Government to Roll Out Standardized SHA Payment Guidelines for Vulnerable Households

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The Ministry of Health is preparing to release standardized payment guidelines for the Social Health Authority (SHA) medical cover targeting indigent and vulnerable households, a move aimed at advancing the implementation of Universal Health Coverage (UHC).

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Following consultations with the Council of Governors (CoG), the Ministry has pledged to issue the guidelines by April 28. These will assist counties in incorporating the necessary allocations into their workplans and budgets for the upcoming fiscal year.

According to a joint statement by Health Cabinet Secretary Aden Duale and CoG Vice Chairperson Mutahi Kahiga, the identification of qualifying households will be a collaborative effort involving the Ministry of Health, the Council of Governors, and the State Department for Social Protection. Both levels of government will jointly finance the coverage.

Kahiga emphasized the critical role of counties in healthcare delivery, calling for broad cooperation to achieve the shared goal of quality and affordable healthcare for all Kenyans. “We have a significant responsibility that requires joint planning, partnerships, and extensive consultation,” he stated.

The announcement came during a joint review forum between the Ministry of Health and the CoG, which focused on UHC implementation. The session also addressed several key health sector initiatives, including the Building Resilient and Responsive Health Systems (BREHS) project, assistive technology rollouts in counties, waste management solutions, postgraduate medical training, and the implementation of the Social Health Insurance (SHI) Act, 2023.

As part of this initiative, the government aims to extend SHA medical coverage to the nation’s poorest households. The State Department for Social Protection will use existing resources—such as the Social Registry and the Inua Jamii program—to identify eligible beneficiaries, whose data will then be verified by the SHA.

Eligible households will receive one year of medical cover, as part of the government’s broader push to ensure equitable healthcare access for Kenya’s most vulnerable populations.