Forget the propaganda.
The health function (in my most humble opinion) is doing better, now that it is devolved, than when it was being managed by the national government.
From the start of this year, I have been forced by some unfortunate circumstances, to visit 2 government hospitals: coast provincial (makadara) and nakuru cgph. Now I had the opportunity to visit those two in earlier years. But my recent visits revealed that they are much better managed, under the devolved system, than when they were under the national government.
Under the devolved system, doctors are under real supervision, unlike under the old system, when the doctors were not really under anyone’s supervision.
When the government wants to take back the health function, it is because of the tenders. When the doctors and nurses want the national government to take back the health function, it is because they want to go back to the old system, where they were really under no one’s supervision…
So we should be increasing devolved functions, not reducing. Like if some aspects of security were also devolved, you’d have someone to hold the police to account. Currently, there is too much insecurity because there is really nobody to hold the police to account. They don’t venture into vichochoros, hence the insecurity…
Commerce.
County governments have had their own share of benefits. Not all is lost. Healthcare has really improved since devolution begun.
In a strange and twisted way, the “benefits” 
of corruption are now more “efficiently” distributed mashinani. Some parts of deep Nyanza, Western and even Kilifi look no different than Kiambu amd Rwathia in the number of 10 million plus dwellings dotting the landscapes. Many of these structures are constructed express without any lull in activity
It is doing well. IN SOME COUNTIES!! i.e In the North where the National Government had long neglected healthcare
And Makadara and Coast PGH are just as bad as it was in years past. I know for fact they have written they offer Lab services but they refer people outside.Same to the Pharmacy.
We have had Medical Staff strikes EVERY YEAR since 2013.
Also, in the era of NHIF being accepted even by many mid-level quality clinics, who still goes to Public Hospitals??I mean the 6k spent on paying n NHIF every year is quite often less than the money spent going to a Public hospital yearly and gives one more comfort.
Extremely well when it comes to maternity. Nimeona wengi getting services free of charge hadi ultrasound. This was unheard of time ya national government.
Kitambo, Kitabu pekee lazima ungetoa za macho. Health should never ever go back to the national Government
That is NHIF doing well.
Public hospitals are a mess.
Go to Bungoma, Migori, Kirinyaga, Taita and Kajiado’s rural hospitals.
Devolution has set us on a permanent decline in medical workers. Now 52 percent of Kenyan doctors are abroad and most in Kenya are going private because County Governments never pay them on time. Same to Nurses and Medical Lab workers.
Yes, but petty corruption should be eliminated at the county hospitals, for example, a patient is told to buy a file or envelope from a certain kiosk only. In Machakos hospital the x-ray films were said to be out of stock but appeared magically when the Zambian diplomats had an accident around there.