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    ‘I can’t just leave them’: Kenya’s health workers carry on without pay

    Nearly a year after the U.S. cut much of its health funding to Kenya, unpaid community health workers still underpin HIV and mental health care. A new U.S.-Kenya health deal has been signed, but its impact has yet to reach the front lines.

    By Victoria Amunga // 23 December 2025

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    KISUMU, Kenya — On a hot Tuesday afternoon, 52-year-old Paul Ochieng sits in a consultation room at Ogongosa health center on the outskirts of Kenya’s Kisumu city. He is not there for his own appointment; he has accompanied one of his teenage clients after completing morning home visits.

    But unlike years past, Ochieng will return home without pay for the day’s work.

    For nearly 20 years, Ochieng has walked the narrow footpaths of Konyango village, stopping at homes where HIV-positive youth wait for their morning check-ins. He has been their first point of care, reminding them to take their antiretroviral pills, bringing nutritional support, and offering quiet counselling during his daily rounds.

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    More reading:

    ► Thousands of African health workers lose jobs due to US aid funding freeze

    ► Kenya limits US access to disease outbreak data in new bilateral deal

    ► The Kenya-US health deal is pragmatic, but could have been done better

    • Global Health
    • Trade & Policy
    • Democracy, Human Rights & Governance
    • Kenya
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    About the author

    • Victoria Amunga

      Victoria Amunga

      Victoria Amunga is an award-winning multimedia journalist with 14 years of experience covering stories that drive public conversation and strengthen communities across Africa and beyond. Her reporting has appeared in Voice of America and TRT World, where she has produced in-depth coverage on health, technology, gender, and development.

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