The County Joint Learning Network (C-JLN) is a county-driven peer-learning and knowledge-exchange platform designed to accelerate Primary Health Care (PHC) reforms across the 10 counties supported by the World Bank PHC Trust Fund. Anchored within the Council of Governors’ Maarifa Centre and fully aligned with Kenya’s BRHES (Building Resilient and Responsive Health Systems) framework, the C-JLN provides a structured mechanism for counties to generate, share and apply evidence; scale proven innovations; strengthen PHC delivery modelsand institutionalize continuous learning.
Counties often face similar challenges, yet lessons do not travel fast enough. Evidence exists but it is not consistently translated into practical guidance or coordinated action. As a result, progress is uneven especially in underserved regions.
Kenya has made strong commitments to primary healthcare and universal health coverage. Counties are implementing reforms, partners are providing technical support, and data is being generated. But learning remains fragmented.
About the Initiative
​This initiative supports the Government of Kenya's efforts to strengthen primary health care (PHC) by scaling knowledge management and evidence translation across four key reform areas: performance management, healthcare financing, quality of care and supply chain systems.
A shared platform built for system change
4 Thematic Playbooks
Guiding implementation
10 Underserved Counties
Supported
15+ Partners
Collaborating on PHC reform
Partners
What CJLN is Designed to Achieve
CJLN focuses on three system-level outcomes
1
Strengthening institutional capacity
Supporting counties to plan, manage and deliver primary healthcare more effectively.
2
Improving use of quality PHC services
Ensuring facilities are ready, supplied and able to provide people-centred care.
3
Reducing geographical inequities
Addressing disparities in access and outcomes across underserved regions.
How we work
CJLN uses a consolidated learning and coordination framework developed with input from multiple grantees to support more effective primary healthcare reform. Through this approach, insights from different contributors are brought together, lessons are systematically documented and shared, and technical support is aligned to reduce duplication and increase impact. The framework is aligned with the World Bank Trust Fund Technical Assistance focus areas and Kenya’s national primary healthcare priorities, ensuring learning translates into coordinated action at county level.
Gates Foundation Strategy
Knowledge Management Platform
World Bank BREHS
Why These Counties Matter
These counties face severe health system challenges that disproportionately affect women and girls, who face additional barriers including limited access to respectful maternity care, family planning services
and gender-responsive health financing.
23%
average budget execution (against an 85% target)
40%
40% commodity stockout rates (above acceptable thresholds)
2.8/5.0
Average facility quality scores of 2.8/5.0, below national benchmarks
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These gaps underscore the urgent need for coordinated, scalable solutions that integrate fragmented technical support into effective PHC strengthening. The challenges disproportionately affect women and girls, highlighting the need for gender-responsive interventions.
County Deep Dives
Each county faces unique health system challenges. CJLN’s county deep dives bring together health system context, key challenges, ongoing interventions and progress metrics. This allows counties, partners and policymakers to understand what is working, what is not and why.
Turning Evidence Into Action
Data Resources
Integrated datasets to inform planning and decision-making.
Policy Briefs
Evidence-based recommendations
to support PHC reforms​.
Tool kits & Guides
Practical, step-by-step resources for health workers and administrators.
​
Case Studies
Real-world examples of what has worked across counties.
Research Products
Protocols, processes and publications that strengthen learning and evidence generation.
The CJLN Playbooks
About the Playbooks
These playbooks represent evidence-based approaches. They're designed to support implementation across four key consortia: Performance Management, Healthcare Financing, Quality of Care and Supply Chain Reforms.
​
Each playbook consolidates insights from multiple grantees and is aligned with the World Bank's BREHS initiative and Kenya's national PHC priorities.
Performance Management
Key Partners
Health Systems Insights
IDinsight
ARC
Drive accountability and continuous improvement by leveraging real-time data systems, strengthening governance structures and embedding performance monitoring practices to enhance service delivery and health outcomes across Kenya's primary healthcare system.
Strategic Objectives
Implement real-time data monitoring systems
Strengthen governance and accountability
Develop performance metrics and KPIs
Build capacity for continuous improvement
Making Performance Visible
Interactive dashboard providing real-time insights into primary healthcare performance across Kenya's underserved counties.
Dashboard Overview
The PHC Dashboard consolidates data from multiple sources to provide comprehensive insights into healthcare system performance, resource utilization and service delivery quality across all target counties.
Data Sources
The dashboard integrates data from
County health information systems (KHIS)
Supply chain management systems
Facility assessments and quality audits
Budget execution reports from county governments
County Performance Metrics
Historical data visualization showing progress over time in key performance indicators.
Trend Analysis
Historical data visualization showing progress over time in key performance indicators.
Resource Allocation
Visual breakdown of resource distribution, funding flows and expenditure patterns.
Impact Monitoring
Track the impact of interventions on healthcare access, quality and equity outcomes.
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