1. County Health Budget Analysis -2013/14
August, 2014
Stephen Muchiri
HPP Kenya Director

2. Objectives of the county Budget analysis
Determine the overall county budget allocation to the health sector
Analyze allocations to health care inputs/Categories
Provide recommendations on the county health budgetary allocations

3. Devolved funds for health – 30% of the county sharable revenue
Recurrent Budget (69%)
Development Budget (31%)
PGHs (3.4bn)
CDF & Equalization Fund
MOH (50%)
Transfers (50%)
Personnel (10%)
O&M (5%)
Development (84%)
Hire of Equipments (7%)
Abolition of Fees (5%)
Donor (63%)
Free Maternal Health (25%)
County Governments (65%)
National Governments (35%)
Total Public Health Allocation, 2013/14
Devolved funds for health – 30% of the county sharable revenue
Are counties allocating 30% of their budget to health?

4. County health allocation, 2013/14

5. Counties health budget allocation, 2013/14
Huge variations in county health allocations

6. County Health Recurrent & Development Budget 2013/14

7. Recurrent & Development Budgets by county

8. Break down of recurrent health budget, 2013/14

9. Breakdown of Development budget, 2013/14

10. County per capita allocation to health ($)

11. Recommendations on county health budget
Provide technical support to counties on:
Programme based budgeting in line with PFM Act
Counties expected to fully transition in FY 2014/15
Map all resources for Health
Give a chance to counties to prioritize their resources