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Originally published by Capital News
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January 27, 2026
2h ago

SHA to block drug claims from hospitals that fail to dispense medicine

SHA to block drug claims from hospitals that fail to dispense medicine

The Social Health Authority will reject hospital claims for medicines not issued to patients, Health CS Aden Duale says, citing widespread abuse in public facilities...

✨ Key Highlights

The Social Health Authority (SHA) will reject reimbursement claims for medicines from county-run hospitals that fail to dispense prescribed drugs, according to Health Cabinet Secretary Aden Duale. This measure addresses a persistent issue where patients undergo consultations and tests but leave without receiving medication.

  • Data from the Digital Health Agency revealed disparities, such as at Kakamega County Referral Hospital where only 9,000 out of 52,000 patients received medicines.
  • Health CS Aden Duale cited a similar trend in Bomet County, with only 4,600 out of 34,000 patients receiving drugs, fueling concerns about medicine theft or collusion with private pharmacies.
  • The SHA has activated system-based checks; facilities billing for undispensed medicines will not be reimbursed for that pharmaceutical component, starting this week for patients under primary healthcare and the Social Health Insurance Fund.

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