Dispossession and voluntarism: The dynamics of Community Health Work in Kenya

In a past episode of the Kenyanist, we talked about reforming the NHIF, which the government has recently undertaken to improve healthcare delivery. We also heard about how African countries spend about 6% of their GDP on health, which is less than the 9.5% of GDP in the Organisation for Economic Co-operation and Development (OECD). Yet, the Abuja Declaration commits African countries to invest 14% of the national budget in health. It is no secret, therefore, that many problems affect the healthcare system in African countries, including Kenya, with issues such as poor infrastructure, unharmonized medical records, inadequate personnel, and insufficient healthcare financing.

African Governments, and indeed Kenya, are attempting to address the problem of manpower and financing by adopting the use of Community Health Workers, usually working as volunteers. Yet, this complicates things further, as health is a devolved function under the 2010 Constitution, and county governments claim they have no funding for community health.

We brought Dr. Kathy Dodworth, a Research Fellow at the Centre of African Studies at the University of Edinburgh, to talk about the role of Community Health Work in Kenya. You can read about Kathy’s work on this topic by following this link https://www.sciencedirect.com/science/article/pii/S0277953623004835?via%3Dihub