(Nairobi) – The shift from the National Health Insurance Fund (NHIF) to the newly introduced Social Health Insurance Fund (SHIF) in Kenya is a critical move in the nation’s ongoing efforts to achieve Universal Health Coverage (UHC). The transition aims to expand healthcare access across the country and improve service delivery. However, the rollout of SHIF has been marred by confusion and concerns over its affordability and efficiency, particularly for those in the informal sector.
The government has promised that SHIF will offer comprehensive coverage, which includes outpatient services and management of chronic diseases, but there is growing skepticism among citizens. While the promise of broader health benefits is appealing, many Kenyans worry that the system’s monthly contribution requirements may place an undue financial strain on people working in the informal sector, who often lack stable incomes.
President William Ruto’s appeal for patience with the rollout is understandable, but it must be backed by clear, measurable results. The execution of this new health plan has already faced significant challenges, particularly affecting patients with chronic conditions. These individuals, who rely on consistent care, have experienced disruptions in their access to necessary services, highlighting the need for a smoother, more efficient transition.
Transparency and accountability must be central to the implementation process to ensure the public’s trust in SHIF. The government has assured the public that no one will lose their job due to this transition, a commitment that has been welcomed. However, without a clear strategy for addressing the hurdles that have surfaced during the rollout, the success of this health reform remains uncertain.
As Kenya moves toward achieving UHC, it is crucial for the government to address these concerns promptly. The affordability of contributions, the efficiency of service delivery, and the smooth integration of the informal sector into the system will determine the long-term success of SHIF.