Frontiers in Public Health
From national strategy to local implementation: a policy analysis of eye health integration and financing in Kenya’s devolved health system
Background In 2010, Kenya’s Constitution created a devolved governance structure, with county governments assuming responsibility for health service delivery after 2013. Eye health carries a burden, with blindness prevalence at 0.37% and vision impairment affecting 11.0–37.5% across regions. Policy and financing mechanisms shaping service availability remain poorly understood. Kenya has advanced through seven strategic plans, the latest being the National Eye Health Strategic Plan (NEHSP, 2020–2025). While plans pr …