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The Constitution of Kenya 2010 devolved health services to the counties, which meant a complete change in the Health structure and its management in the country. The national Government handles all the level 4 hospitals which offer highly specialized care. Level 3, level 2 and level 1 healthcare centers are under the management of the county governments

Global evidence points to a direct correlation between the size of a country’s health workforce and its health outcomes. Over the last decade, Kenya’s progress in improving the overall health status of its population has had mixed results. While life expectancy has gone up and interventions to address specific diseases including HIV/AIDs, Tuberculosis and Malaria have yielded positive results, much remains to be done.

Kenya is facing a great danger due to diseases/conditions belonging to mainly three domains, which are communicable diseases, non-communicable diseases/conditions  and  violence/injuries.  These diseases/conditions continue to contribute to the high disease burden in the country, hence calling for more specialized human resources for health.

The top five causes of outpatient morbidity in Kenya are Malaria, Diseases of the Respiratory System (including pneumonia), Skin Diseases, diarrhea and accidents accounting for about 70 percent of total causes of morbidity. Malaria contributes about a third of total outpatient morbidity.

Source: Human Resource Strategy 2014-2018

Health Policy 2014-2030