The Ministry of Health has introduced a panel of experts from the University of Nairobi to evaluate and propose major reforms to the Social Health Insurance (SHA) system.
The newly established Benefits Package and Tariffs Advisory Panel (BPTAP) will operate under the Centre for Epidemiological Modelling and Analysis (CEMA) at the University of Nairobi. The panel includes professionals specializing in health economics, epidemiology, actuarial science, and healthcare to ensure a well-rounded approach to improving SHA.
Health Cabinet Secretary Deborah Barasa stated that the panel’s primary role will be to review and suggest comprehensive healthcare benefits packages, recommend fair pricing models for medical services, and continuously assess the impact of the SHA system.
Immediate Action Plan and Long-Term Goals
CS Barasa confirmed that the panel will begin work immediately, with a detailed review of the healthcare benefits package expected to be completed within two years. She emphasized that this advisory body will play a crucial role in shaping policies for the Social Health Insurance Programme (SHIP), ensuring that the system remains efficient and beneficial to all Kenyans.
She further highlighted that the formation of this expert panel is a step towards enhancing transparency and accountability in the health sector. The government aims to strengthen the country’s journey toward Universal Healthcare Coverage (UHC) while addressing financial challenges within the healthcare system.
Ensuring Affordable and Sustainable Healthcare
The panel will focus on prioritizing cost-effective and high-impact health interventions to guide how resources are allocated. This approach aims to ensure every Kenyan can access quality healthcare without financial strain.
“We are working closely with academic institutions, the private sector, and civil society to foster strong partnerships. Our goal is to create a transparent, accountable, and inclusive healthcare system that reflects the needs of all stakeholders,” said CS Barasa.
SHA Registration Progress and Digital Transition
The CS also revealed that over 19.3 million Kenyans have registered under SHA, showing significant progress in the rollout of the Social Health Authority (SHA). So far, 8,813 out of 17,755 active health facilities have successfully enrolled in the program.
However, the Ministry acknowledged some ongoing challenges. Despite the progress, issues such as low registration rates on weekends and slow uptake in counties like Turkana, West Pokot, and Samburu remain a concern. To address these challenges, the government plans to expand community outreach programs and ensure a smooth transition from manual to digital healthcare systems in all medical facilities.
The government reaffirmed its commitment to building a healthcare system that guarantees fairness, affordability, and long-term sustainability, working closely with key stakeholders to improve healthcare access for all Kenyans.
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