As help from Cuba arrives, is there only one Kenyan doctor for every 16,000 people?


Kenya’s doctor-to-patient ratio remains 1 doctor to every 16,000 patients.

Source: Nzioka Waita, chief of staff in the Kenyan presidency



Explainer: Latest data puts ratio at 1:6,355

  • The chief of staff in the Kenyan presidency claimed the country’s doctor-to-patient ratio was one doctor to every 16,000 patients.
  • There are 7,333 registered doctors in Kenya, and the latest population estimate is 46.6 million people. This results in a ratio of one doctor for every 6,355 people.
  • The doctor-to-population ratio is in any case a flawed metric, as it doesn’t take the geographical spread of doctors into consideration.

Defending a deal that brought 100 Cuban doctors to work in Kenya, a top official in the presidency said the Cubans would boost the country’s low number of medics.

“Our doctor-to-patient ratio remains 1 doctor to every 16,000 patients,” Nzioka Waita, President Uhuru Kenyatta’s chief of staff, said in a statement a few days before the Cubans arrived.

This meant the country was “not anywhere near meeting the ratios required for the provision of quality healthcare to a majority of Kenyans”.

How was the number calculated?

The ratio came from comparing the total number of doctors to the total population, State House spokesman Manoah Esipisu told Africa Check. He did not provide the figures used in the calculation, however.

Was the government referring to the doctor-to-patient ratio or the doctor-to-population ratio? “It means the same, really,” Esipisu claimed.

But the dean of the School of Medicine at Moi University in Kenya, Prof Lukoye Atwoli, told Africa Check that “due to the difficulty approximating the number of patients at any given time, most reports will use the doctor-population ratio as a proxy for coverage”.

How many doctors does Kenya have?

All doctors operating in Kenya have to be registered with the Kenya Medical Practitioners and Dentists Board.

The agency’s latest data – released in March 2018 – listed 6,394 actively practising Kenyan doctors. Of these, 2,591 were specialists. A further 939 were foreign doctors with temporary licenses, bringing the total to 7,333.

Kenya’s national statistics office puts the country’s population at 46.6 million people for 2017. Dividing this by 7,333 doctors results in a ratio of one doctor for every 6,355 people – not 16,000.

(Note: The board had put the doctor-to-population ratio at 1 to 6,545 based on a population of “approximately” 48 million. We asked for the source of the population figure and will update this report with the board’s response.)

‘A flawed metric’

“Unfortunately, [the doctor-to-population ratio] is a flawed metric,” Atwoli said. The ratio doesn’t reflect the geographical spread of doctors or whether they are in private of public practice. And not all doctors are able to provide the same service, as some may be specialists.

Lukoye, who is also the vice-president of the Kenya Medical Association, added that an “interesting metric” would be to rather examine “the proportion of patients requiring medical services who actually get to see a doctor, or those with conditions requiring specialised care who actually get to see a specialist”.

Does the World Health Organisation recommend a specific ratio?

There are frequent references to a World Health Organisation recommendation that Kenya have one doctor for every 1,000 people by 2015.

But the UN agency told Africa Check that it does not prescribe a specific ratio.

“There is no current recommendation for a predefined physician to population ratio,” Dr Mathieu Boniol, a WHO statistician, said.

Conclusion: Data shows claim by top official in presidency that one doctor treats 16,000 Kenyans is incorrect

In defending the Kenyan government’s decision to enlist doctors from Cuba, President Uhuru Kenyatta’s Chief of Staff Nzioka Waita claimed that one doctor serves 16,000, and said this was a long way off a “required ratio”.

Data from the country’s medical board shows that the current proportion is one doctor for every 6,355 people.

We therefore rate the claim by Waita as incorrect.


© Copyright Africa Check 2020. Read our republishing guidelines. You may reproduce this piece or content from it for the purpose of reporting and/or discussing news and current events. This is subject to: Crediting Africa Check in the byline, keeping all hyperlinks to the sources used and adding this sentence at the end of your publication: “This report was written by Africa Check, a non-partisan fact-checking organisation. View the original piece on their website", with a link back to this page.

Leave a Reply

Your email address will not be published. Required fields are marked *


Africa Check encourages frank, open, inclusive discussion of the topics raised on the website. To ensure the discussion meets these aims we have established some simple House Rules for contributions. Any contributions that violate the rules may be removed by the moderator.

Contributions must:

  • Relate to the topic of the report or post
  • Be written mainly in English

Contributions may not:

  • Contain defamatory, obscene, abusive, threatening or harassing language or material;
  • Encourage or constitute conduct which is unlawful;
  • Contain material in respect of which another party holds the rights, where such rights have not be cleared by you;
  • Contain personal information about you or others that might put anyone at risk;
  • Contain unsuitable URLs;
  • Constitute junk mail or unauthorised advertising;
  • Be submitted repeatedly as comments on the same report or post;

By making any contribution you agree that, in addition to these House Rules, you shall be bound by Africa Check's Terms and Conditions of use which can be accessed on the website.


This site uses Akismet to reduce spam. Learn how your comment data is processed.