Health Sector Planning at the County Level in Kenya: What has Worked, Challenges and Recommendations

Since the establishment of County Governments in 2012, County health departments have led in priority setting, Planning and Resource Allocation (PSRA) in line with the functions prescribed under the fourth schedule of the constitution. While devolution has expanded decision spaces concerning PSRA, it has introduced new sets of actors including the county assembly and the county executive. It has also introduced new requirements such as preparation of the County Integrated Development Plans, program-based budgets, and sector working group reports among others. This new environment complicates the PSRA process whose ultimate goal is to contribute towards a more efficient, responsive and accountable health department. The PSRA processes are anchored in the The Public Finance Management Act, 2012 (PFM Act 2012) which prescribes a continuum of critical activities and requirements to facilitate priority setting, resource allocation, budget alignment with existing resource envelops, legislation and budget execution. Health remains the most devolved of all social sectors thus its success speaks to the success of devolution.
http://article.sapub.org/10.5923.j.phr.20201003.01.html

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