HSRC REPORT: This study describes the current context relating to access to medicines in Kenya , which currently obtains medicines from domestic and international sources. It also outlines the influence of TRIPS on availability of essential medicines in health centers in Kenya. It looks at how TRIPS flexibilities influence the importation of specific drugs and influence the local production of generic products. Local generic manufacturers play an important role, primarily for the public and not-for-profit sectors, but face significant hurdles.