Page 47 - KMD 2022-23 EDITION

HEALTH SECTOR STATISTICS

ational Government expenditure on health services is expected to increase by 16.6 per cent to KSh 110.2 billion in
2021/22 from KSh 94.5 billion in 2020/21. The proportion of National Government expenditure on health to total National
NGovernment expenditure stood at 3.3 per cent in 2020/21. County Governments’ expenditure on health services was KSh
108.8 billion in 2020/21 and is expected to grow to KSh 116.5 billion in 2021/22. The National Hospital Insurance Fund (NHIF)
membership increased by 6.6 per cent to 23.4 million with members’ contributions growing by 2.1 per cent to KSh 60.8 billion in
2020/21.
The number of health facilities decreased by 3.2 per cent to 14,137 in 2021 from 14,600 in 2020. However, the number of hospital
beds and cots increased to 100,183 in 2021 from 91,037 in 2020. Deliveries in health facilities increased by 5.7 per cent to 1.2
million in 2021 with normal deliveries accounting for 82.4 per cent of total deliveries. The number of adolescents presenting with
pregnancy at first Anti-Natal Care (ANC) visit declined nationally by 4.4 per cent to 317.6 thousand in 2021. The total number of
cases of diseases reported in health facilities increased by 57.2 per cent to 94.3 million in 2021

The number of registered health professionals increased to 222,870 in 2021 from 200,912 in 2020. The number of middle level
medical graduates at Kenya Medical Training College (KMTC) increased by more than three times from 4,114 in the 2019/20
academic year to 12,437 in the 2020/21 academic year. The total number of university undergraduate and postgraduate health
science students increased by 4.3 per cent to 23,164 while the total number of medical graduates and post-graduates increased
by more than two-fold to 3,399 in 2021.

The number of registered births increased from 1.1 million in 2020 to 1.2 million in 2021. On the other hand, a total of 231.9
thousand deaths were registered in 2021 compared to 185.4 thousand in 2020 with more than half of the reported deaths occurring
in a health facility. Birth registration coverage for 2021 was 86.0 per cent compared to 83.0 per cent recorded in 2020. Death
registration coverage increased from 37.0 per cent in 2020 to 55.4 per cent in 2021.

Government Expenditure on Health Services

Table below presents National Government expenditure on health services for the period 2017/18 to 2021/22. National Government
expenditure on health services is expected to increase by 16.6 per cent to KSh 110.2 billion in 2021/22 from KSh 94.5 billion in
2020/21. Recurrent expenditure on health services is expected to decrease by 14.7 per cent from KSh 48.9 billion in 2020/21 to
KSh 41.7 billion in 2021/22. Development expenditure on health services is expected to increase by 50.2 per cent from KSh 45.6
billion in 2020/21 to KSh 68.5 billion in 2021/22
National Government Expenditure on Health Services, 2017/18 – 2021/22

2017/18 2018/19 2019/20 2020/21 2021/22
Recurrent
Outpatient services 804.9 2,650.0 2,633.7 3,392.2 2,749.5
Hospital services 13,618.6 22,952.4 27,496.3 26,898.5 24,328.2
Public health services 7,735.6 9,897.8 12,740.0 3,969.8 1,720.2
Health expenditure n.e.c 6,476.3 6,971.9 18,517.6 14,623.3 12,875.1
Sub-Total 28,635.3 42,472.1 61,387.6 48,883.8 41,672.9
Development
Outpatient services 8,368.2 9,364.0 6,681.2 7,108.5 9,071.1
Hospital services 503.1 487.2 2,349.7 1,562.5 2,577.1
Public health services 23,067.2 23,993.1 32,233.2 31,595.0 46,195.7
Health expenditure n.e.c 1,267.5 367.6 1,507.0 5,371.4 10,635.7
Sub-Total 33,206.0 34,211.9 42,771.1 45,637.4 68,479.6
TOTAL 61,841.3 76,684.0 104,158.8 94,521.2 110,152.6
TOTAL OUTLAyS 2,576,065.00 2,944,798.04 2,999,607.35 3,291,828.39 3,416,797.68
Source National Treasury
County Governments’ expenditure on health services from 2017/18 to 2021/22 is presented in Table below Expenditure on health
services by County Governments has been on the rise over the last five years and is expected to rise by 7.1 per cent to KSh
116.5 billion in 2021/22 from KSh 108.8 billion in 2020/21. The recurrent expenditure on health services by County Governments
in 2020/21 was KSh 90.6 billion and is expected to grow by 2.2 per cent to KSh 92.6 billion in 2021/22. Development expenditure
by County Governments on health services is expected to increase by 30.6 per cent from KSh 18.3 billion in 2020/21 to KSh 23.9
billion in 2021/22.

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