Revising the county allocation formula

What you need to know:

  • So while population is a key driver of health services, it is better to look at visits to health facilities and the risk of falling ill in different counties to get a better sense of how much counties “need” to provide health services.
  • When it comes to effort, the idea is that two counties with similar economies and tax bases might collect different amounts because one county might make more of an effort to enforce the tax laws, or might use more creative taxes and charges to access the base.

By the end of the year, Kenya is meant to have revised the way it shares money among the 47 counties. This should be a time of intense public debate about how Kenyans share resources in a way that is fair and constitutional.

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