The Constitution of Kenya under the Bill of Rights puts a heavy responsibility on the State to ensure equitable, affordable and quality health care to all citizens. The right to health as provided under the Constitution refers to the highest attainable standards and in so doing obligates the state to surpass internationally set standards.
The Action for Transparency (A4T) project seeks to enhance transparency and accountability in the public health sector focusing on funds disbursed by the national government to the county government for the provision of health services at the various service delivery points. The overall objective of the project is to contribute to strengthened democratic accountability and transparency in Kenya through citizen monitoring of government expenditure, in order to uncover suspected corruption and mismanagement of public funds using various tools including a Public Expenditure Tracking Survey (PETS), Social Audit, ICT accountability tools and public awareness.
Health centres get reimbursed by the government for deliveries they facilitate on a quarterly basis through the Maternity programme. However it was in Embakasi, health centres experienced delays of up to 1 year, forcing expectant mothers to cater for some of the delivery costs.