Funding crisis threatens Kenya’s progress in TB fight

A major funding shortfall in Kenya’s health sector is posing a serious threat to the country’s efforts to combat tuberculosis (TB). The withdrawal of USAID support has created a 31 billion shilling deficit, endangering TB treatment and screening services.

As Kenya joins the rest of the world in marking World TB Day, stakeholders warn that without urgent intervention, progress made in fighting the disease could be undone.

Kenya’s Ministry of Health has confirmed the significant budget shortfall following the withdrawal of USAID funding, raising concerns over the continuity of TB programs.

Health experts caution that this financial gap could severely undermine Kenya’s goal of ending TB by 2030. The World Health Organization (WHO) emphasizes that while TB is both preventable and curable, millions still contract the disease due to inadequate healthcare access and funding.

“According to the WHO Global TB Report, the burden of TB remains immense, with 10.6 million individuals falling ill, including an estimated 1.25 million children and adolescents. This has resulted in 1.2 million deaths worldwide.” Dr. Abdourahmane Dialo, Head, WHO Kenya said. 

Stakeholders have urged the government to act swiftly in addressing the funding crisis, highlighting the importance of increased domestic investment and public-private partnerships to sustain TB programs.

“There may be changes happening in the health space, but I believe they are for the better. They force us to step back and ask—what can we do?”

“We have lost 1 billion shillings in USAID funding. This will affect critical services, including TB screening and treatment.” Tom Nyakaba, Senior Public Health Officer, Nairobi said. 

The Ministry of Health has assured the public that it is exploring innovative solutions to bridge the financial gap, including strengthening partnerships with private sector stakeholders. However, concerns persist, especially as data indicates that men are disproportionately affected, accounting for six out of every ten new TB infections.

“TB remains a significant public health issue in Kenya. The annual incidence rate is alarming—11 new cases every hour. It is a disease burden we must address. Co-infection with HIV is also notably high.” Dr. James Nyikal, Chair, Parliamentary Health Committee said. 

With USAID budget cuts already impacting TB treatment services, stakeholders warn that without immediate intervention, Kenya risks reversing the hard-won gains in its fight against tuberculosis.

For now, all eyes are on the government to implement urgent solutions that will ensure TB patients continue receiving lifesaving treatment.

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