FIX SHA & THE BROKEN HEALTHCARE SYSTEM BEFORE IT’S TOO LATE

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Opinion By Tislam Ali, Journalism Student, KCA University.

Image: Health CS, Dr. Deborah Barasa merged (SHA)


Kenya's transition from the National Health Insurance Fund (NHIF) to the Social Health Authority (SHA) was intended to enhance healthcare delivery. However, the rollout has encountered significant challenges, leading to confusion and frustration among citizens. Many Kenyans are experiencing increased deductions from their payslips for SHA contributions, yet the coverage provided often falls short of actual medical expenses. For instance, there have been reports of patients requiring substantial medical funds, with SHA covering only a minimal portion, leaving families in distress.


Compounding the issue, over 600 private hospitals under the Rural and Urban Private Hospitals Association of Kenya (RUPHA) have suspended services to SHA patients, citing unpaid claims and financial constraints. This suspension has left many patients, including civil servants like teachers and police officers, without access to essential healthcare services. (biznakenya.com) Although there have been negotiations to lift the ban on SHA services, the situation remains precarious, with hospitals awaiting payment of verified claims. (businessdailyafrica.com)


The government acknowledges these challenges, attributing some issues to financial constraints and the withdrawal of the Finance Bill 2024. Deputy President Kithure Kindiki has hinted at the introduction of new taxes to bridge the funding gap and ensure the sustainability of SHA. (tuko.co.ke) Additionally, the Ministry of Health has reported that while over 19.3 million Kenyans have registered for SHA, only 3.33 million have undergone means testing, highlighting implementation challenges. (health.go.ke)


To restore public confidence and ensure the success of SHA, the government must address these systemic issues promptly. This includes clearing outstanding debts to healthcare providers, improving the efficiency of means testing, and ensuring that contributions align with the coverage provided.


Without these critical interventions, the promise of universal healthcare for all Kenyans remains uncertain. It is high time we took our healthcare matters with a lot of seriousness.

Image: NHIF/SHA


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Tislam Ali is a Journalism and Digital Media student at KCA University.

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