Kenya is pursuing financial sustainability for its immunization services through a new financing arrangement. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Kenya in October 2008.

Immunization Program Structure

Kenya’s Expanded Program on Immunization (EPI) is in the Immunization Division, Department of Family Health, Ministry of Public Health and Sanitation (MOPHS).

Kenya’s Progress to Date

Government Spending on Immunization

Vaccination Financing Mechanism

Legislation for Sustainability

Recent SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Kenya’s Gross National Income rose from US$600 to $1,290 per capita, a 115% increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Kenyan government spent $4 on routine immunization per surviving infant in 2006.  Government contributions fluctuated over the period but remained at $4 per surviving infant in 2014. The government share of total routine immunization expenditures rose from 10% to 14% over this period. Since 2010, Kenya has reported inconsistently on JRF financial indicators. The data suggest that Kenya has progressed towards country ownership of its immunization program. Among SIF countries, Kenya ranked eighteenth in terms of routine immunization spending per surviving infant in 2014.

Kenya’s JRF Financial Feedback Report, 2006-2014.

Vaccination Financing Mechanism

In 2010, the Health Sector Services Fund began disbursing funds, including those for immunization, directly to county-level facilities, dispensaries and health centers. Provincial and district health management teams provide oversight and district-level accountants report how the funds are used.

Faced with devolution, federal and county-level EPI authorities met to agree on financing responsibilities between the national and subnational levels in September 2015.

Legislation for Sustainability

In 2011, parliament began drafting a bill covering vaccines and vaccination activities. In January 2012, the MOPHS began mapping of all immunization-related legislation in Kenya.

By October 2014, two draft immunization-related bills existed: a vaccine procurement bill, which introduces a vaccine procurement trust fund, and the general health bill, which includes a section on vaccinations.

Recent SIF Program Inputs

  • October 2015: Kenyan counterparts join Nigerian, Kenyan, Sierra Leonean, and Liberian peers in Sabin-sponsored peer review workshop
  • September 2015: Senior Program Officer organizes county level briefings in Naivasha and Nairobi
  • September 2014: Senior Program Officer organizes national briefing
  • August 2013: Kenyan counterparts attend Sabin-sponsored colloquium
  • June 2012: Senior Program Officer and parliament co-organize legislative workshop
  • February 2012: Senior Program Officer and Program Director organize MP briefing
  • March 2011: Kenyan counterparts attend Sabin-sponsored colloquium
  • March 2011: Senior Program Officer organizes MP briefing
  • September 2010: Senior Program Officer organizes MP briefing
  • October 2008/January 2009: Senior Program Officer and Program Director introduce SIF program to Kenyan government