The Kenyan government, through the Bottom-up Economic Transformational Agenda (BETA), prioritizes Primary Health Care (PHC) as a cost-effective approach to achieving Universal Health Coverage (UHC). Primary Health Care Networks (PCNs) are being established to enhance equitable, quality, and affordable healthcare at the community level. A pilot in Kisumu, Garissa, and Kwale (2021) informed a nationwide rollout starting in August 2023, targeting 315 PCNs across 47 counties. By December 2023, 93 PCNs (30%) were fully established, 27 (9%) were in progress, and 195 (62%) had yet to start.

Success factors included county ownership, policy guidelines, donor funding, multisectoral partnerships, and community engagement. Key enablers were trained county facilitators, community health workers, and national government support. The pilot counties showed reductions in facility-based maternal mortality, improved NCD screenings, better healthcare worker coordination, and enhanced access to medical supplies.

For sustainability, Kenya must align PCNs with county needs, secure financing, strengthen governance, and use performance tracking. A unified strategy, action plan, and monitoring framework will ensure long-term success, ultimately improving national health outcomes.