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In late 2018, the Government of Kenya launched the Afya Care Universal Health Coverage (UHC) pilot program in four counties in Kenya. Under the initiative, county governments discontinued all user fees at secondary public hospitals and, in return, received commodities and additional funds from the National Government. The Isiolo County Department of Health (CDOH) and ThinkWell undertook a rapid review of the pilot program in Isiolo, which is also one of three focus counties for the SP4PHC project. This brief documents Isiolo county’s experience to capture learnings that can inform the countrywide scale-up of the Afya Care program.
This report was produced by ThinkWell under the Strategic Purchasing for Primary Health Care (SP4PHC) grant from the Bill & Melinda Gates Foundation.