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A detailed investigation reveals that Kenya’s ambitious digital health initiatives are struggling at facility level, with frontline workers reporting system outages, poor interoperability and training shortfalls. The piece highlights instances where digitisation intended to streamline referrals and stock management instead added administrative burdens and delayed patient care. Health managers called for pragmatic fixes: improved local support, phased rollouts and stronger accountability for suppliers. The analysis warns that technology alone cannot deliver universal coverage without investments in human resources, maintenance and governance to ensure systems advance rather than hinder care.