The 2013 Kenya Household Health Expenditure and Utilisation Survey (2013 KHHEUS) represents the continued effort and commitment by the Ministry of Health (MoH) to ensure the availability of data on trends on health service utilisation and out-of-pocket spending. This report presents the findings of this survey, with a special focus on healthcare service use, out-of-pocket spending on health, factors that influence healthcare use and expenditure, and health insurance coverage. In addition, the report highlights the trends on healthcare utilisation and expenditure from 2003 to 2013.