Sick counties: These 33 devolved units depend on hospital fees to survive

More than half of the counties depend on hospital fees to run critical operations...

✨ Key Highlights

A Controller of Budget report reveals a concerning overreliance on hospital fees by 33 county governments in Kenya to fund their critical operations.

Hospital fees account for nearly 50 percent of these counties' own-source revenue.
Only six counties, including Nairobi and Narok, do not heavily depend on hospital fees for their top revenue.
This overdependence poses fiscal risks, as revenue from hospital fees (Facility Improvement Fund) is intended for specific health facility services, not general spending.

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