Kenya Refugees Face New Health Hurdle as IOM Introduces Mandatory TB Testing
Nairobi, 26 January 2026
Refugees in Kakuma and Kalobeyei camps must now complete tuberculosis screening through IOM Kenya before resettlement abroad. This mandatory health requirement affects thousands seeking new lives in countries like the UK, US, Canada, and Australia. The testing costs approximately KES 8,000-16,000 and must be completed at authorised facilities in Nairobi or Mombasa. Failure to undergo screening could significantly delay resettlement processes, creating additional barriers for vulnerable populations already waiting years for third-country placement.
Understanding the New TB Testing Requirements
The International Organization for Migration (IOM) Kenya now requires mandatory tuberculosis testing for refugees and migrants planning to resettle, study, or migrate abroad [1]. This health screening particularly affects refugees in Kakuma and Kalobeyei camps who are preparing for third-country resettlement programmes. The TB testing forms part of enhanced medical examinations required by destination countries and must be completed through IOM Kenya’s authorised medical facilities [1]. Countries requiring TB screening include the United Kingdom, United States, Canada, Australia, New Zealand, Belgium, Germany, and Norway [1]. The testing is mandatory for people from high TB burden countries like Kenya who are travelling to certain destinations for long stays, usually over six months [1].
Cost and Testing Procedures
TB testing costs vary depending on the destination country. For those applying for UK visas, the cost is KES 16,000 [1], whilst other applications may cost approximately KES 8,000 [2][3]. The fee is non-refundable and must be paid after scheduling an appointment [1]. TB testing is carried out at IOM Health Assessment Centres in Nairobi and Mombasa, which are equipped with certified laboratories and experienced medical staff [1]. The testing typically uses chest X-rays, sputum tests, and blood tests such as IGRA, depending on the visa requirements of the destination country [1]. Appointments must be booked in advance through official channels [1].
Required Documentation and Timeline
Refugees attending their TB test at IOM Kenya must bring their original passport, national ID if available, and a printed appointment letter [1]. These documents are required for identification and verification before testing begins [1]. If everything is in order and no further tests are needed, the TB clearance certificate will be issued on the same day [1]. The certificate remains valid for six months and must be submitted with visa applications [1]. Refugees should contact their resettlement case workers for specific testing schedules and requirements, as failure to complete the screening could delay resettlement processes [GPT].
Impact on Resettlement and Migration Pathways
The TB testing requirement represents more than just a visa prerequisite—it serves as a step toward protecting health and the safety of communities that refugees will join abroad [1]. Delaying or skipping the test can lead to visa refusal or extended processing times, making early and accurate completion essential [1]. For students seeking UK visas, the testing forms part of a broader application timeline that includes applying to universities 3-6 months before travel, accepting offers and receiving Confirmation of Acceptance for Studies 2-3 months before, taking TB tests 6 weeks before, and applying online 4-6 weeks before travel [2]. Healthcare workers from Kenya also require TB testing at IOM Nairobi as part of their Health and Care Worker Visa applications [3].