In 2018, Kenya launched a 5-year plan to improve its health offer by building new infrastructures and increasing the number of health professionals. To address the challenges still lingering, notably concerning healthcare access in remote areas, the country wants to leverage technology. 

Kenya will soon roll out a nationwide telemedicine program to improve healthcare access, in remote areas particularly. In that regard, through its Communication Authority, the country set aside Ksh600 million (US$5. million) to fund the installation of telemedicine infrastructure in 20 public health institutions. 

According to Joseph Sitienei, head of the Ministry of Health’s Health Service Management department, telemedicine “is the direction to go so that no part of the country feels left out in the provision of quality health services and especially to reduce the cost of seeking health care to the patients.” 

In the mid-term review of Kenya Health Sector Strategic Plan 2018-2023, the Ministry of Health reported that the healthcare worker density for effective service delivery significantly improved compared to its level in 2018. In late 2020, it was over 20.6 healthcare workers (HCWs) per 10,000 population. Nevertheless, it was below the  23 HCWs per 10,000 population suggested by the WHO and Kenya’s target of 24.4 HCWs per 10,000 population. 

In 2019, the country claimed it was meeting the World Health Organization (WHO)’s recommended number of healthcare institutions per 10,000 population. That year, the disclosed national density of healthcare institutions per 10,000 population was 2.2 while the WHO was recommending at least a density of two healthcare institutions per 10,000 population. 

Although the national density is higher than recommendations, in fourteen counties (30% of the national territory), the density was below WHO recommendations. Specialists and reference hospitals are concentrated in major towns while rural populations mainly have access to clinics. With telemedicine, Kenya will allow its rural populations to gain easy access to specialists and reference hospitals. Currently, the program is in its pilot phase in Kenyatta and Isiolo public hospitals. 

“If we cannot provide enough skilled staff in all our health facilities, we can surely take the skilled staff to the rural areas through telemedicine! It is time that we have teleconsultations and telereferrals. There is no other opportune time than now,” Dr. Joseph Sitienei explains. 

Muriel Edjo