Nairobi Woman Representative Esther Passaris has called on the Ministry of Health to release full payment data for the Social Health Assurance (SHA) program, citing concerns about potential mismanagement and system weaknesses.
Her remarks follow Health CS Aden Duale’s disclosure of a Sh11 billion attempt to submit fraudulent claims within the SHA program, which he said could have undermined public trust and healthcare delivery.
In a statement on Thursday, Passaris highlighted the impact of mismanagement on ordinary Kenyans.
“Sh11 billion is a significant sum. That money could equip hospitals with lifesaving equipment, provide essential medicines, and support thousands of healthcare workers for years. I believe in the Social Health Authority and Universal Healthcare. However, it is concerning when citizens’ contributions do not translate into improved services due to weaknesses in the system,” she said.
Passaris warned that the fraudulent attempt, whether intercepted or successful, revealed gaps in the SHA framework that require urgent attention. She stressed that holding systems accountable is a matter of leadership, not opposition.
“From ghost patients to irregular claims, we must expose leakages, flag fraud, and ensure public funds are protected. Our healthcare system needs urgent interventions. Transparency and accountability are critical,” she said.
She also urged that transparency be paired with clear consequences to strengthen public confidence in SHA.
“SHA must succeed, and it will only do so if trust, transparency, and accountability go hand in hand,” Passaris added.
Responding to criticism, CS Duale said the government has implemented stronger oversight measures within the SHA framework.
He noted that fraudulent claims amounting to Sh11.6 billion were identified and rejected, underscoring the effectiveness of tighter controls.
“Fraudulent claims are being detected and addressed. Every contribution made by Kenyans is monitored, and any misuse will be investigated and prosecuted in accordance with the law,” Duale said in an interview with Citizen TV.
He added that while public debate may focus on failures, progress is being made in strengthening the health insurance system.
Comments 0
Sign in to join the conversation
Sign In Create AccountNo comments yet. Be the first to share your thoughts!