By Sylvia Mueke
Patients managing chronic diseases and enrolled into the new health scheme the Social Health Authority (SHA) are facing widespread frustration as essential healthcare services covered under the scheme remain unavailable at many hospitals across the country.
A recent survey by the Non communicable diseases Alliance of Kenya NCDA-K has revealed disparities between the services offered by hospitals and enlisted the commission signaling systemic issues within SHA
According to the Caucus of Patient-Led Organizations of Non-Communicable Diseases this has led to wanton suffering and pain from the NCDs patients.
Speaking the media, Vice Chair of the NCD Alliance John Gikonyo revealed that patients are waiting for hours for critical services including diagnostic imaging and specialized procedures, which have exacerbated patient distress and left many without the care they need.
“At Kenyatta National Hospital and Kenyatta University Referral Hospital, patients report waiting for hours for critical services, including diagnostic imaging and specialized procedures. These systemic delays, combined with technical failures, have exacerbated patient distress and left many without the care they need.”
The survey, conducted on October 24-25, 2024, included responses from public and private hospitals in Nairobi, Kiambu, Meru, and Bomet counties.
Private facilities like Nairobi Hospital and Ruai Family Specialty Hospital have reportedly limited SHA coverage to civil servants in specific job groups.
As a result, many patients, particularly those with high-risk conditions like cancer or kidney disease, are forced to pay out of their own pockets to access medical services.
“What used to be covered by NHIF, like outpatient and drug refill services, is no longer covered, adding significant financial strain. This lack of coverage for basic healthcare needs is limiting access to necessary care, especially for the most vulnerable patients.” Said Executive Director, NCD Alliance, Catherine Karekezi.
The survey also highlights inconsistencies in access to specialized care. Mission hospitals such as Tenwek Hospital reported having no SHA coverage, while public hospitals like Mama Lucy Kibaki and Mbagathi Hospital were unable to perform advanced procedures like cardiac surgeries.
This lack of specialized care, especially in rural areas, has left many NCD patients without critical, life-saving interventions.
The Patient advocacy groups have now called for urgent reforms and clearer communication from the Ministry of Health and SHA management to address these service gaps. According to the Caucus of Patient-Led Organizations of NCDs, the rollout of SHA must be transparent and patient-centered to restore trust and ensure that the health system can meet the needs of people living with chronic conditions. They have also encouraged everyone to enlist and enroll with social health insurance fund, social health authority, and want Kenyans to help push for this services from inside and they are confident that things are going to improve.