A recent report by the World Health Organization (WHO) has highlighted Kenya’s heavy dependence on donor funding for its health services, revealing vulnerabilities in the country’s healthcare system. According to the report, donor funding constitutes approximately 25% of Kenya’s total health expenditure, with four major donors—United States, Global Fund (GF), United Kingdom, and Gavi—contributing nearly 90% of external aid.
The abrupt withdrawal of U.S. aid has caused significant disruptions to health services in Kenya, particularly in combating diseases such as HIV, tuberculosis, and malaria. WHO Director-General Dr. Tedros Ghebreyesus stated, “These results paint a worrying picture about the impact of the sudden and unplanned cuts to aid on the health of millions of people”. The report, based on a survey conducted from March to April 2025, revealed that 70% of WHO country offices observed disruptions in health services following the withdrawal of funding.
Kenya has been forced to reallocate domestic resources to address the gaps left by reduced donor support. For instance, the country is now using domestic funds to distribute HIV drugs after the suspension of USAID funds. However, this approach has proven inadequate, with increased out-of-pocket payments for essential health services becoming a burden for many households.
The report also highlighted broader impacts on healthcare systems, including disruptions in public health surveillance, emergency preparedness, and humanitarian aid. Alarmingly, health services in some countries, including Kenya, are experiencing disruptions similar to those seen during the worst periods of the COVID-19 pandemic.
Dr. Ghebreyesus emphasized the need for a transition away from aid dependency toward sustainable self-reliance, stating, “WHO is working with countries to identify and tailor the most effective measures”. As Kenya grapples with these challenges, the report underscores the importance of innovative funding solutions and strengthened domestic resource mobilization to ensure the resilience of its healthcare system.
