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 percent 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 percent to 14 percent 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 18th in terms of routine immunization spending per surviving infant in 2016.

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, April 2016: Kenyan counterparts join Nigerian, Kenyan, Sierra Leonean, and Liberian peers in Sabin-sponsored peer review workshops
  • September 2015: Sabin Senior Program Officer organizes county-level briefings in Naivasha and Nairobi
  • September 2010, March 2011, February 2012, September 2014: Sabin Senior Program Officer organizes national briefings
  • June 2012: Sabin Senior Program Officer and parliament organize legislative workshop
  • October 2008: Sabin Senior Program Officer and SIF Program Director introduce SIF program to Kenyan government

Last Updated July 11, 2016