A community health worker in Nairobi's informal settlement of Kibera noted that her monthly payments from the Kenyan government were 50% less than what she received from working on USAID projects. Since payments began, they have become irregular or stopped altogether.
Date: 12/25
Region: Africa
Country: Kenya
Topic: Health
Policy Lens: Global Health Security
Entry Type: Field Observation
Additional Context: The Kenyan government issued a directive in September 2025 to absorb community health workers into county payrolls. State officials say the Ministry of Health has allocated stipends for community health workers. Lilian Aoko, a community health worker in Nairobi's informal settlement of Kibera, told The Aid Report that she received KSh 3,500 following the directive, but payments have since become irregular or stopped altogether. By contrast, she said, USAID-funded programs previously provided about KSh 7,000 per month.
This quote was collected as part of The Aid Report’s original reporting, “‘I can’t just leave them’: Kenya’s health workers carry on without pay.” The feature story examined how nearly a year after the US cut much of its health funding to Kenya, unpaid community health workers still underpin HIV and mental health care.
Source: Devex

