Facility financing constraints and chronic disease continuity in rural Kenya

Background:
Primary care facilities often struggle to sustain hypertension and diabetes services when reimbursement delays, stockouts, and narrow budget autonomy restrict routine operations.

Methods:
Mixed-methods assessment across seven facilities using interviews, facility records, and financing process review.

Findings:
Facilities reported frequent stockouts, delayed procurement approval, and limited ability to redirect locally generated funds toward chronic care needs.