Moe Profile picture
Dec 23 10 tweets 2 min read Read on X
Instead of the government replacing NHIF with SHIF/SHA, it should focus on strengthening and improving it.

Efforts should focus on reforming it, addressing corruption, and ensuring equitable healthcare access for all.

Here is the detailed thread below
NHIF plays a key role in providing healthcare to many Kenyans, especially those relying on public healthcare facilities.

While it has flaws, it offers a safety net for vulnerable groups, ensuring access to medical services
The government’s plan to replace NHIF with SHIF/SHA has faced criticism for a lack of proper public consultation.

This transition has raised confusion and mistrust among the public, especially given the absence of thorough engagement.
Public participation around the reform seems superficial, mainly focused on ticking boxes rather than addressing the real concerns of citizens.

This limits the opportunity for meaningful feedback, further deepening mistrust in the reform process.
NHIF has long struggled with corruption, with billions of shillings allocated for healthcare services mismanaged or lost.

Creating a new system doesn’t address the root cause of these problems, and could make things worse.
The proposed shift from NHIF to SHIF/SHA has left many people stranded.

Patients, particularly those in need of basic healthcare, are unable to access services, reflecting a failure to address the needs of the most vulnerable.
The move towards privatizing healthcare deepens the divide between those who can afford private care and those who rely on public services.

Many private healthcare providers don’t accept NHIF, leaving low-income individuals with fewer options
Instead of dismantling NHIF, the government should focus on reforming and strengthening it.

This includes tackling corruption, improving transparency, and making the system more accountable to the public.
On privatization

Privatizing healthcare risks leaving the poorest citizens without proper access to medical services.

Efforts should be aimed at improving the public healthcare system to ensure no one is left behind, regardless of their financial status.
Rather than replacing NHIF with SHIF/SHA, the focus should be on reforming the current system. Strengthening NHIF will ensure fair and equitable healthcare access for all Kenyans, especially those most in need.

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