In a significant overhaul of the nation’s health insurance system, the new Social Health Authority (SHA) is set to officially replace the 66-year-old National Health Insurance Fund (NHIF) on October 1, 2024.

This new state agency will manage the Social Health Insurance Fund (SHIF), alongside two other funds: the Primary Health Care Fund (PHCF) and the Emergency Chronic and Critical Illness Fund (ECCF).

According to President William Ruto, the SHA aims to bridge existing gaps in health coverage and enhance access to healthcare for all Kenyans, regardless of income. He stated, “This transition is vital in achieving Universal Health Coverage, a goal we have been striving for.”

The changes involve a shift from individual to household contributions, impacting how premiums are calculated. For salaried workers, contributions will be set at 2.75% of their monthly income. For example, individuals earning Sh100,000 will contribute Sh2,750, while those making Sh1 million will pay Sh27,500. Notably, the government will also cover contributions for vulnerable households.

Daniel Mwai, a health financing advisor to the president, emphasized the need for these changes. “Relying solely on salaried Kenyans won’t achieve universal coverage. A broader approach is essential,” he said.

With the goal of enrolling 15 million Kenyans, registration is currently underway via SMS and online platforms. The SHA represents a pivotal shift toward a more inclusive healthcare system, aiming to secure affordable and equitable health services for all citizens.