Kenya is classified by WHO as a high burden TB and high burden HIV country. TB incidence was 246 per 100,000 population in 2014 (estimated 120,000 new cases), and 8,100 TB patients in 2014 were co-infected with HIV.

Improving Provider Compliance

Despite the availability of TB guidelines/standards in high burden TB countries, provider adherence remains a challenge. In most cases, provider adherence to guidelines is not a problem of individual performance, but a problem located in the health system itself – at the political, health services, community, and patient levels. From 2011 – 2012, TB CARE II conducted multi-country studies in Bangladesh, Zambia, and Kenya to gather information on: (1) Knowledge and skills of providers to provide standard TB services; (2) Providers’ compliance with national and service delivery standards; (3) Existence of systems for maintaining TB service delivery capacity; and (4) TB patients’ perceptions of quality of care received at facilities. Click here to read the Kenya country report.