
The Ministry of Health is requesting an additional Sh6 billion in the supplementary budget to strengthen primary healthcare and support the emergency and chronic illness fund under the Social Health Authority (SHA). The request comes as concerns grow over accountability in the new health scheme.
Medical Services Principal Secretary (PS) Harry Kimtai made the appeal on Thursday while addressing the National Assembly’s health committee. He emphasized that a government gazette notice had been issued to communicate changes in benefits, including an increase in oncology coverage from Sh400,000 to Sh550,000.
"If you are a cancer patient, payment of your SHA premiums will entitle you to quality cancer treatment in all Level 4, 5, and 6 hospitals, with the benefit package rising from Sh400,000 to Sh500,000," Kimtai stated.
According to Kimtai, SHA has already registered 20.2 million Kenyans, further justifying the need for Sh3 billion to support primary healthcare in Level 1, 2, and 3 hospitals. He assured that services in these facilities remain free for registered members.
"Primary healthcare is not limited to public hospitals. Private and faith-based institutions at Levels 3 and 5 have also been contracted, and they are entitled to payments based on capitation," Kimtai added.
During the session, legislators raised concerns about challenges facing Kenyans under SHA, particularly in accessing funds and tracking payments to healthcare providers.
Health Committee Vice Chairperson Patrick Ntwiga, the Chuka/Igambang'ombe MP, questioned the lack of transparency in the new scheme compared to the National Health Insurance Fund (NHIF).
"In NHIF, health facilities could access the system to verify how much they had received per patient. But under SHA, they cannot see the payments, and providers are unable to explain how much they have been paid," Ntwiga noted.
Kimtai and other agency heads responded by promising to publish all payments made to health providers. This, they said, would allow the public to know how much they are entitled to, where they can receive care, and what specific services are covered.
Additionally, Treasury officials faced questions about delays in disbursing funds to hospitals. Lawmakers warned that these delays were limiting the ability of healthcare facilities to provide quality services to patients.
The Ministry of Health now faces mounting pressure to not only secure the additional funding but also to improve transparency and ensure efficient use of resources in the SHA program.
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