Tackling health professionals’ strikes: an essential part of health system strengthening in Kenya

Abstract

Since 2013, Kenya's public health sector has been affected by frequent short strikes, culminating in nationwide strikes lasting a total of 250 days by doctors and nurses in a span of 11 months in 2016/17. Health professionals have the right to go on strike, but their strikes crippled health services with almost no public hospital inpatient services being provided, thus violating people's right to healthcare. To avoid similar instances in the future, mechanisms should be established for dispute resolution, anticipating and pre-empting changes within the health system that result to conflict between parties. There are no 'magic bullets' to avert all problems due to these strikes in what are complex, politically managed and highly professionalised health-sector organisations. Reactive solutions such as sacking striking workers, jailing trade union officials neither address the underlying problems nor build resilience of the health system.