Abstract
This paper re-examines Kenya's community health data pipeline against sources researched fresh rather than carried over, and corrects two figures the prior body stated as fact: the household-to-promoter ratio is 20 households (about 100 people) per Community Health Promoter, not 100 households, and the supervisory ratio is 20 CHPs per Community Health Assistant, not twelve to fifteen — both now verified directly against the Ministry of Health's own 2024 clinical guidelines. The paper's central finding is a genuine complication to its own prior framing: Kenya has already rolled out a national electronic Community Health Information System (eCHIS), reaching all 47 counties with a peer-reviewed reported utilisation of roughly 95% among ~107,000 Community Health Promoters, so the "it's all still paper" premise this paper previously argued from is no longer accurate nationally. The same peer-reviewed source, read in full rather than selectively, documents real limitations in that rollout — device delivery delays, server capacity shortfalls, heavy donor dependence, uneven county coverage — and 2025 press reporting independently documents frontline failures, including a case of a digital referral that carried no priority at the receiving facility. A 2020 peer-reviewed study of Kenyan and Malawian community health workers grounds the data-quality argument independently of Flux's own fieldwork, finding only 15% of data reported consistently between workers and supervisors. Flux's own single-sub-county table is retained but explicitly labelled as internal and unaudited rather than presented as evidence. The objections section engages directly with whether the national rollout has already solved the problem this paper describes, concluding that substantial progress and a real remaining gap are both true. Falsification conditions, limitations, and both appendices are added. Two measurements the argument needs and lacks — an independently audited national data-completeness figure and a specified technical integration standard between eCHIS and facility-level DHIS2 records — are registered CITATION-NEEDED.