Health Sector Organising: East Africa
Health sector organising in East Africa is gaining momentum but faces significant challenges. Health workers continue to face precarious working conditions, underfunded public systems, and creeping privatisation—all of which intensify the urgency for effective unionisation and collective action. Key elements of effective health organising include sustained leadership development, clear campaigns, regional collaboration and coordinated action. PSI, in partnership with FORSA, has been actively working toward these goals.
Health sector organising in East Africa remains a vital yet complex terrain. Across countries like Kenya, Uganda, Tanzania, and Rwanda, health workers continue to face precarious working conditions, underfunded public systems, and creeping privatisation.
For workers, a challenge lies in harnessing their collective strength to build disciplined, majority-led structures united by common goals, enabling them to win the campaigns that they undertake. This is the basis of Jane McAlevey's "Organising for Power's Core Fundamentals" and it was with this in mind that a two-day training was implemented by FORSA in Kigali, Rwanda (1- 2 October, 2024). The training was conducted by the Assistant General Secretary of FORSA, Hazel Nolan and covered: leader identification, semantics, structured organising conversations, charting and structured tests.
The training led to a clear and immediate benefit: a notable increase in union membership among participants' organizations.
In Senegal, participants used their skills to support community health workers in boosting membership and advancing the inclusion of women in union leadership—achieving both numerical growth and stronger gender representation.
In Ghana, participants helped the Ghana Health Services Workers Union expand by reaching out to workers in the private health sector, demonstrating the training's effectiveness in building solidarity across public and private sectors.
In Kenya, participants supported the Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) in organizing private healthcare workers, resulting in increased membership and strengthened union unity and solidarity nationwide.
Additionally, this project supported an organiser in ACTIVATING UNIONS FOR PEOPLE BEFORE PROFIT. Challenging profit extraction & privatisation of health care in Kenya.