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Poverty, macroeconomic reforms and HIV/AIDS led to deteriorating health in the 1990s, Kenya This paper reviews Kenya’s health indicators; describes the health system and government health policy; and examines the quality of healthcare and ways in which the system is financed. It describes how difficulty in financing the health system led to reforms in the 1980s, including cost sharing and decentralisation, and outlines the impacts of these reforms. The paper also considers the impact of HIV/AIDS on health policy; linkages between poverty and health; and other crises and challenges for the
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