Former Deputy President Rigathi Gachagua has lauded the Social Health Authority (SHA) as a promising universal health insurance initiative but criticised its rushed implementation.
Speaking during a TikTok interview on Thursday, Gachagua said SHA’s rollout deviated from its initial blueprint, leading to widespread teething issues. He argued that insufficient consultation with stakeholders and inadequate preparation compromised its effectiveness.
“This programme was rushed without sufficient time for consultations. While its intention to cover all ailments, including chronic diseases, is commendable, the pace of implementation was too hasty,” he said.
Ousted Deputy President Hon Rigathi Gachagua speaking during a church service at St James ACK in Kiambu. Photo: Rigathi Gachagua Source: Facebook
SHA replaced the National Health Insurance Fund (NHIF) on October 1, 2024. However, Gachagua noted experts had suggested enhancing NHIF with just Sh800 million, as opposed to the Sh104 billion invested in SHA. This, he claimed, would have allowed families to pay Sh300 monthly for comprehensive coverage.
Upon SHA’s rollout, many patients faced challenges, including system downtimes, forcing them to pay out of pocket in hospitals. The government has since acknowledged these problems, assuring the public that most have been resolved.
Gachagua urged the government to revisit the original plan and consult the public on improving the Social Health Insurance Fund (SHIF). “The promise was apt, but implementation has been wanting. We need to incorporate public feedback and adjust the programme to serve its purpose effectively.”
Kenyans currently contribute to SHIF based on income, with the government covering costs for the unemployed and those unable to meet the Sh300 minimum.
Deputy President Hon Rigathi Gachagua during Karen meeting on August 26. Photo: Rigathi Gachagua Source: Facebook
“The criticism is valid. Let’s embrace these views and align SHA with its intended goals for a more affordable and efficient health programme,” Gachagua concluded.
