NAIROBI— The Government has reaffirmed its commitment to absorbing Universal Health Coverage (UHC) workers into county governments on permanent and pensionable terms, effective July 1, 2026, ensuring continuity of healthcare services nationwide.
In an official communication addressed to UHC workers, county governments, and health stakeholders, Cabinet Secretary for Health Aden Duale emphasized that the transition from the national payroll to county payrolls will proceed smoothly without disrupting service delivery. The move aligns with directives from the Public Service Commission and other relevant agencies.
“The Government remains fully committed to the seamless transition of UHC workers… on permanent and pensionable terms of service,” Duale stated. He noted that contracts were extended until June 30, 2026, to allow time for finalizing administrative and financial arrangements.
— Hon. Aden Duale, EGH (@HonAdenDuale) July 6, 2026
Significant progress has been achieved through a Multi-Agency Committee tasked with overseeing the process. Key among the advancements is the reclassification of funding from the County Governments Additional Allocation (CGAA) framework to the Division of Revenue Act (DORA). This shift will enable counties to assume full payroll responsibilities.
All transitioning workers will receive remuneration based on salary scales and allowances approved by the Salaries and Remuneration Commission (SRC), promoting equity and harmonization across the country. The Ministry of Health is collaborating closely with the Council of Governors, county administrations, the National Treasury, the Commission for Revenue Allocation, and other partners to finalize the process efficiently.
The absorption of UHC staff marks a critical milestone in Kenya’s quest to strengthen decentralized healthcare under the devolution framework. Thousands of health workers, previously engaged on contract terms at the national level, will now enjoy job security, pension benefits, and integrated service within county health systems.
Duale acknowledged the vital role played by UHC workers in bolstering healthcare access, particularly in underserved regions. “The Government recognizes the invaluable contribution made by UHC workers in strengthening healthcare services across the country and appreciates their patience, dedication, and professionalism,” he said.
He urged the workers to continue delivering services diligently at their stations. “I therefore wish to encourage all UHC workers to continue dispensing your services… and assure you that no effort is being spared to conclude the remaining processes expeditiously.” County governments were also called upon to maintain open communication with their UHC workforce during this period.
Health sector stakeholders have welcomed the assurance, viewing it as a positive step toward stabilizing the workforce amid ongoing efforts to achieve Universal Health Coverage. The transition is expected to enhance accountability, improve resource allocation at the county level, and support long-term sustainability of health programs.
As implementation continues in the coming weeks, the Ministry of Health pledged to monitor the process closely to prevent any gaps in service delivery. This development comes at a time when Kenya is intensifying investments in primary healthcare, infrastructure, and workforce expansion to meet the growing demands of its population.
The government’s proactive approach is anticipated to boost morale among health workers and reinforce public confidence in the UHC agenda.
