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One of the greatest challenges that developing countries are facing is the provision of quality and equitable healthcare for citizens. One of the barriers to achieving this goal is how to raise adequate funds to provide the services, and prudent use of the resources. This publication gives and insight on the challenges facing public healthcare financing strategies in Kenya, and by extension, other countries with similar health systems functionality in Africa. Health policy makers, managers and students with interest in health financing and management will find the publication to be of great help.