The new constitution ushered in the “second Republic”, the manifestation of the people’s desire for change, government accountability, and democracy. At the heart of this change is the concept of devolution of political and economic power to 47 newly-created counties.
This report explores what lessons can be learnt from other countries that have devolved their health service delivery responsibilities to sub-national government levels. As such, it presents the building blocks that need to be in place for devolution to be successful in achieving its goals. This report evaluates other countries’ successes in light of Kenya’s objectives of devolution and the role the counties play in achieving these goals.