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Our study highlights the importance of differential diagnosis of influenza and other respiratory pathogens and early influenza antiviral treatment. The aim of the present study was to systematically review the progress and challenges on the devolved healthcare system in Kenya. A systematic review design was adopted for the present study. Literature search was on biomedical databases of the most recent available electronic data published in English, that is, between January 2012 and April 2020. The populations for eligible studies were stakeholders