Institute for Development Studies, University of Nairobi

European Colonial Powers have shaped the philosophies and the social structures in their former colonies. Institutions currently dominating lives in the African states are a reflection of colonial domination. The thrust of colonial activity was to mould political systems, socioeconomic activities and cultural patterns which were largely consistent with the prevailing or desired European moulds. The greatest hindrances to change in the health and other systems in Africa today lie in what was inherited, however inappropriate. A historical analysis of the Kenyan health care system shows that inheritance from Britain has not been lost, it is being strengthened. The prevailing health system is tailored to suit the growing and inevitable socio-economic classes.