NAIROBI, Kenya — The Ministry of Health has signed its first-ever Collective Bargaining Agreement (CBA) with the Kenya Union of Clinical Officers (KUCO), marking a significant milestone in strengthening labour relations within Kenya’s health sector.
The agreement, announced by Health Principal Secretary Mary Muthoni, follows months of structured negotiations and constructive dialogue between the government and clinical officers.
It fulfills commitments made under the Return-to-Work Formula signed on July 10, 2024, reaffirming the government’s pledge to maintain industrial harmony and lawful engagement with healthcare workers.
Today marked a historic milestone as the Ministry of Health signed its first-ever Collective Bargaining Agreement (CBA) with the Kenya Union of Clinical Officers (KUCO).The agreement reflects months of structured negotiations, constructive dialogue, and a shared commitment to
Enhanced Health Risk Allowance
Upon registration by the Employment and Labour Relations Court, Clinical Officers serving under the National Government will receive an enhanced Health Risk Allowance of Sh7,000 per month, effective July 1, 2025.
This represents a Sh4,000 increase from the current rate.
The allowance increment is aimed at recognizing the risks faced by clinical officers who remain at the frontline of service delivery in hospitals and health facilities across the country.
Strengthening Universal Health Coverage
Clinical officers form a critical pillar in Kenya’s healthcare system, particularly in primary care and rural health facilities. The new CBA formally recognizes their indispensable role in advancing Universal Health Coverage (UHC), a key government priority.
Speaking after the signing, PS Muthoni described the agreement as a testament to the power of dialogue, partnership and trust in building a resilient, people-centered health system.
“This milestone underscores the power of dialogue, partnership and trust in strengthening Kenya’s health system,” she said.
The agreement is expected to improve morale among clinical officers and enhance service delivery across the country, setting a precedent for structured engagement between the Ministry and health sector unions moving forward.



