Health Facilities in Kenya
Jul 19, 2020
Parmutia Makui
10 minute read

On 4th February, 2020 the Government of Kenya published a list of health facilities within the country. The Kenya Gazette issue is available here. The notice gives details on levels/categories of health facilities, the type and description of facilities under each level as well as the services that would be expected to be offered by such a facility. The table below gives a summary of the various levels and type of facilities under each.

Health facilities categories

(#tab:hf_level)Table 1. Health Facility Categorization in Kenya
Categoriziation Facility
Level 1 Community Health Facility
Level 2 Medical Clinic
Dental Clinic
Dispensary/Faith Based organizations
Mobile Clinic
Eye Clinic
Level 3A Basic Health Centre
Level 3B Comprehensive Health Centre
Medical or Dental Centre
Funeral Home
Nursing Home or Cottage Home
Maternity Home
Level 4 County Hospital or Intership Training Centre
Specialized Hospital
Level 5 Country Referral Hospital
Level 6 National Referral and Teaching Hospitals and Specialized Hospital

The second schedule of the notice published the list of facility by county giving the name, level and ownership. From the notice, a list of 9064 health facilities are listed. Besides 2 cases being empty, some duplicates were also found which were excluded from the summaries below.

Total number of health facilities

After exclusion of identified duplicates and empty rows, a total of 9023 health facilities was identified. County Governments owned 50.6% of all the health facilities, 44.6% of the health facilities are private owned. Over 90% of the facilities were within Level 2 and Level 3B.

Health facilities by county

Table 2 shows top 10 counties by the total number of health facilities. Nairobi County has the highest number of health facilities (745) which is equivalent to 8.3% of the total number of health facilities. Table 3 shows 10 counties with the lowest number of health facilities. Lamu County had the lowest number with only 23 health facilities which is less than 1% of the total number of health facilities within the country.

(#tab:hf_summary3)Table 2. Counties with highest number of hospitals
county Number Proportion
Nairobi County 745 8.26
Meru County 403 4.47
Nakuru County 363 4.02
Kakamega County 339 3.76
Kitui County 339 3.76
Machakos County 334 3.70
Kiambu County 285 3.16
Kisumu County 275 3.05
Kajiado County 264 2.93
Uasin Gishu County 261 2.89
(#tab:hf_summary3)Table 3. Counties with lowest number of hospitals
county Number Proportion
Busia County 121 1.34
Elgeyo Marakwet County 105 1.16
Nyandarua County 105 1.16
Taita Taveta County 101 1.12
Marsabit County 100 1.11
Mandera County 98 1.09
Isiolo County 91 1.01
Samburu County 85 0.94
Tana River County 59 0.65
Lamu County 23 0.25

Health facilities by county, ownership and level

Disclaimer

The summaries and graphs shown here are based on the data within the Gazette notice above.
I have not looked at the overlap or difference between the data used here and data found in: Kenya Master Health Facility List