
How do Kenyans actually navigate the financial realities of seeking healthcare?
@felistusmbole and @natellous share early insights from the FSD Kenya, Ekko Insights and Georgetown University healthcare financial diaries study, revealing three important shifts shaping health-seeking and financing behaviour.
First, there has been a move towards digital payments, driven in part by the 2016 waiver on transaction fees for amounts below KShs 100. This has made it easier for households to manage small, frequent health related expenses.
Second, persistent medication stock-outs in public facilities mean communities rely heavily on private pharmacies. While this fills a critical gap, it also introduces new risks including inconsistent quality of care and increased use of alternative medicines.
Third, proximity does not always equal access, with many patients, especially those with chronic conditions, still needing to travel to higher level facilities for treatment. The cost and time involved remain a significant barrier.
Read more: fsdkenya.org/blogs-publicat…
This blog is one of the entries in FSD Kenya’s 2025 annual report. Read the full FSD Kenya 2025 annual report (pdf) here: fsdkenya.org/wp-content/upl…

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