Healthcare workers under the Universal Health Coverage (UHC) program have intensified their push for better employment terms, staging a sit-in at Afya House, the headquarters of Kenya’s Ministry of Health. The protest, which has now entered its 26th day since commencing on March 7, 2025, seeks to pressure the government into transitioning them to permanent and pensionable terms while also demanding the full payment of their five-year gratuity.
The striking workers, who were employed under the UHC pilot program launched in 2018 and later expanded nationwide, argue that despite their significant contribution to strengthening primary healthcare, they remain stuck on contractual terms. They warn that without job security, the long-term sustainability of the UHC initiative remains in jeopardy.
Unmet Promises and Growing Frustration
Speaking during the sit-in, representatives of the protesting workers decried the government’s failure to honor commitments made regarding their employment status. They emphasized that many had dedicated themselves to improving access to essential health services, especially in underserved regions, yet they continue to face job insecurity.
“Our role in the healthcare sector is crucial, yet we are treated as disposable workers. We demand what was promised to us – permanent and pensionable terms and the payment of our five-year gratuity,” said one of the protest leaders.
Impact on Healthcare Services
The prolonged strike has disrupted healthcare services across several counties, with hospitals struggling to operate amid staffing shortages. Patients in various public hospitals have reported delays in accessing critical medical services, and some facilities have been forced to scale down operations due to the unavailability of healthcare personnel.
County governments have also expressed concern over the ongoing industrial action, urging the national government to resolve the matter promptly.
Government’s Response
The Ministry of Health has acknowledged the workers’ grievances and stated that negotiations are underway. However, there has been no concrete commitment to meeting their demands, further fueling frustrations among the affected workers.
With the crisis deepening, healthcare unions and civil society groups have called on the government to prioritize the welfare of UHC workers to ensure uninterrupted service delivery and the long-term success of the program. As the strike drags on, the spotlight remains on the Ministry of Health to find a lasting solution to the impasse.
