Abstract
<jats:p>This Groundwork builds on Busara Groundwork No. 28 by testing whether the financing barriers identified in the literature are reflected in the lived experiences of healthcare facilities, energy providers, financial institutions, and donors in Kenya. Through primary research across four stakeholder groups, the study finds that healthcare electrification is constrained less by demand, technology, or credit performance than by how capital is structured, risk is perceived, and financing actors are coordinated. It reframes healthcare electrification as a coordination and financing design challenge, offering practical recommendations for unlocking investment and scaling reliable energy access for primary healthcare facilities.</jats:p>