The document summarizes factors that influence decision-making for foot-and-mouth disease control in Kenya. Key informant interviews revealed inconsistent prioritization of animal disease control, separate lines of strategic guidance and accountability/budgeting, and private veterinarians involved in disease reporting and vaccination outside of official guidance and accountability. There are opportunities to provide more relevant disease data to farmers and veterinarians and ensure information flows in both directions. Strengthening FMD control could include reinforcing programmatic strengths through a participatory national strategy, integrated public-private partnerships, and accountability mechanisms that promote two-way communication.