Kenya’s healthcare reform under the Social Health Authority (SHA) has recorded a major milestone, with more than 27 million Kenyans now registered for the government’s Free Primary Health Care program.
Health Cabinet Secretary Aden Duale confirmed the achievement on Friday, noting that all registered members under the new system are now eligible for free primary healthcare services across the country.
The milestone comes less than a year since the SHA replaced the defunct National Health Insurance Fund (NHIF), following the launch of the Social Health Insurance Act, 2023, on October 1, 2024.
Duale said the new system—anchored on transparency, inclusivity, and accountability was designed to deliver Universal Health Coverage (UHC) for all Kenyans. The SHA manages three key funds: the Primary Healthcare Fund for preventive and community services, the Social Health Insurance Fund (SHIF) for outpatient and inpatient care, and the Emergency, Chronic, and Critical Illness Fund for high-cost treatments.
“Every Kenyan, regardless of income level, deserves access to quality, affordable healthcare. The SHA is a tool to make that possible,” Duale said.
Formal workers contribute 2.75% of their monthly income, while informal sector contributions are determined by income assessments. Counties and the national government jointly fund service delivery.
Despite the success, hospitals have reported delayed reimbursements and digital registration hitches, while some health workers have raised concerns about understaffing and readiness of facilities.
Earlier this year, Parliament called for tighter oversight to ensure efficient fund management and prevent misuse.
Duale also hosted a delegation from the German Bundestag, led by Mechthild Heil, to strengthen health partnerships under the Global Fund and expand Kenya’s capacity in vaccine production, technology transfer, and disease surveillance.
He reaffirmed Kenya’s commitment to meeting its USD 593.3 million (Ksh 91.8 billion) co-financing obligation to end HIV, TB, and malaria and advance SDG 3 Good Health and Well-being.
“The goal is not just numbers but impact better services, reliable drugs, and accessible care for every Kenyan,” Duale emphasized.
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