A significant public outcry has erupted in Kenya as the Social Health Authority (SHA) introduces a policy requiring citizens to pay annual fees upfront for health services instead of the standard monthly contributions.

• Ksh12,460 is now demanded for a yearly SHA subscription.
• Health CS Aden Duale and SHA Chief Executive Officer Dr Mercy Mwangangi are key figures responding to the issue.
• Many Kenyans are being forced to take out loans from the Hustler Fund or pay out of pocket, contrary to previous payment arrangements instituted in June.