Public Health PS Mary Muthoni with residents of Gichugu in Kirinyaga county



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Health Principal Secretary Mary Muthoni has reaffirmed the government’s commitment to overhauling Kenya’s healthcare system.

Her remarks come as concerns grow over staffing shortages, delayed funding to health facilities and the recent rollout of the Social Health Authority.

Speaking in Runyenjes, Embu county, the PS said her ministry is working tirelessly to ensure the success of SHA that replaced NHIF as part of the government’s push for universal health coverage.

“We understand the anxieties surrounding these changes, but they are necessary for a sustainable, efficient and people-centered healthcare system,” she said.

Muthoni said SHA is built on principles of equity and solidarity, assuring that no Kenyan will be denied care due to financial constraints.

Her remarks come at a time when county health workers have raised concerns over poor working conditions, delayed salaries and unclear implementation guidelines for SHA.

Muthoni acknowledged the challenges but called for patience, noting that the ministry is engaging with county governments and other stakeholders to address emerging issues.

The PS said the government has prioritised the digitisation of health services, increased access to primary care, and a stronger focus on preventive health.

She underscored the role played by community health promoters in delivering basic care at the grassroots level.

She reiterated the government’s commitment to driving health reforms, citing the construction of new health facilities and employment of thousands of community health workers across the country.

“This is not just reforms. It’s a revolution in how we deliver health care services. We are putting the patient at the center,” she said.

Critics have raised concerns over the rollout of the new system that they say has been marred by confusion and insufficient civic education.

The Kenya Medical Practitioners and Dentists Union has also raised concerns over the financial model and long-term sustainability of SHA.

Despite the criticism, PS Muthoni expressed optimistic that once fully implemented, the new system will bridge gaps in health equity, particularly benefiting vulnerable populations in rural and underserved regions.