NACADA Board Endorses Community‑Based Rehabilitation Guidelines to Expand Kenya’s Addiction Care
NACADA’s Board of Directors validated the Community‑Based Rehabilitation (CBR) Guidelines, the highest organisational commitment to demand‑reduction in Kenya.

In Brief
- •NACADA’s Board of Directors validated the Community‑Based Rehabilitation (CBR) Guidelines, the highest organisational commitment to demand‑reduction in Kenya.
- •The guidelines aim to decentralise addiction services to the grassroots, addressing a treatment gap of only 135 accredited facilities with 3,790 beds.
- •They target 1.36 million Kenyans with severe alcohol use disorder and 887,627 with severe tobacco use disorder, offering low‑cost, community‑centred care.
- •Key interventions include community outreach, outpatient programmes, medication‑assisted treatment, peer support, and mobile units integrated into primary health care.
Why It Matters
Kenya’s addiction treatment infrastructure is severely limited, with a small number of facilities unable to meet the needs of over a million people suffering from alcohol and tobacco disorders. By decentralising services through community‑based rehabilitation, the new guidelines promise to increase accessibility, reduce stigma, and provide a continuum of care that extends beyond clinical treatment to social reintegration. This shift could significantly improve public health outcomes and reduce the societal burden of substance abuse.
Key Details
- Validated Guidelines
- Community‑Based Rehabilitation (CBR) Guidelines
- Accredited Facilities
- 135
- Bed Capacity
- 3,790
- Severe Alcohol Use Disorder Population
- 1.36 million
- Severe Tobacco Use Disorder Population
- 887,627
Context & Background
Kenya has historically struggled with a treatment gap, offering limited formal rehabilitation options for its large population of substance‑abusing individuals. The CBR framework seeks to bridge this gap by embedding addiction care within existing community and primary health structures.
Original Reporting & Sources
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