#SocialHealthAuthority

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

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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 […]

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President’s Address to the Kenya Medical Association National Governing Council at Fairview Hotel 24.1.2026

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Kenya Medical Association (KMA) National Governing Council (NGC), the Association’s highest decision-making organ, met at Fairview Hotel for its quarterly meeting to reflect on the state of the Association and the broader healthcare system. I began by thanking members for their continued commitment to strengthening KMA. The Association has grown in stature and relevance, and

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No Kenyan Should Die on the Road for Lack of a Chance to Survive

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Over the last few days, I have witnessed scenes that are sadly familiar on Kenyan roads: an accident victim lying helplessly on the tarmac, surrounded by a crowd — angry, confused, well-intentioned — but with no one actually helping. In one incident in Kinoo, residents blocked the road after a hit-and-run accident, demanding that passing

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Protecting Patient Confidentiality in Health Insurance Claims

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POLICY BRIEF Issue The Social Health Authority (SHA) has directed hospitals and doctors to attach theatre notes of surgeries to claim forms for reimbursement. While intended to verify claims, this directive breaches patient confidentiality, contravenes Kenya’s Data Protection Act (2019), and violates international medical ethics. Concerns• Excessive Disclosure: Theatre notes contain sensitive, detailed medical information

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