In exploring Kenyan health sector inequalities, this Chapter assumes the Dahlgren/Whitehead framework of determinants of health status, which includes individual lifestyle factors, social and community networks and general socio-economic, cultural and environmental conditions. Kenya's health status indicators improved with the early independence economic boom and declined as the economy stagnated into the 1980s and beyond. However, the study cautions against simplistic associations, noting the need for status indicators to be treated more seriously if we are to gauge their actual trends. This attention to indicators will only be possible if the management of the health outreach framework and its database is improved to better exploit the various existing substantive policies. This requires a political will that not only implements policy, but also strives to redress pr evious ove r s ight s that have exac e rbat ed heal th s tatus inequal i t i e s , including non-health factors that breed poverty.