A decade after Kenya devolved healthcare to its 47 county governments, patients are experiencing a mixed bag of improved services and persistent challenges.

• Counties have expanded facilities, staffing, and some specialized services, but issues with medicine availability, functioning equipment, and equitable health worker distribution remain.
• The Ministry of Health reports that 33% of essential medicines are stocked out on average, with some counties like Kisumu (59%) and Bomet (54%) experiencing significant shortages.
• While devolution has brought healthcare closer to many, the quality and accessibility of care vary significantly between counties, impacting patient outcomes.