SHA Isn’t Working, MPs Now Say

Members of Parliament (MPs) have voiced significant concerns over the operational failures of the new Social Health Authority (SHA), intended to supersede the now-defunct National Health Insurance Fund (NHIF).

During a recent meeting in Naivasha, MPs grilled Medical Services Principal Secretary Harry Kimtai, SHA Acting CEO Robert Ingasira, and Board Chairman Abdi Mohamed about the health plan’s execution. The parliamentarians highlighted patient hardships, including hospital rejections due to system downtimes and prolonged approval processes.

MPs criticized the SHA for its slow claim processing and system failures, which they argue endanger lives by delaying necessary medical care. They demanded an exhaustive list of contracted hospitals, a feasibility study report, and explanations for the scheme’s implementation issues.

The SHA, launched under President William Ruto’s administration, aimed to establish three health funds: the Social Health Insurance Fund (SHIF), Primary Healthcare Fund, and Emergency and Chronic Illnesses Fund. However, the MPs, including Suba North’s Millie Odhiambo, have suggested a potential return to NHIF if SHIF doesn’t improve within six months.

Mumias East MP Peter Salasya labeled SHIF a “scam,” questioning its public participation and effectiveness, especially for those with chronic conditions. Kabondo Kasipul MP Eva Obara and others criticized the 2.75% salary contribution, urging a review due to its impact on salaried Kenyans.

The session also saw frustration over the lack of clarity from SHA leaders. MPs were unsatisfied with the response from Chairman Abdi Mohamed, who directed them to a website for information, leading to demands for more direct communication from higher-ups like the PS or CEO.

The implementation of SHA has drawn widespread public criticism, with many Kenyans comparing it unfavorably to the previous NHIF system. Health Cabinet Secretary Deborah Barasa faced public outcry when Grace Njoki Mulei, a patient with multiple health issues, disrupted a press conference to highlight her struggles with the new system.

In response to MP queries, PS Kimtai defended SHA’s long-term goals for universal healthcare but admitted to needing more funding to enhance operations. He also confirmed that no former NHIF staff would lose jobs, with all being integrated into the new public service framework.

National Assembly Speaker Moses Wetang’ula has ordered further discussions between the Health Committee and SHA next week, aiming for a detailed response to parliamentary concerns by February 11, 2025.

The SHA’s rollout has been contentious, with hospitals reporting significant delays in claim processing, affecting patient care and hospital finances.

The MPs have urged a thorough review of the system to ensure it meets the needs of the public.