KELIN and FIDA-Kenya, champions of health and women’s rights, have raised the alarm over significant challenges stemming from the shift from the National Health Insurance
Fund (NHIF) to the Social Health Insurance Fund (SHIF). They argue that the ongoing transition, guided by the Social Health Insurance Act, 2023, is undermining Kenyans’ constitutional right to health, particularly for marginalized groups.
The organizations highlighted systemic gaps in the rollout of SHIF, including confusion, lack of public awareness, and insufficient preparation within the healthcare system.
Many facilities have refused services or detained patients over unpaid bills, while care for chronic illnesses has been disrupted.
Vulnerable groups such as persons with disabilities, minorities, and those in poverty are bearing the brunt of these disruptions.
To address these issues, KELIN and FIDA-Kenya are urging the Ministry of Health and the Social Health Authority (SHA) to implement clear guidelines and launch public awareness campaigns.
They also demand the immediate settlement of NHIF claims to ease the financial burden on Kenyans and ensure continuity of services.
Programs like Linda Mama and EduAfya, as well as HIV care, must be prioritized under the new system.
The advocacy groups also warned against the exclusion of marginalized populations in the ongoing digitalization of health records, calling for inclusive systems that leave no one behind.
Additionally, they emphasized the need for functional grievance mechanisms and the establishment of the Social Health Insurance Dispute Resolution Tribunal to address patient complaints.
Calling for a rights-based approach to healthcare, KELIN and FIDA-Kenya reminded the government of its duty to uphold the dignity and rights enshrined in the Constitution.
They insist that the transition to SHIF must prioritize universal health coverage by reducing financial barriers and safeguarding access to equitable care.
