for health in the context of devolution in Kenya: implications for health equity and community-based primary care

Region: Africa Scientific publication Empowering and engaging people and communities, Strengthening governance and accountability, Creating an enabling environment Source: Health Policy and Planning

Devolution changes the locus of power within a country from central to sub-national levels. In 2013, Kenya devolved health and other services from central government to 47 new sub-national governments (known as counties). This transition seeks to strengthen democracy and accountability, increase community participation, improve efficiency and reduce inequities. With changing responsibilities and power following devolution reforms, comes the need for priority-setting at the new county level. Priority-setting arises as a consequence of the needs and demand for healthcare resources exceeding the resources available, resulting in the need for some means of choosing between competing demands