The United States has accused Kenyan security forces of numerous extrajudicial killings during 2024, especially in the wake of nationwide "Gen Z" protests against proposed tax increases in June and July. The accusations are detailed in the US State Department's Bureau of Democracy, Human Rights, and Labor's Country Reports on Human Rights Practices for 2024.

• The government-mandated Kenya National Commission on Human Rights (KNCHR) recorded 60 deaths during the protests.
• The Independent Policing Oversight Authority (IPOA) is investigating 50 deaths and 199 injuries, noting police deployed hooded, masked officers.
• A November Human Rights Watch report alleged a multi-agency team was behind some killings, while other NGOs claim the true death toll is likely much higher due to underreporting.

The United States has imposed visa restrictions on government officials from African nations, Cuba, and Grenada, including their family members, over their alleged involvement in Cuba's "coercive forced labour export scheme" involving medical professionals. The US Department of State accuses the Cuban government of exploiting its doctors by "renting" them out and diverting most of their earnings.

• Kenya formally ended its own medical exchange agreement with Cuba in October 2023.
• Former Health Cabinet Secretary Susan Nakhumicha confirmed Kenya would not renew the contract, which began in 2017, citing the capability of local doctors.
• The agreement had facilitated the deployment of 53 family physicians and 47 specialists from Cuba to Kenya.

The United States is set to impose visa restrictions on several African leaders, including potentially those in Kenya, due to their involvement with Cuban medical missions. The US government views Cuba's program as a "coerced forced labour export scheme."

• The Kenyan government, under then-President Uhuru Kenyatta, benefited from the Cuban doctors' program, introduced in 2018 and terminated in 2023 after six years.
• US Secretary of State Marco Rubio stated the sanctions target "African, Cuban, and Grenadian government officials" complicit in the program.
• The US alleges Cuba's medical mission scheme involves "medical professionals 'rented' by other countries at high prices" with most revenue kept by Cuban authorities, enriching Cuba's political elite.