The Global Fund to Fight AIDS, Tuberculosis, and Malaria has invested nearly US$900 million in Kenya since 2006, helping to contain the epidemics and scale-up access to critical prevention and treatment services. In that time, Kenya’s responses to the three diseases have all seen great achievements, but a triple transition challenge remains: replacing donor funding, closing the resource gap that would exist even with donor funding, and more efficiently delivering on program objectives. With several priority HIV, TB, and malaria interventions heavily supported by donor funding, and the three diseases still among the leading causes of poor health and mortality in Kenya, concerted action is needed to increase government funding for the three diseases and to improve the efficiency of resource use.
This report, undertaken in partnership with the Government of Kenya and the Global Fund, explores strategies for sustaining the country’s responses to the three diseases and eventually transitioning away from external funding and programmatic support. It takes stock of Kenya’s health financing landscape and identifies opportunities and challenges for sustaining effective coverage of HIV, TB, and malaria services in the long run, mindful of macro-fiscal and institutional constraints. The report informs ongoing dialogue within government, including among the Ministry of Health, National Treasury, Council of Governors, and National AIDS Control Council, as well as between government and development partners.