Duale Exposes New Hospital Scheme Targeting Mothers

He cited a case involving a private hospital where, out of 100 women who went to give birth, 93 reportedly delivered through C-section...
✨ Key Highlights
During a strategic health engagement in Tharaka Nithi on Tuesday, December 16, Health Cabinet Secretary Aden Duale exposed a concerning rise in unnecessary Caesarean section (C-section) deliveries, driven by financial incentives from the Social Health Authority (SHA).
- Duale highlighted a case where a private hospital reportedly performed 93 C-sections out of 100 births, noting that a C-section is reimbursed at Sh30,000 while a normal delivery attracts Sh10,000.
- The CS also raised concerns about fraudulent use of SHA cards, citing incidents where individuals attempted to use cards belonging to others, including the deceased.
- Duale announced that the government would crack down on medical fraud, with a dedicated DCI squad, and reaffirmed the commitment to ensuring SHA benefits reach intended beneficiaries, following the suspension of over 40 healthcare facilities and closure of over 1000 non-compliant facilities in August 2025.
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CS Duale Orders Hospital Probe and Exposes C-Section Scheme Amid Insurance Disputes - December 2025
Health Cabinet Secretary Aden Duale has ordered new investigations into Sisto Mazzoldi Hospital following an NTV exposé alleging fraudulent insurance claims. Duale directed the Kenya Medical Practitioners and Dentists Council (KMPDC) to immediately investigate, with strong disciplinary action promised if malpractice is confirmed. The CS also exposed a concerning rise in unnecessary Caesarean section deliveries, which he stated are driven by financial incentives from the Social Health Authority (SHA). In a related development, doctors represented by KMPDU have rejected a new government proposal that would introduce time-based pre-authorization restrictions on insurance claims. The proposal suggested that the Social Health Authority might reject claims pre-authorized outside the official working hours of 8 AM to 5 PM.















