This book traces the health care crisis, reforms and transition in Kenya. The application of the various health care policy reforms and transformational strategic approaches, however, is not designed exclusively for sociologists but to a wide array of health care financing and management specialists such as nurses, public health officers, health administrators and management practitioners. Practically, the book traces the origin and evolution of health care services delivery crisis since the introduction of the Structural Adjustment Programmes (SAPs) in the 1990s and the reforms that were instituted to ameliorate the situation. This book therefore provides useful insights into the implementation of health care reforms in the country and the mechanisms used to steer the health sector out of the SAPs quagmire. The analysis is critical in shading some light on the health care crisis, reforms instituted and the transformation made with regard to users'' satisfaction with health care services, acceptability of user fees and the performance of the District Health Management Boards (DHMBs).