SHA

THE ORTHOPAEDICS DILEMMA: WHEN THE PATIENT HAS INSURANCE BUT CANNOT GET TREATMENT

Nothing illustrates the contradictions in Kenya’s social health insurance system better than the story of JM—not his real name.JM was involved in a road traffic accident and suffered a serious fracture involving the head of his femur. He was in severe pain and required urgent orthopaedic intervention.On paper, JM is insured.He personally pays his annual […]

THE ORTHOPAEDICS DILEMMA: WHEN THE PATIENT HAS INSURANCE BUT CANNOT GET TREATMENT Read More »

The Vendor Economy: Is Kenya’s Public Healthcare Financing Becoming a Marketplace for Middlemen?

Who benefits from new government levies?One of the questions that increasingly occupies my mind whenever a new government levy, contribution or mandatory payment is introduced is not simply how much money will be collected, but who ultimately benefits from collecting and administering it. The Vendor ModelThere appears to be a recurring pattern in the current

The Vendor Economy: Is Kenya’s Public Healthcare Financing Becoming a Marketplace for Middlemen? Read More »

Is It Time to Change Kenya’s Health Insurance Model?

My colleague sort treatment at a health facility where her cdition needed surgical intervention. The admitting officer informed my colleague that she owed SHA KES 42,000, but proceeded to inform her that even after paying the SHA premiums the procedure was an exclusion as per the gazetted procedures that SHA pays for. My colleague used

Is It Time to Change Kenya’s Health Insurance Model? Read More »