Nairobi — A coalition of Kenyan civil society organisations has issued an advisory calling for transparency and accountability in the implementation of the Kenya-United States Health Cooperation Framework and its accompanying data-sharing agreement.

The groups say the framework will shape how key health services, public resources and health data are managed as Kenya transitions from donor funding to domestic financing, particularly for HIV, tuberculosis, malaria and emerging public health threats.

While welcoming international cooperation, the advisory warns that weak oversight could disrupt continuity of care and erode public trust. It calls for timely public disclosure of implementation plans, meaningful involvement of communities and civil society, and stronger safeguards for health data and privacy as digital health systems expand.

The organisations also urge clear and well-sequenced planning for the shift to domestic financing to protect essential services for patients, and insist that financial and institutional implications be subjected to existing public finance controls, including parliamentary oversight.

The advisory has been formally submitted to relevant government institutions, with civil society groups saying they remain open to continued engagement to support responsible implementation of the framework.