Health Cabinet Secretary Aden Duale has made a strong start with nationwide reforms, but faces significant challenges with county cooperation regarding healthcare staff deployment.

• Over 6,400 healthcare interns have been deployed, and UHC healthcare workers are being absorbed into permanent and pensionable terms.
• Duale has handed over fraudulent Social Health Authority (SHA) cases to the Directorate of Criminal Investigations (DCI).
• A key challenge is the reluctance of counties to take in Universal Health Coverage (UHC) staff, highlighting a national-county disconnect in healthcare governance.