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Table 2 Funding sources in Kenya following devolution.

From: Healthcare equity analysis: applying the Tanahashi model of health service coverage to community health systems following devolution in Kenya

County governments receive funding from three possible sources

1) transfers from central government which comprise an equitable share allocated to all the 47 counties from national general revenue collections using a revenue allocation formula, conditional grants ring fenced for specific functions, and an equalization fund for the 14 previously marginalized counties

2) locally generated revenue

3) donor funding

The county government authorities now have responsibility for budget allocation of these funds and annual planning. These county authorities also hold responsibility for developing the five-year county integrated development plan (CIDP) and five-year county strategic plan for health; health service delivery for level one to three services (community, primary and county referral services); recruitment and management of health workers and coordination of partners.

  1. Source: (Commission on revenue allocation 2016; Overseas Development Institute 2016; National Council for Law Reporting with the Authority of the Attorney-General 2010)