Contents i Abbreviations i 1 Background 1

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Republic of Kenya

Ministry of Health
Public Expenditure Review


Printed on: 03 February 2017


Contents i

Abbreviations i

1 Background 1

2 Government Spending on Health through the MoH 23

Table 2.2.7 Total reported revenue collection by province and financial year (KSh million) 37

3 Review of Projects/Programs related to the Ministry 37

Table 3.3: Summary of programmes, goals, outputs and indicators 40

4 Pending Bills 48

5 Analysis of Ministry outputs and corresponding performance indicators 50

6 Public Expenditure Management (PEM) 54

7 Human Resources Development and Capacity Building 57

8 Implementation of Recommendations of the 2006 PER 61

9 Challenges and Constraints 64

10 Conclusions and Key Recommendations 65

11 Annexes 68

12 References 70




Acquired Immune Deficiency Syndrome


Central Bureau of Statistics


Gross Domestic Product


Human Immunodeficiency Virus


Millennium Development Goals


Ministry of Health


National Health Accounts


National Health Sector Strategic Plan


Public Expenditure Review


Poverty Reduction Strategy


Ministry of Finance


District Health management Teams


Provincial Health management Teams


Faith Based Organizations


Poverty Reduction Strategy Paper


Severe Acute Respiratory Syndrome


Human leukocyte Antigen


1.1Overall objective of the PER

The overall objective of the PER 2007 is achieving targeted results through efficient public spending.

1.2Objectives of the Ministry’s PER

The Public Expenditure Review (PER) for health is considered an integral component of the budgeting process and as part of overall economic recovery strategy yet be consistent with the general macroeconomic framework.

The overall objective of the review is to assess the extent of public expenditure on health.

The specific objectives are as follows:

  • Present the Government of Kenya's (GoK) policies and objectives in the health sector, and the broad programmes and activities to achieve these over the next three years, annually;

  • To examine the distribution of public health expenditure by sub vote, and economic categories;

  • To assess the absorptive capacity of resource in the health sector,

  • To assess the compliance of financial discipline in the health sector;

  • Assess the extent to which the expenditures are aligned to policies and objectives in the health sector;

  • Review the effectiveness of expenditures;

  • Identify budget related constraints and resource-use;

  • Set out the broad annual financing requirements to implement planned activities using existing facilities and capacity, but removing short-term constraints while working to eliminate long-term constraints; and

  • Establish priorities in recognition that there are constraints of financial, technical and physical nature that have to be addressed if the country is to improve its health outcomes.

  • The efficiency of expenditures as measured by results achieved and their coherence with the sector strategy targets;

  • The equity of expenditures measured by their contribution to promote more equal distribution of resources;

  • Budgetary procedures and institutional arrangements.

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