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RUPHA wants answers on SHA payments as CS Duale defends reforms

It also raised concerns over the closure of SHA branches, reduced funding for regulatory bodies, and the delay in setting up the Disputes Resolution Tribunal.

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by GEOFFREY MOSOKU

News26 August 2025 - 15:00
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In Summary


  • RUPHA linked the challenges facing SHA to decisions taken during the transition from the defunct National Hospital Insurance Fund (NHIF), saying these had affected verification and oversight systems.
  • On Monday, Health Cabinet Secretary Aden Duale dismissed criticism, saying it was driven by misinformation.

SHA chairman Abdi Mohamed and Health CS Aden Duale during a press conference in Nairobi on Monday

The Rural & Urban Private Hospitals Association of Kenya (RUPHA) has called on the Ministry of Health to explain recent Social Health Authority (SHA) payments that the association says have raised concerns.

RUPHA linked the challenges facing SHA to decisions taken during the transition from the defunct National Hospital Insurance Fund (NHIF), saying these had affected verification and oversight systems.

On Monday, Health Cabinet Secretary Aden Duale dismissed criticism, saying it was driven by misinformation.

“No amount of propaganda or blackmail will deter us from fixing our healthcare system. We know those undermining SHA have recruited several groups, including some sections of the media, to advance their agenda,” Duale wrote on his X handle.

He added, “Let them be warned: We are fixing this thing regardless of the noise! Our work has just begun. We will not rest until every Kenyan has access to quality, affordable, and dignified healthcare, free from the burden of fraud.”

In response, RUPHA criticised what it termed as misplaced priorities in the rollout of SHA’s systems.

 The association questioned the Sh104 billion IT platform acquired by the Ministry of Health, arguing that the lack of adequate personnel to physically verify facilities had left gaps in oversight.

“Hon CS Aden Duale, start by addressing the Sh104 billion fraud detection system,” RUPHA said in a post on its X account.

The association further noted that under NHIF, field surveillance officers and quality assurance officers were in place to verify health facilities, but many of these roles were abolished or redeployed after SHA’s establishment.

It also raised concerns over the closure of SHA branches, reduced funding for regulatory bodies, and the delay in setting up the Disputes Resolution Tribunal.

RUPHA added that the ICT directorate at SHA had been scaled down, with some of its functions transferred to private providers, which it claimed undermined accountability.

Meanwhile, the Ministry of Health said it had invited the ICT Authority to investigate the circumstances under which the SHA website, which hosts beneficiary details, went offline.

The Kenya Master Health Facility Registry (KMHFR) — which provides information on hospital facilities, their capacity, and payments — was also inaccessible, limiting public access to the data.

Health Principal Secretary Ouma Oluga confirmed the ICT Authority was looking into the disruption.

The registry has since been restored online.