Kenya, 19 January 2026 - Kenya’s escalating drug and substance abuse crisis has prompted a renewed policy response, with the National Government announcing plans to establish rehabilitation centres in every county in collaboration with County Governments.
The move comes amid a nationwide crackdown on illegal and substandard rehabilitation facilities and growing concern over the limited capacity of accredited treatment centers.
For decades, drug and substance abuse has remained a persistent challenge, particularly among the youth.
High treatment costs and inadequate public facilities have left many families struggling to access care, creating fertile ground for unscrupulous operators who have set up unauthorized rehabilitation centers and exploited vulnerable households.
These gaps were exposed recently when the National Authority for the Campaign against Alcohol and Drug Abuse (NACADA) ordered the immediate closure of 15 rehabilitation centres found to be operating in violation of required standards.
According to NACADA Chief Executive Officer Anthony Omerikwa, the decision followed a Rapid Results Initiative conducted in November 2025, during which a multi-agency team inspected 236 treatment facilities across 36 counties.
The inspections revealed that only 135 centres met the minimum accreditation standards.
Collectively, these compliant facilities offer approximately 3,800 residential beds, underscoring the severe shortage of safe and regulated rehabilitation services nationwide. NACADA said the closures were aimed at protecting patients and ensuring that only properly licensed and professionally managed institutions remain operational.
In response to these findings, the National Government has unveiled a plan to address the structural deficit in rehabilitation services. Speaking on the initiative, Dr Raymond Omollo, the Principal Secretary for Internal Security and National Administration, admitted that the shortage of rehabilitation centres is the result of years of underinvestment.
“It is true we do not have adequate rehabilitation centers across the country. This issue has been caused by the underinvestment and underdevelopment that we, as a government and a country, have failed to address over the years,” Omollo said, adding that the problem is historical rather than new.
Under the direction of President William Ruto, the government will work with County Governments through the Council of Governors to ensure that each county has at least one rehabilitation centre.
Omollo explained that counties will be required to provide land, while the National Government will finance the construction of the facilities. Once completed, the centers will be managed by County Governments in line with their devolved responsibilities.
A major policy shift accompanying the initiative is the inclusion of drug addiction treatment and care under the Universal Health Care framework through the Social Health Authority.
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This is expected to significantly reduce the financial burden on families seeking rehabilitation services.
“In the past, drug addiction has been viewed differently, but it is a disease like any other,” Omollo said.
“As a society, we must treat drug addiction with the same care we provide for other diseases that Kenyans are struggling with.”
The scale of the challenge is reflected in recent data from NACADA and related studies conducted between 2022 and 2025.
The reports indicate that one in every six Kenyans aged between 15 and 65—approximately 4.7 million people—currently uses at least one drug or substance of abuse.
One in every three men is affected, compared to one in every sixteen women.
Alcohol remains the most widely consumed substance, with about 3.2 million Kenyans using it, followed by tobacco at 2.3 million users.
Khat (miraa) and cannabis also feature prominently. An estimated 10.4 percent of the population suffers from alcohol use disorders, while 6.8 percent are affected by tobacco use disorders.
“Today, almost every household is affected, either directly or indirectly,” Omollo observed.
“People who should be actively engaged in nation-building are completely unable to do so, and this has had serious social and moral consequences.”
As Kenya moves to shut down illegal facilities while expanding public rehabilitation infrastructure, the success of the strategy will hinge on sustained investment, effective regulation, and a shift in public perception—treating addiction not as a moral failure, but as a public health challenge requiring long-term, accessible care.

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