Abstract: Many countries worldwide especially developing countries such as Nigeria, India, Brazil, and those in sub-Saharan Africa grapple with many problems in the health sector such as few medical staff, poor working conditions, inadequate health facilities, skewed location of health facilities, and poor medical equipment supply. The Kenya health sector was devolved in 2013 in line with the Kenyan 2010 constitution since devolution was seen as the best way to provide health services. However, the decision has encountered numerous challenges that have periodically paralyzed the provision of health services leading to frequent strikes with many actors advocating for the reversal of the decision.