Kenya

Report Card
Meets UN diagnosis and treatment targets4 Drug sensitive TB Needs improvement
Multi-drug resistant TB Needs improvement
Children with TB Needs improvement
Provides universal health coverage and health equity National public-sector financing5 Approaching target
SDG 1.3
Social protection system6
Needs improvement
SDG 3.8.2
Catastrophic health expenditure7
On target
SDG 3.8.1
UHC service coverage score8
Approaching target
Addresses multi-sectoral drivers of TB SDG 2.1
Prevalence of under-
nourishment9
Needs improvement
SDG 3.3
ART access for HIV+ patients10
Approaching target
Tobacco taxation11 On target
SDG 3.9
Air pollution12
Needs improvement
Political will High13

Disease Burden

20171

Number of cases per 100,000 population: 319
Percentage of global burden: 1.6
Number of people who fell ill: 158,000
Of those who fell ill, % not diagnosed or notified: 47
TB deaths: 43,000

TB Financing

20182

National TB budget: USD 42 million
Funded: 64%

United NationsTargets

(Number of cases, cumulative 2018–2022)3

Diagnosis and treatment: 563,700
MDR: 6,966
Prevention: 949,900
Child TB: 64,500

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Recommendations

  • Reach populations at high risk for TB, especially people living with HIV.
  • Target people living with HIV for TB preventive therapy in tandem with active case-finding strategies.
  • Ensure patient- and family-centered services are available to all individuals who receive care for TB, guaranteeing that high quality diagnostics and treatment are available to all wherever they seek care.
  • Accelerate progress towards universal health coverage (UHC); a strong national TB program that can prioritize TB care and prevention functions within a progressive pathway to UHC is essential in Kenya.
  • Boost domestic resource mobilization by increasing the distribution of public resources to health, pooling financing and allocating tax revenues to health; in Kenya these strategies could lead to nearly a two fold increase in domestic TB expenditure over the next 5 years.
  • Establish independent, multisectoral accountability mechanisms to ensure that the Ministry of Health and regional TB programs are accountable for progress towards ending the TB epidemic.

Endnotes

  • 1 WHO Global TB report (2018).
  • 2 WHO Global TB report (2018).
  • 3 STOP TB partnership (2018); http://www.stoptb.org/global/advocacy/unhlm_targets.asp.
  • 4 Targets adapted from Global TB Caucus Country profiles (2018). Colors denote proportion of target population that will be reached by existing efforts, if current course maintained, as a fraction of projected targets outlined in 2018 High Level Meeting declaration, per country. Green, >90% towards annual target, Amber 60–90% towards annual, Red <60% off annual targets. For further info: https://www.globaltbcaucus.org/en-research.
  • 5 World Health Organization. The Abuja Declaration: Ten Years On. (2018). Green >15%, Amber 10-15%, Red <15%, proportion of health spending as proportion of total health spending.
  • 6 WHO Global TB report (2018). Green >60%, Amber 20–59%, Red <20% proportion of country population covered by social protection system.
  • 7 WHO (2018). Green >13%, Amber 6–13%, Red <6% proportion of population facing catastrophic health expenditures, data cover the period 2002–2015.
  • 8 WHO (2018). Green >70, Amber 46–69, Red <45. UData from WHO UHC Service Coverage Index are from 2015.
  • 9 WHO (2018). Measured as proportion of population with HIV that have access to ART. Green >80%, Amber 60–79%, Red <60%.
  • 10 WHO (2018). Measured as prevalence of under-nutrition in population. Green <5%, Amber 5–20%, Red >20%.
  • 11 WHO (2018). Green: taxes added onto a tobacco purchase >25 % of price of the most sold brand of cigarettes in a country. Amber: taxes added onto a tobacco purchase <25 % of price of the most sold brand of cigarettes in a country. Red: no taxes added or unknown.
  • 12 WHO (2018). Measured as concentrations of fine particulate matter [PM2.5]. Green <10 μg/m3, Amber 10–30 μg/m3 Red >30 μg/m3.
  • 13 Based on visible public statement made in the past year. High: Head of State or Government statement at High-Level Meeting on TB or platform of equal prominence; Moderate: Ministerial statement at High-Level Meeting on TB; Low: No record of public statement at high-level venue.