Uasin Gishu Allocates KSh3.3 Billion to Health in 2026/27 Budget
The allocation forms a significant part of the county’s KSh14.88 billion overall budget for the financial year ending June 2027.
Photo: Courtesy.
By Robert Mutasi
ELDORET, Uasin Gishu
Thursday, September 17, 2026
Uasin Gishu County has allocated about KSh3.3 billion to the health sector in the approved 2026/27 budget, with more than KSh2.3 billion set aside for clinical services and nearly KSh1 billion for preventive and promotive healthcare.
The allocation forms a significant part of the county’s KSh14.88 billion overall budget for the financial year ending June 2027. The county’s approved programme-based budget puts the Clinical Services vote at KSh2.301 billion, comprising KSh2.048 billion in recurrent expenditure and KSh252.99 million in capital spending.
A further KSh995.43 million has been allocated to Promotive and Preventive Health. Of this amount, KSh904.99 million is classified as recurrent expenditure while KSh90.45 million is for development activities.
Combined, the two health votes amount to approximately KSh3.296 billion, equivalent to about 22 per cent of the county’s total approved expenditure.
The Clinical Services allocation is expected to support both the running of health services and continued investment in hospital infrastructure. The budget provides KSh252.99 million for capital expenditure, including KSh222.99 million for construction of buildings and KSh30 million for land acquisition.
Among the projects listed under Clinical Services is the construction of the Uasin Gishu County Hospital Diagnostic Centre, which has an allocation of KSh81.47 million for the 2026/27 financial year.
Other projects include Ziwa Level V Phase II at KSh64.83 million, Ziwa Level V Phase III at KSh16.9 million, Kesses Level IV at KSh15 million, Turbo Level IV at KSh30 million and the proposed Moiben Level 4 Hospital at KSh14.79 million.
The county has also set aside KSh30 million for acquisition of land for the proposed Naiberi Level 4 sports, physiotherapy and chiropractic hospital. The listed Clinical Services projects have a combined allocation of KSh252.99 million for the financial year.
The budget document says the health department’s priorities for the 2026/27 to 2028/29 period include construction of the new Moiben Sub-County Hospital, development of the Naiberi facility and completion of major ongoing projects.
These include the Uasin Gishu County Hospital Diagnostic Centre, Turbo Level 4 Hospital, Kesses Level 4 Phase II and Ziwa Sub-County Hospital. The county also plans to strengthen primary healthcare through Community Health Promoters, improve the health workforce and ensure adequate supplies of health products in public facilities.
The Clinical Services vote will also carry substantial recurrent expenditure. The approved estimates allocate KSh1.225 billion for employee compensation, KSh256.96 million for goods and services, KSh561.27 million in current transfers to government agencies and KSh4.5 million for non-financial assets.
Medical supplies are among the recurrent items provided for under the vote. The budget sets aside KSh176.25 million for specialised materials and supplies, including KSh136 million for medical drugs, KSh40 million for dressings and other non-pharmaceutical medical items, and KSh150,000 for X-ray supplies.
The county’s health budget comes against a record of declining absorption in the Clinical Services department. According to the approved estimates, the department received allocations of KSh2.59 billion in 2022/23, KSh2.71 billion in 2023/24 and KSh2.31 billion in 2024/25. Actual expenditure during those years stood at KSh2.41 billion, KSh2.39 billion and KSh1.84 billion respectively, translating into absorption rates of 93, 88 and 80 per cent.
Preventive and promotive healthcare has a separate KSh995.43 million allocation. Its priorities include rehabilitation and upgrading of health facilities, reproductive, maternal, newborn, child and adolescent health services, environmental health and disease surveillance.
The county also plans to strengthen Community Health Promoters, improve the health workforce, expand screening and management of non-communicable diseases and improve immunisation services.
Within the preventive and promotive vote, KSh90.45 million is earmarked for development. This includes KSh42 million for construction of buildings under the administration component and KSh48.45 million for promotive and preventive health activities.
The approved budget also identifies several health-centre projects, including works at Cheptiret Dispensary, renovation at Koitebes Dispensary, construction works at Chelugui Dispensary and upgrading of Kimumu Dispensary to a health centre. Other allocations cover laboratory works, medical equipment, staff houses and maternity facilities at various dispensaries.
The figures show that a large portion of the county’s health spending will continue to support existing services and personnel, while a smaller share is directed toward capital projects. The county budget document identifies inadequate human resources, delays in release of development funds and challenges in supervision among issues that have affected health-sector implementation in previous years.
For 2026/27, the focus is therefore spread across hospital construction and completion, medical supplies, staffing, primary healthcare and preventive services as Uasin Gishu seeks to expand access to healthcare across the county.
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