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Imagine it is the middle of 2027. At least 200,000 affordable houses are now occupied by Kenyans across the country. Almost 40 million Kenyans are enrolled for social health insurance after a workaround was found to accommodate our informal, non-payroll sector, but the real win in the broader universal health care (UHC) programme is free primary health care that is now available at the country’s grassroots, offering community and facility-level health services. However, the emergency, chronic and critical illness arm of UHC is still an early-stage pilot and underfunded.
Useful gains have also been recorded in agriculture, which drives the economy, ranging from higher production levels, to productivity gains, to producer prices and farmer incomes. The value chain approach – intended to cut through bureaucratic clutter and institutional silos – is working. At the same time, the range of services digitised since 2022 has now surpassed 30,000. And, while off target, gains have been made in ICT connectivity, from fibre optic cabling to Wi-Fi hotspots.
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