The government has released KSh 7.7 billion to strengthen Primary Health Care (PHC) as part of the ongoing commitment to achieve Universal Health Coverage (UHC). The funds are expected to enhance access to essential health services across the country, especially at the community and facility level, ensuring that Kenyans receive affordable and quality care close to their homes.
Alongside the funding boost, authorities have intensified efforts to curb fraudulent practices within the Social Health Authority (SHA). Since the introduction of Taifa Care, over KSh 10.6 billion in fraudulent claims have been flagged and rejected. This decisive action underscores the government’s determination to safeguard public resources and ensure that the Social Health Insurance Fund (SHIF) serves its intended purpose financing genuine, life-saving healthcare for citizens.
Fraudulent providers, patients, and facilities have been put on notice, with strict measures including prosecution and recovery of misappropriated funds. Citizens have also been encouraged to play an active role by reporting suspected fraud through SHA’s toll-free number 147. This move aims to foster a culture of vigilance and collective responsibility in protecting the integrity of health financing.
In a bid to strengthen oversight and accountability, the Ministry of Health is partnering with key private insurers including Jubilee Health, AAR, and Old Mutual. Together, they are establishing a Joint Anti-Fraud Action, which will bring greater transparency and collaboration in monitoring healthcare claims. This public-private partnership is designed to close loopholes, reduce waste, and ensure that every shilling invested in health directly benefits Kenyans.
The government’s dual focus on increased PHC investment and fraud prevention is a significant step in accelerating progress towards UHC. By channeling more resources to the grassroots while simultaneously tightening controls on health financing, Kenya is positioning itself to achieve a more equitable, efficient, and sustainable healthcare system.
The disbursement of funds and the heightened crackdown on fraud signal a clear message: public health resources must be used responsibly, efficiently, and exclusively for the benefit of the people. With strengthened accountability mechanisms, collaborative partnerships, and citizen engagement, the country is making strides toward building a resilient health system that leaves no one behind.
