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The first, “pilot”, phase, provides access to free health services across public health facilities in four of Kenya´s 47 counties: Kisumu, Machakos, Nyeri and Isiolo. Rolling out UHC in Kenya is to be achieved through two phases. The UHC initiative is part of the President´s “Big Four Agenda”. On 13 th December 2018, he launched the universal health coverage “pilot” project, dubbed Afya Care – Wema Wa Mkenya, stating (1), “Starting now, all Kenyan residents in the four counties with a UHC or the Afya Care card will have access to free health services across public health facilities.” In December 2018, Kenya´s president, Uhuru Kenyatta, announced plans to “pilot” UHC in 4 of the country´s 47 counties, by making health care free in all government health facilities for a period of one year.

This move offers our research team a chance to follow developments, engagements and debates about UHC in Kenya, as they unfold. Kenya has recently made high-profile political commitments to achieving universal health coverage (UHC) nation-wide by 2022. This move offers our research team a chance to follow developments, engagements and debates about UHC in Kenya, as they unfold.Ĭynthia Khamala Wangamati and Ruth Prince, October 2019 UHC cards waiting for collection in rural health center, Kenya
