The Turkana County Fiscal Strategy Paper (CFSP) 2025 is a policy document which has outlined strategic priorities and policy goals for the progressive realisation of H.E Governor Jeremiah Ekamais Lomorukai Napotikan’s 9-Point Agenda with emphasis on food security, water as a universal right, revenue enhancement, public private partnerships, health care, education and partnerships building over the medium-term period. The document generally sets out the county’s sectoral policy goals and strategic priorities which will be the basis for the formulation of the County’s Financial Year 2025/2026 budget estimates expenditure, revenues and the medium-term projections. These priorities are based on and have been outlined in the Annual Development Plan (ADP) 2025-2026, the third generation County Integrated Development Plan (CIDP) 2023-2027, the Medium Term Plan (MTP) IV ,the Bottom-up Economic Transformation Agenda ( BETA) and the Kenya Vision 2030. The paper is a build-up on the County Budget Review and Outlook Paper (CBROP) 2024, wherefrom the performance of the previous FY 2023/2024 has been examined and reviewed. The document has furthermore given a global and local medium term outlook in addition to providing sector budget ceilings that will inform budget estimates for the next financial year. The main sources of the county’s revenue for the next financial year and in the medium term, is expected to be equitable share, conditional grants, local revenue collections and development partners donor funding. According to the Commission on Revenue Allocation recommendation and the draft County Allocation of Revenue Bill 2025, Turkana County is expected to receive approximately KES 13.8 billion as Equitable Share though the Fourth basis framework formular used to allocate revenue to counties is currently under contestation. The Own Source Revenue is expected to be in the region of KES 380M. We expect to receive grants worth KES 2.99 billion from development partners. The expected revenue is not adequate enough to fund the priorities for next financial year as outlined in the Sector Working Group reports. According to the resource requirements for all sectors, we require approximately KES 28.3 billion to fund sectors priorities yet we anticipate to receive KES 17.1 billion, implying a glaring deficit of KES 11.2 billion. We have prioritized completion and operationalization of stalled projects spread across the County and the County Treasury has proposed a ward development allocation of KES 1.5 billion for the completion of these projects . We are minimizing creation of new projects because Equalization fund and other development partners are creating and implementing new projects across all wards .We shall continue with progressive payments of accumulated pending bills that have been verified and audited. We have allocated KES 750 Million for the settlement of pending bills. We have provided resources for grants counter funding. We have allocated and ring fenced resources for the provision of the most critical goods and services. We have allocated KES 320M for Lodwar Level B Hospital, which is an ongoing multi year flagship project. The recent suspension of the USAID aid programmes is expected to result into increased demand for more resources allocation to the medical sector to plug in the gap in terms of personnel costs, medical supplies, nutrition, WASH and medical facilities operations