Kenya has a well-established clinical research oversight system supported by a strong legal and institutional framework. Ethical review is implemented through a decentralized network of NACOSTI-accredited ISERCs operating across academic, research, and clinical institutions. National coordination and accountability are maintained through NACOSTI, while regulatory oversight of clinical trials and regulation of health products is led by PPB, helping to ensure alignment between ethical review processes and product regulation.
The country has a high level of research activity, including multi-site and multi-country studies, which places increasing operational and review demands on ethics and regulatory systems. In response, Kenya continues to explore opportunities to strengthen coordination between ethics committees and regulatory authorities, streamline review pathways, and enhance transparency and efficiency, including the progressive adoption of digital systems to support ethics and regulatory oversight.
The KEMRI’s Scientific and Ethics Review Unit (SERU) has prioritized the following key outcomes to be achieved through the TRACE project initiative:
MTRH/MU – ISERC has prioritized the following key outcomes to be achieved through the TRACE Project initiative:
To re-engineer protocol review workflow by transitioning to a committee-centred review model with a closed pool of expert reviewers holding formal appointment letters; develop SOPs for reliance agreements and parallel submission of clinical trial protocols; and establish a dedicated review pathway for clinical trial protocols. Target: reduce review timeline to less than 60 days.
To drive RHInnO platform adoption through phased, hands-on training workshops for all committee members and expert reviewers; and leverage on automated protocol tagging & AI-assisted review features; to upgrade the digital system to enable full protocol review – amendments, continuing review, reporting of SAEs; and to integrate the digital system with that of NACOSTI and PPB. Target: achieve 75% digital adoption.
To formalize ISERC work value by negotiating inclusion in MTRH and Moi University promotion criteria; and establish Annual Service Excellence Awards and formal recognition program. Target: improve reviewer satisfaction by 25%.
To implement continuous training programs covering research ethics, regulatory standards, AI in research, and post-approval monitoring. Target: 100% capacity certification.
To engage financial consultant to audit current processes, develop diversified revenue streams, and reintroduce continuing review fees. Target: achieve 50% operational budget coverage with <10% variance.
NACOSTI has proposed the following priority outcomes to strengthen clinical trials ethical review and oversight in Kenya: