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www.jogh.org • doi: 10.7189/jogh.10.020362 1 December 2020 • Vol. 10 No. 2 • 020362 COVID-19 has been a big burden to both developed and developing countries with the number of infections rising from less than one million cases in February 2020 to more than 28 million infections and 900 000 deaths by September 2020. The trend in the spread of the disease has unexpectedly overburdened even countries with stable health structures and resources. The disease has disrupted economic, social and cultural activities forcing governments to act by supporting vulnerable citizens and the sick with among other measures direct cash transfers, tax reliefs, investing more money into the economies as well as revising health insurance schemes and hospital ownership to deal with the disaster. For example, Spain nationalized all private hospitals [1] (making them accessible by public insurance) and health workers. In addition, Turkey has also included the COVID-19 cover to its universal insurance (SGK) and started providing free masks during the first weeks of the outbreak [2]. Amid the rush to find the ideal response to the pandemic, other globally trending strategies such as imposing curfews, lockdowns, and encouraging social distancing are being adopted by many countries including Kenya [1,2]. However, concerns are rising over the lack of government commitment and policy interventions on how the treatment cost of COVID-19 will be managed and the nature of support vulnerable citizens, especially low-income earners, can receive to cover costs of testing and treatment.

Health coverage and what Kenya can learn from the COVID-19 pandemic