Abstract
ABSTRACT The unprecedented COVID-19 pandemic has devastated societies and economies all over the world. States, both developed and developing, have struggled to mitigate its effects. National interventions have reaffirmed the importance of co-ordination of different levels of government to help cushion the impact of the pandemic. For a developing country such as Kenya, these conversations include issues of decentralisation via a devolved system of governance that was enacted by the 2010 constitution after decades of agitation against centralisation. Devolution was used as a mechanism to curb inequality, create more inclusive governance, as well as enhance service delivery throughout the country. Health was one of the sectors that was decentralised with these aims in mind. However, despite devolution, centralisation tendencies continue to present a challenge to the sector, to policy implementation and the pandemic response. This article seeks to evaluate the extent to which these problems of the two-tiered devolved governance structure affected the COVID-19 pandemic response in its early stages.
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